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Permit
CITY OF TIGARD MASTER PERMIT 11 COMMUNITY DEVELOPMENT Permit #: MST2010 -00111 T 1 G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010 Parcel: 1 S 135AA00400 Jurisdiction: Tigard Site address: 8719 SW LOCUST ST • Subdivision: Lot: 0 Project: Gilbert Project Description: New 2- family dwelling (8719 and 8721 SW Locust) BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1069 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 1216 sf Garage: 231 sf Front: 20 Smoke Dwelling Units: 2 Third: 0 sf Right 5 Detectors: Yes Total: sf Value: $233,595.72 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 2 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 2 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum > =100K: 0 ELECTRICAL Residential Unit Servic Fe eder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 2 0 -200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0 Ea add! 500 sf: 1 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) GILBERT, MICHELLE & TOUCAN PROPERTY INVESTMENT 1 MST Ersn Cntrl 503- 681 -4444 GILBERT, JAY, 6711 SW ALDEN PO BOX 4134 PORTLAND, OR 97219 Hillsboro, OR 97123 PHONE: PHONE: 503 -407 -9393 FAX: 503- 640 -3448 Total Fees: $23,781.12 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 a '''''Pte by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA: •- 001 -0100. You may obtain a cop ,, I. es or di , ct questions to OUNC by c. g 503.246.6699 .r 1.800.332.2344. Issued By A 11 - `, P e r m Signature: /W , i ', Building Permit Application Residential OwED ►.U►t 01.1.1 l: us1: c,�i:\ 1 City of Tigar Date/Beve: iew � ( $ 10 � j Permit N c ys Ta dm -- od // 13125 SW Hall Blvd., Tigard, OR 97223 1 r' ` II Phone: 503.639.4171 Fax: 503.598.1960 ,UN a O i Date R /B : / 3 1 0 Other Permit2e2e/0 —QQQ a. / 116 \'t D Inspection Line: 503.639.4175 a W O Date Ready /By. ® See Page 2 for Internet: www.tigard or.gov , �/ �F T1G Ont Notified/Method: w Supplemental Information Cl l D l�c, Di VtSI l � TYPE OF V1RK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 1.New 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 indip t application. __77 ✓ j 1- and 2- family dwelling ❑ Commerciallindustrial Valuation: j El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: S / q. P ) JOB SITE INFORMATION AND LOCATION L T otal number of floors: Job site address: (bJ) ✓ 5 �� G V S fi S I New dwelling area: 2/ (Q C. square feet City /State /ZIP: " 1 I ✓ 5 OW 0 f °� 9 -1-z_'5 Garage /carport area: 2 3 I square feet Suite/bldg. /apt. no.: I Project name: G 1 hi4/ 'f f7 L) ('e Covered porch area: ( 0 square feet Zt♦ Cross street/directions to job site: a ( f b o G U �� '� Deck area: ` � ' -r -- - square feet le t s /° L C �} E /S Ate- SS ,' e'702/ Other structure area: 2 ' j I (, square feet 2-.5" \ REQUIRED DATA: COMMERCIAL -USE CHECKLIST 1 Subdivision: Lot no.: 4- bb 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 /� f t a ( 1 Q Di"- t_ ®" b d R e cue cl Valuation: $ V r �I f- Existing building area: square feet �� ° 1 064 - ,r Lc"- New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: `J a 4- t G J ei1 e & r I ✓ e- Type of construction: Address: � � j I V 1 S W A l d e Occupancy groups: Nl City /State /ZIP: ` I o F d J D 9 1 '2-2 J Existing: Phone: ( 1 ( ' /2_6 IJi9^ ( ) New: ❑ APPLICANT L CONTACT PERSON NOTICE Business name: S A 55 o c % ( e 5 All contractors and sub contractors are required to be 5 t) Contact name: '}'.e N licensed with the Oregon Construction Contractors Board I under ORS 701 and may be required to be licensed in the Address: / 0 25 5 W `l 14 V C jurisdiction in which work is being performed. If the City/State /ZIP: `7't CC yd 0 k (372,-2:3 applicant is exempt from licensing, the following reasons /� apply: Phone: ( § - 03 2 g- l0 -7i) Fax:: ( ) S a yy1 • E -mail: CONTRACTOR //, Business name: . 2 BUILDING PERMIT FEES* r�.- ■ (Please refer lo fee schedule) Address: • /� n Structural plan review fee (or deposit): 25'o � City /State /ZIP: J(f� ■rss U Iex -rewew fee (if applicable): ') , C Phone: ( ) Fax: ) CCB lic.: r Total fees due upon application: A n 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: TQ. ' I be I Date: j3 6 / t7 * Fee methodology set by Tri -County Building Industry Service Board. A � I:�Building�Permits�BUP S PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM/WEB) // Building Permit Application Checklist One- and Two - Family Dwelling 1.08 OVFICI.: usl; ONLY , City of Tigard Received Permit No.: 1 114 Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: C Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical r i G n It D Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITI {\'IS ARE REQUIRED 1 ) FOIZ PLAN RIB :VII' :W \ es No Nip 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 1 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore_on and shall be shown to be as rlicable to the rro'ect under review. JURISDICTIONAL SI'I::.(II ICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings L on a lot of record approved prior to September 9, 1995. 1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440.4613T(11/02/COM/WEB) . • Plumbing Permit Application Site Utilities RECEIVE City of Tigard Permi No . / q 131 SW 13125 Blvd., Tigard, OR 97223 `� n lrll DateB R eceived y: / 3d // S7o?Q /Q .......0 OH/ O LE Plan Review � 0 ' Phone: 503.639.4171 Fax: 503.598.1960 j U N Date/By: Other Permit Nei 7040 U �1 f lI 9j r 1 G A lc n Inspection Line: 503.639.4175 Gc T IGARD Date Ready/By: ru See Page z for Inte www.tigard CM I tified/Method: !� Supplemental Information TYPE OF WORK BU1LD1 G DIA 1S FEE* SCHEDULE 'New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes l00 ft. for e ach utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 16,1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 6,'7 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen r 25.02 Z5,02..... ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 8 ? i ✓ 5 w L, ©c v j 5t r e .e f Catch basin or area drain 18.76 City/State /ZIP: � yd I / n `7 2 2 3 Drywell, leach line, or trench drain 18.76 y r Footing drain (no. linear ft.: ) Page 2 Suite/bld /a t. no.: Pro ject name: r ,{� g• P I Project I' b c o-. O � >( Manufactured home utilities 50.03 Cross street/direction to j ob site: 4 Manholes 18.76 H li ( � o o Li/9f W�sf ,V 6 f (( Rain drain connector 18.76 2 7� r t Q 1 Sanitary sewer (no. linear ft.: ) P 1✓ uPLEx �15,�/1 �S Q 7°Z Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: I Lot no.: 4 00 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 1 ©+- 0 T DESCRIPTION OF WORK Backwater valve 12.51 f �Je w di) p re x 0 ,4 r eGO-� Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 $PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: 1---a G 1 1 be I/+ Fixture/sewer cap 25.02 y 1 5 " f /d � 3-free Floor disposal sink/hub 25.02 /D � Address: t �/ f Garbage ge dispsposasa l 25.02 City /State /ZIP: 7 a v4 ©l � Hose bib 25.02 Phone: (503 . 7 6 ' '2_ (S0 p Fax: ( ) Ice maker 12.51 ❑ APPLICANT L/J PERSON Interceptor /grease trap 25.02 Business name: ' /'- c S O C i cites Medical gas (value: $ ) Page 2 f' V Contact name: S S N S Primer 12.51 Roof drain (commercial) 12.51 Address: / Z 50 (k) (/ L Sink/basin/lavatory 25.02 City /State /ZIP: T( Q c u✓ a OR 9 - 7 2Z3 Solar units (potable water) 62.54 Phone: ( 5 2.4 S G 1 Z d Fax: : ( ) S eunn e Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: /I Water piping/DWV 56.29 Address: q ../ ��f Othe 25.02 City /State /ZIP: i 1 I r' Subtotal 5�1,, - Phone: ( ) C Fa x: ( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) (0, IDA- Authorized signature: TOTAL PERMIT FEE54 3 Print name: T Date: 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. 1: \ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB) 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 - 1 100' 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 $5,00(.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 Reinspection 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 ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees * . Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure -Tub/Shower as defined in OAR918- 780 -0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive tall ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings 3 that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Comments regarding fixture work: Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be aid before the Washer - Clothes p Water Extractor plumbing permit can be issued. Water Closet - Toilet Urinal Other Fixtures: I:\Building\Permits\PLMU- PermitApp.doc 2 'Electrical Permit Application -'CEI . FOIZ (i ld Hsi.: ()NA City of Tigard �j Received •J b �: y ' 3o /0 . Permit NoST�O/ O oO// V 13125 SW Hall Blvd., Tigard, OR 97223 ` U �le,i' eview ' 0 ' Phone: 503.639.4171 Fax: 503.598.1960 �UN Date/B : Other Perrq,'A)/2 c2070 7a �6t9Q /a / Inspection Line: 503.639.4175 T dy/By: Jun • ® See Page 2 for Internet: www.tigard - or.gov CITY 0 ` :• • ji hod: Supplemental Information TYPE OF WORK BUI PLAN REVIEW TEI New construction ❑ Addition/alteration/replacement Please check all that apply (submit a sets of plans w /items checked below): ❑ 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 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. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", /Job no.: Job site address: '' , l Six 1 P or more r es. occupancy. I I W l 0 U ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ic.S(iNis ^l i ( (/�� Z'� ❑ Health -care facilities. ❑ Supply voltage for more than ` ` ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: roject name: ' ) I b rt 6 V 1(� n( ❑ Service or feeder 600 amps or more. `\ , ` ' l \ \ FEE SCHEDULE Cross street/directions to job site: �►�l L r Lo ( . J , 3 " Description 1 Qty. I Fee. 1 Total 1 New residential single- or multi- family dwelling unit. U Pa-ix. 4A42e,sS ; o f 7g/ Includes attached garage. Subdivision: Lot no.: 40 1.000 sq. ft. or less Z L 168.54 '? 3z 08 Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion ( 33.92 '33• ,4Z Limited energy, residential 1 I DESCRIPTION OF WORK (with above sq. ft.) 7 LC l5d t7 t0 Limited energy, multi - family 67.84 1 2 U n 1 z _ x p v , lot Q 1 y e` o r d residential (with above sq. ft.) _ C Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 13 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: �j (0=I: L I/,Z, 601 amps to 1,000 amps 301.04 2 Address: ( 1 5 A 1 C, r\ S ).''' - Over 1,000 amps or volts 552.26 2 Temporary City/State /ZIP: ,(. ��ct , 1) ( 2Z3 relocation services or feeders installation, alteration, and/or Phone: ( 803) '7 0 1 - Z.-( Q 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 intended for sa • . e, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or ex tension, per panel Owner signature _ - = -- _ Date: A. Fee for branch circuits with 0 ICA , I A CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: y S pS.. 0 C I 0. B. Fee for branch circuits without ( CC�� service or feeder fee, first Contact name: S u branch circuit 56.18 2 N yS Each add'l branch circuit 7.42 2 Address: ) 0 2 S 0 S "1'12 kW Miscellaneous (service or feeder not included) City /State/ZIP: ; � • 0 � "I n / Z t_ -7 Each manufactured or modular �' ._S 1 dwelling, service and/or feeder 67.84 2 k� Phone: ( 5 - 4 .. ( z 1 Fax: : ( S d3) ZL[ - 5 - . , l� 1 Z I Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR n p Signal circuit(s) or limited- energy Business name: i,YC�'' L. panel, alteration, or extension. Page 2 2 Affe CCt� , Each additional inspection over allowable in any of the above Address: V Additional inspection (1 hr min) 66.25 / hr City/State /ZIP: / G � t �P'1 Investigation (1 hr min) 66.25/ hr 611# Industrial plant (1 hr min) 78.18 / hr Phone: ( ) r Fax: ( ) Inspections for which no fee is 90.00 / hr specifically listed (% hr min) CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: _ T j L, .OD Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): ( , 2, A �� TOTAL PERMIT FEE: 5 W. 180 it has been accepted as complete. Authorized Signature: This permit application expires if a permit is not obtained within 1g0 Print name v �� 1� Date: �\ O days af ter i �� i Number of allowed per permit. f ii I:\ Building \Permits\ELC- PennitApp.doc 10/01/09 440- 4615T(11/05/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $67.84 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $67.84 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \ Building \Permits\ELC- PermitApp.doc 10/01/09 Mechanical Permit Application roll (►rrlcl: (Isl.: (►wl.Y City of Tigard � � v�� Received Q /O � Permit No.: Date/By: e / r / ' l�T�/0 '/O I N q 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review . ^.,' i Date/By: Other PermitSedie 0 - 1 / . 1 , ; :, It i t Inspection Line: 503.639.4175 N1 () I .. Date Ready/By: Juris: RI See Page 2 for .. Internet: www.tigard- or.gov J Notified/Method: 77e- Supplemental Information 00 1G f\" 1.4 TYPE OF WORK Cl 1NGD t'' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST, Bt}1 Mechanical permit fees* are based on the value of the work 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 51 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description l Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: �^/ n Air conditioning 7 7 j l 1 " 1 S't� L C Q St S f - (requires site plan showing placement) 46.75 City /State /ZIP: T ' �� f - (� , 0 2 on 1 7...a.,3 Furnace 100,000 BTU (ducts/vents) 46.75 � ,Q . t �- z duo Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Gt.= t QCRT F7s Heat pump 61.06 Cross street/directions to ob site: j �� NU_ 7 (D i_e) c .l is T. Duct work 23.32 Hydronic hot water system 23.32 G(PLF)C ,41\ F3S : 8 7a / Residential boiler(radiatoror hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 4(16 Flue /vent for any of above 23.32 Subdivision: Lot no.: Other: • 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 2i 23.32 itt„ . Gas fireplace 33.39 N ck_7 c 000k Ova in} 0-P 6e-c.o ci 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 Ot yniner /Flue/vent 23.32 Other: 23.32 Name: �•NV (o 1 h (, Environmental exhaust and ventilation Address: ( 1 \ S \ A u l d a - Range hood/other kitchen // Di 7g IZ to equipment 2. 33.39 t� r City /State /ZIP: (P �Y L I+ i. (D&. c[ 3 72 Clothes dryer exhaust 2. 33.39 � G , 78 1 Single -duct exhaust (bathrooms, Phone: (S 09 7 0 ] - z, ( Fax: ( ) toilet compartments, utility rooms) 4- 23.32 "i'3,5 ❑ APPLICANT la CONTACT PERSON Attic/crawlspace fans 23.32 V �^ Other: 23.32 Business name: 1 S \SS OC-1 Oct S Fuel piping Contact name: Skit v e_. K.) Le S $14.15 for first four; $4.03 for each additional _ Address: 1 OtS 0 _1, � ) l'�-� v L. Gas h ea t etc. l �� Gas heat pump � , O City/State/ZIP: T,Acs\r 1 ()& 97 Z,Z3 Wall /suspended/unit heater Phone: (S J3) Z4 S - ( Z l Fax: : cos ) Z4 S - CI Z 1 Water heater Fireplace E -mail: Range 7j CONTRA �6Rif� Barbecue Business name: ��11 tC� Clothes dryer (gas) Other: Address: 04( MECHANICAL PERMIT FEES* i City/State /ZIP: / v ( y(1" Subtotal %,4I S ' ' Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (12 %ofpermit fee) 46 • ( TOTAL PERMIT FEE 31 1 O ( This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: -- 14,? (c) i biz r I Date: 0 3'0 \ 10 • Fee methodology set by Tri Building Industry Service Board 1:\ Building \PermitsVMEC- PermitApp.doc 10/01/09 4404617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\ Building \Permits\MEC- PermitApp.doc 10/01/09 2 ljuild'ine Permit ADDIFICELVED Residential S E P 2 1 'ci i CE1V ED 1,,i; (r111( I: tk,1 lilli ()Nil City of Tigard ., nu a ,IN I 1 Re Dat cei efli ved y: 6 go 10 'i i PermitNV/Srola/0 -. Od /// l --- 13125 SW Hall 131vd., VI on , lax . .;:i .. „% n e n: cl, Plan &mini ' l e Phone: 503.639A IV I: ! . I , 1: ' !:. `VOShio kl 0 Date/By: C I S 1 0 OtharPermit-iike ,. i ( i \ „ i , Inspection Line: 503.639.4175 Dana R hub: I 0 See page 2 far Internet: www.tig °I ard - or.gov ,,... yrioN 1NAS1°N RD C Notiftecifhtethod: r'S.41, I Supplemental Information lr 11 6 • . _ _ ,4,.7e `•i;i:;44:P , r. :: pil.0" ITINTTAritf ece.014-,k' . .g 4 4 ;i,: c.%?..9nrill, ,.'" i is". 1')" ' ..' ' ' "t• M 1 1 - 6 - 4:; , ,t: :of Ales, , 0,-;' ..44` 4 :*,' 4"?'"e f ' d , '1'4 , 'S , D', ' l'' ' )..` . 1 .1' A . ■ ' ,s 61):..ilv:: 4±,,na . -'.s'i..- • , igit47/P ' , ' ;1. ew construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all O Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the c:i,f1;.::"A'11;e1 work ;Mingled on Ibis Nation. UttlitaNkt.,i14 '. VI.W -/r74,-- Valuation: ' 1- 41:41. and 2-family dwelling 0 ConunerciaVindustrial O Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: S.--"(/2. ri. 7 Total munber of floors: v r. , y,,._ - 4,-, !,' . , ,.. it V:iv... '(r 1,4 .:* ' ''''' 11 , ,t,r ' r' s • +..';'. / JOb site address: 1) sw Lo sr. N ew dwelling area: 2/2 %s- square feet. l City/State/Z1P: ' 1 i q We id 0 1 9 / i Garage/carport area: 13 1 square feet - Suite/bldg./apt no.: v I Project name: ell bizif (7u u pue Y Covered porch area: 4, 0 s feet lzky_. Cross street/directions to job site fi a fi ÷ 6 LO C V + Deck area: -v- square feet MICR iSitOLE Alsas.a.xs,s 1 e702/ : Other structure area: 25 L s; square feet 2,-.) telgOlikri#0.44 7 r ,17:prifir T * 6 bid Subdivision: I Lot no.: 4. 00 Permit fees* are based on the value of the work performed. • Indicate the value (rounded to the nearest doilar) of all Tax map/parcel no.: equipment, nugerials, labor, overhead, and the profit for the ZSA:t:V." •'.- t' . .ifl'?i.!.; 1 40544PAi.Y., ; ;!'1.:Milf1;.in Wink indicated on this application. ;:ry,• -, .!-.: -- '' .t, 4 ...r.4 'elti+ i '4 :. Ne. t. 0 o rt s e-t 1,„ o R eerie cl Valuation: $ Existing building area: square feet r ,. New building area: square feet • . , 111=ZES 4 4 s licktiA itir . .-4„ , „%4W1 : - .4 r. 1 % L . 1 q1 ...,....Ail71 , git4 .).:40.: ri 0., , , ; .".' s • - • ,t.., - , ' , , 41 • ,,!,,,‘ c ''. :. i•Fkip Number of stories: r Name: us 4 , • t c , . e- &I 1 e., Type of construction: Address: fr a 1 5W F4 Id • Occupancy groups: City/State/ZIP: t' void, 0 lk 91 '2-2 3 Existing: Phone;( 193 kr 1 --- 26 oll,x:( ) New: i - i...0 ',.. 6 . TV el' 1 &'-2 e 1i % I •-z. '' , IC . /.. .411 1., ,:''' le ' .. :' r', i• s' ‘Y, zip_A".. : ) ,k& ' ' i- 0.,jokilki,q.ZyMy ZAW !V ''' ::; 4.4 ?' , ...AWSA:•:::' , "! 4 1 Business name: 149 i a i ...... 5C> C I 4 e5 All contractors and subcontractors are required to be Contact name: "k A) s licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: / ) 2_5 0 5 to 497-14- lque... jurisdiction in which worlds being performed. If the City/State/ZIP: -r-t a o k ) 72%2-3 applicind is exempt from licensing, the following reasons apply: . Phone: (O3 2 . 4 c 6 , 1 2 wax: F a x : ) E-mail: 7 i 1\6:4 j.r. :14$;■i!T ,,,r4 ;Pro".a; ;A:.i:i..,N,r ' ,4i - a42 ',14 r■ rr. ''Ir we., .4... A NV:Vri Mi , I...:;%771.41) It; .Mttrii , ' ,;17 .et, , Business name: .4 nytAnk_,VOMP,:, j!,..1 ro,,k,;1:, ■0. 4 c.. r.-: if Address: /°: O : ge/X.- 1.7 Structural plan review fee (or deposit): 2s , crt City/State/ZIP: /Y://-(.16 9 7/ 2- 7 I ickpal 412.p.m.,.. fee (if applicable): qi:vS r al) cg V CC le: (fri die7-93 91 1 Fax: (c7 /4#( - 74.fee ) g B lie.: 4‘" 77e . 3 /4/47.- .5 7 4 e-fl-niES Total fees due upon application: Authorized signatureNi A, J(' ; 3 ''' go7- 9_19.5 Amount received: gib, ars This permit application apires if a permit is not obtained IJ within 180 days after it has been accepted as complete. I Print !Innis: j 51 t r ( b 2 1 Date: 6. f? 0 1 0 • Fee methodology set by Tri-County Building Industry Service Board. 1:1BuiklingTermitABUPVE.S PermitApp.doc 10/01/09 440-4613T(l 1/02/COM/WEB) • Mechanical Permit Application 1 ()H ()11.1( i: Lsii ()NI , City of Tigard • ; CEINIV3) Re Ddl ived y: 4/0e//0 At P enn in4 ° . 1- 9 7 - 0 2 40/0 -t10/// . ..,, 598.1 ,,,,---, 13125 SW Hall Blvd., T' ,..,!' . ,Isi'• ' ,y4 _ i If 1 114 Han Review 6-' Phone: 503.639.4171 Fax: 503.' • • , r -,, '1 Date/By: Other Pennidedie 0 2 4 1/0 4009/ ..... _ i 1 ( . , \ I! I ', Inspection Line: 503.639.417 , 0 n .‘ iu" t n d % 0 i Date Ready/By. illril.....: I la See Page 2 for Internet 1-- www.tigard 0 ) Z 1 2 CIO J Notified/Mth 7 t eod: e- Supplemental Intorniation a I * 1116Mt II I._ • 7,vs*-1$.51;:..0'!. , ti".':::17.;c...- • A'f• V• i' -63 v. -.A. ,. 4 / V. d, le 4.0iit eee ...4Dyt . e . 1 ... : . t?...- . • ' 40: .4,-.N.1• . .w.... v,hazita .. z..,.... ..14.-zi 9.4....0mse.. • Mechanical permit fees* are based on the value of the work CS New construction 0 Addition/alteration/replacement • performed. Indicate the value (rounded to the nearest dollar) of all Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. . q- .V iol.(3.-1111`•- „...„„„,,.„ . . , . Value: $ , .., , - - er'. , ',/..- - •-' , " 7 ' ),- / 4 '"""''-"-:''' P.' • ti fitrEQ, a u 6 Milrar , 4 , 1 : , ; : .,;. , :,•71 ; :ti:$ 1 . V 53 1. and 2-family dwelling 0 Commercial/industrial 0 Accessory building . ,-,$.! • ._.m, ra.lmwAr.k For special learn:anon use checklist 0 Multi ID Master builder 0 Other: Description 1 QIY. 1 Ea. 1 Total '514**t4fttOjSIA'iVi0*e*ifi**OjR'i'VO*;:iAl'af9i Heating/cooling • Air conditioning 7 Job site address: CO 1 9 cu.) L e ,_ ,.y- . (requires site plan showing placement) 46.75 City/State/ZIP: 1 ', c-J. 0 (L.. on 1_1.'3 . Furnace 100,000 BTU (duets/vents) t 46.75 4•10. 1 Furnace 100,00N- BTU (dusts/veins) 54.91 Suite/bIdgJapt. no.: I Project name: 6,.. i arler ( i t ,c,,ii7s Heat unmP 61.06 _ Cross street/directions to job site: A 1 ,,,,,... -- Duct wOrk 23.32 6. Hydronic hot water system 23.32 46 LU 4AA/2.03S : 8 7.2./ 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: I Lot no.: tiOts Other: 23.32 Tax map/parcel no.: Other filet appliances Mk•tn Water heater 2.. 2332 4/0 . V s,:•:aizs..:.4:1 : .R.. •,:',, . .?,.. , ■.,:-. , - ...,:.... , ,t,, ?.. .. .•.... it ", ....:-. c.a.., ••?e Gas fireplace 3339 ' 1\)Q..1/4.‘,2 46. .0 ov\ 61- 0 4 lc Q0 6. 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 23.32 4 •: , ''''''"'""'ftIiiiRtgitiyii, '''"iiiiiiik illter.,74::41,iiitti!•',41.1w.i.::;1:4;:i•;:,;;•:,,i-ig,s,;, ChhnneYfiinerifinelvent .14;614.-.'.. .> 7.e. , , ,,; ,....9;;I:m.... oth 23.32 Name: 0 (0 i Ibe.,(1' Environmental exhaust and ventilation Range hood/other kitchen Address: ( 4 -1 ,4k S lk ) A ) dil, in 3t-- equipment 2. 33.39 61/9,78 City/State/LIP: .4 e OA._ Ci-)1-7-3 Clothes dryer exhaust 2.. 33.39 64, • 7F ) ' Single-duct exhaust (bathrooms, Phone: (5 ON 70 1- . 4.. - Z,. 4, C6 Fax: ( ) toilet compartments, utility rooms) 23.32 9'30 .21..,4:rif% . -i 0: - ... wii vitf: ..; ri ...' •;; %44: AMeklaw fees 2332 Other. 23.32 Business name: M ..1 t h' S 0C- I 4t- S Fuel pipIng • Contact name: Skit... 10 ki) / $14.15 for first four; $4.03 for each additional Furnace, etc. 1 lik.v5 Address: I 0 'CS 0 Sw Sel ME-. Gas heat pump A.432. City/State/ZIP: - r ; A (N r-cl , (")t 9---) 7,-i.3 WaWsuspended/unit heater Phone: (S ?A c (1 1. 1 I Fax: : (503 ) 724. S-. 4,1 --LA r Water heater 7.• Fieplace E-mail: 1.0.145„4)41"..jAVQ'':•i.V:-'•'•:•'71,14.&-W,•:;'-*Oilits0M431;A'A''-:4,0kiittV';'i'll',;!?Al;';';--ri Barbecue .Vit.V;y4:4-' • Clothes dryer (gas) Business name: te6o if i e .7 OW* Other: :4444, ,5i . ... , . , ir 2 ' ' " r• ""' ‘:il' ''.. ".•'..'• .4):" ,,-- ;',•?-3•.' ' Address: AZde, 44/3 ;i:I4,; (1..a.fif,, ,., City/StatefLIP: f?‘,//,,ciaorfre- 7 7/P-I Minimum permit fee ($90.00) hone: (174) 7-17 93 I Fax: (el'.?) Grite•-ici‘ie Plan review (25% of permit fee) k t, (1 /3) CCB lic.: 15 7e, State surcharge (12% of permit fee) 46 , W> TOTAL PERMIT FEE ,31 T 0 ( • 1) This permit application expires if a permit is not obtained within 180 Authorized signature: r •:; j'■ days after it has been accepted as complete. I Print name: (0 Ile 1 Date: (,\ 3o1 10 1 • Fee methodology set by Tri-Courity Building industry Service Board LiBuidkaWermitsigHC-Painiase•doc 10/01109 440-46I7T (11/02/COIWWEB) • Nys Associates * 10250 SW 87 Ave * Tigard' OR 97223 * 503 245 6721 TRANSMITTAL Project: 112.0v+ D p (e ->' Project No. +I MST20 l o - 00 / / � To: nowt Aiei v^ - File No. Date: f9.72.- FAX No. Pages Sent: 5 Transmit Via: ( )Fax (Messenger ( ) Under ( )Mail ( ) Overnight Express Separate Cover For Your: ()‘)Approval ( )Use ( ) Record ()OReview & Comment ( )Distribution ( ) Information The Following: Drawings ( )Computer Media ( ) Samples ( )Specifications ( ) Product Literature ( ,*Documents Copies Date Rev Description 2 / p Re Spcyy, s I .¢ U 2 8/2 / I p &15) ‘114-1 n/ ..0.1 I G c s /-\ - , 1 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, „ f ue. gad-pi p r , am the general contractor or the owner- builder at the following address: Site Address: 7/? br'.. .6 City: tile/•ee Permit #: S ,. ao /f/ 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: ,''-/r/ General Contractor or Owner - Builder to I:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: mi f- % '-. ep© /,/ Jurisdiction. ' Site Address: g 7 / 57/ti. Zirzes� s/ 7.a 09 Subdivision/Lot #: and/or Map and Tax Lot #: i _S 2g ea yee, 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) _._,i,.._.----------- Signature: Date: _ S-16/2-e7/ Owner /General ontractor /Authorized Agent Print Name: � 'e .1€ i ej t 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. ''. r 1:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION I, _5 e,e eel e_r owner/ agent for 7 (PLEASE PRINT) (PERMIT HOLDER) do hereby cert y that the following location meets City of Tigard :land use and development standards for street tree installation andis consistent with the approved site plan. / M5F SITE ADDRESS: g 7/ $ c� >s` 7 ;. _0 7 SUBDIVISION: 7.5" S' / 3$ 1 , as ®o LOT #: SIGNATURE DATE: g7‘1 // (OWNER /AGENT) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I:\ Building \Forms \StreetlreeCertificate 07/01/2010 • CITY O TICARD - SITE PLAN ' VIEW l ECE 1 I L ED BUILDING PERMIT NO: MS— , '� _ � • Street Trees: f N ®2 010 CI Approved .❑ Not Approved Protected Trees: E Appro ❑ Not Approved TIGARD ‘ ` CITY BUILDING DIVISION A--- Date: v .�o ..28i BUILDING DIVISION Notes: TABLE N1101.1(1) . ... - -.. _ _..... . _ . PRESCRIPTIVE ENVELOPE REQUIREMENTS' !•dE9'30' '7• ` - DulNlnp Component Standard Base Can • Log Homes Only E3-._:::,.:`. B _ E " " 'V "; /`' ' �' : A. a.m.,' Per2Prmance ERUly. value Required Performance 3 325.82 3r ' %� % ; %' - r; uuW.uan.aOove Dadc U -0 060 R-2 i /• /� I' i _ • W•I uvWauan -below P^da' F.0363 RIS a a �/: /' 1 `L z {� F =Logs' . • U -00 R. V -0.025 %/ i I > > V lef adWl U -0 092 R./8• • U -0.02) 11.39A7 > �4 ,�'.' V) y` L - 8.. U.0.0213 R.10 U4028 R-3U :. _. 0. i a S'• ^dBa Pnueaur F -0 320 F-0 520 R -IS ". ^ w . V. I,...),H•/„.7,..V CL > a a R- tee el.n intaior deg R ya Rm -,7! A? ". ::: ' Y U -0 ]5 t: U -055 � ��J. ✓`• 0:;! r4CR .V� - '..5 : . ::1' : ` ,`' G ,a y, a / U -0IS / O 0 e.b f, V \ y .a N W...owwluouncc de da oh _ a ( � � � Q O t, fu--- O 0 s , wl — u.o.6o uo 6o U -0 60 da �; � 5 �J.F,, ( ",,, U � , - 04 t U -020 U-020 U -0 59 S ,' j /' ,. or doonwh25fe laz 0 .040 / -$ - �j '', /! ! 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IrJoP -q/ Y/ : • 4 / II D OR • 1 SEE SH EET U.l / Ir ll_�� // I 111111 I � D �i: i l l ! r at r ;t ( G I i 1 _ 'i l il�� !Ill � I I I CS�AGE 3 � Purr -I ` l/) 0% Q / f /tlC R .I I I II 1 ti I (ln (/ `�. `EydIST'� I �I I .I I � 0/ / / 11 � Ii �III II ; II N FR r r N �lDfz p : l / r� p —, —` __ - _ V • i',UB inn UUUI/0 ud BII11 II n II 11 , I III I, N I - - -_ - -- - - —� `— - - — - �� �. �� � � ��1, :. tll �� i .. �� �� i "'�i I I IhI�I�I��I � � � �ul�olt�u / I N ,iEFT �/ / I 111IIII� "illll I y I' I , y� I�� III I,�li S % II �Ifit l 1, I L1�7 G 4 RO IF It'i r. v I p -L / �Iiiiiicu 1111 - .i :'j K i I I I 'I 6 � 2 ' • I I • h � , I 1 , I rt,iERT . 9 _ lo' /, ' 11 °''dli 11 1511111 AIllll l - Q ' -:-I= j 1- 9%15' - ' / 7' / III �I1 h r,1 ' I .1 01.2 / E1 1 rt�l'llll,;ll' I 1' I ZI (2) G FF STREET / �`1 , J IN\/EPT Eta ( 'r �x1 Y .1 : I i I PARKING SP ?GGS _ o 11111 II I - `� I - - N 99.3 ' / \ - l I _ •.. = nrl: ;.u,r_ — — — — 1_ - I - . GAT�N I IL I / PRop __ 1 PAS! r•-1 _ / / 4 � _ -7 ' 4 "SEW R Y D,RI:/ E' 1. 1 0 I ° K n i,-,6,1•417 G oN LRE'r \ 101 • ' 1..ATERp•L' 1 wA Y 1 - N . ScAPING -,- / O to lo lll /1o2.c i T, o, r3,. -1, I . WGRNINCa _ ? }; ..1' 1 �Iy 1oI•7' - - -. -- �� . - - - _- - --e- • 1 � _ SIDE S Als I_I I S I T S T e- E T E>'dl�'T Fxls � 55LJMEO G U Re, / c R 7.,� EL 100 o 1 oF-T i 9 19 = DES C.+ 1 t=R : ..'. C-- R t� U f L E>' STF�E NYS 245- ra7yl I T G F I--- f / � '719 SW LoGUST ST REET DRAWN 0V ' :7 E. F ecAae: I4 ,-r E G ' APPROVED ROVED BY: C j E N - Nys Associates r� I _ .A..,/3;=:114:, RENSED 10250 S.W. 87th Ave I S c L G /// /� I - a 8'7 o S S W I..... oGU ST ST P. E F-- 1INCH TIGA r�p, O R 97 Tigard,- OR • 97223 . • sp,l,,�, -Per aN ' , ' .. • 1 " o N °`" 1 0 9 FEE sIA•IC,Pr E c r 1 • • • • RECEIVE it JUL 2 0 2010 CITY OF TIGARD • BUILDING DIVISION I 4 a S f12�IE , � I _ ag- ao�� 0 Q (it' Io1 102 ,09 Approved / / I r 2e_Clean Water Services I / / = 1'D ftv Ron1 wiTA - aQ.Jt . � I 44' / n By Data 2g to 'g° T..0. D/:.NK =1 /1://ii; � I ' l N I / S ` e 1 1 AC. I /A E' I / p I 2 IrFVERT / , ` +a. 36 N. 8� s C c.22 99.C.' i/ %' / 1 1, ,1 - (Jl I ,/ A 1.3 SeT • d / / % !/ i I I I / r - - - -- — - 11�� // / I I I T Ir'VEP -T _./ �.. / / 1 1I I i aN 99, S• /I if 1/ / / 1 II I �' hi' 1 1 j . 101 —_ 1..11-417 1 L_ I 0 d/ r ' /t j / I N iv (ii /; / I — I Q I // // /P�r/ I I — — -'- n PLOT 0 �I/ 40/ :- / 1 LINE of I I r 1 (/ O/ • / 11 PRo PoSEI. I 1 EJ'IST fW ?Z ., e (5)/ l97 ___I� BUILDING I I l[t I G ERMAN ci7 N I nFl I /,,e' // / / i /' i 1 102.9' I N I e.1412 -01ri- 1 Ley INVERT y4. I I 1 I I .. 99.3' �/ / 0 I r y I I 100,5' / 0/ r // / I LINIT / I I I / /I- - �NE I I I,02 /I �2'I I14.,ERT lo ,'� I • 99.75' ; / / 7, / I C bR1v i e i b / 1 =1.2 ,, / 5 I waY I I INVeaT EL. i �� I O UT I I I 99.3' - B — — 4 7' — — L- - - - — r — - - -- STORM I f 1 /� l9 Haw FRoN7 I C.,... 1 1 / PRopERT-( I I L�A91 /.a, 3 / :/ '/ DINE L c . G. J / V � ` 7,59 \ GK•t��) n • \ GA. LAN pl rl GoN LRETE 101' \" X ' ' s • G •TOP 1 Cv all 102 ' 1 Mr'. r3,.0 W6RN I N C. 14.1, o' r PR gITOTIIT 2 0 2010 102, 3 S • v.'• , o G LI S T S T I Z E E • / 100, 2' 1 00.5' 1 By E�lSr '� / EXIS -r, Fssuh'IEO / G 1.1 RB c u (2 EL l , cam / / R �uT _ Si PE4.../4.1.- le. H ° F .71 / OD C VE.GETTEC GoRPs It�oR GI pu (9 LE� r ' NoTEC "' o,uwxa c,_,EN S c L G 1/ e 1 1 - cr, 1' 4 /15 /1 o REVISED v ) , L S T u l o 4 T1-o - eiCN I t 01_009 8 0 5 S W L fk. S., 571=', 2 1NcH TI G �, oR �"] . SArnpL� Pt07 oNS 1, 1. ..I PRAM. � 0 9 F�r $,�,er 1 oF � 2 ■ Locust Street Tigard Buffer Enhancement I 5 rrl3Ot Planting Specifications for the Vegetated Corridor Enhancement i RECEIVED Riparian and Upland Area (1,106 SF): • Scientific Name Common Name Size* Spacing]Seeding Rate Quantity (,J S A L � jJ 6 . d g - O a O L `is JUL I L 2 0 2 01 �� Trees J V 2010 Acer circinatum vine maple 2 gallon 10 feet on center +. Approved 0., Comus outtalk Pacific dogwood 2 gallon 10 feet on center y Clean Water Se CITE' OF TIGARD Salix sitchensis Sitka willow 1 gallon 10 feet on center rrrlee$ By .P.- a J `Q n�r i I BUILDING DIVISION • Shrubs Da 2 g L2 ep -- Comus sericea red -osier dogwood 1 gallon 4 -5 feet on center 20 df — Ribes sanguineum red flowering currant 1 gallon 4 -5 feet on center 20 *i►c / Philadelphus lewisii mockorange 1 gallon 4 -5 feet on center 20 ST t 04-1-1-4-r-44 �— Z e9 'L CD Forbs I to fog I 3 — Polystfchum munitum I sword fern 12 gallon 14 -5 feet on center �) a �/ r sp / / Seed Mix I la , ' needed i / Elymus g b lue wildrye seed 101bs pls /acre As ded • for bare r 8A R6 E l 44' Sot L. T •o. R /-N K soil areas >25 sq. ft. 1 J I C3A p E Agrostis exarata spike bentgrass seed 5 lbs plslacre following invasive Ii ; + 5 °I i ' species removal Bare root plants may be substituted for container plants based on availability. If bare root plants are used they must be planted during I r 'IC-.RT 1 /. , — � sr49 - :6' N 4 •_! ' : - 9 3 S ' the late winter /early spring dormancy period. _ 99•G x./..0130 _ , 22 I / � *K lit - • c 4 /D3 � SET Wetland Drainage Area (300 SF): 100. g rte,, a M` 25 r3nc K • Scientific Name Common Name Siz Size* Spacing /Seeding Rate e.1 a a l. , �} D — — — — — — _ =7 " Salr'x sitchensis Sitka willow 1 gallon 10 feet on center 13 q re/40; � ! O q I I I t r _ Shrubs - INVEnT ,3,./../101, j PD I Comus sericea red-osier dogwood 99.s. lA� eVe o ff' a l o I I � b N D g 1 1 gallon 4 -5 feet on center 1 15 • �oD %® 06 � N�� i r 1� ?— UNIT log ' �I Forbs . �; �►E' �, ?wo — II V' Carexobnu.fa slou.hsed.e .lu.s 2 feet on center 175 y- �^/ fl �`� I I N 'All „ X�1I,�3, 1 I o Seed Mix % - / :; �Ip' '{ D / e• '1''' '1''' • •9F I — - - - II BAR A A rostis exarata spike bentgrass seed 5 lbs plslacre As needed for bare J ar 1t# , f 0 6 LINE °F II i� • soil areas >25 ft. 4� /'/ Si " Butt II E>•IST'� I ry — following invasive -- ** ;t 1 1 G Rr,q.N — species removal t\ CO 1'F / " �� / - ,-�� B — — - I i 102.9• II _ fl nF + substituted for container plants based on availability. If bare root plants are used they must be planted during (\ ` / // , "13 • •,I r lil Bare root plants may be subs 1 � / I II B r u b i n� the late winter/early spring dormancy period. I N DER 7 99,3' .- ® „ r - 1 SF r I I I p / �• r r I � I 1 , � ��'� I .1,_ — — � 1 — I —i- 10 °.5' r in. r // F r,1 n — ' llNIT I I W 4• . ? �` Ni �T �. % SF � I bRIvE b N ` Way( a • + p 15p ' I NVERT ELF _ t om ' � _ 99.3 ' �. ! � s � -f— -- I- - - 4 � -- I L - - -- r - - - -- • f 3I 28 1 _ t '''''Ts---------.....,,,,,,_______ a-A.5 1 r-4 . ) i t 0 G 0 el . ST°RM 11 . ) `� NGV/ FRoMT I t r c.d.:re-1-o i i i .0 3 • 1-6,14b _ -: • \ V. - r7, S 9 p Da-c ' C CT,) f• t / \ Sc-,..P1 NG �NPETEj' �\ 'lot • i K Co Co ' \ N/dQNING /1°2 — 0 i T. ° 3Ant� I — -- -.`- W \ � SIGN - 101.•]% �I = �'�'. V �_, � ` / 401. o' J II I ._ ° — � --s •Io2,3 / S 1co, °05 1S T S ISEE j E LAR13 � / F> "ST, ,C SSUMEo G. G L1 R8 •--1. �'v R g cu EL 10°, o • / - SIVEWA LfG N °f{Tf + _ - LA ND`✓C-APE • 6uF R / c_.. LaG Fz-r (7u No r S c a, L G 1/ S n 1' a n °•1.=4/15/10 9 9 t L...oGLLeT ST TIG fi.RD, o t- 9'7 • 0 OSIN6 ,.mnne.wn.rt.