Permit g CITY OF TIGARD MASTER PERMIT
111 s COMMUNITY DEVELOPMENT Permit #: MST2012 -00164
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013
Parcel: 1 S126DB04500
Jurisdiction: Tigard
Site address: 9437 SW 92ND AVE
Subdivision: MONTAGE Lot: 16
Project: Montage, Lot 16
Project Description: Building 3, new SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 278 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 625 sf Garage: 330 sf Front: 0 Smoke
Dwelling Units: 1 Third: 666 sf Right: 0
Detectors: Yes
Total: 1569 sf Value: $179,418.08 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 1
Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 0
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea addl 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 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
952-001-001 rough *AR 9 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5f),3.232.1987 or 1.800.332.2344.
Issued By: i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection .
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.
,.. ,.
. . -
&Udine Permit Amaiaitiot '
Residerthd
ill City of Tigard , , ' le /)- Pawl No 0 VO (
13125 SW Ilan Blvd.. Tigard.OR, 97223 '
Mons 503.714_2439 Fax: 503 'S92.1969 , . - • Pi." R ---L--V as*
b tAIL
oom-non Line 503.639.4175 11/4,.. hot 3 r
fo
ITIK.TPet WWW titird *ow Nonfiatillehod. j2/ a See 2•51; I 5 I Soniesamslisionsaime
, . _ — ....
TYIPS OW WOW
1 111111QUIREIS DAT* I- Ataa3.1lAhlUX DV/ULM
0 Ocirailition Permit fess* are bawd on the value of the work performed.
Indicate the value (rotwded to the newest drabs) of all
t o Additioo/sIteration/repheement 0 Other: equipment, materials, labor, overhead. and the pro% for the
r CATEGORY OW CONSTRUCTION work intruded on this qoplication.
4 ValiSagiOn: S
el_ aid 2-family dwelling - 1 0 Commercial/indostril
Number of bedrooms: ,
0 Accessory building — I 0 thulti-family
0 Maim builder 1 0 Other: Number 0(10door:ow 3 ,
-
4Pos Sill INSORMATION AND LOCATION Waal number of Ronne
Job site address 9437 SW 92 Ave , New dwelling ama: swam feet
i C ity.S4ateIZIP: 1 '1 ,^ t d •7, 1...' 6 1 1 I 3 (/port ea: square feel
t Suite/bldg./apt no • j------ Protect: name: er r •.; f Covered porch wen square feet
../ —
I Cross street/directions to job site: De& area: spot feet
— ..-61-4Q A
U 3 Othet structure arm: , b square feet
RIQUIRS1111lTA:
CONSIMUICIAL-INICRUCIIILIST .
Subdivision' 1 Lot no.: -16 Penal' thee sit bred as the value of the work pedermed.
• Indicate the value (minded to the newest dolls') of all
Tax map/grad no.: equipment. materials hhor. overhead. and the profit for the
SESCRIPTION OF WOIUC work Winded on this •. ' - • ■• • .
.r: A.
Valuation: S
A
I Existing building west square feet
New building are square feet _
_ 0 mitorrarry ovrivsii 0 Tower Number of stones:
NOM AZ Kt Arco f y,yes L. L-C-- Type of construed=
Address. 11150 5 e k : yes Rd J Occupartcy groups:
City/Ude/VP: p_o r IF / n vl d a iK 9 7 z k 9 Existing:
Phone: 5P3 L3 g 7- 37 77 Fax (503)3e 7 - 3 77e .
New:
eAPIPUCANT a CONTACT PL11901,4 WILOPIG PINOT POW
Business none: i A-A yr , Efoaradlrareaadalige
Structund plan eerier* fee (et *1=0
Contact name: 0. t f ,' ' - 1 ,_ • k •
FLS plat review fee (if arplicable); I
Address: ‘,.5 E as e
• , - r- Total fess due upon application. t
Cit QvNEVVOr V■) A 4-7 k
• vh. taki- ,3 4 45 ,
Fan: : ( jact) .1..(1 Antoine receivet I - - - •
/1,._ PROTTIVOLTA/C SOLAR PAWL SIMI. MP
J:42iii: Pt- f i pc cfx ir 4 ' t. € • _ e . • i T-Vk-ct) 1' 6 INCY • l.2 • 1r
Commercial and randentialprescriptivelastalistion of
• CONTRA t l
'...s.-i etraf-top matrated PhaitNaitaie Soar Pend System.
Busilm5 "MC: AA A ( Po 0(-)0 c-N-'‘e..S. Submit Wm (2) sets ofronf plea with connection details
and fire department awes. along with the MG Oregon
Add k 650 I t\1 fr Ct Q. Solar lasadlation Spada* Cads chactlia.
—
City/Stale/BPI \la oeewe C kN A q9,6Q Permit Fee (intindesphoseview 1
I MAO ,
- and administrative hes): I
Pivar 1 3tfc )) .t2. 0 C 3 - 34 105 1 r .liC6 1 State surcharge (12%of pennit fro): $21.60
:.-_ • ,... --
CCU 1,.: ici t4. a04
/I Total fee due opera applcation: $201.60
X Authoring' signature: This Freak application esithrts Wa permit is am editained
+fel C terr/f/;f ./.../ "o MI dsys alter it hos bat. steeped as ermaplete.
...___./..___i dds
Printr name: 01111k"11Larne P
Ktju "141 e ei m; • Far onetboddow set by TriCouray Budding hubstry
Service Board
t.thu dor 02/24/201 I 140 3T( 11/02/COMML111
- , • .
A ......,bis..e.SAnkt.iiitez,:a.rix.k4a..4)......11.....1e.A.......
(27/12 attath filart rin3232)
Plumbin2 Permit AnDlicaiioli
Building Fixtures u , \I 2,,' o
111 City of Tigard Ileeeive
13125 SW Hall Blvd.. Tigard, OR 9/223
Phone: 503.718.2439 i ax 50159.1960
' 01 Date/By:
.1 Review
1 ..--atel3y I Other Perron No
Inspection Line: 503.639.4175 ' " - -- . ' . ' . I ---I
D , '12,e Re I lung 1 0 See Pate 2 for
Internet: www.tigard I N no tieklIMethod: 1 I Supplemental tafonastion
r ....- TYPE OF WORN I FEE` SCHEDULE
. ev , .. constmeti on I ii Dermit - -I For cloths orm checklistose .
1 Description Qty. La I Total
0 Additionialterationireplaeaheni 1 0 Other: New I - 2-family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSIROCTION SFR (Ia bath I 312.70
(21 I I
; 04and 2-famil) dwelling :0 Commercial/industrial SFR bath 437.78
1 SFR (3) both I 500.32
U Accessory building I 0 Multi-family -
Each additional bath/kitchen 25 02
0 Masici "oui.
,-k.i 1 0 Other: I Fire sprinkler (____ sq. ft.) _ Page 2
JOP. etTF rveMtarl 1/ AND LOCATION' Site utilities:
ith site address' 9437 SW 42 Ave Catchsi n or area dram 18.76
I DrywelL leach line, or trench drain 18.76
City/State/ZIP: --- i„„ q _)--------
__..... drain
i Footing (no. linear ft: _) Page 2
Suite/Ws/apt. no.: I Project name: IN RA ctt le I Manufactured home utilities 50.03
Cross stmet/directions to job site: 6)3q:P \v„C )(SW +MI qAtid Manholes . .---- - 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft: 1 Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Water service (no. linear ft.: ) I Page 2
Subdivision: 1-,01 no.: 16 Fixture or Rent:
Tax map/parcel no.: Backflow preventer I 31.27
- . - - -- - - ,. Backwater valve I 12.51
DESCRIPTION OF WORK ' '- ' - ' ' ` :
- 4.-u
' Clothes washer
I , Dishwasher 25.02 .---i _
... Drinking fountain , 25.02
-
1 Ejectors/sump , 25.02
PROPERTY OWNER n ITN ANT Expansion tank 12.51
, Fixture/sewer cap 25.02
Name: kVik\ Ma - 11A,l,V vyketA t---(.._
Floor dram/tloor sink/hub
I 25.02
Address: i. k r C ti % Cri. I Garhage disposal 25 02
City/State/ZIP: I (*\4__ka u 01 • I. 3_11 liose bib 25.02
Phone: (9)" 3 -1 11 Fax: 1 3.2; 4 - 3 7 3 Ice maker 12.51
a :krrucANT Q CONTACT PERSON Inunceptorigreasc nap 25.02
Business name: Medical gas (value: S ) Page 2 I
Primer 12.51
Contact name:
Root drain tcommermaii
Ass. Sink/basin/lavatory 25 02 I
City/State/ZIP: Solar units (potable water) 62.54 1
.. I Phone: ( ) Fax : ( ) Tub/shower/shower pan 12.51
Urinal 25.02
1 E
Water closet 25.02
CONTRACTOT:
Water heater 37.52
Business name: 11/1 Aitjzi ( e E f., C 7 .,
Water piping/DWV 56.29
Address: p. r)(2,-,),- 77o 479 Other: 25 02
I City/StateiZIP: vp eV fr.:,,.. _ jia 1 .34 erz [----- Subtotal
Phone: ( lead - 777- 1?I 4C Fax: (160 ) .zi, - /do II Minimum permit fee: 5'72.50
Plan review (25% of permit fee)
• CCB Lic.: f 7 17 61 I Plumbing Lic. no.: Lao
State surdiarge (12% of permit fee)
Authorized signature:
tun name: ar*Oiltif :". ( 4,0140. 4 ;ravt. A-
I AilwithaeiPerentAIIINU-PennttApsdoc 10001/09 i Date: This e .. . 203. af
44046 ifiTIKATCONNWES) pm; TOTAL PERMIT FEE
'
it ap plication expires if a permit is not obtained witttia 188 drys
ter it has berm steepled as compkte.
.Fee methodology set by Tri-County Butldute Industry Service Beard -1
4 • •
• MS p q fi 0
' ..
Electrical Permit Application .,rr"c--,p)
1 lim.milimli!
I k , : ,
City of Tigard --,. , ..,.. , '.,` .', ,:, :.. ,1 Rop , P m°
13125 SW Hall illvd-. TIP* OR 97 22.1 • ,-. ft , ' ... ' I IPfin80"e" Oto •
8 Phone: 503.711.2439 Fax: 503.590190 h
. r '
M
Inspession Line: 303.639.4175 I Date ReadyB
latemer www tigard-or gov Deted4v
.y
NottfiedAtechod Juni. I ill See Paar l ave tea
Trim I I PLAN REVIEW
il giNcw construction 0 Addition/alteration/replacement Please check all Ilia apply Malta sets of plow whams checked below t
0 Scr .4 feast Allattiptarapre 0 11:.:1 osc: ta.-cc storks.
0 fkmo 1 ilion 0 Other 1 where the available Sulk anew 0 mamas ad bons CATEGORY OF CONSTRUCTION _i .. lV.t anew at LII veks vi at krnua u
rn bddies.
leek to &round. or eratelaa 1000 0 Conunercial avotekural
dtvaing 0 Commercia113,1l 17 huildiag
Multi-family [I Masser bui CI Other 0 NW& too a O ther 111111111116111111.
F....pomp 0 eatoantopt
l ah
rattalloe of 7 5 KVA ur
CI buneery system. larger it-parsley deuced ,stem
JOS SITE INFORMATION AND LOCATION 0 Asioa of am now load of
b
_
Jo no.: Job site okIrcee: 9437 SW 92 Ave
l 100111Per wore
___J 0 Sis or mom reradeslid mut,
, . [ filicajkara.1"Irnokcloentliallomitms. U R ocoopthaty.
econsional wad* pots.
13 600 elete illa. .
City/StaterZIP: --T if 0 cc A , tr, R
Suite/bldg./apt no.: Project name: ' l eArt # :, " 0 Se or feeder 600 amps or more
FEE SCHEER - 1.F.
Cros s street/directions mob • I
" dr - 17 ' ....Awrit. , --;;88" 1 ---- 11::1
New midastini ma or al1011i4aaNiy &ft citing OWL -
bidnilas attacked prase.
Subdi‘ ision: I Lot no.:16 1,0001g . a or lens 16E34 4
Et kin so, at ft ar version 3392 ,
tax map/parcel no.: tailed amp, midwife! 1 75.00 1 2
DESCRIFIPIAN At WORK , (wilk above ad- IL 1
LiMilliallnigy. indb-hatity 1
takiikagge 7500 twidt dove sii- rt.) .
jiAgn or *alien lostaIhMea eadfor Mamie'
Samos a 1ess 100 70 r2
PO
. .
el(RPERTY 011ona i 0 133 55 TIMM 20: amps tc 00 macs
Narne: 14 -4 A rea I vLch 0/ (AAA- Li-C.„ 401 amps to 600 amps
401 amps to 1.000 MCA . 20034
301/111 2
2 '
Addmes: klj .0 t,(1.3 r kZ1VOAX3003 1 f_ei Chxr ' 27 3.7.x ar volts , I 5=6
- - -- _
Temporary services or feeders iosadblise.albraIlos, amdfar
areStaterZSt VO e ^V kektAd 1 (OR cc+ at el reinentioa
3 SI -31.1 4. I Fax: ta.3)3e1 —3146 200 amps Or IC55
. 201 amps to 400 amps l 59.31 '
125.01 1
Owner installation: This installation is being made OS property that I own which is not
CO i amps to 599 amps 1 16E34 I 2
intended for sale. lettee, teak Of ettehengc. according MOILS 447. 449. 670. and 701. -
Branch circuits - new, alteratioa. or eslairnien, per mad
Owner signature: Date: A Fee for branch mauls with
0 APPLICANT i
1 0 CONTACT PERSON above service a faster fee. i I 742 2
113 Fos ci AV I
Busmcss name .
env= oe fader ha, tint
XII 2
Contact n I branch arca'
--- Ench adfl hand; circuit 9.42 j 2
Address: blisceikusevus (service or leaks- wet tescledarb -.
Each menufectural or modular
67.44 2
City/State/ZIP:
damning, scr vice and* foindo
Phone
i ) I Fax: : ( ) Reconnect only - ......
-- . .-- . -- Werra 2
Pump or nolo/anon circle 2 ..
Email:
Sagna osa:.... :i REIM 2
• . ,cattritACTOR S cncurns) or broned-eriergy
intiiiiiWn- ' 04 ensko . - I
lets.,12 e_. Cello:
Era oillfteisit inspectioo over SI . rn=ii
Address : a a.49 Ate 024' 41 (-C4 heale.dwp... (1 In min) .
it4Snet
Cfty/StatefLIP: (la,„ , a ,,t ) 9.e6,0 A. 1....6.6.411.saia)
Inclortnal phut 0 *min) *Mir
711.111/hr '. ,
.... __ _. . -- Phasic ( MO fl' " 4:4:PZ I Fax ), Inspections Is which no fee is RI 0W
11
specifically hued (SC hr minl
CC13 Lk.: ,e,5- e- 1 Suprv. Lic.: 4 ELECTRICAL PERMIT FEES
Suprv. Electrician signiors. =Pax* , 4/2 ii
Plan review (25% of pemin tick — 1
_
Print mune: ./14t. goffle /1,4:7 74.,„,..,op S
D (12% of ot 1
Authorized signature: - . 12---.--- ' '
. Print name:
[ aIW 426 -7- 62.,
I Date: -- Saar surcharge pcmit fink
IWAL rt.fifitti rt.k.:
nib mu* applealie. tcpites w • persoNt. 0.4 .......... .4.14. 1110
gap Oar k I= boss accopied 8. cc...picot.
• N....h. e4 tweclinas snowed per perrarr .
10.40.51.....511.C.P.....taao 4.. 07111116 4110.461STIWOY00110WEB
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•
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I City of Tigard Aimiiiml
Weer Pewit Na.
13125 SW Hall Ellvd., Tigard,OR 97223 .
PIP nc
Ph= 303 711 2439 Tex: 503 591.1960 "` Omer Perms:
Downy
Inspection 1 we 503.639.417S - Don itady/Ils. h'^* • Wm Pap for
Manes www.tigsid-or gov .. , .. ., ,
tremasehenwit 1 tansphimsmil Illwamiss
•
WPC OP Wont coassocui. Far somuut - ancesacurr
Meckeniad penult fres* me W =
bed the value of Ise work
Fil New construction 0 Addiliordalterition/replacaneed perfonmed. bodied" We velum hooded to the omen &Moot dl 1
0 Demolition 0 Other: mieshemiud samerids. mime* labor. overhead. end moat
velar 1
CATTOORT OW CONWTIAUCTION - -
, 1111111111WIIALIMIMPOWNT /IMITINII our
_
Err- and 2-tinnily dwelling 0 CommurnalAndushial 0 Accessory building PirripsAmthatmemiten Eta dischilM
0 Muhl- family 0 Master builder 0 Odic; 13sesription I C I Fa 1 Tow -
JOS MTN INWOINNATION ATM LOCATION . Nemtlgthesillmn .
I Air coadilraming
ke ile cse 9437 SW 92 Ave I heals= sit eirm aware elmissum) 1
Firs 100.000 BTU (iumAsses) 46.75
Ci
k. P — ,
enises 100.000+ BTU ais turvsesm 5411
SuitebldgJapi. so.: - Pi --4------- TT ------- ojac1 • Maoist 0 ri 4 tly.C. Fleet pump
,__soLoores Ss Ss shremos eismeoeset I 61.03
Cross sNatbskrections to job she: 5 -4 f? .7. r r ,4..! ye ), 51 ,, .. .1 r3 1 ,_- _Duct work 2132 ,
Hythooic hint %/Ana systole 23.32
Straidentid bailer (iadas or '
hydrants) 23.32
Umit hulas (tIseltype not dsceric).
a-wall. in-at. simpusted. as. 44.75 1 _
Subdivision). I Lot au., 16 Therivait for any of above 23.32
Darer _ 23 32
1 Tax maptpemet nu.: Other fed aselimarimi
1111111CRIPTION OP WORK 91mer heates _ 1 _
2.3 , _
G. therlamermsert
■ Awe vest fee miter healer or gas
i--- , Arnim
— 23.32
Loglkhier (gas)
WeetVgeliel stove ._ :-
23 33. 32 39
deacumurry awraa — 1 0 Town wow elsolarerimat
Climmythaertthicivan
Odia 23.32
, 23 32 1 1
1
' • A el ti Inste5ftelRrth C. L I- Eavkammemist admit amil vesalliodam: _
MMus : 14
: 1 ;1 0 ski R;verkweri Pc( 1 Prigs Mandleass kitchen 1 1
eguillnums
I
. 33.39
• - City/Woe/12P: Peri' /a pip( C 17 2.1c1 °oho drAIS' almost 33.39 ._
Shigle•dast eslimma tbalhasemns,
nosier f 503 l 38 7- 37 77 Fax: 1 503 )36 7. 3 7 7 8 , toilet conmenisiads. utility anus) 23.32
0 APPLICANT 0 CONTACT MOON Anicknewlsirece hos , 2332
Other: 2.332 t
&mimes name:
—
Contact mesne: Pt IS /sr WM bon 16,01 hir sad addlismal
Address: Furnace, tilt„ , -
_this heat pomp
City/State/ZIP:
ThWimesededhasit hems'
Plume: t ) I Fax: : ( i Water twofer
_Endees
1:.-mai:
Ramie
cormucrom i Sadism's
Rosiness aunt: '':5 9 .... ..\ A QC1.-. \-- V \ Iv\ P I Clashes diva (ies)
' W: I
"dr "' a \ 2 •N ',' se 44- Q m MICIIIIANICAL rsattn. POMP ,
• City/State(i1P- . 1
. ‘A.A 0 4 LO:?1:6 swift!'
._.
Minuisurn mat
) . fin (190.00)
CCB lic.:
Phone: -
i
Plan review 115%of pumas Wm
PA cl tOsi —
Mae surcharge (12% of perms fee)
to-e Cawarit cPw? TOTAL PEIL•111 FEE
• X Authorised smissewer _...---- ... -• T99 Pam* amilissam maws sr • penal le eel eilasisst Miles in
Owe sate it Ise Wm stens. so smears
Prim " C ROCT Rc)LIK Dde: I' I P 4 Li ck • Fse asairmlakey sr by TwCaaaty flaXliaa Wier, Snipe Bawd
C
• 0..1....ftrommaiLT.P...44ivd., lam 444461 a t I ist OMAINS)
— .
9I-43 7 a 9 0 / ! - t - 1 / 9vg
170,)779 -a . 4/ a 5 kat
Building Division
. g
Development Code Provision Review
T i G n iz n Residential Projects
Building Permit No: HADT0/C /41. — GO /6
C\VS Service Provider Letter Received: Yes ❑ No ❑ N/A `5r
Routed Plans: /-
Original Plan Submittal Date: Y 88/ /y
1,t Revision Submittal Date: lid ❑ Site Plan Only
2 ^d Revision Submittal Date: 9//2.1/ ❑ Site Plan Only 44- /Fre/eve- "De d"....5
/a -,/3 ,T 4-bp/pia ,- N ,q Q4V xD'-S u tih 7
To the Applicant: if /,- // 3 '1.,7; &44 o f Pd.' 1.44 ,.14. Q.$
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 -2 or @tigard - or.gov)
Land Use Case No. 5 i)-G2., L.ce, - (3_3 Name
Zoning
Setbacks:
Front Rear Side Street Side Garage
,. :. Maxim Building Height Actual Building Height
Visual Clearance
'V E asements
J Sensitive Lands Type: grli7 -
Notes: T.
i
Original Plan: Approved Not Approved ❑ Date: 7_7 - 1 4 '
Revision 1: Approved Not Approved ❑ Date: f 23I 2—
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard- or.gov)
Z Actual Slope: 5 0 /0
Notes:
Miff .
Original Plan: Approve. al Not Approved ❑ Date: ,O7
Revision 1: Approved .8- Not Approved ❑ Date: "WM. i 3
Revision 2: Approved Er Not Approved ❑ Date: ' • /3
5t—`' 1 0 ------* • co' I1 3
C o It 12. : gr t '. Y// S / , 3 P fr L. k u.,_ .A-12-3 • -- r )- `b
Page 1 of 2
t
City borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
I treet Trees
0 Protected Trees
Notes:
Ori 'nal Plan: A roved CJ Not Approved ❑ Date: 7 2 l'r -
� PP Pp
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 / __
A .' •r / oX Ce y�
0 Ai lA / 1 3
Page 2 of 2
9i3 7 , 90/ ri
ItoA)?71-dt 4/4 't 5 �o 7 ( P
Building Division o
Development Code Provision Review
I G A I: I) Residential Projects
Building Permit No: ! AD O/a -60164
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A '9
Routed Plans: /-
Original Plan Submittal Date: l! I r / y
1st Revision Submittal Date: 1/ 2 ❑ Site Plan Only
2°d Revision Submittal Date: 9// 31/ 3.— ❑ Site Plan Only 4-/ lDg C$
/.)7/ 3 ;2 - Arr ER3ulR 2¢ v -sA
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 5 0 3 - 7 1 8 - 2 K 1 7 or @tigard- or.gov)
Land Use Case No. 5 1). _-- J Name f
(Zoning
O
Front Rear Side Street Side Garage
C Maximum Building Height Actual Building Height
Q Visual Clearance
Easements
Q Sensitive Lands Type: Ql )
Notes:
Original Plan: Approved Er Not Approved ❑ Date: 7 " '
Revision 1: Approved Not Approved ❑ Date: 7 "' S 2 -
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: 5
Notes:
Original Plan: Approve Not Approved ❑ Date: 2 2 i L
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:( 5
This form is recognized ecogntzed by most building departments in the Trt- 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.
Ilq City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
r
Transmittal Letter
T I G A R f) 13125—S- Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: U—
a-t DA REC., _ CD*
DEPT: BUILDING DIVISION '°'
n APR 18 2013
FROM: 6�L___ CITY OF TIGARD
COMPANY: B UILDING DIVISIO
PHONE: /' G L "n -- 2-1 O ' g '6'
RE: 9 a O q 4ot k - c t 9. -Dci /
( ite Address) (Permit Number) /6.
! a te 5 - / (
( :,lect n (jor su • »'vision name an I o' um. er
ATTACHED ARE THE FOLLOWING ITEMS: I
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 /
c-�_a e% p
FOR OFF CE U E ONLY
Routed to Permit echnician: Date:
� Initials:
Fees Due: es No Fee Description: Amount Due:
TMCClC& . k-- R.' 60 $ 2 ?D . CG
$
$
$
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 Rf YID; r
DEPT: BUILDING DIVISION D
APR i1Z013
FROM: I 4l.4# 4 ' / CITY OF TIGARD
COMPANY: l �/' f /fr1 ,//j 1 ���7��I1: Meal
O
PHONE: 17/ -- - 27D • q/„/ 3 BY
RE: A a, / %' t Hiiapta- coleal
fie • a a ess" (Permit Number) (t a
i‘o
Project name or subdivision name and lot number) «
(Co 5
ATTACHED ARE THE FOLLOWING ITEMS: i Ocl
Copies: Description: Copies: Description:
Additional set(s) of plans /4 nic 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: J �/ 1 1, j _,/tP&___/11__
i A 1 I 0 ": f�/ AL l Art A % / `t` 4 i
FOR OFFICE JJSE ONLY
Routed to Permit Technici�an�: Date: tk / ( Initials:
Fees Due: 11] Yes [ No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
l:\Building\ Forms\ TransmittalLetter- Revisions.doc 05/25/2012
FOR OFFICE USE ONLY — SITE ADDRESS: ?�/a.S St,i 9,:2 ' f7 /C-
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.
VI
Z City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
g a Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE ' C .
N DEPT: BUILDING DIVISION VE D
MAR 2 8 2013
FROM: . / 9 Y1/ 1 7W Reitil v4 CITY OF TIGARD
A / m „FUr hA.miee.....70.&- BUILDING DIVISION
COMPANY: �tiP'
PHONE: ' 7/- - 2-70. - ' ...--i " By:
4: RE: /�r�/ 1111 -- /7S e D/ — 0 0 /4/
( ite Address) (Permit Number) /e.2
/G '
C (Project name or subdivision name and lot number
(J �'�e� z 0 S x/7/6 16S
' A ACHED ARE THE FOLLOWING ITE S: Co
opies: 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. 1
Beam calculations. Engineer's calculations. /Ifej7 e',tb.7-
Other (explain): , /f//,69 f • ,J � � f� j �C
p REMARKS: 7/r / -f/) /17/ 1/400/ S7 7' S !tee/
_/' /7 2 % V% / I S' Ss%/i /%
cTh )A %► 11/ MA /7.S' % ` /�-- 2 /" -4"
k 7 ?/ 1/6 HZ 11.5 ; — � t _ y
F t ' OFFIC .. U E ONLY -
Routed to Permit Technician; Date: k --k.- I` Initials:,
Fees Due: ❑ Yes Oslo Fee Description: Amount Due:
$
$
$
r $
\ Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
210 Foundation walls
05/08/2013 14:00
MST2012-00164
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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
330 Water service
05/21/2013 00:00
MST2012-00164
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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
340 Storm drain
05/21/2013 00:00
MST2012-00164
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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2014-02-27 00:00:00
MST2012-00164
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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
305 Plumbing underslab
05/29/2013 14:19
MST2012-00164
PASS
NOTE: drain, waste, vent (DWV) rough/test with water, Pass.
Check grade on all branches prior to pour
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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
335 Rain drain
05/21/2013 00:00
MST2012-00164
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
9437 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
330 Water service
05/21/2013 00:00
MST2012-00164
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/
STREET TREE
TIGARD CERTIFICATION
I, ' e 1' , owner/agent for , l tii nea �/ c/pit , 5;
PASE PRINT) ERMIT HOLDER)
)
do hereby certift that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: A5 / ?- - 0t7/hq
SI'1 E ADDRESS. gqg SA.1 ,eve_
SUBDIVISION: /92°12 el LOT#:
SIGNATURE: DA,1 E: C� �•
f /9
(OWNER/AUNT)
RECEIVED &
VERIFIED BY: - DA'1 E: /q l l`y
�(C "OFTIGARD) � r x
❑ Tree location verified per approved site plan.
I:\Budding\Forms\Street I'rceCcrtificate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
De(' Qt/ 1,5Qfee'nte0 , am the general contractor or the owner-builder
at the following address:
Site Address: q/.6.4._ e.-,n Ave
City: ^l'
c\ar
I. N.-.
Permit#: 1%1906' oo I(01\
Subdivision/Lot#: ` 1V1OMr3 e
and/or 1 r \
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: if --4 j-• l"t
Gener.1 Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: `i 0 I n _0 01 / /[ Jurisdiction:
I ' v 1 V v o� l
Site Address: q 34
09_,
Subdivision/Lot#: 11614 a e I(„
and/or Y�
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: 3 -1' 7
Owner/G neral Contractor/Authorized Agent
Print Name: &.(' c, isa ee+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\Fonns\RES-HighEfficiencyLighting.doc 07/01/08