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Permit 11 r III OF TIGARD 1 , • � . MASTER PERMIT : as;..,- COMMUNITY DEVELOPMENT ' ' Permit #: MST2011 -00023 13 125 SW Ha ll Blvd., Tigard OR 97223 503.7 Date Issued: 02/18/2011 TIGARD Parcel: 2S108AB04100 Jurisdiction: TIGARD Site address: 14180 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 3 Project: Brentwood Estates, lot 3 Project Description: New SF with accessory dwelling unit. 8/1/11, adding (2) branch circuits for hot tub. • BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First 3227 sf Basement: 0 sf Left: 5 Parking Spaces: 2 Height: 19 Bathrooms: 4 Second 427 sf Garage: 1033 sf Front: 15 Smoke Dwelling Units: 2 Third: 0 sf Right: 5 Detectors. Yes Total: 3654 sf Value: $409,453.00 Rear: 15 PLUMBING Sinks: 4 Water Closets: 5 Washing Mach`. 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0 Lavatories: 5 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 200 Tubs /Showers: 5 Garbage Disp: 2 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 200 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets. 5 Furn > =100K: 1 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. 2 Ea add'I 500 sf. 8 201 -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 3654 Owner: Contractor: PAHLISCH HOMES, INC. PAHLISCH HOMES INC Required Items and Reports (Conditions) 63088 NE 18TH, SUITE 100 63088 NE 18TH ST #100 1 Ersn Cntrl 503 - 681 - 4444 BEND, OR 97701 BEND, OR 97701 PHONE: 541- 385 -6762 PHONE: 541- 385 -6762 FAX: Total Fees: $20,697.32 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 - - • = - , ith 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. AT ' NTION: Oregon aw re •1 :s y• - to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 •010 thr \ugh OAR 952 -• • •0• : r ,y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B I/ Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection d te. This permit card shall be kept 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. if CITY OF TIGARD MASTER PERMIT 1111 1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00023 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/18/2011 Parcel: 2S108AB04100 Jurisdiction: TIGARD Site address: 14180 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 3 Project: Brentwood Estates lot 3 Project Description: New SF with accessory dwelling unit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: 3227 sf Basement: 0 sf Left: 5 Parking Spaces 2 Height: 19 Bathrooms: 0 Second: 427 sf Garage: 1033 sf Front: 15 Smoke Dwelling Units: 2 Third: 0 sf Right: 5 Detectors: Yes Total 3654 sf Value: $409,453.00 Rear: 15 PLUMBING Sinks: 4 Water Closets: 5 Washing Mach: 1 Laundry Trays. 1 Rain Drain: 0 Urinals: 0 Lavatories: 5 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 200 Tubs /Showers: 5 Garbage Disp: 2 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 200 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn > =100K: 1 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: 8 201 -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 10004-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 3654 Owner: Contractor: PAHLISCH HOMES, INC. PAHLISCH HOMES INC Required Items and Reports (Conditions) 63088 NE 18TH, SUITE 100 63088 NE 18TH ST #100 1 Ersn Cntrl 503 681 - 4444 BEND, OR 97701 BEND, OR 97701 PHONE: 541- 385 -6762 PHONE: 541- 385 -6762 FAX: Total Fees: $20,680.70 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 throu• • ►.• R 952- 001 -0090. You m- • • - - of the rules • • irect questions to OUNC by calling 503.232.1987 or 1.800 332.2344. ` i / �/ Issued By. _ _.........7:- Per ittee Signature: . I I 1 j 4175 by 7:00 a.m. for the next available inspection date. This permit card shall : • pt 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. Bttildliig Permit Application Residential i FOR OFFICE USE ONLY City of Tigard �� Receiv Phone: 503.639.4171 Fax: 503.59' 1 ' r• 1 ' Date/B ed ate/B f � f^ PermitNo.: • � 1 _" . (i ,,. 13125 SW Hall Blvd., Tigard, OR 9722 4 Plan DateB Review : ������ Oth er Permit: ' • ���. - ._ 1 ' • . TtGARD Inspection Line: 503.639.4175 ° DateReadyBy: El See Page2for Internet: www.tigard - or.gov � ' `53 \\ Notified/Method: ,. 1 ,j1- Supplemental Information I�,`' �� G l � i . TYPE OF WO 6'1 1 N REQUIRED DATA: 1- AND 2- FAMILY DWELLING ri ® New construction 44 hv° _ Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement Other: (1,r, ' A�CI equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTIO v work indicated on this application. `. -�+ - Valuation:401. 3 '$420,- 3I4-0A9_ ® 1- and 2- family dwelling ❑ Commercial /industrial 4 1 p11 ❑ Accessory building ❑ Multi - family F.� Number of bedrooms: 3 -.n ID Master builder CI Other: —t-i` \I c 1 \ t ``' t*o Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATIO ;d �,� )V % Total number of floors: 1.5 Job site address: 14180 SW 155 Terrace New dwelling area: 3654 square feet City /State /ZIP: Tigard, Oregon 97224 (8i-eattjocA G arage /carport area: 1033 square feet Suite/bldg. /apt. no.: Project name: Street of Dreams silks Covered porch area: 685 square feet Cross street/directions to job site: Bull Mountain Rd & 155 Ter Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Brentwood Estates I Lot no.: 3 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2S108AB04100 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION. OF WORK work indicated on this application. Construct new single family home on lot. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Pahlisch Homes, Inc. Type of construction: Address: 63088 NE 18 STE 100 Occupancy groups: City/State /ZIP: Bend, OR 97701 Existing: Phone: (541)385 -6762 Fax: (541)385 -6742 New: ® APPLICANT El CONTACT PERSON NOTICE Business name: Pahlisch Homes All contractors and subcontractors are required to be Contact name: Phillip Pahlisch licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 63088 NE 18 STE 100 jurisdiction in which work is being performed. If the City/State /ZIP: Bend, OR 97701 applicant is exempt from licensing, the following reasons apply: Phone: (541) 385 -6762 x104 Fax: : (541) 385-6742 E -mail: phillipp @pahlischhomes.com CONTRACTOR Business name: Pahlisch Homes BUILDING PERMIT FEES* , Address: 63088 NE 18 STE 100 (Please refer to fee schedule) City/State /ZIP: Bend, Oregon 97701 Structural plan review fee (or deposit): $750.00 Phone: (541) 385 -6762 Fax: (541) 385 -6742 FLS plan review fee (if applicable): CCB lic.: 42067 Total fees due upon application: $750.00 Amount received: Authorized signature: piA,...t. ,f This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Phillip Pahlisch Date: 2.2.10 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) Jan 2711 05:09p Microsoft 5413188142 p.1 f Electrical Permit Application 3� F OR OFFICE USE•ONLY • City of Tigard e ' ek Permit No 114 - 13125 SW Ha ll t31vd., Tigard, OR 97223 , ; Phone: 503.639.4171 Fax: 503.598.1960 (1 G ' 1, :� Other Permit: T1 G ARD Tnspection Line: 503.639 .0`S* ` r. e ReadyBy: luris: ® See Page 2 for Internet: www.tigard or.gov el G�1 Notified/Method: Supplemental Information TYPE OF WORK � C `&s., PLAN REVIEW ® New construction ❑ Additionialteration /replat[Itent 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. butidings. ❑ 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 ", "t -3 Job no.: Job site address: 14180 SW 155 Terrace 100HP or more occupancy. ❑ Six or were residential units. ❑ Recreational vehicle parks. City /State /Z1P: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal, Suite/bldg. /apt- no.: I Project name: Street of Dreams ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Bull Mountain Rd & 155 Ter ocacription 1 Qtr. 1 Fct. I Total 1 __ New residential single- or multi- family dwelling unit. i Includes attached garage. Subdivision: Brentwood Estates Lot no.: 3 1,000 sq. tI or less 1 168.54 168.54 4 Ea. add'I 500 sq. ft. or portion 6 33.92 203.52 1 Tax map /parcel no,: 2S108AB04100 Limited energy, residential 1 67.84 67.84 2 DESCRIPTION OF WORK (with above sq. ft.) - Install new service for single family residence Limited energy, multi -family 6784 2 residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation 200 amps or less 1 100.70 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: Pahlisch Homes, Inc_ 401 amps to 600 amps 200.34 2 601 amps to 1.000 amps 301.04 2 Address: 63088 NE 18th Over 1,000 amps or volts 552.26 2 City/State/ZIP: Bend, OR 97701 Temporary services or feeders installation, alteration, and /or relocation Phone: (541)385 -6762 Fax: (541)385 -6742 200 amps or less 1 59.36 59.36 l 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 wills ® APPLICANT El CONTACT PERSON above service or feeder fee, each branch circuit 7'42 2 Business name: Pahlisch Homes B. Fee for branch circuits without service or feeder fee, Contact name: Phillip Pahlisch 56.18 first branch circuit Address: 63088 NE 18th Each add'l branch circuit 7.42 2 Miscellaneous (set or feeder not included) City /State /ZIP: Bend, OR 97701 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (541) 385 - 6762x101 Fax: : (541) 385 -6742 Reconnect only 67.84 2 E -mail: phillipp @pahlisehhomes.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting _ 67.84 2 Business name: t Signal circuit(s) or limited- tAal�)�1(s ( Lc+l.i C t -L C--- energy panel, alteration, or Address: po (� �r� extension. Describe: Page 2 City /State/Z111: 1 S e, i1,D DR 1/C=1‹ Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: ( Si ( ) (4,1 sr- 5 =ax: ( ) Investigation per hour (I hr min) 66.25 COB Lie.: 1 f I� ,9 Electrical L c.: e1' ( Suprv. Lic.: 9 S' Industrial plant per hour 78.18 r ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): 599.96 Print name: 7: .. \1„, Y 1 pate: _a� 149.99 State surcharge (12% ofpermit fee): 72.00 Authorized signatu ?� TOTAL PERMIT FEE: 821.95 t v I This permit application expires if a permit is not obtained within 180 Print name: Q lt � A C Date: ' - a �^ I i days after it has been accepted as complete. J ' Number of inspections allowed pet permit. 1: 18uilding1 Perm itAELC- PermitApp.doc 10/01/09 440-4615T( I I1051COMTWEB Mechanical Permit Application - FOR OFFICE USE ONLY City of Tigard Date/Byd Permit No.: 11 13125 SW Hall Blvd., Tigard, OR 97223 -0 Plan Review Phone: 503.639.4171 Fax: 503.598.1 60*Alc+, Date/By: Other Permit: T 1 CARD Inspection Line: 503.639 ,1 Date Ready/By: Juris: 21 See Page 2 for Internet: www.tigard- or.gov A `' Notified/Method: Supplemental Information TYPE OF WORK ® �� N 0 9 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® New construction 1=1 Addition/alterably ! rlent Mechanical permit fees* are based on the value of the work 11 performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: $‘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 Qty. Ea. I Total 3OB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 14180 SW 155 Terrace Air conditioning (requires site plan showing placement) 46.75 City/State /ZIP: Tigard OR 97224 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: Street of Dreams Heat pump 61.06 Cross street/directions to job site: Bull Mountain Rd & 155 Ter 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 Flue /vent for any of above 1 23.32 23.32 Subdivision: Brentwood Estates Lot no.: 3 Other: 23.32 Tax map /parcel no.: 2S108AB04100 Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.32 Gas fireplace 1 33.39 23.32 Install new service for new residential single family home Flue vent for water heater or gas fireplace 2 23.32 46.64 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ® PROPERTY OWNER Chimney /liner /flue /vent 23.32 El T ENANT Other: 23.32 Name: Pahlisch Homes, Inc. Environmental exhaust and ventilation to Range hood /other kitchen Address: 63088 NE 18 equipment 1 33.39 33.39 City /State /ZIP: Bend, OR 97701 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (541)385 -6762 Fax: (541)385 -6742 toilet compartments, utility rooms) 3 23.32 69.96 ® APPLICANT El CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Pahlisch Homes Fuel piping Contact name: Phillip Pahlisch $14.15 for first four; $4.03 for each additional Address: 63088 NE 18th Furnace, etc. 1 14.15 14.15 Gas heat pump City/State /ZIP: Bend, OR 97701 Wall /suspended/unit heater Phone: (541) 385 - 6762x101 Fax: : (541) 385 -6742 water heater 1 14.15 14.15 Fireplace 1 14.15 14.15 E -mail: phillipp @pahlischhomes.com Range 1 14.15 14.15 CONTRACTOR Barbecue 1 4.03 4.03 Business name: Pahlisch Homes Clothes dryer (gas) Other: Address: 63088 NE 18th MECHANICAL PERMIT FEES* City/State /ZIP: Bend/ OR / 97701 Subtotal 360.72 Minimum permit fee ($90.00) Phone: (541) 3856762 Fax: (541) 3856742 Plan review (25% of permit fee) 90.18 CCB lic.: 42067 State surcharge (12% of permit fee) 43.29 TOTAL PERMIT FEE 494.19 tAuthorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Phillip Pahlisch Date: 12.15.09 ' Fee methodology set by Tri- County Building Industry Service Board I:\Building\Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (11 /02 /COM/WEB) Pltimbing Permit Application Building Fixtures ���� FOR Oiri 1(l i ;yl; City of Tigard Received `r �' � Permit No.: 13125 SW Hall Blvd., Tigard, OR 972 $ ` " tiQ '� DatefB Date/B y: view r el .' Phone: 503.639.4171 Fax: 503.598.1960 \A t 1 D atelBy: Other Permit No.: E ,, I Line: 503.639.4175 to Re lG�l adyBy: runs: p See Page 2 for Internet: www.ti o. gard - or.gov 1j 1 .05 t "Noti fed/Method: Supplemental Information ''c ti YJ , OF WO • e,��_ V C3 ' - - , , " i .,d �.. A r U �.. . , x� T t 4�.� :�- " t, �,Rm� �° � ;� "F'E SCHFDUIaF.r" =;�° , ,�'� � W ® New construction ❑ Derr o For special information use checklist a Description 1 Qty. I Ea. I Total ❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) 3::: ' r_z,. , SFR (I) bath 31 ` - � . : - , :� " _ CA; TGGQiI2Y OF'; COfVStUG11'1'dOlw�' . � : �. .. :' .`.Rii . - ;_! F 5•a_P ^" ._.• .. . 1.v; 'rP� . , Yv�l Cll 1 -and 2-family dwelling SFR bath 437.78. y g ❑ Commercial/industrial Accessory building SFR -(3) bath I 500.32 500,32 ❑ ry g ❑ Multi- family j Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. It) Page 2 " `a' `ix' ; '-` ° ;.JoB "SITF ;•INFOI2Mr1TroN A` 'L CAFlON ~ Y =` ; .' -' Site utilities: 155 Catch or area drain 18.76 Job site•addre"ss :14189 SW 155 Terrace. City/State/ZIP: Tigard, OR 97224 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project.name: Street of Dreams Manufactured home 50.03 Cross street/directions to job site: Bull MonntainiRd & 155 Ter Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear It.: _, ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: J Page 2 Subdivision: Brentwood Estates 1 Lot no.: 3 Fixture or item: Tax map /parcel no:: 2S108AB04100 Backllow preventer 3E27 . . . a= ., - �s Y, - c -. , • '' . .6,. , .-vs ., . ' - µ 1 s ;y , ‹. ` t; 1„ - -- � Backwater valve 12.51 �n� w . .iN- `�DES 1 • OF W ORK : '' < ',..,, " ;,.„ 4r < s , _. '...k. '''�u - . - " " "' - . �. : m -'" .o'" "'- '-,e^- - °- '- ''i+._-.,: :_'. ... -,. ate..,. _ s�' ^.'' - , i_ Clothes washer 25.02 Install new work in new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 . ► a PROPER I Y' OWNER`. t';,, , ,#� TFN N {' Expansion tank 12.51 Name: Pahlisch Homes, Inc. Fixture/sewer cap 25.02 Floor drain/floorsink/hub 25.02 Address: 63088 NE 18 Garbage disposal 25.02 City / State/ZIP: Bend, OR 97701 Hose bib 25.02 Phone: (541)3856762 Fax: (541)3856742 Ice maker 12.51 ~° -• ' J u.t ^ -- 'APPLICANT-. ❑, CONTACT PERSON% w _,..'' Interceptor /grease trap 25.02 Business name: "Pahlisch Homes Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Phillip Pahliscb Roof drain (commercial) 12:51 Address: 63088 NE 18`d Sink/basin/lavatory 25.02 City/ State/ZIP: Bend, OR 97701 Solar units water) 62.54 Phone: (.541)'38567621101 Fax: : (541)385 -6742 Tub/shower/shower pan 12:51 E-mail: phillipppahlischhomes.com Urinal 25.02 r+ _,.;, ..,'. ' ' o -; _,.. .` .." , . y ; , . w ,•, ; Water closet 25.02 - ,� _'ss _ . „. _ . a_ - - - - � ,. �,. - .. . _ tz `-''''`-1,,.`-':''. .,. Water heater 37:52 Business name: Lippold Plumbing, LLC g Water piping/DWV 56.29 Address: 25430 SE Sunshine Valley Rd Other 25.02 City /State/ZIP: Damascus, OR 97089 Subtotal 500.32 Phone: (503) 454-0624 Fax: (n/a) Minimum permit fee: $72.50 CCB Lie.: 189042 Plumbing Lic. no.: •PB 816 Plan review (25% of permit fee) 125.08 State surcharge (12% of permit. fee) 60.04 Authorized signature: TOTAL PERMIT FEE 685.44 Print name: April Lippold Date: .1/27/2011 This permit application expires if a permit is not obtained within MI) days . after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. • rr C 'epgblTF 1 11 1 ' 1111 Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: /n57,/l CXJV • CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 111-- Routed Plans: Original Plan Submittal Date: 9 //( 1st Revision Submittal Date: ❑ Site Plan Only 2 Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked ( ✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. '" Planning Review (contact F�.r ► s4-1s, ' Rea t at 503- 718 - Zi/SZ or �Grid C. @tigard - or.gov) Land Use Case No. „Uke, 1 -caeca. Name Br - 44 1 Dag- E,ada440 GA/Zoning /2-7 lie Setbacks: Front is Rear 1 Side 5" Street Side / 0 Garage 2 Ni/Maximum Building Height ,3 5 Actual Building Height j c7 Cik'Visual Clearance GI"'" Easements Er Sensitive Lands Type: W O iJ e Notes: Original Plan: Approved CY Not Approved ❑ Date: 1 4Y/i/ Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved El Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard- or.gov) Actual Slope: Notes: Original Plan: Approved t2f` Not Approved ❑ Date: y E5/f 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ❑ Street Trees ❑ Protected Trees 1 Notes: �0 41,, �" s,b. 41t* f P. V4JvZR .r ; 4 ( ft►1 LASI. Original Plan: Approved [9 Not Approved ❑ Date: a / .6faon Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant • Okay to Issue Permit: Yes • • Date Routed to Building: / _ // Page 2 of 2 r FEB 4 cull \J CITY OF Ti L''!'! 0-(A) 1 O C ' 97.23' BLIIIMIC 0Ik `,) - --- --- -- --- -- - - -- -- 15' TREE PROTECTION I _ i _ _ _ ' EASEMENT I 29.31 21 55 J 33 : , 4 4 . 2 I r T 41 .47 1 37 49 1 1 N, 26150 1 1 1 \ P.iTIO 8 9.25 , 1] \ c,..,\ I m �\ I 28.00 1 16.25 \ \\ ro 1 I `O `� \ \ `\ \ \ \ ` \\ 26100 17.73 J I 4 10.50 \ `\ \ \` \ \ \\ \ `\ / / - 4 10 \ \ ` \ M \ \ / ( 7 ' 5a1-' 10.00 `\ \\ \ \\ \\ \\ \ / O N \'\ \ \` N SIDENGE \/ \ \ \ Itldg. EI.v. )( Y ,._ TRACT E \\ \, -�•_ / ` \I I �\ \ \ ` \ \ / 9 / .0 0 I c-- " - -- `� - -, \ `. \ y _ / / N � ; LOT 2 1, / \ \ I \ \ \ �-- / N in \\ I \\ \, \ y 8.72 ' \\ / F - -1 1 3.06 1. _ `;; 92.E A \\ \ ; / 4..t 1 \ \ I ` ✓`1 I \ � 1 i \ ` .- I 19.23 I N / \ L 12.83 _I $ 1 7 \ \\ I / \ / \ \ \6.50 ■ - 1 1 .2 ti 4 5 /' N 4. / 14 _ . 20.25 1, / \ „j 1 33 • .. ." -‘.N1 -1 1 4 1 y .00 0. • or -,� ,._,.� • i - -- J 7.73 _1 i • •J .f'. _J 26 •O 1?R►r . I 24 00 I 24.34 27 59 ,` l -1 ' ,,. W gyp_ - - •. 39.79 35.62 v - - — - 1 -� `+ -��., �� U P ;71 29.74 �� C\t � 68.66` j . J Lot Sr = 12,301 SF < —SW 155TH TERRACE —> ells' d -Z Foot Print SF = 4,870 SF % Lot Coverage = 39.59% - ; � Total Impervious Surface= 5,8 12 SF Community: Brentwood Estates A 3 Lot #: �, 0 1 ae . 418 SW 55th Terrace Z' PahlischHomes Address: 41 ... S th ..... _ r 63088 NE 18TH STREET, SUITE 100 Plan Name: Street of Dreams X11 BEND, OREGON 97701 Date: 1.27.2011 PH: (541) 385 -6762 FAX: (541) 385 -6742 Scale:1 n =20' ' DRIVEWAY, WALK, AND PATIO LAYOUTS ARE FOR REFERENCE ONLY AND NOT INTENDED TO BE THE EXACT DEPICTION OF THE FINAL PRODUCT • EXACT UTILITY CONNECTIONS AT RESIDENCE MAY VARY PER BUILDERS DISCRETION 7 Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) \::::14 L } /� � _/1 t4 L L, n ,, pI t 2 u 1 1 ,, NE i 6 Mailing Address: L �goo M €A` 5 `� � City /State /Zip: LA ML 0,0 pQ 5703 s Phone No.: 511 — ci t— O(o g q PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ❑ CANCEL PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: M --r0 it --DDDo`Z 3 Site Address or Parcel #: /4 (gD r� tz I 55 / f ane f— Project Name: e0T Cc- c6 D E -Tf -TE S i ko i 3 Subdivision Name: -gyp; Wv(37) Leg—retie.S Lot #: 3 EXPLANATION: --7 Cg Gr)/ T Jou.C 1 1-(6 -D foil .6-8., 9 t4A)7) P#-l: fi ef— o tI 52-9.7. °° . Signature: ,. , a.* ' ) ` Date: &/5/// Print Name: 4 ,, 4 , Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to S s Admin: Date 4/1Eimuijim Rte to Bldg Admin: Date 3 AtirAZM B 7 Refund Processed: Date _3/2 // By ;', Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By l Receipt # f P' /Sy7 Date ;, /,/ Method e .5 Amount $ 2 2-2 7. `' (� I: \Building \Forms \ReqPermitAction.doc Rev 07/26/07 :I o ° City of Tigard T , G AR D Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Pahlisch Homes DATE: 3/3/2011 4800 Meadows Rd., Ste 300 Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse Atm: Philip Pahlisch DEB TRANSACTION INFORMATION: Receipt #: 181547 Case #: MST2011 -00023 Date: 2/18/2011 Address /Parcel: 14180 SW 155th Terr Pay Method: CreditCard Project Name: Brentwood Estates, Lot 3 EXPLANATION: Refund Transportation Development Tax (TDT) paid by credit card and charge to TDT Credit Voucher for Brentwood Estates, Acct ID 2011 - 00001. :1�:E'. `:1aNF0' TION; ' ,'- `' + •:• � ° -- 'j?� - =: ,::�'•; ��• - r' ° :.� , ... ....: -. .:..., -.. e... ....... •.. .�.. � . � •.✓,•a '.{`. �- s- �..4.t�i:» 'i r.S�x .. . ..1, .k :;, ee:1escii t 'Fr m cc'1 t'- R -A i 9 '.�'.::- !r' • ? i : : �, 1[y� ,;� d ., �: . P: f t�,�r�•, :� } ... � . ,. . �!4 nts,�. � •: ,.. , �._�. ;: =gig . futnc� ,, : -: >.' r ' �T'+r - - �e• 1:' :Tv 9 ,A ..1�. :;�.:.c: P.. , t- a', ;i�: • .�. lt '�� �;'::(N$1�.:� ..a+�7.i:' .i��: . .Nj f: ri +�Y ;`a.:: :: f." :• :'�,1.� - . -s ,a:, . h� �. ' J . !���:'`'�:r :�c' C�:;r.. ..t ?•.. .t -: r - i'e ' Burldtn l e:6 u fFee ` sl,t-... F. 4 ..} • Y• .y.. ? 1 ._ 1�.. ... ,. . - .... � > <,.. ...... -n -, . .: example,-.- �30QOO�Q- :43�U.4:= := .,5,,.;. =;i .. $.,Epl , TDT - Transportation Development Tax 4050000 -43320 $5,227.00 TOTAL REFUND: $5,227.00 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager if ili f If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board '` 4: ., F Ott ' TDgiVIAR. IC :5yS'1rEK;AD11+IINISTRATION tJ.S' ".O.'hTLY < ' -;, ..::. - Case Refund Processed: Date: �© B . `i� I: \Building \Refunds \RefundRcqucst.doc x 09/01/2010 , CITY OF TIGARD RECEIPT q . a . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD l Receipt Number: 181670 - 03/03/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00023 TDT - Transportation Development Tax 4050000 -43320 $5,227.00 Total: $5,227.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT . Trust Account 2011 -00001 DHOWSE 03/03/2011 $5,227.00 Payor. Brentwood Estates, Lot 3 Total Payments: $5,227.00 Balance Due: $0.00 % ;yg'. Tidemark S ystem Administration Ii, " ", " Finance Department Request Date: 0/// To: Liz Lutz Angela McCoy From: Dianna Howse/ Re: Receipt #: 4 P /33 fer/4 6 F, /P/ 4 70 Please process this request as follows: Journal Entry (route copy of JE to • Dianna Howse). Reversal (fees have been reversed on Revenue Account Report). cf Credit Card Return (fees have been reversed on Revenue Account Report). Other /Explanation: F- {.✓.n 7 r ewe/L6f" 7? eC f 7. 064 7 7 C°ZT Vs '2C �f 2— - 1 7 rAl e EZ , l: \Boil ding \Foam \Rtesi p FinanceReq.doc Page 1 of 1 • . 1114 CITY OF TIGARD RECEIPT n a . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 181669 - 03/03/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00023 7,6 T y Sa o o o_ y 3 3 0 $-5,227.00 Total: $- 5,227.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 01882D DHOWSE 03/03/2011 $- 5,227.00 Payor: Phillip Pahlisch Total Payments: $- 5,227.00 Balance Due: $5,227.00 Page 1 of 1 CITY OF TIGARD RECEIPT O 1 g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TI GARD Receipt Number: 181547 - 02/18/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00023 Building Permit - New Construction 2300000 -43104 $2,237.74 MST2011 -00023 Plan Review 2300000 -43106 $1.34 MST2011 -00023 12% State Surcharge - Building 1003100 -24001 $268.53 MST2011 -00023 Plan Review 2300000 -43106 $703.19 MST2011 -00023 DC Provision Review, SF - Ping 1003100 -43112 $64.00 MST2011 -00023 DC Provision Review, SF - LRP 1003100 -43117 $9.00 MST2011 -00023 Info Process /Archiving - Lg Sheet (over 2300000 -43135 $16.00 11x17) MST2011 -00023 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $112.50 11x17) MST2011 -00023 Metro Const. Excise Tax - Residential 2300000 - 24010 $491.34 Use MST2011 -00023 Tig -Tual School CET - Residential 2300000 -24102 $3,836.70 MST2011 -00023 Park - Single Family Unit 4250000 - 43300 $4,811.00 MST2011 -00023 TDT - Transportation Development Tax 4050000 -43320 $5,227.00 MST2011 -00023 Erosion Control 1003100 -22002 $136.00 MST2011 -00023 Erosion Plan Review CWS 1003100 - 22003 $44.20 MST2011 -00023 Erosion Plan Review COT 2300000 - 43107 $44.20 MST2011 -0023 Water Quantity - Res 5110000 -43122 $275.00 MST2011 -00023 Permit Fee - Elect (per dwelling unit) 2200000 - 43103 $439.90 MST2011 -00023 Limited Energy 2200000 -43103 $75.00 MST2011 -00023 12% State Surcharge - Electrical 1003100 -24001 $61.79 MST2011 -00023 SFR - Baths 2300000 -43101 $550.36 MST2011 -00023 12% State Surcharge - Plumbing 1003100 -24001 $66.04 MST2011 -00023 Air Conditioning 2300000 - 43102 $46.75 MST2011 -00023 Furnaces >= 100K BTU 2300000-43102 $54.91 MST2011 -00023 Water Heater 2300000 -43102 $23.32 MST2011 -00023 Gas Fireplace 2300000 -43102 $33.39 MST2011 -00023 Other, Fuel Appliances 2300000 -43102 $23.32 MST2011 -00023 Range Hood/Other Kitchen 2300000 -43102 $33.39 MST2011 -00023 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2011 -00023 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $139.92 Utility Rooms) MST2011 -00023 Fuel Piping 2300000 -43102 $22.21 MST2011 -00023 12% State Surcharge - Mechanical 1003100 - 24001 $49.27 Total: $19,930.70 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 01882D BTAGGART 02/18/2011 $19,930.70 Payor. Phillip Pahlisch ' Total Payments: $19,930.70 Balance Due: $0.00 • Page 1 of 1 w,. JIB / . • CITY OF TIGARD ( FEE AND PAYMENT HISTORY - 14 g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD ° 1 ,n �' • MST2011 -00023 - 14180 SW 155TH TER, TIGARD, OR 97224 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Building Permit - New Construction 2300000 -43104 $2,237.74 $2,237.74 $2,237.74 2/18/11 Credit Card 181547 $0.00 Plan Review 2300000 -43106 $751.34 $751.34 $750.00 1/27/11 Credit Card 181279 $0.00 $1.34 2/18/11 Credit Card 181547 Plan Review 2300000 -43106 $751.34 $751.34 $750.00 1/27/11 Credit Card 181279 $0.00 $1.34 2/18/11 Credit Card 181547 12% State Surcharge - Building 1003100 -24001 $268.53 $268.53 $268.53 2/18/11 Credit Card 181547 $0.00 Plan Review 2300000 -43106 $703.19 $703.19 $703.19 2/18/11 Credit Card 181547 $0.00 DC Provision Review, SF - Ping 1003100 -43112 $64.00 $64.00 $64.00 2/18/11 Credit Card 181547 $0.00 DC Provision Review, SF - LRP 1003100 -43117 $9.00 $9.00 $9.00 2/18/11 Credit Card 181547 $0.00 Info Process /Archiving - Lg Sheet (over 2300000 -43135 $16.00 $16.00 $16.00 2/18/11 Credit Card 181547 $0.00 11x17) Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $112.50 $112.50 $112.50 2/18/11 Credit Card 181547 $0.00 11x17) Metro Const. Excise Tax - Residential 2300000 - 24010 $491.34 $491.34 $491.34 2/18/11 Credit Card 181547 $0.00 • Use Tig -Tual School CET - Residential 2300000 -24102 $3,836.70 $3,836.70 $3,836.70 2/18/11 Credit Card 181547 $0.00 Park - Single Family Unit 4250000 -43300 $4, 811.00 $4,811.00 $4,811.00 2 /18/11 Credit Card 18 5j7� ' $0.00 x TDT - Transportation Development Tax 4050000 -43320 $5,227.00 $5,227.00 $5,227.00 2/18/11 Cre rd 112 1 4 81547 $0.00 Erosion Control 1003100 -22002 $136.00 $136.00 $136.00 2/18/11 Credit Card 181547 $0.00 Erosion Plan Review CWS 1003100 - 22003 $44.20 $44.20 $44.20 2 /18/11 Credit Card 181547 $0.00 Erosion Plan Review COT 2300000 -43107 $44.20 $44.20 $44.20 2/18/11 Credit Card 181547 $0.00 Water Quantity - Res 5110000 -43122 $275.00 $275.00 $275.00 2/18/11 Credit Card 181547 $0.00 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $439.90 $439.90 $439.90 2 /18/11 Credit Card 181547 $0.00 Limited Energy 2200000 -43103 $75.00 $75.00 $75.00 2/18/11 Credit Card 181547 $0.00 12% State Surcharge - Electrical 1003100 -24001 $61.79 $61.79 $61.79 2/18/11 Credit Card 181547 $0.00 SFR - Baths 2300000 -43101 $550.36 $550.36 $550.36 2/18/11 Credit Card 181547 $0.00 • Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt If Due . 12% State Surcharge - Plumbing 1003100 -24001 $66.04 $66.04 $66.04 2/18/11 Credit Card 181547 $0.00 Air Conditioning 2300000 - 43102 $46.75 $46.75 $46.75 2 /18/11 Credit Card 181547 $0.00 Furnaces >= 100K BTU 2300000 -43102 $54.91 $54.91 $54.91 2/18/11 Credit Card 181547 $0.00 Water Heater 2300000 -43102 $23.32 $23.32 $23.32 2/18/11 Credit Card 181547 $0.00 Gas Fireplace 2300000 -43102 $33.39 $33.39 $33.39 2/18/11 Credit Card 181547 $0.00 Other, Fuel Appliances 2300000 -43102 $23.32 $23.32 $23.32 2/18/11 Credit Card 181547 $0.00 Range Hood /Other Kitchen 2300000 -43102 $33.39 $33.39 $33.39 2/18/11 Credit Card 181547 $0.00 Clothes Dryer Exhaust 2300000 -43102 $33.39 $33.39 $33.39 2/18/11 Credit Card 181547 $0.00 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $139.92 $139.92 $139.92 2/18/11 Credit Card 181547 $0.00 Utility Rooms) Fuel Piping 2300000 -43102 $22.21 $22.21 $22.21 2/18/11 Credit Card 181547 $0.00 12% State Surcharge - Mechanical 1003100 - 24001 $49.27 $49.27 $49.27 2 /18/11 Credit Card 181547 $0.00 Totals for Fees $21,432.04 $21,432.04 $20,680.70 $751.34 Receipt # Payment Method Check # Pavor: Receipt Date Receipt Amount 181279 Credit Card Phillip Pahlisch / 01/27/2011 $750.00 Pahlisch Homes 181547 Credit Card Phillip Pahlisch 02/18/2011 $19,930.70 Total Payments: $20,680.70 Balance Due: $0.00 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: so tA. 600 •2 ) Jurisdiction: cJ Site Address: rt.rro- "%--- Subdivision/Lot #: LA- and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) • Signature: Date: Si 2// f O e r /General Contractor /Authorized Agent Print Name: ' ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I: \Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, R \Ps.t.W. Q •.V.. "%7 , am the general contractor or the owner- builder at the following address: Site Address: l ui t gp `Ss . rQ,t_ev. City: Permit #: 201% 0Go z Subdivision/Lot #: .iti es\. L v . --$ 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: Date: vZ/ ii eneral Contractor or Owner - Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE TIGARD ER TIFI A TI c c o1v , owner /a agent or \, \csc- ( , g f � (PLEASE PRINT) (PERMIT HOLDER) do hereby centih 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. PERMIT NO.: 2_011 660 2 HIE ADDRESS: $ G 177 SUBDIVISION: LOT #: SIGNATURE: DA I E: 2/ V (OWNER/AGE RE CEIVED & VERIFIED BY: DA 1 E: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I: \Building\ Forms \StreetTreeCertificate 04/01/2011