Permit q CITY OF TIGARD MASTER PERMIT
' I N . e ' C OMMUNITY DEVELOPMENT Permit #: MST2013 -00036
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/06/2013
Parcel: 1 S 136CA10300
Jurisdiction: TIGARD
Site address: 11072 SW LEGACY OAK WAY
Subdivision: WHITE OAK VILLAGE Lot: 24
Project: White Oak Village, Lot 24
Project Description: New SF .
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 713 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 950 sf Garage: 198 sf Front: 12 Smoke
Dwelling Units: 1 Third: 520 sf Right: 3
Detectors: Yes
Total: 2183 sf Value: $235,080.60 Rear: 13
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
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains. 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
•
Drywell- Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL ,
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 0 .
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 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 2183
Owner: Contractor:
WESTLAND INDUSTRIES Required Items and Reports (Conditions)
12670 SW 68TH AVE. SUTIE 400 1 Ersn Cntrl 503 - 639 -4175
PORTLAND, OR 97223
PHONE: 503 -572 -0746 PHONE:
FAX:
Total Fees: $18,464.95
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 •ended for more the 180
• days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification - •ter. Th• - , rule are set forth in OAR
952-001-0011 oug : • - 952 -00 -•090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 . or 1 .• 332 2 4.
Issued B • . w / ' / � 1 / Permittee Signature: /(" /�
Call 503.639.4175 by 7:00 a.m. for the next available Inspection d.
This permit card shall be kept In a conspicuous place on the Job site until comple ion of the project
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application RECEIVED - .
Residential FEB 1 2 2013 FOR OFFICE USE ONLY
City of Tigard CITY OF TIGARD Received / Permit No.: M 6/5 ,�3A
Date/B
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' Phone: 503.7182439 Fax: 503.598.19 r � U ILDING D fUISIOM Date/B : �, y1� ' � Other �iJ4�X5_� �i
TIGARD Inspection Line: 503.639.4175 Date Read ': rte: la See Page 2 for
Internet: www.tigard or.gov Notified/Method:C `f / '> Supplemental Information
TYPE OF gag r i . , d t ri �, n IRED DATA: l- AND 2- FAMILY DWELLING
New construction ❑Demolition Perini 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.
igt 1- and 2- family dwelling El Commercial/industrial Valuation: $ L ) a�, ( 0 /
Number of bedrooms: /
El Accessory building El Multi-family ❑ Master builder ❑ Other. Number of bathrooms: 2 '
JOB SITE INFORMATION :AND LOCATION Total number of floors: !
Job site address: / /eriy 5 L £ C y 1 4 / New dwelling area: ?...18 �j square feet
City/ State/ZIP: / -f-� t a,Q 17 23 Garage/carport area: ig 0 square feet `j2c
Suite/bldg. /apt. no.: Project name: 40/ 17 '04,2 01M Covered porch area: 9., , square feet 4 15 . 0")
Cross street/directions to job site: Deck area: Zr square feet 7 13
Other structure area: 2 square feet 50
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: /.¢ /rt; a/4 ',i-4-6-6. I Lot not Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 5 76 �A / O 3 2 _ 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.
6/1J:5T2UCT A.' le j /m5 -46 li9T''1 / C1b'"t � Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
P cY �
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) �..,
New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES *.
Business name: 0 . 7; v -
vie werefertojee o s it): ule)
-t'" Structural plan revie fee (or deposit):
Contact name: R06 Afr t,v - `j „t,, 5iA4,up,elt.rr-
FLS plan review fee (if applicable):
Address: /? 670 SW 68' = ✓E 0 w
Total fees due upon application:
City/ State/Z1P:
i ,0 O q 7272:3 - 4 7 5 7 57) Amount received:
Phone: (S )) Cm -021g„ I Fax: : (en ) A38-#8.9
E -mail: J fo J q ava2 j,¢ /L . 60AAAst 7`,4 - ,06 (.)go/ cM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Submit /Ss and two is of roof plan with connecti . ails
and fire department a - along with , 010 Oregon
Address: X,26 yte../ ie, A. 5 e;0 Solar Installation Special ' ... ecklist.
City/ State/ZIP: � 9 d� , 7 23 Permit Fee (in , s plan revt $1 80.00
/ :. i administrative fees):
Phone: (9'7) 7)U -06 y � Fax: (503) O - 908 ( / State surcharge (12% of permit fee): $21.60
CCB tic.: 0 3 0 g 3
/ Total fee due upon application: $201.60
Authorized signature: i = This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�” Date: _3_0 * Fee methodology set by Tri -County Building Industry
Print name:
r 6 ' N r Service Board.
I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T( I 1 /02/COM/WEB)
e
•k
Plumbing Permit Applicat;4.1, C BED
f
Building Fixtures FOR OFFICE USE ONLY
City of Tigard FEB 1 2013 Re Date/By: Received /2 , 5 ) - 67 / 5
Permit No.
Il 13125 SW Hall Blvd., Tigard,OR 97223 AD Plan Review �� �/
Phone: 503.718.2439 Fax: 503.59 2 OF • � IO nn D Date/By: Other Permit No. 1, - 3T
T I G A RD Inspection Line: 503.639.4175 BV U1'ILDING p1VIS" Date Ready/By: luris: RI See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
r . TYPE OF WORK . ED
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 P for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
al.-- dwelling ❑ Commercial/mdustrial SFR (2) bath 437.78
SFR (3) bath ( 500.32
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 1 25.02
❑ Master builder ❑ Other: Fire sprinkler (__ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: // q �y C e /V1 r I T Catch basin or area drain 18.76
��---- 4 -
� Drywell, leach line, or trench drain 18.76
/ZI
City/State P: 17 e ��]] ' y^
e �i Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: yj '2 t. Ariti 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
��J.� ' J Water service (no. linear ft.: i Page 2
Subdivision: � an r-, i, lti Lot n � Fixture or item:
Tax map /parcel no.: /5 / 3i,,, GA- 6 t ' _Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
�f Clothes washer J 25.02
£ /5/ �i/16 - ��- �v - 2e � 'G J / Dishwasher / 1 25.02
// Drinking fountain 25.02
. Ejectors /sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture /sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal / 25.02
City/State /ZIP: Hose bib 7- 25.02
Phone: ( ) Fax: ( ) Ice maker i 12.51
L(4PLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: % --�� i` Medical gas (value: $ ) Page 2
l / „,,W , J7 7 fit Primer 12.51
Contact name: , j � . A111/� / �7 - (commercial) / r , Roof drain commercial 12.51
Address: ( �`9) ,c�`-' 0 '7i, i (t Sink/basin/lavatory c 25.02
City/State /ZIP: 7( 6 61--- q7z� / Solar units (potable water) 62.54
Phone: ( -- - O . 4 Fax:: ( i t!2jS -G�4S / Tub /shower /shower pan °� 12.51
Urinal 25.02
E -mail: (_ , %.A) ' . .11 , a J, Water closet 25.02
CONTRACTOR
j Water heater i 37.52
Business name: � M f (} "li4ogp & (P Water piping/DWV 56.29
Address: 7'11(r J hh )/ ,) / n Other: 25.02
City/State /ZIP: u•0 �7/ V - Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: ql:, 3 y6 Plumbing Lic. no.: 7 i.t. A S I - State surcharge (12% of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name / `
/
� � � D 1! D a te: This p ermit application expires if a permit is not obtained within 180 days
i l.J � � ,'- � 4 after r it has been en accc eptpted as complete.
'Fee methodology set by Tri -County Building Industry Service Board.
t: \ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10/02JCOM/WEB)
Mechaal>I Permit Ap plic r j ' - yFOROFFICE USE ONLY ` ' ��
Ill City of Tigard
CF IVF Dateivy ed " A � ' �
II Perm No. , !/(iv
® �fJ
't 13125 SW Hall Blvd., Tigard, OR 97223 - .� Plan Review
Phone: 503.718.2439 Fax: 503.598.1nB 1 1 Date/By: 2013 � Other Permit: p j4`.3— 1GIG�D,
TIGARD Inspection Line: 503.639 Date Ready/By: rurs: ®SeePage2for
Internet: www.tigard- or.gov ppUU CITY OF �IGA� Notified/Method: Supplemental Information
TYPE OF , Jj p DI y ISfON' ' COMMERCIAL' FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
f 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*
NI- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: t IV)/ SO S/ I 1 .... f
� , (requires site plan showing placement) 46.75
f Furnace 100,000 BTU (ducts /vents) 1 46.75
City /State /ZIP: (�� r
f ® (47 2 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: ` Project name: . / i , - 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),
� f in -wall, in -duct, suspended, etc. 46.75
'1`
Subdivision: W 'f Oft' I/'/, Lot no.: Flue /vent for any of above 23.32
1i1� 111 Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater b 23.32
Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment L 33.39
City/State /ZIP: Clothes dryer exhaust 9 33.39
Phone: Single -duct exhaust (bathrooms,
(
V Fax: ( ) toilet compartments, utility rooms) 23.32
CANT ❑. CONTACT PERSON Attic /crawlspace fans 23.32
Business name: �1 ti ./ 6 ,i-y Other: 23.32
�2' i1C/ `r �I �L+`+� P Fuel piping:
Contact name: 1.j �t / i or� Irk ° / k 514.15 for first four; 54.03 for each additional
2 ,47o Address: 1 � 4 I b 6 # �/ra Furnace, etc.
( b l ' �/ - I: v y,, Gas /su
d/unit heater pump 1
City /State /ZIP: U , Wall/suspended/unit
Phone: ( • 7 O6 Fax: ( 46 q ( Water heater 1
i�v� v Fireplace
E - mail:
Range
CONTRACTOR Barbecue
Business name: w84.___65_1/6 e C \ rn L . I N
�� L7� Clothes dryer (gas)
Address: ' 9 Oq'4 11 Other:
MECHANICAL PERMIT FEES*
\
City /State /ZIP: oDir 0e ) Ai C7b 5C Subtotal
Phone: ( ) Fax: ( ) / Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: I a "') 4 f 9 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: c j c .. 6-f-- LI N )-ht Date: * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 03/07/12 440 -4617T (11 /02 /COM/WEB)
riC,V :1' Ci)
Electrical Permit Application FFg 1 2 2013 FOR OFFICE USE ONLY 2
• 514 City of Tigard �F IGAND Date/By Received - r2 / T� Permit No.: �y/ ( � (5 J
a 1 3125 SW Hall Blvd., Tigard, OR 97 Plan Review
Phone: 503.718.2439 Fax: 503.5ssug i �� � DIVISION Date/By: Other Permit:Qeri %f - 6003,
Inspection Line: 503.639.4175 Date Ready/By: Suns: El See Page 2 for
7l
• AR D
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK 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 stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
%.L.-
❑ 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 ", ' l - 2 ", "I - ",
100HP or more. occupancy.
Job no.: Job site address: J _ii. ,16T/7Cty 24 1 ( ❑ Six or more residential units. ❑ Recreational vehicle parks.
/ / v / ❑ Health -care facilities. ❑ Supply voltage for more than
City/State /ZIP: 76- 6 4. " `�� ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Mori (9/41.. 1/0-411- ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Description I Qtv. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
/ / J� Includes attached garage.
Subdivision:
�1/ it,Tc (/.fir,. t JLt-4G'€- Lot no.# 1,000 sq. ft. or less ( 168.54 4
Ea. add'I 500 sq. ft. or portion - 3 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK
(with above sq. ft.) ( 75.00 2
Limited energy, multi - family 75.00 2
(2, JS / �� v /4/get) / /c i, (IC-1- 5c/J 1,, residential (with above sq. ft.)
( �_EU J 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: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State /ZIP: relocation
Phone: ( ) Fax: ( ) 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 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits— new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: AA --7-- �,/Orr57 � s B. Fee for branch circuits without
/ service or feeder fee, first 56.18 2
Contact name: x oe AAiDgy2so.0 /Tiro 7 - A0/2..,'L'K.;-- branch circuit
Each add'I branch circuit 7.42 2
Address: 1,.. 6 �0 / 68 _'4- / 5 ire, « v Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: 67.84 2
/State /ZIP: " dwelling, �6 / � , � 77 g, service and/or feeder
Phone: S7 D
/�. 5 )57).... Fax: : (4 )57/9 - ^O g / Reconnect only 67.84 2
_ Pump or irrigation circle 67.84 2
E - mail: Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
� panel, alteration, or extension. Page 2 2
Business name:
C. �' /O» fd/yla�� Tl�I(L ' Each additional inspection over allowable in any of the above
Address: .f Ale Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City/State /ZIP: 004/3 5Ca5 � _ ' 97C Industrial plant (1 hr min) 78.18 / hr
Phone: ( ) ) 3,573 -- C, ?e ' Fax: ( 8j 7 '1 ) it b- in 80 Inspections for which no fee is 90.00/ hr
specifically listed (IA hr min)
CCB Lic.: 6 0 it � 2�_ � 7 ' I Electrical Lic.: Suprv. Lic.: 0 ? 4 $ ELECTRICAL PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit fee):
Print name: ' ( fttliii, I t 1U��ri j� � Date: / State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature: / t �l/ r 1 / J This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date:. ` S — / • Number of inspections allowed per permit.
1:\Building\Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(11 /05 /COM/WEB
1 , 1 q Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No.: 1 � - �aG / 3- ovo34
Site Address: /107 I`.o c 4 C ' ` " r k. - _
Project Name & Lot No.: �11 �'Z, £ J2 \ l IA-.q/�. " �� f
CWS Service Provider Letter 1
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Routed Plans:
Original Plan Submittal Date:
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (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 i approved. / +l
Planning Review (contact at 503 -718 7 r t itt/r @tigard- or.gov)
Land Use Ca o. cubo?00b' eod i
Zonin /Ti ( PO
L'J Setbacks�:Z 3
Front i - Rea 1 3 Si Street Side Gara e
aximum Building Height: -S' Actual Building Height 96
C3,' Visual Clearance
IE Easements
❑ Sensitive Lands Type:
Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved V Not Approved ❑ Date: r 13 12
Revision 1: Approved ❑ Not Approved ❑ Date:
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) .
.r Actual Slope: 5
Notes:
Original Plan: Approved Not Approved ❑ Date: 21 t Vp 3
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: !4 ,
Page 2 of 2
■
SITE PLAN NOTES:
TEIQIAL
L ALL EXCESS GRADING MA TO BE EXPORTED TO AN APPROVED DISPOSAL i 17
VRFD LOCATION. FEB 2. ALL FILL AREAS it: UNDER GARAGE FLOORS. SIDE�IAALK& DRIVEWAYS, ETC- TO BE 1 2 2013
COF�ACTED GRANI&LAR FILL. 3. THERE WILL EE A SLIGHT OVER EXCAVATION TO PROVIDE CONCRETE FARING ALL r 12 � - 0 M ° Cl Q���GAD
AROUND NEW STRICTURE. :1' 1
4. PROVIDE COI7FENCING Y APPROVED SEDIMENT FENCING AROUND EXCAVATED AREA
PRIOR TO EXCAVATION AND CONSTRUCTIO ,_ I iv N.
S• PRIOR TO EXCAV ACION STABILIZED
T RUCTION. GRAVELED CONSTRUCTION ENTTUTANf E CAMBRIDGE EE. 0.0' R
6. STOCXPILE8 MUST EE COVERED WITH MULCH OR PLASTIC SEEING 8ETUEEN ,a' 2' CAL 1 3.00' EE. 0.0' d
OCTOBER 1 AND APRIL 3C. O
ti CONTRACTOR/ euB- CONTRACTOR TO vER1FY LOCATION OF ALL UTILITIES PRIOR TO • • STORM . � 1 ' OVERHANG w/
EXCAVATION AND CONSTRICTION. Al '$1 pn Q I r1 >n HOME + DESIGN
a BOUNDARY AND TOPOGRAPHY INFORMATION HAS BEEN PROVIDED TO SKYLINE HOMES GAS LINE - ,4 �8
AND DESIGN INC. SKYLINE HOMES AND DESIGN, INC, WILL NOT BE HELD LIABLE FOR THE
ACCURACY OF 7148 ?FGR•IATION, IT 18 THE SOLE RESPONSIBILITY OF THE CONTRACTOR
/CUNER TO VERIFY ALL SITE CONDITIONS INCLUDING FILL PLACED Xal 1311E. O — . .. 1- *I
S. tE ACTUAL TOPOGRAPHY ELEVATIONS UE COLLECTED FROM ACTL BITE SURVEY. V " 1 .B.:
I. ELEVATION I w -END:
EE- EXISTING GRADE ELEVATION 2.5 BA T1-1 N)
FE- FINAL GRADE ELEVATION
RFE• FINISHED FLOOR ELEVATION • - • : ; ' - ° 3 E. 1D ARpM. -
IL PROVIDE A MNIMII GRAVEL BABE IJHDER ALL DRVEUJAY A AB - 2,160 SQ. FT. •
M13121111 E. PROVIDE A M13121111 GRAVEL BABE RID D ER ALL SIDEWALK AND PATIO AREAS -- l ' ■ IN
13. PIPE ALL START DRAINAGE FROM THE BUILDING TO A COMM/CITY DISPOSAL ...:..: H e — • GE i..9 • 10X10
POINT/CONNECTION. T REE : •
I ` D RI vE • .: ' ... ' \ - i
14• M SLOPE OP CUTS AND FILLS TO BE TWO (2) HORIZONTAL TO ONE N CAMBRIDGE : t 1 SQ. FT. 0 .. ' P 4T I O . X 4.0 VERTICAL FOR BUILDNGS, BTRICIURES, FOUNDATIONS. AND RETANIG ULALL& 2' CAL ' D . - - . .
• - • ..... '. Li E. PROVIDE AND MAINTAIN F0411214 GRADE WITH POSITIVE DRAINAGE AWAY FROM � � - ... � •
18'0° 22' ... � CV
STRUCTURE ON SIDE/3 uITH ALL BIDE A SLOPE of 6' nNII7M N 10-1V. P.V.C. WATER MAIN :. �, \ - • r v I� I— V kii
n IMPERVIOUS A REA'S: SAN. SEWER LINE `MMO - 0 /FIR RATED PL ® d 0 r
160 SO. FT. DRIVEWAYS EE. 0.0' , -p 13.01' EE. 0.0' Q
Q.
19 S FT. PORCH C
32 SQ. FT. WALK fill
100 PATIO pp
150 SQ. FT. OVERHANGS 20 -0 13 -0 fi R O Q
825 SQ. FT. BUILDING COVERAGE „ , . 0
e IH
1 ,286 TOTAL SQ. FT. IMPERVIOUS AREA'S _ -
iV
LOT INFORMATION:
LOT AREA: 1,911 SQ. FT.
IMPERVIOUS COVERAGE: 1 ,286 SQ. FT. ■ ■
BUILDING COVERAGE: 61 US
BUILDING HEIGHT: APPROX---- 31' -0' PLAN Nos 3069
MIN. BUILDING SETBACKS: 115' FRONT, 15' REAR 3' SIDES.
DRAM:
DATE: 2-6-2013
SCALE: I'= 10' -0'
EROSION CONTROL PLAN PLAN il
PLOT
13 COVERED STOCKPILES WOODEN CURB RAMP
X— SEDIMENT FENCE 0 CATCH BASIN PROTECTION
d
\--.7 o
j CONSTRUCTION ENTRANCE
SOO COVER ALL REAS IENNT BLANDSCAPE LOT 24 ■ El
ISM PLACE WHINE OAK VILLAGE
WORK STAGING/ MATERIAL STORAGE TIGARD, OR.
■
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/20/2013 00:00
MST2013-00036
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
06/20/2013 00:00
MST2013-00036
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/20/2013 00:00
MST2013-00036
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
06/20/2013 00:00
MST2013-00036
PASS - C of O
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
315 Post/beam plumbing
03/19/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
04/25/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
04/25/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
315 Post/beam plumbing
03/19/2013 00:00
MST2013-00036
Scheduled
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
242 Interior shear walls
04/19/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
235 Shear walls/anchors
04/17/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
04/22/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
320 Plumbing rough-in
04/15/2013 00:00
MST2013-00036
PASS
DWV tested
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
04/17/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
235 Shear walls/anchors
04/17/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
04/19/2013 00:00
MST2013-00036
FAIL
Structural supports missing noted on plan in yellow
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
240 Exterior sheathing
04/10/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
242 Interior shear walls
04/19/2013 00:00
MST2013-00036
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
315 Post/beam plumbing
03/19/2013 00:00
MST2013-00036
Scheduled
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
11072 SW LEGACY OAK WAY, TIGARD, OR,
97223
Residential - Master Permit
315 Post/beam plumbing
03/19/2013 00:00
MST2013-00036
Scheduled
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, g Df RsA.) , am the general contractor or the owner-builder
at the following address:
Site Address: 6 /D /L67 y 04e 4/4y
City: 747q)
Permit#: al0/3 , 004)3 6.
Subdivision/Lot#: ail/ r//pa__ 44_4 ///t 4o- L0r a1
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.
♦ s�_l 3
Signature: -�- Date:
Gene . Contract. .r Owner-Builder
I:\Building\FormaES-MoistureSensitiveWood.doc 09/25/08
•
A
STREET TREE
TIGARD CERTIFICATION
I, hiPf.escaJ , owner/agent for A67- D -1-it)005-7VEs
(PLEASE PRINT) (PERMIT HOLDER)
do hereby centib 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.: /MST90 3-x036
SI"l E ADDRESS: NI 7a- S i 166AcV 2/ 4 &A y
SUBDIVISION: /tiff f/TE 0,44_ //1iL,46 LOT#: e,14/,
SIGNATURE: ��., DA l E:
/ (OWNER/AGENT)
RECEIVED &
VERIFIED BY DA l E: 6 - - 15
( TIGARD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: A 57-20,3 ,v O O 3/ Jurisdiction: 6,4_12b
Site Address: //4)7x 5 l(J / A of DA_ bv4 e
Subdivision/Lot#: //M 0-0 (71- V/14A Z07-and/or C f
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)1
/
Signature: OP„/L�� t
Date: -2-0 -f3
O i/General Contractor/Authorized Agent
Print Name: R6 4,ui) f01./
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 fmal 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