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Permit
q CITY OF TIGARD MASTER PERMIT III 2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00275 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013 Parcel: 1 S 135CA10500 Jurisdiction: TIGARD Site address: 9658 SW EVERETT TER Subdivision: EVERETT TERRACE Lot: 4 Project: Everett Terrace Lot 4 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 624 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 26.5 Bathrooms: 3 Second: 829 sf Garage: 202 sf Front: 15 Smoke Dwelling Units: 1 Third: 345 sf Right: 4 Detectors: Yes Total: 1798 sf Value $198,246.32 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 Drywell- Trench Drain: 0 Other Fixtures: 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: 2 201 -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 1798 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: $17,620.18 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other .. • ' -ble 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 i- susp• nded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati•- enter. Thos rules a =% t forth in OAR 952- 001 -0010 through AIR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin. ■ = 2. 987 or 1.800 432.234. J Issued By: Permittee Signature: � / ►r Call 503.639.4175 by 7:00 a.m. for the next available inspect -n date. This permit card shall be kept in a conspicuous place on the Job site until ompl:tion of the projec Approved plans are required on the job site at the time of ea h . - . action. 4. " Building Permit Application Residential RECEIVE FOR OFFICE USE ONLY City of Tigard / NOV 0'5 2012 DateB d ti Permit No.: gsr J o e ,),- ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' " . Phone: 503.718.2439 Fax: 503.598.1960 CI'T'Y OF TIGARD Date/B : Other Permit 4 � 3_C1Zyvii TI G A R D Inspection Line: 503.639.4175 �y*J�� Date Ready :y: Juris ® See Page 2 for Internet: www.tigard - or.gov BUILDG I le Notified/Method: 3 / 3 S1 f l \' Supplemental Information via w ( 'Ll 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. N I- and 2- family dwelling ❑ Commercial/industrial Valuation: S L", 3 ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: a . S JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 96eg rid pn c� ¢-- New dwelling area: i 7 cit square feet City /State /ZIP: c ��e.A, , 00-14e..— Garage /carport area: 00 g._ square feet -34.,t, Suite/bldg. /apt. no.: Project name: Everett Terrace Covered porch area: c9(/ square feet 827 Cross street/directions to job site: Deck area: i E 0 square feet 62k Other structure area: z ° square feet 26 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Everett Terrace I Lot no.: 1 4 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. Residential New Construction Valuation: $ Existing building area: square feet 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: Phone: (503)502 -6623 Fax: (503)533 -5164 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Sage Built Homes LLC (Please rejerro fee schedule) 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: -ISO. 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 connection details and fire department access, along with the 2010 Oregon Address: 16280 NW Bethany Court Solar Installation Specialty Code checklist. City /State /ZIP: Beaverton, OR 97006 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (503) 502 -6623 Fax: (503) 533 -5164 State surcharge (12% of permit fee): $21.60 CCB lic.: 189330 r Total fee due upon application: $201.60 • Authorized signature: 40 I /, F1 r T his permit application expires if a permit is not obtained WA / , �. 11.• within 180 days after it has been accepted as complete. Print name: Katie ' att on Date: 9/6/12 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Perm ..: P- RESPermitA...doc 02/24/2011 440- 4613T(I1/02 /COM/WEB) Mechanical Permit Applicatio FOR OFFICE USE ONLY C ity of Tigard � �� ' Date/By Received I,, s if Z Permit No.: M $ T ?oI oo 1s . r• ' t 13125 SW Hall Blvd., Tigard, OR 97223 ~1 Phone: 503.718.2439 Fax: 503.598.1960 NOV 055 2012 D teBy: ew ,/ Other Perm 2 3_000 T 1 GARD Inspection Line: 503.639 Date Ready/By: El El See Page 2 for Internet: www.tigard- or.gov BcoHnOF T Notified/Method: Supplemental Information TYPE OF WORK ItUfryG I IUf�l�f RK 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* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: %58 Euo 7Ck r , Q (requires site plan showing placement) 46.75 Fumace 100,000 BTU (ducts/vents) 1 46.75 %. 75 City /State /ZIP: Tigard, OR Fumace 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 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 1 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 V3.31 Residential New Construction Gas fireplace /insert I 33.39 33.37 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 ❑ 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 33.39 ,33.3 p City /State /ZIP: Beaverton, oR 97006 Clothes dryer exhaust I 33.39 333 / 503 502 - 6623 Fax: 503 533 - 5164 Single -duct exhaust (bathrooms, Phone: toilet compartments, utility rooms) i l 23.32 93, ..gy�pp ( ) ( ) vo ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Sage Built Homes LLC Other: 23.32 Fuel piping: Contact name: Katie Patterson 514.15 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 P E - mail: katie @sagebuilthomesllc.com Range I 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 ($90.00) Phone: (971) 322 - 5013 Fax: (503) 352 - 9349 Plan review (25% of permit fee) CCB lic.: 10 0 0 State surcharge (12% of permit fee) / TOTAL PERMIT FEE T his permit application expires if a permit is not obtained within ISO Authorized signature: I days after it has been accepted as complete. Print name: Katie terson Date: 9/6/12 • Fee methodology set by Tri -County Building Industry Service Board I:\Building\Permits\MEC- ilApp doc 03/07/12 440 -4617T (t I /02/COM/WEB) ' Plumbing Permit Application Building Fixtures RECEIVE FOR OFFICE USE ONLY III City of Tigard NOV 0 5 2012 Date/By: �/S I l y 5.4- Permit No.:{45) ?O' -0014 a 13125 SW Hall Blvd., Tigard, OR 97223 - Phone: 503.718.2439 Fax: 503.598.1960 Plan Review �� / �.N '�� Date/By: Other Permit N �L111 2 4c� ( 3 DDD II T 1 GRAD Inspection Line: 503.639.4175 I i OF TIGA Date Ready/By: lur El See Page 2 for Internet: www.tigard- or.gov R �VIH) DING t11Y1 �p$ONNotified/Method: 1Q Supplemental Information TYPE OF WORK L��fl7 FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 ® I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 - SFR (3) bath i 500.32 ..5DO .3 T ❑ 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: 9 5 El AO , -r ` ��7�/y+� co Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: Tigard, OR CJ` C 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.: LI Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer ( 25.02 o _5, t_Y 1.. Residential New Construction Dishwasher I 25.02 4 95.0 '0_ 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 O 25.02 .0 f Garbage disposal I 25.02 ‘ 9,5;b9.- City /State /ZIP: Beaverton, OR 97006 Hose bib 2-- 25.02 SO.O 1 .{ Phone: (503)502 -6623 Fax: (503)533 -5164 Ice maker 1 12.51 0...6 i ® 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 5 25.02 , a5 . 1 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 .V 12.51 r35 ,c.) E- mail: katiegsagebuilthomesllc.com Urinal 25.02 CONTRACTOR Water closet 25.02 75. 6(0 Water heater ( 37.52 37.60......, 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: $72.50 CCB Lic.: I(9686 Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: /� 4 /// TOTAL PERMIT FEE Print name: Katie P K4140 �/ Date: 9/6/12 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tn- County Building Industry Service Board. I \ Building\ Penn its \PLMU- PermitApp doe 10/01/09 440 -4616T(10 /02JCOM/WEB) , • Electrical Permit Application RECEIVE r FOR OFFICE', USE ONLY City of Tigard NOV 0 2012 Date/B G ( i a• Permit NoMC, a ,,,, 4,-60a, ii . v 13125 S W Hall Blvd., Tigard, OR 97223 Plan Review Other Permit. Phone: 503.718.2439 Fax: 503.598.1960 �/ �•��(� DateB _ ,3 iii, T1GARD Inspection Line: 503.639.4175 1' 1IGA „' Date Ready/By: ® Page 2 for Internet: www.tigard- or.gov BOOING I' 1$ Notifed/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ® New construction El Addition/alteration/replacement ❑ 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 Found, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "t -2 ", "I - ", occupancy. Job no.: Job site address: mo r � ,, o OOHP or more. ❑ Six or more residential units. ❑Recreational vehicle parks. ty MCI Ci /State /ZIP: J C'e� ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Everett Terrace ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. / Includes attached garage. ' Subdivision: Everett Terrace I Lot no.: y 1,000 sq. ft. or less I 168.54 1(4,51 4 1 Ea. add'I 500 sq. ft. or portion). 33.92 07,A t Tax map /parcel no.: Limited energy, residential sq. ft.) 75.00 2 DESCRIPTION OF WORK ( with above q Limited energy, multi - family 75.00 2 Residential New Construction residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: Sage Built Homes LLC 601 amps to 1,000 amps 301.04 2 Address: 16280 NW Bethany Court Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/State /ZIP: Beaverton, OR 97006 relocation Phone: (503)502 -6623 I Fax: (503)533 -5164 200 amps or less 59.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: Sage Built Homes LLC B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Katie Patterson branch circuit Each add'I branch circuit 7.42 2 Address: 16280 NW Bethany Court Miscellaneous (service or feeder not included) City/State/ZIP: Beaverton, OR 97006 Each manufactured or modular 67.84 2 ty + dwelling, service and/or feeder Phone: (503) 502 - 6623 I Fax: : (503) 533 - 5164 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: katie @sagebuilthomesllc.com Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: Ross Electric panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 2870 SE 75 #203 Additional inspection (1 hr min) 66.25/ hr C Investigation (I hr min) 66.25/ hr ity/State /ZIP: Hllsboro, OR 97123 Industrial plant (I hr min) 78.18/ hr Phone: (503) 642 - 2800 I Fax: (503) 642 - 5815 Inspections for which no fee is 90.00 / hr specifically listed (%: hr min) CCB Lic.: is R ( I Electrical Lic.:3y - '/ LI,Suprv. Lic.: ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required: x�� G C J Plan review (25% of permit fee): Print name: • lip S ��1r Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: �! � / ' `• This permit application expires if a permit is not obtained within 180 Ira ♦ _�� days after it has been accepted as complete. Print name: Kati- ' . tterson / Date: 9/6/12 • Number of inspections allowed per permit. i.\Building\Permits' C -P nApp.doc 07/01/10 440- 4615T(II /05 /CO,vt/WEB m ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No.: P o 1 a - - i o a7 .s Site Address: q i ' -'( I T a r Project Name & Lot No.: � CWS Service Provider Letter Required: Yes ❑ No Er Received: Yes ❑ No ❑ Routed Plans: Original Plan Submittal IP ate: / (6 f / 1st Revision Submittal Da --: ❑ 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 only if approved Planning Review (contact 6A-02z -' at 503 - 718 - y 1 or @tigard - or.gov) Land Use Case No. 7U6 / ( Zoning iZ — Z - ❑ Setbacks: / r Front /`) Rear Side ' Street Side / (A Garage 2d ❑ Maximum Building Height: S Actual Building Height ,,❑" Visual Clearance Easements Sensitive Lands Type: t 1 .E( Street Trees Protected Trees Notes: V -t ! /t'►Zb SCr /,3�'{el� P ��eS -6 eova,ted . _..- • ' /. / ' 44 - Original Plan: Approved ❑ Not Approved Date: l — 7' Revision 1: Approved Not Approved ❑ Date: / — 7 — Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) „,O'Actual Slope: / c Notes: Original Plan: Approved,0" Not Approved ❑ Date: / 1 Revision 1: Approved Not Approved ❑ Date: 1 / a- /1 / Revision 2: Approved ❑ Not Approved ❑ Date: 1 1 1 Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) <s ❑ Conditions of Approval AL to Issuance of Building Permit Notes : a K L 477 Z • Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes JV 5 / / Date Routed to Building: / . /% s d r Page 2 of 2 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 235 Shear walls/anchors 04/15/2013 00:00 MST2012-00275 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 04/18/2013 00:00 MST2012-00275 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 240 Exterior sheathing 04/15/2013 00:00 MST2012-00275 FAIL 1. Provide 3/12 nailing on rear main floor wall 2. Provide 4/12 nailing on rear upper floor wall 3. Provide 4-ea straps MSTC40's, on rear upper shear wall 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 06/13/2013 00:00 MST2012-00275 PASS Missing fixture top of stairs. Will check at building final 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 06/28/2013 00:00 MST2012-00275 PASS - C of O Street tree Moisture content Duct seal Lighting efficiency certs all received Please stop by counter for printed CofO 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 06/28/2013 00:00 MST2012-00275 PASS - C of O Street tree Moisture content Duct seal Lighting efficiency certs all received Please stop by counter for printed CofO 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 06/26/2013 00:00 MST2012-00275 FAIL 1. earthquake straps for water heaters (Plbg Code Interp 08/12/05) #12 wood screws with washers 508.212 2. cleanout plug needs thread sealant at: storm and sanitary sewer 316.1.1 3. expose/uncover for inspection sanitary sewer cleanout 301.5.1.4/103.5.1.3/315.3 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 06/28/2013 00:00 MST2012-00275 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 9658 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 06/28/2013 00:00 MST2012-00275 PASS Violation Summary: Inspector Contractor .443%20 cM 7 '&5F 5 v✓ every ' v- Glenn Waer Energy Consulting, dba Willowaer, LLC 16266 Hiram Ave Cell: 503 - 701 -3165 Oregon City, OR 97045 Phone. 503 - 723 -9979 gbopwaer @msn.com This is to verify that I performed a duct test at the following address on 6/17/13: 9658 SW Everett, Tigard These test was done in accordance with ODOE /PTCS testing specifications and the test results were as follows: A total leakage test of 108 cfm was recorded. _If you or anyone has any questions concerning the tests don't hesitate to call or write W Glenn Waer I 71 -° STREET TREE , .,..... TIGARD CERTIFICATION I, Ci 5 Dove, , owner/ agent for &e LQI kt movies / l_Z , (PLEASE PRINT) (PERMIT HOLDER) do hereby certift that the following location meets Ci of o Tigard land use and development standards tJ'.f g � for street tree installation and is consistent with the approved site plan. P ERMIT NO.: 1•15T (7 00 %7S SI"1 E ADDRESS: _y6 ) - 7- ro _ SUBDIVISION: ��/Pf 77 ler Ge _ LOT #: SIGNATURE: / DA1 E: a/0 670 AGENT (OWNER/ ) RECEIVED & VERIFIED BY DA1 E: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.:/ 6 1 ZdJO ( Z Co Jurisdiction: G i F �� �� Site Address: qj� - � 56 3 c e Tr er (2- Subdivision/Lot #: 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) � Date: 12�,� / 6 Owner /Gene for /Authorized Agent Print Name: CA-z / � r ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ca. wily /r s Epz n')es , am the general contractor or the owner- builder at the following address: Site Address: 76 5 - 6 ? s,., `/R,rp TI f City: / //a TO, Permit #: AKT 1.2_ ©(7 A Subdivision/Lot #: 41 , 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: �0 /2(o�Z�lj General C fo r or er- Builder I: \ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 L