Permit r CITY OF TIGARD MASTER PERMIT
11111 2 COMMUNITY DEVELOPMENT Permit #: MST2011 -00024
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/11/2011
TIGARD Parcel: 2S104AD06100
Jurisdiction: TIGARD
Site address: 12954 SW SEVILLA AVE
Subdivision: WALNUT CROSSING Lot: 8
Project: Walnut Crossing lot 8
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1430 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1963 sf Garage: 744 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3393 sf Value: $364,532.23 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 5
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 500 sf: 7 201 -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 3393
Owner: Contractor:
PAHLISCH HOMES, INC. PAHLISCH HOMES INC Required Items and Reports (Conditions)
63088 NE 18TH 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: $18,993.38
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 160 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throu. • ' - -•52-001-0090. You may o• -' - copy of the , et questions to OUNC by calling 503.23 .1987 or 1.800.332.2344.
Issued B. / / � Permittee Signature:
Call �� 7:00 a.m. for the next available inspectio date.
This permit card shall .e - - p 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.
Building Permit Application
Residential `1 S� rt�►z t►rr►t ► 1 �► U\►
City of Tigard C�w Rece
Q �►� Date/B : �� Permit No.: T-VG it
`
NI
. " 13125 SW Hall Blvd., Tigard, OR 9 1 Date/B : ,' Ot her Permi 3 Plan Review , cc
Phone: 503.639.4171 Fax: 503.598.1960 c� $ Z O
A ` G • � ` — 0,
T 1 G A R D Inspection Line: 503.639.4175 \\\ t1 Notified/Method: Date Ready /By: Pi See Page 2 for
Internet: www.tigard- or.gov �`GP 1 � 3 By i Supplemental Information
R
} 0 _:',y'ESN" (P— /ha , i , , )/,j
��� t``V.N "
TYPE OF y
�1�' ` REQUIRED 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 dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling CI Commercial/industrial Valuation: $390,195.00
❑ Accessory building ❑ Multi - family Number of bedrooms: 4
El Master builder CI Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 12954 SW Sevilla Ave. New dwelling area: 3393 square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: 744 square feet
Suite/bldg. /apt. no.: Project name: Walnut Crossing Covered porch area: 230 square feet
Cross street/directions to job site: Walnut & Sevilla Deck area: square feet
Other structure area: 1/1 317 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Walnut Crossing Lot no.: 8 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S104AD06100 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 ❑ 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)
Structural plan review fee (or deposit): $750.00
City/State /ZIP: Bend, Oregon 97701
FLS plan review fee (if applicable):
Phone: (541) 385 -6762 Fax: (541) 385 -6742
CCB lic.: 42067 Total fees due upon application: $750.00
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Phillip Pahlisch Date: 2.2.10 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(11/02 /COM/WEB)
Mar 11 2011 8:11AM RK- Electric, -Inc. 503.356.0513 p.1
•
Electrical Pmt Auplication I.ttlt trl'I'1t'1 tI'I t qv, %
City or Tigard . c�I * 9 ■►.1s..F.r11•ligui ly,S 4..
+ 13123 SW Hell Blvd., Tigard, OR 97223 Plan Review
' , . Phone; 503,639,4171 ?x: . 309,598, Da .: ; Other Permit
'1' I. - A n 1 + lnapoollon /tut 503,639 4175 ���� Rate Reedy/By: Internet: www.tigard•or.gov a Natlitodltdethad: ll�t'
t a
e! 41 I � `.a .'Y- � vii E� b' �l .. 1 k �� ;a }: ' " :.';. !'l•,-,,,, newt' .. e 1 . y �
�� i111•,+„ tl�, ,r Tr •. : Y.,,1t': : t ,1
® Now construction , [] Addition/alteretr•., ,� 'I't:"!'.,.,y ! Plaaettedcal11 (mot ovhsOtedbe low):
[H Demolition on p CI Servieo or feeder 400 amps Of MN EI Handing ever three atorioa,
Krum two available mull entrain CI Marines eod boetydrtla,
�"�t'�,P lt�'r �,�t'�' F` �� "''i,'jj', ;,ffii „lf . r , ..,.:•. it ir % _ S oxceoda 10,000ompeat16D yob or ❑IrbBdnrballdinga,
d23:C..Y�31& 1� f : 6 r o
Ei 1- and 2 family dwelling ❑ Cogtmerolal/induaaial ❑ Aooasso buildin am to ground, other installations, 14,000 q Col lings, i•uee apiouiwral
ry � areyt for all other ielalletione, buildiege,
❑Multl•fbrnii 0 Master builder Q Other: D rho pump, ❑Imanatioiuf11
„ , ,r wr c w, ,, + I_I Enee a,xy system. larger separately derived ryatem_
a r r t a `milie .' n a �kr, C ri
) 1 �•,s;elK t. y :i'., n�!tt ,,, If,K: ' .$.wl.ri ❑ Addition afnew motor load of Q "A” "13%14", "1J°
Job 11D.: Job site eeldreas: 1!2954 SW Saville Ave 1 DOHP or more socapangy.
d six or more residential units. ❑ R..reatfonel Wilda parka.
City/State/E1P; Tlgerd, OR 97223 ❑ Healalncare fixellitiea• ❑ Supply voltage tin more than
LI Hazardous !wagon No voila nominal.
Suitnlbldglapt. no.: PioJect name: Walnut Crosdng ❑ Bervko or *odor 600 amps or mon,
Cross elroat/dirceelons to Job elttx Walnut St der Sevilla Ave. . opa�nba ,, rul 1 ' f '
Now raldentlal tingle- or multi- family dwelling wilt.
Includes attached garage.
Subdivision: Walnut Crosdrt,8 Lot no.: 8 1,000 sq. ft. or lac 1 168.34 168,54 4
Be, add'1300 sq, ft orportion 5 33.92 169.60 1
Tax map/parcel no.: 28104A1)06100 •
. 1
"�iA�Hu1 lr�lr ZZ ',' 7707.3 r i 1 q�, - ` i ',� C 0 , �r1t( above energy, rtelQCnllal
(� l� '� v fi: ", ;�' �. 1 1.(',�'; � .�t;.11'.� t;..: (with aboma aq. a,) 1 67.84 67,84 2
leaden new eervlee far single family resident* �� d (with it bove rq.11.) 67.84 2
Services or feeders Inatatlatton and/or rained*
�p L�: : 200 amps or lass I 100.70 100,70 2
� I tT3iv 0:v; .' 'jarJb','l.P ' '' ;fir'. %I'; el: I i 1 201 amps to 400 amps 133,56 2
Nerno: Pahhech Homes, Inc, 401 amps to 600 amps 200.34 2
Address: 69088 Id$'181b 601 amps to 1,000 amps _ 30I.04 2
Over 1,000 amps or volts 552,26 2
City /Stele/22P; Bend, OR 97701 Temporary nrvtcii or *don Inrmlletton, alteration, and/or
relocation
Phone: (541)385.6762 200 amps or less 1 I 59.36 I 59,36 I 1
Owner installation: This installation le being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exohattge, according to ORS 447, 449, 670, and 701, 401 a>r>ps l0 399 map 166.74 2
Brunei* circuit, • new, alteration, or extern ion, primal
Owner signature: Rafe - A. Pee for blench oirouits Mai
YI' if % ' ''.. :• Ni". 6. : ' �; "'-'' 7 l ' ; 'it! t. r.6 i9, st' d .;'. ' s p� ebt 't . wviao or feeder fee,
.,.F '�� a rK.r ?N2 %.. , ... ..,,, '..,yl.�;�.jr
atop baaralh (limit 7.42 2
Business Hama Paitlhrcll Homes B, Peo branch circuits --
without servioa or feeder its,
Contact name: Phillip Pahllsch first breach circuit 56.18 breach 2
Address: 63088 NE 18th - Each add'i brenoh olroult I 7.42 2
Miegllaneoue (Nevin' or hider not Included)
•
City/State/71P: Read, OR 97701 Bah manuiltotured or =duller 67.54 2
dwelling, service endlor feed i
Phone: (541) 305.6762x101, Fax:: (541) 385 -6742 Reconnect only 67.64 2
E-mail: phflllppepahllechhoalee.com Pump or inigation cilola 67.84 2
.l iA 'vep', ,,l{i!i;l L0;; :;'ti's „ - r ls.6: Sign or outline lighting 67.84 2
Signal also Aga) or limited- ..
• • a mow panel, alttsatiam, or
extendon. Describe: Nags 2 3
City/State/ZIP: ar e ✓ J • e. r ° (e; "f Each additional Inspection over allowable,}- of the above
Pte: (p O -/ � Pet inspection 611.83
Fax: ( 5 2 1 7 )• `05/ Investigation per bow(1 h: min ) _ 6625
E lial Electrical 1,10434 - 37s Q Suprv, Lac.: a - S erduatrialpiantpahour 78,18
5u rv. Electrician signature, required: •(t. •<I , .t?' , kli.PEllAili)<! -F ,. .: r
P 8n quired� 9 gnblotab 566.04
— Plat review (35% of permit tee): 141.51
mil •] State (=hetae(12%ofpermitfee): 67.92
Authorized signature; a TOTAL. PBRMIT FRS; 773.47
This permit eppneadon expires Ir p ermmit Is not obtained within lea
r i , . o ❑em d ays after It hap been aaerlled as aaxlttlele.
a Number of aspatlona allowed per pennit
r ahreta>dlRrrnn,1HLCJ•rmll•ppoe9 IG/Ol/09 440 'Wee
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $67.84
Check Type of Work Involved:
® Audio and Stereo Systems*
® Burglar Alarm
® Garage Door Opener*
® Heating, Ventilation and Air Conditioning System*
® Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY
Fee for each commercial $67.84
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n B oiler Controls
n C • lock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n P • rotective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1 :\ Building \Permits\ELC- PermitApp.doc 10/01/09
T Plumbing Permit Application
Building Fixtures 00 FOR OFFICE USE ONLY
Date /By:
City of Tigard Received �
"_ IaGbd�
V 13125 SW Hall Blvd., Tigard, OR 97223 `1 % \ Plan Review 1 2 1 / Permit No.: MST
S Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.:
T I G A R D
Inspection Line: 503.639.4175 �P *��� ate B y: d / ead /B lures: VI P e 2 for
Internet: www.ti and - or. ov ' , •{1,,C1 1 r y y B
g g a ,'1 �,Notif'teMethod: I Supplemental Information 9
TYPE OF WORK
V
i - N,74 C FEE* SCHEDULE
® New construction ❑ DemolitAt For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
SFR (3) bath 1 500.32 500.32
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinlder (_ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 12954 SW Sevilla Ave Catch basin or area drain 18.76
City/State/ZIP: Tigard, OR 97223 Dtywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: 1 Project name: Walnut Crossing Manufactured home utilities 50.03
Cross street/directions to job site: Walnut & Sevilla Ave. Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: Walnut Crossing I Lot no.: 8 Fixture or item:
Tax map /parcel no.: 2S104AD06100 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Install new work in new single family residence
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Pahlisch Homes, Inc.
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 63088 NE 18r" Garbage disposal 25.02
City/ State/ZIP: Bend, OR 97701 Hose bib 25.02
Phone: (541)3856762 Fax: (541)3856742 Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: Pahlisch Homes Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Phillip Pahlisch Roof drain (commercial) 12.51
Address: 63088 NE 18d' Sink/basin/lavatory 25.02
City/ State/ZIP: Bend, OR 97701 Solar units (potable water) 62.54
Phone: (541) 3856762x101 Fax: : (541) 385 -6742 Tub /shower /shower pan 12.51
E -mail: phillipp@pahlischhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Wolcott Plumbing Water piping/DWV 56.29
Address: tO '75 (,J 1►,^Jr j-c. K.�r h t 4 /�,V 7
- 1 . Other: 25.02
City/ State/ZIP: t ,, � / AP c•-) " v �'^'"� Subtotal 500.32
Minimum permit fee: $72.50
Phone: ( ) 3 - 7 / ' ] n Fax: r3) (,c,7. ar/ 1 Plan review (25% of permit fee) 125.08
CCB Lic.: I ( ?13 Plumbing Lic. no.:
State surcharge (12% of permit fee) 60.04
Authorized Si ature:�
TOTAL PERMIT FEE 685.44
Print name: f Date: This permit application expires if a permit is not obtained within 180 days
v� \ \� l / I 1 `� l J after it has been accepted as complete.
/// *Fee methodology set by Tri - County Building Industry Service Board.
1:\ Building \Permits\PLMU- PerniltApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB)
. Mechanical Permit Application FOR OFFICE USE ONLY'
\- Received
• City of Tigard �� Date /By: ii Permit No.: 013 /, ` �+ yt.
- 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review -W � + � 1
Phone: 503.639.4171 Fax: 503.598.1960 V,\ Date/By: Other Permit:
T I GARD Inspection Line: 503.639 cl , Ready /By: page 2 for
Internet: www.tigard - or.gov A ��, ,
• •.., ethod: !fig Supplemental Information
TYPE OF WORK ,.. ,: COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction III 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: $
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT !SYSTEMS FEES*
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12954 SW Sevilla Ave 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: Walnut Crossing Heat pump 61.06
Cross street/directions to job site: Walnut St. & Sevilla Ave 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: Walnut Crossing Lot no.: 8
Other: 23.32
Tax map /parcel no.: 2S104AD06100 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 ❑ TENANT Chimney/liner /flue/vent 23.32
Other: 23.32
Name: Pahlisch Homes, Inc. Environmental exhaust and ventilation
Address: 63088 NE 18th Range hood/other kitchen
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)3856762 Fax: (541)3856742 toilet compartments, utility moms) 3 23.32 69.96
® APPLICANT ❑ 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 18"' MECHANICAL PERMIT FEES*
City/State /ZIP: Bend/ OR / 97701 Subtotal 360.72
Phone: (541) 3856762 Fax: (541) 3856742 Minimum permit fee ($90.00)
Plan review (25% of permit fee) 90.18
CCB lic.: 42067 State surcharge (12% of permit fee) 43.29
TOTAL PERMIT FEE 494.19
T his p ermit a pplication expires if a permit is not obtained within 180
Authorized signature: 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:\ Buildng\Permits\MEC- PernritApp.doc 10/01/09 440.4617T(11 /02 /COM/WEB)
Oregon Residential Specialty Code 8318.
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner- builder
at the following address:
Site Address: \ 2- c t cS 5 W Se.1u t VLF
City:
Permit #:
?_om — ( oo 'Z`
Subdivision/Lot #: wG ► 1,— t t--.0
and/or U• � • �� �
Map and Tax Lot #:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 8318.2 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: 9 Z
Ge eral Contractor or Owner - Builder
E: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: - I 1 - n oo Z�1 Jurisdiction:
Site Address: w`+/
\ ? cf 5 4 Su► ►tk._
Subdivision/Lot #:
Ur kJ /. &KC t 1- Q
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: q Z
wner /General Contractor /Authorized Agent -
Print Name:,', N,l-i W !
' 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- HighEfficiencyLighttng.doc 07/01/08
STREET TREE CER TIFICA TION
,Y AnA i , _ owner/ agent for 4d/k/t,s
(PLEASIPRINT) (PERMIT HOLDER)
do hereby certt that the followinglo .ation meets
City of Tigard, land use and development standards
for street tree insta ,and „ consistent
with the approved site plan.
PERMITNO.: 2011_ 000-2-9--
SITE ADDRESS: \?__ 9 $ v / (Io ic
SUBDIVISION: W c C,r a S s c1- LOT #:
SIGNATURE: DATE: c7/21
(OWNER /AGENT)
RE CEIVED &
VERIFIED BY DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I. \Building \Forms \StreetTreeCertificate 07/01/2010