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Permit a CITY OF TDGARD MASTER PERMIT .111 o COMMUNITY DEVELOPMENT Permit #: MST2010 00135 T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2010 Parcel: 2S112BD08200 Jurisdiction: Tigard Site address: 7881 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 18 Project: Brittany Meadows Lot 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1168 sf Basement 0 sf Left: 15 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1315 sf Garage: 420 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 15 Detectors: Yes Total: sf Value: $259,696.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'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, Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio E. 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) ECF DEVELOPMENT COMPANY PACIFIC LIFESTYLE HOMES 1 MST Ersn Cntrl 503 - 681 - 4444 INC 11815 NE 99TH ST #1200 1310 SW 17TH AVE Vancouver, WA 98682 PORTLAND, OR 97201 PHONE: PHONE: 360 -213 -0864 FAX: 360 - 574 -6401 Total Fees: $16,052.26 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 rul s or direct questions to OUNC by calling 503.246.6699 344. Issued By. Permittee Signature: �/ , Building Permit Application Residential FOR OFFICE USE ONLY / Received City of Tigard ` 1 Dale /B (� Permit No.: �1(� I I I ° 13125 SW Hall Blvd., Tigard, OR 9 & v Plan R �I C Phone: 503.639.4171 Fax: 5 �9 19 > \ Dater : `A Other Permit: S e ,,,p Inspection Line: 503.639.417 r `\ � Date Ready''. See Page 2 for f I G A R U Internet: www.tigard - or.gov D.' Notified/Method: 7 p .2, / 49 . Supplemental Information 0 a � � , V Y)1/3; /I- /fuss TYPE OF WO ������ REQUIRED DATA: 1- AND 2- FAMILY DWELLING �� ® New construction wittion Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement Other: equipment. materials, labor. overhead. and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ , 2 // 3� - j ® I- and 2- family dwelling ❑ Commercial /industrial ) tO 12 Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION / Total number of floors: 2 Job site address;-44240-SW 7e iVe '7fs7/ g _) //fNs'�f\// LJV New dwelling area: 2483 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 420 square feet Suite/bldg. /apt. no.: Project name: Brittany Meadows Covered porch area: 40 square feet (3('. Cross street/directions to job site: Bonita to SW 79th , left at Webber Lane _ Deck area: square feet 11 GoR Other structure area: 2g03 square feet z,_ REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Brittany Meadows Lo o.: 18 , Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor. overhead. and the profit for the DESCRIPTION OF WORK %cork indicated on this application. NEW SFR Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99 Street, Suite 1200 Occupancy groups: City /State /ZIP: Vancouver, WA 98682 Existing: Phone: (360)213 -0864 Fax: (360)5744401 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: Pacific Lifestyle Homes All contractors and subcontractors are required to be Contact name: Russ Tiedeman licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 11815 NE 99 St, Suite 1200 jurisdiction in which work is being performed. If the City /State /ZIP: Vancouver, WA 98685 applicant is exempt from licensing, the following reasons apply: Phone: (360) 213 -0864 Fax: : (360) 574 -6401 E -mail: russt@pacificlifestylehomes.com CONTRACTOR Business name: Pacific Lifestyle Homes BUILDING PERMIT FEES* Address: 11815 NE 99 Street, suite 1200 (Please refer to fee schedule) Structural plan review fee (or deposit): -733 cd City /State /ZIP: vancouver, wa 98685 Phone: (360) 213 -0864 Fax: (360) 574 -6401 FLS plan review fee (if applicable): CCB lic.: 173524 Total fees due upon application: .d."' 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: Russ Tiedeman Date: 8/16/10 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) / y(P. yy Electrical Permit Application "= -f „ 3. .FOR GE4.1S oivz�Y- r ; =r Received _. i iii City of Tiga1 d Date/Be: Nn.: 4 q 13125 S11' I tall 131W., "I'i'ard. Olt 97223 • b • Plan Review Other Permit: ° % Phone: 503.E-39A 171 Fax: 503.598.1960 Dateniv: F'" ^Y', r` 7 ' kispccuon Line: 503.639.4175 Darc Ready/By: 11 V 1 s: El Sc e Paige 3 for T1GARb r—= ..:�.ec^ Internet: seseiv.tigard - oegov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition/alteration /replacement Please check all that apply I subndt 3 sets of plans se/items checked below): ❑Service or feeder 400 amps or aloe ❑ Building o,,.• three swrieb. ❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyard:. CATEGORY OF CONSTRUCTION exceeds 10.UmU amps at 150 volts or ❑ Flaming buildings. less to ground. or exceeds 1.1,000 ❑ Commercial -use agricultural © 1- and 2- family dwclline ❑ Commercial /industrial ❑ Accessory building amps for all other Installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: El Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. largerseparately derived system. ❑ Addition of new motor load of ❑ "A ". "f , "1 -_ . I .1 . Job no.: I Job site address: 7881 SW Hansen Lane 1IIOI IP or more. occupancy ❑ Sin or more residential units. ❑ Recn.uinn:ll vehicle parts. City /State /ZIP: Tigard, OR 97223 ❑ 190alih -care facilities. ❑ Supply voltage Iormore than ❑ Hazardous locations. b00 volts nominal. . Suite /bldgfapt. Project name: Brittany Meadows ❑ Service or feeder b00 ;Mrs orinure. FEE SCHEDULE Cross skeet/directions to job site: Bonita to SW 79 left at Webber Inne ae.rripnhnt 1 on. I Pee. 1 rural 1- New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Brittany Meadows Lot no.: 18 1,1100 sq. 0. or less I 168.54 4 Ea. add') 500 sq. h). or portion 3 33.92 I Tax map/parcel no.: Limited energy. residential DESCRIPTION OF WORK (with above sq. ft.) 67.80 - NEW SFR Limited ctu rest, multi-family residential 67 84 ' idential Rvith al ow sq. 0.) - Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 1 '_ ❑ PROPERTY OWNER ! ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 2 _00.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /Stale /LIP: Temporay services or feeders Installation, nitennion, and /ur relocation Phone: ( 1 I Fax: ( ) 200 amps or Tess 1 59.36 1 I Owner installation: This insiallation is being made on property that I own which is not 201 amps to 400 amps 135.08 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1 168.54 1 1 2 • Branch circuits - new, :thermion, or extension, per panel Owner signature: Date: A. Fee for branch circuits with I ❑O APPLICANT ❑ CONTACT' I'ERSON above service or feeder fee. , each branch circuit 7 - Business name: Pacific Lifestyle Homes B. Fee fur branch circuit% Wiliam service or feeler fee. 56.18 Contact mune; Russ Ticdema° first branch circuit - fl i Address: 11815 NE 99 St, Suite 1200 Each atld'I branch circuit 1 7.42 '- Miscellaneous (service or feeder not included) City /Slate/ZIP: Vancouver, \VA Each manufactured or modular 67 8I , dwelling. service and /or feeder - Phone: (360) 213 -0864 I Fax: : (350) 574 -6401 Reconnect only 67.84 2 i E-mail: russt fn?pac)6elifestylebnmes.com Pump or irrigation circle 67.34 2 • CONTRACTOR Sign or outline lighting 67.84 3 Business name: Garner Electric Signal circuits) or limited - energy panel, alteration. ur Address: 2920 SE Bronlcwnnd Avenue extension. Describe: Pose 2 3 City /State /ZIP: l•lilsboro, OR 97123 Each additional inspection over allowable in any of the abm•c Per inspcclion 66.25 Phone: (503) 648-4552 fax:( ) Investigation per hour (l hr min) 66.25 CCB Lk.: 121159 Electrical Lic.: 34 -305C I Suprv. Lic.: 37975 Industrial plant per hour _ 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Chuck Garter .$ ate: 9-22-10 1'Inn review t25 "•�ofpcmtit feel: /. `--y signature: Stnte surcharge (12% of permit lee): 1 Authorizedsi � � ' `�' b i : - ,%r _�. ._ -. -_- TOTAL PERMIT FEE: • This permit application espires Ira permit is out obtained within 1811 Print name: Chuck Garner Date: 9 -22 -10 days lifter it bus been uccepltsl us cunt pick:. ' Ntmhht.'r of inspeetiuns allotted per permit. I M iniWieeramit01.r.PemtitAlq).dm• 10111 no JJII- 161S1) I I.051.flplrIVEII Mechanical Permit Application FoR OFFICE USE ONLY - City of Tigard Rece Date /By: Permit No.: g ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: TI G A R D Inspection Line: 503.639 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified /Method: Supplemental Information • TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ® New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwblling • ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 7881 SW Hansen Lane Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 1 17.90 Suite /bldg. /apt. no.: ' Project name: Brittany Meadows Gas heat pump 14.00 Cross street /directions to job site: Bonita to 79th 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 Subdivision: Brttany Meadows Lot no.: 18 Flue /vent for any of above 6.80 - Other: 10.00 Tax map /parcel no.: • Other fuel appliances DESCRIPTION OF WORK Water heater 1 10.00 Gas fireplace 1 10.00 Single Family New Construction Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood /other kitchen equipment 1 10.00 City/State /ZIP: Clothes dryer exhaust 1 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 2 6.80 ❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Pacific Lifestyle Homes Fuel piping Contact name: Russ Tiedeman $5.40 for first four; 51.00 for each additional Address: 11815 NE 99th St. Suite 1200 Furnace, etc. 1 Gas heat pump City/State /ZIP: Vancouver, WA 98682 Wall /suspended /unit heater Phone: (360) 213 - 0864 Fax: : (360) 574 - 6401 Water heater I Fireplace 1 E - mail: russt @pacificlifestylehomes.com Range CONTRACTOR Barbecue 1 Business name: The Heat Guy LLC Clothes dryer (gas) Other: Address: 22100 NE 237 Ave MECHANICAL PERMIT FEES* City/State /ZIP: Brush Prairie, WA 98604 Subtotal Minimum permit fee ($72.50) Phone: (360) 803 - 4876 Fax: (360) 883 - 2969 Plan review (25% of permit fee) CCB lic.: 187461 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: a This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Dustin Fritz Date: 9 -22 -10 ' Fee methodology set by Tri- County Building Industry Service Board I:\ BuildingtPermits \MEC•PermitApp.doc 01/19/07 440- 4617T(11/02./COM /WEB) Plumbing Permit Application i Building Fixtures I r(1R ()HALE ICI rsl: ONLY - City of Tigard Received Permit No.: III ill 13125 SW Hall Blvd., Tigard, OR 97223 ian Review C Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: .1.1 G \ 1` 1 J Inspection Line: 503.639.4175 Date Ready/By: Juris: B See Page 2 for Internet: www.tigard - or.gov Notified /Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description 1 Qty. 1 Ea. I 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 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 1 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 715'8 ( SW ilibasEs3 144 Catch basin or area drain 16.60 City /State/ZIP: Tigard, OR Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Brittany Meadows Footing drain (no. linear ft.: _) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Bonita to 79th Manholes 16.60 . Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 Subdivision: Brittany Meadows I Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Single Family New Construction Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER 1 ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City /State /Z1P: Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ® APPLICANT 0 CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Pacific Lifestyle Homes Interceptor /grease trap 16.60 Contact name: Russ Tiedeman Medical gas (value: $ ) Page 2 Address: 11815 NE 99 St., Suite 1200 Primer 16.60 City /State/ZIP: Vancouver, WA 98682 Roof drain (commercial) 16.60 Phone: (360) 213 -0864 Fax: : (360) 574 -6401 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: russaPpacificlifestylehomes.com Urinal 16.60 CONTRACTOR I Water closet 16.60 Business name: Merriman Plumbing Water heater 16.60 Address: PO Box 246 I Other: Subtotal City / State/ZIP: Brush Prairie, WA Minimum permit fee: $72.50 Phone: (360) 892 -8381 Fax: (360) 891 -4265 1 Residential backflow minimum permit fee: $36.25 CCB Lic.: 153380 Plumbing Lic. no.: R4659JP I Plan review (25 % of permit fee) 4....1 • State surcharge (12% of permit fee) Authorized signature: '', TOTAL PERMIT FEE W, Print name: Dave Merriman Date: 9 -22 -10 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\Building \Permits PLMF- PermitApp.doc 12/27/06 440-4616T110/02 /CON \ /WEB) q CE NED Brittany Meadows Lot 18 AIIG 18 2010 7881 SW Hansen Lane CITYOFTIGARD Tigard, OR BUILDING DIVISION _....._._ _ 3 1 ri ttvsH. Y ...,.. __. i 1 .. Lot Coverage = 21 ° -. fie R Lot SF= 7852 2" Caliper O►- House SF= 1655 '� 4,7 • Trident Maple 15 -30' Spacing Impervious Surface= 468 SF - 79' -5„ - -_ - - - -- r ^ — 1 . \ 011 4, O 4P 7,852 SF ►►- 4, . .- SGD ��P S — 10' SHERIDAN 1.I _ (NEW) 1: ' 41 2483 SQ. W) 17' 7 .11001. im PHONE 1 „' r ?.? y WATER - WATER = 59 I ' `5' Sidewalk / 5' Planter L/ Hansen Lane ?tec - CITY O F TIGARD - SITE PLAN RW VIEW ,$UIL ERMIT NO.: MST 241 o - 00 1 3 S PLAN.NINQ DIVISION: Required Set A Approved ❑ Not Approved Side: - Street c:i lc / Front. ,9:-. ', /5 Visual Cleara,i, . Maximum Ru, :c 3 D., C'vVS Se, v • ' B% - K Kz.. . e ... 6 . , v„ 3 ,, . . , . , ENGINEEK NC L`,r_,..; i� . - •. /J - • Actual ope:.T °%, ' AD, :)veti LI tir = , r� d Site PI "� ' ` Apr °v� rd i t A proved By: - Date: S IMP io Not 3v ,„€.c. iaa.c ;711.`•.1 S 5 45 A .14.1b ' • O � ir TIGARD • SITE PLAN RRVIfW , X II RMIT NO: , Street Trees: �pproved ❑ Nat Appwred Protecq a s: l� Appraved ❑ N. A ' Bv: i , ` 17 Date: Notes 5,�, t-Ni,,�.er. �/,‘ �— sic jL . Y u • Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM • I, Sc t..), 2.A sc-j , am the general contractor or the owner - builder at the following address: Site Address: 7- l sw City: Permit #: MSr2olo -no [3.S Subdivision/Lot #: RiziTrigngy ✓✓ 41)0 JS jtsT l? 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: /I) Date: /2-16- I, e 2 ral Contract. j 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: -oot �C6,4a.A CrR Site Address: 7l SLJ cM,JSEN Subdivision /Lot #: 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 Ni 107.2) Signature: Date: /2 - 16 - /o er /General Con for /Authorized Agent Print Name: &rm (,j I C I Z A ler ' 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. I:\ Building\ Forms \RES- HighEfficiencyLighting.doe 07/01/08 STREET TREE CERTIFICATION I, S QAI i i , Owner /Agent for P. GF/e. L1-. (PLEASE PRINT) (PERMIT _ OLDER) Do hereby certify that the . following location meets City 4 and Washington County land use and development standards for street tree installation. ADDRESS: 703/ SA) , A/sFN Lit/ SUBDIVISION: 8k,,,,,,, Nhs LOT: SIGNATURE: DATE: /2 -M -/0 OIVNER /AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) c I: \ Building \Forms \StreetTceeCer cafe 01/19/07 p