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Permit CITY OF TIGARD MASTER PERMIT : . I COMM UNITY DEVELOPMENT Perm #: MST2013 00031 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/30/2013 Parcel: 1S136CA10200 Jurisdiction: TIGARD Site address: 11074 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 23 Project: White Oak Village, Lot 23 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 690 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 950 sf Garage: 180 sf Front: 11 Smoke Dwelling Units: 1 Third: 520 sf Right: 3 Detectors: Yes Total: 2160 sf Value: $248,031.12 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 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'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 2160 Owner: Contractor: WESTLAND INDUSTRIES WESTLAND INDUSTRIES Required Items and Reports (Conditions) 12670 SW 68TH AVE, SUTIE 400 12670 SW 68TH AVE STE #400 1 Ersn Cntrl 503- 639 -4175 PORTLAND, OR 97223 TIGARD, OR 97223 PHONE: 503 -572 -0746 PHONE: 503- 245 -9715 FAX: 503 -598 -9081 Total Fees: $18,631.56 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 a - - • - 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. AT' NTION: Or- on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those - -s are set forth in OAR 952 -001 -i 010 through OAR 95 ' 1 You may obtain a copy of the rules or direct questions to OUNC by calling 50 ;.. 198 • r .80 , 44. Issued By: • / • P ermittee Signature: k it" ' Call 503.639.4175 by 7:00 a.m. for the next available inspection da :� 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. A Building Permit Application Residential REcr FOR OFFICE USE ONLY City of Tigard Received Permit No.: t ,�� / . / Ill Received 13125 SW Hall Blvd., Tigard, OR 97223 !TN 6 2013 Plan Date/B Review • Phone: 503.718.2439 Fax: 503.598.1960 `Ijl . 3;; er Permit: / 3 Ma? C ry TI G r1 h D Ins Line 503 CITY OF TIGAR Date Ready/By: rte' 0 See Page 2 for • Internet: www.ti g and -0r. g ov Notified/Method: Supplemental emental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA: I-. AND 2- FAMILY DWELLING New construction ❑Demolition Permit 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. $1, 1- and 2- family dwelling 1=1 m Comercial/industrial Valu $ Z. Q 1 ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder El Other: of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors. g Job site address: i 07 S i t ) L £ C y Uh g We/ New dwelling area: 2. ( ‘ , e ) square feet City/State/ZIP: "Ti 6-/h J O 17 23 Garage/carport area: t e square feet 2_0 Suite/bldg. /apt. no.: Project name: AM/76 '(J/{-,L/ 0/4, E - Covered porch area: � square feet '("ii) Cross street/directions to job site: Deck area: square feet No Other structure area: Z `340 square feet 2e. j /J REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Wry /re (4.K V /` //. Lq _ I Lot no43 Permit fees* are based on the value of the work performed. Tax map /parcel no.: / 5 / eft r� 1i� _ J Indicate the value (rounded to the nearest dollar) of all C/ " equipment, materials, labor, overhead, and the profit for the /��? DESCRIPTION OF WORK work indicated on this application. /r/TI.1/GT 4, ( 3//.76 �� / E Valuation: $ U/ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: r Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: �� / ( ) New: EVA ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: /A { _57-/ /i �g6 -F % _s (Please refer u, fee schedule) Contact name: O' ' [ Structural plan review fee (or deposit): Cori AJ,i6 — jjn, 5T.44ua,26u0 Address: `a 6 7 0 5 -,,,, 68 + ^4, p ,,, FLS plan review fee (if applicable): City/State/ZIP: . 776 7 4.,e4 / o Gl �}2Z3 Total fees due upon application: Amount received: Phone: ( c . 0 5 ) & 2_ -02;44, II Fax: : (e77 ) 0 /B, E -mail: J(o/) q av(��h¢ /C . C-0/1/1 / 04010/4 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photovoltaic Solar Panel System. Business name: t %Vi T NQ ` » (2 e d Submit two (2) sets of roof plan with connection details -f and fire department access, along with the 2010 Oregon Address: 1 -70 C I/:)/± E 5 e v Solar Installation Specialty Code checklist. / State/ZIP: f Permit Fee (includes plan review Ci ty / �" '� / v� 23 and administrative fees): $180.00 Phone: (P ) 7 ?O -062 Fax: (50 ) c 4 - 908 State surcharge (12% of permit fee): $21.60 CCB lic.: 0 . g 3 � ..„. Total fee due upon application: $201.60 Authorized signature:' . = This permit application expires if a permit is not obtained "{ within 180 days after it has been accepted as complete. �. _ Q_ * Fee methodology set by Mi.-County Building Industry Print name: �h 06 , coo Date: J J 7 1,,, Service Board. I:\ Building \Permits \BUP- RESPetmitApp.doc 02/24/2011 440 -4613T(I 1 /02/COM /WEB) i Plumbing Permit Applicat Building Fixtures ���+/ I ,,I: 11 i II, I 1 I "` 1 , City of Tigard FEB 6 2013 Received ` � d13 3/ Perm No. v 13125 SW Hall Blvd., Tigard, 9 t OFTIG Plan Review other Permit . 944 OG�2 9 Phone: 503.718.2439 Fax: 503.5 VT Date/By: T 1 C A � n Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: luris: El See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK 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 ff fnr each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 id 2- family dwelling ❑ Commercial/ industrial SFR (2) bath 437.78 SFR (3) bath ( 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinlder ( sq. ft.) Page 2 JOB SITE I I ORMATION AND LOCATION Site utilities: � ,7 r A Catch basin or area drain 18.76 Job site address: / L /r s ` I „ / - r a q � Drywell, leach line, or trench drain 18.76 City/State/ZIP: ' / i Footing drain (no. linear ft.: ) Page 2 Suite/bldgJapt. no.: Project name: , 1 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 r �/ "-" �� � � Water service (no. linear ff.: � I Page 2 Subdivision: Lot no.: Fixture or item: Tax map /parcel no.: ! / , G f 6 1- Bacicflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK { }� �f Clothes washer 25.02 �A��4Cf ke 1 6 1 ZI- L �L/ %� Dishwasher 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 sitllc/hub 25.02 Address: Garbage disposal j 25.02 City/State/ZIP: Hose bib 7/ 25.02 Phone: ( ) y Fax: ( ) Ice maker ( 12.51 APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: �r� C,,��q,C� (,(4 Medical gas (value: $ ) Page 2 -\ / Tig1 s �; Primer 12.51 Contact name: =� f - (commercial) Roof drain commercial 12.51 Address: .)-6 - L�J '-•• 4 7.9/ //- ` Sink/basin/lavatory 25.02 City/State /ZIP: /2 j) , Q72-'27? Solar units (potable water) 62.54 Phone: ( -2g4 - ev Z� Fax:: ( t'�S_ G� I Tub /shower /shower pan 12.51 E -mail: -( 1- � E _ j � , I ( _ Urinal 25.02 / W v+ ' Water closet 25.02 CONTRACTOR � Water heater 1 37.52 Business name: '�l/� M� g I' //99 �,�(( g Fa ( ( C.- Water piping/DWV 56.29 Address: � � � Other: 25.02 ��/ Subtotal City/State/ZIP: 6 �f // Phone: ( ) F es; ( ) Minimum permit fee: $72.50 /y, Plan rev iew (25% of permit fee) CCB Lic.: Plumbing Lic. no.: . 3 - s t State surch (12% of permit fee) Authorized signatu TOTAL PERMIT FEE t y Date: This permit application expires if a permit is not obtained within 180 days Print nam eQ, �` it has been accepted as complete *Fee methodology set by Tri -County Building Industry Service Board. I:\Building\PermitAPL -P 'tApp. 10/ 01/09 440- 4616T(10/02/COMN/EB) Mechanical Permit Application FOR OFFICE USE ONLY IN C ity Of Tigard Date/By: i �� PermitNo.: 5� 3_4,223 - 't 13125 SW Hall Bl vd., Tigard, 97223 y g 0 13 Plan Review i Phone: 503.718.2439 Fax: 503.598.1960 `B 6 2 Date/By: Other Permit: a TI G AR D Inspection Line: 503.639 n(� Date Ready/By: Juris: H See Page 2 for Internet: www.tigard or.gov CITY OF TIGA Notified/Method: Supplemental Information BUILDING DIVIStVN TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work K 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* ( -T- 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‘ ((�� 1 L 1 /�,A'1/ , (requires site plan showing placement) 46.75 City /State /ZIP: / l y (/ [/1 `J Furnace 100,000 BTU (ducts/vents) 1 46.75 G © a? 2 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: 1 if r lke O /6E Heat pump V" 1 CJ7 "sue - Ow /6E �' (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), in -wall, in -duct, suspended, etc. 46.75 Subdivision: [ gi D ire,. th (447* I Lot no.: 2, Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater S 23.32 Gas fireplace/insert 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 ) 33.39 City/State /ZIP: Clothes dryer exhaust 1 33.39 Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 APPLICANT 0 CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: j C, / Fuel piping: �?' JI P P g Contact name: ,1 lit.- jp !I r!, . f; 11 $14.15 for first four; $4.03 for each additional Address: t \ �/' a Furnace, etc. 2 207 0 �^-� IV " Gas heat pump City /State /ZIP: 11 (y' - ) 6 0 Qi Wall /suspended/unit heater / b5 l�Y Phone: ( D67 � Fax:: " '0 v (, Q Q6 ( Water heater 1 W Fireplace 1 E -mail: Range CONTRACTOR Barbecue Business name: ee /yi cT4 L J.) e Clothes dryer (gas) ' ` 1 ` 1 Other: Address: ' C t,Q l IJJ JJ_ 6 i T MECHANICAL PERMIT FEES* City/State /ZIP: 1)1( D Q7b 5C Subtotal Phone: ( ) fe—&—t) p( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: I q 7 " State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: c....--. Yl•al S 5 kh Date: * Fee methodology set by Tri- County Building Industry Service Board I:\Building\Permits\MEC- PermitApp.doc 03/07/12 440 -4617T (I1 /02/COM/WEB) . , I Electrical Permit A 1 1 lica CE 11 FOR OFFICE USE ONLY L - CF i ti ''.- City of Tigard Received _ MAW" Permit No.: ` %- I g-eix/ 13125 SW Hall Blvd., Tigard, OR 97223 B 6 2013 Plan Review Other Permit: ,�� �' -�/ ' e -9 C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: TI G A K D Inspection Line: 503.639 Date Ready CITY Juris: El See Page 2 for Internet: www.tigard or.gov CiTY QFTIGARD Notified/Method: Supplemental Information 'k! (f4 NKr DIVISION TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ,,New construction ❑ Addition/alteration/replacement ❑ 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. ❑ 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 ", "1 - ", "1 - ", C , , �� D 100HP or more. occupancy. Job no.: Job site address: t J � � J i4 / r ❑ Six or more residential units. ❑ Recreational vehicle parks. `� / ❑ Health -care facilities. ❑ Supply voltage for more than City /State /ZIP: / �A� FL!(J `�� 7jZj� ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Arc (9/ /Gi--4. ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I " New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: ` f f f til 7 " - 04- g l/) 2 46-E- Lot no.: 1,000 sq. ft. or less ( 168.54 4 Ea. add'! 500 sq. ft. or portion '7 33.92 1 Tax map /parcel no.: Limited energy, residential (with above sq. ft. 75.00 2 DESCRIPTION OF WORK ( q' ) Limited energy, multi- family 75.00 2 /w 6A1 6- �I 5c I� l lk residential (with above sq. ft.) EEEIJJ / 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 CI CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: "ik §T( N1j _/i/Di/57" -/.. S B . Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: gob s 0ajo j / - iii4 �Ti4 iu&Z.r.c.l- branch circuit / � Each add'! branch circuit 7.42 2 Address: j).. 610 ; j jV 6b 4- 5 ire 4ify Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/State /ZIP: •�i / Q� el ? 2 3 3 dwelling, service and/or feeder Phone: (05 )57). 7 z Fax: : ( 3 )1/e - go 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 Business name: 61L / � panel, alteration, or extension. Page 2 2 ' /� 41/ /I �-/�ItiS Each additional inspection over allowable in any of the above Address: /4 5 3 5 6., ,,2 3,? - D, Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/State /ZIP: ��-fi SCa ��"" ' ez_ 9 � Industrial plant (1 hr min) 78.18/ hr • • J - Phone: j) ? -- C 7 q Fax: ( 871 )lib- 0 8 0 Inspections for which no fee is 90.00/ hr specifically listed (/A hr min) CCB Lic.: 6 (Y ( Electrical Lic.: f7" kCiti Suprv. Lic.:: V 0 1 S ELECTRICAL PERMIT FEES /'� Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: • ( ••x/1 ` 5 Date: State surcharge (12% of permit fee): Authorized signature: 1 �' TOTAL PERMIT FEE: /_ This permit application expires if a permit is not obtained within 180 J ( days after it has been accepted as complete. Print name: Date: a /� (3 • Number of inspections allowed per permit. 1: \ Building \Permits\ELC- PermitApp.doc 07/01 /10 44 4615T(II /05 /COM/WEB . . , . 11 I us Building Division Development Code Provision Review I I `' \ K I) Residential Projects Building Permit No. ' : r H 5T b 1 3 — 0003 Site Address: 11 D7'-I 5.L) �� p O L0�� Project Name & Lot No.: Lt7_ 04- vi 1 t 1 �o CWS Service Provider Letter Required: Yes ❑ No a Received: Yes ❑ No 8- Routed Plans: Original Plan Submittal Date: A Ce /3 4 • ' 1st Revision Submittal Date: ,_Er / .i2s0 ite Plan Only 2nd Revision Submittal Date: / � { `j' 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 ( 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 '.0 - ] / C' at 503 - 7 - 2 y31'or @tigard- or.gov) Land Use Case No. S S,'! '^ UC rO / 2 I - t? Zoning /z'> Z Setbacks: Front 0 Rear /3 Side Street Side �Z' Garage 2. Maximum Building Height: 3 Actual Building Height 2 Visual Clearance Easements Sensitive Lands Type: t /- Street Trees Protected Trees /'/-A Notes: �a .2 Old ld ?/a4/' ./ n , p , ��,z w `� , Original Plan: Approved ❑ Not Approved ,8" Date: ,Z `6 —) 3 Revision 1: Approved - Er' Not Approved ❑ Date: 2 - 1 z "73 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 . 1 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: cyo Notes: Original Plan: h of A..roved4 Date: £ 7 1 3 Revision 1: Approved W' Not Approve. • Date: 2 I t 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 Appli nt Okay to Issue Permit: Yes No ❑ Date Routed to Building: .2_14..14....3 jiff Page 2 of 2 ■ SITE PLAN NOTES: } RECEIVC' I. ALL EXCESS GRADING RADG MATERIAL TO OE EXPORTED AN D TO APPROVED DISPOSAL / ^ I j j ,q LOCATION. v, FEB 1 1 2013 2. ALL FILL AREAS It: UNDER GARAGE FLOORS, SIDEWALKS, DRIVEWAYS, ETC_ TO CE COMPACTED GRANULAR FILL 3. THERE WILL BE A SLIGHT OVER EXCAVATION TO FIOVIDE CONCRETE FORTING ALL CITY OF TIGARD AROUND AROUND NEW STRUCTURE. (� 4. PROVIDE COY/CITY APPROVED BEDA'ENT FENCING AROD EXCAVATED AREA 20' -0' 18' -0' 22' -0' BUthDING DIVI IOI PRIOR TO EXCAVATION AND CCNSTRUCTIQI rn __ . _ y S. PROVIDE COUNTY/CITY APPROVED STABILIZED GRAVELED CONSTRUCTION ENTRANCE iff 1 !Lkk PRIOR TO EXCAVATION AND CONSTRUCTION. 6. STOCKPILES MUST BE COVERED WITH MULCH OR PLASTIC SHEETING BETIEEN EE. 0.0' !� � OCTOBER 1 AN E E. O. ID' D APRIL 3D. 1 3.00' 1. CONTRACT SUB-CONTRACTOR °� TO VERIFY LOCATION OF ALL UTILITIES PRIOR TO EXCAVATION AND LION. (1 STORM I' OVERHANG W/ X 0---' HOME + DESIGN a BOUNDARY AND TOPOGRAPHY INFORMATION HAS BEEN PROVIDED TO SKYLINE HOPES I W L RATFr) PI YIUID . 0 ■ AND ACCURACY S �OF THIS INFORMATION, I RESPONSIBILITY OF LIABLE FOR THE CONTRACTOR GAS LINE . D 18' 22' -- - /OER TO VERIFY ALL BITE CONDITIONS INCLUDING FILL PLACED ON SITE .. ' O N• S. TOPOGRAPHY ELEVATIONS WERE COLLECTED FROM ACTUAL SITE SURVEY. ✓ ( \/ E ✓ I ` ■ l9 v m. ELEVATION LEGEND: O ' • O 0 193 S � X EE• EXISTING GRADE ELEVATION ' I I `l C. ^ u X FE. FINAL GRADE ELEVATION 1 tL FFE• FINISHED FLOOR ELEVATION 2.5 SATN ... .. N II. PROVIDE A MINIMUM GRAVEL BABE UNDER ALL DRIVELLAY AREAS. I . I S'(, t / 3 B 1: RM. w ' ,- 12. PROVIDE A 4' MINIMUM GRAVEL BABE UNDER ALL SIDEW MI ALK D PATIO AREAS. E \ \\ 2,160 Q. FT. 0 13. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A COUNTY/CITY DISPOSAL 0 I _ POINT/CONNECTION. . • 1 1 PLAN 3044 A NB.: 14. MAXIM MA UM SLOPE OF CUTS D FILLS TO BE TWO (2) H t ORIZONTAL TO ONE (I) I EE • �( VERTICAL FOR BUILDINGS, STRUCTURES, FOUNDATIONS, AND RETAINING WALL& CAMBRIDGE S / ctl B. PROVIDE MID MAINTAIN FINISH GRADE WITH POSITIVE DRAINAGE AWAY FROM 2' CAL e N Q STRUCTURE ON ALL SIDES WITH A SLOPE OF 6' MINIMUM IN I O' -O' P.V.C. WATER MAIN D v I 44 � 0 e ' r / W/ FIRE RATED ' = J N IMPERVIOUS AREA S: SAN. SEWER LINE to X 0 > m 160 SQ. FT. DRIvEWAYS 73 _ �/ IS SQ. FT. PORCH EE• 0 EE. m 0 - o 32 SQ. FT. WALK 0 I00 PATIO 1QL 180 SQ. FT. OVERHANGS O • Q 825 SQ FT. BUILDING GOVER�+F �_ I III D 1' -10 9/16 L 1 0 J 0 '- ---1 1286 TOTAL 8G. FT. IMPERVIOUS AREA'S / / 'I I i- - r LOT I FOWATION: W LOT AREA: 1,911 SQ. FT. IMPERVIOUS COVERAGP: 1286 SQ. FT. SUILDMG COVERAGE: 61 R BUILDING HEIGHT: APPROX---- 31' -0' PLAN NO.: 3069 MN. BUILDING SETBACKS: 115' FRONT, 18' REAR 3' SIDES. BRAZEN: DATE: 2 -6 -2013 SCALE: 1' :10' -0' EROSION CONTROL PLAN PLAN PLOT 0 0 COVERED STOCKPILES WOODEN CURS RAMP )1; SEDIMENT FENCE 0 CATCH BASIN PROTECTION A CONSTRUCTION ENTRANCE Nis SOIL IL PERTIANENT LANDSCAPE LOt ?3 IS IN PLACE WHITE OAK VILLAGE I I WORK STAGING/ MATERIAL STORAGE TIGARD, OR. 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 11074 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 06/11/2013 09:00 MST2013-00031 PASS Setbacks ok, measured per plan Low point drain Erosion control Ufer tagged 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 11074 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 06/11/2013 09:00 MST2013-00031 PASS Setbacks ok, measured per plan Low point drain Erosion control Ufer tagged Violation Summary: Inspector Contractor ' ET T co , v q,, iig1101 1FICAT r - j o 4,e c/ owner/ o Aszzyle-,v6, .. v °/es 9 9 /a ent r g f (PLEASE PRINT) (PERMIT HOLDER) do hereby certiji 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.: 1W5T r)-D --0O23 SITE ADDRESS: 1/o 7e( SGe) GGef-icY gfe- SUBDIVISION: LOT #: 4.9 3 SIGNATURE: 47� DATE: //—//—/3 (OWNER/AGENT) ?i RECEIVED & VERIFIED BY.• DATE: /03/13 (C OF TI ARD) Tree location verified per approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 li regon l',esidential Specialty Code 11,31802 MOISTURE CONTENT ACKNOWLE Jr GEMENT FORM I, �j , am the general contractor or the owner-builder at the following address: Site Address: //a7 ' ca h�G` y /4,- /61,447 City: 17-it-71g-D Permit#: /1/757-g4,3 -003 / Subdivision/Lot#: /�tL4 �w� // h and/or t 3 ( 6' 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: e.•://` Date: reral Contractor or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 'Oregon C''eside tial Specialty Code N11O7 2 HIGH-EFFICIENCY INTER VR LIG= 1 TING SYSTEMS Permit No.: n57---8.0/3 a io3/ Jurisdiction: ----Tomo Site Address: // /L 5A) / j G y Subdivision/Lot#: /gL3 and/or /7/4646.6 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 OP,‘ Signature: 'JO Date: //-//-/3 firer/General Contractor/Authorized Agent Print Name: 41,---50/V t 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. I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08 ms; ,72013 - ODD 1 Form 640S Ali Completion Certification—Site Inspection New Homes Program—Single Family EnergyTrust of Oregon To be completed by Verifier Portland Energy Conservation,Inc.(PECI)is a Program Management Contractor for Energy Trust of Oregon,Inc. Input tab should be completed first to auto-populate applicable fields,indicated by orange highlighted fields. First Inspection Information Second Inspection Information Date: 5/6/20131 Verifier Name: Jesse fear Date: 10/23/2013IVerifier Name: Jesse fear /Incentive Payee Company Name: Builder or Company: westland industries' Contact Name: Performance Testing Company: performance insulation Technician Name: Verifier Payee Company Name: performance insulation Technician Name: Jesse Fear Site Information Development white oak lot 23-west REM/Rate SCO Project ID: Name&Lot# File#: (required from ve` `° project is ENERGY STAR®) Site Address: 11074 sw legacy oak way City: beaverton State: OR Zip: El Unattached ❑ Attached Number of Stories: 2 Total Conditioned Area: 3 Sq.Ft. I#of Bedrooms: 2189 U None I__I Full Basement U Half Basement El Crawlspace Water Heater Basement Type: Electric ❑ Garage/basement combo ❑ Slab on grade ❑ other Fuel: Electric Provider: Portland General Gas Provider. INW Natural Electric Meter Number(must be permanent meter number): Gas Meter Number(must be permanent meter number): 23 131 188 _46377113 Additional Project Information (please mark all that apply) El Code plus Best Practices(meets minimum Best Practice requirements with improvements above code) ❑ Path 1 EPS'•Best Practices ❑ Path 2 ENERGY STAR® ❑ Envelope Upgrade ❑ Equipment Upgrade ❑ Ducts&HVAC Equipment Inside ❑ Path 3 ENERGY STAR with ducts inside ❑ Path 4 Performance Plus with ducts inside ❑ Path 5 Advanced Performance ❑ Zonal Electric Efficient ❑ Advanced Electric Resistance ❑ Live Net Zero home ❑ Solar Electric(PV) ❑ Solar Water Heating(SWH) ❑ Small Wind Renewable ❑ Solar Ready Electric(SRPV) ❑ Solar Ready Water Heating(SRWH) Energy ❑ Qualifies for Solar Ready Incentive(must attach checklist) Solar Installer: Name: Company: Low Income ❑ Yes 0 No Does this project qualify as Low Income?(must provide documentation from builder) Accessory Dwelling v Yes 0 No Is this home an ADU? Unit ❑ Yes El No Is the ADU separately metered?If so,provide meter numbers above ❑ Earth Advantage-Certification Level Other Certifications ,--, ❑ LEED-H-Certification Level: Other: Return completed form to: Energy Trust New Homes--Single Family 100 SW 5th Ave,#700 Portland,OR 97201-5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 1 of 3 Form 640S \fi Completion Certification—Site Inspection '47 New Homes Program—Single Family EnergyTrust of Oregon Verification Type • Actual Model Equipment Details&Notes Category Insulation Flat Ceiling R- 49 Insulation Type: bib Framing Type: Vaulted Ceiling R- Insulation Type: ❑ Standard Scissor Truss R- Insulation Type: ig Intermediate Above Grade Walls R- 23 Insulation Type: bib Below Grade Walls R- Insulation Type: ❑ Advanced Framing Size: Floor Over Unheated Space R- 30 Insulation Type: batt Floor Over Garage R- 59 Insulation Type: bib Slab Floor(unheated) R- ❑ Under ❑ Perimeter ❑ Full Slab(Perimeter and Under) Doors Door R- Door Material: Windows U- 0.30 Window Frame Material: Windows SHGC: 0.30 vinyl U- Skylights SHGC: Window Area(Glazing) % Total window area: Lighting #Fixtures: 40 Indoor and Outdoor 50 % #ENERGY STAR fixtures or CFLs: 20 Appliances ENERGY STAR Dishwasher 0 Yes ❑ No EF: Model#: Cooling Air Conditioning SEER: Btu/Hr: ❑ Fireplace AFUE: 95.5 Brand: fraser-Johnstone Primary Heat HSPF: Model#: t 9s060a10m 11 a Source 0 Gas Furnace 9 p ❑ Electric ❑ Boiler SEER: Serial#: w1e3708503 1111 Gas Heat Pumps COP: Btu/Hr: 60k ❑ Air Source(ducted) Outdoor Unit(for heat pumps) ❑ Other: Split ductless Mini S ❑ P (ductless) Location: Model#: ❑ Ground Source cond space Serial#: ❑ Radiant Floor Heat ECM ❑ Yes El No Heat pump commissioning report attached or confirmation for ground source heat pumps that ❑ Cadets Electronic Air Cleaner ❑ Yes 111 No manufacturer's start up procedure was performed. ❑ Zonal Backup fuel ❑ Electric Gas ❑ Other ❑ Yes ❑ Other Notes on Primary Heating: Notes on Secondary Heating: Water Heater Type: Gallons: Brand: rinnai 0 Electric 0 Storage EF: 0.82 Model#: r175 ❑ Gas ❑ Tankless Location: Serial#: 38035 cond space Btu/Hr: 180k Return completed form to: Energy Trust New Homes--Single Family 100 SW 5th Ave,#700 Portland,OR 97201-5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes@energytrust.org Page 2 of 3 mss X613 - 3r Form 640S ' fi Completion Certification—Site Inspection 7-j\ New Homes Program—Single Family EnergyTrust of Oregon Ventilation ❑ Exhaust Only Meets Energy Trust Mechanical Ventilation Requirements? System Energy Trust of Oregon's EI Yes ❑ No ❑ Supply Only Mechanical Ventilation Requirement 0 Air Cycler HRV/ERV Model#: ❑ HRV/ERV Ducts 0 Ducts Inside %ducts inside: 95 Ducts in Conditioned Space If claiming incentive for ducts inside,check one of the following: ❑ Ducts Tested El Visual Inspection per RTF Specs Duct Insulation R- 8 Duct Location: 95 cond 5 attic Ducts Sealing w/Mastic 0 Yes ❑ No 100 attic-return Performance Testing Duct Leakage Duct Leakage Cubic Feet Per Minute(cfm) Duct Leakage Air Handler in El Yes Air Handler Installed During❑ Yes 119 @ 50 Pa 0 Pass ❑ Fail Conditioned Space? ❑ No Test? 0 No Fan Pressure ❑ DG3 Fan Ring Size/Type ❑ 0 0 2 Leakage Test 0 Total Leakage Gauge Pressure: (check one) Method DG700 ( ) ❑ 1 ❑ 3 ❑ Leakage to Outside Duct Blaster Location: ra Pressure Tap Location: bed `Area Tested: 2189 Whole House Leakage Whole House Air Changes per Hour(ACH) Envelope Tightness Cubic Feet Per Minute(cfm) Leakage ❑ Pass ❑ Fail 1225 ©50 Pa House Volume: 18394 @ 3.9 50 Pa 'Best Practices Requirements (All requirements must be met to receive an Energy Performance Score) • Thermal Enclosure Checklist complete El Pass ❑ Fail (Thermal Enclosure Checklist attached? ❑ Yes • Insulation Quality Inspection Performed El Yes ❑ No _ (complete insulation verification section below) • Approved Mechanical Ventilation Installed 0 Yes ❑ No -* (complete mechanical verification section below) • Zonal Pressure Relief-All zones comply 0 Yes ❑ No If no,state reason for failure: • Combustion Appliance Zone Net CAZ Pressure: Pa If not applicable,please explain: all dv Testing (required) Forced air system operation must not depressurize Combustion Appliance Zone(CAZ)by more than 3 Pascals(Pa.) Additional Notes: Signature By my signature,below, I certify that I have performed the tests as described,that the form is complete,and that all information on the form is accurate. Verifier jesse fear Verifier jesse fear Date: 10/23/2013 Signature: Name: Red Tag Inspection (if needed) Signature (Name 'Date: Return completed form to: Energy Trust New Homes--Single Family 100 SW 5th Ave,#700 Portland,OR 97201-5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 3 of 3