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Permit n CITY OF TIGARD MASTER PERMIT 1111 a • COMMUNITY DEVELOPMENT Permit #: MST2012 -00025 T I GAR E) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/12/2012 Parcel: 2S110BC10600 Jurisdiction: Tigard Site address: 12064 SW CAFFALL LN Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 4 Project: Bull Mountain View Estates, Lot 4 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1218 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1567 sf Garage: 711 sf Front: 10 Smoke • Dwelling Units: 1 Third: 0 sf Right: 8 Detectors: Yes Total: 2785 sf Value: $318,938.04 Rear: 13 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Drywell- Trench Drain: 0 Other Fixtures: 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 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add! 500 sf: 5 201 -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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2785 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports (Conditions) 2103 NE 129TH ST SUITE 100 25 ENTERPRISE 1 Ersn Cntrl 503 - 681 - 4444 VANCOUVER, WA 98686 ALISO VIEJO, CA 92656 PHONE: _ PHONE: 360- 258 -7900 FAX: 360 - 258 -7901 Total Fees: $18,986.79 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 issua • 15 if work is susp ded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification st Those les e set forth in OAR 952- 001 -0010 • • • • - •AR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. - ' -1.: •0 ' • 23 Issued By: , / _ • Permittee Signature: , X "INV 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. • Raildin Permit Application Residential ll ) ED FOR OFFICE USE ONLY • N II R City of Tigard Rece ived Permit No.: , ° 13125 SW Hall Blvd., Tigard, 97223 E B % 2 2 IL DateB : �j%/ (.1. �� g F Phone: 503.718.2439 Fax: 503.598.1960 � ��� h DateB • rr� �c y / � Other Permit: SW — i. O TIGARD Inspection Line: 503.639.4175 i o i to Re • ® See Page 2 for Internet: www.tigard 9 ` �� �� R t � �1� p tified/Method: Supplemental Information B aJ l � .. L ` ,� LL 1 111 ` . TYPE OF WORK REQUIRED DATA:.1, AND 2- FAMILY DWELLING [New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (romded 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. gr I- and 2- family dwelling ❑ Commercial /industrial Valuation: '618 ) q 3 8. 0 A - ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms 2 . S • - . JOB' SITE INFORMATION AND LOC Total number of floors: 2.. • • Job site address: ( 2_0 gq n j , � �� f FAL(_ LJ New dwelling area: 2:1Q3 square feet City /State /ZIP: fl � ( f ` V !Z. q 7 ?.2..y' Garage /carport area: 7 , 1 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: .]s square feet 1`2 Cross street/directions to job site: Deck area: ..0.- square feet lam Other structure area: VAci C square feet '? • REQUIRED DATA: COMMERCIAL -USE CHECK LIST Subdivision: 60 MP. thew £rte_ Lot no.: 4 Permit fees' are based on the value of the work performed. Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . DESCRIPTION OF .W01& work indicated on this application. n ( 1 5 FR Valuation: $ • 6VG�V ) `1` Existing building area square feet New building area: square feet PROPERTY OWNER . _ '. ',❑ TENANT : , Number of stories: Name: ��i>JN/R AjO C ( v EZT--/ I INI � , Type of construction: Address: ta..1 03 1,./J I 2A -.(.4 S - ` ' U ir e tab Occupancy groups: • City /State /ZIP: vA C(�!J I l c i fiA 06 Existing: Phone: (6O) �.5 _..-pit 00 l -ax: (360) 7,543, 7 /0/ New: .[APPLICANT , ❑ CONTACT PERSON. • • BUILDING PERMIT FEES *, - ; i - ' - (Please refer to fee schedule Business name: L i Ai (. AI1 (vJE f /(/G Structural plan review fee (or deposit): Contact name: eilre;r mckAncti„4-r, FLS plan review fee (if applicable): Address: City /State /ZIP: 94 146' Total fees due upon application: • Phone: (349) 2 7867 Fax: : ( ) Amount received: E -mail: C 12:0 /4'' d�( LEA/MIX ecrim ' PI�OTOVOLTAIC SOLAR PANEL SYSTEM FEES* • CONTRACTOR , Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: L. /vie, / C+ N U� -- r /AK) .1 Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: Z/ ! o 3 i s �• . ( 2'T s� +iti 1 Solar Installation Specialty Code checklist. V City /State /ZIP: \ �ia �( VE4 i �ih �' 106 0v Permit Fee (includes plan review $180.00 /� and administrative fees): Phone: ('GC/ i z -- 7 ') Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB Iic.: 307 41-- Total fee due upon application: $201.60 Authorized signature: o � ' This permit application expires if a permit is not obtained ` within days after it has been accepted complete. • Print name: ni R Ackwer' Date: 1,�2//� * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB) • Electrical Permit Application %\10 FOR OFFICE USE ONLI' City of Tigard C,� � Dat ° 13125 SW Hall F31vd.,'figard,OR 9 1. Permit No.: M[T BSI �- O l^, �r1,[' 1 •' I P Review t 2 Phone: 50171 Fax: 503.598.1960 � c,(1 gate/py; Other Permit: T I G A Il D Inspection Line: 503.639.4175 C. ,�Gt'► tc Beady/By: /ode ® See Page 2 for Internet; vavw.tigard- or.gov � ma c. ,mi _1�sl otifed/Melhad: I Supplemental Information TYPE OF WORICC,- r i��C -- PLAN REVIEW fif New construction ❑ Add ition /alterationOc Please checicall that apply (submit lads plans w /iitems checked below): y ❑ 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 .. Xl- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder ❑Oilier: ❑Fire pump. 0 Installation of 75 KVA cr ❑Emergency system, larger separately derived system. • JOB SITE INFORMATION AND LOCATION ❑Additionofnewmotorloadof 0 "A"."E ", "I- 2 ","1 -3 ", Job nil.: lob site address: /460_5-4/8,4,4;# / 10011P or mare, occupancy. I /all/ ❑ Six or more more. residential units. ❑ Recreational vehicle parks. Cit Y ii / /State/ZIP: �f ❑ Hazardous locations. g 9 ❑H -care ca t i o n s . . ❑Supply voltage 600 volts nominal. Suite/bldg apt. no.: I Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I F. I Total I • • �!' / /���. ��r New residential single- or multi - family dwelling unit. Includes nttached garage. • Subdivision: RL�/���somft 1 4 r L. I Lot no.: ' 4, 1,000sq.R.or � 168.54 � ( .P ° 4 , i2 � //`S�rr7 < <S Ea. adcl'1500 sq. ft. or portion 33.92 1 , (,C) 1 Tax map/parcel no.: I.imited energy, residential DESCRIPTION OF WORK (with above sq. IL) 1 75.00 /se 2 ``. Pe C t / l� ! Limited ti °I (with d energy, muab i sq. R.) i� s /rte % ) l /}� �it/�! /�` residential s Installation, 75.00 2 Services or feeders Installation, alteration, and/or relocation 200 amps or less 100.70 2 al PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 / 401 amps to 600 amps 200.34 2 Name: L E-4/4.442" A/"//14E Ae 57, N/? , 601 amps to 1,000 amps 301.04 2 Address: ?/P ? N k- /4/4' 6'1- .591, /dam Over 1,000 amps or volts 552.26 2 J Temporary services or feeders installation, alteration, and/or City /State/ZIP: 1.�/J,/10 v ti/ 9f f '� relocation Phone: go ) 2 l' f 79,,,:v I Fax: (9 791'/ 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteration, or extension, Ltcr panel Owner signature: Date: A. Fee for branch circuits with J+sL APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: 4, e�le'/iLgr- • D. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: &L, ier 10/6/ /34 f - branch circuit I Each ruin branch circuit 7.42 2 Address: Miscellaneous (service or feeder not Included) Each manufactured or modular City /State/ZIP: dwellirnR service and/or feeder 67.84 2 Phone: ( ) I Fax: • ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: el r f ?V' / e,61 %a/ l !. //?/ /f /t7Y' f.iAnZ Sign or outline lighting 67.84 2 , CONTRACTOR Signal circuit(s) or limited-energy 13ttsinessname: J /' panel, alteration, or extension. • Page 2 / /J/�J �y 4 e di,„ K s /i C i°GI Each addillonnl inspection over allowable In any of the above _ Address: 5 SE /3 5 "/J App Additional inspection (I hr min) 66.25/ hr City /State /ZIP: /Or_7' ?te L investigation (I hr min) 78 . 18 /hr Industrial plant (I hr min) 78.18/ hr Phone: (.9;0 7G 0— ��,1, I Fax: 3'3) /g „3 Inspections for which no fee is 90.00/ hr p specifically listed (%, hr min) CCB Lie.: �ti '36 f Electrical Lie.: 3 -33,26 Sum. Lie.: 33 90 S ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: 04 i &J a Subtotal: A ( ...? 7 , 14 / Plan review (25% of permit fee): Print name: -pen his 1 e/ '(. I Date: State surcharge (12 %ofpemtit fee): — � TOTAL PERMIT FEE . 4.-,1 7 , 7 Z. Authorized signature: / I- I I•. , C/ I - / /. � This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name: ,`!� / C ` , Date: .3 / + Number °f inspections allowed per permit. A IM I: l55u1Aoa \PrrmiulELC- Pcrmitnpp.doe 07rotno 440- 461ST(1t /5/COMAVEU r • Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard C�1NV Received Date/By: Permit No.: .- ° 13125 SW Hall Blvd., Tigard, OR 9 IF): Q C Phone: 503.718.2439 Fax: 503.598. p• : t 101 Dane/B ew Other Permit: T I G A R D Inspection Line: 503.639.4175 < a 2 2 Date Ready/13y: J uns: RI See Page 2 for Internet: www.tigard or.gov . p n Notified/Method: Supplemental Information OV G TYPE OF WO E ` G v ..1 VO COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1� Mechanical permit fees* are based on the value of the work 1[� New construction ❑ Addition/alter/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Ell and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: n Air conditioning Job site address: 1 9 / / L4- $R.) (, A 4A L . (requires site plan showing placement) 46.75 City/State/ZIP: �-y r I /�y� /; r� Furnace 100,000 BTU (ducts/vents) I 46.75 1 4( � (2 ` ` 7 2214 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldgiapt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), ' r in -wall, in -duct, suspended, etc. 46.75 Subdivision: gU� �r, Ji � Es"' €s Lot no.: L{- Flue /vent for any of above 23.32 V 1 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 1 23.32 Gas fireplace - 2... 33.39 Ek'rS Flue vent for water heater or gas 90 fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 1 Wood fireplace /insert 23.32 E PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: l ' l v &- J J AP- /� �Q R .X IA ,e�- //j� � Environmental exhaust and ventilation: Address: `J c Range hood/other kitchen Q Ala ` � .�� - ri 1 0-o equipment I 33.39 City /State /ZIP: VANCAU V Fla_ WA . g06gb Clothes dryer exhaust I 33.39 Single -duct exhaust (bathrooms, Phone: (3)) c 0 �7 _7 Fax: q6)) 2SS . 7701 f toilet compartments, utility rooms) 23.32 1 (1).1 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: 1V v :t 1 v W 6 T /A/6A, Other: 23.32 �'(�.� ��/��",� Fuel piping: Contact name: eA14 - C Y ' ``.' _ tr a $14.15 for first four; $4.03 for each additional l6 .✓ Address: Furnace, etc. I I'\ .I-J A _ Gas heat pump City/State /ZIP: . Wall /suspended/unit heater Phone: ( ) Faa ( ) Water heater I E-mail: f Y" ` rG v 1 t�iill l�/� - ry ) Range Ce I l •O, .. i CONTRACTOR Barbecue Business name: ( - ! Clothes dryer (gas) Other: Address: I + _ . - .a A ►. C p MECHANICAL PERMIT FEES* L City /State /ZIP: c 5'i 6 _t-t l g'77LI s Subtotal ✓ 35 41 r�)? 1 I - ZZ2-o J Fa (cr ;) ( M inimum permit fee ($90.00) Phone: ( `7 �� Plan review (25% of permit fee) CCB lic.: 7242 23 State surcharge (12% of permit fee) AO , Imo( TOTAL PERMIT FEE 79 . a2 Authorized signature: This permit application expires if a permit is not obtai within 180 g � days after it has been accepted as complete. Print name: d ‘,(--- I Date: /i ce � • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PennitApp.doc 09/09/10 v 440.4617T(II /02/COM/WEB) Plumbing Permit Application Building Fixtures Received 10 FOR OFFICE USE ONLY 0‘%1 lig City of Tigard ��j ®� Date/By: Permit No.: M . 5T)`O ij__O(JC�o7 - 0 13125 SW Hall Blvd., Tigard, OR 97223 �4 Plan Review 0 : Phone: 503.718.2439 Fax: 503.598.19 Other Permit No.: DateBy: T I G A R D Inspection Line: 503.639.4175 e c\ s " � ►R 1 0v. Date Ready/By: Juris: 9J See Page 2 for Internet: www.tigard - or.gov . ( - * 1 � N il s Notified/Method: Supplemental Information TYPE OF WORKC' , \ \AV FEE* SC iJ New construction ❑ a. ' olition _ 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 u 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath l 500.32 r ~ 'j ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1 7f6 / $ Affrm-C, Catch basin or area drain 18.76 /� Drywell, leach line, or trench drain 18.76 City/State /ZIP: 1? (0-124? V / � q7 �2 4 1- Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 • Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 � , r� E I 4 Water item: (no. linear ft.: ) Page 2 Subdivision: i� V ! Lot no.: . Fixture a or or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 N oio SO a Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 (PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Lei�1NA „ 1/4 / 15 - war / ' �G Fixture /sewer cap 25.02 e Floor drain /floor sink /hub 25.02 Address: 2 -d .? �� 2..q ' A �1) ills: 1 ) Garbage disposal 25.02 City/State /ZIP: VNrUCOU ! 1 t1W Hose bib 25.02 Phone: ( p a ) s _ • 00 Fax: g,,) sl - Ice maker 12.51 [Q( APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: LE N ' A �C V ,J Medical gas (value: $ ) Page 2 7�-�-- ' 1 , � e Primer 12.51 Contact name: (� nil ct� (r , Roof drain (commercial) 12.51 Address: Sink/basin/lavatory City/State/ZIP: ty 4 Solar units (potable water) 62.54 Phone: ( ) p � Fax :: ( / ) , �n Tub /shower /shower pan 12.51 E -mail: l itr e-i � f ( ' o C'1 . g t emf 111 , r i Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: . t piping/DWV 56.29 V' ►1�V � � J ? �i. � Water 1 m Address: •p Zo Other: 25.02 City/State /ZIP: I ) A w /1a g. 7 (06 Subtotal C19, Phone: (9)3) 3 2Jk� (y7 7 _ Fax: (563) s2,4_ - os _ Minimum permit fee: $72.50 CCB Lic.: 7 , t Plumbing Lic. no.: _�' Plan review (25 % of permit fee) i ; R State surcharge (1 of permit fee) k� U. Authorized signature: � / %rte 34 ri 4 Y TOTAL PERMIT FEE . io 0 ���.� �` �1 v Date: p2 a�oz /a This permit ap expires if a permit is not obtained within 180 days Print name: , t after it has been accepted as complete. ✓ "Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building \ Perm its \PLMU- PermitApp.doc 10/01/09 440-4616T(10 /07JCOM/WEB) This form is recognized by most Building Departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 111 City of Tigard e Buildin g Division TIGARD TRANSMITTAL LETTER TO: ( DATE Weir_ DEPT: BUILDING DIVISION MAR 30 2012 CITY OF TIGARD FROM: (.. /V A/ 4 - A CO BUILDING DIVISION COMPANY: • PHONE: & © 25 - 6 By laaG0 RE: ite ress • T% (Permit Number) ./ f ff J . r ' Tject name or su..'vision name an' of num.er ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: Description: Additional set(s) of plans. j Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. • Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (e +lain): • REMARKS: / � . ' :.. 4 Awe � ' I MJ,' FOR OFF E USE ONLY Routed to Permit Technici Date: 4-((c) ( Initials Fees Due: ❑ Yes Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011 '/ &a L Wr� V / �3 / V Building Division /aD61/.05zo C4 -1 -z . 7 4 a Development Code Provision Review *+-' TIGARD Residential Projects Building Permit No: 411 .57a 7 4 f - TJCX)) 1 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A L� Routed Plans: Original Plan Submittal Date: , /a '/. / . PL /.".2e5/1 /.".2e5/1 1st Revision Submittal Date: / y 3 /9- ❑ Site Plan Only /Z-2../ � � E ALA 2 ^d Revision Submittal Date: d )-- ❑ Site Plan Only a4 as� /1idH - T a‚94E U"t 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 at 503- 718 - 51ILir @tigard- or.gov) Land Use Case No.NOZODSC6 Name i 13 Zoning X ( ❑" Setbacks: Front (6) Rear / Side Street Side 8 Garage eV • Q Maximum Building Height 35" Actual Building Height 08 (' Visual Clearance la" Easements 6 ( iW6' l3xk-SE` &M Er Sensitive Lands Type: ijl f Notes: Original Plan: Approved !G Not Approved ❑ Date: e-.2 Revision 1: Approved Not Approved ❑ Date: " 11,, - Revision 2: Approved Er Not Approved ❑ Date: 4 1 . ( f! P _ _ Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Alf Actual Slope: / 2.-- 0/0 Notes: . Original Plan: Approved ,gr Not Approved ❑ Date: -2...- 6 Revision 1: Approved 2 Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City1Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ii Street Trees Protected Trees _ Notes: - - ..�� liffi7iliiMMINAMMiAMM7VL71SNifn - Original Plan: Approved -;':' Not Approved l Date: �' d�3 0 - Revision 1: Approve. - Not Approved ❑ Date: Revision 2: Approved ❑ ✓ Not Approved 0 Date: 4 C/0 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: Yea No ❑ Date Routed to Building: _ • • • illf�L!! Page 2 of 2 ' L,/, I/I " i I ECEIVED. --/// ' % APR 9 2012: I !/ p 1 e. • i .. OF TIGARE 1 k i1: D DING DIVISION • Q ' - i k g3 GI out i 83.35 / C• � , J ill 483 483 U ..L L.._. _ ___._ , .._ _.___ .____.___ W . 475.- i 1/ ' / EXIST ' ADES UR g ' Z r • j ,' ∎ / y` > / / FINI- H GRADES g J / J ,w� :.' b ' SAN G TREE l,f U Sir IMES 2 - 20' O.0.0 - - - - - 1 - - - - -- - -- � � i TIMOR uu I / T PATIO - �' - ---- TOR .. .... X4 83 . / LAT o ® 1 r li / :.; ?` :'•::: NORTHERN r .' , 83 1 0 rnro ,ouTaHS) : r l 27 . E v " ) 0 { : / REV : •j ` :: Z • Z (4) TREES TOTAL NGLI H 3 -C R ::.:.;/..: :. :. m _�l• :�fra , ,r;. , .....:.:.E j t a i 1�/ • . ' r 481 ; : : ..•' •;:. I , `!� - 2'-4' LANDSCAPE V ' •: : .r. : •::: : r ..... !: : _ � ., , WALL :' EN ,) : f _ '•EE - - - -'1 6.4. 482 i:• -- - ... MIN. GARAGE SETBAC I r ALK I • _ : r k I 1. / 4 " , , t• lv I ) TA, / MIN. HOUSE SETBAC DRIVEW • Y _L . ' P. ' f - _ 4 AL AR / • IANGLE • STREE AVEE (SEE • � y , ° � ; ' 5' ,,/ TREE ESMT. ;TAE LE ;BM - • - . • � • `n • •. ... VI/ 5 ' 'WALK . irt7 STORM 6 • PROPERTY LINE j LAT CURB j SW CAFFELL LANE I 1 , ,i DRAWN 03— ••— 012 SHG — LL MOUNTAIN VIEW ESTATES REVISED 04-09 -2012 SHG ADD STREET TREES NW 1/4 SECTION 10 T. 28., R.1W., W.M. WASHINGTON COUNTY, OREGON aa• ac • s responsible • eck site plans and notify designer of any errors or omissions prior to start of construction. Also plans and LOT 4 specifications shall be approved by • local building authorities prior or 12064 SW CAFFALL LANE start of construction. 6000 SQ. FT. SETBACK REQUIREMENTS: L E N N A R FRONT HOUSE): 20' FROM P. 2103 NE 129th STREET FRONT PORN): 20' FROM P. L.; FRONT GARAGE): 20' FROM SIDEWALK) SUITE 100 STREET SIDE: 15' (FROM SIDEWALK) SCALE VANCOUVER, WASHINGTON 98686 SIDE: 5' (FROM P.L) OFFICE PHONE: (360) 258 -7900 REAR YARD: 15' (FROM P.L ) 1"=.20° Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: v _ w `' v Jurisdiction: /( Gv✓ Site Address: / ;,0 61 i /��p �� A . (• Subdivision/Lot #: (J (2 M kt,A1- z 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) ols/ f\ 7 Signature: Date: `' �� 1 7-1/5i/ Owner /General Contractor Au Agent Print Name: Ch ORSC Section N 1107.2. 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:\ BuildingTorms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION I, OkAilit6( S , owner / a g f ent or (PLEASE P) (PERMIT HOLDER) do hereby certiO 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.: Z (L O Sfl E ADDRESS: /Z064 '3 k' (j (1 M LOT #: SUBDIVISION: ) /'� SIGNATURE: _ DATE: Z Z./ / G ENT) RECEIVED & VERIFIED BY - DA1 E: ( OF TIGARD) ❑ Tree location verified per proved site . ,n. I:\ Building \Forms \StreetTreeCertifcate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Ze0/14.‘t/) , am the general contractor or the owner - builder at the following address: Site Address: Z40.61( 5 avaaiti • City: AX(1 Permit #: ( Subdivision/Lot #: /j Mr 4 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: ( L Date: General Contractor or Owner- Builder 1:\BuildingWorm\RES- MoistureSensitiveWood.doc 09/25/08 Program Use Only \F; Form 640S FastTrack ID I Completion Certification —Site Inspection EnergyTrust New Homes Program — Single Family Data check by of Oregon (initials) To be completed by verifier Portland Energy Conservation, Inc. (PECI) is a Program Management Contractor for Energy Trust of Oregon. First Inspection Second Inspection Date: 10/4/12 Verifier Name: Brian Thompson Date: 11/30/12 Verifier Name: Brian Thompson Incentive Payee Company Name: Gale Contractor Services Builder or Company: Lennar Contact Name: Carter Mcknight Performance Testing Company: Tri County Temp Technician Name: Mike Dowler Site Information Development Lot Number: REM /Rate SCO Project ID: Bull Mtn View Estates Name: 4 File #: (required from verifier if 27834 project is ENERGY STAR Site Address: 12064 SW Caffall Ln City: Tigard State OR Zip: 97224- ® Unattached ❑ Attached Number of Stories: 2 Total Building Square Footage: 2,799 Number of Bedrooms 4 Basement ❑ None ❑ Full Basement ❑ Half Basement ® Crawlspace Type ❑ Garage /basement combo ❑ Slab on grade ❑ Other Electric Provider Z PGE ❑ PAC ❑ Other: Gas Provider ® NWN ❑ CNG ❑ Other: Electric Meter Number: 31 457 809 Gas Meter Number: 1067886 (must apply to permanent meter) (must apply to permanent meter) Additional Project Information (please mark all that apply) ❑ Code plus Best Practices (meets minimum Best Practice requirements with improvements above code) ❑ Path 1 EPS Best Practices ® Path 2 ENERGY STAR ❑ Envelope Upgrade ❑ Ducts & HVAC Equipment Inside ® Equipment Upgrade ❑ Path 3 ENERGY STAR with ducts inside ❑ Path 4 Performance Plus with ducts inside ❑ Path 5 Advanced Performance ❑ Zonal Electric Efficient ❑ Advanced Electric Resistance ❑ Solar Electric (PV) ❑ Solar Water Heating (SWH) ❑ Small Wind Renewable ❑ Solar Ready Electric (SRPV) ❑ Solar Ready Water Heating (SRWH) Energy ❑ Qualifies for Solar Ready Incentive (must attach checklist) Solar Installer: Name: Company: Low Income ❑ Yes ® No Does this project qualify as Low Income? (must provide documentation from builder) Accessory ❑ Yes ® No Is this home an ADU? Dwelling Unit ❑ Yes ❑ No Is the ADU separately metered? If so, provide meter numbers above Other ❑ Earth Advantage — Certification Level: Certifications ❑ LEED -H - Certification Level: ❑Other (please specify): Form 640S v10 120101 Page 1 of 3 Return completed form to: Energy Trust New Homes Program — Single Family 100 SW Main Street, #1600 • Portland, Oregon 97204 1.877.283.0698 • Fax 1.855.575.4315 newhomes @energytrust.org \li Form 640S Completion Certification —Site Inspection Energy Trust New Homes Program — Single Family of Oregon To be completed by verifier Portland Energy Conservation, Inc. (PECI) is a Program Management Contractor for Energy Trust of Oregon. Verification Type Actual Value Equipment Details & Notes Category Insulation Flat Ceiling R-49 Insulation Type: Fiberglass Framing Type: Vaulted Ceiling R -38 Insulation Type: Fiberglass ❑ Standard Scissor Truss R -30 Insulation Type: Fiberglass ® I ntermediate Above Grade Walls R -23 Insulation Type: Fiberglass ❑ Advanced Framing Below Grade Walls R- Insulation Type: Size: 2x6 Floor Over Unheated Space R -30 Insulation Type: Fiberglass Floor Over Garage R -30 Insulation Type: Fiberglass Slab Floor (unheated) R- ❑ Full Slab ❑ Perimeter Doors Door R -5 Windows Windows U -.30 Window Frame Material: vinyl SHGC: .29 Skylights U- SHGC: Window Area (Glazing) 13 % Total window area: 372 Lighting Indoor and Outdoor # fixtures: 45 80 % # of ENERGY STAR fixtures or CFLs: 36 Appliances ENERGY STAR Dishwasher ® Yes ❑ No EF General Electric: model# GDF510PSDOSS / serial# SZ746889B Cooling Air Conditioning SEER: Btu /Hr: Primary Heat ❑ Fireplace AFUE: 95.0 Brand: Ruud Outdoor Unit (for heat Source ® Gas Furnace pumps) ❑ Electric HSPF: Model #: RGTC- 06EMAES ❑ Boiler Model #: ® Gas Heat Pumps: SEER: Serial #: HM5D702F281201544 ❑ Other: Serial #: ❑ Air Source (ducted) COP: Btu /Hr: 60,000 ❑ Mini Split (ductless) ❑ Ground Source Location: ❑ Radiant Floor Heat ECM: ❑ Yes ® No Heat pump commissioning garage ❑ Cadets Electronic Air Cleaner: ❑ Yes No report attached or No Backup fuel: ❑ Electric ® Gas ❑ Other confirmation rcce et for pumps tha ❑ Zonal source heat pumps that ❑ Other: manufacturer's start up procedure was performed Additional notes on primary heating: Notes on secondary heating: Water Heater ❑ Storage Gallons: Brand: Ruud ❑ Electric ®Tankless EF: .82 Model #: RUTG -84DVN ® Gas Location: Serial #: RULN1211J04387 garage Btu /Hr: max input: 180,000 / min input 11,000 Form 640S v10 120101 Page 2 of 3 Return completed form to: Energy Trust New Homes Program — Single Family 100 SW Main Street, #1600 • Portland, Oregon 97204 1.877.283.0698 • Fax 1.855.575.4315 newhomes @energytrust.org Ali Form 640S i4\ Completion Certification —Site Inspection EnergyTrust New Homes Program — Single Family of Oregon To be completed by verifier Portland Energy Conservation, Inc. (PECI) is a Program Management Contractor for Energy Trust of Oregon. Verification Type Actual Value Equipment Details & Notes Category Ventilation Energy Trust Mechanical ❑ Exhaust Meets Energy Trust Mechanical Ventilation Requirements System Ventilation Requirement El Supply Yes ❑ No El Exhaust & Supply, ❑ Heat Recovery ERV /HRV Model #: Ducts ❑ Ducts Inside % ducts inside: Ducts in Conditioned Space If claiming incentives for ducts inside, check one of the following: ❑ Ducts Tested ❑ Visual Inspection per RTF specs Duct Insulation R -8 Duct Location crawl 50% / attic 50% Duct Sealing w /Mastic Paste ® Yes ❑ No Performance Testing & Duct System Information Ducts Duct leakage must not exceed 0.06 CFM @50 x floor area, or 75 CFM @50, whichever is greater. When tested without the air handler, leakage must not exceed 0.04 CFM @50 x floor area, or 50 CFM @50, whichever is greater. Multiple tests may be required. Duct Cubic Feet Per Minute Duct Leakage Air Handler In ❑ Yes Air Handler Present El Yes Leakage: (CFM) @ 50Pa: 132 ® Pass ❑ Fail Conditioned Space ® No During Test ❑ No Fan Pressure ❑ DG3 Fan 70 Ring Type ❑ O ® 2 Leakage Test ® Total Leakage Gauge ® DG700 Pressure: (check one) ❑ 1 ❑ 3 Method ❑ Leakage to Outside Duct Blaster return air grille / upstairs hall Pressure Tap Location: supply air register / laundry room Area Tested: 2799 Location: Whole House Air Changes per Hour Envelope Tightness Cubic Feet Per Minute Leakage: (ACH) @ 50Pa: 3.74 ® Pass ❑ Fail (CFM) @ 50Pa: 1507 House Volume: 24113 Best Practices. Requirements (All requirements must be met to receive an Energy Performance Score) • Thermal Enclosure Checklist Complete ® Pass El Fail Thermal Enclosure Checklist attached? ® Yes • Insulation Quality Inspection Performed ® Yes El No - (complete insulation verification section below) ■ • Approved Mechanical Ventilation Installed ® Yes El No . - (complete mechanical ventilation section below) • Zonal Pressure Relief — All zones comply ® Yes ❑ _No If no, state reason for failure: • Combustion Appliance Zone Testing Net CAZ Pressure: Pa If not applicable, please explain: all combustion (required) appliances are direct vent application Forced air system operation must not depressurize Combustion Appliance Zone (CAZ) by more than 3 Pascals (Pa.) *All shaded sections are required for Best Practices. Applications will not be processed without these sections completed. Technical Compliance Options (please list all that apply) If any values on this form do not meet Builder Option Package (BOP) requirements, please indicate which Technical Compliance Option(s) allow the variance and explain which component was traded. TCO #: Explanation: Additional Notes: blower door: location: house to garage door entry / baseline: -.7Pa / fan configuration: ring A / fan pressure: 68.2Pa Signature By my signature below, I certify that I have performed the tests as described, that the form is complete, and that all information on the form is accurate. Verifier B. Thompson Verifier Brian Thompson Date: 11/30/12 Signature: Name: Red Tag Inspection (if needed): Signature: Name: Date: Form 640S v10 120101 Page 3 of 3 Return completed form to: Energy Trust New Homes Program — Single Family 100 SW Main Street, #1600 • Portland, Oregon 97204 1.877.283.0698 • Fax 1.855.575.4315 newhomes @energytrust.org