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Permit CITY OF TIGARD MASTER PERMIT II . s COMMUNITY DEVELOPMENT Permit #: MST2010 -00190 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2010 Parcel: 1 S133CA11000 Jurisdiction: TIGARD Site address: 10975 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 33 Project: Village at Summer Creek, Lot 33 Project Description: Building 8 - New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First 60 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 703 sf Garage: 620 sf Front 12 Smoke Dwelling Units: 1 Third: 697 sf Right 3.5 Detectors: Yes Total: sf Value: $169,855.22 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 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 Types 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 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) 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: $13,057.64 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. ATTE ON. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0 0 through 0 se -0100. You may obtain a copy of the rules or direct questions to OUNC by calling SA3.246.6699 or 1.800.332.2344. • Issued • , / — -` ∎ — Perm ittee Signature: / 5"'-___, ... Building Permit Application Regidetttial FOROFFIc'EVSE(30NLy , ;:, , ..i .: •- ...., City of Tigard Pemit No.: h/.567,Z042 ..-06)//POI \..\-- \.(-- : " q 13125 SW Hall Blvd., Tigard ,Q lir 9)1722 ''', ( Cn) 2 ' Phone: 503.639.4171 , Fax: 508 • Received a 2 Date/By: f 5 Ai Plan Review f A ( ti i io.4. Date/By: c u °Ma a l eo k.g rye .... e xelc . 4 TIGARD Line: 503.639.4175 - • .--,,,•,i, f \-? , t 5 Date d : te R. dy/tBhyo : W b Ju A 40 4 ric El See Page 2 for Internet: www.tigard-or.gov C.ON N v. '' ";;,,,,,,,,,,; Supplemental Information ' t 1 :1 1 it A ' N G '. 5 ` ).1\CP)1" -:-- — — . # , . JA41-.4-rmoti _ r,----4•7:::„.:-.,-,:_::,:_::::-.L.:::-: 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/alterationireplacement 0 Other: equipment, materials, labor, overhead, and the profit for the 0 4 1 10 - 01,II4 tiC0 J'-12:'' '. ''''' -"- - i work indicated on this application. • '"-- - ' ' " ----"' ' ' •' ' ' -r — -. ' ' - - - - --- — Valuation: $169,855.22 El 1- and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 3 El Accessory building 0 Multi-family 0 Master builder 0 Other: Number of bathrooms: 3 [I TI '-_:, ,:: - $PrikAticp.?..1401* (A.,: .9—C491-9 - ,L ,.,: - :-°, ':- :=L .7-.':,11- Total number Of floors: 3 Job site address: /9995 ..go 5468 New dwelling area: 1460 square feet _ City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 620 square feet oft7 Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK _ Covered porch area: 33 square feet 70S Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 160 square feet (0 SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: 7,06,0 square feet . 35 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 3;, 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 „•.:.-:.„. . ^ .43,101_,TAA .75:,: - j ,...,i work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT A 1460 SQ. FT. Existing building area: square feet New building area: square feet iffiNM:fti ,- . : ir ....,_:„::::.: ,: o _:r:.,_ 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: -- 0 ;; Aiii0 7 , 7 T [... ' - ' :.• -:: 01 KS);;Oh ': - i '-.. 1 • . : '. ': ' :- ' 7 :•: i;toilt.tit 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 I Fax: : (503) 608-3061 E-mail: gary.culp®pultegroup.com !:' '-- 77. i`- , :.- "7 6 , .- . : : ' . : : -.: f -- •. i.LI ' "'.:!..t , .,.. ,:-•:: ii: ::,..,_ .'_.,. ' - ` -- - ' - - --- -, -- , ,- , - . , ' • . Business name: CENTEX HOMES : ,..--," - ,:—.: ' 'BUIL D.ING FEBNIITOES, ' .--: ' L.,: ;: .-. .. :(Pletiiiir - efei; ra.jisehediili);_ . .- ---- - -- 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 I Fax: (503) 608-3061 Total fees due upon application: CCB lic.: 182591 Amount received: 1 7 5 Z9 . Authorized signature: A opy This permit application expires if a permit is not obtained MOP ' 4, F IV ee itI m Ill e l ti 1 10 8: 0(l l o a g y y s a b g as d c t o is n t i r p y lete. Print name: GARY CU LP / LP Date: Fee Board. 1:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB) • • c In ' , Electrical Permit Applicant tin ':) „o FOR OFF U s.„•,1,,...,-..-,-,,--.,,,,,,,, 0 ... : -.. : : :s IsilLY- 13125 SW Flail Blvd.Tigard OR I i ii r,' , =_ City of Tigard S Ef 2, ?Gp Received Date/By: G 10 > Pennit No.:11c06(0..-00 /90 , , 972 3 '''' Plan ReviclV .j.. g II A.: Phone: 503.639.4171 Fax: 50-3t590 . Date/By: Other Permit:4_,9010 -on fq ..slighii-wf-A Inspection Line: 503.639.417J -',.. !, i' ,'” '‘ - i ,T7IGA:RDI Date Ready/By: Joris: B1 See Page 2 for Internet: www.tigard 0 \: :•=- , — Notified/Method: Supplemental Information ' --'-'!- C- '-. 't ', TYPE or WORK ..: . : ::::.::.., : -:-,*f. •_ - - :::,.,:::_::-::;.- -. it,N?4.0:108,*„.:•;,:..:: 0 New construction 1:13 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/iteins checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ' ' • • ' ' ' - ' 04:TEGORY OF' CONSTRUCTION - , . '. - ' . - . - exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Commercial-use agricultural El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or . . ,.' ' . ,. '' . , I ..,, -: -,--.,;, : 0 Emergency system. larger separately derived system. 49,P§1W11` ,--'.; .,`::-_,..... : .,..;.,=, ci Addition of new motor load of Job no.: Job site address:DM 54 6,6 72pr 100HP or more. 0 Six or more residential units. occupancy. 13 Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 0 Flealth-care facilities 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK 0 Service or feeder 600 amps or more. 4 Cross street/directions to job site: CORNER OF SW BARROWS RD, Description 1 Qtr. I Fce. I Total I • New residential single- or multi-family dwelling unit. SW 135 AVE, AND SW SCHOLLS FERRY RD Includes attached garage. . Subdivision: VILLAGE AT SUMMER CREEK Lot no.:33 1,000 sq. ft. or less 1 1 168.54 168.54 1 4 i Ea. addl 500 sq. ft. or portion 3 33.92 10( .7( Tax map/parcel no.: Limited energy, residential 1 75.00 75.00 2 .-,:,-;•:::.:-1:.TK1111719N.=cif-=;:W.Pg1-1'''':::;`.::i::4:".:'.::U-,-=:::,:r-,,,. (with above sq. ft.) Limited energy, multi-family NEW SFR TOWNHOUSES residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 Ig it ' -7 : ' ' 'if Eisr.,6i -:- Ly T . Tr, . -. .. _ 20 amps to 400 amps 133.56 2 Name: CENTEX HOMES 401 amps 10 600 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 City/State/ZIP: PORTLAND OR 97224 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)608 Fax: (503 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not i 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 above service or feeder lee, g,:vp.. 2-, v t_;:,, ,, .1 ,-,.: ..; .,- ::, E ; '.cONDWIT. TJEfi :,::,' 1 ._.: 742 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 addl branch circuit 7.42 2 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included) Each manufactured or modular City/State/ZIP: PORTLAND OR, 97224 67.84 2 dwelling, service and/or feeder Phone: (503) 608 Fax: : (503) 608 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E gary.culp@pultegroup.com i Sign or outline lighting 67.84 2 ,,, - '1: :,' SOISITRAtAtik -: : , ; :-:- .% :. - ' . - Signal circuit(s) or limited-energy Business name: 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 Investigation (1 hr min) 66.25/ lir City/State/ZIP: HILLSBORO OR, 97123 Industrial plant (1 hr min) 78.18/ lir Phone: (503) 648 Fax: (503) 642 Inspections for which no fee is 90.00/ hr specifically listed (Y: ltr min) CCB Lic.: 182591 Electrical Lic.: 34-305C Suprv. Lic.: _ ' -- :,: . r_CIXCTIOCA-I:, PERMIT FEES , Subtotal: Suprv. Electrician signature, require, ; / Plan review (25% of permit fee): / Print name: CHUCK GA / ' A ir / Date: State surcharge (12% apermit fee): I 7 , TOTAL PERMIT FEE: 6,74_ Authorized signature: /1/ &SI, This permit application expires if a permit is not obtained within ISO 0 l t" r '''.."-- - days after it has been accepted as complete. Print name: Date: y ii , . Number of inspections allowed per perniit. 1: \ nailding\Pcs miis \ ELC-Permit App doc 07/01/10 4.10-4615T( 1 I/05/CONI/WEB .. .+. Mechanical Permit Appll tL i ,∎ ; ` ' - - 3 FOR OFFICE USE ONLY:' 71 Cl o f Tigard U = Received _ g � Permit No.: /� ' � 13125 SW Hall Blvd., Tigard, OR 97 Date/By. 0 MA Wyk ' ' ,„ - -„ 9c _ .. 2� �� Plan Review '' . Phone: 503.639.4171 Fax: 503.59n 9b0 p Other Permit: c ,., /c/ TIGARD Inspection Line: 503.639.4175 _ Date Ready/By: Ju ris: 0 Se Page 2 for Internet: www.ti and -or. ov �r '`. " " ,ni'' Y x g g g \t y -' ; ; .: , r• : -d N otified/Method: Supplemental Information r�i 1 i tr \t C i t t� T I __ _, ... _,,_ .__ _ _< -;:t- -_�.` .: ::.,',....1..t--14:- P .E .O yO ;K „ - _ ..._ < _ .' a' -:, ` y -G'O �MER(_ -,: EF..;`' S 17p LFJ; �ilS CHE X71'; ® New construction Mechanical permit fees* are based on the value of the work ❑ Addition /alteration replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ` A iii• iris ' C© STRtJCTI ` f , • . Value $ ® 1- and 2-family dwelling _ DZ7 slAZ;EQrtIIE1E1� %SYSt[IEMSES* t y g ❑ Commercial /industrial ❑ Accessory building 1 SI _ For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total • r-..,`_ _ 3 _ „ '77'''''.471"4- �.:a ? JO i + IIE rII ib 7lI Q x_ .-.__ -, Heating/cooling Job site address: /OM . Ij 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 23.32 SW 1 35TH AVE, AND SW SCHOLLS FERRY RD Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances F-,' •_ , Pr1i fOiiii - 60 -0-ii '- . - Water heater 1 2332 23.32 LD ," ' ._• -�:�r Wi z_ _ _ - ,._ _..._ - -- i P..- .. ..._ -- - - _,,,;, Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT A 1460 SQ. FT. fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace/insert 23.32 1 Dct .. . ®� . L Chimney /liner / Fue/vent 23.32 LL ._ _ _ = . ® P F . - ._ x . r - - } :::::...,,,,-,..= _.. , 11 , ,. --__ _.,., 9 -i s ' .` -s .s._._. Other: 23.32 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen equipment 1 33.39 33.39 City/State/ZIP: PORTLAND OR, 97224 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)608 -3060 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 10-!A CA ti � i ; ; ©I -too rkCvPERSOl5 ..,:::::::_;9 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 1 Fireplace E -mail: gary.culp @pultegroup.com Range I _ . .: - _ CONTRACTOR: _- . -- - _ _ _ -. __ _._ -- . -. r B arbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 - _ YIECHAN1 C AL *. City /State /ZIP: PORTLAND OR, 97224 Subtotal ' 2A4 2 , Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12 %ofpermit tee) Z7 "3 ( � TOTAL PERMIT FEE 'Z7' j , This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: KYLE BIRMA'. Date: - �' I.}C /g • Fee methodology set by Tri- County Building Industry Service Board 1: \Building \Permits \MEC- PennitApp.doc 10/01/09 40 -4617T (11 /02/COM /NEB) Plumbing Permit Application Building Fixtures ��� ,(. ,;'t' FOR OFFICE USE ONLY City of Tigard u , . Received IIII g DatelE3 C Permit No.: Y 13125 SW Hall Blvd., Tigard, OR 97223 y 7/ ( /O �� }�5j olp4 l�'Q I • Phone: 503.639.4171 Fax: 503.598.1960 S E P t % u I k I Plan Review TIGAKD Inspection Line: 503.639 �G Date/By: Other Permit No. QP0/0"..00 �i� Internet: www.tigard or.gov r,,, i , ,. „' . Date Ready /By: lens Pi See Page 2 for I'n . ."t % '.. Notified/Method: TY Supplemental information .. , „a .4(101...-,4 ; r . .OF. WORK ® New construction ❑ Demolition FEE* SCHEDULE • ❑ Addition/alteration/replacement ❑ Other: For special information use checklist. Description 1 Qty. ( Ea. 1 Total CATEGORY OF CONSTRUCTION New 1- 2- family dwellings (includes 100 ft. for each utility connection) ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (1) bath 312.70 SFR (2) bath 437.78 ❑ Accessory building ❑ Multi - family SFR (3) bath 1 500.32 500.32 ❑ Master builder ❑ Other: Each additional bath /kitchen 25.02 JOB SITE INFORMATION ANDLOCATION Fire sprinkler ( sq. ft.) Page 2 Job site address: ,( Site utilities: Catch basin or area drain 18.76 City /State /ZIP: TIGARD OR, 97223 Drywell, leach line, or trench drain 18.76 Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK Footing drain (no. linear ft.: 100) 1 Page 2 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manufactured home utilities 50.03 SW 135"" AVE, AND SW SCHOLLS FERRY RD Manholes 18.76 Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK Lot no.: Water service (no. linear 11.: 100) 1 Page 2 Tax map /parcel no.: Fixture or item: DESCRIPTION OF WORK Backtlow preventer 31.27 Backwater valve 12.51 NEW SFR TOWNHOUSES Clothes washer 1 25.02 UNIT' A 1460 SQ. FT. Dishwasher 1 25.02 Drinking fountain 25.02 PROPERTY OWNER ❑ . , _ Ejectors /sump 25.02 Name: CENTEX HOMES Expansion tank 12.51 Fixture/sewer cap 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Floor drain/floor sink/hub 25.02 City /State /ZIP: PORTLAND OR, 97224 Garbage disposal 1 25.02 Hose bib 2 25.02 ❑ APPLICANT ►Z' CONTACT PERSON , Ice maker 1 12.51 Business name: CENTEX HOMES Interceptor /grease trap 25.02 Contact name: GARY CULP Medical gas (value: $ ) Page 2 Primer 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Roof drain (commercial) 12.51 City /State /ZIP: PORTLAND OR, 97224 Sink/basin/lavatory 6 25.02 Fax: : (503) 608 -3061 Solar units (potable water) 62.54 E -mail: gary.culp @pultegroup.com Tub /shower /shower pan 2 12.51 Urinal 25.02 CONTRACTOR Water closet 3 25.02 Business name: CRAFTWORK PLUMBING INC. Water heater 1 37.52 Address: 7737 SW CIRRUS DR Water piping/DWV 56.29 City /State /ZIP: BEAVER"I'ON 014, 97008 Other: 25.02 Subtotal 62'-3, Minimum permit Ice: $72.50 CCB Lic.: 79666 Plumbing Lic. no.: 20 -148PB Plan review (25% of permit Ice) H' Authorized signature: / ; �, State surcharge (1 2% of permit fee) �,Q� �� TOTAL. PERMIT FEE %D .3 ., Print name: PETER POI,I.ARD Date: ir ,* 1 q 7. l:\ Building \Pennits\PLMMU- PcrmitApp.doc 10/01/09 440- 4616T(10 /02 /COMAVEB) l� S 2 e Derr. STREET TREE CERTIFICATION owner /agent for fi ones (PLEASE PR `, (PERM/7' 1 [OLDEN 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. It' N s t ®4 '11 Srl l✓ ADDRESS: 1 a y i ll p 'd 't 5 SUBDIVISION: _ 5 Cif R LOT #: , ' SIGNATURE: (! DAIL: • Rani, �AGEN - 0 RECEIVED & r ' VERIFIED BY: DATE: / - t /( r (QTY OF TIGARD) I I Tree location verified per ap lied site plan. \Badv, \T'ort.'.St fr,rc.A. Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM , am the general contractor or the owner - builder at the following address Oct °CS o'1 37 Site Address: !D� Si loci , 5 SU" City: i Permit #: MS Z' 1 00117 CM / IQ /SS,. or5o Subdivision/Lot : and/or Map and Tax Lot is 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 lam 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. Signature: _w tiitik.— .,._...__ Date: /J - 6 -� r General ( tor or Owner - Builder 1' AuiJding1Fonn `RLS- MoniureSeosttwet4uod,doc 0925/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS f&tfT 2•o( 000sS7 Permit No.: Jurisdiction: Site Address: do ??3,f®' c3 ? Subdivision/Lot #: 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: _ Date: /d - l f Own acneral Contractor/Authorized Agent Print Name: __ 13/l( 1447 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 arc compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1-t13uiiding\Forms -I lighLfliciencyt i,hting doc 07/01/OR