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Permit CITY OF TIGARD MASTER PERMIT ¢``1 2 . COMMUNITY DEVELOPMENT Permit #: MST2011 -00036 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/13/2011 Parcel: 2S110CB09900 Jurisdiction: TIGARD Site address: 15368 SW ARLINGTON TER Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 87 Project: Arlington Heights No. 3, lot 87 Project Description: New SF. Demo credits from BUP2006 -00394 applied to this case. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1264 sf Basement: 936 sf Left: 5 Parking Spaces: 0 Height: 3 Bathrooms: 3 Second: 1422 sf Garage: 460 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3622 sf Value: $378,645.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 7 201 -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: ALT SF VB R -3 3622 Owner: Contractor: STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 16869 SW 65TH AVENUE #505 16869 SW 65TH AVE # 505 1 Engineered Soils TIGARD, OR LAKE OSWEGO, OR 97035 2 Ersn Cntrl 503 - 681 -4444 PHONE: 503- 387 -7577 PHONE: 503- 387 -7577 FAX: 503- 387 -7615 Total Fees: $9,872.72 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 . • - - _ • - ce 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 day . ATTENTION: 0 •on I requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 001 -0010 through OAR ' - 001 - : • '. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I- ued By: / Permittee Signature: Call 503.639.4175 by 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 the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE 1JSE ONLY City of Tigard 1 1 ` O Received Date/B : 0 4„ Permit No.: is y , . III 1` � - • 13125 SW Hall Blvd., Tigard, OR 9722 '�• Plan Revie ill Phone: 503.639.4171 Fax: 503.5' '! 4 A Y � Date/B : a ! s Other Permit , , / ��/ - . T I G A K D Inspection Line: 503.639.4175 1 `w � Dace Ready i y: ® See Page 2 for r Internet: www.tigard- or.gov \4\‘\\ � AQ � Notified/Method: Supplemental Information Cp TYPE OF W REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ D�p~q{�� Permit fees* are based on the value of the work performed. U" Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ &her: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: 21 1 ,/.3 1, 1- and 2- family dwelling ❑ Commercial/industrial 4 4 $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: Z , 5 JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: I55cog Sw Avi ,{- 1 w ut New dwelling area: Lt b square feet X26 *M City /State/ZIP: Tigard, OR 97223 Garage/carport area: 4( square feet / L /ZZc:p Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: I Zip square feet / 3 b is Cross street/directions to ob site: j Deck area: ��8 square feet 'is 6_,Z Z Other structure area: j2f Ifopz square feet Z REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Arlington Heights Lot no.: 8-7 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 Residential Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge Homes Type of construction: Address: 16869 SW 65th Avenue #505 Occupancy groups: City /State /ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)387 -7577 Fax: (503)387 -7616 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: SEE ABOVE All contractors and subcontractors are required to be Contact name: Gayland Forsberg licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: jimd @stonebridgehomesnw.com CONTRACTOR Business name: SEE ABOVE BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State/ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax:( ) CCB lic.: 173318 Total fees due upon application: Amount received: Authorized signature: Kituss This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 14 10.kil 1 hats va i ^ Date: * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(1 l /02 /COM/WEB) Plumbing Permit Application Building Fixtures � FoR 011:1( . 1k 151. ON I.1 City of Ti and Received `' g C/ 0))‘ Permit No.: 1 a 13125 SW Hall Blvd., Tigard, OR 97223 n \ Date/By: � DOQ 3t; e 4 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 \ ` aate/By: Other Permit No.: I I t, ; K a Inspection Line: 503.639.4175 4, � P. ead /By: turfs: ® See Page 2 for Internet: www.tigard or.gov AS , jred/Method: Supplemental Information TYPE OF WORK C�ryv FEE* SCHEDULE ® New construction ❑ Demoliti " For special information use checklist Description I Qty. I Ea. I Total El Addition /alteration/replacement El Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 1:1 Accessory building SFR (3) bath 500.32 ry g ❑ Multi- family Each additional bath /kitchen 25.02 El Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 165(A SW (1Y1 1/1611A -revreui . Catch basin or area drain 18.76 City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _) Page 2 Suite /bldg. /apt. no.: I Project name: Arlington Heights 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: Arlington Heights I Lot no.: 97 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New, Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name: Stone Bridge Homes Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16869 SW 65'" Avenue #505 Garbage disposal 25.02 City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02 Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON interceptor /grease trap 25.02 Business name: SEE ABOVE Medical gas (value: $ ) Page 2 Contact name: Gayland Forsberg Primer 12.51 Roof drain (commercial) 12.51 Address: Sink/basin /lavatory 25.02 City/State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 E - mail: jimd@stonebridgehomesnw.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Legacy Plumbing Water piping/DWV 56.29 Address: 8985 Hazelvern Way Other: 25.02 City/State /ZIP: Portland, OR 97223 Subtotal Phone: (503) 816 - 8887 Fax: (503) 297 - 4587 Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: 159281 Plumbing Lic. no.: 26 - 517PB State surcharge (12% of permit fee) Authorized signature: ' 7, ' � . TOTAL, PERMIT FEE Print name: Matt Nelson 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- PeTmitApp.doe 1not nu .45.40l6 1)I0/0JCOM /w1in1 Electrical Permit Application 0 Received ) FOR OFFICE USE ONLY City of Tigard � 1 wtera : Permit No.: / 411/ — 000 li g 13125 SW Hall Blvd., Tigard, OR 9 Plan Review B Phone: 503.639.4171 Fax: 503.598.TTTTTT960 1 A � Date/B : Other Permit: TI G A R [ Inspection Line: 503.639.4175 G' " ` r : to Ready/By: Anis: ® See Page 2 for Internet: www.tigard- or.gov l � N , , N on led/Me Supplemental Information -- — - — TYPE OF WORK(\ � �l O 1 EW ® New construction ❑ Addition/alteration lacement 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. CATEGORY OF CONSTRUCTION IF exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14.000 ❑ Commercial - use agricultural ® I- and 2- 111ntil) d\telline ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. 0 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.: 145 Job site address:15 $ Q I00HP or more. occupancy. I SW r f yam., ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: J Project name: Arlington Heights ❑ Service or feeder 600 amps or more. R FEE SC13EDIJLE Cross street/directions to job site: Description I Q'. l Fee. I Total I ` New residential single - or multi- family dwelling unit. Includes attached garage. Subdivision: Arlington Heights I Lot no.: in 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 I Limited energy, residential DESCRIPTION OF WORK 67.84 (with above sq. ft.) 2 Limited energy, multi - family 67.84 2 residential (with above sq. ft.) Services or feeders installation and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER I El TENANT ,. 201 amps to 400 amps 133.56 2 Name: Stone Bridge Homes 401 amps to 600 amps 200.34 _ 2 601 amps to 1,000 amps 301.04 2 Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)387 -7577 I Fax: (503)387 -7615 200 amps or less 59.36 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with APPLICANT I ❑CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: SEE ABOVE B. Fee for branch circuits without service or feeder fee, , Contact name: Gayland Forsberg first branch circuit 56.18 - Address: Each add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 E -mail: imd@stonebridgehomesnw.com Pump or irrigation circle _ 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: City Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2 City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (971) 404-1714 Fax: (503) 625 -3052 Investigation per hour (I hr min) 66.25 CCB Lie.: 42422 Electrical Lic.: 26 -289C Suprv. Lie.: 35925 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES 1 ` . Suprv. Electrician signature, required: Subtotal: Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: ,1 TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. " Number of inspections allowed per permit. 1:\ Building \ Penults \FLC- PennitApp.doc 10/01/09 440- 46151-(1I/05/COM /WEB Mechanical Permit Application ,„-c ANV� FOR OFFICE USE ONLY City of Tigard C ,\ Received Date/By: Permit No.: III 13125 SW Hall Bh -d., Tigard, OR 97223 IA Phone: 503.639.4171 Fax: 503.598.1960 �P . � Plan Review Other Permit: .Slrj D " D ateBy: Inspection Line: 503.639.4175 Date Ready /By: Juris: El See Page 2 for Internet: www.tigard- or .gov p G`PI ",S Notified/Method: Supplemental Information L1 TYPE OF rah0 COMMERCIAL i SCHEDULE - USE CAECKLIST Mechanical permit fees* are based on the value of the work New construction El 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 FRES* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. 0 Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heatiny,/cooling Job site address: � Air conditioning � 53b $ 3 W f ti ( -re rya Lc (requires site plan showing placement) 46.75 City /State /ZIP: Tigard, OR ✓ Furnace 100,000 BTU (ducts/vents) 46.75 Furnace 100,000+ BTU ( ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06 Cross street/directions to job site: 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 Q Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: V / Other: 23.32 Tax map /parcel no.: Other fuel appliances DZS IPTION OF WORK Water heater 23.32 Gas fireplace 33.39 New, Single Family Residential 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 Chimney /liner /clue /vent 23.32 PROPERTY OONZR . 1 D,7ENANT Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Address: 16869 SW 65 Avenue #505 Range hood/other kitchen equipment 33.39 City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (503)387 - 7577 Fax: (503)387 - 7616 toilet compartments, utility rooms) 23.32 0 .FPUCANT ❑ CONTACT PERSON craw p ce fans Attic/ Is a 23 32 Other: 23.32 Business name: same as above Fuel piping Contact name: $14.15 for first four; $4.03 for each additional Address: Fumace, etc. Gas heat pump City/State/ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: jimd ®stonebridgehomesnw.com Range CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer (gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES* City/State /ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee ($90.00) Phone: (503) 667 - 5595 Fax: (503) 491 - 8252 Plan review (25% of permit fee) CCB lic.: 110091 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: y This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: * Fee methodology set by Tri- County Building Industry Service Board I:\ OuildinglPermits ,MEC- PemtitApp.doc I0,01/0S 440 - 46)71(11 /02'COM /WER) 1 STONE BRIDGE OBE: 1458 HOMES NW LLC LOT: 87 16660 SW 66th AVE.. * 606 DATE: 2/25/11 LAI' OswsGO, OBIGON 97036 PROPERTY' ARLINGTON (503)367-7577 RECEIVED CITY: TIGARD HEIGHTS SCALE: 1 =2O MAR -1 2 011 PLAN No.: 236 CITY OF TIGARD OPT. 1 ELEVATION BUILDING DIVISION S Q 111101111111/ , W 6 0: ; EL .• a =wA 9:0 , <> :, • '' .. '. SEi. i , ii. STORM _ _ 41111%0 4 . _, morir_ ., 2 ■ 29' -0 V1' d , W ATER ° t 2 i I ` � L � ... 2 1 } .,291 4 2 .. ..., • :. DRIVE (/ Ir2 '. .. 2::11 I - - a0 mom ill t eL ■212' - - _ ® � , II► ell in ' ( =. 264' in z ®' -m' N N N N N N N N LOT COVERAGE STREET TREES LOT AREA: 5,016 SQ. FT. ilk 2' I Cal; fe_C f BUILDING AREA: 2,054 SQ. FT. - PERCENTAGE: 40% IYRUS CAL - R lA hs`QP -Z NOTES: 0 ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT $I DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5016 .q. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. III '' Building Division Development Code Provision Review T 1 CARD Residential Projects Building Permit No: / I /)(i37 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: ' 1/ , 1st Revision Submittal Date: O ❑ Site Plan Only 2nd 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 _ A 1 6i,' at 503-7184- or 50(4[_EY @tigard- or.gov) Land Use Case No. 5443.30D fa O000 Name fte,t-14G Tot t 4'fS IVD.3 ❑ Zoning ❑ Setbacks: Front I > Rear IS Side, Street Side 0 Garaie J c9 - 0 _ ❑ Maximum Building Height 3 S Actual Building Height _ ) 7 C, - Visual Clearance &et c r ❑ j,asements e' Sensitive Lands Type: Ru S SLO('E5 6 pO rl32 - 4 v aS '44 "` Notes: Original Plan: Approved 7 Not Approved ❑ Date: 3/ 3 ( I/ i Revision 1: Approved .r Not Approved ❑ Date: 31A It Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ❑ Actual Slope: !— Notes: Original Plan: Approved Not Approved ❑ Date: Revision 1: Approved , Not Approved ❑ Date: 3 ii Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) — / Trees (3 Protected Trees /- Notes: nc, i t i 1 4— ' a'/ � .r/C r w7 '‘.7)149 Original Plan: Approved 0/ Not Approved I Date: V1 Revision 1: Approved Not Approved ❑ Date: Y g / ` v l/ Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard- or.gov) ❑ Conditions 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: Y:. 1, No ►! Date Routed to Building Al, Ar r i Page 2 of 2 RESIDENTIAL ENERGY CHECKLIST MEASURES Floors Fenestration Walls Ceilin•s HVAC ENII Misc. cn iimi a a D W oi w p cr 0 . N m °o a � Q. o- o •-.1 al P. 0 0- a A. 0 m D 1 c n c 7 D o o p c w N Q a I A ''' =. � . w 2 w 0 — 1 A = Q. O N (D 3 D_ w a o o v a n. e. 5 (I 5 c- 4 a (p co ( a fa ° vi y N w CD D cn ft] �• 7 Oo c c (D o• ° D CC] cn m o o . , `n , a N c a a v, j' m cD 9 (/) a, to 41 iv @ o o m Q v �1 -rt 01 rt v c o w D 1 j a o v m m w v v, to m w in -, o Q c) �• c Cn — I I a w II EIt!tiI . w o o a n o m < N , r m , o w w � -0 c a- c m- m _ w o w T 7J o o m o a o .h a7 T TJ m W m c c R _ n o .. W - E, b (.J A) a)• N O N •�I (.) co N w O N , 3 �• m c w. 7 Additional Measure Path o cn o cn N a o " o m 0 cn O W J m D „ 00 t3 _° m C) cn (1 fn ■■.■_ ,_e;iE■■■■■ III f i d r t I 2a High efficiency ducts — certified- sealed ■■.■ ■■■■■■ ■■ .■ ■f • J ■, ` a1 ■�. � ,., 1,:;'.� �ja i 2b High efficiency ducts —all interior MINI■■ . ■■ �.�■ . ---,. - . 'MI ■ ". iI , ■■�.' ,' r 4 3 High efficiency building envelope Fi 1h s a 7 ": :^,27:r .-,11 r ; 43 try 4a Zonal elec ht, ductless fum or ht pump -hi eff ltg ■■■. ■�■�■■ MI MINI }1 : : -g 1 - [ f i, 1 , ,, ' F ; �, 4b Zonal elec ht, ductless Earn or ht pump -U -032 1111111r:L'-: ',, ......1 . � . 0 1 j rr ' . r : r window & sl :lass doors r 1 1f r r Zonal elec ht, ductless Earn or ht pump-imp roved S ceilin s iiiiiiit„,1111111111/;47..111.;11111 : I lL , . � i M a tt ! > 1 ; . 1.-.... ` ' .. s } -- ii �' g 4d Zonal elec ht, ductless furs or ht pump -P.24 wall MINI■■..- _. MINI■■■' -'` •;.■.■.. : :MINI: . : i _ 3 1sri +.. '.I 1 2 i - 3 h t } r• 5 High efficiency windows /ceilings /lighting MINI■! ,l.■■■r.■ ■. ■ . -L:. _ .:,:■■■ •� • I i 1 iiit i s ■i 1 1 ;'`. 6 High efficiency windows /ceilings /water htg t ■ + { )( Mad ■■■4 ^., ■■■��■�.. .■r a■ ... -a _,� ■u5 if t .� ^s:■.�. .i . .T��:.iN 7 High efficiency water heating/lighting MINI■■ ■.MINI!■. :• :■� " -� ;j■I2. It 1�,'".'i_ ■■k l 8 Solar photovoltaic MINI.■.. 1■■■■■■. MINI ._ . ■a ' " �_ l.e:J*1 .A Fr l■II'' 1 9 Solar water heating ■■■■....-._■■■■■■ ...,:.,■■.<... � � ......,Vii ,� � i.m t� . � X �U A Skylights with vinyl, wood, or thermally broken aluminum frames and low-emissivity coatings shall be deemed to satisfy this requirement if total skylight area installed is 2% Y r Y tY g fY q or less of total heated space floor area. B Hinged doors only does not include sliding glass doors. Sliding glass doors are categorized with windows. Glazi that is either double pane with low -e coating Y gg gg n g g P g on one c surface, or triple pane shall be deemed to comply with this U -0.40 requirement. o Must have a U- factor of 0,047 or less. See Table N1104.1(2) for acceptable assemblies/U- factors. E R -38 standard scissors truss is U- 0.042. 10 -inch deep rafter vaulted ceiling with R -30 is U -0.033 and complies with this requirement. F Must have a U- factor of 0.031 or less. See Table N1104.1(2) for acceptable assemblies/U- factors. . Must have a U- factor of 0.025 or less, See Table N1104.1(2) for acceptable assemblies/U- factors. Air handler must be sealed combustion -air unit with air supply ducted from outdoors and is located within the conditioned space when all- interior ducts are utilized. 'p ,� STREET TREE . r 33,' .� CER TIFICA TION ; ^,G ° AR ®' I, ,1) P v) ve- I G s( z__ owner a ent or 3. -e_ B n d (3,c g oa,,,e,-, (PLEASE PRINT) (PERMIT MOLDER) do hereby certi 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.: IA" Ste— 2,U L l OD 03.4 SITE ADDRESS: ) 5 3 [A 5 b-J 4-- s\ ma -� L ) ,-(' , V SUBDIVISION: I v� \ c (A_y j s \ ----. G (;�- -- LOT #: s7 /J , f SIGNATURE: ����� /_ , DATE: j— (�, (OWNER /AGENT) RE CEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) I I Tree location verified per approved site plan. / I:\ Building \Forms \Streetl'reeCertificate 04/01/2011 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS • Permit No.: O / s-- 71) ( 3 Jurisdiction: , r d Site Address: S3 v - v 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 N1107.2) ^, / / Signature: Date: Owner /General Contractor /Authorized Agent Print Name: 2 a ' 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 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, /"} In V� 15 �� , am the general contractor or the owner- builder at the following address: Site Address: � Q City: O (,G U (C Permit #: 5 r- 70 L( O o i l Subdivision/Lot #: II b �— and /or Map and Tax Lot #: g 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: / 7 / Date: / General Contractor or O)ner= Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 s ot ° 4 4 ,U • 4440*.• �•.••.•.•.•.••.•.•.••••••••••••.•••••••••••••.•.•.•.•••• ••••••••••••••••••••••••••••••1 " 1, 1, 11, II, 11II, 11 II11IIIIIII1II111, III111II, 11 ,11,II,II,II,11,II,II,II,II,I, III., II, I, II ,II,11IIIII,IIA,II N,1, ., II, I1, II,II,II,IUTAIUI!1IU1 1 II, II II ,1,1,A,1,1,II,.1,1,1,.1,I,1,1, 1 1, I, 1 1, I, 1, I, 1, I, 1, 1, 1, I, 1, 1, � {,1,1 ,I1,1,(J�� \ /, 111,_ 1111, 11,1,1,11,1 „1, /„ 111, 1 /,/, 1_ I,_ I„ 1 11, 1./ 1„ 1, 1, 1,. 1,, 1 1„ i„ 1, 1. 1, 1„ 1, 1,_ 1,. 1„ i. 1, 1, 1, 1!, 1„ 1, 1, 1,, 1 1�1, 1, 1, 1. 1, 1_.,. 1.... �,....,............,....,.... ...,. ..........1.... • This home has been professionally insulated with • • OWENS • � • , CORNING ® Owe Corning _• f INNOVATIONS PROPINK L77 PINK Fiberglas”" Unbonded Loosefill Insulation '' —• =; / (Job Site Address) �� �= Name � I � / t�' / Address 1-' . ." -j e7 ea '/ 1 ` =i s City S tate. Zip : ; = w ens orning PROPINK L77 PINK Fib Unbonded Loosefill Insulation • ;; Owens Corning will accept no responsibility when the product is not installed in accordance with the product label. Stated R -value is provided by installing the required a • : number of bags at a thickness not less than the labeled minimum thickness. Installation of the required number of bags may yield more than the specified minimum thickness. • ;; Failure by the installer to provide both the required bags and at least the minimum thickness will result in lower insulation R- value. { �� := • a • Specification for Open Blow Attics Attics _Floors ♦ 4111:74...."--::• - , ' Bags Per . Maximum •M'munum Weight/ If imuin ,- hi m a tided Mmm tnsedled Omsk Nairn .' NS Pen.. Mm • =� • ' &-.il ' - 1000 Suit ' N_ei Cmeiagei ' Sq. ft. T iclaiess Iin) Thiekness'' ,.. rMdmeu:' Ws Perl[u: Fe towage ' . Per Ba ,1008 Sq. Ft tbi. PerSq 1t' • New Constru - _ R -13 5.5 182.9 0.180 4.75 4.75 31 '2x8 1.4 39.0 25.6 0.846 • Retrofit 15-19 8.1 124.2 0.266 6.75 6.75 39 2x10 1.4 30.6 327 1.079 • 9-22 9.4 106.3 0.30 7.75 7.75 48 2x12 IS 23.5 42.6 1.406 ► • 411111C4 Number of bags used • 15-26 11.2 89.6 0.368 9.00 900 = • • 4 Estimated R - value of R - 30 13.0 77.0 0.428 0125 10.25 Cathedral Ceiling : .. 16=2 ±; previous insulation R -38 16.8 59.5 0.55 1275 R.75 R - Mmnnumi I ns taO e d - Densiq Manmuin Bags 16 Mmueum weight R.44 20. 49.8 0.662 14.75 14.75 B ' .0 G Thtluies's. -, the Mn (si'Ft Cifenge PFF'.Bag I000,Sq _It - yd. Pei, Si, Ft . : �• a =... ;; Area of coverage (sq. R) 11-49 2.2.6 44.2 0.747 16.25 16.25 28 2x8 1.3 42.0 23.8 0.785 ACM • R-60 28.5 35.1 0.940 19.50 19.50 36 2x10 1.3 32.9 30.4 1.002 . ' Other type(s) of 36.9 1.2 44 2x12 1.3 27.1 9 9 e • , insulation in attic C �♦ Walls 1 • Thickness of insulation - Mmuwm , Instilled (Bent, .s an Me en Bags Poi'.: . M mmomseight p 'This product shows negligible settling. �♦ • R,ratid 2� i : Th1dnw " - We Cu. R n Per Cu � 'Covegx. Pen iBig ; Sq ; 1000Fr Ws 14r Sq - - : ft • • �. Depth of previous 13 33 (2x4) 1.3 87.0 11.5 0.379 • i .........=0, • � I S 35 (2:;4) IS 75.4 13.3 0.438 • r4 21 55 (1+:6) 1.3 55.4 18.1 0596 ♦ 4,= 24 5.5 (2x6) 1.8 40.0 25.0 0.82 may , • •r: �♦ • 4: Loosefill insulations vary in thermal performance due to factors such as aging, mean temperature, settlement, convection, moisture absorption and installation variation. • 40= % Convection in glass loosefill insulation installed in open attics can reduce its thermal performance in extreme winter temperatures during the heating season. • Blanket Insulation ,.......=.0 Blanket and Batt fiber glass insulation, when installed according to the manufacturers recommendations, will 5.5" provide the stated R- Value. iR -18 in a 5.5 cavity : = •�:• g g P tY R- VALUE. =1 - : To obtain an insulation resistance (R) of R -38. R.-38C R -30 R •30C • R -25 R -22 R -21 R -19 R -IS R -13 R -I I O ; 'MINIMUM THICKNESS `: 0=24 Installed insulation should be: 12" 10.25" 95" 8.25" 8.0" 6.75" 55" 6.25 "I 35" 35" 3.5" ;: • : — ■ - :: THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE: • • i _ ♦ • Kraft . Unfaced Foil . FS -25 R- aloe Thickness No. pkgs. Coverage Area ' =1 411=-•:::: Ceilings ❑ ❑ ❑ ❑ .. `• • ❑ ❑ ❑ ❑ • 0 Floors ❑ ❑ ❑ ❑ ' . • ❑ ❑ ❑ ❑ ,:==i it ::'s ❑ ❑ ❑ • ❑ Basement ❑ ❑ ❑ ❑ • t - 0 • ! . Craw lspace ❑ ❑ ❑ - ❑• • C ontractor % � D /B u i lder D • • a • Company Company a : a=r1vILIC(51gr"ht7 " ef LJa 1 oviv, �1.6.� ( � � ` = : Address Ion Rnt 3ci 41 Address 4. •= Phone Hillsboro, OR 97123 Phone • •= : OWENS CORNING INSULATING SYSTEMS, LLC . ONE OWENS CORNING PARKWAY {� • 0.=,... , OWENS TOLEDO, OHIO, USA 43659 Pub. No. 45145 -0. Printed in U.S.A. Jul 2009. THE PINK PANTHER"' & • • r: CORNING an y a • 7: 1 - 800 - PINK" ©1964 - 2009 Metro - Goldwyn - Mayer Studios Inc. All Rights Reserved. • INNOVATIONS FORU11NG' www.owenscorning.com The color PINK is a registered trademark of Owens Corning. 02009 Owens Corning. : / 1 1 1 1 1/ t 1 1 1 / •., e. r. r♦ r. e. r. r♦ e. I• e. e.♦. e. e. r• r. r. r• r. r• r. e. r .e.••IYI.• :.ir�rY:.•rYY.Y.•r YtiY.'1�:r• �Vr.•rie1•rYr.•e�rYr�:Y:.•irr Yr�i Ce�:�i.•r.•r.Y�r.•r.Y� �� k %11�i ' 1 ' II ' II ' II ' II ' I I ' i t i t i l II 11 I l I I I VI I I ' I I ti t I I I t i t l '' I I I ' 11 ' I I I ' I ' 1 ' I I�1�1 I i I hl I l�l 1 l l I hl I I ' I I I ' I ' 1�1 1 1�1 ' 1�1 1 1 ' I I I ' I t liA 4 * * ** ** •i•**i*****i• * *•i *i* *i* * *i*i **i*****ii* * * * *i *****ii *i**i* •* *i * * * *i *ii** *ii*i* *i ** ***4,` (Y 0 7 0 aba3(9 1536 5 ) iGkr \ ' 4O n escrAc -- 5 — L960 • hft This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. I BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: D fAv\ tlje (s.: e (../ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED --,- MAY 2011 FROM: o .,�_ ` 5T�� I e. -: , -c :6 ,-c l .- , V S CITY OF TIGARD COMPANY: BUILDING Di ` IOC: PHONE: -- Zc.), —176 7 • 6,az RE: / S 36 g 5v-) Pi , ' 1 ei A• , (--- a cam// - U c,c 3 U (Site Address) 'e it/Case Number) c A gU f ` i'-9 P ,� roject name or subdivision a and4ot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Cop' • s: Description: Additional set(s) o tans. Revisions: bete i`'� 6're X ce (ocn. -,{D) e . Cross section(s) a d tails I/ Wall bracing and/or lateral analysis.c `- Floor /roof framing. Basement and retaining walls. �e/nr`�7� Beam calculations. Engineer's calculations. L `` 5 Other (explain): . REMARKS: Kj / • . FOR 0 FICE USE ONLY ; . s ed to PeThhn i cian: D ate: 1'Z i ( Initials: �i► V Fees Due: O No Fee Description: „,,,L-.- i` L -.- . " te: $ . $ Special // Instructions: Repririt Permit (per PE): ❑ Yes / ❑ D ne Ap licant Notified: Date: ( rgo � e ,W/ Initial • I:\Buildin Forms \TransmittalLetter - Revisions.doc 4/4/07 3 -