Permit q CITY OF TIGARD MASTER PERMIT
' -111 2.::.- COMMUNITY DEVELOPMENT Permit#: MST2013 00182
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013
Parcel: 1 S125DC08000
Jurisdiction: Tigard
Site address: 7034 SW ASH CREEK CT
Subdivision: ASH CREEK ESTATES Lot: 13
Project: Ash Creek Estates, Lot 13
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 751 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 28 Bathrooms: 4 Second: 1601 sf Garage: 419 sf Front: 8 Smoke
Dwelling Units: 1 Third: 479 sf Right: 5
Detectors: Yes
Total: 2831 sf Value: $322,803.56 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 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: 6 Clothes Dryers: 1 .
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 6
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!500 sf: 5 201-400 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 2831
Owner: Contractor:
ASH CREEK PROPERTIES LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions)
12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 TIGARD,OR 97223 2 geo tech report required prior
to footing inspection
PHONE: 503-780-4375 PHONE: 503-625-6526
FAX: 590-7606
Total Fees: $21,502.91
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
952-001-0, •through •':952-1t •090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued = : Q Permittee Signature:
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.
*Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
III 10 City of Tigard 31 agingl i Permit No.: ,�f•jn�l3—�!g�
13125 SW Hall Blvd.,Tigard,OR 98.1960 L 31 2013 Plan Re •,�, �• `"1�f�� 6`-,�L2013 '00f' ..
0 Phone: 503.718.2439 Fax: 503.598.1960 Da1e/g , Other Permit: 7
"I'1 G A I:I) Inspection Line: 503.639.4175 C1TY OF TIG A DD Date Ready:y: ej Juns. Ei See Page 2 for
Internet: www.tigard-or.gov �a lU[111L Notified/Method: b �7 /3 Supplemental Information
BUILDING DIVISION E ` , i ZD62-0,e_._
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
w 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.
Valuation: $ ` ,
pr-Ind 2-family dwelling ❑Commercial/industrial �
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 70 )?y-S A 4 c I' (.7-6,_,..---/-- New dwelling area: ‘9,g( square feet
City/State/ZIP: a-- ''3.2 3 Garage/carport area: Li (q square feet 477
Suite/bldg./apt.no.: Project name: s` Covered porch area: square feet I h0 1
Cross street/directions to job site: !Z/f,0 s/ik Deck area: / ) square feet 75(
Other structure area: 'J Z- -) ) square feet 28
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /95-ii -2- tam I Lot no.:/J Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
n�' S'�O Valuation: $
/ v v G Existing building area: square feet
New building area: square feet
PERTY OWNER ❑ TENANT Number of stories:
Name: /� Ii�16,e/cc/( i g.n� ( ���� Type of construction:
Address: (!/26 S ce -> "0,/,/it .1/G... % art./ Occupancy groups:
City/State/ZIP: u,,-e/ Gr GJ',223 Existing:
Phone:( S?/.$ �" r06--‘,62f." Fax:(473 SW—X
New:
LLAPPLICANT 0-CTNTACT PERSON BUILDING PERMIT FEES*
r (Please refer w fee schedule)
Business name: `` Structural plan review fee(or deposit):
Contact name: � C/L
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:( ) I Fes::( ) Amount received:
E-mail: �" y ,1AJ fre$r/ru ® G- 4 /i call PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* _
CONTRACTOR (� Commercial and residential prescriptive installation of
roof-top mounted ••otoVoltaic Solar Panel System.
Business name: t Submit two(2)sets o roof plan with conn-ction details(
and fire department ac •ss,along wi • • e 2010 Oregon
Address: Solar Installation Specia t Co,= ecklist.
City/State/ZIP: Permit Fee(include . an review $180.00
and a••. 's• . 've fees):
Phone:( ) Fax:( ) o
State surchar:e(12%of pe :t fee): $21.60
CCB lic.: / 7 p
6, 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.
*Fee methodology set by Tri-County Building Industry
Print name: /', A6 hi Date: ?/3/�3 Service Board.
I:\Building\Perm�its\BUP-RESPerrnitApp.doc 02/24/2011 440-4613T(I 1/02/COMIWEB)
Mechanical Permit Application (,r, It „ , sI.()\I.\
City of Tigard Received �y
Date/By: Permit No.: Nhraa3-00 /iii' ,..__
13125 SW Hall Blvd.,Tigard,OR
Plan 0 ' Phone: 503.639.4171 Fax: 503.598.1960i 1� 3 1 'Z013 Date/By:view Other Permit:
Inspection Line: 503.639.4175 ,V �`Ry
t!t :\RD Date Ready/By: lure: 65 See Page 2 for
Internet: www.tigardor.gov GIIII Notified/Method:
alSeppkmmhl loformatloo
pFT1P]1SlON
TYPE OF-101I10‘1 l COMMERCIAL FEE* SCHEDULE - USE-CHECKLIST
w construction ®Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar),of all
❑Demolition 0 Other:
mechanical materials,equipment,labor,overhead,and profit
.CATEGORY OF CONSTRUCTION Value:S
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑Multi-family ❑Master builder ❑Other: For special information use checklist.
Description I Qty. J Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 70��aj o -� (/r>t9 6,,--1 Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: 76 /0,-� Q 7)-1- Furnace 100,000 BTU(ducts/vents) - / 46.75
Suite/bldg/apt.no.: v Project n`arne: Furnace 100,000+BTU(ducts/vents) 54.91
�. �TtC Heat pump 61.06
Cross street/directions to job site: 74.7 ry S.l� j Duct work 23.32
5 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
Flue/vent for any of above 23.32
Subdivision:
4 `;te Lot no.: /3 Other: 23.32 _
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas n�� S./ ./g.G Flue vent foe 33.39
/L 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
„LI-PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other. 23.32
Name: tAf//t ib- /�ZeGC a (la ç/ -/)t Environmental exhaust and ventilation
Address: /aG cc- sue, / _ /ta/A S/fe{ Range hood/other kitchen
ol/ I equipment 1 _ 33.39
City/State/ZIP: ` "7/ GT97 Z 3 Clothes.dryer exhaust . 33.39
Single-duct exhaust(bathrooms,
Phone:ez3) 7 0- /3?- Fax:(5-L3j 576-7C 06 toilet compartments,utility rooms) l _le, 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
S�in-�
Other: 23.32
Business name:
G Fuel piping
Contact name: 7>L D�C���1_'/� S14.15 for first four;54.03 for each additional . -
Address: ��// /` ��"GG�� �' Furnace,etc. ' -
Gas heat pump
City/State2lP: Wall/suspended/unit heater 1
Phone:( ) Fax::( ) Water heater 1
Fireplace '
E-mail: oc//9e 5AW ® o A2lM !G� Range I
CONTRACTOR Barbecue
Business name:Tri County Temp Control Clothes dryer(gas)
Other.
Address:13150 S Clackamas River Drive
MECHANICAL PERMIT FEES'
City/State/ZIP:Oregon City,OR 97045 Subtotal
Phone:(503)557.2220 Fax:(503)557.0919 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:72623 State surcharge(12%ofpermit fee)
�jy�/�+,, TOTAL PERMIT FEE
Authorized signature: tr crier, "----- This permit application expires if a permit is not obtained within 180
^� days after it has been accepted as complete.
Print name: vane Mason I Date: 7b0/12. • Fee methodology set by Tri-County Building Industry Service Board
[:Bon Permits%M
ding\ EC-PermiiApp.doc 10/01/09 440-461n 1T1(I t107/COM/WEB)
Plumbing Permit Application
Building Fixtures WEIVED
City of Tigard Received Permit No.: y�y _�/g' -
a 13125 SW Hall Blvd.,Tigard,011�II?�72 1 2013
Date/By:
: 0 Phone: 503.718.2439 Fax: 54:198.l960 Plan Review Date/By: Other Permit No.:
I-I G A It I) Inspection Line: 5013.639.4175 ��G� Date Ready/By: Janis: la See Page 2 for
Internet: www.tigard-0r.govC VISION Notified/Method: _ Supplemental Information
TYPESIMI IC`-D J FEE* SCHEDULE
New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
d 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
building SFR(3)bath f 500.32
❑Accesso ry g ❑Multi-family
Each additional bath/kitchen , 25.02
❑Master builder ❑Other:
Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: '7J3 ! -60 /L / Gl( J/--/ Catch basin or area drain 18.76
` �> Drywell,leach line,or trench drain 18.76
City/State/ZIP: r6 Ct arr Q9.7� 3
�`JJ / Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: i1 are/ G-� ,rs Manufactured home utilities 50.03
Cross street/directions to job site: 5'AG� e /"/r , 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.: ) Page 2
Subdivision: /15-if oLc U 4.s I Lot no.: /3 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
/1/ f��� Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
OPERTY OWNER I ❑ TENANT Expansion tank 12.51
/, ' L Fixture/sewer cap 25.02
Name: (�(ACA4C1C1 (0.#1,5T-
Address: / ?e-5--S ter.•-L)/'r ,D.l,/ 5'/1"7,./- Garbage drain/floor disposal sinWhub 25.02
Garbage disposal 25.02
City/State/ZIP: 734 C12 9j1,5 Hose bib 25.02
Phone:(52,3) no--y3 z$ Fax:(ca3 5-yY/-7G%% Ice maker 12.51
-❑ APPLICANT 0--CON.TALT PERSON Interceptor/grease trap 25.02
Business name:
��� Medical gas(value:$ ) Page 2
A/1 Primer 12.51
Contact name: ,,yr/lf Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51
E-mail: LA / C Z l��,t a jdopiesNry Urinal 25.02
CONTRACTOR "�(�j/I't04 /.441 Water closet 25.02
`� Water heater 37.52
Business name: /7rr,C^ /9/6) Water piping/DWV 56.29
Address: /Lt 4/2 y A.ft. .4e-n 4 dr‘ AA Other: 25.02
City/State/ZIP: /) i-! Q r 4 7, 3 / Subtotal
Phone:(5z3) 342 3 7 3 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: /C) 1.626, Plumbing Lic.no.: p/3- Cg. Plan review (25%of permit fee)
3"
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name: / Date:it/h//2.,_ after it has been accepted as complete.
` "Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permils\PLMJ.J-PermiiApp.doc 10/01/09 440-4616T(10/02/COMM'EB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-151100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater _ $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 -
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
P and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Re inspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
Isometric or Riser Diagram
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach/Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related -
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
WaterCloset-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF-PermitApp.doc 08/04/2011 2
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11111 _ " Building Division
Development Code Provision Review
T 1 G A R D Residential Projects
Building Permit No.: H`J% C l 3 `va (V-
Project/Subdivision Name: CLIK (s_1g. E i L0 , Lot #: ( 3
Site Address: 1 v 2,y 0L-4--1' cA,24. ._ c+
CWS Service Provider Letter:
Required:Yes ❑ No
Received:Yes ❑ No
Plans Routed:
Original Plan Submittal Date: _1 7 a( (3 Routed By.
1 st Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd 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. I
Planning Review(contact 1 at(503) 718-3-Link or 44f @tigard-
or.gov)
Land Use Cas o.
Zoning ti,5
lg Setbacks:C, r ,
Front f/ Rear l C Side ' Street Side /V/
4 Garage g- U
C] Maximum Building Height: 3 O =P-43'.=P-43'.Actual Building Height '`
El,Visual Clearance
.Easements Lands . OM' /62 ensitive Lands Type: .e
Itreet Trees
0' Protected Trees
Notes:
Original Plan: Approved Not Approved ❑ Date: gl—/r/3
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) •
,0 Actual Slope: 3 4 _%
Notes:
•
Original Plan: Approved Not Approved ❑ Date: s/31/ 133
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• ant
Okay to Issue Permit: Yes R No ❑
Date Routed to Building: 4 •
•
•
•
•
•
•
•
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Page 2 of 2
1:\CURPLN\Masters\Development Code Provision Review\DCPR RES.doc Rev.01/16/13
.• Survey with Tree Numbers and Location of Tree Protection Fencing
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JUL 3 1 2013
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to location of tree ....
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SW ASHOREEK CT. S C A L.E : 1 - : a 0 ' - 0 -I
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.I . '''''''FITT:4=rreposiminasgolific. , CITY gRFEET
• MOM le YERV1 kl.WM C0401:4 IICLUAG •
' LOT 13
21111 • . cm.,.....1.11P.0.=1M
......Al KIGAESTATES RD 22148::
777 x 1.7.)
BY: WINOWOOD HOMES
::.-)z. i i C • i -:7,', . .•. Ala War=MOM.1dItttlea.Utt.:i r 9 .
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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
7034 SW ASH CREEK CT, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2014-04-01 00:00:00
MST2013-00182
PASS
Violation Summary:
Inspector Contractor
STREET TREE
TIGARD CERTIFICATION
I, In n f,//u. (''/ , owner/agent for 4i4 „z)
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certify that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: /2b1 a v/3 -e )/8a
ME ADDRESS: 6 3 4j 51J- GI-H.4
SUBDIVISION: 74S1k_ Cry t L S<</�5 LOT#: /3
SIGNATURE: DAZE: it y
(OWNER/AGENT)
RECEIVED &
VERIFIED BY• l` �� DA"1I✓: q/2//y
( F TIGARD) r
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
ji,T COUNTY TEMP CONTROL
Heating - Air conditioning
13150 S. Clackamas River Dr
Oregon City, OR 97045
503-557-2220
www.tricountytem p.com
Work Order Date Summary: Tech: P.O.#:
750262 11/14/2013 TOP OUT RNC INST 1310-0865
Bill To: Job Name:
Windwood Construction Ash Creek Lot 13
12655 SW North Dakota 7034 SW Ashcreek Ct
Tigard,OR 97223 Tigard, OR 97223
ANN-503221-8653 DALE 503-780-4375
Description of Work
Plan 22148 .zg3\
Gas piping Furnace, standard water heater, (2)fireplaces &cook top
Venting: Furnace, standard water heater, bath/exhaust fans, dryer& range/kithcen hood
Aprilaire 8126
Pro 4000 thermostat
Duct Blast: SqFt x 0.06 = 17 0 allowed @ 50 PA
Duct Blast Actual: t @ 50 PA
MON: (Name/Hours)
TUES: (Name/Hours)
WED, (Name/Hours)
THURS: (Name/Hours)
FRI: (Name/Hours)
TDH 1 B065A9421A XR95 Gas Furnace, Single Stage 1.0
Model#TDH1 B065A9421A
LINESET Lineset —15 1.0
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorneys fees.
Signature G/`G� Date G f///6y
t
• a
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Z�t / 5/ , am the general contractor or the owner-builder
at the following address:
Site Address: 703 y a w Cr(c I
City:
76C(/r/ '722.3
Permit#:
/125r c:2!/`3 `U�!�Z
Subdivision/Lot#: / 71 /3
and/or �`U(/ l
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: C Date:
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitive• ' loc 0925/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: lx57-,2613 &0162- Jurisdiction: 4'
Site Address: 7U 3y ,s-0 J L ( d
Subdivision/Lot#: Ar ✓ 1
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: � Date: /i//
Owner/General Contractor/Authorized Agent
Print Name: vVi/u/'//e/r,1 6%5,2 11^-( ) A4.d
' 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 fmal 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:1Building\Forms\RES-HighEfficiencyi p cq.doc 07/01/08
A51 191 -G0/ 4802
GREEN PLUMBING
14424 NW LENNOX LANE
PORTLAND OREGON 97231
CCB 103426
BPI ID 5020661
3/28/2014
WINDWOOD CONSTRUCTION INC.
12655 SW NORTH DAKOTA STREET
TIGARD OREGON 97223
BLOWER DOOR TEST AT 7034 SW ASH CREEK COURTTIGARD OREGON 97223
MST 2012-00309
TEST COMPLETED 3/28/2014
CFM 50 WAS 3987 AND ACH WAS .5
ERIC HOFF N
THANK YOU