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Permit �s4 CITY OF TIGARD MASTER PERMIT ,.IN q ` 13 COMMUNITY DEVELOPMENT Permit #: MST2010 00056 I G' R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/07/2010 T Parcel: 2S104BB12100 Jurisdiction: Tigard Site address: 13902 SW WALNUT CREEK WAY Subdivision: WALNUT CREEK Lot: 38 Project: Walnut Creek Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 925 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1349 sf Garage: 421 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $240,049.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains. 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N 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 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: 4 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 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 asin Y Other: N Other Description: Ecom p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) LEGEND HOMES MATRIX DEVELOPMENT 1 MST Ersn Cntrl 503 681 - 4444 12755 SW 69TH AVE #100 CORPORATION TIGARD, OR 97223 12755 SW 69TH AVE #100 TIGARD, OR 97224 PHONE: 503 - 620 -8080 PHONE: 503- 620 -8080 FAX: 503 -598 -8900 Total Fees: $11,522.45 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 OA; •52- 001 -0100. You may obtain - co• of the rules o?'•' ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. jj Issued By: v`�J_. �! Permittee Signature: _ ' Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard APR 0 9 2010 Date /Bea d a Permit No.: • T� /D iAl. ' lig ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review .. Phone: 503.639.4171 Fax: 503.598. Date /B : =man to Other Permit -ap�40 Inspection Line: 503.639.4175 OF TIGARD Date Ready /By: Juris: ® See Page 2 for TIGARD g BU ILDING DIVISION No tified/Method: Supplemental Information Internet: www.tigard-or.gov Pp TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest ❑ Addition /alteration/replacement ❑ Other: dollar) of all equipment, materials, labor. overhead, and CATEGORY OF CONSTRUCTION the profit for the work indicated on this application. Valuation: 446 3T Z 1- and 2- family dwelling 1=1 Commercial /industrial � • • 7 El Accessory building ❑ Multi - family Number of bedrooms: 3 ® Master builder 1=1 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13902 SW Walnut Creek Way New dwelling area: 2,274 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 421 square feet Suite/bldg. /apt. no.: Project name: Walnut Creek Covered porch area: square feet 1 wi 2, Cross street/directions to job site: Barrows & Walnut Deck area: 4 square feet 126 , Other structure area: 2 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Walnut Creek Lot no.: 038 Permit fees* are based on the value of the work Tax map /parcel no.: 2S104BB 12100 performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and DESCRIPTION OF WORK the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69' Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503) 620 -8080 Fax: (503) 598 -8900 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue, Suite #100 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -8080 Fax: : (503) 598-8900 E -mail: slucas @legendhomes.com CONTRACTOR 0 Business name: l�eg4utLLLlemes 1"ti Pr( 2A )! f'J €LOPi -r ji( CO•' • BUILDING PERMIT FEES* Address: 12755 SW 69 Avenue, Suite #100 (Please refer ro fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Portland, OR 97223 Phone: (503) 620 -8080 Fax: (503) 598 -8900 FLS plan review fee (if applicable): CCB lic.: 55- a / i a //a _ei Total fees due upon application: 015:::)l or / / Amount received: Authorized signature :. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 4/8/10 * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM /WEB) Eleltrica1 Permit Application � I ,' ', I ,,,, 1 , 9 1 � , ,' ' ,,t ' ' i � i I t, FOR OFFICE USE ONLY , , i � � +, i ' y ` i ', Received 6+ /,,,,, r t i City of Tigard S 7 r `� ( Permit No, 1� /e) - 0005 rj '� ' -.-,1,. q 13125 SW Hall Blvd., Tigard, O '! L> Date /B : �` Plan Review Phone: 503.639.4171 Fax: 50 ') ; : F 7 ' Date /By: Other Permit: � b -d03 5� ''' Inspection Line: 503.639.4175 r 101 0 Date Ready/By: Juris: ® See Page 2 for 'TIG L '4 Internet: www.tigard- or.gov APR 0 9 Notified/Method: Supplemental Information TYPE O F !jF TiGARa : P L A N REVIEW t Please check all that apply (submit 2 sets of plans w /items checked below): ® New construction ❑ Addition eo Sel I" j ❑ 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 0 150 volts r Floating buildings. 5 less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- 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 JOB SITE.'INFORMATION :AND 'LOCATION '. ❑Emergency system. larger separately derived system. ❑ Add ition of new motor load of . ❑ ..A,...E,...l Job no.: Job site address: 13902 SW Walnut Creek Way IOO or or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Walnut Creek ❑ Service or feeder 600 amps or more. '; • . FEE SCHEDULE , Cross street/directions to job site: Barrows & Walnut Description 1 Qty. 1 Fee. 1 Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Walnut Creek Lot no.:038 1,000 sq. ft. or less 1 ( ± 4 Tax map/parcel no.: 251048B 12100 Ea. add'I 500 sq. ft. or portion 4 ?- °T2_' [ 1 Limited energy, residential ' DESCRIPTION' OF WORK • , (with above sq. ft.) 1 �7 2 Limited energy, multi - family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ® PROPERTY' OWNER , 0 TENANT : _ • 201 amps to 400 amps 106.85 2 Name: Legend Homes 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 12755 SW 69' Avenue, Suite #100 Over 1,000 amps or volts 454.65 2 City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)620 -8080 Fax: (503)598 -8900 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 100.30 2 not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 133.75 2 701. Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with Owner signature: Date: above service or feeder fee, . 6.65 2 . ,' APPLICANT `. '❑ CONTACT ,PERSON each branch circuit B. Fee for branch circuits Business name: Legend Homes without service or feeder fee, 46.85 2 first branch circuit Contact name: Steve Lucas Each add'I branch circuit 6.65 2 Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included) Each manufactured or modular 90,90 2 City /State /ZIP: Portland, OR 97223 dwelling, service and /or feeder Reconnect only 66.85 2 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Pump or irrigation circle 53.40 2 E -mail: slucas @legendhomes.com Sign or outline lighting 53.40 2 CONTRACTOR Signal circuit(s) or limited - Business name: Garner Electric energy panel, alteration, or extension. Describe: Page 2 2 Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above City /State /ZIP: Hillsboro, OR 97123 Per inspection 62.50 Fax: (503) 642 -7925 v \° Inv per hour ( hr min) 62.50 Phone: (503) 648 -4552 Fax a0\ \ Industrial plant per hour 73.75 CCB Lic.: 121159 H'\\ Electricals' ? ,--305C 1 , ' Suprv. Lic.: 3707 -S • 'ELECTRICAL PERMIT , FEES 4 Subtotal: ?Z ;Qt.> Suprv. Electrician signature, requir /� , 3f ' Plan review (25% of permit fee): Print name: Chuck Garner j''w '<// Y �.( 4,„,,.. " = , ` :/10 State surcharge (12%of permit fee): 44 , G5 1. TOTAL PERMIT FEE: k-1 L„, 7 ( 1 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp, doc 03/23/06 Mechanical Permit Application i, ,I .u: d I , I 3 i i tii ,I ; l � ,l l 1 „ ICI' IFO OFFICE I lIl : .I ll '.. Vl 'il ' r , Received �ld`C.ei i; �1 City Of Tigard �`I Date /By: 7 7 /O Permit No.: Q 13125 SW Hall Blvd., Tigard, OR 97223 i "'; 9 Plan Review Other Permit RVel r Phone: 503.639.4171 Fax: 503.598.19:11 Date/By: Cam Vt✓ a�S7 ECF 'TI GAR Inspection Line: 503.639.4175 APR 0 9 2010 Date Ready /By: Juris ® See Page 2 for ,, I:G( Internet: www.tigard or.gov Notified/Method: Supplemental Information ' TYPE . WOR F TIGARD: , • COMMERCIAL, FEE* SCHEDULE •— USE CHECKLIST I G ® New construction ❑ Addition /alteratiola . � ®IVISI�J Mechanical permit fees* are based on the value of the work l performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ® Master builder ❑ Other: Description . I Qty. Ea. Total .` ' ,JOB SITE ,INFORMATION AND LOCATION .' ' . Heating/cooling Air conditioning or Job site address: 13902 SW Walnut Creek Way heat pump (requires site plan showing placement) 14.00 City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 1 4.71 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: I Project name: Walnut Creek Gas heat pump 14.00 Cross street/directions to job site: Barrows & Walnut Duct work 10.00 _ Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: Walnut Creek I Lot no.: 038 — Other: 10.00 Tax map /parcel no.: 2S104BB 12100 Other fuel appliances • • DESCRIPTION .OF WORK ' Water heater 1 22):'Yr Gas fireplace I _37 Flue vent for water heater or gas fireplace _ • Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 0 PROPERTY OWNER . . ❑ TENANT Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69' Avenue, Suite #100 Range hood /other kitchen equipment 1 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 j Single -duct exhaust (bathrooms, Phone: (503)620 - 8080 Fax: (503)589 - 8900 toilet compartments, utility rooms) 5 • { IIr •(D . ' '.0 APPLICANT . ❑ CONTACT 'PERSON Attic /crawlspace fans 10.00 • Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas i iik - I Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. I Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater 1 Fireplace 1 _ E - mail: slucas@legendhomes.com Range 1 g P4.f6 CONTRACTOR Barbecue • Clothes dryer (gas) Business name: Tri County Temp Control Other: Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City /State /ZIP: Oregon City, OR 97045 Subtotal 2(xj,� Minimum permit fee ($72.50) Phone: (503) 557 - 2200 Fax: (503) 557 - 0919 Plan review (25% of permit fee) _ CCB lic.: 72623 ( ,1' State surcharge (12% of permit fee) '( I2 j { 1 TOTAL PERMIT FEE `3 ti I Authorized signature: `'% This permit application expires if a permit is not obtained within 180 ��i" days after it has been accepted as complete. • Fee methodology set by Tri - County Building Industry Service Board Print name: Steve Lucas • Date: 1:\Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (I I/02 /COM/WEB) Plumbing Permit Application Building Fixtures �u!;rIh, I,1, -, -) I Ir ,iFibl l l ;�i ti ti lu OFFICE U S E ONLYI j t':i^ ,,,11, i `} �tt + r r Ji r �! r,, i . ''''aft ' 1 r r r.R l r ecerved �y�y� , Cit of Tigard E C E \I F l � e� /a A� Permit 74 1 Date n 13125 SW Hall Blvd., Tigard, OR 97223 I Plan Review i Phone: 503.639.4171 Fax: 503.598.1960 1� TIG Other Permit No 4' Q, !6 - 6�� ' Inspection Line: 503.639.4175 APR 0 9 2D Date /By Date Ready /By: Juris: ® See Page 2 for e' . Internet: www llf;ard or. gov Notified /Method: Supplemental Information TYPE OF WORK .CI11 �� �IGAR� BUILDING DIVISION ' FEE* SCHEDULE ' ® New construction ❑ Demolition For special information use checklist Description j Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION . SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 1 --- raC'2 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION, Site utilities Job site address: 13902 SW Walnut Creek Way Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: Project name: Walnut Creek Footing drain (no. linear ft.: _ ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Barrows & Walnut Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _ ) Page 2 Subdivision: Walnut Creek Lot no.: 038 Water service (no. linear ft. ) Page 2 Fixture or item Tax map /parcel no.: 2S104BB 12100 Absorption valve 16.60 ' ' DESCRIPTION. OF WORK - Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ' ®' PROPERTY - OWNER ' . , ❑ TENANT : Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60 • City /State /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 - 8080 Fax: (503)598 - 8900 Garbage disposal 16.60 Hose bib 16.60 ® APPLICANT' ., ❑'.CONTACT PERSO Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 . Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E - mail: slucas @Iegendhomes.com Urinal 16.60 ' CONTRACTOR Water closet 16.60 Business name: Wolcott Plumbing Water heater 16.60 Address: 1075 W. Historic Columbia River Hwy Other: City /State /ZIP: Troutdale, OR 97060 Subtotal <-3CX7, -. j 2 Minimum permit fee: $72.50 Residential backflow minimum permit fee: $36.25 CCB Lic.: 112220 tt 111411 Plumbing Lic. no.: 26 - 824PB 7/1 ) 1I Plan review (25% of permit fee) ���� S State surcharge (12% of permit fee) ,0H4 Q1. ( "`L3 /� Authorized signature: - i:l'"1 -J-e Q TOTAL PERMIT FEE r .., Print name: Gloria Hawes Date: 4/8/10 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 Service Board. PLOT PLAN REVISED 4/16/10 LOT 3S WALNUT .CREAK 1.5 V* 13902 SW WALNUT CREEK WAY tl NE i SECTION 4, T. 2S, R. 1W, W.M. ©�� ': ` �� 1 • • 20._0" CITY OF TIGARD WASHINGTON COUNTY, OREGON - LEGEND RECEIVED �-°� ::► HOMES A I IU I `127566 1100068th Ava. OPPIC9 (5 5 03 ) x -59 00 -g l ,�, APR 16 2010 A- PODIUM. OB. 87223 CM/ 66151 CITY OF TIGARD . BUILDING DIVISION W — - - — WATER LINE . SS SANITARY SEWER 5D STORM DRAIN STREET TREE: CHANTICLEER PEAR o 0 EROSION FENCE 2 " Ca liper 3/ - CE OF STREET ` � 0 WATER METER C \ 'Q/ 0 MANHOLE . a ';';S t � � ` �/ � r CATCH BASIN . �� '''5' 1 ,\ \ . C � f PROPOSED 8 �' �. \ , � STREET REET TREES ,, '�" \ . N. a STREET LIGHT Z,/ • . , t / \ \'Q Y- FIRE I- 4YDRANT 553 • � 3 f PROVIDE EROSION ° x; 4 . • CONTROL FENCE S - ' \ 243.2' • . ..• R= 4 83.00 • ,) 1/ PER COMMUNITY ( .4 • °. ` 0° • "••% EROSION PLAN 4� 1 V - \ p ` ; 242. '4' A. ' • / • - ��/ , . , . c / �:' ` � TRACT 'D' 2 . �° ^� / 1 / .. 4 Q , �'� � 1, i ' / -2-4 - 3.3' 7 -LOT —3 / r --! '3�3 SCIFT / / 4 / %_= REDWOO A -i- It `, .: ! FIN.FLR• 5' 2 � !- - CsAR FLR • 24 5'' .. (1. 3 s/ O i° =i �" LOT f ly 245.0' �';/ , � L �: 1 - - 31 Va ' 4 4/ , " C - „ ..,a, S �� � �� 1 . ' , _ \ _-- `- = 862.00 ' .s�� � 5tst " SETBACKS : 4' FRONT YARD • 15 FEET GARAGE • 20 FEET REAR YARD = 15 FEET SIDE YARD • 4 FEET STREET SIDE YARD • 10 FEET CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: A/ST.g 0/0 - 600S - 6 PLANNING DIVISION: Required Setbacks: gar Approved A 0 Not Approved Side: ( --F,- Street d( ,.. ..-- Front. _LS_ G .,),k,;: ::, 2 Rear: I Visual Clearance [7 Apr.! t Not Approved Maximun: P.. •.!,,,c ?. 4 4 - 5 feek r WS ServIL:e F.% 0 i,ic: :':.‘i i-!,oired: 0 Yes 0 No 0 Received , Date: ENGIN ItIN C. E Actua I /0 pe: Approved 0 Not Approved Site P a : i 8 Approved JO ,Approved N ot 4: s ; ow.4.-ti.i 1 ,4144— -(3v- CITY Of TIGARD - SITE PLAN avirw BUILDING PERMIT NO: r7.5 7 /If() — 0 00 5 C. Street Trees: [/A pproved 0 Not Approved Protected Trees: O r Appooved 0 Not Approved By: TA Pr7C Date: 9 / 16 11— Notes: r 4: Nr r, ';! . • ._ . i,,,, . . STREET TREE CERTIFICATION kw:7•777,,•:.=,_.,.::,,,,Ti:,..„0.1,_T.z.T2K;m7"„77,7,.,_=:!.,r_,. 27;77::J 4 , r $ { >„ •4I a�' '.S� 're a m * a i idhaa a` `i '"° 1, 1 L.' u3 LC) 1 E19)®c -7 ` 'l , ,f O w n e r - / l g e n t fo - y 1 o 1-it r -.r -- (PLEASE PRI1\rl) e (PERMIT HOLDER) - 1 ,1. -'{ ." 4 a s s' 4 bp Do here by t - ' t t (74 ii loc a tion meets Ci ty o Tigard �larn u s e an devel standards y yyP- *. T fo s in ,' eN � ' #, I a t 1 s 7µi,1 t l \ .4' - s -' -1`F 1 t� k . *;4 v 4 t l � a-' s� 4. v p16:; �-'�'a ..i k �is �t � � � e l ',,�, � i' 1 t 1 � y +,,,. �` r �� 17 5 qyf.- 6� S k - -r — # ,. "' .?x* L. c am ..„ :'. r ' i . ': �, ,. `- p ors.,: ' vtit ' ' £.7 , '� - s .ao .. \ - S / fSrro � v 70 -- 0 .5. 2 '..Sr- . _..+'� � .e ;`may + 7 � ,.. �� i. ▪ ='� ADDRESS: • '0'' a c.c..) et.) Z_ /I4L, Cr--e tut-1 SUBDIVISION: G)/9 /AJ .. ."_____L LOT: ,, SIGNATURE: I° I� .- . ,_. --7( DATE: 9--x_s y, c ° C (DUNE • • TT) RECFEIVED BY: DATE: F. (CITY OF TIGARD) I: \Building\ Forms \StreetTreeCertificate 01 /19/07 • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, V.�� t' .l ) l (✓ 6 , am the general contractor or the owner - builder at the following address: Site Address: I ',34 a Z- 3 GO Lk.) cam( eu City: Permit #: Subdivision/Lot #: 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. Signature: • s Date: Gen • a 'Contractor- -oi Ow e - Builder I: \ Building\ Form \RES -MoistureSensitiveWood.doc 09 /25 /oR Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: o1610 -- COOSA, Site Address: Subdivision/Lot #: / Le. ag 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 N l 107.2) I .� Signature: -' / —' Date: -owne General Co - actor /A'. orzed Agent • Print Name: Kell /ti L4J t 7 13. O ORSC Section N1107.2. High- efficiency interior lighting systems. A minimum of fifty (50) percent o the pennanently 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\ Farms \RES- HighEfficiencyLighting.doc 07/01/08