Permit CITY OF TIGARD MASTER PERMIT
X ; COMMUNITY DEVELOPMENT Permit #: MST2010 -00216
T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2011
Parcel: 2S109AB12400
Jurisdiction: Tigard
Site address: 14230 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 5
Project: Alpine View
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First 590 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 4 Second: 811 sf Garage: 362 sf Front 20 Smoke
Dwelling Units: 1 Third: 1027 sf Right: 5
Detectors: Yes
Total: 2428 sf Value: $257,083.70 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp 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: 4 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mtd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
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:
NEW SF VB R -3 2428
Owner: Contractor:
WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT Required Items and Reports (Conditions)
735 SW 158TH 735 SW 158TH AVE 1 Ersn Cntrl 503 - 681 - 4444
BEAVERTON, OR 97006 BEAVERTON, OR 97006 2 Geo Tech Report
PHONE: 503- 641 -7342 PHONE: 503 -641 -7342
FAX: 503 - 641 -7661
Total Fees: $17,262.09
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 don accordance 'th 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 a requires you to follow the rules adopted by the Ore! • - I i i y o • o Center. Those rules are set forth in OAR
952- 01 -0010 through OAR - 01 • 0: You may obtain a copy of the rules or direct questions o OUNC by - : 0 . 32.1987 or 1.800 -32.2344. •
/
Issu By: a - Permittee Sig ��� i �L 'dd ,
Call 503.639.4175 by 7:00 a.m. for the next available inspe ' • • _ . e.
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.
Building Permit Application
� ED
Residential >t ! `� FOR OFFICE USE ONLY
City of Tigard Received
« DEC 2010 Date/By:
RO Permit No.: 1 /!>r — a
oo/G
1114 a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review `(v
Other Permit: 9102.9-010
C Phone: 503.639.4171 Fax: 503.598.1960 �p�p IGARD ppy� Date/By: a t G A R D Inspection Line: 503.639.4175 CITY OF Y Date Ready /By: � tuns ® See Page 2 for
Internet: www.tigard or.gov BUILDING DIVISION Non ed/Method: / `J &lp�'�I Supplemental Information
- TYPE OF WORK REQUIRED DATA: 1- A D 2-FAMILY DWELLING
® 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 indicated on this application.
Valuation: $ 2 -5 7 1 , 7d
® 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building
I=1 Multi-family Number of bedrooms: 4
❑ Master builder ❑ Other: Number of bathrooms: 3.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 14230 SW Alpine Crest Way New dwelling area: 2428 square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: 362 square feet P
Suite/bldg. /apt. no.: Project name: ` 4 L. f3t lJ t ✓ tlj Covered porch area: square feet et(
Cross street/directions to job site: Deck area: 304 square feet '7O
Other structure area: "2:79.Q square feet -
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Alpine View I Lot no.: 5 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 work indicated on this application.
Valuation: $
New Construction
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER - ❑ TENANT Number of stories:
Name: West Hills Development Type of construction:
Address: 735 SW 158th Occupancy groups:
City /State /ZIP: Beaverton OR 97006 Existing:
Phone: (503)641 -7342 Fax: (503)641 -7661 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: West Hills Development All contractors and subcontractors are required to be
Contact name: Angie Cook licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 735 SW 158 Ave jurisdiction in which work is being performed. If the
City /State /ZIP: Beaverton, OR 97006 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 641 -7342 I Fax: : (503) 641 -7661
E -mail: acook @arborhomes.com
. CONTRACTOR
Business name: West Hills Development BUILDING PERMIT FEES*
Address: 735 SW 158 Ave (Please refer to fee schedule
Structural plan review fee (or deposit):
City /State /ZIP: Beaverton OR 97006
FLS plan review fee (if applicable):
Phone: (503) 641 -7342 Fax: (503) 641 -7661
Total fees due upon application:
CCB lic.: 104847 —
c Amount received: � 750'
✓ O ��
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Angie Cook Date: 12/20/10 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB)
Electrical Permit Applicatio CE D FOR OFFICE USE ONLI
City Tigard Dat d / Permit No.: i /0 Veat -
�' 7 E C 2 2 2010 Re eiv : /St 'a� o
° 13125 SW Hall Blvd., Tigard, OR 9 Plan Review
' Phone: 503.639.4171 Fax: 503.598.1 Date/13 : Other Permit. j;Q /O /t '
T [ G A I t D Inspection Line: 503.639.4175 C ll H OF TIGARD Date Ready/By: Judi: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
-- "— — - I i to � i S 1101 i " ', .�. ' _..� t 4.r - "r Yi 1 - 2 -t' T 1,,;17-7 I u 's: t _
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of pions w/iiems checked below):
❑ Service or feeder 400 amps or more ❑ Budding over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
V - 7 7- r-- - 1 7r t " ^,W "'.' I exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
• rat- t��o�t�iea t�E ` ll�f1 °#f ; >c*ti' MI,,E'.; �
' less to ground, or exceeds 14,000 0 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
- - ❑ Emergency system. larger separately derived system.
I !¢} 1 l a I ' h `t r ^1 ';, r.0 tl lo} r ��,n/ , t;eic ' t (o)�' ❑ Addition of new motor load of ❑ "A", "E", "1 -2 ", "1 -3•',
Job no.: Job site address: 14230 SW Alpine Crest Way 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP Ti _and OR 97224 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apL no.: Project name: ❑ Service or feeder 600 amps or more.
r qt. r
Cross street/directions to job site: Dereripiton I Qty. I Pee I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Al Dine View Lot no.: 5 1,000 sq. R. or less t 168.54 (Qj, — 4
Ea. add'l 500 sq. ft. or portion ` 33.92 t',(4. I
Tax map/parcel no.: _ Limited energy, residential
' El r — —' --- t ',. . r - r ra (with above sq. R.) I. 767 ? 574 2 •
`_ _.. _ - ._ — _ ...•_ Limited energy, multi- family
67.84 2
residential (with above sq. ft.)
New Construction Services or feeders Installation, alteration, and/or relocation
200 amps or less 100.70 2
r ^-^- _ it t 4 ^ ' . :;' •Y`= " .= }� 201 amps to 400 amps 133.56 2
ID 1r 1;i'o it It o} ti, y ,1 ,•T t .` $ -- " , ' - *_ -i�l e; l s t .
401 amps to 600 amps 200.34 2
Name: West Hills Development 601 amps to 1,000 amps 301.04 2
Address: 735 SW 158th Ave Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Beaverton, OR 97006 relocation
Phone: (503 ) 641 -7342 Fax: (503 ) 641 -7661 200 amps or less 59.36 I
201 amps to 400 amps 125.08 1 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
- intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
li7.1-=-7 'i r C d 1 i''� i , "7 • -.. - 1 f i t •7' o above service or feeder fee, 7.42 2
each branch circuit
B. Fee for branch circuits without
Business name: West Hills Develo D meet
service or feeder' first 56.18 2
Contact name: Angie Cook branch circuit
Each add'I branch circuit 7.42 2 _
Address: 735 SW 158th Ave Miscellaneous (service or feeder not Included)
City/State/ZIP:. Each manufactured or modular 67.84 2
t3 Beaverton OR 97006 _ dwelling, service and/or feeder
Fox: ( 503 ) 641 -7661 Reconnect only 67.84 2
Phone: ( 726 -7042 Pump or irrigation circle 67.84 2
E -mail Sign or outline lighting 67.84 2
r . r..ti -Y. Ria e - •rl,�± r •x- ` � 45ZER0441i Signal circuit(s) or limited- energy
Business name: Garner Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 2920 SE Brookwood Ave Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City /State/ZIP: Hillsboro, OR 97123 Industrial plant (1 hr min) 78.18/ hr
Phone: ( 503) 648 -4552 Fax: ( I nspec ti ons for which no fee i s
( 642 7925 f 90.00i hr
s, ificall listed '%hrmin
CCB Lic.: 121159 Electrical ' .. 4 -�: • , • Suprv. Lic.: 3707S x ; ' ';1 iii s;c l u (v 5 t; f:..1";i, ; i u le , -i
Suprv. Electrician signature, requi �� /, Subtotal: 3 `Zv
Plan review (25% of permit fee):
Print name: Chuck Garner Date: 12/20/10 _ State surcharge (12% of permit fee): , tj
TOTAL PERMIT FEE ; 7
Authorized signature: This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
I:\ Building \PmnhriELC•PermltApp.doc 101/1/09 440-4615T(IIIOS 1COMAVEI
Mechanical Permit Anulication CEl • E" colt OI l:wE I ONLY
CiEy'of Tigard r /Q . !G 1 PcemitNa. h ao /C m..7/ Reteived
13125 SW Hall Blvd., Tigard; OR 97223 DEC 2 2 2010 Q t o Plat • ew
g. ' Phone: 503.639.4171 Fax: 503.598.1960 D;,efRy: OTherPermic Av evo
T I G A R
inspection Line: 503.639 CITY OF TIGARD Dais Rmdy!By: nos lB See Page 3 for
Internet: www.ugard- or.gav BUILDING DNISIO a Supplemental Information
3i_?t'.a-��ivil.'...^SerTi o: : -, r - r , •
` g--0F u :. ''} .§ ? f' •� o7" , - .o � f;'' :«'�i +t n:CG+: ?. :G'HED - ';' - 't if :t rcrl i .
. ir1,. r'ti
® New construction ❑ Addition/alteration/replacement
permit fees* ata, hosed on the .value of the work
performed. Indicate the value (rounded to the nearest dollar) °f all
❑..Demolition ❑ Other mechanical materials, equipment, labor, ovei head, and profit
Value: S
®,1- and 2- fhmily dwelling ❑ Commercial/industrial ❑ Accessory building For special Information use dreckltrx
❑ Multi-family -0 Master builder ❑ Other. Description 1 Qty I Ea. I Total
'OB, Ab1D QA O 2 ` Heatlop/coollna
Job: siteadiiress: 14230 SW Alpine Crest Way
Air conditioning
P Y (raqulras site plan shawtea placement) 46.75
City/Stati/ZIP: 'Maid OR 97274 Furnace 100,000 BTU (duetalveats) 1 46.75 r 7 .•
'Furnace 100,000+ BTU (duds/vc 54.91 \
Su)te/bldgJapL no,: I ',Project name:. Hem 61.06
Cross street/direeedons tojob site: Duct work 23.32
Hydronic hot water system 2332
Residential boiler (radiator or
hydronic) 2332
Unit heaters (fuel-type, not electric),
in -wall. in -duct, suspended, etc. 46.75
Subdivision: Alpine View I Lot no.: 5 Flue/vcntfor any of above 23.32
Other. 2332
Tax map/parcel no.: Other fuel appliances ,
> . T,Z4 rm 11 SC3RIP'_l'IONKO 5 ... g:z.r' 'a' .7- ^ 'W Water heater 1 23.32 '
Gas fireplace 1 3339 `' ;5
New Construction Flue vent for water healer or gas
fireplace 23,32
Log lIRhtcr (gas) 23.32
Wood/pellet stove 3339
Wood fireplace/insert 2332
` erlibl . `►'t°� '"d'r` /I2 ?m : T IiTBN + A other: yAlnar/Duehent 23.32
'� �' �-'`.� � tr v +�� Othe 23.32
Name: W est Hills Development; Environmental exhaust and ventilation
Range hood/otherldtchen
Address: 735 SW 158 Ave equipment 1 33.39 33r . I
City/State/ZIP: Beaverton OR 97006, Clothes dryer exhaust 1 33.39 'r • ` 'T
Single -duct exhaust (bathrooms, 0191'
..�-��•
Phone: (503)641 -7342 Fax: (503)641 -7661 toilet compartments, utility room J s) i0 2332 1 , 9 1 4 •
f t z;tca T Anic/crawispace falls. 23.32
` �; `��-- '��tt!r�":+';�1®�/;`i'.i +w c.��'h_ �- �;a.�i,�:,�"t r�.�e►�Yv��♦�����
^ Other. 2332
Business name: West Hills Development Fuel piping
Contact name: Angle Cook S14.15 for first four 54.03, !breach additional
Address: 735 SW 158 Ave Furnace, eta t t i
• Gas heat pump
City/State/ZIP: Beaverton OR 97006 Wall/suspended/unit heater .
Phone: (503) 726 -7042 I Fax: (503) 641 -7661 Water heater 1 •
Fireplace (
E-mail: acoolegarborhomes.com Range j
-'ti . , . 1 ;i1.4 !' 4 o-'i' . ' 'oatki. ACT.Oiit57 0. : RFr V >' e.Zgi Barbecue
Business name: .Pyramid Heating . . Cooling Clothes dryer {gas)
Other:
Address: 5699 SE International Way Sane 19.
City %StntrlZIP: Milwauliic, OR 97222
Subtotal 32k.
Minimum permit Dm (590.00)
P11014:15.01).706-952; 6 -9522 I Fax::(503) 786 -3432
Phm review (2596 of permit fee)' • -CCl3 lio.: 59382 'State surcharge (12%ofpenult lira) r i -S -c
' S �- � /�� mit TOTAL PERMIT FEE tv 5, Autho Si a t ure:, ��.�G
k , . , T6ls per op n espexpires ac t is not obta oed eitldo 180
E;ri days ys after it has been n accep as complete.
I : Hallam Greg Phillips; . Date: 5/7/ 12/20/10 I • Fee =Madder/ set by.Tri -Couety Building industry service Bawd
•
LABuainiglPdmhsUff.GPrndiAppdce 16,01,09 441.161T1' (I IJ02JCOMhV®)
Plumbing Permit Applica t►•t ��1! V
Building Fixtures DEC 2 2 2090
Received Qn �j'
City of Tigard p �g� Date/By: / dt �` . D 4, Permit No.: / � 110/4 .e` 16
13125 SW Hall Blvd., Tigard, O'\ " f OF FIG Plan Review , ` D�
■ Phone: 503.639.4171 Fax: Wit: 1`� DIVISION Date/By: Other Permit No.: glD-��
TIGARD g ( �
Inspection Line: 503.639.4175 �� ' ' Date Ready/By: rur s: Se 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 I Qty. I 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 312.70
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
SFR (3) bath t 500.32 9,0.
❑ Accessory building ❑ Multi - family
Each additional bath/kitchen ( 25.02 '20, Ca -
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 14230 SW Alpine Crest Way Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City/State /ZIP: Tigard OR 97224
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: _) Page 2
Subdivision: Alpine View I Lot no.: 5 Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer / 25.02
New Construction Dishwasher / 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: West Hills Development Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 735 SW 158 Ave
Garbage disposal / 25.02
City/State /ZIP: Beaverton OR 97006 Hose bib .. 25.02
Phone: (503)641 -7342 Fax: (503)641 -7661 Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: West Hills Development Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Angie Cook
Roof drain (commercial) 12.51
Address: 735 SW 158 Ave. Sink/basin/lavatory 5 25.02
City/State /ZIP: Beaverton OR 97006 Solar units (potable water) 62.54
Phone: (503) 641 -7342 Fax: : (503) 641 -7661 Tub /shower /shower pan 12.51
Urinal 25.02
E -mail: acook @arborhomes.com
Water closet 4- 25.02
CONTRACTOR
Water heater / 37.52
Business name: Development Northwest (Wolcott Plumbing) Water piping/DWV 56.29
Address: 1075 W Historic Columbia River Hwy Other: 25.02
l btota 2 ,
City /State /ZIP: Troutdale, OR 97060 Subtotal
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Minimum permit fee: $72.50
CCB Lic.: 112220 Plumbing Lic. no.: 26 -824PB Plan review (25% of permit fee)
State surcharge (12% of permit fee) ,
Authorized signature: p 4 ,-r....... TOTAL PERMIT FEE 568,
Print name: Cliff Bowman Date: 12/20/10 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:' Buildingwemtits \PLMU- PermitApp.doc 10/01/09 440.4616T(10/02/COM/WEB)
•
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, g I' l L L i PS , am the general contractor or the owner - builder
at the following address:
Site Address: 14z3® Sw (NE Gees (
City:
- T16-pi-M)
Permit #: M s-r 20 I o — co o #2 .
Subdivision/Lot #:
frt,PNE vl l S
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.
r �
Signature: Date: ( /( 1
G eral Contractor r Owner - Builder
I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
STREET TREE CERTIFICATION
, Ovner/ agent for i-for^-e 5 5
(PLEASE PRINT) (PERMTT HOLDER)
do herebY art6 that the folkii:ving:'''?bcation meets
City of Tigard land and 1evekpment standards
for street tree-installation anitis consistent
with the appro plan.
7-7 / N 15)
/
SITE ADDRESS: Z30
SUBDIVISION: Pc \ikeu LOT #• S
•
SIGNATURE: 1 DATE: 4 /
(OWN : A A
RECEIVED &
VERIFIED BY DATE:
(CTTY OF TIGARD)
Tree location verified per approved site plan.
I: \Building\ Forms \ StreetTreeCertificate 07/01/2010
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: C - ( D _ Y 2( Jurisdiction: —n 6
Site Address: 5z (NE c.121 wek-(
Subdivision/Lot #:
r 74:6
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: (:)—((�
Ow r /General Con actor /Authorized Agent
Print Name: - , (-( 1(... P)
' 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.doc 07/01/08
RECEIVED
DEC 22 201'
_ — .� CITY OF TIG ' '
6
BUILDING DIVIS 1 N
�� UI
a 23'-0' : a A h) 0 38
CO a
Ln I 8 33'6' 552
i
UT
v - � r .�� �n� 95.00' ' III
( mg . 1 1 r : ) �� "��� — SC — E WALLS
;, .: 1 . :. ::o ; 0 : ::::: § to
I-1 4 � c . 7 a : rt C n r > w } ? }r ) /V
Z } .f < V . cn � O � .
Ji. - ., � U = Q , =i `i+
ce
i ( -I�' 7 ' ! 0i 6 „:i: ::i :i ' ? g ROSION (� : p 'B 0 o ONIROL
t I FENCING c m
. w g m $ STORM '
SEWER
� � ► - ' , - LAT.
1 95.00 - 0 — — —
563 55.
A 15 ,
4V-6' 37 6'
i
m
LINE OF NEW HOUSE - -7—
4 _
A�
PM , : AL
DRAWN II/30/09 SHG
SITE PLAN ._
REVISED 05/ID3/IID IllEJ
REVISED 10/12/10 UIEJ ALPINE VIEW
Contractor is responsible to check
SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP
site plans and notify designer of any
errors or omissions prior to start of 2- SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN
construction. Also plans and CITY OF TIGARD, WASHINGTON COUNTY, OREGON
specifications shall be approved by <
local building authorities prior or 1423( S.W. ALPINE CREST WAY
start of construction.
4,750 SQ. FT.
WEST LOT 5
SETBACK REQUIREMENTS:
01
DEVELOPMENT, INC.
REAR 7ARD: 15' (FROM PL.)
FRONT (HOUSE): 15' (FROM PL.)
FRONT (PORCH): 15' (FROM PL.)
735 SW 158th Ave.
FRONT (GARAGE): 20' (FROM P.L.) SCALE
BEAVERTON, OR 97006 STREET SIDE: 10' (FROM PL)
1"=20'
SIDE: 5' (FROM PL.)
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 1"1% 9-0/O -67� ()''
PLANNING DIVISION:
Required Setbacks: r2rApproved 0 Not Approved
Side: Street Side: /0
Front. Garage: r' . Rear: t S�
Visual Clearance: (2(App9ved ❑ Not Approved
Maximum Building Height SS feet
CWS Service Provider Letter Required: ❑ Yes 71-No
{^,^� ❑ Rece
Bs : A J'L1 Date: al �,-lr0
ENGINEERIN EPARTMENT:
Actual SI pe: % tit Approved ❑ Not Ap roved
Site PIa : approved ❑ of ed
By: ; �i-, Date: /Z 7 9_ f
Notes: eze pur1) - t-a-
CITY OE TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO:
Street Trees: Approved ❑ Not Approved
Protected T Approved C3 Not Approved
�"• 79( - Date: Oty,2440
Noes: