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Permit
CITY OF TIGARD MASTER PERMIT a . ` '. 2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00277 '. T [ G A:R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013 Parcel: 1 S135CA10700 ' Jurisdiction: TIGARD Site address: 9684 SW EVERETT TER Subdivision: EVERETT TERRACE Lot: 6 Project: Everett Terrace, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 629 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 834 sf Garage: 202 sf Front: 15 Smoke Dwelling Units: 1 Third: 345 sf Right: 4 Detectors: Yes Total: 1808 sf Value: $199,285.52 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 Fum <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 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 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: $17,677.90 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 • s ar= set forth in OAR 952- 001 -0010 through O' C You may obtain a copy of the rules or direct questions to OUNC by callint 2.1987 or 1.800.3; 4 / :44. Issued By: ', .1 / / .. \ - :' .A Permittee Signature: , �,I . _ / /i , f.t ■ 9 Call 503.639.4175 by 7:00 a.m. for the next available Inspect . n d . This permit card shall be kept in a conspicuous place on the job site unti ompletion of the project/ Approved plans are required on the job site at the time of :: ch i pectIon. • , 0 Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Date/f3 : 11 (0 1 9 Nhro a -oaa III Per mit No.: ° 13125 SW Hall Blvd., Tigard, OR 972231- Plan Revie . �1 Phone: 503.718.2439 Fax: 503.598.1 0' V s 2012 DateB : Nr) ®IN Other Permit: 12 +— Inspection Line: 503.639.4175 Date Ready': y: I A Juris ® See Page 2 for T I GA R D Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: f / 7 " 3 s't Supplemental Information RUH.DING DIV t -4 ISION ,, cam 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 ❑ Commercial/industrial Valuation: $ f I `' ) frjZ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: a, JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: 96g1.1 r L � � ��_ New dwelling area: I D ag square feet City /State /ZIP: l , Z � %�,(� � Garage /carport area: square feet 3c-S Suite/bldg. /apt. no.: Project name: Everett Terrace Covered porch area: a y square feet i:35,i_ Cross street/directions to job site: Deck area: ` 5 0 square feet ( Other structure area: 2010 square feet 2.7 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Everett Terrace 1 Lot no.: X/ Permit fees* are based on the value of the work performed. Tax map /parcel no.: 3S C 07 00 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: S 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* (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 City /State /ZIP: Beaverton, OR 97006 Total fees due upon application: �( c.70 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Amount received: ►'f' 750 • E- mail: katie@sagebuilthomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mou ed PhotoVoltaic Solar Panel System. Business name: Sage Built Homes Submit two (2) s• r f roof plan with connection detail and fire department ac •. along with the 21 ! :regon Address: 16280 NW Bethany Court Solar Installation Specialty • • e • ; • 1st. City /State /ZIP: Beaverton, OR 97006 Permit Fee (includ - ew $180.00 an, .. mistrative fees . Phone: (503) 502 -6623 Fax: (503) 533 -5164 State . arge (12% of permit fee): $21.60 CCB tic.: 189330 , Total fee due upon application: $201.60 Authorized signature: I, / ` This permit application expires if a permit is not obtained J , .4 . within within 180 days after it has been accepted as complete. Print name: Katie ' atte . on / Date: 9/6/12 * Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building \ Perm its \BUP- RESPermitApp.doc 02/24/2011 440 -46I3T(I 1 /02/COM/WEB) , Pluthbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Date/By: (i & /2- ' Permit No.: tv .... ( 2.77 - it 13125 SW Hall Blvd., Tigard, OR 14103 06 2012 Plan Review 5 W IV n �r - DD 212' P hone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Inspection Line: 503.639.4175 C T► G� D ate Date Ready/By: luris: See Page 2 for TI GARD Internet: www.ti ard -or. ov 1 � g g LD 1N G DIVISION Notified/Method: Supplemental Information TYPE O WORK 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 (1) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath t 500.32 566 3L. ❑ 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: _ 1 C � (Q Q Q/ _ i t . Catch basin or area drain I I 18.76 City/State /ZIP: Tigard, OR Drywell, leach line, or trench drain 18.76 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.: t3/ w Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer ( 25.02 •l7 a Residential New Construction Dishwasher % 25.02 06.C) g,„ 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 a.. 25.02 JO D 4 S . Address: 16280 NW Bethany Court Garbage disposal % 25.02 495 - c7 City /State /ZIP: Beaverton, OR 97006 Hose bib L 25.02 60,0 q Phone: (503)502 -6623 Fax: (503)533 -5164 Ice maker 1 12.51 1.9.15 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 25.02 495 , i Q City /State /ZIP: Beaverton, OR 97006 Solar units (potable water) 62.54 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Tub /shower /shower pan .g.-- 12.51 96, E- mail: katie @sagebuilthomesllc.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 751X° Water heater 1 37.52 37. 6.91... 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.: t 09 S' S t (i i 1 14 lumbing Lic. no.: Plan review (25% of permit fee) // State surcharge (12% of permit fee) Authorized signature: Y TOTAL PERMIT FEE Print name: Katie Pa o 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. l:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440 -4616T(10 /02/COM/WEB) w i Mechanical Permit Applicati Ep D FOR OFFICE USE ONLY City of Tigard DateB ic t Permit No.: /19 10 2 't 13125 SW Hall Blvd., Tigard, OR 97223 y t ' . Phone: 503.718.2439 Fax: 503.598.1960 NOV O V 0 6 2012 Plan Review n 'r DateBy: Other Permit 1L p Q 0 ', ' TIGARD Inspection Line: 503.639.4175 Date Ready/By: 3uris ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work N 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* N 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: s � 7 Job site address: � Air conditioning 6 (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) i 46.75 46.7 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 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.: 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 D .3 Residential New Construction Gas fireplace /insert 33.39 35-4 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 N 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 1 33.39 35 J City /State /ZIP: Beaverton, oR 97006 Clothes dryer exhaust A 33.39 3s . 39' 503 502 -6623 Fax: 503 533 -5164 Single compartments, rt exhaust (bathrooms, Phone: (r/ Y.3 •, ( ) ( ) toilet compartments, utility rooms) // 23.32 N APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Sage Built Homes LLC Other: 23.32 Fuel piping: Contact name: Katie Patterson S14.15 for first four; $4.03 for each additional Address: 16280 NW Bethany Court Furnace etc. I ��� l ti Gas heat pump City /State /ZIP: Beaverton, OR 97006 Wall /suspended/unit heater Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Water heater 1 Fireplace 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.: I 0 ( l cr 0 State surcharge (12% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: i 1 1 _. J! (44 days after it has been accepted as complete. Fe e methodology set by Tri -Coup Building Industry Service Board Print name: Katie P. ers • � 1 Date: 9/6/12 �' y ry g �' 1ABuilding'Permits'MEC- PermitApp doc 03/07/12 440 -4617T (I1 /02/COM/WEB) ft Electrical Permit Applicati EWED FOR OFFICE USE ONLY City of Tigard DateB // (, /) Vb. ' Permit No.: 6r8. l 2-- (jQ).77 . - ° 13125 SW Hall Blvd., Tigard, OR 97223 / A 6 2012 Plan Review S tG • Phone: 503.718.2439 Fax: 503.598.14 Date/B Other Permit: 6,..0 : v told - Inspection ection Line: 503.639.4175 � Date Ready/By: Juris, ® See Page 2 for TIGARD CITY O��GfAI�iJ n� Internet: www.tigard- or.gov CIl l Notified/Method: Supplemental Information TYPE 0 /3 NG DIVISION PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stones. ❑ 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 ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", 1 - ", �j/ _ cQ 100HP or more occupancy. Job no.: Job site address: ` {p (] �1 n �,! �j ('-ICr 1���] Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: 110 2 ,., o w _ ❑ Health -care facilities. Supply voltage for more than 1 ❑ 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 Lot no.: (0 1,000 sq. ft or less I , 168.54 1 R .Sql 4 Ea. add'I 500 sq. ft. or portion '3 33.92 (QV ,-7t, Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) , 75.00 7•560 2 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 ❑ 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 Fax: (503)533 -5164 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 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, er 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 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 City/State /ZIP: Hllsboro, OR 97123 Investigation (I hr min) 66.25/ hr Industrial plant (1 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.: 15 cr ( I Electrical Lic.: 3 L( .. If % Suprv. Lic.: L' )9 7 5 ELECTRICAL PERMIT FEES t A Subtotal: Suprv. Electrician signature, required: _..o' Plan review (25% of permit fee): Print name:3..p D\ / ` ` S Date: State surcharge (12% of permit fee): — ` �''r r TOTAL PERMIT FEE: Authorized signature: / - , • / This permit application expires if a permit is not obtained within 180 Print name: Katie Pa • son / Date: 9/6/12 • Number of after it has been accepted as complete. f inspections allowed per permit. I'\Building\Permits\ELC -P • pp doc 07/01 /10 440 -46 t 5T( 1 I /05 /COWWEB _ " Building Division Development Code Provision Review • TIGARD Residential Projects Building Permit No.: I� �T C) L O� - • a7 Site Address: 4 R �� Eo E Lt-Tr • - Project Name & Lot No.: F E Q.e Tl T 4,24- C E, 1-07 CWS Service Provider Letter Required: Yes ❑ No Received: Yes ❑ No tX Routed Plans: �pp�,,., Original Plan Submittal Date: // / �i //9— (DM 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 y at 503 -718- or @tigard - or.gov) Land Use Case No. `�a-.6 �'-40• 1 . , /11,17, Zoning _ or 11 0/ Front I Rear I S Side "mot Street ►ide �,G rpage 63-1=7 aximum Building Height: `7� FT Actual B ding Height I-( f'T LB�O //V isual Clearance CT asements L�f S.ensitive Lands Type: L�J Street Trees C' Protected Trees v Notes: ii /, , i_ r ii, j it i i _ �1���� R . laJIF ilL Original Plan: Approved 0 Not Approved V Date: Revision 1: Approved Not Approved ❑ Date: i,/ g --! 2— 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) ,B Actual Slope: - Notes: P _-- _ ,l Ic— • ----:7 piim Original Plan: Approved Not Approve Date: /1 7 Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ' ' No A 1/ ?- Date Routed to Building: I 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 05/15/2013 00:00 MST2012-00277 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 05/06/2013 10:24 MST2012-00277 FAIL NOTE item #1 previous inspection should read: 1. Support water heater T&P tube a maximum of 3', vertically. Installation Standards. 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 605 Post/beam mechanical 02/15/2013 00:00 MST2012-00277 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 225 Post/beam structural 02/15/2013 00:00 MST2012-00277 FAIL Missing 4x8 crossmember between beams marked yellow on print Connect cantilever 4x8s on east side marked in yellow on print 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 05/16/2013 00:00 MST2012-00277 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 280 Insulation 03/22/2013 00:00 MST2012-00277 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 235 Shear walls/anchors 03/11/2013 00:00 MST2012-00277 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 05/06/2013 00:00 MST2012-00277 FAIL 1. water heater T&P tube minimum (6” to 12” garage) 608.5 2. freeze protection needed at: water heater stubouts to protect all water pipes in unconditioned spaces 313.6 3. Complete hall bath tub spout. 310.4 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 05/16/2013 00:00 MST2012-00277 PASS - C of O *Erosion Control (CWS) approval Pass *Street Tree Certification, checked for trees. Received *High-Efficiency Interior Lighting Systems Form. Received *Moisture Content Acknowledgement Form. Received *Insulation Certification checked. Yes *Approach to Sidewalk Approval. Passed *Carbon monoxide Detector checked. Yes *Garage Vehicle Barrier Installed. Yes * Provide blower door documentation that ductwork meets ODOE duct performance standards for radon gas testing. (crawl space only, for final inspection) Checked. Yes 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 9684 SW EVERETT TER, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 03/12/2013 00:00 MST2012-00277 PASS Violation Summary: Inspector Contractor Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: � _ Jurisdiction: 2 V ©v---7 7 Site Address: 9/ f 563 Subdivision/Lot #: , ce 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: � Date: 5�.5//3 Owner /Gener ontracto uthorized Agent Print Name: DC)--Q ORSC Section N1 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. 1:\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, C D „ if- firma , am the general contractor or the owner- builder at the following address: Site Address: City: i i „ otf Permit #: 2-a217, 002 7 7 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: _ ___C"‹� 1 Date: (.5 General Cor aet r or 0 - uilder 1:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 i. 14-° STREET TREE TIGARD CERTIFICATION I, CaA C.- bo C , owner / agent for S Bc It g, vres ZGG (PLEASE PRI ) (PERMIT HOLDER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: /Z -00 9-7 7 ST1 E ADDRESS: SUBDIVISION: 6(/.� -6-c LOT #: SIGNATURE: � 7 ) DA1 E: 5//,5 / 3 O R AGENT RE CEIVED d� Y.• VERIFIED B DA 1 E: TTY OF TIGARD) U Tree location verified per 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 gbopwaer ©msn.com This is to verify that I performed a duct test at the following address on 3/20/13: 9684 Everett, Tigard. This test was done in accordance with ODOE /PTCS testing specifications and the test results were as follows: A total leakage test 96 cfm was recorded. If you or anyone has any questions concerning the tests don't hesitate to call or write W Glenn Waer 3/20/13