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Permit - ,, CITY OF TIGARD MASTER PERMIT i iii . . -. i - COMMUNITY DEVELOPMENT Permit #: MST2010 -00078 Date Issued: 01/18/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S104BB13700 Jurisdiction: Tigard Site address: 14246 SW WALNUT CREEK CT Subdivision: WALNUT CREEK Lot: 54 Project: Walnut Creek Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 925 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1349 sf Garage: 421 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2274 sf Value: $239,824.97 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =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 add'I 500 sf: 4 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -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: NEW SF VB R -3 2274 Owner: Contractor: MATRIX DEVELOPMENT CORP LEGEND HOMES Required Items and Reports (Conditions) 12755 SW 69TH AVE #100 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 -681 -4444 TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 620 -8080 PHONE: 503 - 620 -8080 FAX: 503 - 598 -8900 Total Fees: $15,222.30 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 OA* • .2- 001 -0090. You may obtain a cosy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. N._ I Issued By: _--__-_,- _`f / --- y ��• 'ermittee Signature: Zi /f. ../ ..E��u Cale 5 by 7:00 a.m. for the next available inspection date. This permit card shall be ept 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. truitiling Permit Application Residential FOR OFFICE USE ONLY City of Tigard s ., Received i■• t `r I Date /By: , /b 1 Permit No.: /7 �fe, eein7 6 13125 SW Hall Blvd., Tiga ©8 Plan Review Phone: 503.639.4171 Fax: 50. $,19604 2 010 Date /By: V (/3 ( Other Perinit: W p( 0.-�n TIGARD Inspection Line: 503.639.4175 / � � �j� Juris. 0 See Page 2 for Internet: wWW.ti"rard or.gov Notifed /Method: / 7 /(6—lf�� Supplemental Information -n( OF TIGARD . i 7e. a 4irlIM IVISIOil , _. / / REQ I RED'DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest ❑ Addition/alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead, and ' ' ° ''" CATEGORY °QF'CONSTRUCTION ` " : : - the h t e profit for the work indicated on this application. Valuation: 23 ,`t7 ®1- and 2- family dwelling I=1 Commercial /Industrial 1 ❑ Accessory building III Multi-family Number of bedrooms: ® Master builder - El Other: Number of bathrooms: 3 JOB. SITE INFORMATION AND LO.CAT[ON • • Total number of floors: 2 Job site address: 14246 S.W. Walnut Creek Court New dwelling area: 2,274 square feet City /State /ZIP: Tigard, OR 97223 . ' Garage /carport area: 421 square feet Suite /bldg. /apt. no.: Project name: Walnut Creek Covered porch area: square feet rt Cross street/directions to job site: Barrows & Walnut Deck area: '" square feet Other structure area: 2_0s square feet ' REQUIRED DATA COMMERCIA_ L- USE.,CHECKLIST Subdivision: Walnut Creek Lot no. 54 Permit fees* are based on the value of the work �^ performed. Indicate the value (rounded to the nearest Tax map /parcel no.: 2S104BB 13700 dollar) of all equipment, materials, labor, overhead, and . DESCRIPTION N OF WORK , ,� ' `` • • ` the profit for the work indicated on this application. Valuation: 5 • Existing building area: square feet New building area: square feet ® PROPERTY , ❑°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: '' :Z APPLICANT , ,' ''''',1 r •. : •E CONTACT PERSON` s ,: NOTICE. Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas 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 applicant is exempt from licensing, the following reasons City /State /ZIP: Portland, OR 97223 apply: Phone: (503) 620 -8080 Fax: : (503) 598 -8900 E -mail: slucasglegendhomes.com -, - ° r' ' ° C,ONTRACTOR. , ' ' Business name: Legend Homes • BUILDING PERMIT FEES* • Address: 12755 SW 69 Avenue, Suite #100 (Pleasesejertojeesc /redu[e 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 Total fees due upon application: . CCB lic.: 55151 Amount received: e7 cc Authorized signature: 's 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: 4/30/2010 * Fee methodology set by Tri- County Building Industry Service Board. • Electrical Permit Applicati Er 11 FOR OFFICE USE ONLY 'rj ,r Received — '/ City of Tigard i Date /By: 0 `f 10 Permit No.:�Gj f 0 -Q� 7 Er 13125 SW Hall Blvd., Tigard, OR 97223�, dd �/ 2010 Plan Review P hone: 503.639.4171 Fax: 503.598.19[tt➢A I Date /By: Other Permit: lJ % 60"00007 TIGARD Inspection Line: 503.639.4175 Date Read /B ions: 10 See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information p 1 lnN1 TYPE 'OF t] t $ � 4JlV 4x t' atv t " • 5 ' .i , , , .. , :PLAN REVIEW' ® New construction ❑ 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 • ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ® Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KVA or ' .. JOB SITE INFORMATION •ANI LOCATION " ❑ Emergency system. larger separately derived system. ,_ 4 ❑ Addddition o of new motor load of ❑ "A" "E" "1 -2" "1 -1" Job no.: Job site address: 14246 S.W. Walnut Creek Court IOOHP or 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: Walnut Creek ❑ Service or feeder 600 amps or more. 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.:054 1,000 sq. ft. or less 1 (q3 (W)5A-- 4 Ea. add'l 500 sq. ft. or portion 4_ . 117 ( ,8, 1 Tax map /parcel no.: 2S104BB 13700 Limited energy, residential .. T W - - - 1 75.00 75.00 2 , DESCRIPTION' OF WORK - (with above sq. ft.) Limited energy, multi - family 75.00 2 residential (with above sq. f1.) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ; ' .® PROPERTY OWNER ❑I'TENANT 201 amps to 400 amps 106.85 2 Name: Legend Homes 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 454.65 2 City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)620 -8080 Fax: (503)598 -8900 200 amps or Tess 66.85 1 Owner installation: This installation is being made on property that I own which is 201 amps to 400 amp 100.30 2 not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 133.75 2 701. Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with Owner signature: Date: above service or feeder fee, .APP.LIC ANT ' , ' ,, ' ' El CONTACT PERS. each branch circuit 6.65 2 B. Fee for branch circuits Business name: Legend Homes without service or feeder fee, 46.85 2 first branch circuit Contact name: Steve Lucas Each add'I branch circuit 6.65 _ 2 Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included) Each manufactured or modular 90.90 2 City /State /ZIP: Portland, OR 97223 "' dwelling, service and /or feeder Reconnect only 66.85 2 Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Pump or irrigation circle 53.40 2 E -mail: slucas @legendhomes.com Sign or outline lighting 53.40 2 CONTRACTOR ' Signal circuit(s) or limited - energy panel, alteration, or Business name: Garner Electric Page 2 2 extension. Describe: Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above City /State /ZIP: Hillsboro, OR 97123 Per inspection 62.50 Investigation per hour (1 hr min) 62.50 Phone: (503) 648 - 4552 Fax: (503) 642 -7925 Industrial plant per hour 73.75 CCB Lic.: 121159 Electrical ' • 2 . - 305C Suprv. Lic.: 3707 ELECTRICAL P.ERIVtIT. FEES __ • y Subtotal: - .. - 77 . .22_, Suprv. Electrician signature, requir : Plan review (25% of permit fee): , State surcharge (12% of permit fee): ` ^ I Print name: Chuck Garner '' -' % ( 1 • - 0/2010 '-7 TOTAL PERMIT FEE: 4-44 7'3 Authorized signature: This permit application expires if a permit is not obtained wit tin 180 days after it has been accepted as complete. Print name: Date: * Number of inspections allowed per permit. • M ec h a n i cal Permit A licati • r p c 11 '� FT! , FOR OFFICE USE ONLY C13125 ity SW Of gard - / / t, . , Permit No.! Nf - v60 7Q . Blvd., M Tigard, OR 97223 u IN Phone: 503.639.4171 Fax: 503.598.1960 MAY - 4 2010 Date/By: /'-/ Plan Review Date/By: ther Permit: (5L012_ a , i v_ { /_ y: U`' IOtL! TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: a See Page 2 for • Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF' WOW' flU ( f(;lfi.Vt( P9. , COMMERCIAL :FEE SCHEDULE — USE•CFIECKL[ST ® New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ' CATEGORY OF` CONSTRUCTION Value: $ RESIDENTIAL; EQUIPMENT / SYSTEMS FEES* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ® Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION' AND - LOCATION Heating /cooling Job site address: 14246 S.W. Walnut Creek Court Air conditioning or heat pump (requires site plan showing placement) 14.00 L City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 1 ! 44,:7Fj_ Suite /bldg. /apt. no.: Project name: Walnut Creek Furnace 100,000+ BTU (ducts /vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Barrows & Walnut . Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Walnut Creek Lot no.: 054 Flue /vent for any of above Other: 10.00 Tax map /parcel no.: 2S104BB 13700 Other fuel appliances —7 -3 o .'� 'DESCRIPTION 'OF'WORK - Water heater 1 '3L Gas fireplace 1 _ -- 3 - 7 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 - O ERTY Y iner /flue /vent Chimne /I� ® PROP„ OWNER -u ''1, .., .❑ TENANT' , ;:,,, ,. Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen �e equipment 1 7 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 --- 3." . $`'i Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)589 -8900 toilet compartments, utility rooms) 5 (I b•Id) ' 1 . ', ❑. APPLICANT . ❑ CONTACT' PERSON: Attic /crawlspace fans 10.00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas (r. 1S ar first four; 51.00 for each additional Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. 1 (4 15 Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended /unit heater Phone: (503) 620 -8080 . Fax: : (503) 598 -8900 Water heater 1 Fireplace 1 E -mail: slucas@legendhomes.com Range 1 C •• . ,;CON. TRACTOR - ,,' Barbecue Business name: Tri County Temp Control Clothe Otther: er dryer (gas) Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* _ City /State /ZIP: Oregon City, OR 97045 Subtotal _j -i, 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) 7 TOTAL PERMIT FEE `?j?) . 1 1 , Authorized signature: 5.k. 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: 4/30/2010 * Fee methodology set by Tri- County Building Industry Service Board Plumbing Permit ApplicatiPECEIVED • Building Fixtures MAY 4 ZOO Received FOR OFFICE USE ONLY IMII City of Tigard DDate/By: ` J (4 l U ( j Permit No.: ).1)51-90 t d -0067 g n 1 3125 SW Hall Blvd., Tigard, OR 9 0� 1'� 1.7P9f�11 Other Permit No.: (L O Plan Review n n^ V �_ Phone: 503.639.4171 Fax: 503 Q i G �+ n Date /By: r TIGARD Inspection Line: 503.639 ING DIVISION Date Ready /By: luris: 0 See Page 2 for • Internet: www.ti:;ard or.gov Notified/Method: Supplemental Information ' ; ' TYPE OF WORK 1 ' FEE SCHEDULE . CHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. 1 Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ?: CATEGORY' OE CONSTRUCTION ' '' SFR (1) bath 249.20 ® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 11..1'9Z Each additional bath/kitchen 45.00 ® Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 f ";JOB SITE INFORMATION AND .LOCATION Site utilities Job site address: 14246 S.W. Walnut Creek Court Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: Project name: Walnut Creek Footing drain (no. linear ft.: ) Page 2 Manufactured•home utilities 110.00 Cross street/directions to job site: Barrows & Walnut Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _ ) Page 2 Subdivision: Walnut Creek Lot no.: 054 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: 2S104BB 13700 Absorption valve 16.60 'DESCRIPTION 'OF' WORK ' • , Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ® PROPERT,Y ".9WNER ', ,' ❑,TENANT .' Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69' Avenue, Suite #100 Fixture /sewer cap 16.60 City /State /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 - 8080 Fax: (503)598 - 8900 Garbage disposal 16.60 Hose bib 16.60 ®. APPLICANT ` : , ❑ 'CONTACT- PERSON ' • • • Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E - mail: slucas @Iegendhomes.com Urinal 16.60 : , ' ' CONTRACTOR' " - Water closet 16.60 Business name: Wolcott Plumbing Water heater 16.60 Address: 1075 W. Historic Columbia River Hwy Other: City /State /ZIP: Troutdale, OR 97060 Subtotal ) Minimum permit fee: $72.50 Phone: (503) 667 -1781 Fax: (503) 667 -9891 Residential backflow minimum permit fee: $36.25 CCB Lic.: 112220 Plumbing Lic. no.: 26 -824PB Plan review (25% of permit fee) State surcharge (12% of permit fee) 6),04 Authorized signature: TOTAL PERMIT FEE Print name: Gloria Hawes Date: 4/30/2010 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. 71fLOT PLAN 4/25/10 LOT S4 WA— cORMGA.SITE PLA REVIEW 14 24 2 SW WALNUT CRE : `_' -1 _ PERMIT NO.: 5 ,' -6 NE 1/4 SECTION 4, T.25, L W 1)N DIVISION: CITY OF TIGARD Required S'tbaeks: t Approved ❑ Not Approved 1"= 20' -0" i Street Side: / p_ Z WASHINGTON COUNTY, oREr N Rear: �.� rant. Ga =a,e: ,.,�,,�,,"."i,,. , 19 ar [ Aed t 0 Not Approved //� -r� ` � • Bu H eight fee P/'11'' ®. I MI L � I ' . A ' erv Pr ovider Letter Required: ❑ Yes ❑ No 'l' ►- �— -- I II�I II 12755 BI/ 89th AVM O " +CB (503) 820 -5000 ❑ Received pp ! !!!!a. SUITE 100 .IC (503) 598 -5900 ', 7L ( POSTLIND, OR. 97229 ( CCS/ 551 ` ;■ . CIA .02 2/ Date: 3-i(a /1 o ENGINEERING DEPARTMENT: MAY — 4 2010 W - - — WATERLINE Actual Y SI pe: 3., . % Approved ❑ Not Approved W SS — — — — SANITARY SEW i {ryl• t OF TIGARD to Pia : / , ►pproved 0 of pprove d W j L +t jIV SD — - - STORM DRAIN B ARD = Date: 5 4 <n C�� -d v " ° 0 EROSION FENCE Notes: Gift' - tk- t " — 5® --�- — - 1 -�I•— — — — q. OF STREET STREET TREE: q - - I ' ,' \ COU�� C I4ANTICLEER PEAR I ® WATER METER I _ -�� _ _ -� - -- q O 2 "Caliper SD ! I' MANHOLE . ),-,1 l' CATCH BASIN 244 - � w_ � -' � J- - '` 11 CURB li ST BEES / - 4 1� I f r STREET LIGHT /. . q.P FIRE HYDRANT G\ A' ° n ;► '� 5 58 - S DEWALK y�o �J VY . R= 12.00' L- 14.62 48.150' I PROVIDE EROSION .- \ A'L* I CONTROL FENCE VV I V I N _ A= 65'41'21" — ' Q S' PUE PER COMMUNITY le -`6, 4 7, - 244 .1' 244.4' . : • CfREEK EROSION PLAN > i _ � COURT 47/ , — d / // / —, 24. /1 .13, �� , , 9 -.. ` AR= 43 00' + `� n 1 = 3' 4814 „ , - 245 TRACT A , w , \ 4 , LOT \ 4402 SCaF' 54 t \` 1 1 , I�' `r ` REDWOOD A ```, 245.1' • W \ \' FIN. FLR•246.0' uJ • tr GAR FLR 245. I' ,�� � d - w ` h� �Q� % � Jv i � sr -s- , LOT 53 o ` P 1 101116■-_____ \\ A 245.1' V . . ---4 I , AS S.♦ \N 245.5'7 Q Q ♦ D •. \ N rye Pa' � �0 � �(� 3 �'• . j 1, '\ ,fr '-'- :-. N , ), Q q \a ,-, 246 A. . / /� \ . 4 ‘ ,. ( 1 . (�� , ,1 Q tr,,' ` . 11. s � z , C1 �y g . SETBACKS : 1 /� l �< � � �� • FRONT YARD = 15 FEET Qf ` y GARAGE = 20 FEET / e c+ REAR YARD = 15 FEET / ` <Gt STREET SIDE YARD = 0 FEET ��� C ' 245 \ Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: Site Address: / 11 a 2. C�/ 'S`uJ Subdivision/Lot #: Ge../a T 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: �a. '� /� Date: 5 Owner! . -neral Contrac 4r /.a uthor"i'ed Agent Print Name: ' /U UJ L 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\Forms\RES-HighEfficiencyLighting.doc 07/01/08 } • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, l e 'A_) 62JL ' cic& , am the general contractor or the owner- builder at the following address: Site Address: /i-7 -- � City: r Permit #: c2-0 fQ ^ 0007 Subdivision/Lot #: 6 �/�. T 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. Signature: d° 1 1 1 — — • 'WA • Date: V--// Gener. 'C • tractor or Owner- 'tit L\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION (vt v-c:t> , owner/ agent for 0 ` J (PLEASE PRINT) (PERMIT HOLDER) do hereb certify that the o-lloivin l ocation meets City of Tigard land use and de I standards for street tree installation and':-'is consistent with the 4fir site plan. l SITE ADDRESS: / a I-1( LSC -- l r.e_7 SUBDIVISION: UGC LOT #: 53 • SIGNATURE: `Pe 41 - • DATE: ,251.. -d \. - W'(OWN 'R /AGENT) RE CEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) LL Tree location verified per approved site plan. I: \Building \Forms \StreetlreeCertificate 07/01/2010