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Permit ` �' �� MASTER PERMIT y° = CITY OF TIGARD � f n COMMUNITY DEVELOPMENT Permit #: MST2010 -00103 Ti ARI7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/06/2010 . k . Parcel: 1S125DC09300 Jurisdiction: Tigard Site address: 7272 SW SHADY PL Subdivision: ASH CREEK ESTATES Lot: 26 Project: Ash Creek Estates Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1194 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1341 sf Garage: 430 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $265,314.87 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 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 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 addl 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 addl 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) ASH CREEK PROPERTIES LLC WINDWOOD CONSTRUCTION INC 1 MST Ersn Cntrl 503 - 681 -4444 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA TIGARD, OR 97223 TIGARD, OR 97223 PHONE: PHONE: 503- 625 -6526 FAX: 590 -7606 Total Fees: $15,688.99 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 d 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 d s. ATTENTION: Orego'n., law re Tres you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 52- 001 - 0010 through OAR 952400 , 10 . Yo may obtain a copy of the rules or direct questions to OUNC by calling 503 246.6699 or 1.800.332,2344. 11 11 ued By: , 1 .� � Perm Signature: �\ ■.�, i i�lt. _ t It . , 1 . ,:'?' Zr CITY OF TIGARD SEWER CONNECTION PERMIT i ll ��.- COMMUNITY DEVELOPMENT Permit #: SWR2010 00093 „T!GARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/06/2010 - ,, ,, Parcel: 1S125DC09300 Jurisdiction: Tigard Site address: 7272'.SW SHADY PL Subdivision: ASH CREEK ESTATES Lot: 26 Project Ash Creek Estates Project Description: Sewer connection for new SF FEES Owner: ASH CREEK PROPERTIES LLC Description Date Amount 12655 SW NORTH DAKOTA ST Sewer Connection Fee 07/06/2010 $3,600.00 TIGARD, OR 97223 Sewer Inspection - Residential 07/06/2010 $35.00 PHONE: Contractor: PHONE: FAX: Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $3,635.00 Required Items and Reports (Conditions) 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 -0100. You may obtain a copy of the rules or direct que . sto • • C by callin. 503.246.6699 or 1.800.332.2344. 0 , Issu • d By: / Permittee Signature. Vat �,I� Aill Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. I Building :Permit Application, • g "a sk a wolf 4'w A7 ' z Residential s �, :, a 4 FOR OFFrICE USE 0 H t 4. City Of Tigard 7 Received t , - 9 111 Hall Blvd. ar OR llateB • r S G � - PlanRcview" � - P 503:639.417;1 Fax: . 503 . . X 60 r � o, o . yy'�� ° t h e r'Pertrvt /J m • r l®' DateBv i � 0 K i 6 14. - 7 40 .► A z Gp ' 4 • ' I GA RuD .503.09:4,175, \ \`� 0 1 �� Notified/Method: .T� ®See" Page Pot "�'t�.�� %�� � Internet: w w w ti ard Or ov J �l ® Date Read t Sappleinental Information . g g 1 t $ f�zt r ® � -1 y a r�� �t r . a r , : µ: . s " TYPE O x: ®A CS .sty ", _ r <... 44. 4 REQUIRED BATA AND 2- FAMIL DVVELLING j New construction NI Ji e mo l i t i on 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 '� itww to ' CATEGORY OF CONS - K yry ` w s- w indicated on'this application'. .tea _ {, .. � ..�, - ; , `�' Valuation: $ mac° 3� ;87 rL 1Hand 2- family dwelling ❑ Commercial /industrial `D,Acc building J Multi- family Number of bedrootiis: 4 ❑ Master builder Other: Number of bathrooms: °�' ,. y rot h s JOB STTE%INFORIVIATION ANDtLOCA1TONz -' ks �,? Total'number of floors: Job°site address: 72_72 v. s`_ c\ New dwelling area: I5 square feet Cit Y /State /ZIP: - a pi C , k' Y � j • Garage/carport area. s y ,{ ��p( x'1223 �` s quare feet q .Suite/bld�. /apt. no.;v Project name: t • - 5 i -�,- Covered porch area: ikt square feet t•3,t Cross "street/directions to job site: I t - ] 1 Deck area: square feet t S� Q i 1 Other structure area: Z� >" square feet , 0 i REQUIRED DATA COMMERCIAL USE CHECKLIST '! "Subdivision., M.\ C r .. e5 Lot no.: 2L, ,Permit fees* are based on;the value of the work performed. Tax map /parcel no Indicate te materials, labor, overheadtrest , dthe p of all iii F'" i � "xi D _ „F ESCRIPTIONrOF WORK , 3 e r x eq me p and the prof t forthe • k ".n W P:, -,, „. . ,. �,: s . work indicated this application. Valuation: $ Ca2a,7) f jt Existing building area: square feet New building area: square feet • r�° lst i PROPERTY OWNER; •. e y h , ,? "` ” •` ®: TENANT . t1 'Number of stories: Name: •lf31V \C l�e 3DA Cfn L • Type , of constructions Address: kZkGS , k k Occupancy groups: City /State /ZIY- � t !fe s—i- 6 r121:5 Existing: i Phone : ( 5 11 ' ); — t� Fa (c ) S'90 --7 (G ' 1 . New: t c 45""x� ®'APPLICAN x , r� <� p i n PE ON n L _ " 2 e sa ;N ^ F ,, a . " . er s ,, .. . ,..,z ,, _ 4: _a-„ �..., -,, , x, , -,- .. t ff N OTICE S Busi ness name: k t � li�pt^�A l.S_J i c-�i _ %. A 1 contractors and subcontractors are._ required. to be Contact name: ®� , .�� V �� II 4 \ 1• ensed with the Oregon Construction Contractors Board • - 'rider ORS 701 and may be required to be licensed in_ the Address: 'j f 11 jurisdiction in which work is being performed. If the City /State /ZIP: — ' applicant is exempt from licensing, the following reasons . e a Gfin •apply: Phone: (503 ) " 4O - L-,315 Fax:: (S03 ) c 1 toll • E-mail: . � 1 CO NTRACTOR `= ' m n �.. x. :,£ ,. M. .. ....' 3: _. .,, r -. ,, ,,.... 3 ,, ; �' z ..=x-.� •. ,-�. ... rv _di S' ..�'.v >i ' Business name: cO �]'„ 4 ' E °r r n a BUILDIi IG PERMIT FEES j i� � R^ k .,. E �J 1 1- � sy��` �dwR .Jrv.i � � T � 8 Address .n�4 4 _x .a ,.0 C.t (Plense�refe7(;: ,satiite) �_ 410 - ; x : 14,. ' Structural plan review fee (or'deposit): City /State /ZIP: , FLS plan review fee (if applicable): • Phone: ( ) Fax:.( ) • Total fees due upon application: CCB-lie.. Amount received: Authoi zedsignat a "e: -- - This permit application expires if a permit is not obtained 1 within 180 days after-it has +been accepted as complete. Print name: 04.\•e.. Q Dat L I �/ �y � Q' _ " Fee methodology set by Tri Building Industry Service•Board. Iclt3uildingIPernits \B [JP- KLS "Pcrmi'tA pp.doc .10/01/09 440- 46 13T( l l/02'/CUM /WEB): • `- - - - - - ,°'rL� JERMOE ELECTRIC INC PAGE 02 Eieetrec�l _ermit, �1� ;¢ � 4 , a¢ fit 9 I, �� y tl�O R f)i I §(sS , Lil et . City of Tigard �' :� .. x Received r Ddtr Jey P,atmtt No.: � f 13125`SW Hatt Hlvd., Tigard, OR 97 ��j'f 3 �/���^, 1, tr 4 a ♦ : Pl an Review 5/ O�l� — t�0 r'C/ ! Phone: 50e 639.4171 Fax 03.5 59 8 1 a • T1CAyR D• i $Pe tItN1 Line; 503.634:4175 6�0 Dateli Other Permit: 2�(V — d066 -fit interact www.tigasd-or:gw O p . Vital'. lvew N Notified?dahod:; TYPE, OF WORK . IN ' - Q PLAN ` Supplemental' ro!Pa Fat ■ lnforenrasion ►: New construction REVIEW T ❑ Ne w c nst , `- et% Pl ease c all: that apply (submit/ sets of plans w /items checked below); Q•AQdltlon /altcratro 1 0 X9 ❑ Service or feeder 40C amps.tn more ❑ Building over three a:gone where ncC a current CATEGORY OF. CONSIf' UC`loN exceeds 1 0,000 amps III-100 vohi er ❑ floating bu ogsatyards . I 'and'2= family •dwelling ❑Commercial /tnclustrial less to ground, or tweeds 14,000 ) 0 Accessory building ® 0 ulti - faintly 1.3 Master fire for all other installations buildings, M ❑ Other{ ❑ f ire pump. 0 Installation of 75 K YA or JOB SITE INFORMATION AND LOCATION SIUIV ❑Elnergettcysystem. larger separmoly derived system ❑ Addition of niw motor toad of Job no, :- 1 Job site address: 7212_ S 1W or,morc. ec R upincy t o � ` ❑ Si or More rmidcntial units. '^'^ t Reetentiohn] vehicle parks. City/State/ZIP: t. f ' 2 ❑ Health -cart Facilities. Q $uppty ve.Ilnesfor Y. Mihail SuitC/b1d , /E1 (. no.: - -- -- ❑ Hazardous locations, 6D0 voh: no- nine): 1 R _P Project narnc: ❑ $et viCE or feeder 600 amps or more; Gl i oss st rcet/dircctions to job site: F EE SCHEDULE w residential single- or mild - New uoa - Qty. RT.,. , totat `► i - ,R p Intl - titiritfy dwelling unit] - __ udes,attachtd'garage. Subdivision }.. } Lot no.: 2 L i I ,o00 sg ,'(1, or Icss Grp P!� 168.54 `F�} 4 • Tax map /parcel,nac 1 Ea.ad 500 s (t: or portion ganiaganimum Limited energy, residential DESCRIPTION OF WORK I L (:rich above =R•.R: ) 67.84 7 ; . 1 i �` YV Q7 C D Multi-family l I residential (with abovo sq. n,) ( 67 . 84 • 2 Services Or feeders installation, alteration, and/or "icloC &Iron (], PROPERTY OWNER ( '_200 amps or Icss 100.70 ' 2 J TENANT I 201 amps to 40,0 amps 133.56 Name' 401 amps to 600 amps 1 _ , 2 - 00°.34 _ J1ddres5; ,f , 6D1 amps to 1,000 amps 301.64 •2. �` , L . Over 1 000 amps:or volts 552.26 z City /State/71P: �4 ( C q, Z I Temporary , services or feeders installation, ara ltetion, pndlnr J relocation Phone: (sob) - _ y s—i ' Far (5151) cep .... 11oaP — J— ( 200 amps or less 59 36 I 1 i ~`401 2DiAam am to 400 sin ' Owner installation :This installation is being n nde :on.property that town which is not P p j 16 8,54 intended for salc.,lease. rent, or exchange. according to ORS 447, 449.670, and 701. ps ' co 544 a m 5 - - 2 l tOwnersignature: :Date: rBl'Atlrh circuits — new, . attcration.. Or,eXtens3on,: per pane) — ~ _ I APFLiCA1tT i A. Fcc ;tor.braneh circuits with C ON Cat✓ i PERSON above service or feeder fee, 7_42 21 - I cad! branch Circuit + Business`namc; 1 t 1_ t SY� D Ffc ou branch cvee • Contact nname: witirout;scrvtce or feeder fee, J,' �2 � e`� I f irst branch c ircuit 56,18 1 2 k Fit _ I • .Each add branch circuit 7,42 2 Address: — .� 10( `� ., i � , Mrsccllaneous(service or feeder not included) City/State /ZIP: --c- r � Q�t�1'L. �'L2.� 1 Each mariufacturoa or modular 67:84. i — (�'j) � F dweihrg,Service and/or feeder 2 Phone:.( (5D3) ,10 ° 7(Oo(.., L Reconnect only 67,84. ' 2 F.amail: _ 1 =Pump or irrigation circle 67.84 ... 2 CONTRACTOR I Sign r or outline lighting 67.84 I • Business nitric: y �/�/l I — 7 f y signarcircuit(s) or limited- I 2 ` f D F f l / / T(�•c + r 1.c) ' energy panel, alteration, or Address: � " ��_ extcnsien,'Dcseribe: Page 2 2 . �" Per ins ti City/State/ZIP: N�� — d� Fa 4d �"� nvcst et`on p 66:25 / l$anon,per;hour (I hr min) , 66.25 yr Phone: � 41111 _ ional Inspection over sttowablc in any of th•e abb o :, !G ElcctricaI ' e Su rv, Lk,: 1 I ndustrial Ian) erhour Zg,Ig CCB,Lic, t t 1 P �S P P _ •. 1 I ELECTRICAL PERMIT FEES ician'9ignaturc,.rcquired: - d {( _ _ Subtotal 7z, Suprv. Elec 111:11111[10 0 V �I. • rs� Date: Q Plan revi (12 State surcharge ew (Z5 %of • pcimE fcc): /o fpermit ke): Authorized signature: � � 4 ` /_ 1 L TOTAL PERMIT P _ 4- Yip 7i Prin[''namc: ! Date; I Thy parr):) appllcatia rrt pi eeaa f a;pertnitdv not obtamml within I . day! Rlter it Last been atcepttd as m ea • Number ofinspenions allowed per permit. 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NY,, t1 vid.J L4 fxrnr <.M' J. irrli,.11 144.41' I (Pit rr614 nr • • • • • r ' Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: � O- 00103 Jurisdiction: "rte e3 .1� Site Address: 1272_ c Subdivision/Lot #: Przit) Qibte-k- AV 2c, 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 Codc. N1107.2) Signature: `0�� C VC()) , ,` _ Date: k,\ 1 \a, Owner Genntractohorize Agent Print Name: U k „& 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. 1:\ Building\ Fortes \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, _ tt , am the general contractor or the owner- builder at the following address: Site Address: /212 C �\ City: . Permit #: ` 1,0\0•100.3 Subdivision/Lot #: ad/'' ��� ? 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: + Date: {‘i mi(0 eneral Contractor or Owner - Builder I:\ Building\ Fonn1RES- MoistureSensitiveWood.doc 09 /25/08 STREET TREE CERTIFICATION I, 0,4-- Y , owner/ agent for ',\ i,v' J c4 C or1 , (PLEASE PRINT) (PERMIT HOLDER) do hereby certj 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. ST11✓ ADDRESS: 72:12_ 5w ` � ` \)\ SUBDIVISION: (Y ;A ( L P LOT #: Qj ^ SIGNATURE: � i! . `} � -rte_ DATE: \\ � 1 (OWNER/AGENT) I \c ‘ I 1 RECEIVED & VERIFIED BY: DA"1 E: 1 , /i0 ( •FTIGARD) Tree location verified per approved site plan. 1:\ Building \Dorms \Streetl'reeCertificate 07/01/2010