Permit CITY OF TIGARD MASTER PERMIT
o COMMUNITY DEVELOPMENT Permit #: MST2010 -00029
T I C, AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/02/2010
Parcel: 1S125DC07700
Jurisdiction: Tigard
Site address: 7017 SW ASH CREEK CT
Subdivision: ASH CREEK ESTATES Lot: 10
Project: Ash Creek Estates
Project Description: New SFR.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1255 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1542 sf Garage: 535 sf _Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $308,286.88 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: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Tema 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 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! 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 - 780 -4375
FAX: 503 -590 -7606
Total Fees: $16,468.91
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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: `!. _ �� Permittee Signature:
4001111P
Building Permit Appl ? U . � IVED rOR Orl lC1 1;SE. ONLY
City of Tigard D Recei ate ig ved . e 2 ,t /p LS Permit No.: C VA0•CY.9
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � �.
:� ■ 10 Other Permit
Phone: 503.639.4171 Fax: 503.598.1 DateB . rl _ • •
Inspection Line: 503.639.4175 . 1t JARD Date Read /B ®See Attached Checklist or •
TIGAR1) 1
Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: I - Will Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
J ew 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.
•
d 2 -family dwelling El Commercial /industrial
Valuation: $
❑ Accessory building El Multi-family Number of bedrooms: a %2
❑ Master budder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2..
Job site address: ?O(7 S �/ z -j./. e 4 / New dwelling area: 7-7q7 square feet
City/State/ZIP: .� / 1 i � Z 3 ` C Garage/carport area: . 3 s
y /[yQ V "� 97 square feet q
Suite/bldg. /apt. no.: I Project name: /. A t ," 5 ,4 0 4 Covered porch area: , e nsquare feet I 2 Z
Cross street /directions to job site: s' / � � • \ Deck area: /9 V square feet I z=� !
1
Other structure area: . 3, - 32.. square feet 2,c,
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: (�GLF 4 1" Lot no.: iv 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.
/V a., //< Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: (A.A-40 t''ri17 La"/S7- „7r/ /� Type of construction:
Address: l S S S ( Ai ef► "-A- 6,4.10 ... Occupancy groups:
City /State/ZIP: a. to t7 71 Existing:
Phone: ( ) 7 a -et 3 2s Fax: ( ) 6 71V o New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: c54 414 All contractors and subcontractors are required to be
Contact name: to"` /2'ui��s licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( ) t wArr— ankL
E -mail: 14, id iA T fit NO
CONTRACTOR MO f tom--( ��J
Business name: r50_41‹, BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City tate/ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
one: ( ) I Fax: ( )
CCB lic.: SlJI y a .
Total fees due upon application:
Amount received:
Authorized signatur This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �� Date: 2/ /� 6 Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Pnmits\BUP- RES- PomitApp.doc 03/21/06 a 440-4613T()l /02/COM/WEB)
Of; 26(2E110 07:16 5036489723 JERMOE ELECTRIC INC PAGE 02
•
Electrical Permit Apalication r flit 01 1 Ic I i.sl: oNL
CE�E ate / B : Permit No.; 201 O • V r�- \ '
City. of Tigard I occ
:_ II 13 125 SW Hall Blvd„ Tigard. OR 97223 FEB G ? G �� Plan Review Other Permit C ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By:
D ate Ready/By: lurk. r W] See Page 2 for
T 1 C n IL I) Inspection Line: atd.o 9.4175 Supplemental Information
Internet wWw.tisanl•or.gev CITY OF TIGAR 1� mined/Method;
TYPE OF wo RI�UILDIN0 DIVISION PLAN REVIEW
Please check all that apply (submit gels of pons whims checked below):
cw construction ❑ Addition /alteration/t Addition/alteration/replacement ❑ Service or feeder 400 nmps or more 0 Building over three stories.
❑ Demolition ❑ Other: where the available thult current ❑ Marina and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
Tess to ground, or exceeds 14.000 ❑ Commercial -use agricultural
0 I • and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Firo p ump. ❑ Inrtallatian of 75 KVA or
17,j Multi-family ❑ Master builder CI Other: larger separately derived stem.
❑ Piro p u m p . system. 6 coat y
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor land of ❑ "A", nc
01 -2 'I 3"
or more.
Job no.: I Job sift address: 2/7 se., d ''r el I ❑ S ix ix or or more residential traits, ❑ Recreational vehicle parks.
/y ❑ Health -care facilities. ❑ Supply voltage for more than
City /State /ZTP. �[ [ 'y 7 2;2_ 3 ❑ Hazardous locations. 600 volis nominal.
J Pro Project name: // � D Service or feeder 600 nmps or more.
Suite/bldg./apt. no.: 1 � �fj^ -t/O �`� FEV.. SCHEDULE
/ t: _ treseriot:on 1 Ott_ I Per. 1 rater J
Crass strcct/direc[ionsto job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
nic ��_ y �� / �. Lot no.: /Q 1.000 sq. R. or Icss i 168.54 1 1(�, - 4
�
Subdivision: ��'$ C Ea. add9 500 se.. ft. or portion 5 33.92 to, _h !� _ �
Tax map /parcel no.: Limited energy, residential I 67.84 (�,�B
DESCRIPTION OF WORK (with (with above sq. R.) I
. 0 Limited energy, multi - family 2
I 5--I/Z-- /5--I/Z-- residential (with abovc sq. R.)
G7 S
Services or feeders installatlon`Iteration, and/or relocation
200 amps or Icss _ 100.70 2
❑ PROPERTY OWNER 1 _ • ❑ TENANT • 201 amps to 400 amps 133.56 2
J, � 401 amps to 600 amps 200.34 2
Name: Uv� /I °` �>$ / - i /t 2
601 amps to 1,000 amps 301.04 2
Address: /ZC � d' " s' ( /� /(/iai� Al Over 1,000 amps or volts 552.26
( Temporary services or feeders Installation. alteration. and/or t�L Q� 3 relocation -
— I Fax: (C S � i Q I
( � 200 amps or Toss 59,36
Phone: (52)3 J C/' ?.c�7
201 amps or 400 amps 125.08
2
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54
2
intended for sale, lease. rent, or exchange, steer • 7, 449, 670, and 701. Branch circuits - new, alteration or extension, per panel
Owner signature: - Data A. Fee for branch circuits with
❑ CONTACT PERSON above service or feeder fee, 7.42 2
- IkPPLiCAM each branch circuit -
Business name: ' Sq pp B. Fee for branch circuits
without service or feeder fee. 56.18 2
Contact name: first branch circuit
Each addl branch circuit 7.42 2 .. Address: Miscellaneous (service or ltedcr not Included) _ _
•
City /State /ZTP: Each manufactured or modular - 67.84 2
dwelling. service and/or feeder
Phone: ( ) Fax: _ ( _ Reconnect only 67.54 2
Pump or irrigation circle _ 67 , 2
E -mail: 67.84 2
• CONTRACTOR Sign or outline lighting
. Signal circuits) or limited-
Business name: ' jai f . ' ,SNI 1 .' energy panel. alteration. or
I extension. Describe: Page 2 2
Address: - PC) �, � • � •
th- Each additional Inspection over allowab in an�of the abn c
City/State/ZIP: ( � . AP - Pcr inspection 66.25
, one: ) / i , -, 5 44_ Fax: ( .4 O %) ,Ira v - Investigation per hour (1 hr min) 66.25
E lectrical L ic.: /;G Suprv. Lie.:
Industrial plant per hour 78.18 j -,
. CCB Lic. 11 "u"l ELECTRICAL PERhIIT FEE9
Subtotal: Ae55 ,98
Suprv. Electrician signature. required: „dal, plan review (25% of permit fee):
Print name: � � (� r` AA ! Date: ......0 � nn
L State surcharge (12% of permit fee): ' i 7 Z
TOTAL PERMIT FEE: 4-4.,1 �
Authorized signature:
j / /G This permit application etplrca it a permit ix not nple inod within 180
Date: days aver it Am been acceptml ss complete.
Print name: • Number of inspections allowed per permit. /I
. .. 4 440- tST(11t05 /CO ?VWEO
"'. . ' 12/4/2006 3:11 PM FROM: Perfect Climate Perfect Climate, Inc. TO: 503-590-7606 PAGE: 002 OF 002
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Plumbing Permit Application
Building Fixtures RECEIVED Received FOR OFFICE USE ONLY
City of Tigard Date/By. Permit No.:Mu - 9 . \G. coo a-9
III V 13125 SW Hall Blvd., Tigard, OR 97223
• Phone: 503.639.4171 Fax: 503.598.1960 FEB 2 6 2010 Plan Review
Date/By. Other Permit No.:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jugs: 0 See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method
TYPE OF WOR18UILDING DiV1510I� Supplemental Information
FEE* SCHEDULE
. ..lagew construction ❑ Demolition For special information use checklist.
Description 1 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
J'1!and 2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath _ f 15oo,
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: '7./! 7 S U fig A (r ere (.. 4 Catch basin or area drain 16.60
City /State/ZIP: TO u /2",/ lO/Z 7 2-3 Drywell, leach line, or trench drain 16.60
/L / // , s � / . Footing drain (no. linear ft.: Page 2
Suite/bldg. /apt. no.: Project name: ! rJR ,Y /'fit' g
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
.5(A ireiA Rain drain connector 16.60
Sanitary sewer (no. linear R: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
1 •• _/J / _: _ . I R: ) Page 2
Subdivision: �J Vt zG� 'Y 1 s Lot no.: 6 Water service (no. linear
Future or item
Tax map/parcel no.: Absorption valve 16.60
DESCRII'TION OF WORK `, Backflow preventer Page 2
SW- /e . Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
' ❑ PROPERTY OWNER - I la TENANT Ejectors/sump 16.60
Name: I
l A G W O 4.1 r g f Expansion tank 16.60
Address: 1, 5 4 / ,... fc / Fixture/sewer cap 16.60
City / State/ZIP: I 0.--r as/ 7 Floor drain/floor sink/hub 16.60
Phone: ( ) 7t .-Y 7 s-- Fax: ( ) _ 6rWO "lt: CO Garbage disposal I 16.60
• . ❑ APPLICANT El CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: =� Interceptor /grease trap 16.60
Contact name: 5 Medical gas (value: $ ) 1 Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) I Fax: : ( ) Sink/basin/lavatory 16.60
E-mail: Tub /shower /shower pan 16.60
` / Urinal 16.60
b O /v /J E L L- CONTRACTOR Water closet 1 6.60
Busi^ 5y 1 _50 4 _50 75 Water heater 16.60
�. pG 0,i/es Other:
Lit
�� /�G' f` U - -7 - 05't Subtotal ��1[L�,
Minimum permit fee: $72.50
Phone: ( ) ?/.2.--367 3 Fax: ( ) Residential backflow minimum permit fee: $36.25
C B Li (57,72,,s-- 7 p /c� / - I, I Plumbing Lic. no.: 3 �pb Plan review (25% of permit fee)
/ State surcharge (8% of permit fee) 60. Oik
Authorized signature: e,� /X,/, / / / //f TOTAL PERMIT FEE 5
Print name: / -/ C /// I Date: y h/ - 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.
I:l auildingPumitslPLMF- PemitApp.doc 04/0W06 440 -46167(10 /02/COM /WEB)
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, tt/(&.4 - �� 7 j)-- , am the general contractor or the owner - builder
at the following address:
• Site Address: w /2 S / -/
City: /75 G � z� 2
Permit #: 5 T 2,9/0
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: Date: 'AM
General 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.: Jurisdiction: 7;; a_irt
Site Address:
Subdivision/Lot #: La /7 •
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)
•
Signature �
Date:
Owner /General Contractor /Authorized Agent
Print Name: Air / G-efeic/ CO,11 C /�% �'C k6 /
•
' ORSC Section N11072. High- efficiency interior lighting systems. A minimum of fifty (30) 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: 1BuildinglForms \RES- HighEfciencyLiehting.doc 07/01/08
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(RI,RA,i'17, PRIM)
(PER11/117" 1101 ,1 )1F,R)
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Do hereby c.ertify that the following location meets
• ,
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City of Tigard land use and development standards
for street tree installation.
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ADDRESS: ' ("
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S UBDI VISION: LOT: /O
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SIGNATURE: DATE:
(0 I f '7VER/A C;i:Aro
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RECEIVED BY: DATE: i!•1
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rrn'oi 71GA R1))
1 \ Building \ Pomis \ St rect 1 ceCcii dical e ()1 /10/07