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Permit CITY OF TIGARD MASTER PERMIT 1 COMMUNITY DEVELOPMENT Permit #: MST2012 -00235 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/23/2012 Parcel: 1 S 135CA11200 Jurisdiction: TIGARD Site address: 11455 SW 96TH AVE Subdivision: EVERETT TERRACE Lot: 11 Project: Everett Terrace, Lot 11 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 634 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 829 sf Garage: 202 sf Front: 15 Smoke Dwelling Units: 1 Third: 345 sf Right: 4 Detectors: Yes Total: 1808 sf Value: $201,770.24 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: 2 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 Other Fixtures: 0 Drywell- Trench Drain: 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 & Stereo: N HVAC: N Security Alarm: Ni 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 1808 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports (Conditions) 16280 NW BETHANY CT 16280 NW BETHANY COURT 1 Ersn Cntrl 503- 639 -4175 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 502 -6623 PHONE: 503- 502 -6623 FAX: 503 - 533 -5164 Total Fees: $17,698.36 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. Tl)•s- rul= are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling - 1 • : 2. i 987 or 1.: 10.3:2.2 1 Issued By: Permittee Signature: il , I 0` -.111 Call 503.639.4175 by 7:00 a.m. for the next available inspectio dam This permit card shall be kept in a conspicuous place on the job site until c. p ' ion of the proj t. Approved plans are required on the job site at the time of eac ' • pection. i t } , 1f ,4tl r., 1 • Building Permit Application SL? 1 -20;2 Residential FOR OFFICE USE ONLY City of Tigard . • t, •. • . • ^'J Received /�( .Ti Permit No.: Sia?p4,2�e1 t Date/B,y: �� • N .. 13125 SW Hall Blvd., Tigard, OR 97223' :' ' ' . - . Plan Review ► , ' `Z , I � Other Permit: 7 t ����.bl� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: L < < �� d Inspection Line: 503.639 Date Ready/B : S lures• See Page 2 for T 1 G A R D / Internet: www.tigard or.gov Noti ed/Method: (O //7 /' / ,� upplemental Information a �i. 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: WI ) 722 24. ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder 0 Other: Number of bathrooms: a . 6 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I i 5 Slru 96, -,• New dwelling area: f 630 a square feet City/State/ZIP: Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Everett Terrace Covered porch area: 1 5 0 square feet Cross street/directions to job site: Deck area: (. j� j square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Everett Terrace I Lot no.: I I 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. Residential New Construction Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER 1 ❑ TENANT Number of stories: Name: Sage Built Homes LLC Type of construction: Address: 16280 NW Bethany Court Occupancy groups: City /State /ZIP: Beaverton, OR 97006 Existing: Phone: (503)502 -6623 Fax: (503)533 -5164 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Sage Built Homes LLC Structural plan review fee (or deposit): Contact name: Katie Patterson FLS plan review fee (if applicable): Address: 16280 NW Bethany Court Total fees due upon application: City /State /ZIP: Beaverton, OR 97006 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Amount received: 256 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E- mail: katie @sagebuilthomesllc.com Commercial and residential prescriptive installation of CONTRACTOR roof -to • mounted PhotoVoltaic Solar Panel System. Business name: Sage Built Homes Submit t • • (2) sets of roof plan with connection d ils and fire dep.,- ent access, along with the 2 regon Address: 16280 NW Bethany Court Solar Installatio • •cialty Code City /State /ZIP: Beaverton, OR 97006 Permit Fee (in . an review $180.00 . • • . 'minis' : 've fees): Phone: (503) 502 -6623 ,ax: (503) 533 -5164 State surcharge (12% of permit - , • $21.60 CCB lie.: 189330 / Total fee due upon application: $201.60 Authorized signature: i/ 0 / 0/41. This permit application expires if a permit is not obtained l , t r f4 .1■L`I /1 V - within 180 days after it has been accepted as complete. Print name: Katie P arson i Date: 9/6/12 * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permi P-RESPermitApp. • oc 02/ 24/2011 440- 4613T(1 I /02 /COM/WEB) Plumbing Permit Applicativii. .k 4 i J: �'� Building Fixtures �' ' S E P 1 3 2012 Received City of Tigard Date/By: 9 / 3 i - ( :) n Permit No. :H969e:49 . 5c 711 u 13125 SW Hall Blvd., Tigard, OR 7223 Plan R C Phone: 503.718/439 Fax: 503 11960'' t "i`� `- -' Date/B�iew Other Permit No.: ��Q r� Inspection Line: 503.639.4175 ' v G !I; c ,+ ...,: f'' :''' "1 G A R D �. e _y . . ,. , . .• ' � + 'l Date Ready/By: luris: RI Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE , ® New construction ❑ Demolition For special information use checklist Description I Qty. Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath / 500.32 ,r . 3,r,.,� ❑ 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: _ 1 1/56 e . , , C 9C /�„ �� Catch basin or area drain 18 Job site address: -( l � l � -y 7 �( - Drywell, leach line, or trench drain 18.76 City/State/ZIP: Tigard, OR Footing drain (no. linear ft.: Page 2 Suite/bldg. /apt. no.: I Project name: Everett Terrace 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: Everett Terrace I Lot no.: i I Fixture or item: Tax map /parcel no.: Backllow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 o7s .0.Q Residential New Construction Dishwasher ( 25.02 ate, pa. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Sage Built Homes LLC Fixture/sewer cap 25.02 Address: 16280 NW Bethany Court Floor drain/floor sink/hub 1 25.02 ( .95,0:3- Garbage disposal i 25.02 „c>, oa _ City /State /ZIP: Beaverton, OR 97006 Hose bib 9-' 25.02 bbO DC Phone: (503)502 -6623 Fax: (503)533 -5164 Ice maker i 12.51 109. 6 1 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Sage Built Homes LLC Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Katie Patterson Roof drain (commercial) 12.51 Address: 16280 NW Bethany Court Sink/basin/lavatory Y 25.02 jOO .(j'R City /State /ZIP: Beaverton, OR 97006 Solar units (potable water) 62.54 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Tub /shower /shower pan 12.51 4 . ca, E- mail: katie@sagebuilthomeslIc.com Urinal 25.02 Water closet .2, 25.02 75 , C;(O CONTRACTOR 3 .7.53 -. Water heater ' 37.52 Business name: Malmedal Plumbing Water piping/DWV 56.29 Address: PO Box 207 Other: 25.02 City/State /ZIP: Banks, OR 97106 Subtotal Phone: (503) 502 -6623 Fax: (503) 533 -5164 Minimum permit fee: $72.50 nC2 �W � Plan review (25% of permit fee) CCB Lic.: / Do Plumbing Lic. no.: State surcharge (12% of permit fee) Authorized signature: / - 42A- I- TOTAL PERMIT FEE Print name: Katie P erson / Date: 9/6/12 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:u Building \Permits\PLMU- PennitApp.doc 10/01/09 440- 4616T(I0IO2/COM/WEB) ` 4 Mechanical Permit Application's " v _� � x1 roR orriC t'si: UNI., City of Tigard S,_ , 201? Recei 9 /3Aig l� Perm itNo.: /y — 1 1 _. Date/B ved ./ I II a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960: Date/Hy: Other Permit: 4 a - {j5 ) / � T I G A R D Inspection Line: 503.639 ^-.1: " ' � , s � N Date Ready/By: hats: la See Page 2 for Internet: www.tigard - or.gov t Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL 'FEE* _ SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ 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* ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal Information use checklist ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 1 1 _l 55 c - 96,,-, .i 1ue..., (requires site plan showing placement) 46.75 Furnace 100,000 BTU ( ducts/vents) } 46.75 960-75 City/State/ZIP: Tigard, OR Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Everett Terrace Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 1 23.32 a3 •J= -. 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 Subdivision: Everett Terrace Lot no.: I I Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 g.,3 32 Residential New Construction Gas fireplace/insert 1 33.39 3S3 Flue vent for water heater or gas fireplace 1 23.32 .9.3.. Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Sage Built Homes LLC Environmental exhaust and ventilation: Range hood/other kitchen Address: 16280 NW Bethany Court 33 + equipment .39 •.. 2� 17•J; City/State /ZIP: Beaverton, oR 97006 Clothes dryer exhaust I 33.39 33.3 503 502 -6623 Fax: Single-duct comp rt exhaust (bathrooms, Phone: rooms) �/ 93 P ( ) ( ) toilet compartments, utility rooms _/ 23.32 . 0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 1 23.32 x13.32 Other: 23.32 Business name: Sage Built Homes LLC Fuel piping: Contact name: Katie Patterson $14.15 for first four, $4.03 for each additional Address: 16280 NW Bethany Court Furnace, etc. Gas heat pump City /State /ZIP: Beaverton, OR 97006 Wall/suspended/unit heater Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Water heater Fireplace E -mail: katie@sagebuilthomesllc.com Range CONTRACTOR Barbecue Business name: The HVAC Team Clothes dryer (gas) Other: Address: PO Box 854 MECHANICAL P E RMIT FEES* City/ State/ZIP: Sherwood, OR 97140 Subtotal Minimum permit fee ($90.00) Phone: (971) 322 -5013 Fax: (503) 352 -9349 Plan review (25% of permit fee) CCB lic.: / 6 0 i 1 State surcharge (12% of permit fee) TOTAL PERMIT FEE ft This permit application expires if a permit is not obtained within 180 Authorized signature: `�� � / X � Print name: Katie ° : erson � Date: 9/6/12 • Fee methodology set by Tri -County Building Industry Service Board 1: \Buildina\Permits i . •ermitAnndoc 03 /07/12 440- 4617T(11/02/COM/WEB) Sep 05 2012 12:55PM ROSS ELECTRIC INC 5036425815 I° . „ jElec�rical Permit Apulicat1&� , , , t , e 1,,. , 1 , , 1 , . : . - CIIty of Tigard S E P 1 3 2 012 r ' • /F ► ' -' 3 e 13123 SW HaI) Blvd„ Tigard, 0101, 7223„_ (r�� • Phone: 503.718.2439 Fax: 6 - 94.tt1a t`tD • " evieW • Mar Perm a t , /a., -p •• , , , ,, , , inspeo11o11 Line: 503.639.4 l i~ m , . n(l/• , p Date Ready/By: Internet: www.11gerd•er.gov, ., IL> I : , G. . r : l U I J Norifled/Mathod: IIIIIIIEEEREMEN TYPE OF WORK PLAN REVIEW Id '-......- of p a e me all that appl y p .sin na wAe ema as a ow : New construction ❑ AdditloNelteretlon /raptacerttent 0 B,Mae or Roeder 400 amps armom ❑ Hcl,dingover three etoetrA. ❑ Demolition 0 Other: where Ito %ca114ble hull current 0 Mahone and boatyard". CATEGORY OF CONIFTRUCti ION wands 10.000 amps u 110 volt or 13 FlaNlna Widths". IV I • and 2•fatnily dwelling 0 Commerelalindustrial 0 Accessory building Ira to around, or fs. ill 14000 ❑ can fnse, l•we agricultural 8 amps Oa all other installations- �ildfnite, ❑ Multi ❑ Master builder ❑ Other: CJflrs Pump. 0 1Nrollatloa of 75 KVA or JOB SHE INFORMATION AND LOCATTON O (3maraeaoy Brim. larger eaperataly dor(ved Warm. f � � YT� IS .: J CI Addition einem motor load of 0 "A'•,"8 ", °1,2',°1.2 ", Job no.; Job Bile addle"' ( % ( 6 _51M AV i O it 1 (P a more. occupancy. 11 � or morenetdeMHl uel>9. o Rewatbne0 vaafale padre. City/State/ZIP; 1 g, Q�� D ifealth� ere f. 1lUcs. 0 Supply voltaao its more man V ❑ Harardo+a toadione. 600 volts nominal Sulte/bldg./apt, no.: P roject name: Everett Terrace 0 Borvice or finder 600 amps or more. FEE SC11tDULE Cross street/directions to Job site: ' erurlettan 19a 1 red 1 lbw 1 ' , - New refideatlel single- or teulH.fent Swelling stale _ Includes aelechedparag . Subdivision; Everett Terrace [ Lot no.: 7,' 1,000 eq. ft. oriels 101134 4 Tax ntlap areal no.: 6g. odd•1 900 s . R. or portion 33.92 I l _ - am`lted energy, r "(der t(al 73.00 2 DESCRIPTION OF WORK abo th ve a , R �° Limited energy, muhldhm 70.00 2 Residential New Construction Reldemlel Myth above w. fl) , — __ Mental er leaden fortalgalon eI)eralpn.andcrrelocation 300 stops or leas ' j 100,70 IN .NCO 2 ® PROPERTY OWNER 1 ❑ TENANT 201 moo to 400 amps ' 133.36 2 401 amps to 600 amps 200.24 3 Name: Sage Balk Home, LLC 601 amps to 1 ,000 amps 301,(14 2 Address; 16280 NW Bethany Court Over 1,000 amps or volts 532.26 2 City/State/ZIP: Beaverton, OR 97006 . - Tempor services or feeders Ina elletloa, alteredon, and/or Phone: (503)602.6623 1 Fax: (503)533.5164 300 amps or lass 39.16 I "owner in/talletioit This Installation Is being made on property that 1 own which Is not 201 amps to 400 amps 139.08 2 Intended fbr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. ant amps to 599 tuns 1684 2 /knee circuits - new, alterego, ar eattaelon, per Pe nil Owner signature: Date: � A. Foe t1a branch circuits WWM - ID APPLICANT I ❑ CONTACT PERSON above service or radar Ilia, 1.42 2 each branch a ll Bueincas name: Sap Built Homes LLC H. Pee r bran cimults telt l service or &"der foe, Ant 96.18 2 Contact name: Katie Patterson branch olrcyjt Bah edd'I branch circuit 7,42 2 Address: 16280 NW Bethany Court Mlaeellancous (service or Bier cwt Included) "Loh merwttrctured or modular 67.84 1 City /State/ZIP: Beaverton, OR 97006 dwelling, crevice and/vrBafm , Phone: (503) 502-6623 I Fax:: (501) 533 -5164 _ Reconnect only 67.84 2 E-mail: katle a ebullthomedle.eom Pomp or irrigation circle _ 67.84 2 fl Stan or outlineIlghtlnp 07.84 2 CONTRACTOR Blgnd cirault(e) or limited-energy ' Business name: Rae Electric twwl• �►iaemtlon. or cognition. PuAc 2 2 Each additional inspection ovnellowetpla In say Nut apove Address: 2870 SE 76'" 0203 Additional Inspection (1 hr min) 66.25/ hr City/State/ZIP: Rilabore, OR 97123 lnvaallfption (1 hr nun) - 66.29/ hr Indurated hrmin) , 78.16/ hr .. Phone: (503)642 - 2800 Fax: (503) 642-5815 Impactions for whlah no Ito is 90.00/ hr 57 $9 1 l 3 ll - 134, yd 5 ewclllcellylisted (>i hr T) CCB Lie.; Electrical Lio.• � Suprv. Lie. � ELECTRICAL PERMIT FEES Suprv. Elecuiclan signature, required: Op -- -„ Subtotal: M�"�7 Plan review (25% dorm* fee.)): I Print name: "7',` tiosr ' Date: State surcharge (13 %orpermit Ra): 7 TOTAL PERMIT FEE: Authortrxd signature: (3_ , This wadi gringos' sap rag Ira permit le oat eblalned trlah) 1a Print name; Katie P noon Date: 9/6/12 t days after it ha Woo . c.pa.d ae complete. Number of Inspsalkma allowed pro patrols, INIuNd iciefamiliOnC c 07NIg0 1140 +SIMI I101/COMlwga • Building Division Development Code Provision Review T l G A R D Residential Projects Building Permit No.: ' I I ?` -On ?3 S_ Site Address: /11454s (p`- Project Name & Lot No.: f t» g.."71 % £4 *2. L°r CWS Service Provider Letter Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Routed Plans: �-/3,,, / Original Plan Submittal Date: 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: /D / / / /•L AR Site Plan Only /SOP O k 7 * --- '' " /q7 7 041 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 onl if approved. Planning Review (contact lift _ at 503 -718- Z 13 or @tigard- or.gov) Land Use Case No. S Ud )O(/ " * " f J2P 2-1 L ,B�Setbacks: Front 1 _ Rear /5L Side � Street Side / D Garage 2.0 2 Maximum Building Height 3 S Actual Building Height 2 e Visual Clearance Pr Easements ❑ Sensitive Lands Type: //A Q _ Notes: r - �E' ' �' C EL 5 '� "E( �.G1ss...r S Na"n -ritoV mold f ( 77 Sy - . Original Plan: Approved ❑ Not Approved Date: 9 8 " Revision 1: Approved ❑ Not Approve ,12e Date: 9 -2 r` /Z Revision 2: Approved Not Approved lr Date: I ( ( "/ Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) .0 Actual Slope: s % 1 Notes: S Wit,!?. Gx- 7R . FIST (P Zoo- - oZ30 - G G.(. - .. �� 1 NT ��1 ✓1►. -Rig. NR-e_ 37) 13E �d�- �Sy1/LJr Original Plan: Approved ❑ Not Approved S. Date: Revision 1: Approved ❑ Not Approved Date: ° 7 Z' Revision 2: Approved Not Approved ❑ Date: /t) Q /z (Review Continues on Page 2) Page 1 of 2 City Afborist Review tact Todd Prager at 503- 718 -2700 o odd @tiu, d- or.gov) y F ❑ Street Trees ❑ Protected rees 'otes: Or • al Plan: Appr•ved ❑ Not Approved ❑ Date: ' evision 1: App ,owed ❑ Not Approved ❑ - . Date: Revision 2: App oyed ❑ 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 11 1°IP Date Routed to Building: /o • • • • • Page 2 of 2 W F 3 Z W F a Z D o N Cr Z a O A C " ¢ N : X11455 TOPOGRAPHIC /SITE SURVEY SW 96TH AVENUE A REPLAT OF A PORTION OF LOTA 1 & 3 a < o l $ 2 "BO ETCHERS ADDITION TO GREENBURG HEIGHTS" 2 a a ! LOT 11 OF T E EVERETT TERRAC CITY OF TIGARD COUY OF WASHNGTON, STATE OF OREGON 11455 SW 96TH AVENUE I . 7 I �i, 1 '� RECEIVED , , , /I �� _ _ _ _ - 1 o a �t° 2012 r._._ - -- , � - T 41 2012 � ��n p • ,Je.7 - - . T p ��jj - _ • _ . - I I 1 1 �' C T ' { O? { 1 :A 7� I O �� ® I� O L F _ - I I I 11 I I ' r r'Y2 II \ rl� �Ii� Pi l�lI\.7 CITYOFT 2/4e I ,� -� ■ , 1'1 ! IGARD ! , _ e 2 �I f f � BUILDINGDIVISION t Th ® ' 7 �.. I _ \ 7r y /y FG 21A� I I V�L ' ® v 3.323 SF ---.. 4 I - • ! f Q ! / / V ; FG 214.6' 279.3' 1, .� 10 I * 0 � R • / f V /a r (/Q I `- I _ 1.3.5.8* • ■ , . i' .... r I - .._. -_ -._ . %.2.:.1.c. Dor.I.r _ _. _ . - ', • IL_ __F (, / . _....._ .___ zi _.... ir.! I T ' \ au q - 1 G' h Jfi 5. - 2C1 . -v1. --, - SCHEMATIC DRAINAGE PROFILE ! Pi.:1c ( r r. h IK 784s/ (2 . NOTES OWNER / BUILDER GENERAL INFORMATION f ,�cm�r "`�14''�'� �11x .1.1. O IX STORM UNE MAW SAGE CUSTOMS HOLES i I • . } �.4 r ■ � ��"a . Ate, ��. - 'I �:T .'7'.i PER SHEET ,x9.70/16 ASBUIL1S 16280 NW BETHANY COURT /200 SITE ADDRESS 11455 SW 967H AVANUE f r r ?_ r -1 _ _ (r (i-f e � ( BEAYERTON OR 97006 -1883 TAX ROLL: LOT 7l, ELM TERRACE r 111 . � ✓ .' � 2 EX 8" SANITARY MAIN 4-4D-' .. ,i $10/16 ASSUJL TS rc( t7. j ! . f .- to PER SHEET 5 O NOTES FRONT YARD SETBACX: 7.5-FT M. : w .. Lt L`lN� s cater 3 CONNECT TO EX 4" SANITARY LATERAL GARAGE SETBACK: 18 -FT l _ a warm 1) get • PER SHEET 59.10/16 AS8U1115 # R \ 1 ` r, �� T7 . - 1 '( >v,r�. LOT COLERAGE SIDE -YARD SETBAOC 4-FT ( AD •.USTED AS PART OF APPROBAL) zt ..,- , { ® CONNECT TO Ex 4" s7ORL LATERAL }- L .. 0219 rC.�^ a1 - rho.; l 4 PER sHEEr 59.10/16 ASBUIL rs x REAR -YARD sETBA C/C 13 -Fr . aclxa / t u au.r13 An LM+e7 ( UlLDWC ,?/I•ELOPE.• 3x) 0, }#� ar Its: 1' ar: a racru, mfr.-an • ` B O 21 iz (} EI we cIlL - -r. .:s . l 5 20' COMBINED SANITARY/ STORM EASMENT STREET FACING FACADE -7.1. W .rc.T✓ M'. . .7 "a A Elor • PER SHEET 5,9.10/16 A.SBUILTS EAST FACE 295 SF (44.25 SF - 15X) O UTICA DON PLANTINGS R RA GS CLA2INC : 17 SF (!6X) MOOD ASH I NOT 6 SHEET 11/16 ASBUILTS ZONING R -12 = S: TREE LEGEND © "�""l 1 ir . . Graf: ?1.:1(17 O EX TREES 70 BE RETAINED PER 111.7 ro s z 4410 4410 I 0* �� r ' (C4M b of v1 au�7 72 SHEETS ,SA & .78/16 ASBUILTS ' TREE PROTECRON FENCING S /A1W NAMF COMMGN/ NAME 2,,x O BOX - ( .} 1 -a• • X 2P�.a ?U I .,war CERIC1DPHtt1UM .JAPANICUM KATSURA TREE MIN 2" CALIPER / 5' HEIGHT r - RIX 1.11071L408 1.11071L408 Mucr { • • F :l: n . h 5: 53 I !IC a as • . 0 • •L vU1 �Ee FP 7.G O 8 PROPOSED STORM DRAINAGE FApUTY FOR 0 nvn �q 4 eo 4 1us v; R 0 AK a;a :C nM vui�r a LOT 11 �r r rPE OF RAH is: _KM v.0,-., :r. 0 FRAXINUS ANGUST/FOUA RA YK000 AS E1 MIN 2" CALIPER / 5' HEIGHT a_q [Ross( 0Oma m1a.• L �' CE S a 'C SkIL CUP Z11: UV7 41.1• t1 F41f!r• 9 EROSION CONTROL FENCING -i' i (l 7. 3.77F-G1 7 Y . e C:41-11.:41-11....70.1 : 2 = M F.L,.i O 1"1/ 46 (r `� c - ti CARPINUS B£TULUS EUROPEAN HORNBEAM MIN 2" CALIPER / 5' HETCHT 1 FIZE CF FLO:Tt i MI 9T M W .art CRIACI uq Wit CRYr 1 12.2: M Ch 2 6.11.11 /8.1Z eN2: CA Sr l • f�' x l ' D, OQ .y, ® P S EU DOIS UC A MENI)ESU DOUGLAS FIR MIN 1" CALIPER / HEIGHT O SCALE 1fT GAL a r,.ajn. MU. P W;ft. tc. •141. y7: Ccrs Z �!' 1 C� 0' iii I,+ -:1,Tr 6 MU. PAW; I:G�G CALOGEDRUS DECURR£NS INC z ENSE CEDAR !r1 EEt ICk. r Lva I • ... - ea /� � f . ACER CRaNATUM NNE MAPLE I T ,p� K 1 - ho.r•Mr }W11 o3Nyx 5a••io orarnro 1, / j ►tM R: a....-..-.---:'- .Ye[R 194 AWUS RUBRA RED ALDER i II ..:A /Or 57 Wm... 0e1.r•. ;IL= - AfL !, Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, if' x For 5\\ - E{p17P5 am the general contractor or the owner- builder at the following address: Site Address: 5,-J n (le- City: Permit #: ZO (7_, C) o Z3� Subdivision/Lot #: 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: 1/472-?///// 3 General Contra r or O er- Builder 1:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: Zv /2 Oa 23.E r_i op lc( rd Site Address: 1 /5:5 — S ) / fh A ti-e Subdivision/Lot #: /'-veve7T T�rrAc / l and/or CJ 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: 3//i//_3 Owner /Genera ontra Authorized Agent Print Name: L466-- ' ORSC Section N 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 :7 STREET TREE TIGARD CERTIFICATION I, CAL l )e)N c- , owner/ agent for sa�� c� - tfi H , o y in og / GG C (PLEASE R INT) (PERMIT HOLDER) do hereby certify 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.: 2-0t2- CO Z3�� HIE ADDRESS: /1 q5 -- sc.J 76 -4 SUBDIVISION: 6 - - - ret.G - LOT #: SIGNATURE: DA'1 J : �j / / /�� j ER /AGENT) RECEIVED & / VERIFIED BY DALE: / (CITY OF TIGARD) ❑ Tree location verified pe approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Glenn Waer Energy Consulting, dba Willowaer 16266 Hiram Ave Cell: 503 - 701 -3165 Oregon City, OR 97045 Phone: 503 - 723 -9979 EC) gbopwaer @msn.com This is to verify that I performed a duct test at the following address on 2/8/13: 11455 S*/ 9h AtJe, These test was done in accordance with ODOE /PTCS testing specifications and the test results were as follows: A total leakage test of 97 cfm was recorded. If you or anyone has any questions concerning the tests don't hesitate to call or write W 61.0 Glenn Waer