Permit •
CITY OF TIGARD MASTER PERMIT
II a .,. COMMUNITY DEVELOPMENT Permit #: MST2010 -00189
T i GAR 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2010
Parcel: 1S133CA10900
Jurisdiction: TIGARD
Site address: 10981 SW SAGE TER
Subdivision: VILLAGE AT SUMMER CREEK Lot: 32
Project: Village at Summer Creek, Lot 32
Project Description: Building 8 - New SFA.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 38 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2
Height: 33 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 12 Smoke
Dwelling Units: 1 Third: 573 sf Right 3.5 Detectors: Yes
Total: sf Value: $136,890.00 Rear: 10
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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Tvpes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea addl 500 sf: 2 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 addl 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)
CENTEX HOMES CENTEX HOMES 1 MST Ersn Cntrl 503 - 681 -4444
16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY
RD #200 RD, STE 200
PORTLAND, OR 97224 PORTLAND, OR 97224
PHONE: 503 - 608 -3060 PHONE: 503 - 608 -3060
FAX:
Total Fees: $12,443.58
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. A - , • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-6 through • • R 9 =61-0100. You may obtain a copy of the rules or direct questions to OUNC by calling .6699 or 1.800.332.2344.
•
Issued By: Permittee Signature: �� J
. •
Building Permit Application
.. -„ .
Residential . > -,-._:. .• ;•,•.„ ,,,....,- FOR OFFICE USE ONLY
City of Tigard
• 0 .
n 13125 SW Hall Blvd., Tigard, OR '7i '
[7
Phone: 503.639.4171 Fax: 503.598.19n p 2 3 2:6 10 Received 0 -
__2 :. f
Plan Revier)
Date/By: t X5 /0 ( Permit No.:
ti 1111 10 Other Pennit:010/2 / 5—
TIG Inspection Line: 503.639.4175 Date Ready/ey: ni,./ kris: El See Page 2 for
. . Internet: www.tigard MIN i:TM
or.gov oN ' ethod: ff / 0 Supplemental Information
C0 .
PC:ms
El New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/replacement _ 0 Other: equipment, materials, labor, overhead, and the profit for the
. "'"'":::' , ":-:"- ---- -'':' - " - -' -,-- -' .4 ''''''' ' ''' - ■,-:'---' .:','.''..,':- ,--;-"' - 7-k. '..; work indicated on this application.
CATEGORY - CONSTAIMMNI t n: . . ,, , -...
Valuation: $136,890.34
El 1 - and 2-family dwelling 0 Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms: 2
0 Master builder 0 Other: Number of bathrooms: 3
lifj,kirSIfitife ::;:`," `.;'1 Total number of floors: 3
Job site address: New dwelling area: 1186 square feet
City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet 7 73
Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet 7•
Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet -35
SW 135TH AVE, AND SW SCHOLLS FERRY RD Other structure area: ( (0(c6 square feet -33
blitS)37elifeidAii'i!
Subdivision: VILLAGE AT SUMMER CREEK Lot no. 32..... 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
41 ':kW-iv T -:-':':=-'.---- ": work indicated on this application.
NEW SFR TOWNHOUSES Valuation: $
UNIT C 1186 SQ. FT. Existing building area: square feet
New building area: square feet
;._4:! '.; ' - i; :,'': ::::,:',. '..-- z l..:- lill,,i7PEN'4,.W:„' ..;. Number of stories:
Name: CENTEX HOMES Type of construction:
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Occupancy groups:
City/State/ZIP: PORTLAND OR, 97224 Existing:
Phone: (503)608-3060 Fax: (503)608-3061 New
1 7 7— : .j . , '::' •-: Tg:4-iffeAfil,--.: 7 i , ...: - . 141 .. - = - ;. 7 . -- '- --,'-',"-.' ,•, , • ' ' ,,--'-"-;
Business name: CENTEX HOMES All contractors and subcontractors are required to be
Contact name GARY CULP licensed with the Oregon Construction Contractors Board
:
under ORS 701 and may be required to be licensed in the
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 jurisdiction in which work is being performed. If the
City/State/ZIP: PORTLAND OR, 97224 applicant is exempt from licensing, the following reasons
apply: ,
Phone: (503) 608-3060 1 Fax: : (503) 608-3061
E gary.culp@pultegroup.com
■• .' :',-- . - • "'• -'. ':'-:'''•;' - - .:'-, ,--: C01%ttitile = - '. - - '-' '
Business name: CENTEX HOMES :-. ''."
. - , ,
Address: 16520 SW UPPER BOONES FERRY RD, STE 200
Structural plan review fee (or deposit):
City/State/ZIP: PORTLAND OR, 97224
FLS plan review fee (if applicable):
Phone: (503) 608-3060 1 Fax: (503) 608-3061
CCB l 182591 Total fees due upon application:
ic.: ,
Amount received:
Authorized signature: OP, •
_ Al LA —...a Air A This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: GARY CULP Arairall Date: ir4117j * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-RES PennitApp.doc 10/01/09 440-4613T(1 I /02/COM/WEB)
• 1 - ,
Electrical ]Permit Applicat�o - a �o
' F ICE GN - LY : ,••':''-.;""-;:'.-
• City 11gAYTigard g-1? ) �' Rece : [[[ 111 4 40 )4690/0..^4:)/9
•- r 1 Permit No.:
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review \ ��/�
Phone: 503.G39A 171 Pax: 503.59$ n
' t - Dat /By: Other Permit: / /0'd ( T -
Inspection Line: 503.639.4175 ‘. ,, W
. 1, '4. Date Ready /By: inns: 121 See Page 2 for
T,IGARD , n p "
Internet: www.tigard or.gov N 'ry ilv� , %' ` ' _ Notified/Method: Supplemental Information
y Fi = -
TYPE OF WORK PLAN REVIEW
® New construction EJ Addition /alteration /replacement 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.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ File pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
- JOB S ITE INFORMATION' AND LOCATION ❑ Addition of new motor load of ❑ ' A", "E". ' t -2', I -3".
Job no.: Job site address: 49,0 SIHC e_ 100 or to or a more. occupancy.
❑
❑ Six or more residential units. 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: VILLAGE AT SUMMER CREEK ❑ Service or feeder 600 amps or more.
- FEE SCHEDULE'
Cross street/directions to job site: CORNER OF SW BARROWS RD, Description 1 Qty 1 Fee. 1 Total I •
SW 135 AVE, AND SW SCHOLLS FERRY RD New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: VILLAGE AT SUMMER CREEK Lot no.:3Z__ 1,000 sq. ft. or less 1 168.54 168.54 4
Ea. add'I 500 sq. ft. or portion 2 33.92 67.84 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF - WORK (with above sq. ft.) I 75.00 75.00 2
Limited energy, multi - family 75.00 2
NEW SFR TOWNHOUSES residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
• ® PROPERTY OWNER I ❑ .TENANT 201 amps to 400 amps 133.56 2
Name: CENTEX HOMES 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 16520 SW UPPER BOONES FERRY ROAD, STE 200 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City /State/ZIP: PORTLAND OR, 97224 relocation
Phone: (503)608 -3060 Fax: (503 -503 -6031 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
' l APPLICANT 1 . ❑ CONTACT PERSON above service or feeder fee, 7A2 2
each branch circuit
Business name: CENTEX HOMES B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: GARY CULP branch circuit
Each add'I branch circuit 7.42 2
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included)
City/State/ZIP: PORTLAND OR, 97224 Each manufactured or modular 67.84 2
tY dwelling, service and/or feeder
Phone: (503) 608 - 3060 Fax: : (503) 608 - 3061 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: gary.culp@pultegroup.com
Sign or outline lighting 67.84 2
• CONTRACTOR Signal circuit(s) or limited - energy
Business naive: GARNER ELECTRIC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (1 hr min) 66.25/hr ',
City /State /ZIP: hl ILLSBORO OR, 97123 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: 503 648 -4552 Fax: (503) 642 -7925 Inspections for which no fee is
Phone: ( 503) ( ) 90.00 / hr
specifically listed CA hr min)
CCB Lic.: 182591 Electrical Lic.: 34 - 305C Suprv. Lic.: ELECTRICAL PERMIT FEES
Subtotal: -311, 3
Suprv. Electrician signature, require!
Plan review (25 % of permit fee):
/
Print name: CHUCK GA ER Date: State surcharge (12% ofpermit fee):
, i ` P TOTAL PERMIT FEE:
Authorized signature: , • This permit application expires if a permit is not obtained within ISO
■ � r / / A5 /� days after has been accepted as complete.
Print name: � Date: Number ol• inspections allowed per permit.
I:\ Building \Pcrmils \ELC- PcrmiIApp.doc 07 /01 /10 440- 4515T11 l /05 /COMI/WEB
Mechanical Permit Application i,,,...,:...:;.:,,,,,,..,-,-- --- •-- ,--. - - , .-:...„- ,.c
1::•.: ',. -;17:.1.4"ix FOR OFFICE USE ON LY
. 13125 SW Hall Blvd., Tiard OR 97223 , :..;:i,:,: ,: ■;-:..:. e ::',.:::::,,,,-.:.:,-.., .:
SEP 24:2 20i0 R fil/Aron
! Permit No.:600 00Ny
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1 ,
:: Phone: 503.639.4171 Fax: 503.598.1960CYN L ) , ;, -- i , :7 i :/-,.--",%;
71
P Re
Other Permit: f ,_.-116 1 5
Inspection Line: 503.639A175
TIGARD :3U'i,::: 1 !\■ : DiV!..S.:0';','i Date Ready/By: Juris: El See Page 2 for
Internet: WWW. tigard-or. gov Notified/Method: Supplemental Information
:0# 7 : ... .... 7 : : ' :, .* '1 i 1`:OlqiVit404 lgC
New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
IZI
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition . 0 Other: mechanical materials, equipment, labor, overhead, and profit.
:' : 7 : • .' ' - "-. : ' --- ' - -- .. - 40P) tO.N$iFitu CO* _ Value $
-'-' - " lit
[8] 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
-4STTE INFORMATION) AN.IXIOCATION ..., = - ' ..,.. , : . -.,. ., ;: Heating/cooling
Job site address: / 1) 5 -4 4e - reze,e,g-- Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK
Heat pump 61.06
Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work 23.32
Hydronic hot water system
SW 135TH AVE, AND SW SCHOLLS FERRY RD
Residential boiler (radiator or 23.32
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Flue/vent for any of above 23.32
, Other: 23.32
Tax map/parcel no.: Other fuel appliances
; . ' ' ''' • - • - " - - agekIPTIC)N OF WORK - - - ::- . - :•- - - . Water heater 1 23.32 2332
Gas fireplace 33.39
NEW SFR TOWNHOUSES Flue vent for water heater or gas
UNIT C 1186 SQ.
fireplace 23.32
FT.
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
- • - - - . Chimney/liner/flue/vent 23.32
7 ..:' : ' . ' :' -- ;r11-37Fois.N-T:z ., ' • ,
- ' - : 23.32 Other
Name: CENTEX HOMES Environmental exhaust and ventilation
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood/other kitchen
1 33.39 33.39
City/State/ZIP: PORTLAND OR, 97224 Clothes dryer exhaust 1 33.39 33.39
Single exhaust (bathrooms,
Phone: (503)608-3060 Fax: (503)608-3061 toilet compartments, utility rooms) 4 23.32 93.28
441,100;r: - .: . - : ,. - ,- • , 4, ,- :, . , -.- .1 : Attic/crawlspace fans 23.32
Other: 23.32
Business name: CENTEX HOMES
Fuel piping
Contact name: GARY CULP $14.15 for first four; $4.03 for each additional
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Furnace, etc. 1 14.15
Gas heat pump
City/State/ZIP: PORTLAND OR, 97224 Wall/suspended/unit heater
Phone: (503) 608-3060 Fax: : (503) 608-3061 Water heater I
Fireplace
E-mail: gary.culp@pultegroup.com Range I
• ' '. • ' • - - CONTRACTOR • .- : : , - :- Barbecue
Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas)
Other:
Address: 7301 SW KABLE LANE, STE 500 mgduiviAt;xilimit Vcts.,i' .. • ' .
. : _ . . ..___. _ .. . •
City/State/ZIP: PORTLAND OR, 97224 Subtotal 6 Z44-2.e,
Minimum permit fee ($90.00)
Phone: (503) 598-0966 Fax: (503) 598-8498
Plan review (25% of permit fee)
CCB lie.: 50096 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature:
1"eirif -
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: KYLE i R • Date: 4,/e • Fee methodology set by Tri-County Building Industry Service Board
IABuilding‘Permils \ MEC-PermitApp.doc 10/01/09 440-4617 (11/02/COM/WEB)
• k
Plumbing Permit Application
Building Fixtures t . ! , , FOR OFFICE USE ONLY
City of Tigard J D eceiv e By: ? / 3 co , , Pennil No.: riyraote -oo/g f
IIII 13125 SW Hall Blvd., Tigard, OR 97�2A3 ,., Plan Review _/ �/
C Phone: 503.639.4171 Fax: 503.598.0 I/ c.: 2 U I 0 Date/By: Other Permit No.: (1, 2010 �lcT7
Inspection Line: 503.639.4175 Date Ready /By: Juris. 0 See Page 2 for
TIGARD Internet: www.tigard- or.gov C. ''� `° t' ' ' " "' '
o�. " �,. 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 1 500.32 500.32
❑ Accessory building ❑ Multi- family -
F.ach additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 _
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: •! 16 0 546 Catch basin or area drain 18.76
Drywell, leach line. or trench drain 18.76
City /State /ZIP: TIGARD OR, 97223
Footing drain (no. linear ft.: 100) 1 Page 2
Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03
Cross street/directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76
SW l35 " l AVE, AND SW SCIIOLLS FERRY RD Rain drain connector 1 18.76
Sanitary sewer (no. linear ft.: 100) 1 Pam: 2
Storm sewer (no. linear ft.: 100) 1 Page 2
Water service (no. linear ft.: 100) 1 Page 2
Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 3z..... Fixture or item: -
Tax map /parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 1 25.02
NEW SFR TOWNHOUSES
_ Dishwasher 1 25.02
UNIT C 1186 SQ. FT. Drinking liuntain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER , ❑ TENANT Expansion tank 12.51
Name: CENTEX HOMES Fixture /sewer cap 25.02 -
Floor drain /floor sink/hub 25.02
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal 1 25.02
City /State/ZIP: PORTLAND OR, 97224 Hose bib 2 25.02
Ice maker 1 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Medical eas (value: 5 ) Page 2
Business name: CENTEX HOMES
Primer 12.51
Contact name: GARY CULP -
Roof drain (commercial) 12.51
Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin/lavatory 5 25.02
City /State /ZIP: PORTIAND OR, 97224 Solar units (potable water) 62.54
Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51
Urinal 25.02
E -mail: gary.culpgpultegroup.com
Water closet 3 25.02
CONTRACTOR -
Water heater I 37.52
Business name: C:R AFTWORK PLUMBING INC. Water piping/DWV 56.29
Address: 7737 SW CIRRUS DR Other: 2102
City/State/ZIP: BEAVERTON OR, 97008 Subtotal ,3 2
Minimum permit fee: 572.50
1
Plan review (25% of permit lee)
CCI3 Lie.: 79666 Plumbing I,ic. no.: 20 -148PB A /4,/ State surcharge (12% of permit fee)
Authorized signature: TOTAL. PERMIT FELT ;
1 This permit application expires if a permit is not obtained within 180 days
Print name: PETER POLLARD Date: 9..' /7./f0 after it has been accepted as complete.
"Fee methodology set by Tri- County Building Industry Service Board.
I.\ fluildingMcrmitsMIMU-PermitApp due 10 /01/09 440- 4616T(10/02/COM /WEB)
,A5 i ao - 001 gq
oq?I SW s Tern'
STREET TREE CERTIFICATION
I, d/ owner/ agent for eft?) ..e
(PLEASE PR� (PERMIT ',OLDER)
do hereby certify that the following location meets
City of Tigard land use and development standards
for street'tree installation and is'consistent
with the approved site plan.
SI lb ADDRESS: 1 c ( II 0 "
SUBDIVISION.: Witetostw C.tr x- R LOT #: , :
SIGNATURE: U DATE: /<> "//
RIME AGFNf7
RE CEIVED
VERIFIED BY: DATE:
I I Tree location verified per ap; 'ved .rile plan.
1 \Buitdng \Forms .SnecrTr ,of .
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, 5t1,1 W , am the general contractor or the owner - builder
at the following address'
10101' $ ro'{ 3/
Site Address: `di � 0 1 ? 5 StA
City: 0 1 CtorG
Permit #: 4f5 7/9 IV
00/07 / 0 - 01,1":i f #0181 /clorfb
Subdivision/Lot ii: C C
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 1 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].
8318.2 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.
Signature: _ _� _ _ ... �_.�� — _ Date: 0-� 6 -l/
General tr actor or Owner - Builder
1 ''11uItding\Fonn'RES -Mo stureSensuIveW<xod doc 0925iO8
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
000 :7
Permit No.: 06��^ ® Jurisdiction: '-
Site Address: 4f4) --
Subdivision/Lot #:
and/or
Map and Tax Lot f +:
By my signature below, 1 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: _ Date: � "
Own reneral Contractor'Authorized Agent
Print Name: _ it( _ --
i ORSC Section N 1 107.2. 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 wan. 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 filly percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
IABuitding\Forms'RLS -I hght_fliciencyl ighting doe 07 /01 /OR