Permit 91/7 9 010 9‘,1 ='P 41)
/44 r4—c � -644 *`/ L.o r
" Division U
� ■ Bu g
ildin
Development Code Provision Review
`' fi°
Residential Projects
Building Permit No: M 57-do/49 -to/ s I
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A la
Routed Plans:
Original Plan Submittal Date: _ 6l I
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: /A' ❑ Site Plan Only IKai/02--Df 6,45
0/7745 S NTi-R -75s-u Cam
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 at 503-718- 3V"/ or @tigard-or.gov)
Land Use Case No. _ Name �A.L
E Zoning
DSetbacks:
Front Rear Side Street Side Garage
7 Maximum Building Height Actual Building Height
0 Visual Clearance
kr Easements
17 Sensitive Lands Type:
Notes:
kip Y,tx-ide ‘179 1-c4 -?,‘r „A-,A(1- -(cAt4 alfz-z-6114
Original Plan: Approved? Not Approved ❑ Date: 7-7
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:
Notes:
Original Plan: Approved,Er Not Approved ❑ Date: "11 2-3/I .L
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
. I `
t4 v
LOT 3
"CEDARBROOK FARM"
EL.•
—:C — 2450' 5 02'06'51" W
5-,L. 5'-0"SIDEWALK $'
E EL.. �O;o!Q._ ona. *Tole V.�.:.1 O_ZO1(
cecroume ec�EV nff ires
J -KATlWA TREE 3000'
BUILDING•b [ •" •
0 DEVOUOfN ORLL11.1.1 TIEE fG'IPEET TEES. :.
R LOT 32 L. o TRACT
-!AMNREMO I W I
a DECDFOM. T.q_•W•.1 Z '�/_11'��jq CONNECT 91DEW LOULE .Rxuw�EPeie - ` ,'�'� W TO Ex15tING
mew cwaeroa Ill - -- + I
I�; ,% I DEVELOF'h1ENT •()
{,{"��: c V J
7-1 01•W .41.COOMES IN OPEN ARE.mTHan (0,q�1 I/:E! ,•,N. : ,,$I I !;i i
F-1 6 OR ...® rtrEN+iu, Q�+r 1.91' 11,.... ,,.1�, _1100' � Z
-DAYLILY ;� 2950' / �` 1_
�,.��.y 06' 11.00'1.. - 4.,,...vp/ 3000' I I i
EL . O N 11If 0/ EL • r"CEARK FARM" c %�� SW 92nd A _ _'�'V EWLKS TO,./ /��/
ACCESS ONLY /4) I� '
3000'0 _ _ — ®_ IEO L4i n�/ �--I ,O I i--1- 5-m SIDEWALK a i__ 5� v v v v v v�__ O \,� t,
ol= - - s �Itir !! V l{�I so
. CO - - o S.W. 92nd AVENUE 3O° ■/ / :: :::::;, pRoJEcT/ - a/ \ --- 2 EROSION CONTROL FENCE ADA RAMP :jf- ' •. . - gl I —
( ERE REQUIRED)
_ •,p � - 8'x8'GAZEBO W/8' O I-
9'•0"SIDEWALK - •r.1'.
/ -- -- -- r.. .. ��� %=^� mm' L ' ,..-•-•- i O BENCH UNDER
b.-' 1 C
/ I 1902 �1• 1+r•r• O�. STORM
/ 'Ia r/LOT I ,� I�T „ 8-0=PLP. 0 82.81— 1-- 'I '•'' f. J-i.�, SELLER TOrSTREET MAIN(EACH
/ L.6 or � s■I_ I Lot LOT I �� — l0 ,� PROVIDE(I)4"PVC SANITARY
ry „ I ��- �I�•% TRACT I SELLER t0 STREET MAIN(EACH
,:.. ..�FI �11� "�■p� \� '12 ns I� ,. I' o 111 UNIT)
��-fir I LOT I- �I�1 r� WAND_ ��I ' �r�— �j�.vl E PROVIDE rU I"PVC WATER LINE
/ �' �'_� CW5 TRACT
I 'l '•1MV�- 1 TO METER AT CURB
/ 'i I I •5 II �� �I III LOT Y '. LOt I` II �I t' I` LOT a� BOUNDRY [EACH WIT)0
1
,, c. •- MEWL �" . . , ` •I� I `I� I 61 •23 O ALL SIDEWALKS
/ •
1 WPM
_ wir I m r��' CI ti ��♦ 1 (NON SHEET SIDE)
LOT o ,(OTC.. 1i� ,'O TO BE 4'-0"WIDE
=4 f �� ` „� e i;.L � —.�.� ion” - � .:. (rrPlcAu t -' ILO
/ / F ••
I *3 a LOT 1 1OT
� _�/ `1 I
_$ )_.20T intOrdililit'
--*� -
/ /TRACT r: I ^�I, �� 'Bt c L�t �`
AI ��l0�` LOT 110:::::r..:1::y � ••:' . I
/ i nA' rrI �/ I -• -J - _ I' IEe I "20 .O TOT LOT W/
I I I, '1 = f`--I�
',WAIF-ill"... .O SWINGS a PLAY
l LOT LO I qq I '11��� STRUCTURE W/
1 M • I I '13 I 9 LOT /I',O. . -1 • • O BARK CHIPS
15'-0•wow-. . ry • _ 15.49 • co I I :O
/ 1 1$35 ~_ I- I 79 'I, ::- 1
VMYL FENCE TO IRH 1•\ �� •Q6' In -2.]Q' 11•IW • '• .
ALONG TRACT•A"r-b" BUILDING "III. . . .. •
FROM PROPERTY LINE •I BUILDING 458.81' BUILDING � L • BUILDING +.1 O J
L 3100' • 31 • 1 CONNECT SIDEWALKS T.
•3 4 3100' J ExISTING DEVELOPMENT
THE PERMIT APPLICATION
15 FOR BUILDING •4 ONLY
SITE PLAN
SCALE: 1"=20' THE CIVIL ENGINEERING HAS BEEN COMPLETED
MONTAGE ROAHOMES AND APPROVED ON THIS PROJECT AND THE DATE: (/24/13
UTILITIES AND PAVEMENT ARE IN PLACE
TIGARD. OREGON SHEET NO:
NORTH
- THERE ARE r4)BUILDING TYPES AND r4)
MASTER PLANS FOR REVIEW BY THE CITY
A 0
MSTauia ._ 0Uj5- o, rs J
V CITY OF TIGARD MASTER PERMIT
I NI• a. COMMUNITY DEVELOPMENT P #: MST2012 00159
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/28/2013
Parcel: 1 S126DB05200
Jurisdiction: Tigard
Site address: 9479 SW 92ND AVE
Subdivision: MONTAGE Lot: 23
Project: Montage, Lot 23
Project Description: Building 4, new SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 278 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 625 sf Garage: 330 sf Front: 0 Smoke
Dwelling Units: 1 Third: 666 sf Right: 0
Detectors: Yes
Total: 1569 sf Value: $179,418.08 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 1
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0
Other Fixtures: 0
Drywell -Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 '
Furn < 100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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] 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB ' R -3 1569 ,
Owner: Contractor:
NW AREA INVESTMENTS LLC AAA PROPERTIES INC Required Items and Reports (Conditions)
11150 SW RIVER WOOD RD 16501 NE 65TH CIRCLE
PORTLAND, OR 97219 VANCOUVER, WA 98682
PHONE: PHONE: 360 -609 -3465
FAX: 360 - 718 -9701
Total Fees: $13,621.15
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 t n@ 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.
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.
'v
L iC, A ED
'J 2.9 2012
. Bnildine_Permit Application , jITY O y ��
Resider • '3,UiLDINtG Du \/liSION
Si City of Tigard al,' �j l ��
17123 SW Ilan Blvd.. Tigard.OR 97223 Plan Review ie
Krone' 503.7111.2439 Far: 303.393.1960 u.ne/e • J__ id/3 t>nderParur' Q�O /s= a�l4<3
Inspection Line' 503.639.4175 Dace Rod B n.. 0 Sue Pew 7 br nrikcivie
Internet: www tivrudor SOY Plottfied/Method. e I - - - _I S rwr..ti..
TYPE OF WOK REQ(IIED DATA: 1 - AND 2- FAMILY DWELLING
law construction 0 Demolition Permit fres' are baud on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
o Additlorralteraia^lrcpbxrteat ❑ Other equipment, materials, labor, overhead. and the profit for the
,,�� CATEGORY OF CONSTRUCTION work indicated on this application.
tom' - and 2- family dwelling 1 ❑ Commercial/industrial Valuation: S
❑Acceory building ❑ Multi-fa Number of bedrooms:
ss
' D Mredeer budder j ❑ Other: Number ofbathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number allows: .
lob sue address 9479 SW 92 Aye Ncx dulling e,uxe feet
I Ci y:State/7JP: 1 ^ ^ O , r' (.211' (" n: 2;7_ 3 (iaragermtport Plea: squire feet
Suitefildg /apt. no : ! Project name: f /7 n r .: 1 : - Covered porch arca: square feet - - '
Cross street/directions to job site: ! Deck area: squire feet
- _ w _. Other structure area: ' J0- : square feet
(
V REQUIRED DATA: Cfm1 .Mf
Subdnision: 1 Lux no.: Z3 Permit fees' are bawd on the value of the work performed.
Indicate the value (minded to the nearest dollar) of all
fax map/parcel no.:
equipment. materials, labor. overhead and the profit for the
} DESCREPTlON OF WORK work indicated on this iiigliratiun.
Valuation: S
Existing building are square feet
New building area: square feet
❑ mourn Y OWNER ❑ TENANT Number of stories:
Name: Ai, 1 A r e.(t I r 4esf rive hit La-C. Type of construction: _ .
Address, 1 115 0 S W iZ ; y E r were/ !? d Occupancy groups:
1 r : icy /StatelzlP. Pe r f / n i n cI ca R q 7 Z 19 Existing: Existi
Phone:(5V3 7 -377 Fat: (jc3)3 s7 - 3 7 7 New:
id APPLICANT ❑ COIfrACT PERSON BUILDING PERMIT FEES`
I Business name i pc(44 r1 lC
DlrtrrrtAralai
Ij Structural plan review fee for deposit):
Contact nave:
�� kzet'l Vi3O FLS plan :view fcc (if appiicab'e):
I Address: 1l : ��t - /0 E (o (
City /State /aP ! �(�( ��r(�J� ry 're!al fres due t un ap¢rcet,cn :
Y=none: t �) V -' 46.. I Fax:: ( ) 0 Amount received:
!:•trail: z PHOTOVOLTAIC SOLAR PANEL SYSTEM FEW
( -. ,(P� t _te,ct� I :fitl.0th
Ct turas!s! and naidcntial prescriptive installation of
CONTRACTOR ruoi -bp mounted ?hotoVoltaic Solar Panel System.
f Business name: ANA �(ff - o f',1, -;P C Submit two (2) sell o iron( plan with connection details mom
Address: and fire department n along with the 2010 Oregon
t 6SQ � N E f�S c (Q _ _ Solar installation Specialty' rode cheeriest.
City/StateJaP: et — - Permit Fee (includes plan review
�Q ����P w l c Q � "� " and administrative feesP 1 2130.00
Phonr.( � '�'4�o5 Fax : ( � (o) 1d� L
_ I t Snfesutrcltarge(12 S6ofpennit 521.60
CCU tic.: 1 4 4' ao 4 �/ �- .__ ___._ _..__ _.. f ,
/J Taal fee due upon appication: 2201.60 •
X Authorized signature: / This permit apptlatfoa expire wt obu
s (f a permit is obtained
,� ¢ tnk rn L. +$R C 'tar G _ _ within IM days after it Wm been s eepted u complete.
1 Print name: � 50 Vet a R Pt1 KO rte_ : h 14 `� • Fee ne Board.
by Tri -Coumy &aiding Industry
1. 11swtdingtPermitstBUP- RESPermctApp.doe 02/24/2011 440 /Q2/COM/WLB)
/27r12 t �t /
Plumbing Permit Application JUN 2 8 2012
Building Fixtures i. �, H Of- FICI. I. SE O \L1 ,
Lena K �. -, iY Ta ,. -.�. /�� - •
C ity O Tigard . SUTI iLIANG,� , ,:a+ E i Mir Pcnni1No.: Y , 'I -6, ti '
;� • 13125 SW Hall Blvd., Tieard, OR 97 Y
Phone: 503.718.2439 Fax: 503.598.1960 Otter Perm Nn
DateYSy:
Inspection Line: 503.639.4175
• I 14,,A RD Internet: www.tigard- or.gov N ote ec/M t Ready/Ay ®c.e Pent l far
Naified.'Method: Supplemental Information
TYPE OF WORK I FEE' SC1QDULZ
New construction ❑ Demolition _ _ Forspecial is orntmion use checklist
Description Qty. r Ea 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 I
dwelling i _ ��
d 2-family 1 () bath y g ❑ Commercial/industrial SFR b 478 j I
0 Accessory building ❑ Multi - family SFR (7 hgil 500.3 1
Each additional bath/kitchen . - 25.02 1
❑ Master builder 0 Other - ' -- 1
Fire sprinkler ( sq. (1) Page 2
!OB STTE INFORMATTON AMP LOCATION Site utilities:
Job site address: 9479 SW 2 Ave I Catch basin or area drain 18.76
U j � Dry'well, leach line, or trench drain 18.76
City /State/ZIP: ` Coating drain (na. ling R.: _) Pag
Suite/bldg./apt. no.: Project name: <j cqe Manufactured home utilities 50.03' -
Cross street/directions to job sift: q�F}`�Av� ,/� `� _Fl f ll vb(Vd Manholes • 18,76
1 � J+�v Rain drain connector 18.76
Sanitary sewer too. linear ft: ) Page 2 I
Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear R.: _) I Page 2
Subdivision:
Lot no.: 23 Picture or Item:
Tax map /parcel no.: BackFlow preventer 31.27
DICSCAIPY70N OF WORK Backwater valve 12.51 `
'• °
Clothes washer 25 02
Dishwasher 25.02
Drinking fountain 25.02
Eje.tuialawap 25.02
:fat PROPERTY OWN ER 1 0 TFNANT Expansion tank I 12.51
Name: 1x F Usl - Pk-K).0 'Il 4(, l_l Fixtur er cap 25.02
{{ � -� �`� f Floor drain/floor sink/hub 25.02
Address: I 1 -„) v CC �, y_ ( ��w ` ^rk
Garbage dic of 2502
City- /State/ZIP: f I. � vi I O( 9 l_a_1ct Hose bib 25.02
Phone: (� U il „ �'} Fax: 3fc1 -3 7 b Ice maker 12.51
a' APPLICAKF I G CONTACT PERSON Inter, /grease trap 25.02
Buss name: Medical gas (value: S _) Page 2
Contact name:
Primcr 12.51
Rout drain (commercial) 12.51
Address: Sink/basin/Lavatory 25 02
City /State/ZIP: Solar units (potable water) 62.54 I
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
F -mail: Urind 25.02
Water closet 25.02
CONTRACTOR - --
Water heater 37.52
Business name: 56.29 4 AArzi .. /± .. E 5 k p a .. +f C piping/TAW
r t ..rf �r.� LA Cr %♦ l �,:b. ' Water
Address: ? r) _ f -:,,-) w 77 e) I.J7q I Other: I 25.02
City /Stale ZIP: VAt a ow _,,,_1,0 0 eigt- ._, _ Subtotal
Phone: ( 3 • - - w / 4 r- Fax: ( Ae ) z _ /v it Minimum permit fa: 572.50 I
Plan review (25% of pt -nit fee)
CCB Lic.: f 7/76! I Plumbing Lie, no.: 1.4 0 State surcharge (12% of permit fee) I
Authorized signature: TOTAL PERMIT FEE
r - /�� This permit ap pl:catan crpira if !pawl: is oat obtained a i:hin ISO days
Print name: it!04e .'ir / hop ' • r Date: (..,..--4,7 o za p_ after it has been accepted as complete
( *Fee methodntnvv set by Tei C:minty nodding Indushv Senior Board
1:11=Jdmy.Permis'riM4•PmrtApndx Ia'a11:19 .:OdaivT(IantrountFh)
Electrical Permit Application
City of Tigard 8 201 o r 7 A /2 j Pcnmt No.:17�9Tie/a -04/51
13125 SW Hall Blvd., Tigard, OR 97223 f t;
;i
, r 1 ^
�14'(
T1 lia�e3 PYeR I OlherPbimii: a(,f���0 "' --c2:)/c/3 Phone: 503.7182439 Fax: 503.598.1960 ■ e t ; , - , „ , ., r { y t F l
I " n lv Inspection Line: 503.639.4175 1 `���& 1 to Read�:'By. : 0 See Pare 2 far
' Internet wow titard - or uov Natrfied/Medtod Sappkweatal le ftlrenadea
~
TYPE OF WORK PLAN REVIEW
jaNew construction . 0 Addition/alteration/replacement Please check all that apply (suborn j sets of plaits Wens checked Woo):
❑ Sus ice u feed.: 400 amps err mom as ldari our th k slsri:,,
0 - Demolition 0 Other
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION enl.ociii h,.GOJ amps a1150 volts W- ❑ Flinriod bindings. t
leas to around. or meals 14,000 ❑ Comtacncial -use agricultural
0 4
1- and 2- family dwelling ❑ CCi7LTierriaL 0 ,1cccs orj building amps
tint all abet mmii. ions. emtmogs,
Multi - family 0 Master builder ❑Other. 0Fripmlp. ❑tastauationofzsicvArn
I _
JOB SITE 1NFOR!1 ATION AND LOCATION ❑ Addition of new motor load 0 A'a°BonossY"m lever of ❑ "A °, "E ^, , - `1- ?',' 1 -
_ EI -
Job no.: Job site address: _9279 SIN 92 Ave lOOaP or mete.
/� ��p ❑ Six or more residential amts, ❑ Recreational vehicle {ruts.
V
City/State/ZIP: I Q t Q S1 / ❑ Ilcakh.wc facilities.
. ❑ Supply voltage for more than
❑ Hazardouv to cations nti 600 volts nominal
Suite/bldg. /apt no.: I Project name: r v V A_ _ ❑rve, Se or fceder al° amps or metre.
Cross street/directions to ob site6 Vv t� FEE Ss'7iF3 LE
3 l (j rZV r 11 � IJIV° °�'�'i" l Qty. 1 r.i r Taint 1 •
Ker residential stogie- or avitidm
ary (inciting at
lacltales attached garage.
Subdivision: 1 Lot no.: Z3 ! 1000 sq. ft or less I 168.54 I i 4
1 Ea odd•! .5. E y4. a cr t:21 I 3:'-.92 . !
Tax map /parcel no.: J Limited energy, residential 75.00 I 2
DESCRIPTION Oi! WORK (withabore sq. ft)
- Limited energy, multi- Itmily 7500 I 2
residential (with above sq. IL) _
Services or feeders installation. alteration, and/or relocation
200 amps or less f 100.70 -72- EX- PROOPER
EX OWNER - ❑ TENANT 2C1 amps t 400 xnps 133 56 ' ,
.�� ea '.`1'- - /� r� S L. .
*; :•rte: � �-V 1 �Ir-C V �C v t' 401 amp to 600 amps '_00 34 I : 2 ,
p / � � 1_601 amps to 1,000 amps I- ----
Address 301 W
, � , L W . r C , w C (- - Over !ra rer =' c..,:- 552
vet: i 1 -- r 2_ c
City:lSta!erZLP: ^ / �� '� _) t� G� I I T services or feeders iin al dodos, alteration, aadior
_'�,r� � t I A 1 CT I reiocanoa
Phone: i 3 -3� . Fax: ( ) e,1 -3 3- • 1 200ampsa lei 5936 ( 1 1
201 amps to 400 amps 125 01 121
Owner installation: This installation is being made on property that I own which is not ! amps to 599 amps ;� 34 I
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 12
Owner signature: _ — Date: _ _ Branch circuits -new. alteration, or esteosion, r panel
A Fee for branch ClrrAat7 with
0 A pucAN -r 1 0 CONTACF PERSON above sus ice or feeder fee. 1 t
each branch circuit _ 1 : "
� tam
!,1eio 13 Fee for branch cucues within '1
sew ace or fkcdcr fee, 1 int C
Cornet ^.rtP: branch Circuit i I g
1�tir _ H I Each add'I branch circuit + 7 42 12 I
e�li (service ma e:1i;ieoile (service .)r feedr. invt..ded)
I Each manufactured or nodular 1 2
City /S!attieZDP: dv diurg, setva:e andior feeder 67 84
Phone: ( ) I l 3Y:: I ) I Reconnect only 6784__ ._ -_ -2-
E - Pump or miasma circle f 6784 ( 2
CONTRACTOR 5- GI m ::a lighti:.g C 84
Sijrnl circuit(s) or limited-energy
Business name: ` ` pawl alteriWrl or CxtgnN I . r aga 1 l 2
� � fl/ 7 / tee' fi. L' �/ pawl 1 Each additional i� n o over allowable in nay of the above
Address: AddNialal inspection (1 M min) 66 251 hr i
City/StaterLlP: L ° t jy , f 2 t4 c�60 I
trtdt9tnal plant (I In mm) 7 R 1 RJ hr i
Phone: (366 ) pie / - :rp-_ I Fax: f, ) Inspections for which no leers 90 001 hr I
j' s, _ _ spccificallV hued (S hr mink
CCB Lic.: /' 6 !/ • ?L/ I Electrical Lic.: t! I Suprv. Lie.: I/j �( ELECTRICAL PERMIT FEES
. Suprv. Electrician signature, required:
4 . - - - - Plan review (25%of pens it fax): I _ �
. I Print name: �j/ d�� e // State sou 12%of d fee)
`.� ifis n I Dat 40 <�z .?- ,- 1 I chmlF ( t
I Authori�e� signature: — IUTAL 1•tic!vlt(Etb: I - -
1 To, p r eppPrahsq f••,•irr. its a., prr.,it is ant rbtn within ion
I Print name: 11)al�C: days alter it Isis flea accepted as ceoptese.
• Nnmher o f Wpm allowed net pertmi
1 ' 3uildim'Pcmitstkl C•Pnm:iApo Mc 07011;10 44o.46Iti(I IRS(COM WSB
Mechanical Permit Anplication
Ci rd JUN 2 8 2012 [ 131 5 W H of Ti d a.. rigard,OR 97223 : 303.71.t 2439 Fax: 50 �' �0 �v / �/�T�� �� knew 11.598.1 960 T+ °'" T - l c U. cox �� °�:._ . �� �tudY it: �o�� oo /y 3
(nspect;dn line. 603- 639.4176 E UID N�; D n/ ";:�'��.i`.r Ready -�s;, ' 0 set Page s for
httentn www.tis rd or =ov t�t,rdsed+ e,tnd %Meanest 1.tairoo is
TYPE OF WORK ' _ -- --- AL IRE• SCHEDULE -USE CUM=
INew construction ❑ Addition/alteration/ lacement - Mechanical performed. the are hued fo t o value ar of sl work
�D performed. Indit:aDe the ,due (rounded to the nearest dollar) of all
❑ [)emolition ❑ Other- mechanical materials, equipment, labor. overhead, and profit.
Value- S
CATEGORY OF CCPRITRULTION `` uswentu, counvarer /tlYafhanap
1J t and 2- family dwelling 0 Commercial/industrial ❑ Accessory building Fr special ggntmt[anaeeclree>tlta
❑ Mint's fzinly ❑ Master builder ❑ Cater: Description , pry , Es. , Taal
JOR SITE INFORMATION AND LOCATION .
Air conditioning
Job s i t e address: 9479 SW 92 Ave (eq a si61 *11 Iltownli p:>rrment) 46.75
Furnace 100,000 BTU (duavwxu) 46 -75 I
City/State/7.1P: "r. i : "r { ` , ,. ,.. Furnace 100.000+ BTLI lduewvent t 54.9)
Suite/bldg./Apt. no.: - Project name: M [) (1 4 el j. Hem Pump
5.C_ howlers rim Om mine pt:anenn 1 61.06
Cross street/duedions to job site: 5.4 7 2 r = h r`C Y 5 N/ - f , , ' r3/...,4. Duct work 23.32
liydronic hot water system 23.32
Residettial boiler (radillor or
hydmntc) 2132
Unit heaters (fuel-type. not electric).
in -wall, in-dact, suspended. etc. 46.75
Subdivision. 1 lot nu.: 23 Fl event lot any of above 23.32
Other: 123 32
Tax rnap:parcel no.: Other fuel auD[iastes:
DESCRIPTION OP WORK Water heats _ ____I____ - 23-32 ,
- Gas fireplaodeasen 33.39
Flue Pea ter water heater or gas
fireplace 2.332
Log lighter (gas) 23.32
Wood/,Qellet stove - 33 39
Wood fireplacc/ ssen 23.32
d eao,EwrrY OWNER l t Q ��, Cilium);
Other. 23.32
^ 23.32
rne: pi. 01. AYea (nt/e. hy1Q L 4
Nu
y1 [ � G I Eov[roanraW e:Yaraat trail vcntibtha: ,
dd
An:ss: t t t 5 0 517 R i ye f(,,1e a /Z a RanFr lutod /titer kilr
cqutprnan 3339
City /Siste.� /SP. pe H Q t .• t c, oR C( 7 Z i t Clothes th'yer =cheese Ji 39 _
Smagle.drrcl exhaust (bathrooms,
11toue: ( SQ3 ) 3S 7 -3 7 77 Fax: l 5e3)38 7- 3 77 $ Mulct corgermne, , tmllty roans) 23.32 � 0 APPLICANT j 0 CONTACT PERSON Attic/crawlspace fans 23.32
LDusinesn name: -- -- — — — — Other: I J 23.32
Feel piptaR:
Contact ,mate: 514.13 for arts fear, 54J3 for eat* adslidatal
Address: I I Pomace. etc 1 .
tin heat pump
CilyiState /LOP: Wall/susperdedrunitheater
Phone: ( 1 ` Fax:: ( ) 14uer heater
Fireplace
is -mail: at
CONfRACPOR 1 Sarbc oc
Rosiness name: A 3J Q, A-A,ea-\--;,\A TiNe Clothes dryer (gas) t -
Address: \ 2 G., E....1(.-:—; t t4-�- O iler MICLIOANICAL V .
City/State / /JP: PC(aA — A A C,(R 4 4-0:) SabinW
��. Minimum permit fee (390 DO)
Phone: Gt 1 �aJU Fora:( )
_ Ran review/ (ISV. of permit lee) ,
CCD lie.: 1 q 4 - Store surcharge (12% of permit fee)
6..t Cervi1ch? ,! IOTALPEILMITFEE
X Authorized signature: // . -L — TYs perk'pyra ids empires era germs w w m.d
t eb within IMO
/� awls aver Is No M attgsed so c4�1s.
Print natn f e: O 1A61t_ p , t`= Q �� ��t� { Date: E .g � 1 t r 1 1 • Fee nMh o doloay set by Tri•Cconty Buddies Industry Service Board 1 lS,:M.n.Yaw.u.. MEC.PmmrApp d. 03/07/12 4.10-381n I I IML &OMAYFD)
Q47? c o 9 ikof
tie-rt r af - 640 *4 1, Lo r 3
1 11 1 1 a
o Building Division
Development Code Provision Review
T I G A R D
Residential Projects
Building Permit No: M 5rao is -0
OD / S
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: - xis t 9
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: Air' ❑ Site Plan Only ''T ko 2 - 7,E 45
g b7/15 .� Arr&A - 1 - b e . R E4.7 s owl. ci
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 (V) 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 at 503 - 718 - or @tigard- or.gov)
Land Use Case No. _ _> — O Name
(Zoning
Setbacks:
Front Rear Side Street Side Garage
6 Maximum Building Height Actual Building Height
Er Visual Clearance
asements
Yl Sensitive Lands Type: 11 A'
Notes: I , 4 /
p inifrbe. 6 , /13' / ‘ -2,? �/1 ti" I ' ,, 7� J
Original Plan: Approved e Not Approved ❑ Date: 7-7 " / Z
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:
Notes:
Original Plan: Approved Not Approved ❑ Date: - 1 1 i L
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
ri
r
City borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
treet Trees
Protected Trees
Notes:
Original Plan: Approved d Not Approved ❑ Date: ) i -/a
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review_(contact Albert Shields at 503 - 718 -2426 or albcrt @ 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 j No ■
Date Routed to Building: - ,
.
4
•
.l
l
•
Page 2 of 2
„.. ....),
RECF
FEB 2 7 2013
LOT 3 CITY OF FIGARD
"CEDARBROOK FARM” BUILDING DIVISION
EL. •
7950'
E'-14 5' -0" SIDEWALK . .
DECIDUOUS SC Sr (.t —
�o'<eac' oz_oYO oaoYCti
SCREEN TREE. EL. • .V I l� = 1 � 41V�.; • '
• KA•re RA TREE
30.00' - ! = 3 1"
BUILDING'S [.: ,:10.,,,k,....-4,.. 7
IDUOUS ORIAI•EN
0 DEC . PLOYEFUN6 DODIWOD TAL TREE. (STREET TREES)
_ LOT 37 J •
emTeRN rspeuD Al ' - I a TRACT
A l W 3
O DEG C7REGCN GRA ED! ORJdhENTAiL MIR1B9; , I • 0 �' /_ �� 1
FLOLLE N GRAPE
3 CuRRANT
ee EL I, I , , -
EROJEERRY 30.00' I
e + P -0 IOLO%* '�.- _. I ' t— _ ._ u .__ � . �t ,ry� \`. tO EXISTING E W 4 LK8
GeANOrwO Ill 1 I� V I DEVELOPMENT I Al
aa+ArEinAL GRASSES M OPP1+ AREAS wTNOUT - �}I I j I I I, Q 'VI f
I.... ITT�SORALGRA CO t', {1 �;[.4�' 111! i i± : 1Ii / - I—
® rEFETNIAL. ...•.,�, - ITIDO' ..,.. ` a :- Z ` I y`- Z
_ DAYLILr 111 950' / O /` _
�1 1 TPl0 7 . _ , ! II _ 4• _ :.. / 3000.
d) � ..II --
Q / / LOT EL N , � w fi fid =l�1 j 16 ,1 I k a . Cn V
30.00' r ,4 .. � , ',
.. "CEDARBROOK FAR S.W. 92n
4' -6 ��I % �,� d AVE Ill _ _ n
/., CONNECT
, � O
I li SIDEWALKS TO ; m � -I II / O - ,p "
0 �/ HALL / BUILDING � BLVD.
VII �` 1 1 1/ O
FIRE TRUCK 5 I �® T ' ' !Y
ACCESS CNLY I 1 '' •' •' - ;Y' I ' '
5' -0" SIDEWALK
30.00 0 — J ® p Tli, r.v I I _ _ 5 02.06'51" al v v v v v��6 a �� '' = 'e• y� n ,
- _ . 0I.8B T W — — _�. q • 0, . . - .Q;1ti- -- , <I l �� � 1I'
4' — _e S.W. 92nd_ AVENUE 30 ID0' �o S T STONE
c
/ — \ ` O L FENCE AD4 RAMP
EROSION n 0 G � � \_ � . .. - 0 PROJECT '� • 9 CNTRO ' - - -" ' ' SIGN
/ --- — – – –
(WHERE CONTRO) Gtr-
_ K - _ EL. �a 1 , 0 B EN GAZEBO W/ 8' O
/ �_ -- — e – <• ! I'. BENCH UNDER
b 1 . 5' -0° 91.0E K y 30.00' .t;:n� .j
, I . � . ( e "� '' L.
PROVIDE (I) 4" ABS STORM
. 7
t. / / 5' -0" SIDEWALK
/ T19.02 8'_ 0" PL 0 8781' 1 ' r �1 30ID0' SEWER t0 STREET MAIN (EACH
/ i l' /LOT I C - - - - -- _ _ G � : . 1. 4!:
LOT UNIT)
/ "6 I o LOT I „ I — — w ��`•w I PROVIDE (I) 4" PVC SANITARY'
�LI�'h � I��� J °12 ry °IS I'' �, ...
ISO " •,• � TRACT I IIBR i0 STREET MAIN (EACH
/ / P:,. 1 /I � m 1 I • _ I }1 ��Ir�— J Q E PROVIDE (U I" PVC WATER LINE
ml � 1 LOT I` ` `�� 1 � — ' L W Q / I I 0 "5 I/ � I L Y $ LOT I` '�� � ` � � CWS TRACT (EACH R AT CURB
U L �1111141 Q II _ BOUNDRY (EACH UNIT)
:=1 0 "0.11111. „idi I 3 I �� `�� ry � v c O e 0 _' ALL SIDEWALKS
o ! LOT m m. +�' L OT - m -'1�I- A N r.CO�/ .v_.i � ) ��o ._� ��C� 1 TO BE 4' -0" WIDE • i
/ ; `" I — � MA �0 a :1 °T lOe� I�r�` (TYPICAL)
LOT i LOT m � o :'TRACT
/ /
I °3 MIKILOT 1 I�C 1 1 � _ - I r e "' -
E m L OT � r " - �I` kill
/TRACT �1/ "8 "14 ` LOT _ TOT LOT W / / �LOT�- I I - LOT LO� '4 � -r' - O SWINGS PLAY
, n • [ Ie-- I� I ` '1 � SRT W/
/ _ I 1 I -1-d35' a I I LOT I BARK UC CHIPS URE ° T " 13
\l 5' -0° HIGH DECOR.C- 1 • U 15.4S ° I I ° "' '19 I - • / VINYL FENCE TO RUN - •�J6 >7 �' — - O , _ a _ - I e
T
ALONG TRACT °A" l'-‘" BUILDING - T�s �`9• .....: � ':':':. . - :' ....
FROM PROPERTY LINE r1 BUILDING 458.81' • 4
„ BUILDING L. • BUILDING EL. • , _ J'
r3 3100' ,4 31ID0' J EXIST( G SIDEWALKS N T
EXISTING DEV
THE PERMIT APPLICATION
IS FOR BUILDING °4 ONLY
SITE PLAN
SCALE: 1".20' /_ THE CIVIL ENGINEERING HA5 BEEN COMPLETED
MONTAGE ROWHOMES \ _ MACE
APPROVED ON THIS PROJECT AND THE DATE: 1/24/13
TI OREGON UTILITIES AND PAVEMENT ARE IN ACE
NORTH SHEET NO
THERE ARE (4) BUILDING TYPES AND (4)
MASTER PLANS FOR REVIEW BY THE CITY
A 0
p4 3-1--- a,V la ` 00 I ✓ 9 ` OF 15 j
FOR OFFICE USE ONLY — SITE ADDRESS: ` U`l dj
recognized by most building departments in the Tri -County �
This form is reco rea for transmitting information.
y g p ty g atlon.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project. III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= r Transm Letter
r I c i A K I) I W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: I� icy DATL RE t E> FD:
i I
DEPT: ' _ _DING DIVISION
''
APR 18 2.013
CITY OF TIGARD
FROM: BUILDING DIVISION
COMPANY:
PHONE: 1 C. q7/— 274 ^ 4�� By
RE: /yo S T F-26:- A u E _ l`7 5r ,./45 /A. ea /s5.-
(Site Address) (Permit Number) is-r,
( ec n or subdivision name and I um er) /e
45T&o /a — A!
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: ,:0_,&
FOR FFICE USE ONLY
Routed to Permit c ician: Date: 4_7 e d 1 Initials. �' 1
Fees Due: es ❑ No Fee Description: Amount Due:
A me _ L tv 1 .) $ Z77,CC
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
FOR OFFICE USE ONLY — SITE ADDRESS:
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ex
:. Transm Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: P DATE 1149 F • YT,
DEPT: BUILDING DIVISION
'1 c D
APR 1 1 2013
FROM: fri* it / /A /U /i BUILDING CITY OF DIVISION
COMPANY: ii /I I i Ii gf :�.T
PHONE: 7 2'7' /eq3 6:: k . )-40
RE: /// ` - i / S\19 - r — vO /S s ---
t • ,'9 I ress (Permit Number) / s
f
(Project name or subdivision name and lot number) / 8
/ 5
ATTACHED ARE THE FOLLOWING ITEMS: / 00
Copies: Description: n Copies: Description:
Additional set(s) of plans /✓ / � . Revisions:
Cross section(s) and details,* Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: / �� / ra IJ �� / /i s
_ "ffi r -/_. _ /ar: _ 2.-/.! , I
FOR O FICF USE ONLY
Routed to Permit Technic ❑ i . Date: A -tom ('7,, Initials
Fees Due: Yes o Fee Description: Amour
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
FOR OFFICE USE ONLY – SITE ADDRESS: c ?y9s 9c J frVC
This form is recognized by most building departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
IIIIII City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
r
Transmittal L tt
Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
n
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: e/95/"9 gio/ViNIM RECEIVED
n COMPANY:/ /OR / !i1 /PeZ- 1- ,, I AR 2 8 2013
/ C of TIG •.':` .
PHONE: g 7 Z� �CJ!.T 0a� fvt,wor VIS Si
RE: •-- ST 4 Af oia - o o i5''
rte Address 'emit 'um,er
/s2
.."D (Project name or subdivision name and lot numb /��l
Z. X60
0 ATT HED A T F LLOV I �MS:
\3 C ies: Description: Copies: Description:
v Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
me ' M Beam calculations. Engineer's calculations.
� Other (explain): 7(% )
W REMARKS: if I //r /� A / t) WWI -JT s
7 l / / 1/( ' 47 /i . $ 5/ 4t/
i
P,
FOR FFI E USE ONLY
Routed to Permit Technician ate: Initial
Fees Due: ❑ Yes o Fee Description: Amount Due:
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
(:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
A-
- IQ t- k 1
ecV
ILY,cr,s
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
245 Firewall
06/12/2013 00:00
MST2012-00159
PART
Common mechanical and bathroom walls only, ok to rock 1 layer at attic truss location
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
240 Exterior sheathing
06/12/2013 00:00
MST2012-00159
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
120 Electrical rough-in
06/28/2013 00:00
MST2012-00159
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
135 Low voltage
06/28/2013 00:00
MST2012-00159
FAIL
NEC725.136 Low-voltage circuits to be separate from line voltage
Not to be run through same holes
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
245 Firewall
06/06/2013 00:00
MST2012-00159
FAIL
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
115 Electrical service
06/28/2013 00:00
MST2012-00159
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
9479 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
505 Sanitary sewer
03/29/2013 00:00
MST2012-00159
PASS
Violation Summary:
Inspector Contractor
r"
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1 (� , 9..„x Q 0 c 1s q Jurisdiction:
Site Address: p 7 , 7 S ( q D G ` r
Subdivision/Lot #: ray_
p
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: 07 ` 13 ' 13
Owner /General Contractor /Authorized Agent
Print Name: S-e-AZ Q YLQ�'1
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.
1: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01 /08
1
1
I
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ` 2 T
� cx- 12-Q.A , am the general contractor or the owner- builder
at the following address:
Site Address: q LI ri ? S vv, q 2 ha g ,5
City: — Fla OP 7 c '72 2 3
Permit #: hi, 2 4— 12 -00 I1
Subdivision/Lot #: / te) /A
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: 0'7-2_ 3 `/ 3
General Contractor or - ui der
I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
!Pin" STREET TREE
TI GARD CER TIFICA TION
I, agent ,c ¶1 a h, rug , owner/ f
or 04-t l 4- /I q to �, r rke,
E PRINT) (PERMIT HOLDER)
do hereby certify that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: hekalt f 2- n O f s
SI1 E ADDRESS: q Y 7q 3t/v, qZ
SUBDIVISION: hLfl LOT #: 2 5
SIGNATURE: DA1 E: 0 ?- - /3
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: DATE: j /7° /l3
(CITY F TIGARD
❑ Tree location verified per approved site plan.
I:\ Building \Forms \Street 1'recCcrtiticate 05/30/2012