Permit 74 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2009 00210
T E GARO 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/17/2009
Parcel: 2S109ACO5500
Jurisdiction: Tigard
Site address: 13199 SW NICOLE LN
Subdivision: WILSON RIDGE NO. 2 Lot: 23
Project: Wilson Ridge II
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 6 First: 1527 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1623 sf Garage: 466 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $341,125.00 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 100
Bckflw Prevntr: 1
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'I 500 sf: 4 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC il COJ TWO C►
BY VENTURE PROPERTIES INC, 16869 SW 65TH AVE # 505
4230 SW GALEWOOD ST #100 LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503- 387 -7577
FAX: 503- 387 -7615
Total Fees: $17,784.05
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 if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001- uh
CPA/244/ 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
2�
Issued By. Permlttee Signa
Building Permit Application FOR OFFICE USE ONLY
aa
C�` 1\ i 1� Received !� -
N City o Tigard 1 N *' 1 Date /By: / Jo , ,' Permit No.: ! .+ (��(�
13125 SW Hall Blvd., Tigard, OR 9722 1 Plan Review �' ,
y ° ' '' Other Permit: Q do/ °26
C . Phone: 503.639.4171 Fax: 503.598.1980 - ' . - r 7 Date /By: .'7 i • A: ,. . , . . - ,r
TI GARD Inspection Line: 503.639 i ^ ' 1 ° Notified/Method: � Date Ready /By: 1 �� �� t : 4 6: El See Attached Checklist for
Internet: www.tigard - or.gov J � Supplemental Information
TYPE OF WO 4 t V GVJ \S REQUIRED DATA: 1- AND 2-FAMILY DWELLING
Demolition fees* , Permit ees are based on the value of the work performed.
® New construction ❑ Demolition p
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling 0 Commercial/industrial Valuation:308 g 24 $
co ❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: t.
Job site address: 131 IGGi w Mico(f. Laytt. New dwelling area: 5 190 square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: 4 6t, square feet
Suite/bldg. /apt. no.: Project name: Wilson Ridge II Covered porch area: square feet
Cross street/directions to job site: SW Bull Mountain Rd. & SW 133 Ave. Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Wilson Ridge II Lot no.: �?) Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
I DESCRIPTION OF WORK - work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes NW, LLC Type of construction:
Address: 16869 SW 65 Ave., #505 Occupancy groups:
City / State/ZIP: Lake Oswego, OR 97035 Existing:
Phone: (503)387 -7577 Fax: (503)387 -7615 New:
.0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: Stone Bridge Homes NW, LLC All contractors and subcontractors are required to be
Contact nam ..'+7i^� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16869 SW 65 Ave., #505 jurisdiction in which work is being performed. If the
City / State/ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 387 -7577 Fax: : (503) 387 -7615
E -m
CONTRACTOR
Business name: Stone Bridge Homes NW, LLC BUILDING PERMIT FEES*
Address: 16869 SW 65 Ave., #505 (Please refer to fcc schedule
Structural plan review fee (or deposit):
City /State /ZIP: Lake Oswego, OR 97035
Phone: (503) 387-7577 Fax: (503) 387 -7615 FLS plan review fee (if applicable):
CCB lic.: 1 $ t Total fees due upon application:
Amount received: 75v.ce)
Authorized signature: j�! •
- t t, - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: KYl p . Y y ye,,riCM Date: * Fee methodology set by Tri-County Building Industry
Service Board.
1:\ BuildingWermits \BUP- PermitApp.doc 03/21/06 440- 46t3T(11 /02 /COM/WEB)
Electrical Permit Application holy o►:F►cI: usE oNI.vv
Received
City of Tigard 1 � DateB • / o9 ` A Permit No.: Jr Q
13125 SW Hall Blvd., Tigard, OR 9 2 1 ■ ■ - ; iJ U L -, �� � D ��
g Plan R eview
' 0 Phone: 503.639.4171 Fax: 503.598.1960 DateB ': Other Permit .) a9 9- 26/ • /
T I C. A R D Inspection Line: 503.639.4175 'i „ Date Ready/By: �j ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: — Supplemental Information
TYPE OF WO /':.. ..a ``,; ,1 PLAN REVIEW
® New construction ❑ Addition /alte>at h , a i; -' '� Please check all that apply (submit 2 sets of plans w /items checked below):
oti/replaceme6f
❑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 ❑ CommerciaUindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
1 ! IOOHP or more. occupancy.
Job no.: 10( Job site address: i �; S Ni co 1 L L/�pUL ❑ Six or more residential units. 0 Recreational vehicle parks.
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: Wilson Ridge II ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SW Bull Mountain & SW 133rd Avenue Description 1 Qty. I Fee. 1 Total 1 •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Wilson Ridge 11 Lot no.: 25 1,000 sq. ft. or less 1 168.54 . 10).341 4
Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 7 33.92 dO3.52 1
Limited energy, residential 67.84 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 67.84 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less _ ' 100.70 1 1 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2
City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits – new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: Gayland Forsberg without service or feeder fee, 56.18 2
first branch circuit
Address: Each add'l branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: gayland @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business Signal circuit(s) or limited -
usiness name: City Electric
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (971) 404 -1714 Fax: (503) 625 -3052 Investigation per hour (1 hr min) 66.25
CCB Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES _
Suprv. Electrician signature, required: Subtotal: _ 5 2. (^.4(Q
Print name: Chuck Friesen Date: Plan review (25% of permit fee): — _
State surcharge (12% of permit fee): 1 it , (, 3
Authorized signature: TOTAL PERMIT FEE: -e- L S (,i I
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 permit.
1:I Building\PemtitslELC- PermitApp.doc 10/01/09 440-4615T( 1 1 /05/COM/WEB
l r • 1 11B
Plumbing Permit Application B fI V D rr G
Building Fixtures hc)R OIFICI; IISE ONLY
City Of Tigard Received /' t ld / M� D n'
ro Date/By:
Permit No.:
a 13125 SW Hall Blvd., Tigard, OR 97223 Y, t ii'i - , y ' �� D oY
I p CITY Or I Review M • Phone: 503.639.4171 Fax: 503.598.1960 1 i ! '.� 3 aeB Other Permit No.:
��� �d< ICJ
T t G n lZ D Inspection Line: 503.639.4175 BUILDING l o, Date Ready/By: Juris: 65 See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 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 x 500.32 Foe) . 2
❑ 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: 0 (4 q sw N 1 CO 1 C.✓ LarkL 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.: l60) Page 2
Suite/bldg. /apt. no.: I Project name: Wilson Ridge I1 Manufactured home utilities 50.03
Cross street/directions to job site: SW Bull Mountain & SW 133rd Avenue Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: \) Page 2
Storm sewer (no. linear ft.: (4,) Page 2
Water service (no. linear ft.:) Page 2
Subdivision: Wilson Ridge 11 I Lot no.: 23 Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer / 25.02
Dishwasher / 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 16869 SW 65 Avenue #505
Garbage disposal 1 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 2. 25.02
Phone: (503)387 - 7577 Fax: (503)387 - 7615 Ice maker 1 12.51
❑ APPLICANT ❑ CONTACT PERSON lnterceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Gayland Forsberg
Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 1 /CI /1 .5 25.02
City/State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan .40 1 4 12.51
E -mail: gayland @stonebridgehomesnw.com Urinal 25.02
CONTRACTOR Water closet J 3 25.02
Water heater ( 37.52
Business name: Legacy Plumbing
Water piping/DWV 56.29
Address: 8985 Hazelvern Way Other: 25.02
City/State /ZIP: Portland, OR 97223 Subtotal 5 32
Phone: (503) 816 - 8887 Fax: (503) 297 - 4587 Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: 173318 Plumbing Lic. no.: 26 -517PB
State surcharge (12% of permit fee) 1 �j . 0/
Authorized signature: ^ -4� 'l J TOTAL PERMIT FEE
Print name: Matt Nelson Date: 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.
1:\ Building \Permits\PLMU- PermitApp.doc 10 /01/09 440- 4616T(10 /02 /COM/WEB)
Mechanical Permit Application roll office list,: ONI,Y
Received /Off, `
yd
Date f
71 City of Tigard Permit No.: ..,..- '
n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
0 7 , Other Permit: /
P hone: 503.639.4171 Fax: 503.598.1 •.. DateBy: "P/ QQ d%
T I G A R D Inspection Line: 503.639 , c 1w. # _ Date ReadyBy: ® See Page 2 for
Internet: www.tigard- or.gov s' Notified/method: Supplemental Information
T l
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
••••‘
h rt
t�' , lj c Y kni ! '.; %I \1 I • ,‘" ;ii Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition /alteration
�. I !±, performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: BI lal i.,,,:L' -. mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: I i-1 1 Sin/ Nicole, Air conditioning
h f . , (requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts /vents) I 46.75 '-I G. 15
Fumace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: Wilson Ridge II Heat pump 61.06
Cross street/directions to job site: SW Bull Mountain & SW 133" Avenue 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: Wilson Ridge II Lot no.: a Flue /vent for any of above I 23.32 L b, :12_
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32 , S2-
Gas fireplace 1 33.39 '33.
Flue vent for water heater or gas
fireplace Z 23.32 el ( • (ifi
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER l Chimney/liner /flue /vent 23.32
❑ TENANT Other: 23.32
Name: Stone Bridge Homes Environmental exhaust and ventilation
Range hood/other kitchen
Address: 16869 SW 65th Avenue #505 equipment I 33.39 3339
City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 33. '9
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7615 toilet compartments, utility rooms) S 23.32 11 ( ,(
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: SEE ABOVE
Fuel piping
Contact name: Gayland Forsberg $14.15 for first four; $4.03 for each additional ly f S
Address: Furnace, etc. I
Gas heat pump
City /State /ZIP: WalUsuspended/unitheater
Water heater I
Phone: ( ) Fax:: ( ) t
Fireplace
E -mail: Range 1
CONTRACTOR Barbecue
Business name: Comfort Zone Clothes dryer (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
City /State /ZIP: Troutdale, OR 97060 Subtotal 37() • L . ).3
Minimum permit fee ($90.00)
Phone: (503) 667 -5595 Fax: (503) 491 - 8252 Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (12% of permit fee) 1 L . (-3
TOTAL PERMIT FEE ,
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: David Heldstab Date: • Fee methodology set by Tri -County Building Industry Service Board
I: \Build,ng\Permits\MEC- PermitApp.doc 10 /01/09 440-4617T (1I/02 /COM/WEB)
Y I .
CITY. OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: - F- 1 1‘ - 51 -1 4:9- (:)().;1/
PLANNING DIVISION:
� Required Setacks: Er Approved . ❑ Not Approved
Side: Street Side: Eel
Front. !S (.: rage: Rear: IS
Visual Clearance: [1 Ap prove d
Maximum Building 35/' ❑Not Approved
Heigh( feet
CWS Service Proviu,.i i_ : !'N
. ....gt.ire:�• 0 Yes ❑ No
� I�l Received
i f : � -L eel ' !l (� /
ENGINEERING DEPARTMENT
Actual lope: 5 % g Approved ❑ Not Approved
Site P n: Approved Etc/Approved
: /
B y : Date: o 9•
Notes:
11 �yt,eVt� t ae c cr��eeQw� �cu� ,�
CITY OF TIGARD. SITE PLAIN REVIEW
. BUILDING PERMIT NO:
Street Trees: Approved ❑ Not Approved
Protecte Approved of
By: j o j i'lpr Date: i t 3 Approved
7
Notes:
I II /11-,A-ti" � � fic4-0 tf —v-17
N S
r ,r' CITY OF - TEGAR® CERTIFICATE OF OCCUPANCY
C :_ Permit #: MST2009 -00210
- ` 1, COMMUNITY DEVELOPMENT Permit Issued: 12/17/2009
Tr [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109ACO5500
Jurisdiction: Tigard
Site address: 13199 SW NICOLE LN
Subdivision: WILSON RIDGE NO. 2 Lot: 23
Project Description: New SF
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -2
Occupancy Load:
Project Name: Wilson Ridge I1
Owner: STONE BRIDGE HOMES NW LLC
BY VENTURE PROPERTIES INC, 4230 SW
GALEWOOD ST #100
Phone:
Contractor: STONE BRIDGE HOMES NW LLC
16869 SW 65TH AVE # 505
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7577
Fax: 503 - 387 -7615
This Certificate issued 3/5/2010 grants occupancy of the above referenced building or portion thereof and
confirms th • t the building has been inspected for compliance with the State of Oregon Specialty Codes for the
group, oc ipancy, and use under which the nced permit was issued.
Ic
tiAlli■ V b-).- I) tt`i
B Irng Inspecto lb Building Official
POST IN CONSPICUOUS PLACE
Oregon Residential Specialty Code 8318.2
des i 2 -c�.lO
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, 6 / g I , am the general contractor or the owner - builder
at the following address:
Site Address: c,
1 • c 4.,,..,4-
City:
Permit #:
✓�5 i ..2 rya Gj da2/ 2
Subdivision/Lot #:
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.
Si a Date: "7/1 18
General Contractor or Owner- Builder
1: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
Site Address: 1 '3 j 9 9 5 J p,` c _ 4 0 , ��
Subdivision/Lot #: � , I fi 23
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 Ni 107.2)
Signature: Date: 3 1 t/Ir
Owner /General Contractor /Authorized Agent
Print Name: y 7/.4
' 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.
I:\ Building \For s RES- HighEfficiencyLighting.doc 07/01/08
STREET TREE C
1/4-0/1 Owner /Agent for
r (PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard land use and development standards
for street tree installation.
I
ADDRESS: ( 3 /°I S ; 6 . L et .
! SUBDIVISION: ( )5 t. p _ LOT: ,Z
SIGNATURE: DATE: V 1//
(O [FIVER /AGENT)
4. ! ,R ECEIVED BY: DATE:
(CITY OF T7GARD)
1:ABuilding\ Forms \ Streetl'recCcrtificate 01/19/07
A
r
e A. '. OBE.
ST0NEBRIDGE LOT: 23
HOME 9 Nw 1.2..d0 DATE: 09/20/2009
1 8869 SW 86t.12. AVE.. * 606 � r'` ' L �•r' PROPERTY: WILSON—RIDGE—II
z•=s oswsao. ORZGON 97086 ,- ;�(';, *: A lITy: TIGARD
(603)387 -7677 -��t °�, 1 .-- SCALE: 1 " =20'
0
t , ` '‘ . ' PLAN No.: 139
T STANDARD ELEVATION
512 1�
s 111 1'7
510 ��
4 J
63 ,
3
,% 568
/›. "...7...);c3t."•;,..: ■ 4I
e, . ,
514
3,00 eq. 11.. . .m 1ry4 bath 6 510 i *�
6 Wren. .� FFE..613.6 ' E'
466 sq. h.
2 ear 1
5 � FPE. ■EM' m
514 . ' 4 • h 6 . ��
.'�r 6 ( I. Iii N . .: '.Y.:::-:.." � .51 • 6,., ` 568 566
T '1iLli 51 `' % -.
�� • - • t 6 � 510
rv '..5 . ': ' - " . \ ' . : : • s ' ' ' . ' Ai VA:
~ �% , : ":N 512 $ 5 4 (— w
AO ,4 - 'k- - .
op <9 VA ...::::4,
Qoa c .clsa. • . 613' \cst .
Jy 1 • -
{ Gs LOT COVERAGE
O
LOT AREA: 5,933 SQ. FT.
BUILDING AREA: 2,056 SQ. FT.
l i ` PERCENTAGE: 34.1%
_ - LEGEND
:- =�'( - STREET TREES
1� v. REDWOOD ASH
- FRAXIMUS OXYGARPA-
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. LOT r13
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. 5,933 eq. ft.
THEY MAY VARY AND BE SUBJECT TO CHANGE.
I