Permit CITY OF TIGARD MASTER PERMIT
-- -I .• -- COMMUNITY DEVELOPMENT Permit #: MST2011 -00189
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/15/2011
Parcel: 2S104BB10300
Jurisdiction: Tigard
Site address: 14064 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 20
Project: Walnut Creek, lot 20
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 807 sf Basement: 0 sf Left: 5 • Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1015 sf Garage: 373 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 1822 sf Value: $200,817.08 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
Drains: 0
Tubs /Showers: 3 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: 4
Furn > =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: 3 201 -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 1822
Owner: Contractor:
LEGEND HOMES CORPORATION LEGEND HOMES Required Items and Reports (Conditions)
12755 SW 69TH AVE STE #100 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 - 681 - 4444
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: PHONE: 503 - 620 -8080
FAX: 503 -598 -8900
Total Fees: $16,676.47
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 • • R 9 11 -0091. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: E ' Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Building Permit Application
Residential . FOR OFFI( USE ONLY
City of Ti opt ;Bed y: aa
Tigard Permit No.: M S -,�U /�— VU l .
° 13125 SW Hall Blvd., Tigard, OR 97 P R evie w ./�I
7 '
Phon 503.639.4171 Fax: 503.5981960 � Da te/ : i/ \ Other Permit: S �/�
y 1 �(�I wl cx�
TIGARD I Line: 503.639.4175 '1-') \\ Date Ready /By: Juris. See Page 2 for
Internet: www.tigard- or.Fov A\OV ® Notified/Method: , I G 4' Supplemental Information
`V _ 41,c4 p pct,
TYPE OF WORItlt°'l ri :64\ \ ,I
REQUIRED.DATA:l- AND 2-FAMILY DWELLING
® New construction
❑ Debi- lilai Permit fees* are based on the value of the work
tyti performed. Indicate the value (rounded to the nearest
❑ Addition /alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead, and
CATEGORY OF CONSTRUCTION the profit for the work indicated on this application.
Valuation: 2CXJ 6 i ?, i ce
E I- and 2- family dwelling ❑ Commercial /industrial /
111 Accessory building r] Multi-family Number of bedrooms: 3
® Master builder ❑ Other: Number of bathrooms: 3
. , , , JOB SITE ;IN, SAND, LOCATION ' , .; `, , , Total number of floors: 2
Job site address: 14064 Sw Walnut Creek Way New dwelling area: 1,822 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 373 square feet
Suite /bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 3p square feet (6)1;5
Cross street/directions to job site: Barrows & Walnut Deck area: square feet 807
Other structure area: 2,1 square feet
REQUIRED DATA:. COMMERCIAL-USE CHECKLIST
Subdivision: Walnut Creek 1 Lot no.: 020 Permit fees* are based on the value of the work
Tax map /parcel no.: 2S104BB 10300 performed. Indicate the value (rounded to the nearest
dollar) of all equipment, materials, labor, overhead, and
DESCRIPTIONOF WORK .. the profit for the work indicated on this application.
• Valuation: $
/V&A) ,, v Existing building area: square feet
New building area: square feet
® PROPERTY OWNER : ' _ ' • ❑.'TENA'NT ,. 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:
® APPLICANT , ❑' CONTACT PERSON , NOTICE .
Business name: Legend Homes All contractors and subcontractors are required to be
Contact name: Steve Lucas 1. i' 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
City /State /ZIP: Portland OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -8080 Fax: : (503) 598 -8900
E -mail: slucas @legendhomes.com
- CONTRACTORS.
Business name: Legend Homes • • BUILDING PERMIT FEES*
Address: 12755 SW 69 Avenue, Suite #100 ., (Please refer to lee schedule) .
City /State /ZIP: Portland, OR 97223 Structural plan review fee (or deposit):
Phone: (503) 620 -8080 Fax: (503) 598 -8900 FLS plan review fee (if applicable):
CCB lie.: 55151 Total fees due upon application:
Amount received: received:
Authorized signature: /i���. 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: 11/2/2011 * Fee methodology set by Tri- County Building Industry
Service Board.
Electrical Permit Application ; FOR OFFICE USE ONLY
CI of TI and pi \J`. "Deceived Permit No: y� t
M I II
`J g ( p Date /By: Rev i� ti 'GO '
1 3125 SW Hall Blvd., Tigard, OR 972231 Plan iew
Phone: 503.639.4171 Fax: 503.598.1960 u 1 p.\\ Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 WIV ®� Date Ready/By: lurk ® See Page 2 for
Internet: www.tigard or.gov l � Notified/Method: Supplemental Information
TYP OF WORK_ C1 .. i PLAN' REVIEW.
i n 1t
® New construction ❑ Addition /alterationTr
� w lacemen `�' -'x`v� t ✓' - Please check all that apply (submit 2 sets of plans w /items checked below):
V ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF'C a exceeds 10,000 amps at 150 volts or 0 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
❑ Emergency system, larger separately derived system.
JOB' INFORMATION AND LOCATION, , ' ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: 14064 Sw Walnut Creek Way 100HP 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,
' . " . . , : SC . '
Cross street/directions to job site: Barrows & Walnut Description I Qty. I Fee. I Tout I *
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:020 1,000 sq. ft. or less 1 168.54 168.54 4
Ea. add'l 500 sq. ft. or portion .. 33.92 tc(.7(. 1
Tax map/parcel no.: 2S1
p p 04BB 10300 Limited energy, residential
„ 'DESCRIPTION OF-WORK - . _ , . (wills above sq. ft.) I 67.84 67.84 2
Limited energy, multi - family 67.84 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2 •
. ®' EROPERTY =OWNER . _ ' El TENANT 201 amps to 400 amps 133.56 2
Name: Legend Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.40 2
Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 552.26 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 less 59.36 1
Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 125.08 2
not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 168.54 2
701. Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
Owner signature: Date: above service or feeder fee, 7.42 2
® APPLIGANT . - ' ' ❑ CONTACT.'; PERSON' , each branch circuit
B. Fee for branch circuits
Business name: Legend Homes without service or feeder fee, 56.18 2
first branch circuit
Contact name: Steve Lucas Each add'1 branch circuit 7.42 2
Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
City/State /ZIP: Portland, OR 97223 dwelling, service and /or feeder
Reconnect only 67.84 2
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Pump or irrigation circle 67.84 2
E - mail: slucas @legendhomes.com Sign or outline lighting 67.84 2
_ *, " ' - ,, CONT.RACTO R', , ' , .' ,, Signal circuit(s) or limited -
Business name: Garner Electric energy panel, alteration, or Page 2 2
extension.
Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above
Additional Inspection (I hr min) 66.25/ hr
City /State /ZIP: Hillsboro, OR 97123 Investigation (1 hr min) 66.25/ hr
Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Industrial plant (1 hr min) 78 18/ hr
Inspections for which no fee is 90.00 / hr
CCB Lie.: 121159 Electrical z -305C / Suprv. Lie.: 3707 -S specifically listed (1/2 hr min)
— ' . ELECTRICAL PERMIT FEE'S .
Suprv. Electrician signature, requir .i: Subtotal: '3 ., i4—
—
�' /,,:: ./ —
Print name: Chuck Garner ' Z ` i t.. - /2/2011 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 40, - j
Authorized signature: TOTAL PERMIT FEE: 3 6 r 7 2-
Print name: Date: This permit application expires if a permit is not obtain within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
Mechanical Permit Application, , FOR OFFICE USE ONLY
� � � Received
� Receive
11,1 City of Tigard Q Date/By: Permit No.: I • Ai - ° 13125 SW Hall Blvd., Tigard, OR 97213., % \\ Plan Review
-- Phone: 503.639.4171 Fax: 50389J -960 % Other Permit:
Date /By:
Inspection Line: 503.639.4175 d � ® �S Date Read /B luris: 0 See Pa e 2 for
TIGARD \ v Y y g
Internet: www.tigard- or.gov �` e- '1 Notitied/M Supplemental Information
- , TYPE OF WOR•lif° . U y " t* t - COMMERCIAL "FE,E* SCHEDULE - USE CHECKLIST
"°' ' • Z"��.``" Mechanical permit fees* are based on the value of the work
® New construction ❑Addition /al teratio p
�; performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
' CATEGORY, OF- 'CONSTRUCTION ' ' Value: $
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi family ® Master builder ❑ Other:
Description Qty. Ea. Total
JOB. SITE INFORMATION-' AND LOCATION Heating /cooling
Job site address: 14064 Sw Walnut Creek Way 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 Creek
Gas heat pump 61.06
Cross street/directions to job site: Barrows & Walnut 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
Subdivision: Walnut Creek Lot no.: 020 Flue /vent for any of above I 23.32
Other: 23.32
Tax map /parcel no.: 2S104BB 10300 Other fuel appliances
DESCRIPTION' OF'WORK Water heater 1 23.32 23.32
Gas fireplace 1 33.39 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
' ® PROPERTY :OWNER , . . El TENANT Chimney /liner /tlue /vent 23.32
- Other: 23.32
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen
equipment l 33.39 33.39
City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 33.39 33.39
Single - duct exhaust (bathrooms,
Phone: (503)620 -8080 Fax: (503)589 -8900 toilet compartments, utility rooms) 5 23.32 116.60
Z -APPLI ` • ' ' • , ❑ .CONTACT PERSON .- . - Attic /crawlspace fans 23.32
Other: 23.32
Business name: Legend Homes
Fuel piping
Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional
Address: 12755 SW 69' Avenue, Suite #100 Furnace, etc. 1
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 I
E -mail: slucas @legendhomes.com
Range 1 14.15 •
. CONTRACT.OR Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 Clackamas River Drive . .. ' MECHANICAL PERMIT FEES*
City /State /ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 557 - 2200 Fax: (503) 557 - 0919 Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (12% of permit fee) ----. t , ( 2
TOTAL PERMIT FEE 72
Authorized signature: 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: 11/2/2011 * Fee methodology set by Tri- County Building Industry Service Board
Plumbing Permit Application
Building Fixtures FOR OFFIC USE ONLY
City of Tigard Date /B d Permit No . ( .t .. 13125 SW Hall Blvd., Tigard, OR 97214� y ' C , "
Plan Review
Phone 503.639.4171 Fax: 503.598. D a te / By: Other Permit No.:
Inspection Line: 503.639.4175 ®® �j I• Da te Read /B tans El See Pa e 2 for
TIGARD � \ O\' Q Ready /By: g
Internet: www.ti "gird- or.gov ` V Notified/Method • Supplemental Information
TYPE OF `WORK '' r .,. 40 ; - . . <FEE *:,SCHEDULE ;
��t - W v * For information use checklist.
s ecial in t
® New construction El Dem��lyt�o���9 special .f
d Description I Qty. Ea. Total
❑ Addition/alteration/replacement III Other: New 1 dwellings (includes 100 ft. for each utility connection)
` ` CATEGORY OF'. CONSTRUCTION ",, , „ , ' SFR (1) bath 312.70
® I- and 2- family dwelling 1:1 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 sprinkler ( sq. ft.) Page 2
J013, INFORMATION AND, 'LOCATION ,- Site utilities
Job site address: 14064 Sw Walnut Creek Way Catch basin or area drain 18.76
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite /bldg. /apt. no.: Project name: Walnut Creek Manufactured home utilities 50.03
Cross street/directions to job site: Barrows & Walnut 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 Creek Lot no.: 020
Fixture or item
Tax map /parcel no.: 2S104BB 10300 Backflow preventer 31.27
, DESCRIPTION OF WORK",; ' ` Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
®, PROPERTY OWNER ❑ TENANT,' ' . . Expansion tank 12.51
Name: Legend Homes Fixture /sewer cap 25.02
Address: 12755 SW 69 Avenue, Suite #100 Floor drain/floor sink /hub 25.02
Garbage disposal 25.02
City /State /ZIP: Portland, OR 97223
Hose bib 25.02
Phone: (503)620 -8080 Fax: (503)598 -8900 Ice maker 12.51
® APPLICANT' , , ❑ CONTACT PERSON , Interceptor /grease trap 25.02
Business name: Legend Homes Medical gas (value: $ ) Page 2
Contact name: Steve Lucas Primer 12.51
Roof drain (commercial) 12.51
Address: 12755 SW 69 Avenue, Suite #100
Sink /basin/lavatory 25.02
City /State /ZIP: Portland, OR 97223 Solar units (potable water) 62.54
Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Tub /shower /shower pan 12.51
E - mail: slucas @legendhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Wolcott Plumbing
Water piping ?DWV 56.29
Address: 1075 W. Historic Columbia River Hwy Other 25.02
City /State /ZIP: Troutdale, OR 97060 Subtotal 500.32
Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Minimum permit fee: $72.50
CCB Lie.: 112220 Plumbing Lic. no.: 26 - 824PB Plan review (25% of permit fee)
State surcharge (12% of permit fee) 60t
Authorized signature: r �� /_ �� TOTAL PERMIT FEE a,.. )
Print name: Gloria Hawes / Date: 11 /2/2011 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
" B uilding Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: 5y ?- / / �> c I, d'i
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ❑------
Routed Plans:
Original Plan Submittal Date: // A / ' ,-
1St Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (V) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact • 2 7: 4 t 503-718-2.4S2... or kri..41 t @tigard - or.gov)
Land Use Case No.$t,a$ 2,eDS • 4loZ.S Name Q bud" CI
I" Zoning 1'2. S
a--Setbacks:
Front 15 Rear i 5 Side 7 Street Side / e Garage
Cl Maximum Building Height 4 7/ S Actual Building Height `2 :
E "Visual Clearance
Easements r
CPSensitive Lands Type: GG✓ S ✓ 4 1 c
Notes: .' 2 0' S D E ant .44,�. l r a I.Le�
Original Plan: Approved f. Not Approved ❑ Date: 1/ /
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov)
0 Actual Slope:
Notes:
Original Plan: Approved ,IEr Not Approved ❑ Date: // Z /
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)
i i / ( Street Trees
❑' Protected Trees
Notes: 9' rJ'p (1„,,,.0 , , , Pe- n y.,M
Original Plan: Approved l/ Not Approved ❑ Date: /700/ /
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 Ap•licant
Okay to Issue Permit: Yes g/ No, ❑ • , • , ,
Date Routed to Building: if /
Page 2 of 2
PLOT FLAN 10/
LOT *020 WALNUT CREEK
14064 SW WALNUT CREEK WAY
NE 1/4 SECTION 4, T.25, R.1W, W.M. I "= 20' -0°
CITY OF TIGARD
RECEIVE) WASHINGTON COUNTY, OREGON
T1EGEN D NOV 02 2011
El ® -- ilk: S
a R G lt lki " i ITY OF TIGARD
_ �� / � � ! l 11"111. S z U SW setlt AVE. eVR. OFFICE (503) 595 -5900
BUILDING
6v r ,, r, PORTLAND, OR. 97225 Calf 56161 BUILDING DIVISION
W — - - — WATERLINE
55 SANITARY SEWER
SD — -- STORM DRAIN
EROSION FENCE
q. - ¢ OF STREET
® WATER METER
: MANHOLE
CATCH BASIN
4%' PROPOSED — o2 J1 c41, 01 Un kit A.,,, r 7
- STREET TREES
Fig STREET LIGHT
FIRE HYDRANT
, Y �
PROVIDE EROSION
CONTROL FENCE
PER COMMUNITY 0 LOT Li)
EROSION PLAN ) "y . 1 — / 225.2' S S8 "E `r 1 j
6` , F — 8 7.49' —r - -- — — G
tti 2 12.99'
1 / 20.50'
/� . Q. I', 2252' /////,////4,,,/.' , %/ /, j' /� ; 4i / / //, /i /7'
/ /
�. '
L�19. ■ -I. • '% • ' �// - / / /',/ / I
q , R. 66. <>0 ,• ,
` %/ / / L O T 2 -: ,,, .
7 / ' . 2 25.3 / i3.0815QF '
� � �� = Il ° I '5l " ,/,///// T' / , , � 0� �-
�S ; I '/; %BEECH / FIN. FLR•226.0 A / %� ;/ �
✓ r I ; . ' � ; �� SIB // � AR PLR / r225.S'/ m1di \ �` / ` (OPP'
_ _m —SD� �% j% /l /7/, / „/„ / / / � 20 S. D. E. t i / / / /,' /;)/i /, , _- S S I % /,; / % ! % i // / 20.50'
I I 1 \ 225.2' S 88 "E I
! � ' � ! — 18.50' z24'9'/ 'i — —
H I � I -)
I I I �N 6 LOT 21 ( 6
� W N (N
N qN N W M N
WALNUT CIREEK " )
WA'I'
SETBACKS :
FRONT YARD = 15 FEET
GARAGE = 20 FEET
REAR YARD = 15 FEET
SIDE YARD = 4 FEET
STREET SIDE YARD = 10 FEET
Page 1 of 2
Nancy Oswald
From: Kevin Wiebold • f " /�,�
L S I ZUI I O'' igl
Sent: Friday, April 06, 2012 8:29 AM
To: Nancy Oswald
Subject: Fwd:
Attachments: City of Tigard Site Completion Certificate.doc; ATT40862.htm; L -20 - TBC.pdf; ATT40863.htm
Sent from my iPhone
Begin forwarded message:
From: "Joel Tolman" <jtolman @earthadvantage.org>
To: "kwiebold @legendhomes.com" <kwiebold @legendhomes.com>
*Final Inspection Report*
*
Inspection Date: ** *4/5/2012
*Builder: * Legend Homes
*Subdivision: ** *Walnut Creek
*Lot #: ** *20
*Address:** * 14064 SW Walnut Creek Way
*City: ** *Tigard
*Certifications:* Energy Star/Earth
Advantage
* Solar Elements:*
*Re- inspection Required:* No
* Required Action:* House Certified
**
*Final Inspection Results*
Insulation Inspection: Pass
Thermal Bypass Checklist: Pass
Energy Star Measures: ** Pass
Earth Advantage Measures: Pass* *
*Blower Door Test Results*
Maximum Allowed ACH: 7.0
Actual CFM:* 1250
*ACH: 4.7
4/6/2012
Page 2 of 2
*Joel Tolman*
*Technical Specialist*
*Earth Advantage Institute*
P: 503.968.7160 ext. 43 E: earthadvantage.org / C:503.572.2223
www.earthadvantage.org
*Did you encounter problems or exceptional service from us today? Please
let me know personally. *
*Thank you - * *Sean Penrith, Executive Director - **
spenrith e.org* <spenrith earthadvantage.org >* 1 503.535.9668
(cell)*
4/6/2012
14064 SW Walnut Creek Way
Tigard, Or.
This home built by Legend Homes has been certified as an Earth Advantage home, designed for:
• Energy Efficiency
• Healthier Indoor Air
• Resource Efficiency
• Environmental Responsibility
Building a home with sustainable features means creating a better place to live today while preserving resources for future
generations. By incorporating recycled, renewable or natural products in the building process, Earth Advantage homes
are designed to reduce waste, lessen our reliance on nonrenewable resources and promote better indoor air quality. Plus,
an Earth Advantage home is designed to be 15 percent more energy efficient than a home built to conventional standards.
4/5/12
•
ENERGY STAR Qualified Homes
ENERGYLSTAA Thermal Bypass Inspection Checklist
The Thermal Bypass Inspection Checklist must be completed for homes to earn the ENERGY STAR label. The
Checklist requires visual inspection of framing areas where air barriers are commonly missed and inspection of
insulation to ensure proper alignment with air barriers, thus serving as an extra check that the air and thermal
barriers are continuous and complete. State, local, and regional codes, as well as regional ENERGY STAR
program requirements, supersede the items specified in this Checklist.
Guidance on Completing the Thermal Bypass Inspection Checklist:
1. Accredited HERS Providers and certified home energy raters shall use their experience and discretion in
verifying that each Inspection Checklist item is installed per the inspection guidelines (e.g., identifying
minor defects that the Provider or rater deems acceptable versus identifying major defects that undermine
the intent of the Checklist item).
2. Alternative methods of meeting the Checklist requirements may be used in completing the Checklist, if the
Provider deems them to be equivalent, or more stringent, than the Inspection Checklist guidelines.
3. In the event an item on the Checklist cannot be verified by the rater, the home cannot be qualified as
ENERGY STAR, unless the builder assumes responsibility for verifying that the item has met the
requirements of the Checklist. This option is available at the discretion of the Provider or rater but may not
be used to verify more than sIx (6) items on the Inspection Checklist. This responsibility will be formally
acknowledged by the builder signing -off on the Checklist for the item(s) that they verified. The column
titled "N /A" should be used when the checklist item is not present in the home or when local code
requirements take precedent.
4. The Checklist may be completed for a batch of homes using a RESNET- approved sampling protocol when
qualifying homes as ENERGY STAR. For example, if the approved sampling protocol requires rating one
in seven homes, then the Checklist will be completed for the one home which was rated.
5. In the event that a Provider or rater finds an item that is inconsistent with the Checklist Inspection
guidelines, the home cannot be qualified as ENERGY STAR until the item is corrected in a manner that
meets the ENERGY STAR requirements. If correction of the item is not possible, the home cannot earn
the ENERGY STAR label.
6. The Provider or rater is required to keep a hard copy record of the completed and signed Checklist. The
signature of a builder employee is also required if the builder verified compliance with any item on the
Checklist.
7. For purposes of this Checklist, an air barrier is defined as any solid material that blocks air flow between a
conditioned space and an unconditioned space, including necessary sealing to block excessive air flow at
edges and seams. Additional information on proper air sealing of thermal bypasses can be found on the
Building America Web site (www.eere.energv.gov /buildinqs /building america) and in the EEBA Builder's
Guides (www.eeba.orq). These references include guidance on identifying and sealing air barriers, as well
as details on many of the items included in the Checklist.
<.,
ENERGY STAR Qualified Homes
ENERGYSTAR Thermal Bypass Inspection Checklist
Home Address: 14064 SW Walnut Creek Way City: Tigard State: OR
Thermal Bypass Inspection Guidelines Corrections Builder Rater N/A
Needed Verified Verified
1. Overall Air Barrier Requirements:
and Thermal Insulation shall be installed in full contact with sealed interior and exterior air barrier except for alternate to interior air barrier
Barrier Alignment under item no. 2 (Walls Adjoining Exterior Walls or Unconditioned Spaces)
All Climate Zones:
1.1 Overall Alignment Throughout Home ❑ ❑ 0 ❑
1.2 Garage Band Joist Air Barrier (at bays adjoining conditioned space) ❑ ❑ ri ❑
1.3 Attic Eave Baffles Where Vents /Leakage Exist ❑ ❑ 0 ❑
Only at Climate Zones 4 and Higher:
1.4 Slab -edge Insulation (A maximum of 25% of the slab edge may be ❑ ❑ ❑ el
uninsulated in Climate Zones 4 and 5.)
Best Practices Encouraged, Not Req'd.:
1.5 Air Barrier At All Band Joists (Climate Zones 4 and higher) ❑ ❑ ❑ 0
1.6 Minimize Thermal Bridging (e.g., OVE framing, SIPs, ICFs) ❑ ❑ ❑ 0
2. Walls Adjoining Requirements:
Exterior Walls or • Fully insulated wall aligned with air barrier at both interior and exterior, OR
Unconditioned • Alternate for Climate Zones 1 thru 3, sealed exterior air barrier aligned with RESNET Grade 1 insulation fully supported
Spaces • Continuous top and bottom plates or sealed blocking
2.1 Wall Behind Shower/Tub ❑ ❑ 0 ❑
2.2 Wall Behind Fireplace ❑ ❑ 0 ❑
2.3 Insulated Attic Slopes/Walls ❑ ❑ ❑ 0
2.4 Attic Knee Walls ❑ ❑ ❑ 0
2.5 Skylight Shaft Walls ❑ ❑ ❑ 0
2.6 Wall Adjoining Porch Roof ❑ ❑ 0 ❑
2.7 Staircase Walls ❑ ❑ 0 ❑
2.8 Double Walls ❑ ❑ ❑ 0
3. Floors between Requirements:
Conditioned and • Air barrier is installed at any exposed fibrous insulation edges
Exterior Spaces • Insulation is installed to maintain permanent contact with sub -floor above including necessary supports (e.g., staves for
blankets, netting for blown -in)
• Blanket insulation is verified to have no gaps, voids or compression.
• Blown -in insulation is verified to have proper density with firm packing
3.1 Insulated Floor Above Garage ❑ ❑ 0 ❑
3.2 Cantilevered Floor ❑ ❑ 0 ❑
4. Shafts Requirements:
Openings to unconditioned space are fully sealed with solid blocking or flashing and any remaining gaps are sealed with
caulk or foam (provide fire -rated collars and caulking where required)
4.1 Duct Shaft ❑ ❑ 0 ❑
4.2 Piping Shaft/Penetrations ❑ ❑ ri ❑
4.3 Flue Shaft ❑ ❑ 0 ❑
5. Attic/ Ceiling Requirements:
Interface • All attic penetrations and dropped ceilings include a full interior air barrier aligned with insulation with any gaps fully sealed
with caulk, foam or tape
• Movable insulation fits snugly in opening and air barrier is fully gasketed
5.1 Attic Access Panel (fully gasketed and insulated) ❑ ❑ 0 ❑
5.2 Attic Drop -down Stair (fully gasketed and insulated) ❑ ❑ ❑ 0
5.3 Dropped Ceiling /Soffit (full air barrier aligned with insulation) ❑ ❑ 0 ❑
5.4 Recessed Lighting Fixtures (ICAT labeled and sealed to drywall) ❑ ❑ 0 ❑
5.5 Whole -house Fan (insulated cover gasketed to the opening) ❑ ❑ ❑ 0
6. Common Walls Requirements:
Between Dwelling Gap between drywall shaft wall (i.e., common wall) and the structural framing between units is fully sealed at all exterior
Units boundary conditions
6.1 Common Wall Between Dwelling Units I ❑ , ❑ ❑ MI
Home Energy Rating Provider: CSG Rater Inspection Date: 1/25/2012 Builder Inspection Date:
Home Energy Rater Company Name: Earth Advantage Institute Builder Company Name: Legend Homes
Home Ener. Rater Si. nature: 6082 Builder Em.lo ee Si•nature:
Oregon Residential Specialty Code R318.
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Jr\J i /„ LE , am the general contractor or the owner- builder
at the following address:
Site Address:
Lib to g- sc.() LL) eti i: L r Lk A y
City: --�- -C ce P,42.4).
Permit #: ? -o t 1 r-- 6 01 6ei
Subdivision/Lot #:
W 14 -1
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: 4- 1-- 12_
e 147 Contracto �� caner- Builder
I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction: —'—'
201 I— (50iR9
Site Address:
Subdivision/Lot #: -
t nJ i ( r - � - (L_.
and /or
Map and Tax Lot #:
ZOO -
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: 4--1 —
O V 4 .f=Sfr■rized Agent
Print Name: Veih A3 1)0 it-.51-0
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.
1:\Building\Fonms\RES- HighEfficiencyLighting.doc 07/01 /08
• III STREET TREE 1
: I
TIGARD CERTIFICATION
1
I, 4� 1 uJ 1 , o uT , owner/ agent for Le ; I- c . ,
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certib 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.: oZd 11--- 00 le/ 4-
ST 1 E ADDRESS: I LI- Q fo `1' s uJ (-co-( ti,-A---r- - ,_ (_ (
SUBDIVISION: AA c,u ,A-7 - 7 - .. LOT #: 20
SIGNATURE: 41iii. _ ' ► 1� . DA"1 E: - L
_ 4 a�
// - •. R/At NT)
RECEIVED &
VERIFIED BY: DA 1 E: 4y- Z -7L
F TIGARD)
s Tree location verified per approved site plan.
I: \Building\ Forms \StreetTreeCertificate 04 /01/2011