Permit - r MASTER PERMIT
CITY OF TIGAR®
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` k2;;: COMMUNITY DEVELOPMENT Permit #: MST2010 -00007
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/05/2010
Parcel: 2S109DD09600
Jurisdiction: Tigard
Site address: 15623 SW RAPHAEL LN
Subdivision: BELLA VISTA Lot: 26
Project: Bella Vista
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 932 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1080 sf Garage: 378 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $220,492.18 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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)
RIVERSIDE HOMES INC RIVERSIDE HOMES LLC 1 MST Ersn Cntrl 503 - 681 - 4444
17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370
#370 Beaverton, OR 97006
BEAVERTON, OR 97006
PHONE: 503 - 645 -0986 PHONE: 503 - 645 -0986
FAX: 503 - 690 -2942
Total Fees: $14,995.10
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 -0010 through OAR 952 - 0040100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: .: I .�YW A 1 ! \ . I I h.. Permittee Signature: � S - (d
GEOPACIFIC ENGINEERING, INC. 13910 SW Galbreath Dr., Ste. 102
Sherwood, Oregon 97140
Phone: 503 - 625 -4455 • Fax 503 - 625 -4405
Special.Inspection
• JOB # �! Y"0 oo
DAILY FIELD REPORT
PROJECT & /} -h DATE 31i
/ /
JOB ADDRESS 1n t 7� f TYPE OF INSPECTION d�n.� -ao� p�sfclur��i
PERMIT NO. WEATHER Stn./
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Inspection Notes:: (Include location, testing date, substitutions / deviations, materials, methods of construction,
• conformance statement, etc.
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Observed by: .
Information contained herein pe ins to materials tested /inspected only. The fact that any particular work has been
observed or tested does not waive the'contractor's responsibility for the means and methods of construction, job site
safety, or to comply with the contract documents.
• 1 'Z - G'7
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, RI v 11 o w► e S LL.- , am the general contractor or the owner - builder
at the following address:
Site Address: • , i 3 Si.) L a t
City: HEi
a rot
Permit #: MST '2010- ®Ooh7
Subdivision/Lot #: Be( ( i . s GO'
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and /or l V
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.
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Signature: ` ./ Date: • 8
General Contif or '' wner- Builder
I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: vy) s Jurisdiction: C '.4. ,1
2C�10� Oc�oo " 1 1 a ( lip, rc
Site Address: 15 (� 2-5 S uo o ket ( L d 1.)-__
Subdivision/Lot #: 13-e I i o, ' V ! + STS I0+
and /or 1
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)
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Signature: Date: g r i $— 2-. / 0
Owner /General Contractor /Authorized gent
R i VeLside vines L L-- C_ -
Print Name: Le e_ SeL
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1 ORSC Section NI 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 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.
1:\ Building\ Forms\ RES- 1 IighEfficiencyLighting.doc 07/01/08
� 1
STREET TREE CERTIFICATION
_ _
I � Owner /A ent for {� i ve,��sicle Howes LLG (PLEASE PRI g (PERNMIT HOLDER)
Do hereby certify that the following location meets •
City of Tigard land use and development standards
for street tree lnstallatsori.
ADDRESS: 5 CQ lw R ok-p k a I La N \`3 - r201 U" oc00
SUBDIVISION: Bel 1 LOT: 2
SIGNATURE: T.b( DATE: 6 , 4. ca 0 j D
(OWNER /A ENT)
RECEIVED BY: DATE:
(CITY OF TIGARD)
I: \ Buil ding \Forms \StreetTIeeCertificate 01/19/07