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Permit 1,1 y CITY OF TIGA MASTER PERMIT g COMMUNITY DEVELOPMENT Permit #: MST2013 -00128 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013 Parcel: 1 S 136CA08700 Jurisdiction: TIGARD Site address: 11062 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 8 Project: White Oak Village, Lot 8 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 713 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 950 sf Garage: 190 sf Front: 10 Smoke Dwelling Units: 1 Third: 520 sf Right: 5 Detectors: Yes Total: 2183 sf Value: $242,082.74 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs /Showers: 2 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: 4 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 addl 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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R - 3 2183 Owner: Contractor: ANDERSON HOMES & CONSULTING LUWESTLAND INDUSTRIES Required Items and Reports (Conditions) 5357 LAKEVIEW BLVD 12670 SW 68TH AVE STE #400 1 Ersn Cntrl 503 - 639 -4175 LAKE OSWEGO, OR 97035 TIGARD, OR 97223 PHONE: 503- 572 -0746 PHONE: 503- 245 -9715 FAX: 503 -598 -9081 Total Fees: $18,580.97 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 sus.ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Thos. • es : re 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 503'8 1.81 , 2.234 , . Issued By: /� Permittee Signature: ! .� Call 503.639.4175 by 7:00 a.m. for the next available Inspection d. This permit card shall be kept in a conspicuous place on the Job site until compl :.. n of the project Approved plans are required on the Job site at the time of each inspection. Building Permit Application \��1{ '_ 1 ] Residential ' FOR OFFICE USE ONLY - ,� 20 •' City of Tigard MA Date/By: b .--- , 9 1 3 • Permit No.: ��/Ln -OD 13125 SW Hall Blvd., Tigard, OR 97223 �q i4�C� e/By Plan Review 1 1 !lL - CA m C ( IQ 13 Ot P erm it : � w/ 2., O0/ Od /44 Phone: 503.718.2439 Fax: 503.598.1960 1 ! t �o��� Date/By: r w )ur : 0 See Page 2 for figy/ T I GARD Inspection Line: 503.639.4175 Bq 1( z. 1 -Q Date Ready /B Internet: www.tigard or.gov t����� Notified / Method: ' /�S /3 Supplemental Information al /A.06 TYPE OF WORK • REQUIRED DATA: I- AND 2- FAMILY DWELLING � Pennit fees* are based on the value of the work performed. (y� flew construction ❑Demolition Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. • CATEGORY OF CONSTRUCTION X. Valuation:. $ f2 .74 Q 1- and 2- family dwelling ❑ Commercial /industrial • Number of bedrooms: El Accessory building ❑ Multi family , ❑ Master builder ❑ Other. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: S Job site address: /Ay /iG. Y d 64 " 7 New dwelling area f 13 square feet City/State/ZIP: — 7 i ' J &,.e.„ 7 733 / Garage/carport area: /9t) square feet .52c Suite/bldg. /apt. no.: Project name: 41 �2 /. /c 4. E_ Covered porch area: 3 p square feet cfjQ Cross street/directions to job site: Deck area: square feet '?S Other structure area: Z373 square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: /at (7 04-K__ > Lot no.: H Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: / s / 36 CA 0 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ 7,-0/ 674 -6/7 1 -- -' Sl, 6-e l-1 2y Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) / Fax: ( ) New: [74 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer (n fee schedule) Business name: � 5(( /D _/. jT/� /f 5 /At Structural plan review fee (or deposit): Contact name: for Ax, „9 .. e.Sd,✓ / .i/r 5% /0,2;7 _ FLS plan review fee (if applicable): Address: /026 7 g 5 0 6,91.._ - ��� Total fees due upon application: City/ State/ZIP: - 776.-fI72 , 72- 9 7 2-2-3 . / / Amount received: � 5 .... " - 0 0.=>' Phone: (S D3) 57.2_ -O 7GfG Fax:: 93 ) v'7�(�( �,� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES= - 1 E -mail: -- J 06 41,..6 /G i 60/ Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: l� ( '� ��1 ' 1� `C • Submit two (2) sets of roof plan with connection details '� and fire department access, along with the 2010 Oregon Address: f —2 • is / 4t3 41 4AO Solar Installation Specialty Code checklist. City/ State/ZIP. t i -7 Permit Fee (includes plan review $180.00 t ?” l 7 7ij and administrative fees): Phone: 7„) [ ( 2 .6„ Fax: ( 13 M~q6P f State surcharge (12% of permit fee): $21.60 CCB lie.: , &0, Total fee due upon application: $201.60 Authoriz - . • :A m - Q- " This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tn -County Building Industry 'Tint nan r s-�r Date: Service Board. -- I: \Building\Penni , \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB) . . r Plumbing Permit Applica „._,,,, __ . ci Building Fixtures `�y FOR OFFICE USE ONLY City of Tigard �'� ���``� Received , r 3 /i PermitNo.: 1Y5G Plan Review Other Permit No.: - C . ) i 9 1 /�� IN ' 'I 13125 SW Hall Blvd., Tigard, OR 9 �9 0 ,0, O1 1�1�° Date/By: l/L J J)J //�� a C . Phone: 503.718.2439 Fax: 503.59 460 4 9L � 3 - ea//0 Date/By: T l G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information i 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 ft. for each utility connection) CATEGORY OF CONSTRUCTION' SFR (1) bath 312.70 nd 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath It 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORM_ A'ITON AND LOCATION Site utilities: u3 f� / _ A _' Catch basin or area drain 18.76 Job site address: // 0 Or - y / [ ` L-° .. y Drywell, leach line, or trench drain 18.76 City/State /ZIP: ! • r 04 + Footing drain (no. linear ft.: Page 2 Suite/bldg. /apt. no.� Project name: yj C AdigriC 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 Water service (no. linear ft.: ) 1 Page 2 Subdivision: • a. 4` Lot no.: i Fixture or item: Tax map /parcel no.: / / 3k, G14/' Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF IRK � ` r 2.C. �f Clothes washer ) 25.02 eb,M i/,[.eji /O` �7 /6 7§ Dishwasher l ( 25.02 Drinking fountain 25.02 . Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture /sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal f 25.02 City/State /ZIP: Hose bib 2 -. 25.02 Phone: ( ) Fax: ( ) Ice maker ( 12.51 P. APPLICANT (� 11 CONTACT PERSON Interceptor /grease trap 25.02 Business name: 4 thyS�� C /"-� Medical gas (value: $ ) Paget y 1/ E / , 7:147,19 S et Primer (commercial) 12.51 Contact name: ,.,� f Roof drain commercial ) 12.51 Address: (�96 ,c"6 �\ 64 7/ ✓/ e 1 Sink/basin/lavatory 25.02 City/State /ZIP: 1761-42b OIL Q7 Tvv Solar units (potable water) 62.54 Phone: (r,125; -7 t fJ I (y:�r ° ^� e - Od .zb} " Fax:: ( � � ( j / S_GMS � Tub /shower /shower pan 12.51 E -mail: j�111 /J E Urinal 25.02 •"(T7,5' W Water closet 25.02 CONTRACTOR Water heater , 37.52 Business name: gOtvi t- Pc,4 ( Is Water piping/DWV 56.29 Address: 7� 4 j Other: 25.02 City/State /ZIP: U UB 4) 7�(� b Subtotal Phone: ( ) Fax: ( ) 1 Minimum permit fee: $72.50 I S S Plan review (25% of permit fee) CCB Lic.: mbin g Lic. no.: State surcharge (12% of permit fee) Authorized signature: eie.‘......ilt.„.. V TOTAL PERMIT FEE �t ; CI� 8� k 12 Date: S..�. This permit application expires if a permit is not obtained within L80 days Print nom (✓ '�'� � after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I: \ Building \Permits\PLMU- PermitApp.doc 10/01/09 440.4616T(10/02/COM/WEB) Mechanical Permit ApplicatiQ I "�`C. � . FOR OFFICE USE ONLY City of Tigard IJ 11 L�� \J/ p \ ! 1 i i_ `_ Received / Permit No.: 47 aQy '$_ e(jv� gam : v Date/13y: S 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review � , Phone: 503.718.2439 Fax: 503.598.1960 M AY � 9 2013 Date/By: Other Permit: Erio /1 god s_cx:) / , T I G A R D Inspection Line: 503.639 f }°? ��® Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard or.gov CITY OF i171 Notified/Method: Supplemental Information BUILDING DIVISION 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* NI- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: N 7 S(,1 1 Oft/ , (requires site plan showing placement) 46.75 /�/�!`' �/ (/� r '� Furnace 100,000 BTU (ducts/vents) 1 46.75 City /State /ZIP: l . , © Q 7 ?j Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: r Project name: ' ►e ` 01 _ t 1 �� Heat pump V" CJ ""� V (requires site plan showing placement) 61.06 Cross street/diredions 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: W 'eg OAT,. ! �' . /kZ% I Lot no.: �/ Flue /vent for any of above 23.32 v 1�I , y` QQQ Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater f 23.32 Gas fireplace/insert t ' 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 ti 33.39 City/State /ZIP: Clothes dryer exhaust 1 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 4 1 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 � Other: 23.32 Business name: .4� Fuel i in 1 3 K: i Contact name: t yi Y P P $14.15 for first four; $4.03 for each additional Address: 1 r , \ �/� �} Furnace, etc. l 2�0� f w 6 (V " Gas heat pump City /State /ZIP: 1-1(1,14.44--) 6 Q6 Q'�? Wall /suspended/unit heater Phone: ( b5 � Ob 2! F "� Fax: ` (4 t " lD a 4 (1 ( Water heater W V f�(f� Fireplace I E -mail: 1 Range CONTRACTOR Barbecue Business name: ( _ � — �1a L - Clothes dryer (gas) Other: W Address: 19 °Q 4 t t 6 /_ A C * G Y MECHANICAL PERMIT FEES City/State /ZIP: SPKif 0e6-&—D Q7 S-C Subtotal � Phone: ( ) / Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 1 q74// - State surcharge (12% of permit fee) TOTAL PERMIT FEE signature: , This permit application expires if a permit is not obtained within 180 Authorized si g 1�' � � days after it has been accepted as complete. Print name: \ V � % fi t � C�ff Dat e: 5 , f . I� F Fee methodology set by Tri -County Building Industry Service Board I:\ Building PermitsC- PermitApp.doc 03/07/12 440 -4617T (I 1/02/COM/WEB) / Electrical Permit Applicatii i ,.mil i FOR OFI ICE USG ONLY • .� r ' � \ C Re 7 / J V�tu�J PermitNo.: / /rJr� C ��/� . �1 of Tigard Ay 3- c 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review l h Phone: 503.718.2439 Fax: 503.598.194M 2 9 � � 1 3 P ateBy: Other Permit: 1�� / 3 -UU`r 4, ® Inspection Line: 503.639.4175 Date Ready/By: Juris: 10 See Page 2 for • 1' - -- -:. � Internet: www.tigazd- or.gov CITY C OF T`GA Notified/Method: Supplemental Information • _- . -___ (-� ® TYPE OF WANG DIVIStOW PLAN REVIEW_::: Please check all that apply (submit 2 sets of plans w /items checked below): ,New construction 1:1 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 %I.... 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 - ", 100HP or more. occupancy. Job no.: Job site address: J 6 ,1,6 t j 0, l� 0 Six or more residential units. 0 Recreational vehicle parks. ❑ Health -care facilities. ❑ Supply voltage for more than City/State /ZIP: �� 7j� 0 Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Pi / (9/ /L-1-41.6- ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Ott'. I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: W ,.(- /rte 04-g- VjGt4 Lot no.: S 1,000 sq. ft. or less 1 168.54 4 Ea. add'I 500 sq. ft. or portion ?3 33.92 1 fr Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft) I 75.00 2 n AJS Limited energy, multi - family 75.00 2 / j�, ci — / ✓ f 5 c l � lk residential (with above sq. ft.) (((___ EUUJ / i� 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 0 CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: g §72 , 47 , ) , 0 f 4,0,6.r4/8_s B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: gob AN IJE25,,,) 1 .j c7 �D2/A branch circuit Each add'1 branch circuit 7.42 2 Address: /? 6 10 5 60h ,4ll( 5 /y -.- 7v,0 Miscellaneous (service or feeder not included) 1 Each manufactured or modular 67.84 2 City/State /ZIP: -77 6- / Qg_ '/ 2-3j 3 dwelling, service and/or feeder Phone: G )57,). -0-7q6 Fax: : ("b 3 ) -e) -- qQ il. / 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 E ark, panel, alteration, or extension. Page 2 2 Business name: GL �' / j � ,,,, y 1 wf ¢ -rov5 Each additional inspection over allowable in any of the above Address: ,0 y'3 5f, ; 23;,.._ b Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/State /ZIP: rciin ' (PL Industrial plant (1 hr min) 78.18/ hr Phone: ( r 6 j ) 3c e, •- E eq' Fax: ( I/) li b•- N60 Inspections for which no fee is 90.00/ hr specifically list (% hr min) CCB Lic.: 669 1 Electrical Lic.: 2�_ kc //(� Suprv. Lic.::-2 3 > s ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: - ( - 13•10)1 1 1(5 i Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signs : / � IThis permit application expires if a permit is not obtained within 180 I fiedi, t) � days after it has been accepted as complete. Print name: Date:�.� .. I • Number of inspections allowed per permit. 1:\ Building \Permits \ELC- PermitApp.doc 07/01 /10 440 -4615T(11 /05 /COM/WEB • • r • l 2 " Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No.: H 6r 90 13 - oo l a s Project /Subdivision Name: L 1Ti 64 IA 1)' LL C E� , Lot #: 2 Site Address: 1 I CD Lc' `a-c_o Le-C.4 C) & 1 CWS Service Provider Letter: Required: Yes ❑ No - Received: Yes ❑ No Eg Plans Routed: Original Plan Submittal Date: 51(9-q I /3 Routed By. 1s Revision Submittal Date: ❑ Site Plan Only Routed By: 2 " 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 (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact 111E v-ovv I G4- at (503) 718-2-471 or Trkg.c K.-- @tigard- or.gov) Land Use Case No. Sk-462 — 00 ( PDR2COto _pwpi Zoning R 2 ( P D) 1 E1 Setbacks: , IS' C 5 f „pylYa , J r ont _ IO Rear 3 Side I t - Street Side ' A , ' Garage � a Maximum Building Height: .1 Actual Building Height ± 30 ❑ yisual Clearance IA— ' asements LBf jS nsitive Lands Type: I ON 9 Street Trees 1..) /A- 0 Protected Trees Notes: Original Plan: Approved ,e Not Approved ❑ Date: S I SO 113 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_RES.doc Rev. 01/16/13 • . • Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) 8' Actual Slope: Notes: f,1 O Original Plan: Approved gr Not Approved ❑ Date: (/i 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 Applican • Revision 1: Date Sent to Appli t Revision 2: Date Sent to Ap. cant Okay to Issue Permit: Yes lb o ❑ Date Routed to Building: Page 2 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 au MAY292013 4444. '( CITY OF TIGARD SITE PLAN NOTES: \)' BUILDING DIVISION L ALL EXCESS GRADING MATERIAL TO Be EXPORTED TO AN APPROVED DISPOSAL LOCATION. FILL COMPACTED 2 I UNDER GARAGE FLOORS, SIDEWALKS. DRIVEWAYS. ETC- TO BE In O 1 0'- 115/16' Q 3. T HER m NEW E ATRUCIGHT OVER EXCAVATION TO PROVIDE CONCRETE FORMING ALL re: m 4. PROVIDE CONTY/OTT APPROVED BEDI•TIAIT FENCNG ARAM EXCAVATED AREA J 1 Q) (jj 0 PRIOR TO EXCAVATION AND CONSTRUCTION. / _•�` 0 I , 41 6. PROVIDE COUNTY/CITY APPROVED STABILIZED GRAVELED CONSTRUCTION ENTRANCE V EE. 0,0' Q ui l , ai PRloR roExGevATION ArD CONenGUCrlorl - �" H M O ~ - N89D29'04'W 13.92' W HONE + DESIGN 6. STOCKPILES MIST BE COVERED WITH R PLASTIC SWEET/NM B N,E M EEN OCTOBER I AND APRIL 9Q X X X 1. CONTRACTOR/ SUB•CONTRACTOR TO VERIFY LOCATION CP ALL UTILITIES PRIOR TO f / X /` O - EXCAVATION AND CONSTRUCTION. � � ,_= A x 0 S. BOUNDARY AND TOPOGRAPHY NFORMATON HAS BEEN PROVIDED To $KYLNE HOMES STORM LINE / Q' ' '-_ — AND DESIGN INC. SKYLINE HES AND DESIGN. INC, WILL NOT BE HELD LIABLE FOR T14: : \ �8 N Q. W N O N Y TO v�ER ALL T C�ITIO I r �O G FILL SI P B LAC D O�li bl"�TeCONf CONTRACTOR CO AN. SEWER LINE �� 4) • •� W S. TOPOGRAPHY ELEVATa S WERE COLLECTED FROM ACTUAL SITE SURVEY. "J ' 6 16. -4 I I 0 10. ELEVATION LEGD . P.V.C. WATER MAI - _ EE. EXISTING GRADE ELEVATION /� --I I 1 X FE. FINAL GRADE ELEVATION .. •. P. - 25 BATH FFE• FINISHED FLOOR ELEVATION 3 BD I`I I. II. PROVIDE A MINIMUM GRAVEL BASE LNDER ALL DRIVEWAY ARAB / 19'6' 2 183 SQ. FT. L ., 0 B 12 PROVIDE A 4' MINIMUM GRAVEL BABE UNDER ALL SIDEWALK AND PATIO AREAS. N M. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A COUNTY/CITY DISPOSAL EE. 0.0' .^ PONT/COMNECTON. O- CONC. x H • • GARAGE A 0 00 14. MAXIMUM SLOPE OP CUTS AND FILLS TO BE TWO (V HORIZONTAL TO ONE (u PQ DRI 190 SQ. �' X _ VERTICAL FOR BUILDNGS, STRUCT RE& FOImATIONB. AND RETAINING WALLS. / : ' FT. 4 0 O to T B. PROVIDE AND MAINTAIN FINISH GRADE WITH POSITIVE DRAINAGE /WAY FROM STRUCTURE ON AU. SIDES WIN A SLOPE OF 6' MIN11I1 IN 10'40'. 19'6' 22' • J i— . 0 W IMPERVIOUS AREA'S: GAS LINE 6S RUE ,� .0Q 134 80. FT. DRIVEWAYS X X X 54 SO. FT. PORCH O \ /� ' \ 0 18 SQ. FT. WALK 0 A 100 PATIO N89D29'06'W 93.13' Q 3.00 ANCHOR 4) B 80. FT. OVER14ANGS D COVERAGE A 0 EASEMENT TO PORT _AND 0 `=' 1,280 TOTAL 80. FT. IMPERVIOUS AREA'S 61 W GENERAL ELECTRIC LLI 0 33' -3 23/32' 41'_ W III II LOT INFORMATION: 0 / 18' - 1/16' PLAN Noy 3011 LOT AREA: 41 Q. 36 S FT. Z DRAUN: T.F. HPER' IOUS COVERAGE: 354 80. Fr. 1DATE03 -05 -2013 BUILDNG COVERAGE: 36 s BUILDING HEIGHT: APPROX - -- _33'_4' SCALE: 1' =10' -0' MIN. BUILDING SETBACKS: 10' FRONT, 15' REAR 3' SIDES. EROSION CONTROL PLAN PLOT .411_ • ; i P- COVERED STOCKPILES / —., 0 El X x X 8ED0'ENT FENCE A CONSTRUCTION ENTRANCE �—� NIL SOIL UN ALL AREAS PERMANENT LANDSCAPE LOT 8 18 M PLACE WHITE OAK VILLAGE Q CATCH SAM PROTECTION TICs OR El RI Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11062 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2013-12-17 00:00:00 MST2013-00128 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11062 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 2013-12-17 00:00:00 MST2013-00128 PASS Violation Summary: Inspector Contractor STREET TREE TIGARD CERTIFICATION I, A?),03 •v0e , owner/agent for 1 , (PLEASE PRINT) (PERMIT 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.: AS-reZD1- OO/8 SITE ADDRESS: //DPo2 Sit) 11640/0/ O4.. tor SUBDIVISION: leg/7f I,/ , , LOT#: 8 SIGNATURE: �` — DAVE: (OWNER/AGENT) NT RECEIVED & VERIFIED BY 1‘ (C ITY F TIGARD) DALE: 02/20,1 Tree location verified per approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 1 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM , am the general contractor or the owner-builder at the following address: Site Address: /,f1, c1v Gt&i y A-M1/ City: / / Permit#: /1/57-026/ 3 'd6/l Subdivision/Lot#: Mitt/'e, x44_ /4446.c. and/or Map and Tax Lot#: To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. fe0, Signature: �4/ Date: / Ge - al 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.: /467--,2_0/3 - DOoe, Jurisdiction: 77itheo Site Address: NOP;- 50 if cy d/'`'/ Subdivision/Lot#: age., and/or 4L,7j�l Map and Tax Lot#: By my signature below, I certify that a minimum of fifty (50)percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2)1 Signature: �'• Date: / /4/ •�'er/ enera Contractor/Authorized Agent Print Name: A ' 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 t 01°ff- ooi - Form 640S \li_ 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: 8/29/2013 Verifier Name: jesse fear Date: 12/1/2013 Verifier 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 REM/Rate SCO Project ID: Name&Lot# white oak lot 8-west (required from veneer if project is ENERGY File#: sTARe) Site Address: 0 City: portland State: OR Zip: Unattached ❑Attached Number of Stories: 2 Total Conditioned Area 0 Sq. Ft. #of Bedrooms: 0 L None I Full Basement L Half Basement uCrawlspace 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): 32 033 089 46724718 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) El Solar Water Heating(SWH) ['Small Wind Renewable [1]Solar Ready Electric(SRPV) ['Solar Ready Water Heating(SRWH) Energy ['Qualifies for Solar Ready Incentive(must attach checklist) Solar Installer: Name: Company: Low Income Dyes El No Does this project qualify as Low Income?(must provide documentation from builder) Accessory Dwelling Oyes is No Is this home an ADU? Unit Oyes 0 No Is the ADU separately metered?If so, provide meter numbers above El Earth Advantage-Certification Level Other Certifications ❑LEED-H-Certification Level: [1 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 �oI -Co ag Form 640S Ali Completion Certification—Site Inspection New Homes Program—Single Family EnergyTrust of Oregon Ventilation ['Exhaust Only Meets Energy Trust Mechanical Ventilation Requirements? System Energy Trust of Oregon's Su I Only ID Yes ❑No Mechanical Ventilation ❑ pp y Requirement •Air Cycler HRV/ERV Model#: ❑HRV/ERV Ducts UDucts Inside %ducts inside: 95 Ducts in Conditioned Space If claiming incentive for ducts inside,check one of the following: ❑Ducts Tested •Visual Inspection per RTF Specs Duct Insulation R- 8 Duct Location 95 concf5 attic Ducts Sealing w/Mastic El Yes ❑No 100 attic-return Performance Testing Duct Leakage Duct Leakage Cubic Feet Per Minute(cfm) Duct Leakage Air Handler in ❑Yes Air Handler Installed During❑Yes @ 50 Pa ❑Pass ❑Fail Conditioned Space? ❑No Test? ❑No Fan Pressure ❑DG3 Fan Ring Size/Type 00 ❑2 Leakage Test ❑Total Leakage Gauge DG700 Pressure: (check one) ❑ ❑1 ❑3 Method ❑Leakage to Outside Duct Blaster Location Pressure Tap Location: Area Tested: Whole House Leakage Whole House Air Changes per Hour(ACH) Envelope Tightness Cubic Feet Per Minute(cfm) Leakage House Volume: @ 50 Pa ❑Pass El Fail 983 @ 50 Pa Best Practices Requirements (All requirements must be met to receive an Energy Performance Score) • Thermal Enclosure Checklist complete •Pass ❑Fail Thermal Enclosure Checklist attached? ❑Yes • Insulation Quality Inspection Performed •Yes ❑No -f (complete insulation verification section below) • Approved Mechanical Ventilation Installed El yes No , (complete mechanical verification section below) • Zonal Pressure Relief-All zones comply DYes 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- 12/1/2013 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 Form 640S Ali Completion Certification—Site Inspection New Homes Program—Single Family EnergyTrust of Oregon Verification Category Type Actual Model Equipment Details&Notes Insulation Flat Ceiling R- 49 Insulation Type bib Framing Type: Vaulted Ceiling R- Insulation Type: ['Standard Scissor Truss R- Insulation Type: •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 •Yes El No EF: Model# Cooling Air Conditioning SEER Btu/Hr ['Fireplace AFUE: 95,5 Brand fraser-johnstone Primary Heat Source •Gas Furnace HSPF Model# tg9s060a10mp11a ❑Electric ❑Boiler SEER: Serial#: •Gas Heat Pumps COP: Btu/Hr 60k Air Source(ducted) Outdoor Unit(for heat pumps) ❑Other: Mini S ❑ Split ductless p (ductless) Location: Model# ❑Ground Source cond space Serial#: Radiant Floor Heat ECM [1 Yes •No Heat pump commissioning report attached or •No confirmation for ground source heat pumps that Cadets Electronic Air Cleaner ❑Yes manufacturer's start up procedure was performed. ❑Zonal Backup fuel ❑Electric ❑Gas ❑Other ❑Other ❑Yes Notes on Primary Heating: Notes on Secondary Heating: Water Heater Type: Gallons: Brand: rinnai •Electric •Storage EF 0.82 Model# r175 ❑Gas ❑Tankless Location: Serial#. 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