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Permit III CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2012 -00166 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013 T[ Ca A K L) 9 Parcel: 1 S126DB04700 Jurisdiction: Tigard Site address: 9445 SW 92ND AVE Subdivision: MONTAGE Lot: 18 Project: Montage, Lot 18 Project Description: Building 3, new SFA BUILDING Floor Area Reauired Setbacks Reauired 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: 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 Tvoes 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 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0 Ea add! 500 sf: 0 201 -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 RIVERWOOD 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 -00 rout OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 32.1987 or 1.800.332.2344. Issued B Permittee Signature: ( ---- )e ) .- :M' i 'I. C all 5 03.839.4175 by 7:00 a.m. for the next available inspection date i 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. 7 •Was--- vn3g7 -"WO . ... . Building Permit Application • Residestial City of Tigard 11 13123 SW flail Blvd.. - Tigard. OR 97223 Phone 50.3 711.2439 f ax 303 391.1960 : inspect 50 ion Line 3109 4173 Nis Internet www twoad-or go,. itax+red . ortizet • Pim .. , Oast Paw ,..-ex0/57) NablakMalboi p.r 1"147' 1 r--- TYPE Olt WORK 111110110tAia DATA: i- AAR 3-EAMILTIRWRIARIG 0 Permit fere me hoed on the value of the work performed. construction Desnoliiiun _ indicate the value (traded to the neensst Marti of ill i ' 0 AdditionIaltecaticut/reptaccatent 0 Odieri equipment, materials. labor, overhead. and the posit for the r CATIGORY O. CONIIIIINC110/41 I work indicated on this applicalion. en .....4 2-farnily dwelling - 0 Comeserialitedurriei Valuation: s Number of bedrooms -, _ 0 Accessory building 0 Multi-fun* - , 0 hirer builder 0 Other: ] Number of briwoorts: 7, ____ ■----- ? JOB NM V4P01111111A710141 MO LOICA1101114 furl moires 4 fisxors: ..7. 1 Job sue edam 94458W 9 Aye i New dwelling arta: squat feet L City:Mak/MP: -r. .,-, r e 1 . .?7,7 f' (A 12,2. . Garagekarport area 'ware km t Sottrilskle./apt. too.: -t------ Project name: TV! / r ''' / r Covered porch are square feet Cross sued/directions to job site: Deck mew square fret —__ -- W 3 3 Other mature arm • hr- h . : .quere fret RIQUIRli DATA: CONLIMIRCIAL-USI CHICKLIIIT Subdivision 1 Lot s o . : 18 - Parnit fees* are bred on the value of thc wort pedonned. Indicate the value (rotraled to the nearest dottrel of II Tax map/parcel no.. equipment. materials. labor» overhead. and the profit for the DEacairnor4 OE WORN work indicated on this r pi:mien_ ,...... . 1 C , r. /2. 1 Valuated S -.. : __. -- --- -- Existing building arc square litel i 1 owl= - wl= i W t'%4 A r et& I yNves h‘e.1- if (..L.2 11?"741. Address. 1115 0 514/ i? i gr e r4.4- Rd i New building ares: Number of stories. Ns... 4 Type of construction: Oceuprtcy groups: squWe 0 ler - CsiyiStAisiZIP. peo r f i CI v' d, f; R 9 72 icl I Existing: Phone: ( 51)3 )3 f? 7 - 3 7 7 7 Fax: (5 - 3 I 75' New: ZrAPPLICANT 0 COMACT POISON 1--- IMUILDING MAW PIM _____ - - - —*•"--""•----'•---..--"--- .vga ....an .. pan /VW NW ite tor deposit,: , i , Contact name Se( ‘ FL-% plan review fee (if applicable). I Address . ki Q V E (,,,,:, , ,.._r:,- Total fees due spun application City/State/ZIF vitr vigoiveir ,■', 6 i 4 ...P Amur ilia k idyi -A465 Fm: : ' ' ■ — t i r,_ Amount revriveiTr "alit: i‘ h it prcrktr4 • 1 C_: II VI ' — . 1 tYlrki .L.v" 1 11110TOVOLTAIC SOLAR PANEL BMW 11111V Commercial and residential prescriptive trialition of coorrawroa ruof-lop mouabol FiiotoVoitatic Soiar Vinci System Braises .....: A A A (Po ege,lre.s, Submit two (2) seta of roof plan with connection details - ma Me department access. along with the 21110 (Argon „, Addoess: b • 4 - - Sohn. katalianost Coo. cheddist . ---— fitcar rAtderli T . Cit . „) \in oe(we r , tre tic.: ) _ , • - . 'Ma Jla • Fax. 1.942 X .., Authorized signater: t . , ter 4M13.01r sa- gat, Print " me. ( in inck -- reo I? 42i1K0 ''''‘ ' CI' '- ° ' N fluildinePemtits1BUP4M3Penaollpitdoc 02/24/2011 : Fee Ombra premier and administrative RIM • swChErip (12% await fee): — Ted fee due upon appfcabon: SI110.00 $21.04) S201.60 TVs peruN applicadiTs tapirs if a permil is set obtaleed ■IIIIa IN days after it has been ample' as complete. r a m h 4 0 .... • Fee rethodeloto set by Trt Budd* Indust,. 4•11-464711 I MINCOAVIVE11) _ . _ Ts J27/12 6 ^ . auathment (2480 Plumbinz Permit Application .. 0 ^ •' Building Fixtures 1 t)li O rricUrst: IINI 1 -.� 14 City of Tigard �ard8> "`r" 13125 SW Hall Blvd., Tigard, OR ���� , . - ' wsn Rene. I a Phone: 563,718.2439 Fax: 503.598 - ' ' Date/By Other Permit No • 14,) Inspection Line: 503.639.4175 Nee Real„ /Rs t.i. I le Sae Page 2 fn. Internet: www.tigard r.gov Notifiied/Method. I Sappkmeatal Information I ORR :LE FEE* SCtiL I ,� TYPE OF ;e 1 © New construction 7 Demob i +. ir .n For special information use ckeckl& I- -- - f - -- IXscription IUMMI Ea. Total I ❑ Addi lion /alterationtreplace nit ii ❑(thee New 1- YfanliNdwellin= (includes 100 ft. for each utility connection) "t , a s ,. :c' a , TEGORY OF CO STR lO T N SFR (1) bath 312.70 F aa,. I and 2- family dwelling ❑ Commercial /industrial ( SFR (2) bath 437.78 1 Accessory building ❑ Multi - family SFR (3) bath 500 32 Emil additional baltllutchai 25 02 ❑ Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 - 30B SITE PYFORMATION AND LOCATION Site utilities: I Job site address: 9445 SW 2 Ave Catch basin or area drain 18.76 1 Dowell, leach line, or trench drain 18.76 CitCity/Stale/ZIP: 1 Jl (e { n Footing drain (no. linear ft.: ) Page 2 SuitelbldgJapt. no.: ,Project name: 1 ' # / Manufactured home utilities 50.03 Cross street/directions to job site: I ,o , .. &WI • Manholes 1 .• • 18.76 Rain uraln connector 18.76 Sanitary sewer Ono. linear R: _ 1 I Page 2 Stator sewer (no. linear ft.: _) I Page 2 Water service (no. linear ft: _,) I Page 2 1 Subdivision: ! Lot no.: 18 Fixture or (seat: Tax map /parcel no Backflow prevent= I 31.27 1 I :DESCRIPTION OF WORK Backwater valve I 12.51 Clothes washer 25 02 - Dishwasher I 25.02 Drinking fountain I 25.02 Ejeclu /swstp 25.02 PROPERTY OWNER I fi TENANT Expansion tank l 12.51 I • Name: 1\,W - 6.69a i " 1.41kt - moot' (--�r Fixture/sewer oor dr cap 25.02 r • Floor drainhloor sink/hub 25.02 Address: W • Garbage disposal 251x1 City/State/ZIP: t � u d 1 .1 t 1 a- e ) �.[ Hose bib l 25.02 Phone. ( 1� ,�( ,' 1 _� Fax: ( � �L11 ^ / V I I loo make I I 12.51 APPLICANT 0 CONTACT PERSON Intercwptor.'grea a trap 25.02 , Business name: j I Medical gas (value: f _ ) I Page 2 Contact rattle: Primer 12.51 Root drain lcotnmerc a 12.51 Address: Snit 1asiNlavasoty 2502 City/State/2 ity/State/ IIP: Solar units (potable water) 62.54 Phone: ( ) I Fax:: ( ) Tub/shu■ser /shower pen 12.51 F -mail: Ur 25.02 Water closet 25.02 COi R,;CTOR p E Water heater 37.52 I }lust nes. name M A d r: !f .t; e R p e C 7 't P ping/D i rry.r tf LA y te.S rLL Water i WV 56.29 Address: p t) (Z r) le 1 L.iz 9 I I Other: t 25.02 I City/StaWZIP: V Atm _, 4716 c7 . - _ _ Subtotal Minimum permit fee: 572.50 Phone: ( - 772. v./ i Fax: (^p) _ if. l) I Minimum review (25!1; of I permit fee) CCB Lic.: ('j 1 7 ,Plumbing Lic. no.: L l3Q Stems (12% of permit fee) j Authorized signature: TOTAL PERMIT FEE Print name: .414), • fttf 4 't'/My w t d1' 1 I Date: (_ Z T �r TM permit application expires if a permit is not obtained a ithra 180 dap Za�. after B bus Ms stapled a complete. *Fee methodology at by Tri -Cunt, Building !actuary Serum Fkurd I'iawldistePeemmVLMU -P •niitatuteloc I0001/09 440 uMVKOM/wESi (.. • • • , Electrical Permit Application i•m ,,,,,, City of Tigard I Received I Date" 1 Panair No , 1 13125 SW Ilan tilvd . Tigard, OR 97223 1 lion Rettew ors Parma I tte a Phone 503 71 S.2439 Fax 503.598.1960 DimelF/ Inspection line 503 6394175 I Doe Retekt■By I Not Ift See P.s 2 for Internet: waw noted am Notified/Method I ___......_ r Smopleammal lafamarisa 1 TYPE (W WORK — PLAN REV1FW I ANcw construction 0 Addition/alteration/replacement Nem check all that lc* (iiiii 1 into of pia w/A1n1chedied beaus i 0 Salice a feac: ge awes moat Dasidisace 2..r.:4 mom .. 1 El Demolition 0 Other: where the a.odable Ark atamat a wooer bi. - 1 0 CATEGORY Of CONSTRUCTION A ammai. ii,S,Z,0 maw at i X, .olmar OFIanirotolisoi. kr' io rowirt or exceeds I 4.000 OCsnalosillost sgaulazat e p r 1- and 2.- fa.-nil; du tiling 0 Comm erciaadustrial 0 A.: -- ..4.:s.cory building IA MI Multi-family D Master builder ID Other' M 001 idl Other gastallarkrns Fore poup WMML OMWWW,075ICIMar • L._ JOB SITE INFORMATION AM) LOCATION III LI Esaagesa) ”steto 111 .1 1 011MMInly Owned yam El Addittoo of neo motor bad of CVA "1-r, ••1 [Job Da. 4 lob aid _ II; 9445 54192 Ave 100HP a more Saw ao more rmadent 0 loo ad mats 0001120May. Illossod ruble prim City/State/ZIP: 5ce f r ,,,,,,, dill, 11 ........0ti-kh—,,,,,- Suite/bIdg./t. ap no.: PrOjeCt none: eA - Ad A , ....... • MLA * tr 4f . 1 -- Of 0 Nryardrari loamons 0 Sanaa is feeder EE 600 amps or more 600 IrOltfl nominal F SCIIEDI PPIY Cross street/direrAions to job site T1 r "la dist "1"11 au --"-- rrZr — rq. — Yee f Tod I . I New residential sidele- sr suiti-fay duetting gait lededes stladbed garage. Subdivision: 1 Lot no.: 18 I_ t.000 sq ft or less I 1 I 68 54 I 4 Es :Ede! 9v. _ sq. ft or pervert I 1 33.92 1 Tax map/parcel no.: Liaised magy, tookluwi I I 75.0o I 2 D1100111 ON WORK , bridiabow taa. ft ) ' timilidetiergy, multi-family III 75 no ___Eggisiset I won atiove • . iri_ El , joy. er keders installaRom ahem • .. anditir ii 200 megsarisis I 100.70 2 PROPERTY avian , 0 1124ANT 3:t1 imp ar400 snips ....: 401 amps Is 60D amps i I 13316 2 L 1 200.34 • 2 Narnc: ' I■1 Arq ik rea 'LI v , v y■Qvki- s l_LC 1.000 amps I I Address I ' ' to° % VC Ai.) it r - Om !,0002174:15 or robs 552.26 - City/Stets/ZIP: 4 . • 7k atv, 1, , . t 1 Teadmmary armlets or feeders iastelladon, alsersttia. uglier rebedise Phwe: cal 3S '31 41- ' I. Pax: aa --3316 200 amps or leis 5936 , 1 201 amps to 400 amps 12500 2 Owner lintaNsdon: This iodination is being made at property that 1 own which Is not 401 mop so 399 nom 1 _ HAM , intended for sde. 18113C, tad, Of =change. according to ORS 447, 449. 670, and 701. 2 — 11rsock circuits - New. alteration. sr odaashia, Panel Owner signature: ---- . - --- A Fee for Manch mums with 0 APPLICANT i I 0 CONTACT PERSON above service or feeder fee. each branch mon 7.42 2 Business name! fl Ft foe Franck circuits wit/mat 1 , sen Le or feeder foe, first S6.18 I 2 Contact mime: branch dame Each mill Imaelt carom 742 I 2 Address: 4 222M or kaki sod included) or modulor I 6714 2 City/StaidZIP: tandpm, service arsiior foodo Phone: ( ) I Fax: : ( ) . Romonect only ...._ . _ 67.11 2 P/Map ol iri teams dada 07.15 2 E 6714 COI9TRACTOR — Sppal midis) or hosied4feerp I I 2 .1 , Bk namc 2 ,I c-- ebrib . mit allow& iiatamna i Firac2 Farb seab 1 ed inordles twer_allsweble lo avy dire aim; 2 I Address. otareac #4 oze-it s-7/ Arida irral impanisa(1 it win) I KZ/ hr 1 ' ..=:i u ; i brisk) / 11621111d City/Slide/ZIP: ea,,, «74 ?els° A pose (I drain) H XIV* __ Prnne: i (349 ) 02 / - 1172- 1 Pau ( ) -- Wir eiideAlielfic is 9000/hr MB Lie.: /54i ,)41[ Elect** Lie.: C t Som. Lie.: 4596 EticnticAE ?min FEES : Suv. pt Electrician signature. required: • Phis I review (25% of permit feed_ Plied err 44 he Oft,„0": I Thme: pesA -7102 Si . (12% of permit it foe) IV I AL rtiu4411 ttt: 1 Authorized signature: TIM. penuir orppLealism rwiee* its r .”..i. k .rr mks:wed miehM tea days aner it Ime bee, acalpsof se camplete. I Print name: i 131 • .1.1,..h.r. , f vaseectom. dinweri net permst I Iluald.APermikailrairekAp. *a OVII/10 4404613T111■09011114110ES Mechanical Permit Application - a aty of T,I�IU d o as ttiwa No. 13125 SW Hall Blvd.. Tipad,OR 97223 Pa Review Meer. 33.711.2439 FIX: 50.1.591.1960 Dewey t)aho e4naa: 1so¢eeion Line. 50.1.439.4175 Don /By. w.+. D Sat PLO for heeniet. ww.tilpdat ionv .... - • Went o6bleobed I honcho od Inhraash. E( New WORT( • _ CAI. pia �IRR - um , Machenied maids tree ` p0. New construction O ��� nt lot lie value bawd (roweled so De Milled of ell I ❑ Demolition 0 Other worbmiewl �e Ivor. overhead. and polk _ Valor I i �,/ CATEGORY OF OOItIaJ[TIfDI f11161.11Q1 WISOIT IMIT Or PO a'J t- and 2- fanily dwelling 0 Commercielfuldurerial 0 Accessory Melding Forsperial 141rr1e• mar drabs ❑ Multi -Tinnily 0 Master builder O Other. DeseriMit n 1 Qty [ Fs 1 Tool JOS 11/TE MFORYATION AND LOCATION - . Job ON old.. ii 9445 SW 92 Ave 0...i.“ as oia Wows, oissesmd 4 46 75 I (' P. - r /State/71 1 7 � r Forme 100.1100 BTU (4a } 46.75 _ .. ` - - -- 100.000► am t4rcewwrf [ 34.91 SWle+bldeJ� Mar l. ao.. PtOjocMar MO n ! 0,�(' peep , 7 - „Amon... r sae miwwg petawwwn 61.06 Cross Wrest/directions m job she: 4 ; r: "= r< ve y s / _ ,, ' 1 ft 1 ,-64. Deer west 23.32 Hydrowc hot ww mom 23.32 Raideeli l boiler (radila ce , bydrmac) 23.32 , _ Will heelers Di eFlype. net electric). re-wall. i odoc4, >arle mewl. el& 46.75 Subdivit ino. I Lot nu.. 1 8 Farnham for any et above 2332 (ItAer: , 23.32 Tax nwpfparccl no.: Other hbdjsiierw r RJR PTION OF WOOD Wows boar _ r, —_ 23.32 - Om heitloelared 33.39 Floe rem for wake baler err pi Grub= 2132 _ 1 — 14 1 .111 Ciel– 23.32 WaodINNet stove , r Weed theolseeILaet , 23.32 ,1 PROfrRRT1 OIIrNU -- '1 U TIOWANT Odra 23.32 i 1 a 23.32 Name: pi. w. ja et A int/ LS fir) e n f 5 L. i I wvMaoseaw 4lMart awl raMYMMr: Address: 1 115 0 -SW R i ve t R d limp hnodhehr wehen I 1 33.39 aniewilel j Cityrsraternr: Poi- t /4 pt e. OR 972_ 19 Clashes Ara ahem( I 31 -19 1 Siai►do et exhume (balbraoan. "he "'' 50 3) 3a 7- 37 77 Fax: ( 5O 3 ) 3S 7- 3 77 $ I 2 _ seeder tamer tsreals. Wily Toamss 23:2 £ APPLICANT 0 CONTAicr mason I 4m .32 Bushie name: olhec I Feel slide, Contact Con mete: — 114.16 bar Owl bowl acct Sw aW shear Address: Femmes, sit ties last !a Ciiy/StaslhIP: PIMP heeler Phone: ( ) I Fax: : ( 1 Was hearer Fireplace — Rime , COMPACTOR , Babamtiu Business mot: Na "R , S1\ P • Mes) , pC�k �( Othe 1 Address: Se 11 1 4 Q �p !�/ IlffANICAL rsamr PEW City/Sum/Zr f 1 R, r A A 0 't �j t • .w Sebssed !lenses tj 4 , -I,' O • 1 r Fax: ( - Minawm semis ke (190 -00) -- /� rim review (2544 of penal (be) l CCB lic.• ' ip a Sire sardine (12%ofperuse he) . 6rrt' e...1 Crevirdct)N // TOTAL PERMIT FEE x Authorised e.plarrwe- .�- i � y. - ills teak apairaeaa nldras r a pans& r ass aMaird MOAN N ew � bee Mw n W Woo wagwa w •mow. I Prise Bile: ( iCI ROCP . P Chl 1,1- I Oah: i', a ili, 9 • Fos - A»+Me5y r -a by To - Corny /wi+ hhdaatr Wore vae bawd t �darhaMaea&C hwrP 43/07/12 Appd . 43/07/12 416-141171 II 011/M11) /1&77 /f,7 k 7 3 L� Ag Ili s ' Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: )/T/'C l eceo CWS Service Provider Letter Received: Yes ❑ No ❑ N/A jir Routed Plans: Original Plan Submittal Date: so/ l I y 1st Revision Submittal Date: // 2 ❑ Site Plan Only 5 irk! 4 2 — 7 ' 7 2nd Revision Submittal Date: 9// 2 // 1 " - 0 Site Plan Only , 402 7) V 5 $r — t.✓(5i67 y 7 /a7///3 . NTs_azv2 Rt4>5xc.,vs ON>.K To the Applicant: I f , /151 orJ tl/2.11-7, /9-DD i x3 6 .Z ' TD 64,2_ CJ` 7)1.0 E.t./.-" AI . .-.j Each review type must be approved. It 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 j/�i - y at 503 - 718 - 2 ,14337 or @ tigard- or.gov) Land Use Case No. ) O ' — 03 Name /1 'cle, ❑ Zoning ❑ Setbacks: Front Rear Side Street Side Garage ❑ Maximum Building Height Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: Notes: Rai- 7 M i69 7 /g W/ti' • .. - / t r / w ) / tat„ c 4 • - y O . ginal Plan: • pproved ❑ Not Approved 7 Date: `7 7 /.7 Revision 1: Approved.0 Not Approved ❑ Date: 7 - -2-3 -- /L Revision 2: Approved ..0" Not Approve ❑ Date: ? ° /S. / L uevr.13 5 sPp NO Ap y * Lz+ j3 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) E Actual Slope: r Notes: w � Original Plan: Approve. % Not Approved ❑ Date: /fi/ NE Revision 1: Approved )2t* Not Approved ❑ Date: ' 13 Revision 2: Approved .0 ' Not Approved ❑ Date: 4 AEVl 3 5 QE.J(Sior. *it t...0,IJ Lc..JLslo� i6 V S L o of 1 'U/013 ..e., p o,.�� -k @ 6 J47 • C�-0•1:)..J9 Page 1 of 2 1 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) P 1? / /Street Trees rotected Trees Notes: Original Plan: Approved Et' Not Approved ❑ Date: Tai -do/ Revision 1: Approved -Er 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: No K4 /h/ /13 Date Routed to Building: _ , P - 4 n ∎, /7 2;5 7 11— V v Page 2 of 2 90/5aw9;1 =' E H a k e /4 3 / ' Building Division Development Code Provision Review T G n is D Residential Projects Building Permit No: )l Te96 6(5 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A , Routed Plans: Original Plan Submittal Date: - ( y • 1st Revision Submittal Date: 1/ 2 0 Site Plan Only 5} �j 4 z / 1`' / 2nd Revision Submittal Date: ' / 9-- ❑ Site Plan Only rg 40/2- 7) FMS ,7/37//3 .- � TEA. rt, Ref >s s ON3.' 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 �j /� at 503 -718- 2 )437 or @ tigard- or.gov) Land Use Case No. WIF 1. y " 03 Name 1'14rA ❑ Zoning ❑ Setbacks: Front Rear Side Street Side Garage ❑ Maximum Building Height Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: Notes: J , t2 /g G am/' � " Q�ltitlT[� *A - / l ,j ri L in l'lr"l�L4t L c O lr ginal Plan: • pproved ❑ Not Approved Date: '7" 7 �9 Revision 1: Approved Not Approved ❑ Date: 7 - Revision 2: Approved .fl" Not Approved ❑ Date: ? IS / L Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov) .Actual Slope: 5/ Notes: Original Plan: Approve Not Approved ❑ Date: ? 4 1 4-- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 FOR OFFICE USE ONLY — SITE ADDRESS:( 6/ 5 This form orm is recognized by most building departments in the Try -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 Transmittal Letter TIGARD 13 5- SWHall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: k jCc�•� DA - + Y pJ. DEPT: BUILDING DIVISION HtlitiVtU `7 � APR 18 2013 FROM: CITY OF TIGARD COMPANY B U BUILDING X1 /ISIO PHONE: )C '1 7) -- 2-10 ' qU/6 : ! ii RE: 9 0 . q9, 4t) 1`-1 � r � t 7..- o o t 6 / ( ite A ddress) (Permit Number) / 42 ( sect n or su name and to umber) / eQ el ATTACHED ARE THE FOLLOWING ITEMS: / &S.-- l4'o 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): . --------y,‘ REMARKS: 9 P 1-11 "- U • FOR OFF CE U E ONLY Routed to Permit echnician: Date: ' Initials: Fees Due: es No Fee Description: Amount Due: l- ' k- Ask.) R c 6J $ 2:70 . CC $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ 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 :1 : Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: P4-0 DATE Rli VD DEPT: BUILDING DIVISION r, C APR 1 1 2013 FROM: � CITY OF TIGARD COMPANY: f"UM /1/46//fi&-V■,-; R UILDNG DiUISIJ 1 • PHONE: 17/ -? Q • ,q66 3 By: rte ' • 1 ess' (Permit Number) (( . (& 3 (Project name or subdivision name and lot number) (Co� ((p — ATTACHED ARE THE FOLLOWING ITEMS: /0c, Copies: Description: Copies: Description: Additional set(s) of plans /4 4' jtir 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: L =/ � f` J 7` itifp__/11_,4_,,1 ._ i "- / 4 / f i ��2 i . =`L /fiF i / I !i / FOR OFFICE JJSE ONLY Routed to Permit Technician Date: --11`?-4- (( -- © Initials: E Fees Due: ❑ Yes i Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\ Building\ Forms \Transmitta1Letter- Revisions.doc 05/25/2012 FOR OFFICE USE ONLY - SITE ADDRESS: ?9 5 £y.„3 94,2 f7/ 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. N -1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 3 II Transmittal Letter r I G A IL D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov t TO: DATE ' _ VED: DEPT: BUILDING DIVISION nil MAR 2 8 1013 FROM: 719�472iP Rtijvni CITY OFTIGARD R BUILDING DIVISION t A COMPANY: / 11100(IM l/ /,7'1e-�70& - PHONE: 4 7/ "2--70' ---i - . By: 51-- ': RE: # /1.S 7 1)/0 - 001 / Site Address) (Permit Number) G C (Project name or subdivision name and lot number) / 9 A ACHED ARE T1K OL G I T� S : S v /(/ ' 4 (o \A opies: Description: Copies: Description: ."2„--- Additional set(s) of plans. Revisions: V Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. i ' Beam calculations. Engineer's calculations. / ferpfl &, Other (explain): tip.- f/ !, ' , ihr,c d/ , �ri-`sld ? REMARKS: - /77974)/417/61/0 /vGW ..C -- J /� 5 Jo //` /7 2 57: • 1 $ S/i / ■% �A r 11/ Mk 77.5 �` /�� - OFFIC UNE ONLY Routed to Permit Technician— Date: '� v� !1?-2 Initials i Fees Du Di E 1 Yes o Fee Description: F Amount Due: J $ e $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ['Done Applicant Notified: Date: Initials: 1:\Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 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 9445 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-02-27 00:00:00 MST2012-00166 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 9445 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 05/08/2013 14:00 MST2012-00166 PASS Violation Summary: Inspector Contractor FOR OFFICE USE ONLY - SITE ADDRESS: c 7e7Z 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 Transmittal Letter T i G A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: .9i\/ A/EZ -Con/ DATE RECEIVED: DEPT: BUILDING DIVISION R ECEVED FROM: o%4 /1, e'/ 4 im4 JUN 19 2013 COMPANY: Ailif // iik--/7 �: ITY OF TIGARD / BUI DIVI PHONE: 0/71 ��� ge By: RE: A'ST.,2e/a - DD /lp 9 E 92• ,( (Site Address) (Permit Number) 7122 / r /6_3 9 413 3 'roject name or su. @'vision a an. of num, • 1 ( /‘ y ' , 13 /C'..S 994 ( // ATTACHED ARE THE FO WING ITEMS: ti /I /i /6 cr y Li 5 Copies: Description: Copies: Description: Additional se, s) of plan Revisions: Cross section(s) and detai . Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: '5 //U:. &16/ Ae / z - /23 7 7 7 Z / A / 0Z FOR FFI� USE ONLY - Routed to Permit chnician: Date: 7 r ( Initials: Fees Due: es ❑ No Fee Description: Amount Due: •'D ■ •L f +i.` _ ■ _ $ a ct:3 Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: _ Initials: C C a 7 /AI of I: \Building\ Forms \TransmittaiLetter- Revisions.doc 05/25/2012 pAy + "' O/ !Pi STREET TREE TIGARD CERTIFICATION c cv , owner/a g ent for )JW bey - af/meiHZ4 (s'1.EASE_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.: ,'22 /off-UD/ e Sl1 E ADDRESS: 94 4j 5- , 9:52 Al SUBDIVISION.- `249n . e LOT#: / SIGNATURE: DA 1 L: 6. /'•' WNER AGENT) RECEIVED & VERIFIED BY.• r DA 1 E: 1-//,‘/779 (CITY OF GARD) MP ❑ Tree location verified per approved site plan. I:\Building\Forms\titrccf I'rccCcrtificatc 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, )Qf eti 1 Zf €r Z) , am the general contractor or the owner-builder at the following address: Site Address: (wig c q . Mire City: -Tc ar_` Permit#: TAX-001 lo 1p Subdivision/Lot#: ,) \\\oo , 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 8318.2 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: A--5.- 1'1 Gener Contractor or Owner-Builder I:1 Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: \15� \_90 001 Jurisdiction: 1 1 (_7(.0 Site Address: �� rte) 413ara S ubdivision/Lot#: Noutoy41 I el and/or J�Q IC 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: Date: 3 -5 /I{ Owner/G neral Contractor/Authorized Agent Print Name: &Tvis 2evwo ' 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\Fonns\RES-HighEfficiencyLighting.doc 07/01/08