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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2012 -00150 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/11/2012 Parcel: 2S112BD07400 Jurisdiction: Tigard Site address: 14787 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 10 Project: Brittany Meadows, Lot 10 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1092 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2337 sf Value: $260,293.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 4 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'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 8 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 2337 Owner: Contractor: HERONWOOD PROPERTIES ALAN NATHANIEL GOFFMOORE Required Items and Reports (Conditions) 16615 MAPLE CIRCLE 13950 SW BARLOW RD 1 geo tech report prior to LAKE OSWEGO, OR 97034 BEAVERTON, OR 97008 footing inspection 2 Ersn Cntrl 503 - 639 -4175 PHONE: 503- 781 -1981 PHONE: 503 -664 -6423 FAX: Total Fees: $17,886.67 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. ATTENT nN: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -00 through R 952 -0 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 987 or 1.800.332.2344. Issued B Permittee Signature: Call 603.639.4175 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. 'funding Permit Application Residential , FOR OFFICE USE ONLY Ci of Ti and Fli Ltd km !R,,:r,1 C -• --' R ece i ved �' g Permit No.: � .. ^ ° Date/By: / � ` 13125 SW Hall Blvd., Tigard, OR 97223 T --. Phone: 503.718.2439 Fax: 503.598.1960' N 2 6 2012 Plan Revie (r, t l y (O Other Permit: / 32 Inspection Line: 503.639.4175 tun a See Page e 2 for TIGARD CITY OF '�' k:.11 Date Ready /By: / i Internet: www.tigard- or.gov CITY F !J� ��` .t Not ' fie /My od: 7 / /e /_. Supplemental Information t. " P D!NG ;rk •, /J kJ ( drL 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 (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ® 1- and 2- family dwelling ❑ Commercial /industrial 2�� 2� 1 �2.- ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 1„ J JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: 14787 sw 79 Ave New dwelling area: 23'3'7 square feet City /State /ZIP: Tigard, OR Garage /carport area: 3'o square feet Suite/bldg. /apt. no.: Project name: Brittany Meadows Covered porch area: 1 Zy square feet 107 Cross street/directions to job site: 79 and Bonita Deck area: V square feet 12. Other structure area: 271 square feet 2.5 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Brittany Meadows I Lot no.: 10 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2S11BD0740 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New Home Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Meronwood Properties Type of construction: Address: 16615 Maple Circle Occupancy groups: City /State /ZIP: Lake Oswego, OR. 97034 Existing: Phone: (503)781 -1981 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Pacific Evergreen Homes (Please refer ro fee schedule) Structural plan review fee (or deposit): Contact name: Alan GoffMoore FLS plan review fee (if applicable): Address: 7410 SW Olseon Rd Ste 133 City /State /ZIP: Portland, OR. 97223 • Total fees due upon application: Phone: (503) 664-6423 I Fax::( ) Amount received: 7 757 - E -mail: AIat PacificEvergreenHomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel Syste . Business name: Alan GoffMoore Submit two (2) sets of roof plan with connectio tails and fire de • .1 - -nt access, along with - i I Oregon Address: 13950 SW Barlow Rd Solar Installation . • tatty Code • list. City /State/ZIP: Beaverton, OR. 97008 Permit Fee (inclu. review $180.00 and ad.•.,1tMi2a, -- Phone: (503) 664 -6423 .' Fax: ( ) State sure . :e (12% of permit fee): $21.60 CCB lic.: 187268 Total fee due upon application: $201.60 Authorized signatu- This permit application expires if a permit is not obtained _II■-_ _ within 180 days after it has been accepted as complete. Date: 6/25/12 * Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits \BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(I I /02 /COM/WEB) Plumbing Permit Application ' Building Fixtures FOR OFFICE USE ONLY Received Permit No.: ri�( i ,.. 1 j�f151 City of Tigard Re e ive / ` - a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit No.�j'/,,,?j3 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 Date Ready /By: tuns: I EI See Page 2 for TI GARD Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist. ® New construction ❑Demolition 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 SFR (2) bath 437.78 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (3) bath I 500.32 :.- ❑ 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: Catch basin or area drain 18.76 Job site address: 14787 SW 79 Ave Drywell, leach line, or trench drain 18.76 City/State/ZIP: Tigard, OR Footing drain (no. linear ft.: ) Page 2 ` Suite/bldg. /apt. no.: Project name: Brittany Meadows Manufactured home utilities 50.03 Cross street/directions to job site: 79 and Bonita 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: Brittany Meadows I Lot no.: 10 Fixture or item: Tax map /parcel no.:Z Jn 181)01 ' Backflow preventer 31.27 • Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 New home Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I 0 TENANT E tank 12.51 t 25.02 7 Fixture /sewer cap Narite: Heronwood Properties drain/floor sink/hub 25.02 Address: 16615 Maple Circle disposal 25.02 ., City /State /ZIP: Lake Oswego, OR. 97034 Hose bib 25.02 Phone: (503)781 -1981 Fax: ( ) Ice maker 12.51 I nterceptor /grease trap 25.02 ® APPLICANT ❑CONTACT PERSON - Medical gas (value: $ ) Page 2 • Business name: Pacific Evergreen Homes Primer 12.51 Contact name: Alan GoffMoore Roof drain (commercial) 12.51 Address: 7410 SW Oleson Rd Ste 133 Sink/basin/lavatory 25.02 City /State /ZIP: Portland, OR. 97223 Solar units (potable water) 62.54 Phone: (503) 664-6423 Fax: : ( ) Tub /shower /shower pan 12.51 a Urinal 25.02 E -mail: Alan ®pacificevergreenhomes.com 25 02 r Water closet CONTRACTOR Water heater 37.52 Business name: EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address: 1601 SE River Road Other: 25.02 it Subtotal City / State/ZIP: Hillsboro, Oregon 97123 (503) 640 -4483 Minimum permit fee: $72.50 Phone: (503) 640 -0113 Fax: ) Plan review (25% of permit fee) CCB Lic.: 92689 Plumbing Lic. no.: 34 -260P6 State surcharge (12% of permit fee) Authorized signature: ,/ / TOTAL TOTAL PERMIT FEE V� ///' w_ Dat - - .z This permit application expires if a permit is not obtained within 180 days Print name: Ray Mul .= after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Boaid. ' I:\ Building \Perm it AP LMU-Permit App.doc 10/01/09 440- 4616T(10 /02J i COM/WEB) t LC -3'14 •4 Mechanical Permit Application ^- Received Permit No.: FOR OFFICE USE ONLY City Of Tigard JUN 2 6 20 , Date sy: l t - u 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permits s l :: Phone: 503.7182439 Fax: 503.598.1960 JI i or -T( { Date/By: ' ` - IS • [nspection lane: 503.639.4175 Rini ' • r47 !, Date Ready/By. h: • ® See Page 2 for 7 l G A RD Jateanet: www.tlgard-or.gov Q6/ 1 S • p Supplemental Information Ve -; ' =rte s ,- 'ail „A ; a' �, r '-c_ 1 .wc y -' . - • -•'-- ' i - 1 - -'' - . is -9 i �,' z. S ec . _ _ � t f C 1 �` r ; ,.,� _... �._ �. j�. . '�,: - � Mechanical are based on the value of the work ® New construction ❑ Addition/alteration/replacement mechanical performed. materials, eroe� labor, t eeh deer nearest dollar) of all ❑Demolition ❑ Value: $ ter... .. ,- a;L T -.1 ,ec•,s' ., ^. 3 _ Y' 5 -. ...; •. l'S5_ . ' t. s ....._ - ?ma.;_ ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spade! information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description j Qty. I Ea. 1 Total _ _ :z;.r `h " � M- RIVF�-- - n-,. - Heathvicooling: :n< 11. xr'� •c�"-r' ", '' 4v . a•t 6 r '99�C1�t t -r� 'C v . ti r --. �_ . _.... _ .- =-= -- "*-•rx r -,:Y ..�- �..__ _�;: Air conditioning �� � : �........ 46.75 1 Job site address: i 7 . 7 LA ) 79 it :1 (requires site plan showing placement) /`[ Furnace 100,000 BTU (ducts/vents) 1 46.75 City/State/ZIP: -( Rao UYL , Furnace 100,000+ BTU (ducts/vents) n 54.91 � ^ �.{1 Swte/bldgJapt no.: Project name: , nJO�E1./ �P ^ bt v l u / r • Heat l (requires site plan showing placement) 61.06 Cross street/directions to job site: Q ' / 0 . J0VA 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 1 Flue/vent for any of above 23.32 Subdivision: le ' , / A . meadows Lot no.: ( r Other: .32 r. . . ) 0-741° Other fuel appliances: �:f - T -�- .. �.�_ s _�....',� =::a 2332 F • - 2 �,� - � .s , .: y ti 7 t F'c- - _ .:� Water heater p 'r =- '� Gras fireplace/insert I 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 -:- ,- :,� ;. ,•�, t: m �. r - 4 Chimney/linedflue/veat 23.32 '_ -r :ra _ ___ u;r- ?'^-r" _- 5�=:� �.�; ' - 1t ;N�r ., k �:» � _ _ - _ �_'S- a: a ? 1-,t✓. aA J -° _ ." ..• __._ - ._._____a -.cy_ _ q . '4 Other: 23.32 Name: vQC, to . • / r V - Environmental exhaust and ventilation: Range hood/other kitchen Address: -7/.410 (,J 1 a t ! enuiPmect 33.39 City/State/ZIP: • . # ad D '1223 Clothes dryer exhaust 1 33.39 Single-duct exhaust (bathrooms, / / O -.t Phone: (SOS) , , Fax: ( Cb W a - toilet compartments, utility rooms) o I g ^� � , rooms tit32 2332 _- -� - = �.�= .r.�z.:�;;T 1 ;.. _�:_ - _, -C ;:��_,,t � �i �- a�`�W's�: "= =:e� -� w-=.,I Attic%rawlspace fans _ 23.3 Other: 23.32 Business name: 1,I e / ' ' • 6 SAC Fuel piping: Contact name: A • a eAr. •••• S14.15 for first four; $4.03 for each additional Furnace, etc. I (415 r �� ∎ 4 • Gds heat pump City/State/ZIP: 0 Or j (/ . c 1 t t 1223 Wall/suspended/unit heater ���y� Water heater � Phone: (9)3) 4 , 2'3 � ` � si � Fireplace i E -mail: (Ilan '0 ■ u oore,e'Mat _ .com Range 1 a;. +�, 2 7-.g- r 3. r . _ < --.- w - Ci 4 r I -. 7t. . F - � = ' 7 . ` ,c ! _ . . • Bar „='=? b.rv: ! - ,.,,,_A - _-.. -A_..-_._- __'�. a-1 .7- fi r..., :.s .._... _, Clothes dryer (gas) Business name: ' amid H - .ti • _ • . •.. _ Other. 9 409 NE Colfax St. �` Address: . .�.r - ; , v s'g. {- L •- .....t. 'o and, OR 97220 Subtotal City/State/ZIP: Minimum permit fee ($90.00) Phone: (5 j )1 S U q 2 Fax: (503) , 3432_ Plan review (25% of permit fee) CCB lic.: 6 3 g Z State surcharge (12% of permit fee) TOTAL PERMIT FEE r= T hu permit application expires if a permit is not obtained within n 180 • Authorized signature: \ days after it has been accepted as complete Print name: > 1 Date: A . .5111112. • Fee methodology set by Tri-Co®ry Building Industry Service Board L. dmgTertnicsUEGPermitApp.doc 03/07/12 440.4617T (r1/02/COM/WEB) . ..., ., i ,..,;.„_,.,.. ,,w,„,...0 p ( i ' ',..)! Electrical Permit Applicati Jt..=*;` . . -.-...: : :. FOR OFFICE USE all Bld T ONLY ••=. ' '' '' City of TitY I ard JUN 2 6 2012 1--,,,, Re:,e.iNed Poona N,.. ti ,„. 7 . ,, ,..,.,..:• 13 i 25 SW Hv . igard. OR 117223 / Ir• Pale.11,... Ilan Res iew .. _ _ _ __ ()dm ?mai: P....900 17/ Dalt•13. g. . 7 !' l'hone 5113.718.2 Fax 503.598 -Rolif sid OF TIGt- I 1„,„,,c,k,,I 1 ine 503 6.39.4 175 , • - ' J ' DR. Readyllv. lu ns . El Se( . for TI Page 2 GARD ' - ' lir:met: wwwtigard-pcgov BUILDING DIV16101', ----- Supplemental Information 1 -- : , . . i - TYPE OP WORIC. ' . ...• • , •;--;:: :.: ,,' ' • • ' PLAN' REVIEW _i - 1717 A aprny (submit 2 set, of plaits -aiiteins Otecked belo.• '2 ; T4 NeW constr uclion 0 Additicmiallertuidnireplacenteill 0 :',..1 'i e. in feciler -WO ;imps ol inote 0 Buikiing, min ihrzo sliniei r --, Li Demolition 0 Other: 1,11tre the avaiiabl, fault current 0 Manna): 3114 boatyard " s I il 1 -- ----------,,--,,,„-___—,----__, 1 ! - CATEGORY OF CONSTRUCTION , ' - L ;'' - - • '' exceed: tO.Catilwaptt tit ;50 vpits oi 0 l'In..ntm!,buileini;$ - - k.is io ,•roon,I, or exe:.-eii 1 0 C prri■:1vora 1 t--.4K 1- :106 2 dwelling D c.,,,nmercial/inclustrial 0 Accessory building I aimy fnr al! ollwr m.aallationN. boil:lin:4s. , - 0 Vp:': pomp 0 Inn:ill:dam •..1 7 5 1: A 1,:: • 1 f - 1 N1l1111-fat1111,, TD Master builder 0 ()lher: j I n i - I.:a:mg.:my s■s.,..2a ta-.:a:1 .. ■?crt..,.,..1* I JOB SITE- INFOILMATION AND, 'LOCATION' : • - . I I 0 i,i Ad:Intel:Y:11o; a ,...t u t ----t. : 1 i 1 Or more 0 occo-a.m, 1 1 j"SiIC addr: / SCA . 71 43 . /4 y___ ___ 1 1 0 5 or 1110Tc r.....lenn:0 nnas. :•:,:::r.......aa.a.a: ..,cia,:k. pal ki. - • ( e I I 0 Ile31M-eale. to,:mile, 0 :-:,:ppiy , i:i lat nim: tha, ; ...11■ISUil,7.11: •T fir,. cifL / 0 00f %oli•. namm.11 i 4 itaiiiivii I a.:xi:A:, St.litO.INtigJaPI. B i PrOJCZt narn::: azyl'ANN fywApotAis ! 0 so ,.-,ac u: !..s...a,.7 00 amp, 01 mote. i ............_______ — - --1 . • }1 SCHEDULE . - " - • (- 'I.; ..rs streciiiiirsrciioris top!" :site: --) 9- / sam.riA 7.22F_Liplirm i J2 1•te.__ ' _ Jotal___,_!;_i I.. - _..___...—_. — r New residential single- or inulti-family dwelling unit. 1 Includes attached garage. I E 1.000 so, II. oi less 1 i 1 1 . . • 1 Li lil: G xtri , 4 Nri 44,6900,...,, 1 rut no /0 --------- Tax map/parcel 110.: 2 5 HS DC77q0 I ' I 1,irnile:Itmcnr.■.. f rt:shientm _i. i - I ' ------- --- , 7.; 00 • I DESCRIPTION OF . WORK ,-- - i ._ i above su 11 t . , . . • --• ----- . - i l 1. united enera‘: muiti-famih l i 7:S .,), - : 1 - '‘) - 14(1°5 — ; residerili:il 1 with :thin:: •. n L _ • • ; services ,,c feeders ingatimion. al(ecation, andior relnenti l - ,_ I L _co emir% or iess ' ' .190 70 . . • 1_. 1_._ ' --- I 0 PROPERTY OWNER ..• . I • .; . . • ,:-.. ..-• , 0. --hENANT i 1. _.,itt LTIS Ill IC. :uric,: , !:',;,"•, 56 --, _ 1 1 Nal" iy)o/1245 wes.77,(J/D . . 1 N/ "1 I Akii.frOSS:/ 6 6/5 .. 1)14/ 7 ‘ 6 6Z/e..C6‘ . . . . . Temporary services or feeders installation. alteration. a udior /St ate/ !PIZ Ate 0$ weG 0 i Oa- I:1703y . relocation - .._ _ ._ Pititne: .,03: - 1 r'i /191/ 1 : ... • . _....._.—_......__. - : i'l el;;TS 111 •P; amps 1 1.: r 0 hi , owner installation: Tlik instal lation is being on propert that t ! W11 Wt: 111 0 I z+ 11`, 1 ' -------4 i .. Pc: .impN to .5q amps T I 6:i.5", I in t t i for r-Ile. lease, rem. :11- e\chan2c. OR I1 to ORS •147..14q, 670, and 701. _ - ' i Branch circuits --- new. alteration. or extension. Der panel i , ()wile! silnraturc: 1) : : A Fee fur branch ,..:r,:liw> v..: ii 0 CONTACT PERSON atio-te , ..elvice iir iireder lee. . ! each hrircell eecuir ! • - i • : . !. Butiiiies natm..::: p,4 v ik , , , t3 Fee Int ritanch e:rcuits wirhow . 1 . - !, se : - . i to: or tectler fe, first - i Contact Timm: ift4A/ KOFK4//e0/76 i braliil InICIII: 111il T.:%111; . • •I' II---' .., ...— ---. ■ Sw ocSor..) At _ 5/7E133 .: : Miscellaneous Oen ice Or feeder not included) ------------ . . -- : Fact 7011 or mm 1 - it. . IP: poitri_ A A nat3 , 97 z : ,.1,,ellait..• service andior 11. le,xler - t 4,7.84 4 . 1 J.__‘ 11 - - . 1 Reconneu ()ilk- I i'1100::: i.,,c7•1'.4 ( 6,ciz3 ; ax i._ 4 1 I !-- - --i _ r . • a ltez _e_p rw t:a kzeat& epj aitft g4 _ i Sit itliiii:101,,init .. i. CO CTOR A ' - - • .' • ' • :- • .• ' * _ I 1.. . i 1 Sit,oiot-tt,,,,i „,17,ner; 1 CO I 1,, pailtti, alletailon, m xlcrisiim. l' - • ' I _.: "..,..' - ,. _ •i llt:::itiess ;tame. RK Eleciric. Inc. t_klicti additional inspection over allowable in any of the alms: . Addre..:s. 24495 NW Oak Drive l Atidiltotial atoo-:-.:tion (1 11: ninn 1 [ i.)6..15! tit I . — _.: . . • ! xvcntwatlim , I hi MIII: r )6 25 ill 1 1 (. ( Mils/Aro, OR 97124 1 ' t - - _.; , ,... 1:1,.litstr!l p!apl (,1 1 r•.111) _ ._...._. . ; ___1 1 1 I ......__....._ .. . i i'lit'ab:: (503) 641/-1344 l'as • (503)356-0513 , ■11.../1.■! r D te O 0.`e. IS I . 1 . ' '• ' . ' . 11 .' . 1 0 I, 1,1 I Ii•zied 1 Iii mini I _.. I CI: B I te.: 942 , :tt 1 1 t,a1 Us._ .i.1-.5 i 5(. Sum:, I ,1.._ : 4-24-S ELLuRicAL PERMIT' FF.ES • . •- ': , . i . Y7-- Subtotal . 1 - I :stinry. lrit:ian signati re. roquird: f , ,, ,ri (. 1 Nan review (2,3";ii of *ern; it :eel: 1 Print nanic: Ron I, Kurtz )ate: 5/11112 i i i Sraie surcharge (12,ol'perntit tee!. 1... .. i . _ . _ _ ___—___._______________._—._...__ ' MI Al. PliRNIII"1 I, /x1;01(.6 sign.lture: r. ( ,- . . —...—... 4\ j This permit 31)03 expires if a permit is not iibt.lined , iihni I Print mtme• RIO I Kurt? Date 511112 day, 11111 it bus been 3ii,' pied 3, COMilletC• I ' ',WIN: - HISIV.111:11: ,II. V:i p,f [MAW 1,1!,1. r •VT:mi+App4,...,• ■•■ "I.e.' I t. 44■1.1,. I !I II :VIM • 1-54 !o Building Division III /4987 7? - 40 Development Code Provision Review T I G n R D Residential Projects Building Permit No: ' l tr 00 / 9- — 00 15 0 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A IX Routed Plans: 4424 ^ )1 y Original Plan Submittal Date: P l Pt Revision Submittal Date: ❑ Site Plan Only 2 ^d 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 Chextf I Ca t ft e---r at 503 - 718 - .2`1 or CA LA/ / L @tigard - or.gov) Land Use Case No. 5(4.130?OOS— b001 Name B.--; #any Mcada ,,) s 0 Zoning R - 'l 5 • O S Front R0 Rear 15 Side S Street Side I Garage a o ❑ Maximum - Building Height 3 0 ' Actual Building Height o? WI Visual Clearance 0 Easements 1 Sensitive Lands Type: N/ A Notes: FI lard se..-I -baCJL i1 ao f'1 1 pi,Pu is IS �-F ar less . Original Plan: Approved ❑ Not Approved 0 Date: b -..? 7 - Id- Revision 1: Approved $ Not Approved ❑ Date: 6 - a % — la Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) 0 Actual Slope: I Notes: 1 e lNacr 64, $ /aT 5ba.... il497, -) V- Chivitiew. -vr Original Plan: Approved Not Approved ❑ Date: ,6 2 V i L Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 . City �jrb rist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) , l „ `7 / treet Trees Protected Trees Notes: Original Plan: Approved I/ Not Approved ❑ Date: C -- :?•,7a 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 % I, plicant / Okay to Issue Permit: Yes ►' No W G 1 v Date Routed to Building. i • Page 2 of 2 FOR OFFICE USE ONLY - SITE ADDRESS: 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. III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT a r Transmittal mittal L tt a s Letter - r I c_, A I; n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: (J At NJ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM A. L� 6211Lr(-;-aiiki2442,c(--/��1��j JUL 0 9 2012 COMPANY: Pe BUILDING DIVISION PHONE: 3 I 6' 02 By: RE: 84.1"r-1144 /1/7o ice S C.vT 10 (Site Address) (Permit Number) 6P. 1D (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: I Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. >c Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OrFIq USE ONLY Routed to Permit Technician : - Date: 7 I (C7 f I._ Initials1''' ) Fees Due: ❑ Yes -o Fee Description: Amount P ue: $ $ $ $ Special Instructions: _ Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done Applicant Notified: Date: Initials: (:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 TROXEL'S HOME DES/ �, 1217 N.E. BURNSIDE STE. 303 '�P r sfi GRESHAM, OR. 97030 ©z g i =\ 52.78' RECEIVED I!a I LOT # I 0 v , i N � i . 7,607 sQ FT - i JUN L $ 2012 r 1 � crivOf TIQARD I i HU L1,Ii• 1 DIVISION 4 I I I I I I I I I I 0. g I so 41747 a•' • CONC. PA110 4 I I b PROPOSED I irsLI • RESIDENCE I I PLAN #1225 F.F.E.=101.00 � I l i i i G.F.E.= 100.50 I ' I I ' , COVERED 4 PORC IfL ` I I I A% J i LROOF o.n. 4° CONC - ' I I DRIVE a I - I LEGEND 1 52.7 51DEW Co 3" SEWER ® I" WATER P NTER © GAS O POWER �1 - -- RAIN DRAIN SW 79th AVE. NAME: SITE PLAN DATE: 6 -18-12 SCALE: 1 = 20 PLAN: PLAN # 1228 DRAWN BY: DENNIS TROXEL ADDRESS: i -;I - IE n 1 FF.181.90 (� ... I I �..._ Ai V SDMH -B6 _ ' F-- 75 5 I 4 #128192 I ` ' � EE SHEE 10 1 O 3 cw #128192 I a I 9 0 ,- r L , -- — I Ir1°O I I I A/B PoN.170.13 ,. u n E - '� -- 1 t t3 F LOW PONT FF.,7J.2o I e cn I I = I s DCe -es -1 sn+ur • a In 1 1 o I� I #128193c 1 I r' 1 - -- Z O �- FF.184.00 CWS.DT) R19 F I ' .T I . -- �� B F II 1 n STNtpr — . O 1 _ SDCB -8 6 -2 L _ I 4 % I � , I b 812B194C ' 1 I I �• I I , S I I CWS.DTL.225 14+DO— _ STNUT LINE ' g: • tn' FF 169.20 O I , — 356 - CF 12 PV — 2 +00 - F 4 p ro, _ 15' S . D . E 4 i Q I y J I 1 L 1 1 1 II II �j 1 I I S 0 ' I t 1 I I 15' SDE i_ ,•. _ 8.- STA-4+90.4 UNE '3'= t STNUT I STA -0400 UNE 'E' 0 g I F ' 4.90 FF.t75.40 I � SDMH - I 3 H ,�,� j '1 _ -� #128191 �J fl I vi a EXIST. w 8 � 1 , �• , e I A� ..DTLO /B I A b0 SEPTIC E • STNUT • SEPTIC • SIMLAT j • I� -- i • —_{�: a -- I + I s' STNUT EXTENSION ' I !2 �, BY HOME eul 9 , tt I • . r INSTALL CLEANOUf I i w I I FF.184.90 .89.0 lF 6' C- 800 178..80 I I WITH SLOTTED DRAIN CAP S =0.0110 z - & N 1 : c- TO DRAW LOW AREA INSTALL CLEANOUT E • f BY HOME BUILDER i I I I � II DRAIN O BUILDER g I r - ° I_ _ ! -�. IK I LOW POINT r ` 3 Est`.._ z ! SDC8-E2 -1 ,,I -. I _ A STMIAT EXTENSION I I WI. - � #12B187C CWSOTL22B INSTALL BY NOME BUIIDER I (STNUT I ? .. D UT DRAIN 1�I1e a WITH SLOTTED DRAIN CAP 1130.0 LF 8' C -900 " I ^� f- _ I (1 -FOOT DROP W NH) TO DRAW LOW AREA `" 5 =0.0110 ;: I � /• FF.178.50 IXISTINC OUTFAC BY HOME BUILDER INSTALL CLEANOU I I_� ", - ,Il F-1- S I - I STNU DON IXISTINC SD � E BUILDER IB,.30 I e I " WORK p •tt 1 � _ 1 I FF.179.80 H-E2 : IA /- 1 , S[ i -- . ,A . . STA . 6 iO4.5 LWE '8' 1 - ' f 11 `^ :8188 ` _ I SDMH -88 n _ z 8010 I I i #12B190 I R v 181.15 1 I , I I cws.DT OIO i °D 40 NH I I F T/L 4200 T/L 4300 R164.176.44 A/B I g ! I! I I I I 1 .4Q1 E,_ I I ECF BRITTANY 7714 MEADOWS LLC I BRITTANY MFA I7(�V11s I SM SHOWN awr MS7-�0/01 -0/5 I E :�::::�.: RECEIVED M 11 201 &PTCSTM Duct Sealing Certificate & Sealing Form Instructions: All sections must be filled out by a PTCS - certified technician-at the time of installation. R A EIL DIN c \6 G D f h 2012 completed form must be promptly submitted to the utility and homeowner in accordance with utility poll a s e enter online at www.ptcsnw.com or fax to Ecos I0 at 877 -848 -4074. Questions? Call 800 - 941 -3867 oF TIGARD IN Technician Certification Number Instaliatp Company Electric Utility PTCS - _ ..C) . Name r e't 1 a ca Company Custom Name • Street Address ak- c t .c t c.� t ve/Y3 re. — 1.1.0...vv.a. S . J 7 7 s 7 5 r'' f } L 'T 1-(4 10 Site Address 2 .. City - State Zip Code Phone Number 0 (Unit #l. Mailing Address) T r7 77a- -� V P3 ) (10 r�F -( 3 z ❑ Site Built (Existing) ire Built (New Construction) Manufactured Home 0 Y ON n N V ^, Energy 0 2 ❑ 3 R Year Built: (� ❑ l.l~n r rgy Star Home? Sections ❑ 1 z Energy Star Home? ❑ Y ❑ N c Foundation Type: 0 Half ❑ Full ❑ Crawl ❑ Slab M Basement Basement Super Good Cents? 0 Y ON What of heating system Electric Heat Gas Heated • z was installed at this site? 0 Electr 0 Furnace Other Area Forced Air -Pump (sq ft) Are at least 50% of the 0 Y if the majority of the ducts are In conditioned # of supply # of returns ducts in unconditioned space? ❑ N space, the home does not qualify for PTCS registers: : : Duct Seating. House Pressurization Test - Required for Existing Homes with Existing Ducts and Manufactured Homes ❑ Energy Conservatory Is this a Test -Only? _ ❑ Y Blower Door House Pressurized to: Equipment Type CI RetroTec 0 N 0 +50Pa CFM50 ❑ Other Duct Leakage Test (DB) = Duct Blaster (BD) = Blower Door Leakage to Outside Test ONLY New Construction Existing Home New Ducts Existing Home Existing Manufactured Home Ducts Pre Ring Open 1 2 3 Open 1 2 3 (Circle One) Not Applicable Not Applicable H M L H M L 1n ' Duct Blaster • . Fan Pressure Not Applicable ' Not Applicable Pa Pa o . Pre Duct DB CFM @ 0 Pa BD @ +50 Pa DB CFM @ 0 Pa BD @ #50 Pa Blaster CFM Not Applicable Not Applicable rn m CFM CFM n Post Ring Open 1 2 iJ Open 1 2 3 Open 1 2 3 Open 1 2 3 2 • (Circle One) H M L H M L H M L H M L w 0 Z • . Duct Blaster n Fan Pressure / a P Pa Pa a Pa rn o. Post Duct . Flow Flow 08 CFM @ 0 Pa BD @ +50 Pa DB CFM @ 0 Pa 80 @ +50 Pa 1- Blaster CFM @50Pa aLD50Pa ° n � . , CFM CFM D • Pre-Condition Leakage: Pre-condition (check one) ❑ >250 CFM or ❑ Single wide > 100 CFM . ❑ >15% of floor area ❑ Double wide > 150 CFM Compliance Path Cl 6% with AH o (Whichever is Less) ❑ Triple wide > 225 CFM (Check One) ❑ 10 /o O 4 %. no AM Reduction 50 %. Reduction Cl S0% Reduction Was furnace to plenum ❑ 10% of Sq. Ft connection seated? O Yes ❑ No Duct Blaster ❑ Return Grille ❑ Return Grille O Return Grille ❑ Return Grille Location ❑ Other ❑ Other ❑ Other ❑ Other Pressure Tap Location (Supply Register) Page 1 of 2 Form continued on next page ► • • • • • 2011 PTCSTM" Duct Seating. Certificate & Sealing Form Alay 2011 A CAZ test Is required if there are-any non - sealed combustion In the home. Are there any combustion Y Combustion Fireplace or Gas ti Gas.Water Other appriances in the house? O N Appliance. Type: Woodstove Furnace Heater . . Baseline Pressure with reference to outside Weather conditions ❑Cairn (ali.exhaust devices and air handler OFF) pa on day: of test 13 Windy m • With air handler ON, record gauge readings below Internal. Doors Open • Internal Doors Closed . o Zone Description Reading Net Reading Net n • • . .. Zone Pa ' ' Pa Pa Pa E Zone 2 N i • • . . Pa .. Pa . Pa P . m c Zone 3 n • Pa . . Pa Pa Pa . Net Depressurization Example Air Render OFF Air Hander ON a - .: Wet' equals how much the pressure goes down when the Baser flea6n9 3 Pa z E o .1 . - z Readnp . . air handlerls tumed..ON (compared to baseline). ` r r . N . Net Dep essuriraGan Is 4 Pa" For systems to qualify, the air handler must cause no more than a -3 Pa net depressurization in . Yes No any: zone. Does this system qualify? (check one) .. • p • Is there a UL- approved and functioning A Carbon Monoxide (CO) detector installed in the home is required in all cases when a sealed or.non- • CO:detector installed in the home? - sealed combustion appliance is located in a conditioned space or attached structure, i.e. garage. 0 Yes ❑ NO RECOMMENDED CO detector specifications: UL 2034 /CSA 6.19 -01; digital display; peak CO memory and recall. • . • Notes — Attach additional sheets if necessary • A ,,u r . eJ 73 ' . . (n 0 • • Q . O - m • • - y PTCSTM Certification of Compliance — To be completed by technician at the time' of installation As ' a certified PTCSTM' Duct Sealing Technician, certify the Duct Sealing . at this site and relatedequipment is in • accordance with the.standards set for the Performance Tested Comfort Systems (PTCSTM') program. PTCS"r Certified Technician Name (Print) PTCS"' Certified Technician Signature (Required) '1' 71 ' a- l7 -,6) s5 .Completed Date PTCS"' Certified Technician Phone Number • • Customer Name Customer Signature Page 2of2 • 5 FOR OFFICE USE ONLY — SITE ADDRESS: 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I c_, A Ii D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: 1) 0 ATE RECEIVED: DEPT: BUILDING DIVISION .Q5 'tiA oZ, FROM: 41_4(,./ IJ 6, 01 -- -rmU rte- Vg i AUG 1 3 20 O F "�4 f°13© D COMPANY: p A (-4.- V f V, rt.L. p-) ,; � i PHONE: u — — GA, 1 By: Sf RE: -7-- Sc..) t!-, vE � O t -00 /SO tte Address) (Permit N umber) (Project name or subdivision n.4 e and I number) • ATTAC ' D AR THE FOLLO NG EMS: Copies: Descrip 'on: Copies: Description: Additiona et(s) of p s. Revisions: -- ra 5 Cross section(s) an details. Wall bracing and /or lateral analysis. Flo r /roof framin . Basement and retaining walls. Be calculat s. Engineer's calculations. Other exp am): REMARKS: VA L) LITE D 6CO 44 2- - S ._2r. • FOR FIE USE ONLY Routed to Pe it chnici • ate: � ( 1 I-2_ Initials: /90 j Fees Due: Ye R'No ee Description: Amount Due: Special Instructions: -.. Reprint Permit (per PE): ❑ Yes 1 1 o Do Applicant Notified: Date: e �� „ I,' . aR Initials: 1: \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 • • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 4L4,.1 K,r)tr , am the general contractor or the owner- builder at the following address: • Site Address: I IL/7g7 , s 7 q •2, A City: • Permit #: ✓l.S`r 2D/ 2- — 0e) ,50 Subdivision/Lot #: Rll,�7,7 aC460wl , /v and/or / Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying. the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. ' [Section R318.2 :is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall notified in writing a ' he general contractor that all moisture- sensitive wood framing m. a bers used in c• st ction have a moisture content of not more than 19 percent by dry - -. ght of dry fr. ing embers. • L- --4 Signature: ■............ Date: // A General Contractor or Owner- Builder • I:\Building\Fonn\RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS • Permit No.: ZOl Z a0150 Jurisdiction: LrC-, A-at) • Site Address `7�� SCE )AtizD • Subdivision/Lot #: and/or • • Map and Tax Lot #: By my signature below, I certify that a minimum • ifty (50) percent of the permanently installed lighting fixtures in the above mention; buil • 'ng have been installed with compact or linear fluorescent, or a lighting source that ha 1 a minim efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N 1107. _ Signature: Date: '0242 i wner /General Contractor /Authorized Agent • Print Name: A Lam ^/ i% Ai %efi 6 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 fmal 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. l:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE TIG:ARb •CkRT1FICA 1, / 4t. f -eker c,n , owner/ agent for -acA r i i Evef .nee., 1- /am s , (PLEASE PRINT) (PERMIT HOLDER) do hereby •cert 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.: ✓� ..-00450 HIE ADDRESS: j [ y-' g ' ,F ■ . • SUBDIVISION: 1/1.,47 ,49 re LOT #: `2 • SIGNATURE: "7 DATE: .// —/ --12 • (OWNER/AGENT) • . RECEIVED & VERIFIED BY: ii-(C/TY DA'1 E: OF TIGARD) - ❑ Tree location-venfied per 'proved site plan. . I: \Building \Forms \StreetTreeCertificate - 05/30/2012