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Permit 91/9/ A.k) E l 44 , hfI ''y LS ?o • Building Division Development Code Provision Review TIGARD H Residential Projects Building Permit No: ' ` 5( ao / a-OO/ 5T CWS Service Provider Letter Received: Yes ❑ No ❑ N/A CF. Routed Plans: Original Plan Submittal Date: 2( r Pt Revision Submittal Date: 7 4 /Z ❑ Site Plan Only 2nd Revision Submittal Date: 9//9-h 7— ❑ Site Plan Only EX TE,4ro# �37�/3 1'^,T�tRScn !�5V.7SloivS 0AlL`c 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 (1) items are approved. Items not approved and those listed in the notes must be revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact 7/y1"U at 503-718- -Y or @tigard-or.gov) Land Use Case No. So/f3 2061 —©J Name Zoning rCJ Setbacks: Front Rear Side Street Side Garage j:1 Maximum Building Height Actual Building Height 1. Visual Clearance 0 Easements ,El Sensitive Lands Type: /47P- Notes: Z. d7' 44 /✓4�r91�i..F /,� [ , Original Plan: Approved$ Not Approved ❑ Date: "7` Y- I L 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) gi Actual Slope: S Notes: Original Plan: Approved Not Approved ❑ Date: 2 3 1 -*/-- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 .,_ r. ••''''6 S L : I . •...• k •! •,` . 1 :k- _ :- _, LOT 3 UilY ., , , "CEDARBROOK FARM" r..$ . _ _e _ _ 2450' 5 020E:4'51" W I. %,..• . t : - , - —0 0 DECADU011e..44, OCREJTEE■ ligieMECV Mill '...,...41111-....10110r0,7:.11111110/11pirti-".7 ..!. 81- 54" BUILDING% 0 ORC49410U6 ORNAPEN. 1,1/Au eVREET TREE!, LOT.52 . . •- A' 2 :• a TRACT • Z w •G., a 0 PECIOU016/EvERGMEN CPPAMENTAL Swea.16, . qi OREGON GRAPE EL. I Linn A ,,,,it.z _i St,i, ROLLER,.0.PIUNT I SERVICEPERRT 30.00' . ,___■,---Age_____■,--AMillt•A " I Ittii CONNECT SIDEW KS CROLIREPRY TO EXISTING GULF GREEN RAP,IOLEP81•1 DEVELOPMENT RUSH crmouerm, ILI .•• / 1 • Itt Erij !! .,4111,0 ...1 cs) ....,.. 1...•...,01•1174:0L GRACRES IN OPEN ARE.WITMOUT '' ‘..1C 4.c, I...) .11 •'Ai 0,-.i.,7.-Lsr -",,,, -----,. --- i, , - A ,,, ii.;'.- 12 EU .s...., EZI PERENNIAL EL • '-(,‘, ----1 / 0 E 7 10 n 2S50' 0 -PA,LILY 7■0 .1 L • E I 0 .1 4-.. 06 ...1100 ,.... ,,,, . 4,_,.. 30 / Nit toll, to.r.t.:.:.- 4.0 6113 . 1, 6; , , , ,,,,-,, -•. a (.0 ,, I 49 / LOT 4 "CEDARBROOK FARM" EL • —--4I r----— 'IP -. '• lit 3:7744P)0°1 I-eve l'oe '„ S.W. 92ncl A 1-- Ell Ot ...i4V 0 CONNECT :, SIDEWALKS TO -14/I r Ai 9jA k I (k ° NALL BLVD 14/1 •• t BUILDING.5 FIRE TRUCK St, 11111,4, 4) / ,10112111151. .... ACCESS ONLY EL • Al I w Q 3....1 7___ _ ______ _ _ 020651" lll 4411P-ft Q' 4.'il=i1F1= 1*(7-Cit 1/- .- _. --„ .410111111t.11. I i .....,k _ , ,. .... ... , V -.. - --.4. ::. - -__ #13" y VI ..e.i.' ..... .4 4 ... s % . , -,-..4••-•-••-, ... 11— k..1 - OY - S.W. e2rici AVENUE - b PROJECT .% A - Z ',.. ".-. °, EROSION CONTROL FENCE ADA RA,00;00.11. •;(0, b . -,- ::-...,:, .',.-. • „ILLA I 0 I- -—---- .. ...._______5'-cr SIDEWALK A1111=11” (UJI.17:ECIUIRED) •••" . NIP•ci S'xa GAZEBO W/S / il/ /. ,,,,, e, • 0 =;' e , , A.4."%, ..-..2• .:1;1,4.. O' , BENCH UNDER f 1.302 mominiv_ ' mmil 1 :71A: ._.,• ...,_ .e,. . _.„ PROvIDE(I)4"ADS STORM ___ 111 6.-er Int.E. 9 - '' - • - - ••• ',',- SEWER TO STREET MAIN(EACW E / /.........T I NV I 1 rEaDvIDE(I)A"PvC SANITARY , / ' / or, pahairig I !MI_ 1111Wil-latt ,imi Lulo2T ,....s, -Lo-T- 1111/ 1111111 -- Q IMIL,Alpeliilllre--- TRACT WER TO STREET MAIN(EACW / 6./ ,;. ANNI1074 .-• I I, 1.h. itilliAIMINIMI_ LT -,1,ii LO nir IiIKIIrli "Pr .-1... 431C)i R UNIT) °1ST ,,wcameNiffsl X ''"-1/1. 1111■41•■ '1111: PROvIDE(I)I"PvC WATER LINE TO METER AT CURB (EACH UNIT) / ' 4 ' r .williol ; ,,„ ow 1 LOT 1112111=2"P., .4=1 2_4PMEIV ,AWE: .-. NI Il r: IV al .; Ilh■ Lor/11% P, '--. I ALL SIDEWALKS (NON STEET SIDE) / ' -11 I LOT 4,1'4,4/ IfiBMAI=111111:: ..'itillinirli--"A' LOT - 2 --Pr- -•----eimr"' L.. 0 ,i6 I - = .41 i- il,.111 'LOT , 111111* .23 'Imo • • ,„ low, ow. 410 i? ' si. iibi,tt air ,.ira _ ■=.1111-- - -,;-'-:- TO BE 4'-0"WIDE (TYPICAL) _,,,KrA= LnOT Lt14 4,/co'. L.105T lialariMa illiH41"11111111. . .2::11111114::: -.."1:-.1:"..'IRA.'::-....C-.1::1:0": / ,,,, 1 LOT tal Mr Ct all - L102T 0 3 .-::.."i 4" C I / / I *3 4c --Arc-2 --tliailL f- tafal . r■— .--■-417111,1 ',,' ,11r-Ter---. ---.._I i ATV,. t,,;Awl. _ Jo .-;, :::::::::::d .. .. .. .... _If)T 1■., viral:: -Iiimpir LOT :. 7=Pa:— • A it-~' Lo itagri- --IT 4/1774.74.1. .::::::::::::::io . .• 4• 4.1 Im. / TRACT , .2 ilir ,., NII=;,. ,,impair . "85 i": r- 4' -'111111111h '7.2'10 Aill!.:.--1 ■-- - :.e. TOT LOT UP Nell:),...:...-..t.,-.:!:. .:. / 0A.. 1LOT MI P, 11 el I I :,,, , NI _,arliallprilirIdi,MEMINI■2 inlI1M7 4 ' ir _,. .11W ,.'tallill II 1 LiFIT „., , L.103 API& t 14412/11f■ 4111•1111••AI Ai re...:-, .• .:::•:i, 0. SWINGS 4 PLAY STRUCTURE LIJ/ BARK CHIPS *4 •• 1. IV lialnif • • L__ .1 ._ . * LW I . P. i ro.....1 ITS C'':-•:1 -'- .II 1 - - 0" .t ..c•- ,.. / V-0"WIGN-DECORA vE -------- vINYL FENCE TO RUN ALONG BUILDING . _ .., BUILDING , .... 4, '1h0 _2.12. WM 458.51' - . . . .. .....,....,s,.4,.:,6 r BUILDING • BUILDING 4 PROM PROPERTY LINE 1 ± 31.1D4.1:0 • J I E LALKSET; THE PERMIT APPLICATION ■.., 15 FOR BUILDING 14 ONLY 4. SITE PLAN SCALE: 1"=20' (A4 TWE CIVIL ENGINEERING WAS BEEN COMPLETED DATE: 1/24/13 AND APPRovED CN THIS PROJECT AND TWE MONTAGE ROWBOMES UTILITIES AND PAvEMENT ARE IN PLACE SHEET NO TIGARD, OREGON NORTI-4 THERE ARE(4)BUILDING TYPES AND(4) MASTER PLANS FOR REVIEW BY THE CITY A 0 -Ool TG CITY OF TIGARD MASTER PERMIT "'- ' COMMUNITY DEVELOPMENT Permit #: MST2012 -00156 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/28/2013 Parcel: 1S126DB04900 Jurisdiction: Tigard Site address: 9491 SW 92ND AVE Subdivision: MONTAGE Lot: 20 Project: Montage, Lot 20 Project Description: Building 4, new SFA BUILDING Floor Areas Required Setbacks Required Stones: 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: 0 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 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: 3 ' 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: 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 SFA VB R -3 1569 Owner: Contractor: NW AREA INVESTMENTS LLC MA PROPERTIES INC Required Items and Reports (Conditions) 11150 SW RIVERWOOD RD 16501 NE 65TH CIRCLE PORTLAND, OR 97219 VANCOUVER, WA 98682 PHONE: PHONE: 360 -609 -3465 FAX: 360 - 718 -9701 Total Fees: $13,411.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.2344. • Issued By: � �ilL Permittee Signature: V 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. R EC EiVED JUN 282012 Building Permit Application Remeetisl BUILDIN` City of Tigard 1iRiZ No L , i , + - ( 13125 SW hall Blvd.. Tigard. OR 97223 Ptcn Rcvit Phone. 503.7132439 FOX 503.59111960 it B )Y d o2 a-Sii/ Qler ., co �_�y • Inspection Line: 503.639.4175 Doe RadyBy: km,: to Set Page 3 br w Internet: ww- tigard- or.gov Nonfied/Mdhod. __ Sapp ta ansa t TIME OW WU= t IM REQUIRED HATA: I. ANTiBRAItffi,Y d3'WELLI ifc construction 0 Dcmolidun Permit fees* aro based on the value of the work performed. Indicate the value (rntnded to the nearest duller) of all Additincialtersiannlreph era 0 °drr: equipment, materials, tom, ovetbe.. a'd the pro Et for the CATEGORY OP CONSTRUCITON work indicated on this application. Valuation; S Ell and 2- family dwelling 1 0 Commercial/industrial ❑ Accessory building ' ❑ Multi - family Number of bedrooms: 0 Master builder 1 0 Other: Number 3 JOB 917Z INFORMATION AND LOCATION Total number of floors: . . Job site address 9491 SW 92 -Ave New dere!in; : spar_ feet City:Statc17 -,'P: "- ^, r, l .1. r? !,' G 7 22 3 Garageicamort area! squire feel J Suite/bldg. no : I Project name: r-r. 4 r :, !rF Covered porch area square feet Cross street/directions to job site: Deck area: square feet __- t p Other structure area: ' /fr.: square feet REQUIRED DATA: COMMERCLUATNI CHECKLIST Subdivision: 1 Lot no.: 20 Permit fees' am baed on the value of the work performed. Tax map parcel no.: Indicate the value (minded to the newest dollar) of all equipment, materials, labor. overhead. and the profit for the roacRIFT XI4 OF WOOL wok indicated on the vplicetior 1 J ,_ p Valuation: S I ' Existing building area square feet p 1 New building area: squas feet 0 rwt i rry OWNER f 0 TF.NANI Number of stories: Name lils HJ' re(3 rr ✓es L1-G Type of construction: Address; i 17 5 O S W 1? ; ye r wood R d Occupancy groups: City /Stat:71P: Pe r fin r ca v ,. 9 7 2. s 9 Existing: Pone: t 5!'3).3 S 7 7 7 7 Fax: 15°3) 3 5 7 - 3 7 7 0. New: 2cAPPUCANT 0 CONTACT P RSON BUILDING PERMIT .lip rely Business name: A- W t IV Ni phut Mee* � alas aelimel i Structural P review foe (or deposit): c•«nan mode: ` IaeU C 4Leki .0 Address: ref 'l V 10 E (r G FLS pSacr revive: k; (if a�kitabts): Chry/StaiefLlP ��( ov(J { � r I � Tote! f due upm a ,icai. r7 r n . / -, ., a i /F f Amount received: i . mine: t 3iYl' bf li - :2szi42� � Fu:: ! ( I t t Amo 1:4r n n r n n n✓ n r. n r 1' , �y PHOTOVOLTAIC SOLAR PANKL SYSTEM PEEP � �ft pl'Cpe1'T ( � t 4. " L1 L V ( (Y1.A.1k_'IXJm I CONTRACTOR .( Commercial and residential prescriptive iastalbuon of J . ruof mounted Photo Voltaic Sohtr Panel System. Business nsmc: A A. A 1 00.e Pn CAF'. S Submit two (2) sets of roof plan with connection details . and fire department anew, along with the 2010 Oregon Address: I `650 ` E (r7,S L.tQ _ - Solar Installation. iecio /ryCode dtecklist. City/State/ZIP: w /� " P: A i ecy �1 Permit Fee (includes plan review ��« and administrative fees): I 51110.00 Phone: I5(&) 1,�o (,1 -3465 [ Fac :'3(�) ' '� I -G( �' State surcharge (12%. of permit fee): $21.60 ,. ('CB tic.: t 4" - a-a 4 ___-_ _T .- - Total fee due upon appleation: 5201.60 • X Authorized signature: / � Thin peewit apµl:Ohm esptres II peewit is w obtained • A . ► R C f0 / Y L / j _ within ISO days after it has been screwed as complete. - ]Print name: (`al�C� -(-4 \ R Q Ko _ _ 1 ( : ' Fee m ethodology aet by Tri-Coumy Baiding Industry Service Board. I.11tuildingtPermitstBUP- RFSPem App.doc 02f24f201I 440-4613T111/02/COAVWLB) - -- - f 1/27/12 �r9te9t�(4*! Plumbing Permit Ap iicatioi9 i ' - - . . , 0 Building Fixtures JUN 2 8 2012 - - - - - - .1.0R - 01 r He r t`St ONLI - . ... . City of Ti and °'�"`i`� Permit No.: 13125 SW Hall Blvd.. Tigard, OR 97223'11V OF 1C °ucmy P 4 '� , yr � ' � , • 131 ,F .. . Di an R e..+ I Phone: SU3.718.2439 Fax: 503.5981 . I tither Permti No L1 � �r 77 r , , .. I r M.: 41 Inspection Line: 503.639.4175 i 1 y +. .2 --. :.1 ,Z 1 t o a any I 0 see Page 2 for Internet www.tigard-or.gov Notified/Method: I I Supplemental Information TYPE OF WORK. ' I I ME' SCHEDULE New co o nstruction ❑ Demolition I For special information use checklist Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R for each utility connection) J '. • TEGORX. OF COTISMIjelION SFR (I) bath • 312.70 ID = and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 ❑ Accessory building 1 ❑ Multi - family I SFR (3) bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder 1 0 Otter. Fire sprinkler ( sq. ft.) I I Page 2 . - _ • . .,.00B, 5, 'SW. ANP LOCATION Site utilities: Job site address: 9491 ' SW 9 2 Av C atch basi or area drain 18.76 City /State/ZIP: � t) Drywall, leach line, lior near trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldgJapt. no.: I Project name: rO aQ Q Manufactured home utilities 50.03 Cross street/directions to job site: r 3(1:4 A ) (S -} (J - II Vbl /(J a Mdloles 18.76 �` l Rain drain connector 18.76 Sanitary sewer trio. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.: _) I Page 2 Subdivision: Lot no.: 20• Fixture or item: Tax map /parcel no.: Backflow preventer I , 31.27 �ESC.RIIPf30N OF _WORK Clothes washer 12.51 " ` Clothes washer 25 02 Dishwasher . . j 25.02 II Drinking fountain I 25.02 1 Ejet.tuta/bunip t 25.02 tRRtivzsirtx iiwN ,R i ❑ T'F;pf3wwr Expansion tank 12.51 ( T �� f Name: 1�� W _ Q-/h Pte .\ -S L l Fixture/sewer cap 25.02 Address: �I 1 �i`` Floor draiNlloor sink /hub 25.02 1r > / n W �� j q -_ - - ._ Garbage disposal 2502 City /State/ZIP: ! (\j �d + V •2 q a l Hose bib 25.02 Phone: (�)4 3(6 1 ,, 1 Fax: `.:330 - ', -. 7 - 7 b I Ice maker 12.51 3P'FI,LCANT . j 0 CONTACT PERSON Intcrecptorfgcase trap 25.02 I . Business name: Medical gas (value: S _ ) Page 2 Primer 12.51 Contact name: I Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25 02 City /State/ZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax:: ( ) I Tub /shower /shower pan 12.51 h -mail: Urinal 25.02 CONTRACTOR Water closet 25.02 ' Water heater 37.52 Business name: itil r ,. f�1 trt' i c>1rs 1e' pi!PC.= i tii+. Water piping/DWV 56.29 Address: P. r) . C :,rr 77 4. I Other: 25.02 City/State/ZIP: VAve cut 4 (Ad )t. eIVC.'-+ ri e..-, - - -- • Subtotal Phone: ( '3 772 QV 4C - Fax: (1{r 7 ) 7 , _ /6 it Minimum permit fee: $72.50 CCB Lie.: ( 717 6l Plumbing Lic. no.: Lt /0 Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE r- This permit applimUor. expires if a permit is not obtained within ISO dais _ -Print name:A@ :)� ± +P. �� °!t < :i� I Date: �.- i� 2e16.. after it bas been Accepted n complete. •Fee methodology at by Tn-County Building Industry Smsim Mud I',awldM PermasPLMU- PuxmitAo doc 1ae1A9 4:0 46i6T(1 TO!WWER1 Electrical Permit Application Pl !. .7 .4 - 1 14,I(ill 1 {, l I sl . 1.l 1 . City of Tigard JUN 28 ' Received m /A , P eewit No: /96/70?n/.� - ,�I S6 li g 13125 SW Hall Blvd-, Tigard, OR 97223 I Phone: 503.7182439 Fax: 503.598.1960 DetaE.- I Other Pam' 0/[o 0/A '00 /4/e) Inspection line: 503.639A 175 8 _' i OF ,I1 i O$ Ready,BT. I rwu: 0 See Page 2 for Internet www tieardor gov Ndtitfed/Method Sapaleseatal tetoneadea BM Ili i ,, . TYPE OF WORK I I PLAN REVIEW J Ncw construction . 0 Addition/alteration/replacement I Please check all that apply (submit I sets of plans %i/terns chocked below): I ❑f)emolition ❑Other: I C54. ire or f`',,d 400 0aaildizg, ore: ft. stone. where the a•tilabk huh mom[ 0 Marinas and boatyards. 1 CATEGORY OF CONSTRUCTION 1 a w :. owlsi),v amps r0Sur.:idg p buacia. 1t m r t 1 t leis to around, or exceeds 14.000 0 Conpoercial - ese agricultural log I- and 2- family dwc.iing 0 Co nrr, a.L'ind.striar r 0 Acccsry building laperor buildings. Multi - family 0 Master builder ❑Other. 1 ❑F�I�Ip ❑te,tatlatioaof 1 � i JOB SITE INFORMATIOINFORMATION AND LOCATION U Emergency system. larger separately owned system. - - -- �� _�_ __ - -.- -- I ( OAddtionofnewmotorloadof 0 "A 2", "I_3 - , L 9491 S 9 Ave I ttalrp yob na: Job site addres ❑Six at more residential wits. ❑ Reaeatiaeal vehicle parts. City /State/ZIP: 0 Habhve facilities. 0 Supply voltage for more thaa 1 I . Q I — fl- -- -- - ❑ llnxdon loeatio 600 'RAP nominal. Suite/bId J no.: ' Project name: 0 S or feeder 600 naps er �. - 1 V C ,� — I ! Cross street/directions to job site l a . A4 bia �/ t a I o FEE SC 3 - 1 --- 71 - Fe --- 1 ---- e. ULE ray h NEW residential single- or pails- frta0y dweiliag Knit laclades attached garage. I Subdivision: I Lot no.: 20 1_000 sq ft or less I 168.54 1 4 !a. add'! 5! so, IL or m I 33 2 1 "Tax map/parcel no.: Limited energy, residential 75.00 2 I LESCRWT IOl OF *Mk (witl, abort sq. ft) Limited energy, multi - family 7500 I 2 I N y - residential (wnil above sq. n.) i I Services or feeders Installation. alteration, and/or relocation _ _ 200 amps or less 100.70 2 � - I C TV:ANT 20: amps is 400s =pa 133 5 5 2 ' PROPERTY Oti i� Fr'i I 2 9 � y � ]� , e"11• 1 + 401 amps to 600 amps '30034 2 I . y� t'r \ CQ -1fi �l-C r A kill GC l' 1 S Lim — — 601 amps to 1,000 amps I 301,04 ! 2 1 .Add ass: W. , � ' �. -... ,7 ' 01 ^ 3 y 1,0 _^: ce i= 557-25 ; b 2 � �--- / � � q Tenpon s eniees or feeders iasoaltatioe, alteration, ash CI ity/State /ZIP: s -� \ L' 1 0 %.tei d T c 1 OA I relocatrelocation iotion Phone: c�) 3 , -1 3 " 1 �• I Fats: ( ) 3 _ •^- 1 1 200 amps or tea 5936 ! I 1201 amps to 400 amps 125 08 I 12 Owner installation: This installation is being made on property that I own which is not 407 a to 599 ®pe 163 .54 I 12 intended for sale, lease, rent, or exchange, according to ORS 447.449, 670, and 701. Branch eircnits_ eew, alteration, or eicteoaioe er anal 1 Owner signature: Date: circuits p — A Fee for branch cirts wr I. 0 APPLICANT I �_. each branch circuit fee. ! 7.42 f 2 0 COQ; ACT PERSON I Business name: B Fee for branch circuits wiTorr + u 4 1 I service or feeder lee, first I 56.18 I ` Contact thole: branch mend Y -- -- I Each add'[ branch circuit 1 I 7.42 I 12 1 Address: I Rthwe;Liueu• (ant lee us' feeder no.4 iwta3nl) City/State/ZIP: Each manufactured et modular I 67 84 I 2 dwdimb, smite arador feeder Phone ( ) I Fa" :: ( ) Rev.onnecr only - 67.84 1 2 I Pump or migration circle 67. 1 E r CONTRACTOR I 1 Sqm as =Lc,: Isla is b' PA l circvia(s) or tuanoui energy I I I Business name: ` Lima, gammon. ormammmon Faye 2 I , t 1 -- ∎ z • C ) 1 L, L 1 �� G' C� ��� . 1 I fah additional iawpeetioa over allowable in any of the above I Address: 3‘<2.0 We 02d" A-1 , 1 Additional inspection (1 hr min) I 66 25/ hr I 4 , City;State /LIP: C ? «'r " CJG k trrcaut}itieli(I I..-min) 78 1 8/ h r , a trdmtrsd plat (1 hr mm) 78.1 hr L - 1 I Phone: ( ;) 9e; f - .it,p2 I Fait: ( ) I Inspectors for which no fee is 1 90 00! hr 54 h mml CCB Lic.: * -I q Electrical Lic.: <' -- i Suprv_ Lic.: L/j yE� I spccdicalty fisted I EL RICAL TERM It FEES- - - -__ ._ 4 � Suprv. Electrician signature. required: • 17 . 5irbi."mi i - , �� - _ _ —_I Plan review (2.5% of permit fa): 1 Print name: O 4 ; e4 ` / ✓1 of s [Date: ate/ - / 21 State surchar (12% of permit foe) I Aulhomcd signature: _ 1 is r 1 0 1 AL Mullin 1 Ftt: I i 1 T _ r�t applk.awr r.5:r.^. if , permit is sot t ma,tair wiihim ISA Print name: I B I ate: digs alter it km beta accepted o complete. a a I • Number of mcpecti„ni alImved ocr Demon 1 Aril diam C - Pern,i,Atp, dr,c 07111110 440.4615rr111CSICOPt.WEB fl . i;L_ • . ., 1 (1 _ , 1 ( - , 23 20 • , '';',=:-,,,•,-,•., Mechanical Permit Application , 'v City of Tigard 13125 SW Hall Blvd.. Tigard.OR 97223 - I : e tr Pep P1100C: 5)3 718.2439 Fax: 503.598.1960 Inspection Line: 503.639.4175 ': Interne. www.tigardorgav Received DroBy Al / A 017.h Pcnni'wV17 7 a 47-eel /5 P! at Ps xim Datt:By = f...ay . Noutledaerthot 011tev Perves:014) /2„„.90/ ...Oa itif kr. r 2 trr Suppieweseal tahrwaina TYPE OP WORK comlawmu, non saunas - =MCI:LW _ 1 Mechanical permit fes• are based on the vatic of the work New construction 0 Addition/alteration/replacement performed. Indicate the value (rottuded to the nearest dollar) of all I 0 Demolition 0 Other mechanical =aerials, equipment, labor. overhead, Ind profit. I Value: I CATEGORY OF CONSTRUCTION - IULSIDENTIAL ICQUIPIKENT/EIWITIME PEW 126- and 2-family dwelling 0 (:ommerciallindustrial 0 Accessory building fir spedal &dimwits ese checklist 0 Multi-family 0 Master blnIder 0 Other. Dencriptine I Or) I Fri 1 Total i , Hutlegkooling: 1 JOIE S/TE IIVFDIUMATION AND LOCATION Air conditioning Job site addresT 9491 SW 92 Ave (moires site plan StewM2 aleccateat) 46.75 Furnace 100.000 BTU (dual/wets) 46.75 Furnace 100,000+ BTU (de 54.91 ....; SuitelbldgJam. no.: Project name: t40 rt 4 aje_ Heal pump ji___,sottises isas at= shoasiaa otscenscall 61.06 - _ Cross street/directions to job site: 5 fr2 rt.' /2 v( ),, 5 '/ L.: . . Duct work 1 23.32 Hydronie hot warm system 23.32 Residential boiler (radidni or I . hydrunie) 43.32 _ Unit heaters (fuel-type. not electric). 1 , in•wall. in-duct. suspended. etc. 46.75 Subdivision: I Lai nu.: 20 , . Flue/vent for any of above 23.32 - - Other 12332 Tax zr...-p;= rm.: Other fuel anPfiallemt nrscawnoN OF WORK Water heater _ 1 P- ■ - —, - Gas fireplaccfnuert 33.39 Pen vent kr mist be*r• or rm , fireplace 23.32 , . Engle= (eas) 23 32 . _ Wood/pellet stove 33 39 , Wood fireplace/inert 23.32 42(PROPIHRTY OWNER 1 0 TENANT Clthimrirline..Ncra . 22.32 . , Other 23,32 I Name: W. w' . A r a 1m/es t trl R n is L L.C. Environmental exhaust and ventilatloc 11 1 50 S IV R i Verwciai P a Range haaelfalbat kitchen I equipment h CitylStnn...21P: Pa r 1 r id, cp ei 7 :g_' 1 ti 0 :Jim: dritn. -...7.!.72x...t 34 w I Single-duct exhaust (bathrooms. ' illaz 5 ) 3S 7-- 77 Fax (.503,38 r 3 77 .7 1 tact ;:aaq:araricris, Millry r 23.32 0 APPLICANT 0 CONTACT IMCREON. Attic/crawlspace fans 23.32 1 I 1 23.321 - I Business name: I Othe I Feel n 1 ....ent Contact name: 1- $t 4.IS kr flu bur; 84,03 the emit addinewal Address: Furnace. etc. , Liss at he pump City/State/ZIP: WallhuspendedAmit heeler Phone: ( 1 I Fax: :4 ) Water healer Fireplace E-mail: Range CONTRACTOR i B.alie.:iie Rosiness name: ea-1/4=0A_ ,(.7. Clothes dryer Boo) Ad I . , . dress: A 4 -02 I Other 1 NISCRANICAL reamfr. PLES• , City/Stale/11P: Pr Q v , 0 \ Otz 44 ,./)___.; 1 Subtotal _ 1 Minimum pen= fee IS90-00) Phone: #3.;) CJ :P Fax: ( ) I Plan review (25% of penuir fee) — CC13 lie.: 1 441 (2,9 -7 1 Sine surcharge (12% of pen= ke) i ..v , , 46-4int•C AA (erVirel e fel _.....--- ,- I (YIAL PERMIT FEE 1 .. 7 Authorized signature: -----/' i-- - . vats permit appricatese 'spires if • pars& Is awl solstaiaad wall& tat drys allw is los bus savrplad as camping. Print name: CW...ea ROC R c)1 A I", Mae; b n q 1 ' Fee Method:defy sat by Tn.Ccenty Buadies Industry Strvice Bead. i \sod..ereftv co. 03/01/1 2 440451TI C I lin COMMEB) - — .- . — • 94/9/ AA) a - E_ Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: H ` ( ( 96 / a / Sep CWS Service Provider Letter Received: Yes ❑ No ❑ N/A E Routed Plans: Original Plan Submittal Date: 6 )e r 1st Revision Submittal Date: 7 4 /� ❑ Site Plan Only 2nd Revision Submittal Date: 9~/ ❑ Site Plan Only EX TEegre2 E-4/e.5 D /2?//3 s OA) 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- a y or @tigard - or.gov) Land Use Case No. 5,x3 2007 —03 Name L ' PI-"Zoning Setbacks: Front Rear Side Street Side Garage p Maximum Building Height Actual Building Height Visual Clearance El Easements x7 Sensitive Lands Type: {N. Notes: 1 Original Plan: Approved -$ Not Approved ❑ Date: '7` ? / L 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) s iEr Actual Slope: S Notes: Original Plan: Approved Not Approved ❑ Date: .7 '2-3/1 7 -- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Xrborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) � treet Trees Protected Trees Notes: Original Plan: Approved L Not Approved ❑ Date: 7 - ..)3 -/a 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 ❑ Date Routed to Building: Page 2 of 2 1 I -, RECFIJF... FEB 2 7 2013 LOT 3 CITY OF 1IGARD "CEDARBROOK FARM" BUILDING DIVISIOIT'' EL. • r- — 7950' I.: 010 , S 02 W 5 Iii• � ;p 3 _ V w 5'-0" SIDEWALK 7 � 8 - — DECIDUOUS SCREEN TREE. EL. • 0° ,. v, . ,0` - vw 070Y Iti j 0 - KAtauaa tram 30.00' BUILDING , ! • 3_ 1 3? 'S � I � - 1 � . ,, �� Y . 8 DEGDUQIS awarETITAL IREE, +aIREET TREES/ - 3 Y - RLOLLERPYa vcYAUODD - L O i � 37 w . 3 TRACT - E65TE ]d1 FED91ID , ) , W I 0 DEGDUOUS.EVFROFED1 OR+AYENTAL &NRMa . � ,I - .N 0 WQ n /_ii SERM DRAPE N t, FLOIERING CURRANT GULF R.w+KxEnu �� i CONNECT 91DEW LKS /� - I' �t s CONNECT � TO EXISTING cEa+Dlwle 'L W 1:1411 I I IA� r � vI DEVELOPME (S / i I I � [ �/ 0 / Q v DIQ1 1 i . - s z I .•.•.•- I OW+At EENIAL caxaseEa W ...a+ AREAS WTRGUT CO .` I I V/ IrEE oa slams I ; i r.: °, , II I i / ® LIU RENEWAL. CP � '� IS1 - = nom ' �` c= Z 1 - DAVLAT In 7950' / O , - 1O1' �' 11.00' 4' / L. • E I 77 O II l + 11.00' - '.• 3000' I I I o / LOT 4 EL. • N , V4' I �1 bid � � � : IS' l l� N / 7 ji ,Q "CEDARBROOK FA 30 .0 ,...r , _, ∎ .:_ — _ II � 4 -b" : Ip . a - . ',�' S.W. 92nd AVENUE - ....... CONNECT ,� .g o / SIDEWALKS ;L- BUILING 5 Liu n ... - _ . ■ 5' 0" SID } _ _ _._ _ _ - -a + 1 I I B EL • I: 0 1 ja I - - - - .. + „ - _ _ o S.W. 92nd AVENUE 30m0' 4 o ° 7 • STONE SI ■ \ 9 _ 'A - - • - - - - u PROJECT • ` - — — 9 - -' ,1 -''' EROSION CONTROL FENCE ADA RAMP h SIGN I — (WHERE REQUIRED) / . . O 1— � . - 5' -0° SIDEWALK 9 - EL. ? , ' . 0 8'x8' GAZEBO W/ 8' • • b. -� I _ .!:��= L - n . . ...,�. d BENOF -I UNDER if / 19.07' S ' -0” P.UE. • 0 - = T r it PROVIDE (I) 4" A89 STORM l adi �1 — — - -,- _ _ • _ „� LOT LOT I ,� 10.0 • � PROVIDE !U 4° PvC SANITART �I r ^ Ii � `I 012 r I I +� �I� "=' Y O T RACT I SEWER TO S MAIN (EACH / 01 '. J I v w c 1 f W I LOT I- 'I i�1 � � � f � LOT o OT I f :w . vr G T 0 *5 I I J ° � LI O �� a W O 011 I� I '" L I' ; ` LOT / BOUNDRY ALL SIDEWALKS 3 I LOT ' �_ �1 1 ; p 1 '� — �1a II s+,' ti_ [O !TYICAL) OT : / _ I o I / I 03 �� J� W 1L ` LOT 1 T ry LOT v ry i »*m LOT H • OT I` 'Ai I m LOT �� -- / + '� �� / LOT X1'1 l , m [ /TRAC /� �� �� ...._...,,,=, I �� Ie i � "8 c 0 14 I� I� „ i ` tr p : A .. _ . L 1 � �, �I — — II �� I� � � � _ : o �I r`- 'I TOT LOT W/ / $ ILOT �r1 , ' ��� -- O SWINGS 4 PLAY STRUCTURE q �� �� LOT LO "1� 1i� w/ G ry I I a I "'T "13 q I f T ' I LO ' 'I ,. BARK GRIPS 5' -0" HIGH DECORA 1 la35 N I I d' ' -' VINYL FENCE 70 f J'4 - ? 15.49' . a, - i� �6, :7 �, a 0::::.• o_ ...` ` I . O / ALONG TRACT "A" l'-b" BUILDING MINI FROI'1 PROPERTY LINE /.1 BUILDING 458.81' - -'-'�'•- �� " ' ., 4_1. - O _ ,.. ' BUILDING L. BUILDING EL • ,► r3 3100' r4 31.00' CONNECT SIDEWALKS T' EXISTING DEVELOPMENT THE PERMIT APPLICATION 15 FOR BUILDING r4 ONLY SITE PLAN SCALE: 1"=20' THE CIVIL ENGINEERING HAS SEEN COMPLETED MONTAGE ROWHOMES \ - AND APPROVED ON THIS PROJECT AND THE DATE: 1/24/13 TIGARD, OREGON UTILITI AND PAvEr NT ARE IN PLACE NORTH SHEET NO THERE ARE (4) BUILDING TYPES AND (4) MASTER PLANS FOR REVIEW BY THE CITY AO Ms—r— an 1', —VV 1 G ` OF 15 FOR OFFICE USE ONLY — SITE ADDRESS: V This form is recognized by most building departments in the Tri -Coup area for transmitting information. g Y g P h' g 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 • = Transmittal Letter T I G A R n 1 W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiQard- or.gov TO: DATEiREC 1 F.: DEPT: ING DIVISION OR 18 2013 CI OF TIGARD FROM: BUILDING DIVISION COMPANY: PHONE: ;C. q7 l - Z 7 e' e6:76 By RE: J4.0 Faa 1400_ ea /5 (Site Address) • e S-1 ( ec n or subdivision name and lot um er) /ST `r7 ATTACHED ARE THE FOLLOWING ITEMS: /Le0 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: a.-/A,_ I FOR FFICE USE ONLY Routed to Permit c ician: Date: ( l Initials "!'�' lti Fees Due: es ❑ No Fee Description: Amount Due: 7 _ ¥ Ll�rty �C�! $ 2-7a ,CC Special Instructions: _ Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Buil ding\ 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 git r Transmittal Letter e T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: P4X DATE 9 lern DEPT: BUILDING DIVISION APR 1 1 2013 FROM: fr ii " /Z4e i / 14/ BUILDING DIVISION COMPANY: J� / � I / I #G Aof ��.Y PHONE: y l .-, 7e '.q- EY: RE: I ./, s -; / N'&-r c9o! a - co /5 "t• ,T ress (Permit Number) / s / (Project name or subdivision name and lot number) / j,5 ATTACHED ARE THE FOLLOWING ITEMS: ' 00 Copies: I Description: 4 Copies: Description: A/ set(s) of plans/1 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: / '�%)7 - .0' ' / / /vii i -4110 ,/II /L /_ /, _ / Muir= -� 2i /! , ■ 121 :_ FOR OFFIC USE ONLY Routed to Permit Technici . Date: 4- t (' 7 Initials: ❑ p Fees Due: Yes o Fee Description: Amour f $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done Applicant Notified: Date: Initials: l: \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 FOR OFFICE USE ONLY — SITE ADDRESS: * s 7 J /}'G' 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 q .7 : Transmittal Ltt Letter T I G A tt [) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov n TO: DATE RECEIVED: NZ_ DEPT: BUILDING DIVISION FROM: eh / /f)7/ Itibm/ RECEIVED n COMPANY:/- VA f #fra X --7U/ , !BAR 2 8 2013 / . ` / ' C I T Y OFTIG ` '` I .. , PHONE: � � _ z -y vi, rivg3 T TON S V �� /LJST 0/a — D o /sue • rte • • s res % [ 5 (• emit ' um i er /scP p (Project name or subdivision name and lot numb TO 11 �� f / / — e/� --'>) ATT HED • ' r F I LLO I ITEMS: \,j C ies: Description: Copies: Description: i/ Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. \N Beam calculations. Engineer's calculations. Other (explain): — 0 LP ) w REMARKS: If I` / / .f, / /LJeI` "(OP _..,.17 -' S -r/ t"N( '7140 $ s` Y, J , FOR FFI E USE ONLY P Routed to Permit Technician ate: Al V?) r?,7 Initials Fees Due: ❑ Yes o Fee Description: Amount Due: v$+ $ rD $ $ ' Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 6 c -tom-- A-- - 0EF:D. A3 & =zzaPJ 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 235 Shear walls/anchors 06/12/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 03/19/2013 14:00 MST2012-00156 FAIL Not ready for inspection. No inspection made ORSC R110.5 Provide stamped and approved plans on job site 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 245 Firewall 06/06/2013 00:00 MST2012-00156 FAIL Not Ready for Inspection OSSC 110.5 and ORSC R109.3 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 03/21/2013 09:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 235 Shear walls/anchors 06/12/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 240 Exterior sheathing 06/12/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 03/19/2013 14:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 245 Firewall 06/28/2013 00:00 MST2012-00156 PART Not muddled and taped. Provide ladder to check at 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 06/27/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 06/27/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 135 Low voltage 06/27/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service 06/27/2013 00:00 MST2012-00156 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 9491 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service 06/27/2013 00:00 MST2012-00156 PASS Violation Summary: Inspector Contractor Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: y- S 2 1 2 _ Dd Jurisdiction: Site Address: q q' q 2 A. "' e 7/72 2 Subdivision/Lot #: 0 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: O 2s ` 1 3 Owner /Gene Contractor /Authorized Agent Print Name: r 12 G J 1 3k L h K 0 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 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Xerz Gip b [ ci eth v , am the general contractor or the owner- builder at the following address: Site Address: q -1 iv gkz.ct 2 • 1 in City: il' . ©k 9'7225 Permit #: 224- 2012 - dD /EC Subdivision/Lot #: 20 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: Coq - 2,5 13 General Contractor or Owner - Builder I:\Building\Fonn\RES- MoistureSensitiveWood.doc 09/25/08 ■ III STREET TREE TIGARD CERTIFICATION I, S f 1 V. , owner / agent for c e) +. . 1 h Q . (PL ISE PRINT) (PERMIT HOLDER) do hereby certi that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: fit 2c) 12 - 0o/SG ST1 E ADDRESS: 9LfC I f14 c 2. 04 16L-pcV201 o R. 9 ( 7 Z 2 S SUBDIVISION: )1'1 $ Ct LOT #: C> SIGNATURE: DATE: (Y _ Z s^ -1 � (OWNER /AGENT) RECEIVED & i l VERIFIED BY: DA1 E: /4,455/i3 (CITY OF ARD) ❑ Tree location verified per approved site plan. 11' I: \Building \ Forms \Streetl'reeCertificate 05 /30/2012