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Permit CITY OF TIGARD MASTER PERMIT 8 . COMMUNITY DEVELOPMENT Permit #: MST2011 -00004 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/06/2011 Parcel: 1 S135CA09900 Jurisdiction: Tigard Site address: 11412 SW 96TH AVE Subdivision: SOLERA Lot: 8 Project: Solera, Lot 8 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 685 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 905 sf Garage: 245 sf Front: 15 Smoke Dwelling Units: 1 Third: 275 sf Right: 5 Detectors: Yes Total: 1865 sf Value: $192,625.24 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 2 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 3 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd 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 1865 Owner: Contractor: EVERETT CUSTOM HOMES EVERETT CUSTOM HOMES INC Required Items and Reports (Conditions) 735 SW 158TH AVE STE 180 735 SW 158TH #180 1 Ersn Cntrl 503 681 - 4444 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503- 750 -6268 PHONE: 503 - 348 -5602 FAX: 503- 726 -7106 Total Fees: $15,964.68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes =rid al •ther 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 issuanc: , or if w• k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules - • . - . he Oregon Utility Notification C nter. T o e rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may • stain a copy o - les or direct que- ions to OUNC by calling 503.232. i or 1.' r 0 3 i. 44. 'W Issued B __ _ --. — .... - •"-- a _ erm - Signature: Call Si ak S e 4 , . 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of t\ • reject. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential I ttu ()I I it 1 1 `..,1 OM l City of Tigard REC„.NED Dat ` 3 : /Amy /, Pern tt No.: �,e ,,,g 4 v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19601 - AN 2 x 11 DateBy: Z -/t7(/ Other Permit: a 41401/ T I G ARD Inspection Line: 503.639.4175 Date Ready /By: / Juris. ® See Page 2 for N otified/Method: Internet: www.tigard- or.gov /+�'� OP 7IGARD � q � , err- ^r�'�F Supplemental Information TYPE OF " R R t» K REQUIRED DATA: 1- AND 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 E l Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $80,000 1:1 Accessory building ❑ Multi- family Number of bedrooms: 3 III Master builder 1=I Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: XS Job site address: I O1 t n SW 96"' Ave New dwelling area: quare feet City/State /ZIP: Tigard, OR 97224 Garage/carport area: 245 square feet Suite/bldg. /apt. no.: I Project name: Solera Covered porch area: id square feet t}. Cross street/directions to job site: Greenburg and 96th Deck area: •.- square feet Z 7f Other structure area: Z/ square feet Z 6 REQUIRED DATA COMMERCIAL -USE CHECKLIST - Subdivision: Solera - I Lot no.: 8 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. New single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Everett Custom Homes Type of construction: Address: 735 SW 158th Ave, Ste.180 Occupancy groups: City/State/ZIP: Beaverton, OR 97006 Existing: Phone: (503)750 -6268 Fax: ( ) New: ® APPLICANT El CONTACT PERSON NOTICE Business name: Emerio Design All contractors and subcontractors are required to be Contact name: Neil Fernando licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6107 SW Murray Blvd #147 jurisdiction in which work is being performed. If the City/ State/ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons apply: Phone: (503) 515 -5528 I Fax: : ( ) E -mail: neil @emeriodesign.com CONTRACTOR Business name: Everett Custom Homes BUILDING PERMIT FEES* Address: 735 SW 158 Ave Suite 180 (Please refer to fee schedule) Structural plan review fee (or deposit): t ( 6- 7 S City/ State/ZIP: Beaverton, OR 97006 Phone: (503) 750 -6268 Fax: ( ) FLS plan review fee (if applicable): -®-- CCB lic.: 1.1 Total fees due upon application: V1/7g_ 7 5 18g� Authorized signature: , tl / i IA Amount received: This permit application expires if a permit is not obtained ,,, within 180 days after it has been accepted as complete. I Print name: N --- ( p. e4 l ■ DO I Date: if f, (t t * 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) . RECEVFfl Plumbing Permit Application JAN 6 2011 Building Fixtures FOR OFFICE bSE ()\E, ' City of Tigard CITY OF TIGARD Received • 9. 13ate.!Hv; �� � Permit Na.: �oRO 0' / rs` 111 . a 13 125 SW Hall Blvd., Tigard, OR 9 Ta LDING DIVISIC Plan Review Phone: 503.639. 171 Fax: 5[13.598: Di:te,lly: Other Permit No cut2olo!l - vo.4 10 3 TIGARD Inspection Line: 503.639,4175 Date Ready'Br rnri, H See Page 2for internet: www.ti ard or.goy NotitieLMethod. Supplemental Information TYPE OF 'iSORK _ FEE *. SCHEDULE EI New construction ❑ Demolition For special infbrntation use checklist. Description 1 Qty. 1 Ea. 1 Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 140 ft. for each utility connection> CATEGORY OF ; CONSTRUCTION - SFR (I i bath 312.70 ® i- and 2-family dwelling ❑ Commercial/industrial SFR (21 bath 437.78 SFR (31 bath / 500.32 sq^) , 3Z.. ❑ Accessory building ❑ Multi- family - Each additional bath,ikitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. fl.j Page 2 . ' JOB SITE INFORMATION AND. LOCATION Site utilities: Job site address:ait a SW 96 Avenue Catch basin seared drain 18.76 Diywell, leach tine, or trench drain 18.76 City /State /ZIP: Tigard. OR 97224 Fooling drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Solera Manufactured home utilities 50 -03 Cross street/directions to job site: Greenhurg and 96th Manholes 1 5.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: 1 Page 2 Storm sewer (no. linear ft.: _1 Page 2 Water service (no. linear It.: _) Pace 2 Subdivision: Solera - , Lot no.: 8 Fixture or item: Tax map; parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 . ❑ TENANT Expansion tank 12.51 Fixture/sewzrcap 25.02 Name: Everett Custom Homes Floor drain/floor sink (hub 25.02 Address: 735 SW 158th Ave, Ste.180 Garbage disposal 25.02 Ciry /State /ZiP: Beaverton, OR 97006 )lose bib 2 5 -02 Phone: (503)750 -6268 Fax: ( ) Ice maker 12.51 ® APPLICA ''T ❑ CONTACT PERSON lnterceptorgrease trap 25 .02 Business name- Emerio Design Medical gas (value: $__) Page 2 Primer 12.51 Contact name: Neil Fernando Roof drain (commercial) 1251 Address: 6107 SW Murray Blvd #147 Sink/basin /lavatory 25.02 Cily./StateJZiP: Beaverton, OR 97008 Solar units (potable water) 62.54 Phone: (503) 515 -5528 Fax:: ( ) Tub /shower /shower pan 12.51 Urinal 25.02 E -mail: neilt wemeriodesi;n.com Water closet 25.02 .'CONTRACTOR Water heater 37.52 Business name: a , 7j ,fh/ Water pipinuDWV 56 Address: / . 1 , S //7 . _ // � /Lf . J . Other: 2 2? -02 City /State /ZIP: 41:7orgWc ©T - 97 ©R, Subtotal ,C - Db ,3z_ .� ~ Minimum permit fee: 572.50 Phone: () 1 7/l ax: (,3 f Plan review (25 '3, of permit ice) CCB Lie.: /' 0 / Plumbing Lie. no.: Z --6L /,� State surcharge t 12° it of permit feet i � U t ot/ Authorized signature:' TOTAL PERMIT FEE i 60 .1 d Print name: r (/f{if j 4 , r This permit application expires if a permit is not obtained within ISO days G/!(� /�(� Date: / 7.1,// This it bas been accepted as complete. 'Tee mertwdoIo y set by Tri- County Building Industry Sen.icc Board. I.- RuikiiniS ,Perrmtti'•PIMlf- PennitAltp.doe 10.5105 44-46161'110 0:1 Mechanical Permit Application RE t FOR OFFICE USE ONL g Cl Of Tl and Received Permit No.: �`y' Date/By: fe / [11� / / 1114 " • 13125 SW Hall Blvd., Tigard, OR 97223 /? L Phone: 503.639.4171 Fax: 503.598.196 JA other Permit av/ GxDO TI G A R D Inspection Line: 503.639 Date Ready /By: ions: � ® See Page 2 for Internet: www.tigard- or.gov CITY OF T T' Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST 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* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating /cooling Air conditioning Job site address: (/ SW 96 to Avenue (requires site plan showing placement) 46.75 City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) / 46.75 L 4 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Solera Lot 6 Heat pump 61.06 Cross street/directions to job site: Greenburg Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Solera Lot no.: 8 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances t DESCRIPTION OF WORK Water heater T 23.32 3 r az NEW S.F.R. Gas fireplace I 33.39 ..1 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 ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Everett Custom Homes Environmental exhaust and ventilation Address: 735 SW 158 Ave Range hood/other kitchen equipment I 33.39 '3, 3 1 City/State /ZIP: Beaverton, OR 97006 Clothes d er exhaust I 33.39 ,? y� Single -duct exhaust (bathrooms, Phone: (503)750 -6268 Fax: ( ) toilet compartments, utility rooms) Li 23.32 q3 . Ei APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Emerio Design Fuel piping Contact name: Neil Fernando $14.15 for first four; $4.03 for each additional Address: 6107 SW Murray Blvd #147 Furnace, etc / / I1 Gas heat pump City/State /ZIP: Beaverton, OR 97008 Wall/suspended/unit heater Phone: (503) 515 -5528 Fax: : (503 -) 6592 Water heater I Fireplace E -mail: Range i CONTRACTOR Barbecue y j Clothes dryer (gas) Business name: k A M I ' D 11ti Al f l A tf COO )", Other: Address: t ! (0 0 1 _ • A` , • \ A MECHANICAL PERMIT FEES* City/State /ZIP: in i I L,,,fGttA fr > 01 p Subtotal Zr] .eri t — l /; 7 � Minimum permit fee ($90.00) Phone: (5 ) '7 _ I - 5 , 09.1 _ ( Fax: ( SO • i ) tug fi/ —? (, ,,�)- Plan review (25% of permit fee) CCB lic.: sg t � , / State surcharge (12% of permit fee) 33 ,V.... 1 TOTAL PERMIT FEE 0 0141 Authorized sigq >. This permit application expires if a permit is not obtained within 180 i t days after it has been accepted as complete. Print nam • , ■ '--. Datq 1 I . I * Fee methodology set by Tri- County Building Industry Service Board . r I:\Building\Permits\ME itApp.doc 10/01/09 If. 440-0617T (ll /07JCOM/wEB) ■ Electrical Permit ApplicatioRECEIVED h(>12 Ot Flc1. I S11 ONI -Y City of Tigard � /' i, W 6� c Permi No.: ,� ili 13125 SW Hall Blvd., Tigard, OR 97223 JAN 6 2011 Plan Review B Phone: 503.718.2439 Fax: 503.598.1960 pate/B : Other Permit: / - l / � j 'r i I i ;\ a I) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard or.gov Notified/Method Supplemental Information TYPE OF e R :1•11411; a r a li * * *1 ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 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. Meg* , � . • CATEGORY OF C T UCTIO fir ' r ll ? a, z exceeds 10,000 amps at 150 volts or El 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. 0 Installation of 75 KVA or . i�� iB S v z t R 11 1t �AN13 0{ , r a r ❑ Emergency system. larger separately derived system. `�c , Q i a, �; ['Addition of new motor load of ❑ "A ", "E", "I -2 ", "1-3 ", Job no.: Job site address: r( /asC. ) /1v4 100HP or more, occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR 97224 ❑ Health -care facilities. 0 Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: Solera ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Greenburg and 96th Description 1 Qty. Fee Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Solera I Lot no.: 8 1,000 sq. ft. or less f 168.54 4A 4 Ea. add'l 500 sq. ft. or portion 3 33.92 /D/, % 1 Tax map /parcel no.: Limited energy, residential "'' (with above s ft i 75.00 2 " Limited energy, multi- family 75.00 2 New single family residence residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 § a)` { as in ,r = tk r't 201 amps to 400 amps 133.56 2 S � ®��xI OV �a * � s =,rte �'�� . � atit.r...t .F. _ .... �:� h�`.� 401 amps to 600 amps 200.34 2 Name: Everett Custom Homes 601 amps to 1,000 amps 301.04 2 Address: 735 SW 158th Ave, Ste.180 Over 1,000 amps or volts 552.26 2 relocation services or feeders installation, alteration, and /or City/State /ZIP: Beaverton, OR 97006 elooc Phone: (503)750 - 6268 I Fax: ( ) 200 amps or Less 5936 I 1 201 amps to 400 amps 125.08 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 t, above service or feeder fee `is 'OANT i OW , , e sl 7.42 2 ' w `. , .. ® . g.. , ,, ,., s �.f each branch circuit Business name: Emerio Design B. Fee for branch circuits without service or feeder fee, first 56.18 Contact name: Neil Fernando branch circuit Each add'1 branch circuit 7.42 2 Address: 6107 SW Murray Blvd #147 Miscellaneous (service or feeder not included) _ City/State/ZIP: Beaverton, OR 97008 Each manufactured or modular 67.84 2 ty dwelling, service and/or feeder Phone: (503) 515 - 5528 I Fax :: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: neil@emeriodesign.com _ Sign or outline lighting 67.84 „ - , x g` , e 1 T $ :' r;, < . a '. Signal circuit(s) or limited- energy Business name: Wright 1 Electric panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 5618 SE 135 Ave Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 6625/ hr City/State /ZIP: Portland, OR 97236 Industrial plant (1 hr min) 78.18/ hr Phone: (503) 760 -8522 Fax: (503) 762 - 1823 Inspections for which no fee is 90.00 / hr specifically listed (%s hr mm) CCB Lic.: 162368 Electrical Lic.: 3 - 332C Suprv. Lie.: 3398S ' .,. ICAL PE M T ` FE Subtotal: 3 Suprv. Electrician signature, required: 10,4,6,„,;, d! b-1.4.1 t7 Plan review (25% of permit fee): Print name: Dennis Welch Date: State surcharge (12% of permit fee): yty y TOTAL PERMIT FEE: 54i36. rill 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. 13Building \ Permits \ELC- PcrmitApp.doc 07/01/10 440- 4615T(II/05/COM/WIiB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY Fee for each commercial $75.00 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 n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1: \ Building \Permits\ELC- PermitApp.doc 07/01/10 Building Division Development Code Provision Review T t G n R Residential Projects Building Permit No: 1 -0c0O4 CWS Service Provider Letter Received: Yes ❑ No N /iy Routed Plans: � /l(� /, l / I Original Plan Submittal Date: p 1st Revision Submittal Date: ❑ Site Plan Only 2 Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact ate at 503 -718- ‘ ,2` 'S or @tigard- or.gov) La d Use Case No. Silt S - DDD Name �t12-r� v1 g Fr L Zoning I I� Setbacks: Front / S Rear !s Side Street Side / D Garage Maximum Building Height 3S Actual Building Height 3 El Visual Clearance Id Easements 8 ' Sensitive Lands Type: k) � A Notes: Original Plan: Approved Er Not Approved ❑ Date: i /40 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: En . 'neerin • Review contact Mike White at 503 - 718 -2464 or MikeW ' ti: and -or. t ov FA Actual Slope: 4 otes: Original Plan: Approved Not Approved ❑ Date: i Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City r orist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) 1 s treet Trees Protected Trees Notes: Original Plan: Approved El Not Approved ❑ Date: 74 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) nditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Ye) N ❑ W Date Routed to Building: / / / Page 2 of 2 �� Copy N 0 T .. m , _ m N O 214-1* \, \mnm e 0 10' oki ; 31 1f ; ;10g; W NOl O b SCALE: 1 = 10' re x • I - -- -- — . 4 , I _ I I I LOT 9 I X x 27' a I I I I I I L . J x I l __ 1 1 I 219.2' 1 11 1 a kt 4 2173' I Z U -- 8' -- -- — 1 -- -- - - N 8 PUE ,^ a EXISTI x �" 122.53 Y I -*------151--------°-r- L I � 217 6' S 218.3 z x 1 WATER METER EXIS 1 O — — — -� — — IlL S`�IN ; RY LA TERALI 1 , , �,� ..._.. , . ��.. _ -_tea , �� �, I C7 I_ — I W x cn a , 1 • LOT8 o x I 3.079 8 SF I I. SOLER Z I .r v A FRENCH ° o D I.1.1 cn I 1 IQ x PROPOSED CONCRETE D I 1864 SF N = O 1 3 BDRM �1. ° 1 x 1 . 2 1/2 BATH W Z I x O� I I L I Q o a .. ,,,,, : ■ is , ... ,Vr ..mss.:.: F m:.... . < a:=. . ''-7I-' , _ x ... 1 I (c//3 3 W x . � � a. : . 20.67 -------_,...1 - 30 --� 42.82 42.82' v ' m I '9 218.4 5 ' 218. _ " i � Q � � I -- -- -- 123 — — . 79' -- x V — — 0 O� 1 I X 1 218.1' I - o I N � • ( I LOT 7 220.1' ce o X I I F- I I 1. I p o I V s V, E l i A csi 7 NOTES: y ® - C') 1 ZONE: R -12 ALL GRADE AND PROPERTY LINES ARE ESTIMATES V C) BLDG COVERAGE: 36.8% OF CURRENT LOCATIONS. 2 x) .I• IMPERVIOUS AREA 1,133 SF t--} ALL DIMENSIONS AND SQUARE FOOTAGE ARE �' ' _ " . SETBACKS APPROXIMATE FIGURES. N N Y c ,g FRONT 15' �, GARAGE 20' DRIVEWAY MAY DIFFER DUE TO LOCATION OF 1 SIDE 5' UTILITY BOXES, STREET LIGHTS AND OTHER SITE REAR 30' CONDITIONS c o m c -§ W Q. an CC 0 iimiC13 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, _p6• c n!6 , am the general contractor or the owner- builder at the following address: Site Address: //if/ Z sW C` ,fro City: 7i OA. ?7z2_3 z2_3 Permit #: /115T ZOO! 06-004( Subdivision/Lot #: sitofr. 4 . es . 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: t r L - - Date: S / / eneral Contract' r or Owner - Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: / MM T 200 oco !/ Jurisdiction: /77- n Site Address: /' Ail°, 77 y4'✓D 0A. T7 Z Z3 Subdivision/Lot #: �� z . 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: ti/lfrr Date: X7;(0-49 / • , er /General tractor /Authorized Agent Print Name: 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 i STREET TREE CER TIFICA T IAN I , - °� Cam, N Z , owner/ agent or F , e 7 C� smr- » S g f (PLEASE PRINT) (PERMIT HOLDER) do hereby certitv that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: / Zv // 606 ST1 E ADDRESS: //f/ Z.... s'(^ q6T Ak-e . 113 SUBDIVISION: So P✓ LOT #: g SIGNATURE: 0) “ - - DA1 E: 8frVan (OWNER/AGENT) RECEIVED & VERIFIED BY: - AIP DATE: S 7gS2tc) l �CTTY OF TIGARD) ❑ Tree location verified per approved site plan. • I: \Building \Forms \StreeareeCertificate 07/01/2010