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Permit
rt CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT �/5/ /y (,: Permit#: MST2013-00168 K J;/,Z Date Issued: 07/15/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 v Parcel: 2S102DC05900 Jurisdiction: TIGARD Site address: 13801 SW 90TH AVE Subdivision: GERTZ HOMES AT EDGEWOOD NO 2 Lot: 8 Project: Edgewood No 2, Lot 8 Project Description: New SF. 11/12/13: Reprinted permit to include A/C unit. Placement of A/C unit must comply with manufacturer's clearance requirements. 1/14/14, reprinted to correct parcel lot#from 11 to 8 BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms: 3 First: 1843 sf Basement- 0 st Left 5 Parking Spaces 0 Height 22 Bathrooms: 3 Second: 1334 sf Garage' 721 st Front: 20 Smoke Dwelling Units 1 Third: 0 sf Right 5 Detectors Yes Total: 3177 sf Value $372,18141 Rear 15 PLUMBING Sinks 1 Water Closets: 3 Washing Mach 1 Laundry Trays 1 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 D Bckflw Prevntr 0 Footing Drain 0 Ice Maker: 1 Hose Bib: 2 Backwater Value 1 Drywall-Trench Drain: 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Tvpes Air Conditioning Y 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 Fum>=100K 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less 1 0-200 amp 0 0-200 amp 0 W/Svc or Fdr 0 Ea add'I 500 sf: 6 201-400 amp' 0 201-400 amp 0 MO 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 D ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 Stereo N HVAC N Security Alarm- N Vaccuum System N Garage Opener N All Other N Other Descnphon Ecompasing BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3177 Owner: Contractor: GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION CO INC Required Items and Reports(Conditions 19200 SW 46TH AVE 19200 SW 46TH AVE 1 Ersn Cntrl 503-639-4175 TUALATIN,OR 97062 TUALATIN.OR 97062 PHONE 503-692-3390 PHONE 503-692-3390 FAX 503-692-5433 Total Fees: $22,247.33 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 These rules are set forth in OAR 952-001-0010 thr. •h OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 600.132 2344 Issued B . �X G e-itt:Sr-_k-E' Permittee Signature: (---"';- � r / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT 2: Permit#: MST2013-00168 COMMUNITY DEVELOPMENT 1 I Date Issued: 07/15/2013 T l GAR.L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ® ,(� Parcel: 2S102DC05900 Jurisdiction: TIGARD Site address: 13801 SW 90TH AVE Subdivision: EDGEWOOD Lot: 11 Project: Edgewood No. 2, Lot 8 Project Description: New SF. 11/12/13: Reprinted permit to include A/C unit. Placement of A/C unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1843 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 1334 sf Garage: 721 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3177 sf Value: $372,181.41 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders_ Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf. 6 201-400 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 3177 Owner: Contractor: GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION CO INC Required Items and Reports(Conditions) 19200 SW 46TH AVE 19200 SW 46TH AVE 1 Ersn Cntrl 503-639-4175 TUALATIN,OR 97062 TUALATIN,OR 97062 • PHONE: 503-692-3390 PHONE: 503-692-3390 FAX: 503-692-5433 Total Fees: $22,247.33 . This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:,,, . ..,■,, _ Permittee Signature: 31Aet" :" ee 639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applica ECE1VED volt on icy: us(_()Nix ' City f Tigard Received Parton No yr�y3 �l6 g 1,1 ri g 2013 Date/By: 7©�� . 13125 SW Hall Blvd.,Tigard,OR 97223JUL .2 plan Review / Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: e a'q/?�-QO/sfo D Date/By: Inspection Line: 503.639.4175 CITY Date Ready/By: luris: 0 See Page 2 for "t I G A IZ D p � Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: pp •• ' •TYPE.OF WORK 'u•� .DIVISION i COMMERCIAL FEE* SCHEDULE = USE CHECKLIST' : Mechanical permit fees*are based on the value of the work New construction ❑Addition/alteration/replaceme . 1 • • performed.Indicate the value(rounded to the nearest dollar)of all • mechanical materials,equipment,labor,overhead,and profit. Demolition ❑Other: Value:$ .. , ` CATEGORY OF 'CONSTRIICGION • RESIDENTIAL EQUIPMENT/sorENLS,FEES`.• : ; and 2-family dwelling ❑Commercial/industrial- 0 Accessory building i For spedaiinformation use checklist. . ❑Multi-family ❑Master builder ❑Other: . . Description• - I Qty [ Ea. I Total Heating/cooling: -- ' • JOB).SFFE.INFORMATION AND LOCATION Air conditioning• s t, /3 'O/ fc f Cr'f'1 irequirtS site plan showing placement) _ /.1 ; 46.75 - - Job site address: f a- � - Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP: ! 't7 e6,p oft_ ?2 z Y Furnace 100,000+BTU(duets/vents) _ 54.91 ' Suite/bldg./apt.no.: Project name: Heat pump t (requires site plan showing placement) 61.06 Cross street/directions to job site: CP A.ges..a • E aCg eedelfts, Duct work ' , 23.32 Hydronic hot water system 23.32 tt Residential boiler.(radiator or - hydronic), 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 • ta.,�t:�'l Z Lot no.: g Flue/vegt for any of above 23.32 Subdivision: //�� Otherw. 23.32 Tax map/parcel no.: 2 0-(.Z 4VG - 6 51 Other fuel appliances: .. DESCRIPTION.OF.WORK. - - Water heater 1 23.32 " ' At-e fireplace/insen / 33.39 t'Y-e el) 167 Ik{ - Flue vent for water heater or gas � � � p /� fireplace �- 23.32 1�✓ ��/la-,I CiIC.(,�-t-4 G /� Gr/ [<�/� "T Log lighter(gas) 23.32 /' Wood/pellet stove 33.39 •Wood fireplace/insert _ 23.32 - j ,tr , Chimney/liner/flue/vent 23.32 . :,±..�. : `.• �,RItOP7�R I';OWI!F>�` ®i*Wei' -_ , . .. Other: 23.32 �' ,µ.rye. N s-e- Envl!onmental exhaust and ventilation: Name: (� �irL, . Address: /1 2,015 4_3- YG f� eRganwge pm hnoot d/other kitchen 1 33.39 City/State/ZIP: ! µm('.fr„) D2 v )O v L Clothes dryer exhaust / 33.39 Single-duct exhaust(bathrooms, r' • Phone:(S(8 ) 6s,z-3 3 f 6 Fax:(SO)) .9 Z-,f Y 3 toilet compartments,utility rooms) 23.32 tF1,:':i y. ',., p F .....'.....!-.:,1...`'':.`.7,...:'. a, ;!.,. • QNA�:P3RSON. . Atic/crawlspace fans i 23.32 Other: 23.32 •Business name: c 6- C�"EZ/ �`i Y Fuel piping: Contact name: A'.''J c 4.f , S14.15 for first four;$4.03 for each additional Address: Gf zoo sk? YG Furnace,etc. r i • Gas heat pump City/State/ZIP: k_.• . ..Fe,J DA f 70 Z_. Wall/suspended/unit heater - _ . Phone:(Sq)Ley 2.r 310 Fax::($03)C• Z- 5 tf Water heater I 3� Fireplace 1 E-mail: 1.(,e,v )Gti,' i-c o, CD#•--r Range x''':.7a4 l;:!•, '.-r..,-, • . C) Oft,. ' • : ' . . i::.. - Barbecue• Business name: 6466 G ( �,A -f ��q Clothes dryer(gas)Other: •. Address: P, 0 • 4O!4 S Z I q8q M ECAANICA7:ptFI IFITFBES' . •• . City/State/ZIP: 1/ (J if&G 8 Z Subtotal /46,7r •Y 4 K C Da t�t� Minimtun.permit fee($90.00) Phone:(S03 )G sg- b 22( I Fax:(3x3) 6 56- 21f3 Plan review,(25%of permit fee) CCB lic.: YZ 57 9 • State surcharge(12%of permit fee) j-(,' TOTAL PERMIT FEE Sa_'3 j, (/ This permit application expires if a permit is not obtained within180 1 L Authorized signature: days after it has been accepted as complete. / Print name: / 1 .J' Date: 7/(((......3 • Fee methodology set by Tri-County Building Industry Service Board -. l/lr)13 IR-r CITY OF TIGARD MASTER PERMIT 111 a COMMUNITY DEVELOPMENT Permit #: MST2013 00168 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013 Parcel: 2S102DCO5900 Jurisdiction: TIGARD Site address: 13801 SW 90TH AVE Subdivision: EDGEWOOD Lot: 11 Project: Edgewood No. 2, Lot 8 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1843 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 1334 sf Garage: 721 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3177 sf Value: $372,181.41 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 6 201 -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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3177 Owner: Contractor: GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION CO INC Required Items and Reports (Conditions) 19200 SW 46TH AVE 19200 SW 46TH AVE 1 Ersn Cntrl 503 - 639 - 4175 TUALATIN, OR 97062 TUALATIN, OR 97062 PHONE: 503 -692 -3390 PHONE: 503 -692 -3390 FAX: 503- 692 -5433 Total Fees: $22,194.97 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 enter. Those rules are set forth in OAR 952 - 001 -001 OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. .1987 or 1.800.332.2344, Issued By - Permittee Signature: Call 503.839.4175 by 7:00 a.m. for the next available Inspect date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Build' n Permit A lication - . Residential EcEivEDrc'It tlrrlcl': l sl: ()11.1 City ty of Tigard Received -gu Date/By: 7 A. / 3 A i Permit No.: yT,2o/ 3-60 4,4 1, • C 13125 SW Hall Blvd., Tigard, OR 9 c 2 2013 Plan Review_ .� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: =/C, '1 ( ( V'j Other Permit :ck ,/0 /3_0O/5 Inspection Line: 503.639.4175 CITY 1't C. RD Intemet: www.tigard- or.gov OF • DateReady /Bx: �� —, Supplemental Information J„r;,; See j 13 �J Exam isf Notifie frod: Z j ::tr W I �7 /C Y et G ` /f y C�i ,`_' :. : ''. ;:. TYPE OF N ORK - — . ,�. : ' � '' _. RE DATA: E:.. �1rFIT ?e= P:4'1VJiII��j�1pP- � : :;` t 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 f "y;i, - :��° : =?�.. - - - �. .._,. :..,. :- ,.,, :.._.. for the :!; ;_ yjA "�;,;'- ; ;� . Ate . work indicated on this application. • Y dwelling ❑ Commercial/industrial 1- and 2 -famil dwellin Valuation: $ 37Z (( iL1 El Accessory building ❑ Multi- family Number of bedrooms: — ' Tl ❑ Master builder 0 Ot her Number of bathrooms. 1 6 - ,, :, •,;... _ , : ;� ; Total number :. : : >..,., � r*f's,.' •:.,:: - �- � :� �r�?It� :. n of floors: Q 2-% Job site address: 3 0 0 ( . W '� N ew dwe area 3 E7> tare feet City/ State/ZIP: Tigard OR 97224 Garage/carport are 72 ..... ‘ square feet Suite/bldg./apt. no.: Project name: - Covered porch area: t(�7 square feet 1.534_ Cross street/directions to job site: Ojet Q -744 KdC ,-ci eppL) Deck area: - 66, square feet i 5 - Other structure area: square feet �2 Subdivision: 3»Yk1MA 't§i ' IiS1PR B7E�ltil ti i+i - - ,.fin .....F' -- •< <y Ce Z L no.: 8 Permit fees* are-based bn the of the work performed. Tax map /parcel no.: I � z s tz 4 �' - C) 51 eta • indicate the valtte (rounded to _he nearest dollar) of all :.��. rE -, : . ,., , ;:. ,. equipment, materials, labor, overhead, and the profit for the 'r,� ' " , . • "+ work indicated on this application. ��� _,*, — Valuation: $ Existing building area square feet New building area:. square feet �: fir :�' i�; - - - `� :i5i= ;q• . : : ;.� ;.,...; _' : : - ,. .:, r �, ` Number of to . ..r .JMR`� . . .. /'. ..! .. r2, � ..,�,��'' }iJl�.s.i�l�,_��'i , :4nS ' -_ ��i:.....� ",•, +. a : :a�,� - - Name: 6. eh - CeT N < 43 e_ Type of construction: Address: /13...67b 7 <'a_) c&(:‘,. -4 Occupancy groups: _ City/State/ZIP: / -u Q/ 'f2 06Z Existing: _. Phone: (J )3 ) 6.F ; 3 O Fax: (.7a 3) 6 ?2,- S ee 3 3 New: ` Business name: 4a762...- 4a762...— / ! — r 1 JC Ad U . fL Structural plan review fee (or deposit': Contact name: Address: � Z --5!..s..) FLS plan review fee (if applicable): City/State/ZIP: /late 6, ,a. ( .54._... '92 L Total fees due upon application: O f 3 t' 3 3 Amount received: • 7 5 - 73 . b � Phone c� �i;/) (�+z - 3.��ra Fax: (Sa L- E -mail: /( - Cr - 6i Ss't c E>� ,,,._w... " °`''t -, , y; ,.. ` , o �� residential prescriptive.installation of lA� ..��,� ,. '�.:,.. « , •y '�..,�, ; . -: - Commercial-and residenti L: I :: b�. . - a•: '' tea, :; • ,. ;Ail .tea.•, Y,„ .rr :' ' . . ra " roof -top mounted . ' "� ' : - "• •' ' �'� _ tinted Photovoltaic Solar Panel Sys Business name: 6',�- . F - 9 - „ Submit two sets of roof plan with corm - N.' • . details _ and fire dep.. ., -r access, along with • 2010 Oregon Address: / r7 ? -� S C ' Solar Installation • ecialty Code . cklist. City/ State/ZIP: / (� . ;,,, 0/1-__ y 7 ©G y- Permit Fee (in udes • review $180.00 and adm' : ' • :five fees): Phone: ( , f Z _,, r6 Fax: (•) v3) ( Z _ j Y 3 2, State surch: _• - 2% o 'emit fee): $21.60 • CCB lic.: 3 3 s E) T ::1 fee due upon application: $201.60 • Authorized signature: � /7 This permit applieation expires if a permit is not obtained • within 180 days after-it been accepted as complete. Print name � / * Fee methodology set by Tri -County Building Industry P/�S Date , 2 7 Service Beard I:\ BuildingTermitslBUP- RESPermitApp.doc 02/24/2011 440- 4613T(I1 /02/COM/WEB) umbine Permit Applicatio uilding Fixtures �CEIV g FOR oFF•ICh: 115E ONLY l Received / Permit No.: City of Tigard JUL 2 2013 Receive 7 2 /3 3 iY' r;iol3 -x / a • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503,598.1dry oF T D Da1e/By: Other Permit No, Q, Ace - 0015 -6 Inspection Line: 503.639.4175 p �� Date Ready/By: heir ® See Page 2 for ' G A It D Internet: www.tigard- or.gOV DVILDIN D1 V IIf S� Notified/Method: Su . plemental Information Demolition For special information use checklist ew construction Description I Qty. I Ea. I Total Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection) _ .....i,:; ,::'':- SFR (I) bath I 312.70 ' ( ,r ] "::'-.-: l �wew w . •t'Y il'C�S'�i irk {. l:� - SFR (2) bath 437.78 , and 2- family dwelling ❑ Commercial/industrial SFR (3) bath l 500.32 • Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 t,y� Site utilities: 1 „ �.._. . t Catch basin or area drain 18.76 site address: l 3 �� d �a Drywell, leach line, or trench drain • 18.76 y /State/ZIP: 777 "40 �► 2 z • O y Footing dra (no. linear ft.: _)' Page 2 ite/bldgJapt. no.: Project name: Manufactured home utilities - 50.03 )ss street/directions to job site: Manholes 18.76 4 Ja49 Q 7<1 ‘ /� �O Rain drain connector 18.76 d Sanitary sewer (no. linear ft.: Page 2 Storm sewer (no. linear R: ___) Page 2 Water service (no. linear ft.: ) Page 2 bdivision: G . c )cre r e Z Lot no.: g Fixture or item: Backflow preventer 31.27 ix map /parcel no.: S / 3 /0C ,- 17 5 - 1 06 - 12.51 • _ Backwater valve " H `` ".' . 25.02 'w��a;_•� , ::' - . �'� '� . -. ,. •.�... , .... .. ..... ,. Clothes washer e �,�} , oawe. Dishwasher 25.02 . Drinking fountain 25.02 Ejectors/sump • 25.02 J`K 3 7 - r:7 .: y1 . ! ;.. Lei•��,N.�S .i '1 1 .N7 {.^__/II tr„A: r ; ".'+7 6;4' ::: 4 1 y,� .,'i Expansion tank 12.51 h _ .7i .. 1"' t.1 .Yr]ati. _ T e/ Fixttrsewer cap 25.02 sine: e,„,..6,... G bus, Floor drain/floor sink/hub 25.02 a ddress: / ?Z. d a SGfi fo 1 _ Garbage disposal 25.02 ity/State/ZIP: 1 ii& t jf,N ea. `` 2a L Z Hose bib 25.02 hone: (Se3 )642 - 33 9b Fax: ( SIP G. ?Z - 5Y3 3 Ice maker 12.51 i ! " •Tf ' tF , r L TM ' ` r".. K „,.;';• Interceptor /grease trap 25.02 . l"' r, + .+ ;sa a cwcr�, + E ifre4« d r! r tuara±s ausa.a 1 l ` P 2 ' ) � lusiness name: ^ e4 eilisla f Cr A-c_ Primer 12.51 :ontact name: /4.4 G 1%4.1 Roof drain (commercial) 12.51 . ddress: (9 Ley a CO 1 k 4 4-4 _ Sink/basin/lavatory [ 25.02 ;ity/State/ZIP: q, C,11.1 4 Q / ) 66 L Solar units (potable water) 62.54 'hone: (5 63) 3) 4 9Z - 3 3 4d Fax: : (5O3) G ?2. - $ 3 3 Tub /shower /shower pan 12.51 Urinal -- "i-mail: (,p a >^s..-14_., G GC rr W closet 25.02 v' .. J:-. iWm1 1 • V► %, �r , i4 .,, rHi..,;,4 ,; ,M� a 37.52 ePFV / YY Water heater Business name: - fir (p e.4, 4, �I H(/ Water piping/DWV 56.29 Address: 1p 0 13 p x 2 7'( V Other: 25.02 c� Subtotal City/State./ZIP: -(4.) e a - 4 ,%„,,,, 6/4 6 7 0 � Fax: (5113)41a-3Z/ Z Minimum permit fee: $72.50 Phone (5 55 - r 8 S Plan review (2.5% of permit fee) CCB Lic.: I b3 712.... Plumbin: f 'c. no` •2T • pa_ State.surte.(12% of permit fee) Authorized.signaUtre: .��� � / .`i+!�7 TOTAL PERMIT FEE TWs paemitappM parted a paet U net obtdaad.wit(blo 180 days Print Haar: IM Date � 0�� after it has bees accepted as compiea. L *feemetbodology act by Tri - County Building.indusey Service Beard I 10/01109 440- 4616T(10l07JCOMIwEa) rage 2 - Supplemental Information ` • u . Fee Schedule: . p. �r lj e : ,, -, - • ,, ��}4'� ,----,7,--,1 Residential Fire Sul a ression S stems: Footing drain - 1° 100' . , _ � ' �" � a�'. i . r 5 ' i': 3 � ` � � ! 4 � 50.03 0 to 2 000 " ''- -:k„1 1 f;0X _' $161.69 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer - 1st 100' 62.54 3,601 to 7,200 $233.20 Sewer - each additional 100' -77.7T-- 7,201 and •: er Water Service - 1st 100' 62.54 Water Service - each additional 100' Medical Gas S steins: 37.52 ,,,� Storm &Rain Drain - 1st 100' �' ,"' 4 E �` ` y i375E'�i� � T-rz# '- £ � > 62.54 $_,:.' .. 0 ......,1 ` ini m u S t Sep.- e, * y i Z l�r Storm & Rain Drain - each additional 100' 37.52 $1.00 to $5,000.00 Minimum fee $72.50 � g $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for ; ° 1 .I ' . °.• : - allites, .. OtY , i. ' ee {erg)-: ,:" Taisk each additional $100.00 or fraction thereoiy to Inspection of existing plumbing or for and inch $10,000.00. which no fee is specifically indicated 90.00/hr $10,001.00 to $25,000.00 $148.50: for the first $10,000.00 and $1.54 for minimum ch. ce -1/2 hour) each additional $100.00 or fraction thereof to Inspections outside of normal business hours minimum char_e -2 hours) 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for and includin_ $25,000.00. Reinspection Fees 90.00/hr each additional $100.00 or fraction thereo& to Additional plan review for revisions 90.00/hr $50,001.00 and u and includin: $50,000.00. minimum char: e - 1/2 hour P $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Commercial Fixture Work: Are you capp adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to • accurately report fixtures could result in increased sewer fees *. • nature:T.ypefar Qlnsad by Fi tttareTSme 1 sue, t�s W B ti /Fo s Fe>}tormedr Capes. .. prided . � Plan review is wired for an of the following. • B nt Y Bath Please check all that apply, Tub /Shower ❑ Any new commercial building with water service 2" and lacuai/Whirl ool greater, except systems designed and stamped by licensed Car Wash -Each Stall -Drive tall engineer. Cu ?..__ /Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher - Com as defined in OAR918- 780 -0040. - Domestic ❑ Medical gas and vacuum systems for health care facilities. D Fount ❑ Any multipurpose fire sprinkler system, e was ❑ Any complex structure as defined in OAR918 - 780 - 0040. Floor Drain/sink - 2" 3^ Submit sets of plans with any of the above. - 4" Car Wash Drain lam .,A. o r ` .�.N.y.witso ,{;a, >i es)1 - • •Garbage - Domestic -icon -food Disposal - Dome Isometric or riser diagram required r" - Domenic - food related ag is r ui red for new buildings - Commercial - food related that meet the • ualifications above. Industrial -food related Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lav - Non -food related - Bradley - Commercial -food related - Service Swimming *Note: If the fixture work under this permit results in an velar Extractor increase of sewer EDUs, a sewer permit will be issued and water Closet - Toilet Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. http : / /www.tigard -or, gov /city_hal lidepth' tments /cd/docs/PLMF- PermitAppldoc Mechanical Permit Applic ! D FOR OFFICE USE ONLY 20IJ City of Tigard Date/By: y: �� Permit No.: yT 06 g 1'] Plan Received R y: • 13125 SW Hall Blvd., Tigard, OR 97223j UL �+ Plan Review 7ATI Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: 40e a(y 3 -00/5 T I G n It D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: luris: ®See Page 2 for Internet: www.tigazd- or. goV BUILDING DIVISION Notified/Method: Supplemental Information ' TYPE. •OF WORK • u . ' Y i COMMERCIAL FEE* SCHEDULE' - USE CHECKLIST' ' Mechanical permit fees* are based on the value of the work New construction ❑ Addition /alteration/replacement V • performed. Indicate the value (rounded to the nearest dollar) of all Demolition 0 mechanical materials, equipment, labor, overhead, and profit. Value: $ '- ' . " CATEGORY OF ''c6"IsTRt cTION " RESIDENTIAL EQUIPMENT /S''STEMS l and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For speciaf-information use checklist. , ❑ Ot her: . Description- — I Qty. Ea. I Total ❑Multi - family ❑ Maier builder i ., JOBS TFE. il!1FORMATION A. LOCATIUN Heatinp/cooling: -- • Air-conditioning ' Job site address: / C � f ,L ` /3 te / cw 'r'4 (requirt''s site plan showing placement) 46.75 - - - f e "- � - Furnace 100,000 BTU (ducts/vents) 1 46.75 City/State /ZIP: l ` 7 , O, 1 ? 2 Z Y Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump t (requires site plan showing placement) 61.06 Cross street/directions to job site: 6, ,1_,g-a te. E Z ec„/o� Duct work" • 23.32 Z, 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: dii,{cj.) Z Lot no.: g Flue /vegt for any of above - 23.32 Other_ 23.32 Tax map /parcel no.: 2 �C,Z WG 1 - 6 5 Other fuel appliances: ' DESCRIPTION. OF. WORK. " - Water heater 1 23.32 Gas fireplace /insert / 33.39 ., M e w /6 - Flue vent for water heater or gas 23.32 fireplace Log lighter (gas) 23.32 • Wood/pellet stove 33.39 Wood fireplace /insert 2332 ; ?1.- • Chimney /liner /flue/vent 23.32 • Ea= ;;BIQPIRY' OWi!FBR rr ®i TANT.'" Other: 23.32 - - Name: 6 , 44 1 2 ..._e z ,v s -f- d to-t_, Q Environmental exhaust and ventilation: f � Range hood/other kitchen 1 Address: 1 / jr Z �T ye. ' - equipment - _in ` 33.39 ! µ City/State/ZIP: (4, rt„ a OA_ co ) 66 Z_ Cloth s dryer exhaust 1 33.39 • Single -duct exhaust (bathrooms, • Phone: ( see )4 f 6 Fax: (3 )`9 Z - SY 3 .3 toilet compartments, utility rooms) ' 23.32 - -- c " �"; " tt ' Y P ' A OI FA C :.PF3RSON Attic /crawlspace fans 23.32 AYfi:. ' :z. :� 23.32 ,t Other: Business name: � ( 2- / ,. y t y ( ey Fuel piping: Contact name: A.,...,..1 G.� . -f ._ $14.15 for first four; $4.03 for each additional Furnace, etc. � Address: C Z� S�t:J YG Gas heat um - p p City/State/ZIP: 77,...,(4,..4„,„) ©,04 'f 7d(z___ , Wall /suspended/unit -heater - -- Phone: (t5C ) Z 3 3 .9. Z V Fax: : (cSe3) CY 5 cf Water heater I 33 Fireplace E -mail: /.:e ,) @ Gtiy'(LC o , c:11",0-7 ' Range ;:y ,:• tt • i < ,. OIt i i , :- . Barbecue Business name • 6466 OM - 6 ,„ i t� e414/ Clothes dryer (gas) /), n Q rd L.?z ' Address: 0 • a c lic. v z Ali( i( 11IE AEI i nT,T - • City/State /ZIP: V4 /c( Ors G f t: 8 Z Subtotal t>rt 4 Minimum.permit fee ($90.00) Phone: (S03 ) ( 5-s. 6 21( Fax: (923 ) 4 56 - 211'3 Plan review, (25% of permit fee) CCB lic.: yZ 57 ,7 . State surcharge (12% of permit fee) TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 Authorized signature: G ((.3 days after it has been accepted as complete. Date: 7 f ( ' Fee methodology set by Tri- County Building Industry Service Board Print name: ��,J' .,_ .... ,.. aaoaetrrnuovcowvweal Mechanical Permit Application - City of Tigard ' • Page 2 - Supplemental Information • Commercial & Multi- Family Fee Schedule: Tdt°al= Valuation Permit Fee: $0.00 to $500.00 Minimum fee $69.06 - $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $ 10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building \Permits \MEC- PermitApp.doc 03/07/12 2 ' Electrical Permit Application RECEIVE It. FOR orhlc:h: USE ONLY City of Tigard / Permit No.: / t l Y 7 ? 3 2 : / r' 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 2013 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review 0 Date/0 •: Other Permit: I to Q , a/ /5 / T 1 G A RD Inspection Line: 503.639A 175 Date Ready /By lurir tc SP Internet: www.tigard or.gov CITY OFTIGARD N otified/Method: S See Page for /M � � ° • ��?�;')' + ,, .'; ; r:., : l 0 ( �N1 I,�,tJ1IYG�VIY'V Supplemental i Information 1 New construction ❑ Addition/alteration/replacement Please check all that apply (submit a sets of plans,w /items checked below): ❑ Demolition ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Other: }'� � !t f _ r t 1 ?4, c�xr: where the available fault current ❑ Marinas and boatyards. r;, ' Ai:, ;, r ••, ., 1 E a r t a a ti p, t ! s P : ,• , t , ti�i exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground, or exceeds 14,000 2 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. ❑ buildings. t � Commercial-use agricultural ❑ Multi - family ❑ Master builder 0 0 Fire pump. 0 Installation of 75 KVA or � � �, , ty. ,, ;; }it : e ,�. - . ..; , • *�:,, ' ' , ;• i a Emergency system. larger separately derived system. Addition of new motor load of ❑ "A", "E", "1 - ", "1 - Job no.: 1 Job site address: / 3g D ( f c.1 /76 Yf I00HP or more. occupancy. - 71"1.7 ❑ Six or more residential units, ❑ Recreational vehicle parks. City/State /ZIP: �d 7 C,A- 2 2 211 ❑ Health -care facilities. ❑ Supply voltage for more than < ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more Cross street/directions to job site: Q • F E S D '' „1i''':;;-. ti"r6 7 4 ��¢ .eyfQ' �C Description 1 Qty. ) Pet 1' Total ( • 6 v New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 6 2. A e d�� - . Z I Lot no.: b 1.000 sq. tt. or less I I 168.54 4 Tax map /parcel no.: AG D 6 Q Ea. add'I 500 sq. ft. or portion 33.92 1 : ^� �� w env' '�v;e r �!"ig � Limited-energy, residential - 4;_ r , .., i; b, SIM r� t! 3r 1' e r l ,. 3 . ;. L a }' ; :s. ,,.yT i: � (with above sq. ft.) :75.00: 2 r �(� / Limited energy, multi - family / �' ` residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration,,and/or relocation 3 } x. fio,� trt ^n � 200 amps or less 100.70 ,,��pp e 4 M�1> � ru� a,l1 i.,,.I i[ -�l ly d i g'r;' p� 2 .'lstt3'i' S"a u ss}ur�rwvu' 7 - ".t , It r 4 t 201 amps to 400 amps 133.56 ,� 2 Name: w4-e2- etr A.1.4 t (, 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: /et Zd0 // {� �b Over 1,000 amps or volts 552.26 2 City/ State/ZIP: - 7 - ; L -6 - 4 D �f 9 ?Q 6 Z Temporary services or feeders installation, alteration, and /or relocation Phone: (563)4, $Z -3,3 9 . 6 I Fax: (543) 6 v . _ 51133 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to aoo amps 125.08 2 intended for sale, lease, rent, or exchange, according - to ORS 447. 449. 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or ex_ tension, er panel - Owner signature: Date: A. Fee for branch circuits wish vi, 4 '>�'�t* ' ")' J I�� 1 � i'� MINIM �•� {y; ** 4 . e +ten etrareyersd : ' � °? above service-or feeder fee, each branch circuit ' 7.42 2 Business name: G 7c�_- car 4. s / /1, B. Fee for branch circuits without T c-o ( ,e_ an service or feeder fee, first 56.18 2 Contact name: K G tw L branch circuit Address: /if Zvi co L,(` .E[ Each add'I branch circuit 7.42 2 !� l Miscellaneous (service or feeder not included) City/ State/ZIP: L Each manufactured or modular `�� �"�t'V � � q �� dwelling, service and/or feeder 67.84 2 Phone: (5 63 ) 61'Z - 3 ') I Fax: : (5(13 c/ z- rs-YS3 Reconnect only 67.84 2 E - mail: 4Po.l e LO Pump or irrigation circle 67.84 2 jw: , ' r +' ';} Y x ! , ; l , �.,. - _ � : i t s =± - _,.' . . Sign outline lighting 7 f Tsai e, `YYt I ., , :. . <.:i._._ . . ,' - +z %. ..' _ si Signal l circuit(s) or limited- energy 6 .84 2 Business name: /' ,i, k �'.i" C(1 A i panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: P t � Q /3 c.v. 2 2 3 c Additional inspection (I hr min) 66.25/ hr City/State/ZIP: 5 ✓ C 5 .^.eA c a R 1 7 7 S`1 Investigation (1 hr min) 66.25/ hr Phone: (5 6 3 0 r Industrial plant (I hr min) 78.18/ hr ,Y r^ � ( /G0 I Fax: (SY/) sill- Y - 7 z / 3 Inspections for which no fee is 90.00 / hr specifically listed ('h hr min) CCB Lie.: /3 22 2,2_ 1 Electrical Lic.:34'- ift 3cd Suprv. Lic,: i(LL 7 . ' •a Suprv. Electrician signature, required: , - Subtotal: Plan review (25% of permit fee): Print name: 4 . 4..A , � A d � . Date: (/�(3 State surcharge (12% of permit fee): Authorized signature: ✓ ` TOTAL PERMIT FEE: L'� L , 4�tij e / 7 This permit application expires if a permit is not obtained within 180 Print name: (asilifrr � r` VV Date: ?� // Z d bons a haw d pea permit. as complete • �'i ( "1• / 11 3 • Number of inspections a llowed per permit. I: �BuildinipPermiu \FLC- PermitApp,doe 07/01/10 440 4615T(11 /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: Audio and Stereo Systems* [2 Alarm at Door Opener* EY Heating, Ventilation and Air Conditioning System* Vacuum Systems* ❑ Other. I{, r6j 11 pYa :?S .•�JE;Y.✓ .. ,... Fee for each, commercial $75.00 system (SEE OAR 918-309-0000) _ Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ B oiler Controls ❑ C lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: Building \PamitMELC•pennitApp.doc 07/01/10 Building Division Development Code Provision Review T «n ►i ° Residential Projects Building Permit No.: W' C l 3 — DO 1 Project /Subdivision Name - o Z �/v. 2 , Lot #: Site Address: / 3 8U / 0 9f) `� ✓� CWS Service Provider Letter: Required: Yes ❑ No Received: Yes ❑ No Plans Routed: Original -- Plan- Submittal -Date: 7/21/ 3 Routed By: (� st 1 Revision Submittal Date: ❑ Site Plan Only Routed By: 2n Revision Submittal Date: ❑ Site Plan Only Routed By: 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 Ar Kowa & at (503) 718-7q11 or Qtv4,f K @tigard- or.gov) (J Land Use Case No. x.(32 fl O0OI3 Zoning R t4 B Setbacks: —/ Front 20 Rear Side S Street Side N 1 A- Garage 20 M Maximum Building Height: ?3O' Actual Building Height ± 27 EKVisual Clearance l'J /-0 r [/Easements lii<Sensitive Lands Type: Iv ONE 9 Trees B' Protected Trees vJ p Notes: Original Plan: Approved Not Approved ❑ Date: 11 3 l 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RPS.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) Er Actual Slope: 7 Notes: Original Plan: Approvederi Not Approved ❑ Date: 7/ 3/ 13 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 App cant Okay to Issue Permit: Yes No ❑ Date Routed to Building. Page 2 of 2 I: \CURPLN\ Masters \Development Code Provision Review \ DCPR_RES.doc Rev. 01 /16/13 �ECEIV Ea JUL 2 2013 8.00' P U E o I LD1NG D /48/4 Elev. 213 I 82.85' 2.8 5 ' '' CO ci In Elev 210 V, iiiii .::-.7." Cr4 ZIriLS�� al I Woter I• 0 01 1111111 - - -- 11 �IE:1 I - C 15' - 0' H I 18' 0' , + O ' \ L I CT) E lev. 212.5; ' L ' • c Inns 07 , _ NM • -P f ' C Z / -I i �\ i I C a ; A I F M 07 I / \ Grave{ D rive 0 _ c `.; 11 ;/ for Erasion e - - -- E.. eX Elev. 210.5 � � --; I "a s • I 18' -11i -- ---- - - - --. = =I d i Ja' Elev. 211 0 0 Vuaj � AP I ,I 81.91' Elev 208 ) D O U) ,« Street trees V Tilla Ameranana 2" ER TZ COMPAN ONION Y INC. HOME SQUARE FOOTAGE MAIN FLOOR = 1843 SQ.FT. BUILDING / \ UPPER FLOOR = 899 SQ. FT. CUSTOM HOMES SINCE 1977 (503) 692 -3390 , N , TOTAL = 2742 SQ. FT. 13810 SW 90th GARAGE = 520 SQ.FT. Lot 8 EDGEWOOD 2 SCALE 1' = 20' GERTZ CONSTRUCTION COMPANY INC. PLOT PLAN 6/26/13 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 13801 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 2014-01-24 00:00:00 MST2013-00168 PASS - C of O *Erosion Control approval Passed *Street Tree Certification, checked for trees. Received *High-Efficiency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certification checked. Checked *Carbon monoxide Detector checked. Checked *Garage Vehicle Barrier Installed. Checked *Final Plumbing, Mechanical, Electrical approval (and Fire Sprinkler if required) Checked *Lawn Irrigation final with Backflow test results. (if required), Passed/received report. *Duct air leakage test documentation, (if ducts installed in crawl) in accordance with ODOE Stds. and Sec. M1601.4.1. Copy e-mailed 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 13801 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 2014-01-24 00:00:00 MST2013-00168 PASS Violation Summary: Inspector Contractor STREET TREE TIGARD CERTIFICATION j, ,�,A [[2�.�1-� , owner/agent for t -S (PLEASE PRINT) (PERMIT HOLDER) do hereby certifi 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.: 2O 13 a o I6 HIE ADDRESS: /3 ?6 \ a-tt) qO 1-14 , SUBDIVISION: wcr LOT #: SIGNATURE: � DA 1 E: z y C)WNER/AGEN'T ER/AGENT) RECEIVED & VERIFIED BY: DA"I E: 7—,7 y, / (CITY OF T IGARD) ❑ Tree location verified per approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ,gi'‘c.4 /4A , am the general contractor or the owner-builder at the following address: Site Address: ,3 5,_01 v 90 City: Permit#: /3 ` /z 8 Subdivision/Lot#: 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: / Z General Contractor or Owner-Builder 1:1Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Z /3 © mr- Jurisdiction: Site Address: 13 a.D / �� 9° T� "- Subdivision/Lot#: %.. / Z tiftri and/or Map and Tax Lot#: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2)1 Signature: �vy Date: /2• Owner/General Contractor/Authorized Agent Print Name: ORSC Section N 1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per input watt. 1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08 _ J d/, t 1 1 111-t ) yI s# t ( . )111 }.1:l Itt ft1JI ti1O1t 4,„ k , .-, i ' '',C. 4,1 k it '''' . ., . iff till". /% 1 a. P.i i�'. t,' fir` if 9 i a , 1:11;,' ? '7 Y , " Wes; A 1 4 11 / t1i1(• `; tt , T i' l4f \ \\ 1X 1 t ) i 4, .tit,° 14 q y +� i� ,er �, 1111" t 1a 3 S 11i tilt. (', ,lll . , , 1 } t ai �? � ' ;er F ";4 !7' )i11 1 a \\ '4 [ 6 71ii°,1c'i .4 1,.. 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