Permit II CITY OF TIGARD MASTER PERMIT
II
a • • COMMUNITY DEVELOPMENT Permit #: MST2012 -00210
T t G AR L) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/29/2012
Parcel: 1S125DC09400
Jurisdiction: Tigard
Site address: 7284 SW SHADY PL
Subdivision: ASH CREEK ESTATES Lot: 27
Project: Ash Creek Estates, Lot 27
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Requir
Stories: 2 Bedrooms: 3 First: 860 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1329 sf Garage: 618 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2189 sf Value: $255,443.84 Rear: 3
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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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
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 2189
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 - 639 -4175
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-780-4375 PHONE: 503 -625 -6526
FAX: 590 -7606
Total Fees: $18,702.91
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules ar direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
___AA : 41,kar_____
. Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application
Residential fie' FOR OFFICE l'SE ONLY
City of Tigard " 7 it L / • eceived p / Permit No.:
City g Date/By: 0 a fa— t Qvd/e9
il lq • 13125 SW Hall Blvd., Tigard, OR 97223 2 0 �� v
C Phone: 503.718.2439 Fax: 503.598.1960 AUG ®g Date /B Re : iew 4Of 1 ff f 5( Other Permit: ,i01.-A0/0-1a9/76
T I �� Inspection Line: 503.639.4175 Date : eady :y: 6j / 0 Jas El See Page 2 for
Internet: www.tigard- or.gov (� ((;�,-0 Ut Y 1 /� ` etpod: O / ' W Supplemental Information
TYPE OF WORK / REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ew construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1�- and 2- family dwelling ❑ Commercial/industrial Valuation: $ yy' �
2
❑ Accessory building ❑ Multi- family Number of bedrooms:
3
❑ Master builder 0 Other: Number of bathrooms: a2.—
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 77 4,[� s GL) /c a j / !,, New dwelling area: �/6 square feet
City/State/ZIP: re) -/,/ e9- . r? ',1"..-3 Garage/carport area: / Sm square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: '2 square feet 1'3
Cross street/directions to job site: 7 [/ 7" iz L ciife€6.11 Deck area: /5.- . D square feet et
Other structure area: —7 square feet `Z5
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: q9., A 7://.. / 4; r S I Lot no.: 7 Permit fees' are based on the value of the work performed.
// /5/2 � ,OC d 91/00 Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
4 DESCRIPTION OF WORK work indicated on this application.
Valuation: $
,.5"� Existing building area square feet
New building area: square feet
)1 ROPERTY OWNER ❑ TENANT Number of stories:
Name: 6 l t i e .,.„, e i (4,3 - j 'yl C Type of construction:
t v- ' �� ' , �
.+- a � � ,o � ,i',��� v ,/" � �„' � , r° ^���' <= '
Address: / f ' ,v 1 Occupancy groups:
City/State /ZIP: / / .,. ��
O`r � C 2 � 3 Existing:
Phone: (�p i ,rr0` // 3,s Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
f ,��y %'
(Please reJom fee sctredole)
Business name:
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State /ZIP:
Amount received: 4 7S • cc
Phone: ( ) F es:: ( )
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installat' of
CONTRACTOR roo op mounted Photo Voltaic Solar Panel Sy em.
Business name: /� Submi o (2) sets of roof plan with cone on details
and fire dep. tent access, along with th 010 Oregon ■
Address: Solar Installation •ecialty Code chec rst. '
City/ State/ZIP: Permit Fee . • : . an re w $180.00
and administra - - s):
Phone: ( ) Fax: ( ) (12% State surcharge (12/0 . .ermit fee): $21.60
CCB lic.: ...570/q L 1.60
/�.. Total fee d - upon application:
Authorized signature: " This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print n ame: �y) � ' � � � , Date: ��
* Fee methodology set by Tn County Building Industry
� Service Board.
I:\ Building \Permits\BUP - RESPermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB)
Plumbing Permit Application ,-, (5t- -
=
Site Utilities .`\. �
- �._.'�, f FOR OFFICE USE ONLY
City of Tigard ; CZ 2012 Received ry DateBy: r (( ,P- I Permit No.: p / -0O pie)
111 • 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review C� /1 �/ /� - �` 7
Phone: 503.718.2439 Fax: 503.598.1960,- - ,�� r,17.5)7 Date/By:
Permit No.: l � /
Inspection Line: 503.639.4175 \� . _ \ `" Date Ready/By: Juris: ®S ee Pa e 2 for
T I G A R D Internet: www.ti ardor. ov "... ' `� - - - �, r Y Y g
g g .. . J ..aru \ Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
J'51ew construction ❑ Demolition 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
,2'f�and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
SFR (3) bath �j 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:
Job site address: 72 6 q 6 10 Catch basin or area drain 18.76
City/State/ZIP: 7 ij (1 Q7727 Footing drain line, trench drain _ 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I 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
Water service (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
" �&
Clothes washer 25.02
Dishwasher asher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
❑ PROPERTY OWNER l ❑ TENANT Expansion tank 12.51
Name: W( �L I..-u,,9 ( / A -C.
Fixture/sewer cap 25.02
/ Floor drain/floor sink/hub 25.02
Address:
/)_ c 5- 5 W A se ��` k- Garbage disposal 25.02
City/State /ZIP: 7" a.,,,-/ 61-e g 7 Z 1 3 Hose bib 25.02
Phone: ( ) / S- a _4/57 1' Fax: ( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: ,<. Medical gas (value: $ ) Page 2
Primer 12.51
Contact name:
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
E -mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: are ,.,/,‘ ®/h� Water piping/DWV 56.29
Address: Other: 25.02
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee: $72.50
CCB Lic.: f)3 1._/?_ . Plumbing Lic. no.: 106 qQ' c. Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: /Ie. TOTAL PERMIT FEE
Print name: 5 ( /�C /, ", Date`7 /12x/, This permit application expires if a permit is not obtained within 180 days
r' " after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\ Building \Permits'PLMU- PermitApp.doc 10 /01/09 440- 4616T(10/02/COM/WEB)
Mechanical Permit Application FoR ()F [Si.: ()N1.1 .
City of Tigard Received G
Date/By: 0 Permit No.: p i , l ?�0Vl0
•
13125 SW Hall Blvd., Tigard, OR 9722 ����yy �� 0 Phone: 503.639.4171 Fax: 503.598.14GQ1./ I� Plan Review
'
Date/By: Other Permit: ���- ���""��"' 2 pots — arV 7G
T I U A R l) Inspection Line: 503.639.4175 Date Read B tu ns,
Internet: www.tigard- or.gov � Ready /By' M See Page 2 for
Al) I,/] 0 6 2012 Notified/Method: Supplemental Information
TYPE OF W
Y TIGARD I7 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
[age; construction ®Addition /alt t��n r pteQUA fSll]N Mechanical permit fees* are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL, EQUIPMENT /SYSTEMS FEES"
Multi-family - For special information use checklist.
❑ M aster builder ❑ Other: Description
I• Qty. I_ Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 7;4475c4-) / S h l , L 2 / Air conditioning
�J / (requires site plan showing placement) 46.75
/ v
City/State/ZIP: " y , � , ) ) _ c) Furnace 100,000 B'I'U (ducts/vents) •. 46.75
Suite/bldg. /apt. no.: Project name: 1 C� 4 Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
7 [� 44 ,. f (� J n Hydronic hot water system 23.32
V v Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
/ in -wall, in -duct, suspended, etc. 46.75
Subdivision: ` 4 r, 33��rr
L � __ �� / l ot no.: Z Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: /5 / Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
// v n s' /;� Gas fireplace - 33.39
L r 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
�'1�ROPER Y OWNER ❑ TENANT
Other: 23.32
Chimney/liner/flue/vent 23.32
/
Name: 64.0/1 64.0/1 (:ixt S q �� Environmental exhaust and ventilation
Address: ` t� C Apr ` { - / Range hood/other kitchen
CJ �✓ equipment 33.39
City /State /ZIP: fi QW1-5 Clothes, dryer exhaust — 33.39
/ , Single -duct exhaust (bathrooms, c
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) "� 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name: e< Other: 23.32
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc. 1
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax :: ( ) Water heater
E -mail:
Fireplace 1
Range
CONTRACTOR Barbecue I
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 S Clackamas River Drive MECHANICAL PERMIT FEES*
City /State/ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557.2220 Fax: (503) 557.0919 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (12% of permit fee)
k TOTAL PERMIT FEE
Authorized signature: tt'y/ Nigel/IL'. This permit application expires ire permit is not obtained within 180
days after it has been accepted as complete.
Print name: D MQJOr1 I Date: 7/j0112 • Fee methodology set by Tri - County Building Industry Service Board
1:\ Building \Permits \MEC- PermitApp.doc 10101/09 440-461n (1 1 /02/COM/WEB)
Electrical Permit Applica �oti1 - -- -, FOR OFFICE USE ONLY
71 City of Tigard Received � /
• 13125 SW Hall Blvd., Tigard, OR 9722 C 7�1� Dale / Review �i/ '' Permit No.: I' �o� /a aoa16
Plan C Phone: 503.718.2439 Fax: 503.598.1960 -, Date/By: Other Permit: c`�fiJKOC.Iro? �17,/O
T I G A K D Inspection Line: 503.639.4175 \ "\, 1 , , . �. _ L Date Ready/By: Juris: 65 See Page 2 for
Internet: www.tigard - or.gov , . , - a �� Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
_'New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ 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
0 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: •� �i,' �/' SGt. tOOHP or more. occupancy.
/ v 7 ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qtr. I Fee. I Total I •
•
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less I / 168.54 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion A- 33.92 1
Limited energy, residential / 75.00 2
DESCRIPTION OF WORK (with above sq. ft.) v
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State /ZIP: relocation
Phone: ( ) Fax: ( ) 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, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ' ❑ CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: /9 -cQ /N kg /� / ,1.1.--C.-•1.1.--C.-•--- panel, alteration, or extension. Page 2 2
F� J Each additional inspection over allowable in any of the above
Address: 7 2 / 5'� �-7i,/ fikla4 ,%, - Additional inspection (1 hr min) 66.25/ hr
�� / Investigation (1 hr min) 66.25/ hr
City/State/ZIP:
e,/, eer q 7. 3 J' t Industrial plant (1 hr min) 78.18 / hr
Phone: (6 -)�1 I te7 I f Fax: ( ) Inspections for which no fee is
Ifgn( 7� specifically listed (V2 hr min) 90.00/ hr
CCB Lic.: g6, 7,( I Lic.: ~ -gY� Suprv. Lic.: � - ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: /,% / e l' 5 Subtotal:
Plan review (25% of permit fee):
Print name: ( / / `L%-kly Date: •7/2 7 //( State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
rf Z 5 // /
Print name: �/� l (A Number o inspections Date: 7/l allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 07/01/10 440.4615T(11 /05 /COM/WEB
I o Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: `I- 1 'J I a019.-. 00a
CWS Service Provider Letter Received: Yes ❑ No ❑ N /A>
Routed Plans: ry `r
Original Plan Submittal Date: Ij
1st Revision Submittal Date: ❑ Site Plan Only
2 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 (/) 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 r ( Pct at 503-718- 2 yZ ��-,c or @tigard- or.gov)
Land Use Case No. $ 0 +3 2 vo — Doc /0 Name Asti ( ( gs7 9 ? '
Er Zoning R -'1. (PP
Et Setbacks: r ,
Front - 2-1) Rear 3 Side 3 Street Side "4 Garage. La
I
❑ Maximum Building Height 30' Actual Building Height 2 rt -9 Z S
Visual Clearance
a Easements
❑ Sensitive Lands Type: pi .9-
Notes:
v
/_�Lff%iaanwit�ya�4 M i. . `
Original Plan: Approve Not Approved rib Date: g - I 9 / 2 -
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)
Actual Slope: i
Notes:
Original Plan: Approved Not Approved ❑ Date: X4/17.,
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
S treet Trees
P rotected Trees
Notes:
al Plan: Approved Not A roved ❑ D /'y / �-
1
Original Pp PP ,
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Ap�pli nt
Okay to Issue Permit: Yes ✓LI No ❑
Date Routed to Building:
Page 2 of 2
•
___ _ _______________. _ ________ ___ REcErtaD__
AUG 06 2012
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762-by S.W. SHADY PLACE
As no trees were retained on this lot after the initial clearing done for the
development, there is no need for tree protection measures on this lot.
Any remaining trees in the green space appear to be well behind the
permanent chain link fence delineating the green space to the south
Terrence P. Flanagan
ISA - BCMA #PN- 0120BMT
24 JUL 20;2 MRR - _ SCALE 1 ° 2 0 ' _ _0__'1
ALAA TAASCORD CU ASV:CATES. ac 1S kW CITY OF TIGARD 213 ?BC
*
LAW ;CA TT( ACCURACY OF T1[ 10POCRAt7R ASH CREEK ESTATES
v66"1 " O 6 14 SCE ''69'6"61''69'6''69'6"611" EOBA1" OF 1TRE
' i / A
eace TO VERIFY ALL SITE fdUAITRORIS, RYA1Ab10 LOT 27
AM FLL RACED ON iK Sat App IQTFY THE
COMPS OF ANY PDIENTUI FEW YONFCATTO16
COLLECTION �nero� � BY: WINDWOOD HOMES
r
. ,. 00 .. ,, ,,.b.': , 211 no ( 3 SO. FT)
II CITY OF TIGARD MASTER PERMIT
II
a • • COMMUNITY DEVELOPMENT Permit #: MST2012 -00210
T t G AR L) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/29/2012
Parcel: 1S125DC09400
Jurisdiction: Tigard
Site address: 7284 SW SHADY PL
Subdivision: ASH CREEK ESTATES Lot: 27
Project: Ash Creek Estates, Lot 27
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Requir
Stories: 2 Bedrooms: 3 First: 860 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1329 sf Garage: 618 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 2189 sf Value: $255,443.84 Rear: 3
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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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
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 2189
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 - 639 -4175
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-780-4375 PHONE: 503 -625 -6526
FAX: 590 -7606
Total Fees: $18,702.91
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules ar direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
___AA : 41,kar_____
. 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.
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7284 SW SHADY PL, TIGARD, OR, 97223
Residential - Master Permit
295 Misc. inspection
02/22/2013 00:00
MST2012-00210
PASS
No access
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7284 SW SHADY PL, TIGARD, OR, 97223
Residential - Master Permit
295 Misc. inspection
02/22/2013 00:00
MST2012-00210
FAIL
No access
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7284 SW SHADY PL, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
02/22/2013 00:00
MST2012-00210
PASS - C of O
Blower door test
Street tree certificate
Moisture content form
Lighting form Received
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7284 SW SHADY PL, TIGARD, OR, 97223
Residential - Master Permit
295 Misc. inspection
02/22/2013 00:00
MST2012-00210
FAIL
No access
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code N1107.
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.:
fri 5/-02-0/2 _ 002 /v Jurisdicti i /71 ��
Site Address: •
. S "Piri 77 a e 7273
Subdivision/Lot #: / A /1 7 n5 - 1 � �� �� /_ 1
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)
r .•
/ -
Signature: ,67/ Date: oz. ��i 3
g � �/
Owner /General Contractor /Authorized Agent ,
Print Name: U //iL,lL- „Tel. / ` Ili/ C ,'/i �Cice� /0 ��� •
f
• r
r -.
ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
I.\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, kit , - i fA C , am the general contractor or the owner- builder
at the following address:
Site Address: S C- t- , -5 1 4 4( f 4,2e
City: 77 e ()'c
Permit #: r a -00.2/0
Subdivision/Lot #:
/el- 02 -7 Mf'! -/ 7?�° 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.
(A Date: /3
Signature: � � �/�
General Contractor or Owner- Builder
I:\Building\Fonn\RES- MoistureSensitiveWood.doc 09!25/08
N. al STREET TREE
TIGARD A TION
CERTIFIC
I, A&./C- , owner/ agent for liti/ )7
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certj 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.: , Sr alb. - 6 °.-210
SITE ADDRESS: I $'i( 4',
SUBDIVISION: /_ -3/% LOT #: z 7
SIGNATURE: �� DATE: 21/2//3
(OWNER/AGENT)
RE CEIVED &
VERIFIED BY: DALE:
(CITY OF TIGARD)
❑ Tree location verified per approved site plan.
L \lluildmg \Forms \StreetTreeCertificate 05/30/2012
GREEN PLUMBING
14424 NW LENNOX LANE
PORTLAND OREGON 97231
CCB 103426
BPI ID 5020661
WINDWOOD CONSTRUCTION INC
12655 SW NORTH DAKOTA STREET
TIGARD OREGON 97223
BLOWER DOOR TEST AT 7284 SW SHADY LANE TIGARD OREGON 97223
MST 2012 -00210
TEST COMPLETED 2/18/12
RESULTS AS FOLLOWS:
CFM 50 WAS 1298 AND ACH IS 3.5
ERIK HOFFMA
A
GREEN PLUMBING
2, - ovio
P 5 r Zo 1