Permit 111- ,� CITY OF TIGARD MASTER PERMIT
�; COMMUNITY DEVELOPMENT Permit #: MST2012-00130
Date Issued: 09/06/2012
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109AB14700
Jurisdiction: Tigard
Site address: 13369 SW OUZEL LN
Subdivision: ALPINE VIEW Lot: 28
Project: Alpine View, Lot 28
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 966 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 31 Bathrooms: 3 Second: 1313 sf Garage: 356 sf Front: 11.25 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2279 sf Value: $251,722.28 Rear 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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: 3
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
10004-amp/volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
. Y asin
Other: N Other Description: Ecom p g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2279
Owner: Contractor:
DR HORTON INC- PORTLAND D R HORTON INC PORTLAND Required Items and Reports (Conditions)
ATTN MELISSA TRUNNELL 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503 - 639 - 4175
4380 SW MACADAM STE 100 PORTLAND, OR 97239 2 geo tech report require prior
PORTLAND, OR 97239 to footing inspection
PHONE: PHONE: 503 - 222 -4151
FAX: 503 - 222 -1304
Total Fees: $17,921.85
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 i• • - - Ice 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. TENTION: Or on la, requires you to follow the rules adopted by the Oregon Utility Notifi - •• Center. Those rules are set forth in OAR
952-111-0010 through OAR • - -001 0 • 0. You may obtain a copy of the rules or direct questions to OUNC b - 32.1987 or 1.800.332 344.
J
Issued By: r, • ! � I � /f . Permittee Signature: �_-4 ' ' A(� � i
--.--1 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 R ?
Residential JUN 1 4 2012 FOR OFFICE USE ONLY
City of Tigard f OF TIC Received 1 Permit No.:
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi •
Phone: 503.718.2439 Fax: 503.598.19 cs ' t" D at e/B : I i i' Other Permit: ,
3 I _DING DIVt6I0N PAW'
' Iv c5eu� . l . —C.0/ .4
i I G A R D Inspection Line: 503.639.4175 Date Ready/B . furls: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK IFEQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New constriction ❑ 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 El 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: $ ' 2 s5i 72-
❑ Accessory building El Multi-family Number of bedrooms: ,
❑ Master builder ID Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address: / 3 O e26 , e` /l New dwelling area: g��, square feet
City/State /ZIP: TIGARD, OR 97224 " i Garage /carport area: � square feet
Suite/bldg. /apt. no.: Project name: ALPINE VIEW Covered porch area: 43 square feet 1
Cross street/directions to job site: SW ALPINE VIEW AND ALPINE CREST WAY Deck area: 0 square feet 1(f _
Other structure area: 2f) s feet �
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ALPINE VIEW Lot no OS Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
I NEW SINGLE FAMILY RESIDENCE Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER
❑ TENANT ...-v Number of stories:
Name: D.R. HORTON INC. - PORTLAND Type of construction:
Address: 4380 SW MACADAM AVE, SUITE 100 Occupancy groups:
City/State /ZIP: PORTLAND, OR 97239 Existing:
Phone: (503)222 - 4151 Fax: (503)222 -1304 New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* `w
Business name: D.R. HORTON INC. - PORTLAND (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: GARY CULP
FLS plan review fee (if applicable):
Address: SAME
Total fees due upon application:
City/State/ZIP: f,' GC
Phone: ( ) Fax: : ( ) Amount received: �
E -mail: gaculp®drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: D.R. HORTON INC. Submit two (2) - of roof plan with connection details
and fire department a s, along with the 2010 Oregon
Address: SAME Solar Installation Specialty , , ,e checklist.
City/State/ZIP: Permit Fee (includes plan • - ' $180.00
and a.. ' :.: ive fees .
Phone: ( ) Fax: ( ) State • :: i atge (12% of permit fee): $21.60
CCB lie.: 130859 Total fee due upon application: $ 60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: GARY CULP I Date: * Fee methodology set by Tri- County Building Industry
�� 3717_._ Service Board.
I:\Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(ll /02/COM/WEB)
,t7peP Ito
Plumbing Permit Application 1 ii C
Building Fixtures JU 1 4 Z0 FOa OFrici: 1!sE ONI.'1
City of Tigard , O Bat V /Y /�^ i Permit No,:NL) 2, -&)136
.r 13125 SW Hall Blvd., Ti ard OR G�� Dat 'v D/
(�' /� Plan Review
r 11 ■ . Phone: 503.718 2439 Fax: 503.5 0inVel D Date/By: Other Permit No.: 5,0 / Q/d` „vi
Inspection Line: 503.639.4175
TIGARD Internet: »�w.ti ard -or. ov Date Ready/By: luris: See Page 2 for
E E Notified/Meth S od: Supplemental Information
TYPE. OF WOR1G.: -. ; -' EEE* SCUUEDUiE .
® New construction ❑ Demolition For speciallttformntion 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)
CATEGQRY CONSTRUCTION
SFR (1) bath 312.70
® I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
building SFIt (3) bath 1 50032
❑ Accessory g ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft) Page 2
-_ - _ JOB SITE. INFOR lIATION .AND I OCATION .� _ - ; •, , ..� : Site utilities:
Job site address: /.,F ✓� / 54 3 �_f..G� / Catch basin or area drain 18.76
City /State/ZIP: TIGARD, OR 97224 C Drywell, (each line, or trench drain 18.76
Footing drain (no. linear R.: ) Page 2
Suite/bldg. /apt. no,: I Project name: ALPINE VIEW Manufactured home utilities 50.03
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST Manholes 18.76
WAY Rain drain connector 18.76
Sanitary sewer (no. linear It.: ) I Page 2
Storm sewer (no. linear ft.: ) 1 Page 2
Water service (no. linear IL: ) I Page 2
Subdivision: ALPINE VIEW I Lot no.:1� Fixture or item:
Tax maplparcef no.: Backilow preventer 31.27
DESCRIPTION OF WORK, Backwater valve 12.51
Clothes washer 1 25.02
NEW SINGLE FAMILY RESIDENTIAL
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
® tdkaliY O\Y11ER 0 TltiS VT - Expansion tank 12.51
Name: D.R. HORTON INC. - PORTLAND Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 7380 SW MACADAM AVE, SUITE 100
Garbage disposal 1 25.02
City /State/ZIP: PORTLAND, OR 97239 Ilose bib 2 25.02
Phone: (503)222 - 4151 Fax: (503)222 - 1304 lee maker 1 12.51
❑ AliPLICAr i ® eiierrailtitreit=ii Interceptor /grease trap 25.02
Business name: D.R. HORTON INC. - PORTLAND Medical gas (value: $ _ ) Page 2
Primer 12.51
Contact name: GARY CULP
Roof drain (commercial) 12.51
Address: SAME Sink/basin/lavatory 5 25.02
City / State/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 3 12.51
E -mail: gaeulp®drhorton.cam Urinal 25.02
- CONTMV'1OJ _ .` ncrcase
t I t 3 25.02
1 37.52
Business name: EX PLUMBING Water r to WV 56.29
Address: PO BOX 1898 Other: 25.02
City /State /ZIP: BATTLEGROUND, WA 98604 Subtotal
Phone: (360) 687 -3604 • Fax: (360) 687 -6473 Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: 129363 Plumbing Lic. no.: 37 -430PB
/� ��� State surcharge (12% of permit fee)
Authorized signature: /f_ TOTAL PERMIT FEE
Print name: MICHAEL EK wr f/ Date: / This permit application expires if a permit is not obtained within 180 days
�3 sifter it hos been accepted as complete.
/// �/ "Fee methodology set by Tri County Building industry Service Board.
t:V Suilding \Permits\PLMIJ.PrmitApp 10/01/09 440-1616T(1010JCOM/WEE)
Mar28 12 P
05:03 Birchfield Heating - o>� - - 541- 928 -7278 p.2
, A JUN 14 2012
Mechanical Permit Application FOR OFFICE l'SE O\l.\
I p OF TIGARD Received 60
City of Tigard , Date/ �n Permit No.: ) / /�_.#o 130
lig
III ' 13125 SW Hall Blvd., Tigard, OR 97223 i DING Dh( SIO \I Plan Review
a Phone: 503.718.2439 Fax 503.598.1960 thee 1
Date or P ��O17- — CO
T I GA is p Inspection Line: 503.639.4175 Date Ready /By: turns E See Page 2 for
Internet: www.tigard or.gov Notified/Metbod: Supplemental Information
TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
® New construction El Addition/alteration /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'
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information MSC checklist
El Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea i Total
JOB SITE INFORMATION AND LOCATION
Headng/cooling:
Air conditioning
Job site address: 1336 - ) t)u-zzz, Y (requires site plan showing placement) 46.75
City/State/ZIP: TIGARD, OR 97224 Furnace 100.000 BTU(dlctvvents) 1 46.75
Furnace 100,000+ BTU (ductvvcnts) 54.91
Suite/bldg./apt. no.: Project name: ALPINE VIEW Heat pump
(requites site plan showi placement) 61.06
Cross street /directions to job site: SW ALPINE VIEW AND SW ALPINE CREST WAY 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 -duet, suspended, etc. 46.75
Subdivision: ALPINE VIEW 1 Lot no.:8 Flue/vent for any of above 23.32
Other. 2332
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 1 1 2332
NEW SINGLE FAMILY RESIDENCE Gas f eat or wate 1 3339
Flue vent for water hemmer or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pcllet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
Other: 23.32
Name: D.R. HORTON INC. - PORTLAND Environmental exhaust and ventilation:
Address: 4380 SW MACADAM AVE, SUITE 100 Range hood/other kitchen
equipment 1 33.39
City /State/ZIP: PORTLAND, OR 97239 Clothes dryer exhaust 1 33.39
Single -duct exhaust (bathrooms,
Phone: (503)222 -4151 Fax: (503)222 -1304 toilet compartments, utility rooms) 5 23.32
❑ APPLICANT ® CONTACT PERSON Attidcrawlspace fans 23.32
Business name: D.R. HORTON INC. - PORTLAND Other 23.32
Fuel piping:
Contact name: GARY C U L P $14.15 rer nod four, 54.03 for each additions'
Address: SAME , Furnace, etc. 1
- Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater I
Fireplace l
E -mail: gaeulpti3drhorton.com Range
CONTRACTOR Barbecue
Business name: BIRCIIFIELD HEATING AND AIR CONDITIONING INC. Clothes dryer (gas)
Other: .
Address: 1490 INDUSTRIAL WAY
MECHANICAL PERMIT FEES*
City/State /ZIP: ALBANY, OR 97322 Subtotal
Phone: (541) 926 -1374 I Fax: (541) 926 -7278 Minimum permit fee (590.00)
Plan review (25% of permit fee)
CCB tic -: 88938 State surcharge (12 %ofpermit f/, fee)_
Authorized Sigtlattlle' I 1 JJ
TOTAL PERMIT FEE
h - (�1'r v r t , t This permit application expires if a permit is not obtained within 180
ji Vim/{ 1 r + days after it has been accepted as complete.
Print name: JOHN BIRCHFIELD Date :, `� 617
/ ! 7/ • Fee methodology set by TO-County Building Industry Service Board
t\ Butdingll 'ermisMMEC- PamitApp.doo 03.e7/12 CO.M,'Wlla)
. It
RECE I V E D
Electrical Permit Application FOR OFFICE; USE ON LI'
City of Tigard ! 1 N 1 4 201? 6
Received /, T
Plan Review
lX ® Permit No.: , a'/;- a'/;- 0/I
III
13125 SW Hall Blvd„ Tigard, OR 9 7 23
I•
>0 Plan
Ph one: 503.7182439 Fax: 503.59& nit DateB
Other Permit: o v200/ d---60 t 1
TIGARD Inspection Line: 503.639.4175 3IJIL nit DateReady/By: iris 10 See Page 2 for
Internet: www.tigard- or.gov `" ' • I Notified/Methad: Supplemental Information
a :.. ntyo °,r`a", f' ._ ca',._.. � ..... w 1 .. �:-�u � : -rr- ::I -r„ �. . ., raEaw :•�; �_ ., .... _ _
'1,,_,:-,...--., : F Vre r .ter' , � g, • . ' J r< :. , ., . 4 t ; l; s rr.gen F`_''3,- 53 ?g" �,_' s f` ,4 W , ,- g
;,.>.v7,_ a.,..-.-• �-J .'� .'i2.... M .. ;rka Sg W °•S, - Ls lit' ' ..... ._... 34,.
,.. a - n �;?tlli e � Please he or all that r i amp� oeO uilding over three stories.
-: e m s c e d b 1 s :
El New construction ❑ Addition /alter plans wlitems checked b elowj :
❑ Demolition El Other: where the available fault current ❑ Marinas and boatyards.
r' Building
._ T o i . ;._,. r . _ r
r ; ` tali 1` °= I e ', n 1T'F .rcP1 =5 y 1 Nalizt exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
�s5 `. Ra e ` " raL re less to ground, or exceeds 14,000
® 0 and 2-family dwelling Bt ❑ Commercial -use agricultural
y g ❑ Commercial /industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
..,i �'- 4a =�:a.-s• r. 4,r.:�s n :r . ? rz; :.. -:�
;'.• ,. = s'` "`-' !� . ,...�:r:•� - .. t -� i r i,- ,� . Emergency system. larger .ir ; - c � .... � � r � � _: � �s� =.uF -_ � •'� B Y Y B separately derived system.
___._ , , , ,r -� . ,.._ • , v 1t ,-4, __, . _° ❑ Addition of new motor load of
Job no.: Job site address: "A ", "E ", "] -2 ", "1 3 ",
,3 g (0-608-Z. 100HP or more. occupancy.
rs > ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: TIGARD, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ALPINE VIEW ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST Description Qty, i ' ra, I 'fatal _ l
WAY New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: ALPINE VIEW Lot no.: 1,000 sq. ft. or less 1 I 168.54 4
Tax map /parcel no.:
Ea. add'I 500 sq. ft. or portion 4 33.92 1
a,,,z.�,_.° y.,,_ �s22 ,._ �,K,s;.x... , Limited energy, residential
A ° tom t a l o05l.r r, ` "` e `- -•° r; ., t a
m , , = `�_1 : n , .; r 44 - i4.0-1 ; ? : .,0 — ; r: (with above sq. ft.) I 75.00 2
Limited energy, multi - family
NEW SINGLE FAMILY RESIDENCE residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
s= 1 _; " - ' ., s arry..,i 510: . :.: ,. ... . i =' 1,1 201 201 amps to 400 amps 133.56 2
Name: D.R. NORTON INC. - PORTLAND 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps t 301.04 2
Address: 4380 S.W. MACADAM, SUITE 100 Over 1,000 amps or volts ' 552.26 2
City/ State/ZIP: PORTLAND, OR 97239 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)222 -4151 I Fax: (S03)222 -1304 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
, s
-r ''' s e; 7 . ' � - r_ ''a �' , , k•v 9 .� ;; above service or feeder fee
� rsk - °t _.... twat 7.42 2
each branch circuit
Business name: D.R. HORTON INC. - PORTLAND B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: GARY CULP branch circuit
Each add'l branch circuit 7,42 1 2
Address: SAME Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modula 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E gaculp@drhorton.com
Pump or irrigation circle 67.84 2
�. -n- Sign or outline lighting ' 67.84 2
� ,- tt . z r t a zt ez •,;, r f °.:141 Bh B
: ; _ v x.. ��c�s ._. tVzRA1CT 4 .:.i:f a ;..<,
�•• •.r .,.r- 7Ur•�.� Signalcircu it( s ) orlimited energy
Business name: PRAIRIE ELECTRIC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6000 NE 88TH ST Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: VANCOUVER, WA 98665 Investigation (1 hr min) 66.25 / hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (360) 573 - 2750 Fax: (360) 576 - 7422 Inspections for which no fee is
speed listed (A: hr min) 90.00/ hr
tfie
CCB Lic.: 60178 Electrical Lie.: 37-491C Suprv. Lie.: 3562S t n �,� = " " " " " " " ' ' "
Suprv. Electrician signature, required: /\ I Subtotal:
t ∎`i� Plan review (25% of permit fee):
`
Print name: $ILL HALBERG 'r b at State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature This permit application expires if a permit is not obtained within 180
Print name: MATT HALBERG Date: days after it has been accepted as complete.
0 -461 � permit.
7// ` Number of inspections allowed per peit.
1: 1Building \Permits\ELC- PerntitApp.doc 07/01/10 4 ST(II /05 /COM/WEB
/336 ? 6 Occ x_ L A.)3
A-LP, ,J E J t �.t) wag
1 Building Division
,
m
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: l — Y 50
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A y
Routed Plans: 6 l Original Plan Submittal Date:
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 (■) 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 o I if approved. f i11
Planning Review (contact 13- 718 • or G @tigard- or.gov)
La Use Case No. ' 1 S/ L •' 41 • ame . di
Zoning P
02 Setback 7
1/` Z
/Front Rear l '-�/ Side C Street Side I 0 Gara e ,�
[?l Maximum Building Height "745 ' Actual Building Height 2 Li ' .-' 7.494'/, + 0-
❑ Visual Clearance ,---- / ❑ Easements - 1 23
❑ Sensitive Lands Type
Notes:
Vi gal --NW 3
Original Plan: Approved l Not Approved ❑ Date: /Z� /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:
Notes:
Original Plan: Approved fd' Not Approved ❑ Date: b Ld PL
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Ci t y borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
1 2 1 / treet Trees
Protected Tree / / /
Notes: Ne �rr t ,TW^^ — n -- t J(..IC ,.. /,lK.,s 1 rri -t. of c. v, ,,( cu fi, A.
Vet Ver.k,i 2w-l. !` r , '1' , w.G LA Jill ty:t,
Original Plan: A roved ❑ Not Approved Date: C 'PI" avl
Approved d�
Revision 1: Approved Not Approved ❑ Date: q — iZ
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 Applicant
Okay to Issue Permit: Yes /No ��2/// Z.- Date Routed to Building:
Page 2 of 2
A LP INE VIE '► V
LOT 28 SE 0 4 2012
CITY OF TIGARD, OR CI ;-�. . ; iGARD
DISCLAIMER: CITY /JURISDICTION HAS AUTHORITY PLAfvtsi�etiVGiNEERING
TO CHANGE SITE PLAN IF NEEDED.
-- - — EROSION CONTROL FRONT LANDSCAPE
Ui Ui HAY AND SILT FENCE IF NEEDED
(D CD
N
. \
INSTALL TREE LOT COVERAGE
! .
PROTE FENCE LOT AREA = 4,762 SF
1� -- •. BLDG FOOTPRINT = 1356 SF
' 'i` — ��_ 94 � — -, ; 1r COVERAGE = 28%
H
I w.„,_...... ...
, __
_ ......_i ,___
„, ,_......,..... _ _
(.2 , -_. SILT FENCE - TYP. EXISTING
SETBACK REQUIREMENTS
Q APPROAW4TE CRP U E urr
o t PRESER�u FRONT (TO BLDG WALL/PORCH) 15'
o _ SIDE YARD (ST.) 10'
N w 3540 SIDE YARD 5'
M 4$8 S : GARAGE 20'
D — — REAR 15'
— PROPOSED
00 �1 fir I SETBACK REQUIREMENTS
,S8 FRONT (TO BLDG WALL /PORCH)11.25'
W I LOT 28 SIDE YARD (ST.) 10'
to SIDE
rn 4,762 SQ.FT. ^ � I t GARAGE 1
L
N 584 L� _ El EAR 15'
ET_
14 2 ' � Pi, lb: si
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o 1 SW OUZEL LANE Iv
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D.R. Horton Homes
C ADDRESS: 13389 SW OUZEL LN
0
Y- PLAN : 3731 A
0 SCALE 1' - 20 4386 SW. Macadam Avenue, Suite 102
DATE : 8/31/12 Portland Oregon
\ PHONE : 503.222.4151 FAX : 503.222.3717
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I , , is , ' , _ „ , am the general contractor or the owner- builder
— i
at the following address:
Site Address: 133C,1 S (S uZL7 2/0
City:
Permit #: S,T 2e1/ - OD 1
Subdivision/Lot #: v -g= i 2, 8
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: N Date: (ti. ' /1Z__
General on actor or Owner - Builder
I: \Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction: �
/Yj�2ot2. Oo1'So
Site Address:
/736q 6 026., LA)
Subdivision/Lot #: /4-/PIZQt. - VZSL3 2 8
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 s . urce that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specia t • o e N1107.2)
Signature: Date: (2 j /
Owner /Gene .1 n ' actor /Authorized Agent
Print Name: /,'17.114 S e4r
•
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
.71 " STREET TREE
TIGARD
CERTIFICA TION
, owner/ agent for 1 ,
PRINT) (PERMIT HOLDER)
do hereby certift 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.: `/l i S`1 20 12 -- pb 1C
Sl1 E ADDRESS: 13 (o c SCJ D uz / jov
SUBDIVISION: Al? -N 1 f ,7-4J LOT #: j
SIGNATURE: � , - DATE: 1 2 114 I/ 2
t ; ENT)
RECEIVED &
VERIFIED BY: DA 1 E: 4717 ? -1 v
• OF TIGARD)
U T ree location verified per approved site plan.
I: \Building \Forms \StreetTreeCertificate 05/30/2012