Permit f ° ' 'A
CITY OF TIGARD
MASTER PERMIT
,, eve , q
` , >! COMMUNITY DEVELOPMENT Permit #: MST2010 -00097
„ Date Issued: 06/24/2010
, IT [ 3 ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S104BB11900
Jurisdiction: Tigard
Site address: 13916 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 36
Project: Walnut Creek
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 843 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1124 sf Garage: 395 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $209,248.60 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 500 sf: 3 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add! Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
MATRIX DEVELOPMENT CORP MATRIX DEVELOPMENT 1 MST Ersn Cntrl 503 681 - 4444
12755 SW 69TH AVE #100 CORPORATION
TIGARD, OR 97223 12755 SW 69TH AVE #100
TIGARD, OR 97224
PHONE: PHONE: 503- 620 -8080
FAX: 503- 598 -8900
Total Fees: $10,895.78
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do ' accord8nce -th approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
day . ATTENTION: Oregon equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OA' •52001 a 00. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is �_ — `�� i' P ermittee Signature:
23
T y�� A "�
` 71 : Ea -- CITY OF TIGARD SEWER CONNECTION PERMIT
a COMMUNITY DEVELOPMENT
Permit #: SWR2010 00080
,; 44, Date Issued: 06/24/2010
T E G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S104BB11900
Jurisdiction: Tigard
Site address: 13916 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 36
Project: Walnut Creek
Project Description: New SF.
FEES
Owner:
MATRIX DEVELOPMENT CORP Description Date Amount
12755 SW 69TH AVE #100 Sewer Connection Fee 06/24/2010 $3,600.00
TIGARD, OR 97223 Sewer Inspection - Residential 06/24/2010 $35.00
PHONE:
Contractor:
PHONE:
FAX:
Type of Use: SF
Class of Work: NEW
Install Type:
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or i is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Not ation Center. Those are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct uestions ) to OUNC by calli • 93. 46.6699 or 1.800.332.2344.
Issue y: V / /4 Q (� r Perm itteeSignature: 1
Call 503.639.4175 by 7:00 a.m. for an inspection that busines ay.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
I City of Tigard Received �� r
� j c� '
t% Date /B : , f . /a s
ill Permit No.. ♦ Us
u 13125 SW Hall Blvd., Tigard, OR 97223 v0 "�' Plan Rev '"'f,
Phone: 503.639.4171 Fax: 503.598.196( ®� - ,I;' . 411 ' Other Permit ; . f i al • A TIGARD Inspection Line: 503.639.4175 \� f� �M : easy :y: hats l el See Page 2 for
Internet: www tig or.[,ov J t� led /Method: id � Supplemental Information
6 % Liin Jr <Sjr ere.
TYPE OF WORK G�1� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
`��� Permit fees* are based on the value of the work
® New construction El Demoh «`N performed. Indicate the value (rounded to the nearest
❑ Addition/alteration/replacement ❑ Other: dollar) of all equipment. materials, labor, overhead, and
CATEGORY OF CONSTRUCTION the profit for the work indicated on this application.
Valuation• Fr-14+774118730
® 1- and 2- family dwelling El Commercial /industrial °
111 Accessory building ❑ Multi- family Number of bedrooms: 3
® Master builder El Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 13916 Sw Walnut Creek Way New dwelling area: 1,967 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 395 square feet
Suite /bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 15 square feet i i 24- -`
Cross street/directions to job site: Barrows & Walnut Deck area: square feet gifl1/4" `
• Other structure area: .0:3 k72-- square feet 3
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Walnut Creek I Lot no.: 036 Permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest
Tax map /parcel no.: 2S104BB 11900 dollar) of all equipment, materials, labor, overhead, and
DESCRIPTION OF WORK the profit for the work indicated on this application.
Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Legend Homes Type of construction:
Address: 12755 SW 69" Avenue, Suite #100 Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing:
Phone: (503) 620 -8080 Fax: (503) 598 -8900 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Legend Homes All contractors and subcontractors are required to be
Contact name: Steve Lucas 1)041 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12755 SW 69 Avenue, Suite #100 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -8080 Fax: : (503) 598-8900
E -mail: slucas @legendhomes.com
CONTRACTOR
Business name: Legend Homes BUILDING PERMIT FEES*
Address: 12755 SW 69 Avenue, Suite #100 (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: Portland, OR 97223
FLS plan review fee (if applicable):
Phone: (503) 620 -8080 Fax: (503) 598 -8900 rl
Total fees due upon application: -7 %,
CCB Iic.: 55151
Amount received: , t2--0 , ) t_J
Authorized signature: ,A This permit application expires if a permit is not obtained
/"' within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 6/3/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
Electrical Permit Application t a , r � a _ 1. 1 FO O FCE U ONL
qq ��
w 'Y P, .. :., . �1 � NQ R`A i "� -� �`� � I.aX . ..k. FI t . ,. ... ,.., E t .:. ._ '�, .T .. . �
el .- � � _ .- ...
ec (3/t City of Ti Date /By: 6 Q 3Y Permit No.: 13125 SW Hall Blvd., Ti ard, OR 97223 t Y I
Tigard, `' Plan Review
,- Phone: 503.639.4171 Fax: 503.598.19611 q r,,N,V Date /By: Other Permit:
' - t Inspection Line: 503.639.4175 t Date Ready /By: Juris ® See Page 2 for
PTIGARD
si= !.c:' Internet: www.tigard- or.gov \`t ��� ��otified/Method: Supplemental Information
,' 1 \� l., --.
TYPE::OF WORK - ,'� ' .t PLAN REVIEW - . ,
® New construction ❑ Addition /alteration Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑Other: where the available fault current ❑ Marinas and boatyards
' 'CATEGORY,'OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings
El Multi- family ® Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND' LOCATION ❑ Emergency system. larger separately derived system.
.
C3 A Addition of new motor load of ❑ "A ", "E' "I - "I -
I00HP or more. occupancy.
Job no.: Job site address: 13916 Sw Walnut Creek Way ❑Recreational vehicle parks
❑ Six or more residential units.
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Walnut Creek ❑ Service or feeder 600 amps or snore.
• , FEE SCHEDULE . •
Cross street/directions to job site: Barrows & Walnut Description 1 Qty. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:036 1,000 sq. ft. or less _ 1 1 168.54 168.54 14
Ea. add] 500 sq. ft. or portion `. 33.92 l(i , 1
Tax map /parcel no.: 2S104BB 11900 Limited energy, residential
. . . -' .'•.DESCRIPTION'OF WORK (with above sq. fl.) 1 67.84 67.84 2
Limited energy, multi - family 67.84 2
residential (with above sq. fl.)
Services or feeders installation, alteration, and /or relocation
200 amps or Tess 100.70 2
®' PROPERTY' OWNER - 0 TENANT . . 201 amps to 400 amps 133.56 2
Name: Legend Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.40 2
Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 552.26 2
City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)620 -8080 1 Fax: (503)598 -8900 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 125.08 2
not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 168.54 2
701. Branch circuits— new, alteration, or extension, per panel
A. Fee for branch circuits with
Owner signature: Date: above service or feeder fee, 7.42 2
® APPLICANT. Q CONTACT .PERSON each branch circuit
B. Fee for branch circuits
Business name: Legend Homes without service or feeder fee, 56.18 2
first branch circuit
Contact name: Steve Lucas Each add'l branch circuit 7.42 2
Address: 12755 SW 69" Avenue, Suite #100 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
City /State /ZIP: Portland, OR 97223 dwelling, service and /or feeder
Reconnect only 67.84 2
Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Pump or irrigation circle 67.84 2
E - mail: slucas @legendhomes.com • Sign or outline lighting 67.84 2
CONTRACTOR ' Signal circuit(s) or limited-
energy panel, alteration, or Page 2 2
Business name: Garner Electric extension.
Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above
Additional Inspection (I hr min) 66.25/ hr
City /State /ZIP: Hillsboro, OR 97123 Investigation (1 hr min) 66.25/ hr
Phone: (503) 648 - 4552 Fax: (503) 642 -7925 Industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is 90.00/ hr
CCB Lic.: 121159 Electrical z ' -305C ' Suprv. Lic.: 3707 -S specifically listed (1/2 hr min)
.. . ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requir +: Subtotal: I ?; 14-
Print name: Chuck Garner /d �� p.. - 4 I...._, /2010 Plan review (25% of permit feel
State surcharge (12% of permit fee): ^C 0.
Authorized signature: TOTAL PERMIT FEE: 3 p 2.
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per pennit.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date /By: Permit No.:/ `t/ /y6 ��y 7
ill u
�(�('�� /
13125 5 g SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
��y ` Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 1K j j Date Ready /By: Juris: El See Paget for
Internet: www.tigard- or.gov � cs L �� Notified/Method: Supplemental Information
AA``
TYPE OF WORK ,�1� O t�9 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction ❑ Addition /alteration /r
1I Mechanical permit fees* are based on the value of the work
CAI' v� tl� S 1Q�
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other: Vi 111 mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONST TION Value: $
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi- family ® Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 13916 Sw Walnut Creek Way Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) I 46.75 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Walnut Creek
Gas heat pump 61.06
Cross street/directions to job site: Barrows & Walnut Duct work 23.32
. Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Walnut Creek Lot no.: 036 Flue /vent for any of above 23
Other: 23.32
Tax map /parcel no.: 2S104BB 11900 Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32 23.32
Gas fireplace 1 33.39 33.39
Flue vent for water heater or gas i
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen
equipment 1 33.39 33.39
City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 33.39 33.39
Single -duct exhaust (bathrooms,
Phone: (503)620 -8080 Fax: (503)589 -8900 toilet compartments, utility rooms) 5 23.32 116.60
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Legend Homes
Fuel piping
Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional
Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc I
Gas heat pump
City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater I
Fireplace 1
E -mail: slucas @legendhomes.com Range 1 14.15
CONTRACTOR Barbecue
Business name: Tri County Temp Control
Clothes dryer (gas)
t hthes
Other:
Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES*
City /State /ZIP: Oregon City, OR 97045 Subtotal f
Minimum permit fee ($72.50)
Phone: (503) 557 -2200 Fax: (503) 557 -0919 Plan review (25% of permit fee)
CCB lic.: 72623 State surcharge (12% of permit fee) 3(7, - Z
TOTAL PERMIT FEE .34.7, k I ,
Authorized signature: ' ^" y>� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: name: Steve Lucas Date: 6/3/2010 * Fee methodology set by Tri - County Building Industry Service Board
Plumbing Permit Application ��J�
Building Fixtures I v N r X114ie 444 iF,0124 OFFICEr,USED.ONLY � " ; e ` y ' e k ,V
w'a :� `" Received
��;; City of Tigard , : 1 mh .i • U •
fie' a `,
F v 13125 SW Hall Blvd., Tigard, OR 97223 ` \\A 4 1Q�
3 D a te /BY: Plan Review
V_
Phone: 503.639.4171 Fax: 503.598.196W EC�� DateBy Other Permit No.:
0 -' 1 ' ,. ' Inspection Line: 503.639.4175
TI p A It% Date Ready /By: luris 0 See Page 2 for
.,,•; a.z Internet: www tt gard or.gov� Notified /Method: Supplemental Information
T YPE OF WOR
"" ' ' • 5
kti,'
.
, FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description 1 Qty. 1 Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
' '.. 'CATEGORY OF. CONSTRUCTION, SFR (1) bath 312.70
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath 1 500.32 500.32
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
® Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
<; JOB ,SITE' INFORMATION AND LOCATION ,.: '; Site utilities
Job site address: 13916 Sw Walnut Creek Way Catch basin or area drain 18.76
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: Walnut Creek Manufactured home utilities 50.03
Cross street/directions to job site: Barrows & Walnut Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
. Water service (no. linear ft.: ) Page 2
Subdivision: Walnut Creek Lot no.: 036 Fixture or item
Tax map /parcel no.: 2S104BB 11900 Backflow preventer 31.27
DESCRIPTION' OF WORK ac water valve B k I 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
Z.. PROPERTY,.'OWNER `❑ TENANT Expansion tank 12.51
Name: Legend Homes Fixture /sewer cap 25.02
Address: 12755 SW 69 Avenue, Suite #100 Floor drain /floor sink/hub 25.02
Garbage disposal 25.02
City /State /ZIP: Portland, OR 97223
Hose bib 25.02
Phone: (503)620 - 8080 Fax: (503)598 - 8900 Ice maker 12.51
- ® APPLICANT '❑. CONTACT PERSON Interceptor /grease trap 25.02 . '
Business name: Legend Homes Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Steve Lucas
Roof drain (commercial) 12.51
Address: 12755 SW 69' Avenue, Suite #100
Sink/basin/lavatory 25.02
City /State /ZIP: Portland, OR 97223 Solar units (potable water) 62.54
Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Tub /shower /shower pan 12.51
E - mail: slucas @legendhomes.com Urinal 25.02
CONTRACTOR.. r
Wate closet 25 2
Water heater 37.52
Business name: Wolcott Plumbing
Water piping ?DWV 56.29
Address: 1075 W. Historic Columbia River Hwy Other: 25.02
City /State /ZIP: Troutdale, OR 97060 Subtotal 500.32
Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Minimum permit fee: $72.50
CCB Lic.: 112220 Plumbing Lic. no.: 26 - 824PB Plan review (25% of permit fee) '
State surcharge (12% of permit fee) 60.04
Authorized signature:
�� 4N < r. � 0 Fe.A TOTAL PERMIT FEE "& ,
Print name: Gloria Hawes Date: 6/3/2010 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
•
CITY OF TIGARD / 2 7 5 r 2 4 / 0 - 0 0 0 9 7
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 , mniuiyp� 'I
Ip "nection Requests (24 Hrs.): (503) 639- 4175 __..
INSPECTION WORKSHEET FOR DATE: q/v
s TIME: PAGE:
SITE ADDRESS: 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: `�
OWNER: PHONE #: 9 " T7 / 6(F.-'
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: d f2 Pour Time:
Code # Inspection Description o # Contact # Messag z / v O v
Ofirel 4-77-er
Corrections /Comments /Instructions:
. PASS ❑ PARTIAL APPROVAL _ CANCEL NO ACCESS
n FAIL' I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
1
PLOT PLAN /,. m 6/02/10
LOT 36 WALNUT CREEK
13916 SW WALNUT CREEK WAY
NE 4 SECTION 4, T. 25, R. 1 W, W.M. 1" • 20' -0"
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
LEGEND
7 1t , , HOMES
12766 HI 69th AVE. 06210! (609) 6080 -0060
sore! 100 6a ( 609) 690 - 0900
"
PORTLAND. OR. 97289 CCB/ 66161
W -- WATERLINE S
85 SANITARY SEWER
50 STORM DRAIN q 1 1/ , 4 �
O O EROSION FENCE ' Y/
- q OF STREET �. T
0 WATER METER S/ 2�/ % \ SO \� . '
• MANHOLE O �`\ �' f
U CATCH B 8 ASIN 4k 1 l'� \ \ Y
o li PROPOSED ''� ��
v� STREET TREES
STREET LIGHT -... � ^ `� ,3 I
ti FIRE HYDRANT 2411' e8 /
• \ '.'"7. _ � ? •. ♦ ♦i
;Z-
Y PROVIDE EROSION 2 0,..... \ i ,\ /
CONTROL FENCE 42 0 4 /' �,,
PER COMMUNITY ` r ' '..::;\?:' 11,
EROSION PLAN / \ X11 . If W • L ,w, 6 ;r / � : • i41.3 � `∎i�
242.8' / STREET TAE:
� ��T �36 " ��� / ..;a....„ CHANTICLEER PEAR
O 3 15 5 T IT/ 2 " Ca liper
2 ,1 \3 • F L � w 3 s ti� k CsAR
ry r
S, e ft \. r ` ,r I 9L
35
O , - � 7. \ 241.9'
\ , /. e Ala, ry
e
N T
N 7.
SETBACKS :
N
FRONT YARD • 15 FEET .jam
G4R4 • 20 FEET N
REAR YARD • 15 FEET
SIDE YARD • 4 FEET
STREET SIDE YARD • 10 FEET
I a. L: is
CITY OF TIGARD • SITE PLAN REVIEW
BUILDING PERMIT NO.: 1..4, 5.1" do (0- 00 97
PLANNING DIVISION:
Required Se Its: 0/ Approved ❑ Not Approved
Side: Street Side:
Front. I _ Ga ge: _120._ Rear:
'5" Visual Clearance: 1:1 Aperoved L L t Approved
Maximum Buiidin ;+Fe!ri1t t, c
CWS Service. P:nvider Letter Regk, - 3 No
g o ul. Dr: G / // U
ENG NEERI DEPARTMENT:
Actual Slope: Z % ikApproved ❑ Not Approved
Site PI Approved NoyApproved
By: Date: Z 22/ /U ,.I
Notes: - /-wt._ it -t-1/4.—
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT' NO:
Street Trees: Approved ❑ Not Approved
Protected Trees' Approved ❑ 7otitiproved
BY: [O Date: j0
Notes: I
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, k t ---` ( c , c 1 L L1._f) , am the general contractor or the owner- builder
at the following address:
Site Address:
oute-T C - _ l
City: �±
/ / 6. 04
Permit #:
go /0 °-C)C9C)
Subdivision/Lot #: jd r /t.ru..: L (-Z1-
and/or
Map and Tax Lot #:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture - sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
dik Signature: �bi Date:
_
Gen-ra . ontractor or ner-B .i der
1: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
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Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: gl0 000 7 # Jurisdiction:
776,4-e.iLD
Site Address:
Subdivision/Lot #:
( L-
and/or
Map and Tax Lot #:
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature: 0001 4. /' Date: I
General Con act..Authori ed Agent
Print Name: :Keli A ( A.3
' ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
l:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
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l:\Baihimoorms\streeareecefuficate oi /19/o7 , . .