Permit a CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2012 -00071
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/26/2012
Parcel: 1S 125DC07600
Jurisdiction: Tigard
Site address: 7023 SW ASH CREEK CT
Subdivision: ASH CREEK ESTATES Lot: 9
Project: Ash Creek Estates, Lot 9
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1206 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1252 sf Garage: 411 sf Front: 8 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2458 sf Value: $273,104.48 Rear: 15
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
0 Drains: Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Dra 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: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 6
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 4 201 -400 amp: 0 - 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
in V
Other: N Other Description: Ecompasing:
BUILDING INFO
•
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2458
Owner: Contractor:
ASH CREEK PROPERTIES LLC WINDWOOD CONSTRUCTION INC Required Items and Reports (Conditions)
12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503 - 681 - 4444
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: PHONE: 503 -625 -6526
FAX: 590 -7606
Total Fees: $18,198.48
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. A , • ' . • regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through 0 ' • 52 10 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1 '
Issue By: .—,4r — L - = = Permittee Signature: =
Call 503.639.4175 by 7:00 a.m. for the next available Inspec ion 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 6
0 FOR OFFICE USE ONLY
V ` �Q� Received
Cl of Tigard ard J , Permit No.: 1 07(
n 131 Hall Tigard, OR
Blvd., Ti 97223 'H DateBy: S _J,Z STp ( d �W
g Q Plan Revte ,
i Other Permit
Phone: 503.718.2439 Far: 503.598.19 ` � GP S 1 O � Date/[3y_ 40' S fi�Z c� ( .v12a v1d -CbvWO
Inspection Line: 503.639.4175 e 4 � 1 Date Ready /::. 1/ saris _ , la See Page 2 for
TtGARD Internet: www.ti ard -or. ov 1 w` , Notif d/Meth": 7 0 Supplemental Information
8‘, �' , '
TYPE OF WORK 1 Peemit fees* are based on the value of the work performed.
-- -- - - -- - - - -- - - - - Indicate the value (rounded to the nearest dollar) of all
New construction ! Demolition I i equipment, materials, labor, overhead, and the profit for the
Addition/alteration/replacement Other:
I work indicated on this application.
CATEGORY OF CONSTRUCTION — Valuation: S 22 73) r(, 4
I - and 2- family dwelling Commercial /industrial Number of bedrooms: Y
Accessory building Multi- family Number of bathrooms:
Master builder Other: Total number of Floors:
E JOB SITE INFORMATION AND LOCATION - - _ 1 , New dwelling area 2.A.,05 square feet 1
L. I Job site address: 702-3 w i) C��/ L0„i__ Garage /carport area: AI ( square feet
City /State /ZIP: _ ,r 2- Covered porch area: 7 square feet
!Suite/bldg./apt. no._ i Project name: / z_3/4.../...5 - Deck area: square feet 120C, i
Cross street/directions to job site: .4a A_ Cie' e / Other structure area: �9 square feet Z I
r
_. __ __ -- _ -_ - __ _ REQUIRED DATA: COMMERCIAL -USE CHECKLIST
.Permit fees* are based on the value of the work performed.
Subdivision: ` Indicate the value (rounded to the nearest dollar) of all
� ` r'"
/L 1%_ ! S_ �� .X Lot no equipment, materials, labor, overhead, and the profit for the
Tax map /parcel no.: / ,,, D_ . a rz , 760& work indicated on this application.__ ,
DESCRIPTION OF WORK j Valuation: $
Existing building area: square feet
' New building area: square feet
Number of stories:
PROPERTY OWNER 1 TENANT T of construction:
Name: ki n` / Occupancy groups: --- - �LOit Sr� /11_C____ - - - -- _ P Y s: g P
S U A-A - n ,( , - -
Address: l� ��.� 5 - -- - rJhY / - Existing:
r City /State /ZIP: �,.: i� 7_2,
°_ %��_ - - -- - - 1 New:
'Phone: (57./3) Jo -41 7s Fax: �;? .5 UG BUILDING PERMIT FEES*
APPLICANT CONTACT PERSON — {Please re er to fee schedule _ — _ --
- - -- - - -- � - - - - - - - - -- - i Structural plan review fee (or deposit):
Business name: plan review fee (if applicable):
Business
s- �mC - a - -
Contact name: � // - FLS P - 1 - -
-
GAf �lG6t� ��
Total fees due upon application:
Address:
-- - - --
City /State /ZIP: L- __-
Amount received:
' Phone: ( ) l Fax :: ( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
C ONTRACTOR Submit two (2) sets of roof plan with connection details
_ - - -- -- - - - - -- - --
- ------ "- � - - - " -- - and fire department access, along with the 2010 Oregon
Business name: e Solar Installation Specialty Code checklist.
i Address: I Permit Fee (includes plan review ,
$180.00
City /State / "LIP: and administrative fees): ,
I - - .____. - _ __ - _ State surcharge (12of permit fee): ' $21.60
Phone:( ) , /o
Fax:( ) 1
-- - -- Z� y�/ - - _- - � - _ _ _ - .- _ -_ __ -� This permit application due
cation er application: es if a et $201.60 j
C: -- -- - -
L CB sic. -- ` - p pp ' p permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
Print name: M ��a� _ / , Date: /,2 * Fee methodology set by Tri -County Building Industry
/, I ,tv �L l - - �� - -- J / Service Board.
1 _ J � REQUIRED uDATA: 1 AND 2 DWELLING J
I: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)
IE lectrical Permit Application 1v�� FOR OFFICE USE ONLY
City of Tigard
A � ` J ~ rip \ pa ;�;By � J l Permit No.: �d�-p71
a 13125 SW Hall Blvd., Tigard, O 23 Plan Review
'� Phone: 503.718.2439 Fax: 503.598. P�� '` Date /By: Other Pennie
Inspection Line: 503.639.4175 G AG ' 1 Date Ready /By: Juris: ® See Page 2 for
T I GA R D Internet: www.tigard- or.gov O 1 �S I Notified/Method: Supplemental Information
T TYPE OF W __ -- [ PLAN REVIEW a
I ` -- -- -- — -- - - -- - - -- - - --I Please check all that apply (submit 2 sets of plans w /items checked below):
New construction — Addition /alterati epl acement Service or feeder 400 amps or more Building over three stories. j
Demolition Other:
where the available fault current Marinas and boatyards.
_ . v exceeds 10,000 amps at 150 volts or Floating buildings.
CATEGORY OF CONSTRUCTION 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.
Fire pump. Installation of 75 KVA or
Multi family Master builder Other: Emergency system. larger separately derived system.
L JOB SITE INFORMATION AND LOCATI ON
— — T — - - - - __ Addition of new motor load of
LOCATION
— —
100HP or more. occupancy.
Job no.: I Job site address: 70,2 , 5 3 j - AA (r � c- / c/ Six or more residential units. Recreational ional vehicle parks.
/ Health -care facilities. Supply voltage for more than
(, . .(
City/State/ZIP: / 1 (/ , ` Hazardous locations. 600 volts nominal.
V k ��7C /( L r — Service or feeder 600 amps
Suite /bldg. /apt. no Project name: / s or more. _
Cross street/directions to job site: — I FEE SCHEDULE
— - — - - - — -- - - - — - - t„/ , l u tO \ - - - - — - - - -- - - - - - - J , Description — — -- — - - = Qty. _, Fee. - Total_ 1 •
�J . i New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq, ft less i . 168,54 lb r,- . or 4
Subdivision: r ' Lot no.: -- _- -_ I _ere / � Ea. add'I 500 sq. ft. or portion � 33.92 i�7fj,( I
Tax map /parcel no.: /5 / A� T tr ( Limited energy, residential r l - h i , -�
— l 75.00 ' 7505 2
DESCRIPTION OF WORK , _ (with above sq. ft.) _ _ _ ..- _ t._ _ - -._-J- . _I
—
—1 I Limited energy, multi - family 75 1 2
r esidential (with above sq. ft.) .
- - - - — — -- -- ` . Services or feeders installation, alteration, and /or relocation
1 1 200 amps or less I ' 100.70 1 2
PROPERTY OWNER TENANT x201 amps to 400 amps 1 33.56 2
40
— — I amps to 600 amps 200.34 2
/ - - - -- -- - -- — - - - - . ,
Name:
/ k./ //l V -eo- _ (a/151- />l c.... 601 amps to 1,000 amps i 301.04 2
Address: — 4 6 ut-v Jr AO / IL 10'j-1(1-t. y Over 1,000 amps or volts _ 552.26 2
Temporary services or feeders i nstallation, alterat and /or
City /State /ZIP: t _ — (fit - f- — a)). 2- relocation
F — T - - - - - - - - 1 200 amps or less 59,36 i I
Phone: ( ) Fax: -- - - - - `- -
• 2 i t% ' ( ) 6 ` ( / ` . 2a, 4 2 01 amps to 400 amps 1 25.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps I 168.54
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits new, alterat o r extension, per panel
Owner signature: Date: A. Fee for branch circuits with
g 1
above service or feeder fee,
APPLICANT 1 CONTACT PERSON each branch circuit 7.42 2
- -- — -
_ I B. Fee for branch circuits •
Business name: tiG /k without service or feeder fee, 56.18 2
— — —S
first branch circuit
Contact name: ac add 'I circuit '
�� �t!C Miscellaneous (service or feeder not included) 7 42 2
Address: ,
1_ __ —_ _ __, — _ ; Each manufactured or modular 67.84 2
City/State/ZIP: S �/ dwelling, service and /or feeder I
y _ - - " _— _.__... L Reconnectonly _ _ , 67.84 1 � 2
Phone: ( ) Fax: : ( ) j Pump or irrigation circle 67.84 1 2
Sign or outline lighting 67.84 i 2
E - mail' _ _ _ _ _ '
CONTRACTOR Signal circuit(s) or limited -
— — — _ _- - -a energy panel, alteration, or
Business name: ` / '7 / l extension. • Page 2 2
V��l't [ Each additional inspection over allowable in any of the above
Additional inspection (I hr min) 66.25/ hr
Address: r hC�jC 7 5 _ — —
/ Investigation (l hr min) 66.25/ hr
City /State /ZIP: f 0`U �,� q7/2y Industrial plant (Ihrmin) 78.18/ hr
- -- L7 �s 6 l
Phone: (e--0 �I/ Fax: ( Z3) j Inspections for which no fee is , 00 / hr .
90.
� CCB LiC.: Elee trical Lie .: 1 'S 4 Y� � `f ��3 J ci ically listed (h hr min) __— _ . ,
-
ELECTRICAL PERMIT FEES
/C�. L, �i 3 �� �� Suprv. Lic.: � 6. 77 5 � - - - - - - - - - -- -... - - -- - --- - -- - -� -
L 1- U -�� =/ — — Subtotal: J� t 1 • Zz
I
Suprv. Electrician signature, required: Plan review (25 % of permit fee):
Print name: ' Date:
State surcharge (12% of permit fee): A' j .'S
- — - -- TOTAL PERMIT FEE::2\ --Z i i : T 3
`�t
Authorized signature: This permit application expires if a permit is not obtained wn ISO
days after it has been accepted as complete.
Print name: / 1 Date: • Number of inspections allowed per permit. __
l:\ Building \Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(I1 /05 /COM/WEB
Mechanical Permit Application FOR OFFICE USE ONLY
/
City of Tigard A� Received
DateDate/By: I Permit N0.: } ( -/3 - ` a - t ✓l.V7 I , � ° 13125 SW Hall Blvd., Tigard, OR 97223 ��l I p lan Review 1
I Da
Phone: 503.718.2439 Fax: 503.598.19600 *e.' Other Permit:
v
T I G A R D Inspection Line: 503.639 �
c � r:
Y Date Ready /By: iuris: i See Page 2 for
Internet: www.tigard- or.gov r - ` Q ►� ' � 1 Notified/Method: l Supplemental Information
. R % � t -
Q ���__ — - i
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
I - � TYPE OF WORK , Mechanical permit fees* are based on the value of the work
New construction b Addition /alteration /repla performed. Indicate the value (rounded to the nearest dollar) of all
m echanical materials, equipment, labor, overhead, and profit.
Demolition Other: ‘:0 Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* I I
✓Commercial /industrial Accessory building checklist.
1 - and 2 - family dwelling ry g For special information use checklis
,
Multi - family Master builder Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION 1 Heating /cooling: .
� Air conditioning
Job site address: 7 OrZ3 5 re CC t er (0(4 (requires site plan showing placement)_ , - , 46.75 ,
/
City /State /ZIP: / a.� v 2 9 21 ,2 3 Furnace 100,000 BTU (ducts /vents) , !� , 46.75 ;
Suite/bldg. /apt. no.: ` Project name: /l R C�,e,�
4:I • �4 i Furnace 100,000+ BTU (ducts/vents) 54.91 f {
-- - - Z 5 _ - Heat pump -
5 /v s - err
Cross street /directions to job site: (requires site plan showing placement) _ L 61.06
- _
Duct work ; _ 23.32
- - -- - - -
I--
064
boiler (radiator or ~ I 23.32 1 1
�! /
hydronic) 23.32
- --
__ Unit heaters (fuel -type, not electric),
Subdivision: //.5-4_ C/Y X:5 I Lot no.: in-wall, in -duct, suspended, etc. 46.75
r -- __- -- - -� -- --- 1' - - - � -
Tax map /parcel no.: q ^ y �7-/ 6 tJ I Flue /vent _for any of above 23.32
■ ` ✓ �l �' LL - - - -- -- -- Other: 23.32
DESCRIPTION OF WORK
Other fuel appliances_ - ,
! am - SP _ - - - - - - - - -- W - Water heater L f� 23.32
- - _ - Gas fireplace /insert _ I v I 33.39 I
Flue vent for water heater or gas
fireplace - - - - 23.32 . -
- -- - _ - - - -- _ Log lighterlgas) 23
L PROPERTY OWNER 1 TENANT _I ; Wood/pellet stove 33.39
Name: 1 l .4)C Wood fireplace/insert 23.32
I Address: / -6 5 c" to tip /-A l ../ea •- _ rA , r Chimney/liner/flue/vent 23.32
City /State /ZIP: roi k% ma? 'r T ; - -- ; Other: 23
- - - -- Environmental exhaust and ventilation:
Phone: (t '� * �'� Fax: ( '���) CONTACT PEON RS (/ G Range amenmen hood/other kitchen fl. - -
: . _
APPLICANT - _ j equipment
v 33.39
Business name: Clothes dryer exhaust 33.39 ,
__ _ _ - _ Single -duct exhaust (bathrooms,
Contact name: toilet compartments, utility rooms) (0 23.32 ; f -
Address: i Attic /crawlspace fans 23.32
- - - •
City /State /ZIP: Other:
- - Fuel piping: '
Phone: ( ) Fax::( )
. $14.15 for_first four; S4.03 for each additional f4 E -mail Fumace, etc. f4 (`�
f CONTRACTOR - I Gas heat pump
1 Business name: a , ... Wall /suspended /unit heater
r Address: - L Water heater �Fi�lace � • _
City /State /ZIP: . -
- - - - - - - - - -
Range '�'j
C Phone:( ) Fax:( ) F
- - - - ! Barbecue
CCB lie.:
// .0
- -- ______ . - Clothes dryer ..__.- '
Authorized signature: C Other_ M I -r
1 MECHANICAL PERMIT FEES" t
Print name: Dat .22, Subtotal 332 `37
i Minimum permit fee ($90
1:\ Building \Permits\MEC - PermitApp.doc 03/07/12 4404617T(tt,02 /COM/WEB) -- - - -- - - - - - - - - 12.Z 'q.
r'i 7 z, Z S
'Plumbing Permit Application
Building Fixtures 1 FOR OFFICE USE ONLY
City of Tigard Crl Received
., Date/Ry: ! Permit No.: IV rg 9 -ce0 /:
5 1 4 13125 SW Hall Blvd., Tigard, OR 97223 1 \ 1- Plan Review
: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 'Other Permit No.:
Inspection Line: 503.639.4175 9 ..., .9, eady/By: - ,
Juris: RI See Page 2 for
TIGARD Internet: www.tigard 0,IrtigVATethod: I Supplemental Information
TYPE OF WORK 1 0 L
_ _____0 \\A G__ _ __ _I FEE* SCHEDULE
---- ---- ----- - --- - - - - --
New construction o'''''..-- i Demolition \..
\)- \ ID ' For special information u s e checklist. , Description Total
Addition/alteration/replacement ' Other: 1 New I- 2-family dwellings (includes 100 ft. for each utility
_
SFR (1) bath • ,
CATEGORY OF CONSTRUCTION 312.70
• SFR (2) bath 437.78
I- and 2-family dwelling 4 ,,.." Commercial/industrial , -
_L I SFR (3) bath i ..- --
500.32
L Accessory building I Multi-family r
1- ; Each additional bath/kitchen 25.02
Master builder Other: , 1
, Fire sprinkler ( sq. ft.)
, Page 2
L _ JOB SITE INFORMATION AND LOCATION _ - - - - -
] Site utilities:
'
Catch basin or area drain 18.76
Job site address: -xi 3 s 71 (,, i (a_-,,,,
Drywall leach line, or trench drain ' 1876
City/State/ZIP: Trrf O 9 ,l ).3 ; r Footing drain (no. linear ft.: ) L _
, Page 2
1
Suite/bldg./apt. no.: ; Project name: /).5 (ir Z- Z... : ! Manufactured home utilities t __ _ ' 50.03
1 1---- - --- --- - - - -- - - ,
Cross street/directions to job site: .-- _ J 1 - "a - A A. G Manholes 18.76
„., rt ar r f_f_■/____c__, r __A _ _ i _____ _ __ ______ -- _ . __ _ _ . _ _
i 1 Rain drain connector ' 18.76
1 ' Sanitary sewer (no. linear ft.: ) ' , Page 2
i -
1 : Storm sewer (no. linear ft: ) ! Page 2
: Water service (no. linear ft.: ) ' . Page 2
- ,
Subdivision: A c fre L7c- Akie - - ‹._ - i I _ Lot no.: 4 Fixture or item:
_4.--__? _ __ .....7 __ .. . r .
Tax map/parcel n0.) 5 J Al- p rz „ ,-? 0 0 , Backflow preventer 31.27
1 L Backwater valve 12.51
DESCRIPTION OF WORK t ' '
-I Clothes washer ' 25.02
, L.L Dishwasher 25.02
1 1 , Drinking fountain 1._ , 25.02
.
Ejectors/sump . 25.02
L PROPERTY OWNER TENANT ' Expansion tank
12.51
Fixture/sewer cap 25.02 '
Floor drain/floor sink/hub 25.02 '
Address: /? ar c c' . 5"e.... /id/ /- A 13440/4„.., Garbage disposal -- i _ 1 _
25.02
: -
City/State/ZIP: 17 q r (., 9 2_2-3 Hose bib I 25.02
■ -i
Phone: (5 7 4_1 , Fax: (ec&J) 5 74,4 Ice maker 12.51
_ ____ 1_____ ■ -
APPLICANT 1 CONTACT PERSON Interceptor/grease trap
_ 1-- . cal
Med 25.02 .
L i gas (value: $ _ ) Page 2
Business name: 64. Ai -L.' : .
Contact name: 2G4-- kch,eh _ _ _ Primer 12.51
, - _ _
Roof drain (commercial) 12.51
_
■ .
Address: Sink/basin/lavatory 25.02 '
City/State/ZIP: Solar units (potable water) 62.54
_ _ _ . .- - ---- -- -- - - --- - • --
- - - - - -
Phone: ( ) ' Fax : ( ) .,._ Tub/shower/shower pan 12.51
' Urinal 25.02
E-mail:
--i Water closet 25.02
L CONTRACTOR i Water heater 37.52
_
Business name: 6 re e A j Water piping/DWV 56.29
Address: I t ipl- q • L-? .0 ' hoc - - - I Other: 25.02
_ A_ .
- - - _ -. - - - - - -
City/State/ZIP: ' pF/1 0--c n -3/ I Subtotal S06:32.-
---, Minimum permit fee: $72.50
Phone: ( ) 7,2- -3g-23 Fax: ( ) _ 4 ' Plan review (25% of permit fee)
- CCB Lic.: 103 i-/;-.40 4 ;
, I umbing Lic. no.: p6 NG : State surcharge (12% of permit fee)
.
P
Authorized signature: (ri.- -
- - , TOTAL PERMIT FEE _ , 1
Print name: 4- /,-- /1 r , Date: 4/ £/ 2
, 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.
1: \Building \ Pemits \ PLMU-PerrnitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
lig
° Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: / j ) / 2 —CI c)0 7 (
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: / �/
SA
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 (1) 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 P.lW at 503-7 18 - 2( or Ski/A/ @ tigard- or.gov)
Land Use Case N 401 Name 4 `.a -I CA? - EST74TE
❑ Zoning
❑ Setbacks: / �y
Front y _ Rear / S Side `_ Street Side / � tiara e a0
❑ Maximum Building Height ( W Actual Building Height O
❑ Visual Clearance
❑ Easements n 1
❑ Sensitive Lands Type: (OOA� S 4.1 sit.4 1 4 -i P1 La
Notes:
Original Plan: Approved 7 Not Approved ❑ Date: 4/670"
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)
R Actual Slope: (2.---
Notes:
Original Plan: Approved tri Not Approved ❑ Date: tf t / Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City orist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov)
, CJ J Street Trees
Protected Trees
Notes:
Original Plan: Approved Not Approved ❑ Date: y `'/d
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 App cant
Okay to Issue Permit: Yes No ❑
Date Routed to Building: 4/610,--- ll/�/
Page
cl.
. .
. •
•
. • RECEIVED
- .
APR 5 2012
CITY OF TIGARD .
I 0 .. BUILDING DIVISION
rb
A
'•• .
•••,.
,
.. .
,,,,-4t. ''''-••....,,....
1?,g - ‘.•,,71: \ ...,........ .,.
;•%... '"'• \ /...'---...... ,;'1--• ..
" I f 7
.0 s •
•
, .
S. .. ' -`•••••1
•
. .., ••• .- ---,,,, r i '...-8
- .;..- ' • _
• < %lb 604i4D****VAireesiik_... -•-•• 10. -5 1 '
-- -4 • \ .-' '' r •••• \ 6 ...
. !,... 2 ......- - ...................issyi„, .
..„..
..e.. c - i1 *-E ..._,..-•-•' . : ,.'' ,
' .,. '1 •
t --
\ \ ''." \ - 1 ' • •
..,..._. s ....e i •
v .
to .
7,,. )
.: .
4.,
.11Y \'' -.. ' ' \ .. ... e-7 •
6‘‘ . •,. , GARA f . 1 6'
'
%-/- 4- 0.0/Q.. EL..z.27.8 — ,. 1
ai r \ ie,-.1.. ...,. ',......mmi,
= ' - i ..4.-4.1.4 Yttirk 11111 • •
6. • 0 . .S .. ,•-
ii,,I, --••• • 4!..00C. % 0-
ri
! " •
na.4.'-e.. ctlY1
izi 66.61 -WI ,
. / Li ) t-'-- ."-ek / 31m-IC22)
i L : 25.00' - ---- 1 ,
aaei i .
,-)
• 7S-) At-A-4-' .. .
. ,
r, c
Lel tu,..C649 iall.i- moil 8.
7 02,3
.44 Afrt,wt, S.W.
,..--
,,......._....--. r A ASHCREEK
14.10-01-e-t- , , Y - P- 1 - 1 "" L j efrt4--1
COURT
. .
30 MAR 2012 MRR SCALE
11111 w ftl ' i Zi Irel,7"9 ' "
....
SI ,....., TO *RFT ALL : SITE COMMIS. NICLIDAG CASITHY
ANT FAL PLACED ON Tif SITE Ale NOTIFY TIE icyr 9
°TIMERS OF NV POTENTIAL REID IADOFICATIONS. c O R F E E T K I G A s R T D A T E s
. 22162
BY: •WINDW 00C HOMES
"Pi Ks ikl■ AVE KA Dm 2 Pla. .
11.4.1 ■../ SOBArtFain 9 111.106.. ( 5,202 5 FI-) •
- .
&earth ..,..„.,1,,,, li ,■.4.A ai. a 7.7Yriliee. .! t eartheolvantogo org
.1.10.13 SW :lid 49e: FK: t, WV, , PCstlitiCC;' I 503 N
urf.'Lv.o.:.npL .
Inspection Date: ‘l -5
Address: 1 07.3 SVA ' 1\ in Crell.k Ci .
City: p v -, o t
Blower Door Test Results
Maximum Allowed ACH: 5.0 (for Earth Advantage)/ 4.0 (for ENERGY STAR)
Actual CFM: 13s s
ACH:
Verifier Signature ■."^()--3\le.)U01
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 7 o � a _ 7 / Jurisdiction: /7-/
Site Address:
7612.3 5 co A Ctie (
Subdivision/Lot #:
and/or 'C
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: //
tr er /General Contractor /Authorized Agent
Print Name: A //K aver,/ (0,? r/ L
' ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
1:\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, , am the general contractor or the owner - builder
at the following address:
Site Address: "2-2-3 Set-) 15 e �r
City: v Q 2 9 223
T Cc
Permit #:
/I 5 7
Subdivision/Lot #: / , /5-4
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: ` Date: // /L
General Contractor or Owner- Builder l /
I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
STREET TREE
• :
TIGARD TIFI ATION
CER C
o wner agent for l ��l��� /� � l g
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert j 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.: A 5 r2O / .2_a
5/1E ADDRESS: 70,2 3 S i{
SUBDIVISION: 4?-� e �� S LOT #:
SIGNATURE: DA1 E:
(OWNER /AGENT)
RECEIVED &
VERIFIED BY DATE:
(CITY OF TIGARD)
❑ Tree location verified per approved site plan.
I: \Building \Forms \StreetTreeCertificate 04 /01/2011