Permit y n CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit #: MST2012 -00220
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/08/2012
Parcel: 2S109DA18600
Jurisdiction: Tigard
Site address: 12758 SW WILLOW POINT LN
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 115
Project: Arlington Heights No. 3, Lot 115
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
• Stories: 2 Bedrooms: 4 First: 1442 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1508 sf Garage: 632 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2950 sf Value: $338,885.08 Rear: 15
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
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5
Fum > =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! 500 sf: 6 201 -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 . -
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 2950
Owner: Contractor:
STONE BRIDGE HOMES NW STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALE WOOD ST, SUITE 100 16869 SW 65TH AVE # 505 1 geo tech report required prior
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97035 to footing inspection
2 Ersn Cntrl 503 - 639 -4175
PHONE: 503- 387 -7577 PHONE: 503- 387 -7577
FAX: 503 - 387 -7615
Total Fees: $20,819.04
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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I /
N. 7 t h /
Issued By: / / / Permittee Signature:
` 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 RECEIVE
Residential " E1VED
I FOR OFFICE USE ONLY
. City of Tigard ((��,, II ((�� Received a Permit No.:
IN '
13125 SW Hall Blvd., Tigard, OR 443 O 2012 Plan R- ie / , �o� No / '♦' / A
p
i;,. Phone: 503.639.4171 Fax: 503.598.19 App��, Date /B :( CO I® � e; Other Permit: gmo9.-ea
T I G A RD Inspection Line: 503.639.41750 am) Date Rea7 •.y: ( �
Q ,. / Jur El See Page 2 for
i Internet: www.tigard- or.govB(fii 11f0 DJISIUN Notified/Method: 1 D y Supplemental Information
i i iie✓ o..t wt tf id
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
1 ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the-pre fit for he
CATEGORY OF CONSTRUCTION work indicated on this applicj la /
Valuation
® I- and 2- family dwelling 0 Commercial/industrial
4
$� ��- ��'."
❑ Accessory building ❑ Multi- family Number of be rooms:
❑ Master builder ❑ Other: Number of bathrooms: 2,5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: I27 ON W HAW To NT 1o4 • New dwelling area: 2,95D square feet
City /State /ZIP: Tigard, OR 97223 7 /3,x, Garage /carport area: (QI3j, square feet
Suite /bldg. /apt. no.: Project name: Arlington Heights Covered porch area: I"I, square feet Z
I
Cross street/directions to job site: Deck area: 19 t square feet /
Other structure area: :j.5 eZ square feet 2.4;-
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Arlington Heights OD. 3 Lot no.: 115 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New, Single Family Residential Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes hi I. Type of construction:
Address: 4230 Galewood St, Suite 100 / Occupancy groups:
City /State /ZIP: Lake Oswego, OR 97035 q '20 3 / Existing:
Phone: (503)387 - 7577 Fax: (503)387-7616 New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: SEE ABOVE All contractors and subcontractors are required to be
Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /7_IP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail: dbritt @stonebridgehomesnw.com
• CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lic.: 173318 Total fees due upon application:
od
• Amount received: ? '
Authorized signature
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: p92 BwrT Date: OVe 1,4.12., * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440 -4613T(I 1 /02 /COM /WEB)
Plumbing Permit Applicatioj
r . � ED
Building Fixtures FOR OFFICE USE ONLY
City of Tigard a t e /B e d '„ /�/ /` . 4, �,�
ty g AUG A U G 2 0 2012 y. o ` e � j Permit No.: ) l
u 13125 SW Hall Blvd., Tigard, OR 97223
P h
C Plan Review
Phone: 503.639.4171 Fax: 503.59,�t oFTIGARD Date/By: Other Permit No.: (.0/4904:9-6/9/$0
Inspection Line: 503.639.4175 ll.• VS iU
T I G A R D Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard or.gov BUILDING
Noti fied/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction El Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New I - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi - family SFR (3) bath 1 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
(1155 SW vvi ^w yowl wl t - Catch basin or area drain 18.76
Job site address: V vv VW IN,
City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: _ ) Page 2
Suite/bldg. /apt. no.: I Project name: Arlington Heights 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: Arlington Heights I Lot no.: 115 Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New, Single Family Residential Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 •
Name: Stone Bridge Homes Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 4230 Galewood Street, - Suite 100
Garbage disposal 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 - 7577 Fax: (503)387 - 7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
. Contact name: Deirdre Britt
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: dbritt @stonebridgehomesnw.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Max Plumbing Water piping/DWV 56.29
Address: PO Box 5597 Other: 25.02
City/State /ZIP: Beaverton, OR Subtotal
Phone: (971)275 -0198 Fax: ( ) Minimum permit fee: $72.50
CCB Lie.: 194644 Plumbing Lic. no.: PB1083
Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: ( � /.. '�� f 'y` 4..,:n.. TOTAL PERMIT FEE
Print name: v Date: This permit application expires if n permit is not obtained within 180 days
Jason rner 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- 4616T(10 /02/COM/WEB)
Mechanical Permit Applicati ., _ r-OR OF IC_ U SE - o ; \L�
DEC EIVED , m
Da eB y: 't , p ` t.
ic ' - City of Tigard Re
Date/By: i 6 I / I Permit No.: !� , / ,..66
13125 SW Hall Blvd., Tigard, OR 97223 �\ q Plan Review
Phone: 503.639.4171 Fax: 503.598.19601A I� G 2 ® 2012 O Z Date /By: Other Permit: o�02_aD /A _Co! : a
TI G A R D Inspection Line: 503.639 Date Ready /By: kris: ® See Page 2 for
Internet: www.tigard or.gov CITYOFTIGARI) Notified/Method: Supplemental Information
RUILDING DIVISION
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.
CATEGORY OF CONSTRUCTION Value: $
® I and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: „ M) S/ wuxow ?owl LN * Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Fumace 100,000 BTU (ducts/vents) I 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Arlington Heights Lot no.:
115 Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK - Water heater 1 23.32
Gas fireplace 2- 33.39
New, Single Family Residential 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
® PROPERTY OWNER Chimney/liner /flue /vent 23.32
❑ TENANT Other: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Address: 16869 SW 65 Avenue #505 Range hood/other kitchen f equipment 1 33.39
City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 5 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: same as above
Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace 7/
E -mail: dbritt @stonebridgehomesnw.com Range
CONTRACTOR ; Barbecue
Business name: Comfort Zone Clothes dryer (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
City/State /ZIP: Troutdale, OR 97060 Subtotal
Phone: (503) 667 - 5595 Fax: (503) 491 - 8252 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
_
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: David Heldstab Date: * Fee methodology set by Tri County Building Industry Service Board
1: \Building \Perm its \MEC- PermitApp.doc 10/01/09 440 -4617T (II /02 /COM/WEB)
Electrical Permit Application , ., _ PO R ,OFFICE USE ONLY .. Received
City of Tigard �[[� �L D Da e/B : riff Permit No.: dO P - d ' � )
° 13125 SW Hall Blvd., Tigard, OR Plan Review
I 2 . Phone: 503.639.4171 Fax: 503.598 A �� 196 5'
D ate/B Other Permit: 4 , / 9- Igo
A 2
T I G A R D inspection Line: 503.639.4175 2 0 2012 Date Ready/By: Juris: Ei See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE . 0WI . 4FTIGARD PLAN REVIEW
®New construction ❑ Additiofb. A • IalYrk§. N 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
® I- 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 ", "I -2 ", "I -3 ",
Job no.: 1410 Job site address: 1 .Al W RUM 170IN � 1 more. occupancy.
T l� • ❑Sixix or or more more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description J Descption l OtY• I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 115 1,000 sq. ft. or less t 168.54 4
Ea. add'l 500 sq. ft. or portion l 33.92 1
Tax map /parcel no.:
Limited energy, residential ;7500 2
DESCRIPTION OF WORK (with above sq. ft.)
f
Limited energy, multi - family
residential (with above sq. ft.) 67.84 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
Z PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2
City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
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,
each branch circuit 7.42 2
Business name: SEE ABOVE B. Fee for branch circuits
without service or feeder fee,
Contact name: Deirdre Britt 56.18 2
first branch circuit
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: ( ) I Fax: : ( )
Reconnect only 67.84 2
E - mail: dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: City Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any__of the above
Per
Phone: (971) 404 - 1714 Fax: (503) 625 - 3052 inspection 66.25
per hour (I hr min) 66.25
CCB Lie.: 42422 Electrical Lic.: 26 - 289C Suprv. Lie.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Chuck Friesen Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee):
Authorized signature: �> TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\ Building \ Permits \ELC- PermitApp.doc 10/01/09 440- 4615T(II /05 /COM/\VEB
Building Division
Development Code Provision Review
T 1 CARD Residential Projects
Building Permit No: H ‘T 9 a - 000'9'0
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A •
Routed Plans: g , //�
Original Plan Submittal Date:
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 7 /n fa ,GuS7`i C at 503- 718 - y)y or @tigard- or.gov)
Land Use Case No. 5 v 1 3 2066 - / Name . ' - ( - Met ,• • ,
®- Zoning f ' 7'
-1:
Front 20 Rear 1,5 Side Street Side Pin Garage 2V
fl' Maximum Building Height 3S' Actual Building Height 2 h '
,0` Visual Clearance
I Easements
❑ Sensitive Lands Type: N 14
Notes:
Original Plan: Approved -B' Not Approved ❑ Date: /5 -2 /'/ ' 1 -
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: / S
Notes:
Original Plan: Approved Not Approved ❑ Date: 0 (2/ (Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of2
•
City Ar borist Review (contact Todd Prager at 503 -718 -2700 or todd @tigard- or.gov)
L treet Trees
Protected Trees
Notes:
i s
Original Plan: Approved LN' Not Approved ❑ Date: /s/ /)-
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved 0. Date:
-
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or Abert@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. •
Date Routed to Building:_ 4 - ) 2
4
I
Page 2 of 2
L
• r
1/41 Di STONE BRIDGE OBE: 1486
_A HOMES
NW JD L TE 7/31/12
" pROpERTY:ARLINGTONIGSTS
LAKE OSWEGO, OR 97
(5 387 AUG 2 0 2012 TIGARD
COUNTY: WASHINGTON— COUNTY
CITY OFTIGARD SCALE: 1 " =20'
gUII,DINGDNISION PLAN N.: ELEVATION O
12158 SW WILLOW POINT 1..,411E
314 312 310 QOI = I
3 N 368 N al
I I I
.� ' - EL •368'
... 61;ICRETE' ' . ,
9 DRIYEW _11_ _ _ S' PUE
0 i _ ;•. H :' ..ry 0
- 111 366
31 • • .. 364
• 362
• \ �
_ i T . _ 3f70
t 000 $ ir 4 wet 2 80. FT 358
FFE. 314
5' -0. 3'-0'
-1 a
IIIIIIIIIIIII
DE
k
I 356
I
.-- I
i I
-- i — 15' 5DE Y
W Z4 a
I ,
362 - 1 1 1 LL n
_ 354
co .. N
EL •361' 360 03' 356 EL•354
358
LOT COVERAGE LEGEND
LOT AREA: 5,590 SQ. FT. •
BUILDING AREA: 2 ,258 SQ. FT. — STREET TREES:
PERCENTAGE: 403% PARKWAY MAPLE
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL
I- IEY MAY VARY ARY AND BE SUBJECT TO CHANGE. LOT ESTIMATES. LOT 0 115
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,590 SQ. FT.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
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
12758 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
02/27/2013 00:00
MST2012-00220
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
12758 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
02/26/2013 00:00
MST2012-00220
FAIL
Canceled
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
12758 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
02/27/2013 00:00
MST2012-00220
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
12758 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
02/25/2013 00:00
MST2012-00220
FAIL
Recept in great room has Sheetrock missing around trim
AC disco not finished and not allowed over steps per 240.24F
Violation Summary:
Inspector Contractor
Ns
STREET TREE
TIGARD CERTIFICATION
, r owner/ a ent o S�� c 8( �Q �' `�'`�S- 0L/
g f
(PLEASE 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.
wt-5 t
PERMIT NO.: OCR Z Z CG
HIE ADDRESS: Sr 51,6 w LL aJ o + vcr 6
SUBDIVISION: (L-u n /4 /y4.- S LOT #: 1 /
SIGNATURE: t�- DATE: - 6c-t3
(OWNER /AGENT)
RECEIVED &
VERIFIED BY DATE: E: 7- t
(CITY OF TIGARD)
❑ Tree location verified p approved site plan.
l: \Building \Forms \StreetTreeCertificate 04/01/2011
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, 7b ��- /� h se - � — , am the general contractor or the owner - builder
at the following address:
Site Address: ( ri 5t,.J W ( G w
City: O
Permit #: Z - Ci a `Z 2- U
Subdivision/ Lot #: / S
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: L ,,... l/ Date: �
`General Contractor crr-0her- Builder
I: \Building\ Form \RBS- MoistureSensrtiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1;1 %I ,) 2G 1 L — 00 Z 2. °Jurisdiction::
Site Address: / . S U'
•
Subdivision/ of #: ( / ✓�"
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)
f`
_.2-G "
Date: z-
Signature: ( � � __. --
Owner /General Contractor/Authorized Agent
Print Name: Lb
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
Energy Trust New Homes raw
Certified Residential Air Duct System ENERGY STAR /
,2 7�-� wI S w W' p - ` Energy Trust
_ . - .. O /•ter oro•«o�. ��.
Company In#ormation
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Company N e IJp�� 2yi-t.
Technician 1,ivik `de1o,q7RV J Date k. — 7- t?.
Combustion Appliance Zone (CAZ) Test
kyJ ,20 / C)24-C) Main Zone Zone 2, if applies
CAZ WRT utside Pa Pa
Baseline (WRT Outside, fans off) Pa Pa
NET CAZ Pressure (subtract
baseline from CAZ WRT outside) Pa Pa
Duct Leakage (fill out one sticker er duct system)
Description of Area System Serves . g e tz?
Cond. Floor Area System Serves (ft' a 6 0
❑ yes41, no Air Handler in conditioned space?
yes ❑ no Air Handler present during test?
f "yes" for either, then ma mum CFM is 75 CFM @50 Pa or
floor area x 0.06 = 19 CFM @50 Pa, whichever is greater.
If "no" for both, then maximum CFM is 50 CFM @50 Pa or
floor area x 0.04 = CFM @50 Pa, whichever is greater.
Test Method: ❑ Leakage to Outside or ❑ Total Leakage
Test Result SS o� CFM @50Pa
Fan Pressure pit Pa Gauge type: ❑ DG -3 oral DGO
Ring (circle one) Open 1 2
Duct Blaster Location
Pressure Tap Location
eeartti Sustn'ncit;re (i::'r(t.'n Jr JCi!nra!e Solu!Faos I eerthadvantebc,org
irniitufo 808 SW 3rd Ave. Str,te 800, P ort end CR. 972 1 503 9E38 rf,60
Inspection Date: OZ. 2 b . 1 3
Address: 11Y! Kg 'SW W I (moo W F' 0 i C L—/.4
City: T I BARD
Blower Door Test Results
Maximum Allowed ACH: 5.0 (for Earth Advantage) / 4.0 (for ENERGY STAR)
Actual CFM: I S6 Z
ACH:
Verifier Signature J" 1 1 0 7