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Permit „ CITY OF TIGARD MASTER PERMIT 11111 e - C OMMUNITY DEVELOPMENT P ermit #: MST2012 00230 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/01/2012 Parcel: 1 S135CA11400 Jurisdiction: TIGARD Site address: 11473 SW 96TH AVE Subdivision: EVERETT TERRACE Lot: 13 Project: Everett Terrace, Lot 13 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: Y 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr 0 Ea add'I 500 sf: 3 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All asin Y Other: N Other Description: Ecom p 9 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: $17,733.09 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 ' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio• enter. Tho.- le are set forth in OAR 952 - 001 -0010 thro • h OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by call g • % •. 987 or 1.8' 1 23 4 / Issued By: lie-- :I I 0 / Permittee Signature: ('J I Call 503.639.4175 by 7:00 a.m. for the next available inspe•^•on date. This permit card shall be kept in a conspicuous place on the job site u : co • lotion of the proj , ct. Approved plans are required on the job site at the time of 'a • nspection. Building Permit Appli Residential 6 2.01 FOR OFFICE USE ONLY City of Tigard �TiGARD Date/By: / Received 9 1� Permit No : MT��� - (JD/� MEI ,I q 13125 SW Hall Blvd., Tigard to N Plan Review t _ Phone: 503.718.2439 Faxio�Q�15t 9Dw DateB � : /kli Other Permit: c4)Q.2o %2_00/8 , T I G A R D Inspection Line: 503.639.4 �� �"`'' Date Ready/By: Juris El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information 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. � ® 1 -and 2- family dwelling 0 Commercial/industrial Valuation� ❑ Accessory building ❑ Multi - family Number of bedrooms: ?j ❑ Master builder ❑ Other: Number of bathrooms: a. S JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 l 1473 7 9 -4-s&- floc., New dwelling area: 'R square feet City/State /ZIP: i cK ` 0 -e _ -� Garage /carport area: c/C� square feet 3 Suite/bldg. /apt. no.: Project name: Everett Terrace Covered porch area: I6Q square feet 8 ai Cross street/directions to job site: Deck area: 16a square feet I42?4 Other structure area: 2) (© square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Everett Terrace Lot no.: 1 ° 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: $ �` Existing building area: square feet •f New building area: square feet ® PROPERTY OWNER ❑ 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: F 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 Amount received: Phone: (503) 502 -6623 Fax: : (503) 533-5164 E -mail: katie@sagebuilthomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Sage Built Homes Submit two (2) sets of roof plan with corm on details and fire • - . artment access, along w' • e 2010 Oregon Address: 16280 NW Bethany Court Solar Instal . S.ecial ..e checklist. City /State /ZIP: Beaverton, OR 97006 Permit F des plan review $180.00 and admin ative fees): Phone: (503) 502 -6623 Fax: (503) 533 -5164 State surcharge (12% of perm' -e): $21.60 1 CCB lic.: 189330 , Total fee due upon application: $201.60 Authorized signature: I� / /,� / f This permit application expires if a permit is nit obtained _` - ; ���i � �• )I within 180 days after it has been accepted as complete. Print name: Katie ' + tterson Date: 9/6/12 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building \Perm : UP- RESPermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB) Plumbing Permit Applica1 E1VED Building Fixtures SF F 0 6 2012 City of Tigard I ,,' p Received Permit No.: /l/ r O / - C4 L5(j II Date/By: 42.- / 13125 SW Hall Blvd., Tigard Oc IRQFTIGARD P1 Review Other Permit No. /Q o�O /, - Glt7l0 e �a IN I Phone: 503.718.2439 Fax: B1i1{91 II DIVISION Date/By: T I GA R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction 0 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 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath + 500.32 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: Job site address: "� r' ( I 1 / t j 1 3 5, 3 Ci -ft , '� n Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: Tigard, OR Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: 1 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.: %,5 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 g5 ,a a Residential New Construction Dishwasher 1 25.02 v_,5% 0;2. 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 Floor drain/floor sink/hub I 25.02 5, Oa Address: 16280 NW Bethany Court Garbage disposal , 25.02 as,V, City /State /ZIP: Beaverton, OR 97006 Hose bib a 25.02 Sc. p Phone: (503)502 -6623 Fax: (503)533 -5164 Ice maker I 12.51 1 .6 ® 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 25.02 .O City /State /ZIP: Beaverton, OR 97006 Solar units (potable water) 62.54 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Tub /shower /shower pan a 12.51 SS .pa E- mail: katie@sagebuilthomesllc.com Urinal 25.02 Water closet 3 25.02 73,062 CONTRACTOR 1 ,,� 7 J� 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 3? Plumbing Lic. no.: Plan review (25% of permit fee) CCB Lic.: i D State surcharge (12% of permit fee) Authorized signature: `1 / i C U Y `/ 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: \ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 46I6T(10 /02/COM/WEB) Mechanical Permit Application FoR OFFICE USE oNi.l City of Tigard JJ \TE D Date/By: % 4 // �� Permit No.: /y5 ", „ a j� p n 13125 SW Hall Blvd., Tig Plan Review ., ` /Q� • Phone: 503.718.2439 Fax: 503.598. I,Q6A 2012 Date/By: Other Permit: pAG(J OIa S TI G A R D Inspection Line: 503.639.41755 'I{ U b Date Ready/By: Juris: 65 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information ,� aiSiORI 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' 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ,` cl J ,, __ '` Air conditioning // .7S c Job site address: j `(i 1:2) ��'`l /W (requires site plan showing placement) i 46.75 i %Ip Furnace 100,000 BTU (ducts/vents) '' 46.75 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 23.32 ' _ _ _ L 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.: 1 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater t 23.32 ,. 3,'3 Residential New Construction Gas 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 0 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: Sage Built Homes LLC Environmental exhaust and ventilation: Address: 16280 NW Bethany Court Range hood/other kitchen ] � equipment I 33.39 City /State /ZIP: Beaverton, oR 97006 Clothes dryer exhaust 1 33.39 ,54 Fax: 503 533 -5164 Single-duct tomp rtm ents (bathrooms, Phone: (503)502-6623 ( ) toilet compartments, utility rooms) L 23.32 1. 3 A 0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 1 23.32 a ; Business name: Sage Built Homes LLC Other: 23.32 Fuel piping: Contact name: Katie Patterson $14.15 for first four; $4.03 for each additional Address: 16280 NW Bethany Court Furnace, etc I Gas heat pump City /State /ZIP: Beaverton, OR 97006 Wall /suspended/unit heater _ Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Water heater i _ Fireplace I _ E- mail: katie @sagebuilthomesllc.com Range CONTRACTOR Barbecue Business name: The HVAC Team Clothes dryer (gas) Other: Address: PO Box 854 MECHANICAL PERMIT 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.: ) & 11 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized si afore: fr / This permit application expires if a permit is not obtained within 180 L'� days a fter it has been accepted as complete. Print name: Katie P: erson Date: 9/6/12 • Fee methodology set by Tri -County Building Industry Service Board 1:\Building\Permits \ME' -Pc . App.doc 03/07/12 4404617T(II /02/COM/WEB) ,Sep 05 2012 12:55PM ROSS ELECTRIC INC 5036425015 p.l I ri I Permit App ' -� City of Tigard e► `� a 13)25 SW Halt Blvd., Tlirprd, OR 97�� L.�7�F /� , Perrot+No.: �� • Phone: 503.71 8.2439 Fax 303 5984'960 e Q IL evleW r —� °� '- I , � ..?'1;1,_ Inspection Line: 503.639.4175 0 ' ' Othm Permit: 0�.gD / ♦o /y ww.H Date Re hfetho . IMMO: w gard•or. R® NotiNed/Mathod: _1I(a::.i 84 SIO PLAN REVIEW ... . ■:4 New construction IN •• • t On/alteration/replacement . ears sett dl that e ❑ Demolition app (I •All Bore Or ill wrt0eme AIM •O ow mil ■ Ot ht7: C) a rru t oe or feeder 100 ern= or more O evading over three smiles. CATEGORY OF C wham Ye 0vaileble huh current Q Marinas and boatyards. �(STRUCTION waoc W 10,000 amps .1150 volts or ❑ Fleet buildings, Imo C+ 1• and 2•familydwelling ■ Comrnerefaliinduatrfal ■ Accessory building amps ro around, urInu ed'tg0oo OCumrn we sgrlcltlNr ' l ❑ Multi -t unify 0 Master builder ❑ Other: 13 pm °tom r^a.uariona buadrn JOB SITE INFORMATION O hun11auoo of 15 KVA or HMATIOIY ANfD 11 OC,4 ROp D B tw5escy 'rim, larger separately derived twain. Job no.; 0 Addition anew meter load of 1=1".4".9r.,1-2",..14., Job else address: y I `� 1 I I OOFIP n more, oecuttaroy. City /SIBtdZ1P: ---". d., g � �� • Iii. a more rcddentrd netts. Q 1lscreeUoad vselsle posits Olfeelth -cart lseilldu. Supply whatgs as more than ❑ Hermdo+a locations, , A00 volts nominal Sulte/bldg. /apt, no.: Pro ject Aeon: Everett Terrace ❑florvioo or hatter 600 amps or mom. Cross etreot/dltrction, to Job site: 6K6 SCHEDULE ess c8del eingle -or t• Nswrinld tauN.fenrl • dwellIi8eoiG Subdivision; Everett Terrace Includes attached serge. I Lot no.: I 1,000 e.. ft. OI Ito 168.94 Tax map , excel no.; W. odd 1 !00 A• . R. or portion d e ��� BBB_ __ OF WORK 7J.00 2 Residential New Construction 75 00 111111 2 Servlcee br • des+ 01 ... ;: , • Herod andrer eeloeattnn ® PROPERTY OWNER 200 a or lase 100.70 , 2 ❑ TENANT 201 amps to 400 cm . , rMIE:11 2 - Name: BaBeBglltHemeeLLC 401 amps to 600:•..,, r 200.34 Address: 16280 NW Bethany Court 601 amps to 1,000 amps III 301 04 2 Over 1,000 amps or volts 392.26 2 City /State/ZIP; Beaverton, OR 99006 emporery len tee or dere netailetloa, a ten on, und%or Phone: (503)502.6623 re °tattoo Fax: (503)533.5164 200 amps or le ss 9 p9 1 a wner installation; This Installation la being made on property that I own which Is not 201 amps to 400 em.' r 125.08 6 ` 2 Intended for sale, lease, rant, or exchange, according to ORS 447, 449, 670, and 701. ant amps to 590 lumps 16s5d 2 Owner signature: Ranee Iseult -flew ;hare . orenteoeion • r , a t , Date: � _ A. Poo branch circuits with ® APPLICANT ❑ CONTACT PERSON ea t pe nce r or hotter Owe 7.42 2 Business name: Sage Built Homes LLC ti. Pao for branch a r outer earbeu Contact name: Katie Patterson service or &sirs Poe, liras branch efrcujt 96.18 2 Address: 16280 NW Bethany Court Each WWI branch circuit 1,42 2 MHeellaneoue service or , ;! er act 'eluded City /Si te/ZIP: Beaverton, OR 97006 m rt>arru(lcNrad or mod ar dwellingmiwendm.11We/ 67.84 2 Phone: (503) 502-6623 l Paz:: (503)533 Reconnect only 6164 ? E tulle _•. egeEullehomeslle.eont Pump r irrigation circle 67.84 2 CONTRACTOR Sign ar o cu l t00 •• rep 2 Sign sirs ult(e) or Ilmltod eter� • Business name: Ross Electric Address: 2870 SE 7$ 0203 — Each add' opal Inepectton over flow bit n ea • Ihe1pove Additional ln 66.2S/ — - City/State/Z1P: Allsboro, OR 97123 Investigation (1 lrrmin) 66.29/ hr Phone; ( -] ®00 Industrial plant (1hrmire) 78,1IVM Fax: (503) 6424815 Impactions for whlah no %els Etc drlcal Lio.: — 6 • alkali het - he m I 90.00/ hr Suprv. Electrician signature, required: ' ELECTRICAL FEES Subtotal; Print name: 1 , Sr Plan review (2995 of parmlt he): Due: Stain surcharge (12% of pevnit tie): Authorized signature: i / TOTAL, PERMIT FEE: Authorized �. / - ` Thla srrrtll a P ppJteenoa expire' Ifs permit V not obuleee srllla l� Print name; Katie arson / date: 9/6/12 de:4 eau It ham hoe uwspm4 ae complete. • Number of hopaotloaa'Hosted per pencil. / I:tBundindWenNn 7 oa •r pp 440+ 611T( IIN1poMlweg Building Division Development Code Provision Review TIGARD Residential Projects Bu lding Permit No.: l• ago Site Address: W173 tw Q( "`' 40f, Project Name & Lot No.: (►.)P./LtiT 1 .4MCE L r { 3 CWS Service Provider Letter Required: Yes ❑ No r Received: Yes ❑ No pc Routed Plans: Original Plan Submittal Date: 9 t'' / 9" 1st Revision Submittal Date: A L- ❑ Site Plan Only 2 "d Revision Submittal Date: ID /- XPSite Plan Only ice" OLt7 R- EA/0745Z z orAvty 444/ 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. 2 Planning Review (contact G L.u� at 503-718-OP/7 or f JP ` @tigard - or.gov) La9.d Use Case No. ` /// Zoning f�— / Z 19' Setbacks: Front (C Rear l ' Side `' Street Side 1 0 Garae 2 2 Maximum Building Height 3 S ' Actual Building Height 2 LJ [3KVisual Clearance rd' Easements ❑ Sensitive Lands Type: 1 /� Notes: " t9 P7 /v''J'� o,�..r 2 ne'7' Appt /9 04 1 4/A r, a DG 11 i� ¢ _ A ._ i M 1,1J Original Plan: Approved Not Approved Date: IS 2 Revision 1: Approved ❑ Not Approved n Date: '/�1 Revision 2: Approved Not Approved ❑ Date: 0 — — / 7 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) ,Ja' Actual Slope: Notes: at. IN7 uJ Q G •rte r , . sit/m.3 w# - ( 4 - ca.JA„- t - t'`� u '1 -A►i1 $ '' e [ ova- D Bt-is FASP-4 . Nt Eb 'rrei c/+c. b a-- ,t. FAL G TtiZ s I rti..I Lam. 0 I 411L J ( agiot ¢,ta o ws14 77-14T AILS, - ' f/2-c Jz'-Y Original Plan: Approved ❑ Not Approved - Date: 1I % 1 Revision 1: Approved ❑ Not Approved Date: 'Er l Revision 2: Approved )2' Not Approved Date: t SFr Jo I NI' � � V pr.• , 7L K- (Review Continues on Page 2) 7b 1 3l. Ct_x. r11 -fG1 � Page 1 of 2 City Arborist • view (contact Todd Prager a ' 03 -7 : -2700 or. e4d @tigard- or.gov / ❑ Street T ees ❑ Protec , . d Trees , Notes: 7 / e601,� � / .i �� ..-..,..... Original 'Ian: Appro • • d ❑ Not pproved • Date: . 2 - 1 Revision 1: A. • oved ❑ Not ' .prove. ■ Date: Revision ' • ' pproved ❑ Not A ∎pr. ed ❑ Date: NV 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 licant Okay to Issue Permit: Yes . o ! i / , 0,.. '5/ 1---- Date Routed to Building: ■ • NiN 1 . • .i. 4 • 1 • . Page 2 of 2 W ZW . EZ CC Z Z 8 t $ N 1 t i i g U TOPOGRAPHIC /SITE SURVEY oC:C 4::( Z a F. 0 0 i cg ' 1473 SW 96TH AVENUE A REPEAT OF A PORTION OF LOTH 1 & 3 o o Z BOETCHERS ADDITION TO GREENBURG HEIGHTS" " _ SITUTATED IN THE SW 1/4 OF SECTION 35 a a E E h - LOT 13 OF EVERETT ERRCE T CITY S OFTIGARD, C OUNTY OF WASHIN�GTO . STTAT MERIDIAN FJV J) l'. 0i 2jr? REc r. 3 RECc � CITYOFTIGARD SEP 2 4 2012 • Et I. .� ALE ' w VI 6 CITY OF TIGARD , I T T , f`13V�,J�`=� =� /o //al— 1 ` app l, `. o� O 'gyp I I _ /1.9r a 3e 1 I \ O i \ ' Q 1 3 � ""&"4•7 • . i 2 V — Ra I - _ j 1 I I I E.. il a , \ ® ® 3272 SF ` :. 1 I ��I I I x...., @W • I q o - - Tx u .cc ! � / agile I ' 1 \ \\ § I • - .. -- -- - -uA - -7-6377 - - -- • i I / ► a. _ — - - -- - - -- - Q I r'a: i L., a RAM 7 YM 4 1' . 1 _ c� I -I- g -- - _ SCHE ?VATIC DRAINAGE FRC IL= J in su:nc u•cn;, -CO aI,u 7 1.11aE *wE I II z• .�srec.•ao • i I / —6" ru[ MHO 05`- • NOTES OWNER / BUILDER GENERAL INFORMATION ; • O ,'� £X $TKXtM LINE MAIN SAGE C x L/SR HOMES 97E ADDRESS 1f17J SW 967H AVANUE i t ' • , r h.: 7 4 * \PER :SHEET 9,10/16 ASBUILTS 16280 NW BETHANY COURT A'!00 R h • ` • " • 5 .Ri •y 2 EX '8" SANITARY MAIN 8£AVERTAN GW 97006-4887 TAX ROLL LOT f x EY£RE7T IERRAC£ 3 ` f t x �. � Lt ue a..,r O PER SHEET x9,10/16 ASBWL IS , )1 FRONT YARD SETBACK: 15 -FT :'a 9 © CONNECT TO EY. 4" SANITARY LATERAL NOTES . p� ." , z v* 5 y' - as. im GARAGE SETBACK: IB -FT PER SHEET x9,10/16 AsBUILTS „ laataz , _,. y . ; _ LOT COVERAGE: SIDE- YARD SE78ACX 4-FT (AD.A/S1ED AS PART OF APPROBAL) zsa t . Y . wmuei spa, 8rr S. X J�JiET 3E 7t�jtj(Y w ra co- r u., i CCWNfCT TO EX I " STORM U /ERAL 7172 SF 1.,...,1 RE AR - YARD SETBACK 15-FT J LA q 4 PER SHEET x9,10/16 ASBWLTS • • 6 . * • . 4i. 1r uwny . n BUILDING ENLEIO°E.•781a7 (2(23X) . HO T PUN • gy •+rx 9ra'J•; O 20' COMBINED SANITARY/ STORM EASIIENT STREET FACING FACADE ' ' �� r M ��: Qx P I PER SHEET 49,10/16 ASBUILTS EAST FACE 295 SF (44.25 SF ■ 152) , , K:raca+.w anu Act CFG Leta i © M/AGATION PLANTINGS PER GLAZING : 17 SF (16.TJ RAYWOOD ASH ■ a w Iry � C x ' is mat "r 6 ZONING R -f2 Al. v tt,.- • q,;. 711\ i_.<0 .7ea • r.WP SHEET 11/16 ASBU/L TS r+a rcmr O EX TREES TO BE RETAINED PER TREE LEGEND © h c�s- SHEETS JA et JB/16 ASBWLTS OM/ m 1O1i71m s wart wen SCAJ1• mane.. TREE PRO7ECRON FENCING S OL 1 A RN NAME COMMON NAME � E 0 ~POSED ADAM! 6 z x P. aM - /6a..61 �c*/ a ut^u2a e•= a n7a1W Rms CERICIOPIODUM JAPAN/CUM KATSURA TREE MIN 2" CALIPER / S' HOCHT r —r aaz PpIQ90r 1dO[ BOX SILT { ".} a:2 1 ' ?! 7 U 541BS seems: 0.a•tK O 8 PROPOSED STORM DRAINAGE FACILITY FOR 0 PROIpIA• COW" r s. �a _ taw r�naca OF' ?LAYT�; u� a •e ac7 a P*! /'S KA'A9 79.9 AML LOT IJ A9, wins DC m : WART* Z aunav %t? fRAJONUS ANCVSIIfOLIA RAYOD ASH MIN 2" CALIPER / 5' HEIGHT 0109 cvn•o,.. r9aaac A CHT PPE PLr:1Tj: L O EROSION CONTROL FENCING ,� LTA aef a W w 0.4 0 a W] 11 ?! I•AWIC I A. , ►'tom! eKA1 /45‘ {� f CARPINUS BE7ULUS EUROPEAN HORNBEAM MIN 2" CALIPER / 5' HDCHT i T. 7:7 ?WIZ R] [LS7 YcB 9(! Pyl ^ ROIJ CMI C 1 SZ_ a PI 2T5 1 WIZ 0:12/7 z 91/91/9093 u AC 1/0 /ECM SaYG CALIPER / 5' HDCHT DOUGLAS '.A- •+..�*. f ,4117/ AaM[Y & c � a.7.7/0 a.7.7/0 a-LV CON '7 FIR YIN 1" f o MCI �� � �K PS£UDO75UCA /�2 CALOCEDRUS DECURRENS INCENSE CEDAR t , �� -+ 7p �' ACER CRCINA1UM NNE MAPLE I ID A 1 — _� ALNUS RUBRA RED ALDER I 7 .....,....% I I1L• 4"""0 .71 1 " ... E , .,,.w W'` a•r i 1 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 11473 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 02/20/2013 00:00 MST2012-00230 PASS 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 11473 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 03/29/2013 00:00 MST2012-00230 PASS - C of O CofO left at jobsite Violation Summary: Inspector Contractor Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Cate, ponear For Sage,tv lvA e„� , am the general contractor or the owner- builder at the following address: Site Address: / f q 7 3 S� 96. A-VP. City: - / /C keA Permit #: L-01 2 _ ©o Z-'50 Subdivision/Lot #: 5!/ere;Tr 7 Lc7 #- (3 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: 5 0/'--e l3 eneral Con or or 0 ; ;. - Builder (:\Building\ Forth \RES- MoistureSensitiveWood.doc 09/25/08 Glenn Waer Energy Consulting, dba Willowaer 16266 Hiram Ave Cell 503 - 701 -3165 Oregon City. OR 97045 Phone 503 - 723 -9979 gbopwaer @msn corn This is to verify that I performed a duct test at the following address on 3/20/13: 11473 SW 96 Ave, Tigard. This test was done in accordance with ODOE /PTCS testing specifications and the test results were as follows: A total leakage test 106 cfm was recorded. If you or anyone has any questions concerning the tests don't hesitate to call or write Glenn Waer 3/20/13 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: — DO Z301 Jurisdiction: C-CIX 0E- Ti r Site Address: / l 73 56 9� tl-. A Subdivision/Lot #: Z &fO!' 7 rr' - # /3 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) Signature: �� 7� Date: 3/ z d 20 3 Owner /Gene C ctor /Authorized Agent Print Name: CAL DoNC-X ORSC Section N 1 107.2. 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. l:\Building\Forms RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE TIGARD CERTIFICATION I, C a-t e. 0-ex , owner/ agent for Sc e, � \nowt f (/ C , (PLEASE NT (PERMIT HOLDER) do hereby certi 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-c9 l 2 - 002- - 50 ME ADDRESS: ( / c/7 3 5 A ) 96 * Ave-- SUBDIVISION: Cv, r LOT #: l3 SIGNATURE DA 1 E: 3/Z- 6/Z-4 1 OWNER /AGENT RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 VACUUM TRUCK SERVICES SS 8p 7O t' - v DAILY VAC RECORD � � °aoua IRON HORSE GROUP DATE:. } Y ° JOB NUMBER: - .. PO NUMBER: BILL TO:, , SERVICE ADDRESS: 7' -,. DESCRIPTION OF WORK REQUESTED: • TECH SIGNATURE:--' ' . - CUSTOMER SIGNATURE: WORK ACTUALLY COMPLETED: PORT: TO PORT: CATCH BASINS: - DISPOSAL: " YARDS or GALLONS CIRCLE ONE DESCRIPTION OF WORK COMPLETED: TECH SIGNATURE:_. CUSTOMER SIGNATURE: OFFICE USE ONLY PO Box 30569 Portland, OR 97294 -3569, 503.943.3400 Phone 1 503.943.3389 Fax