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Permit :- - , CITY OF TIGARD MASTER PERMIT •' 1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00070 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011 Parcel: 2S110CB08000 Jurisdiction: Tigard Site address: 12433 SW AUTUMNVIEW ST Subdivision: MOUNTAIN VIEW ESTATES Lot: 5 Project: Mountain View Estates, Lot 5 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1529 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 1550 sf Garage: 810 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3079 sf Value: $353,727.10 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach' 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 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 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 F u m > =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: 6 201 -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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3079 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports (Conditions) 12600 SW 72ND 12600 SW 72ND AVE #200 1 Structural Observation TIGARD, OR 97223 TIGARD, OR 97223 Retaining Wall 2 Ersn Cntrl 503 - 681 - 4444 PHONE: 503 - 639 -2639 PHONE: 503 - 639 -2639 FAX: 503 - 624 -0239 Total Fees: $19,021.73 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 -0090. You may obtai - • • of t '- ,direct questions to OUNC by calling 503.232.1987 or 1.800.332.234 Issued By: Li -- /�� Permittee Signature: Y Call 5,6tar y'i by 7:00 a.m. for the next available inspection date. This permit card sha be kept in a conspicuous place on the job site until completion of the pro t. Approved plans are required on the job site at the time of each inspection. y Permit Perat Applacatao E E Residential (� APR 2 8 2011 ny FOR. OFFICE USE ONLY y N. City of Tigard CITY OF PG , DateB� • /artr rai Permit No.: � `/- 7, . q 13125 SW Hall Blvd., Tigard, O A C 143bb � t D �" � G D l other Permit: J 1 Phone: 503.718.2439 Fax: 503.598. /VISION DateB : Plan R eview > /jam r' � / �r TI G A R D Inspection Line: 503.639.4175 Date Ready : y: luris: H See Page 2 for Internet: www.tigard or.gov Notified/Method: a 15 Supplemental Information TYPE OF WORK 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 ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. dwelling Valuation: $:3 ' - (v ® I- and 2-family g ❑Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: 5 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND..LOCATION Total number of floors: 2 Job site address: 12433 SW Autumn View Street New dwelling area: '''0 --m square feet City/State /ZIP: Tigard OR, 97224 Garage /carport area: 810 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Beef Bend to SW 122 Deck area: square feet 17 Left onto SW Autumn View Other structure area: square feet 3. - REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Mountain View Estates Lot no.: 5 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. Construction on new single family residence Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: . Name: J.T. Roth Construction Inc. Type of construction: Address: 12600 SW 72 °d Occupancy groups: City /State /ZIP: Tigard OR, 97223 Existing: Phone: (503)639 -2639 Fax: (503)624 -0239 New: ❑ APPLICANT ® CONTACT PERSON , ' BUILDING PERMITFEES* (Please refer to fee schedule) Business name: J.T. Roth Construction Inc. Structural plan review fee (or deposit): Contact name: David Jensen Address: 12600 SW 72nd FLS plan review fee (if applicable): Total fees due upon application: /, . City/State /ZIP: Tigard OR, 97223 7 !J° Phone: (503) 806-0602 Fax: : (503) 624-0239 Amount received: E -mail: davidj @jtrothinc com PHOTOVOLTAIC SOLARPANEL•SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mo ted Photo Voltaic Solar Panel System. Business name: J.T. Roth Construction Inc. Submit two ) sets of roof plan with connection .:. :r s and fire dep: i - - access, along with the l i Oregon Address: 12600 SW 72 • Solar Installation Spe - - Code ch • -.. st. City/State/ZIP: Tigard OR, 97223 Permit Fee (includes t .:- ` $180.00 and at •-- istrative fees): Phone: (503) 639 -2639 I Fax: (503) 624 -0239 S .• • ge (12% of permit fee): x•.,1.60 CCB lic.: 31700 <. Total fee due upon application: $201.60 Authorized signature: . `r This permit application expires if a permit is not obtained _ Ls . , within 180 days after it has been accepted as complete. _ Print name: David Jensen Date: April 27, 2011 * Fee methodology set by Tri- County Building Industry Service Board. l:\Building'iPermits\BUP- RESPer tApp.doc 02/24/2011 440 4613T(i l /02 /CO? .'WEB) 'Electrical Permit Application E FOR OFFICE USE ONLY . City of Tigard `2 /Jp `A A • APR 011 O Date1B Received : ,�/I D Awn Permit No.: / �, (J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • ,�{{ • / I 0 Phone: 503.639.4171 Fax: 503.598.196 Date/B : her Permit: p!((f / � ....,„ ....,„ , 0 TIGARD Inspection Line: 503.639.4175 �I TY OF TIGAr D � N Date Ready /ey: Juris: H See Page 2 for Internet: www.tigard - or.gov BUILDING DI V I SIO Noti fied/Method: Supplemental Information TYPE OF- WORK PLAN REVIEW ® 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. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ' ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: 12433 Autumn View Street 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard OR, 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: ' Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Beef Bend to SW 122 " Description I Qtv. I Fee. I Total I Left onto SW Autumn View New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Mountain View Estates Lot no.: 5 1,000 sq. ft. or less 1 168.54 'r( 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion (p 33.92,E 1 Limited energy, residential DESCRIPTION OF WORK ' ' (with above sq. ft.) 1 �`J CfJ 2 Wiring of new single family residence Limited energy, multi family 67,84 2 g g Y residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER . ❑ TENANT , . 201 amps to 400 amps 133.56 2 Name: J.T. Roth Construction Inc. 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 12600 SW 72 "d Over 1,000 amps or volts 552.26 2 City/State /ZIP: Tigard OR, 97223 Temporary services or feeders installation, alteration, and/or . relocation Phone: (503)639 - 2639 Fax: (503)624 - 0239 200 amps or less 59.36 1 Owner installation: This installation'is being made on property that I own which is not 201 amps to 400 amps 125.08 2 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 ta CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: J.T. Roth Construction Inc. B. Fee for branch circuits Contact name: David Jensen without service or feeder fee 56.18 2 first branch circuit Address: 12600 SW 72 "d Each add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City/State/ZIP: Tigard OR, 97223 Each manufactured or modular 67.84 2 dwelling, e Phone: (503) 806 - 0602 Fax: : (503) 624 - 0239 Reconnect t on l service and/or feeder only 67.84 2 E -mail: davidj @jtrothinc.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Grizzly Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 8002 NE Hwy. 99 #248 extension. Describe: Page 2 2 City/State/ZIP: Vancouver WA, 98665 Each additional inspection over allowable in any of the above Phone: (360) 909 -4080 Fax: (360) 694 -8939 P eciton 66.25 Investigation per hour (I hr mm) 66.25 • CCB Lic.: 186218' Electrical Lie.: C -572 Suprv. Lie.: 2643 - Industrial plant per hour _ 78.18 ELECTRICAL PERMIT .FEES . . Suprv. Electrician signature, required: Subtotal: ,4 0 v Print name: Ron Nelson Date: April 27, 20 11 Plan review (25% of permit fee): • State surcharge (12% of permit fee): , V.j. b J Authorized signature: TOTAL PERMIT FEE: Print name: Ron Ne[SUn Date: April 27 2O 11 This p ermit application expires if a permit is not obtained within 180 p + days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ BuiidingWermitsiELC-YamitApp.doc 10/0 4uW64ST(II /o9/COi4UwEa • Mechanical Permit A licatio E- FllvE) l Rece ived City of Ti and FOR OFFIC USE ONLY �° `` Permit No.: `J g ❑00000w rr ,, ■r H ref _ 00 _ 076 6 - 13125 SW Hall Blvd., Tigard, OR 97223 APR 2 2011 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit:a,A01/. . TIGARD Inspection Line: 503.639 ^ Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISIOV 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. . Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND, LOCATION • ' Heating/cooling: Air conditioning i Job site address: 12433 SW Autumn View Street (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) ( 46.75 4-1077' City /State /ZIP: Tigard OR, 97224 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Beef Bend to 122 " Duct work 23.32 Left on Autumn View 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: Mountain View Estates Lot no.: 5 Flue /vent for any of above 23.32 Other: _ 23.32 Tax map /parcel no.: Other fuel appliances: 'DESCRIPTION OF WORK ' - - - Water heater ' 23.32 ..Z- Gas fireplace 1 33.39 ' ?7 HVAC work for new single family residence 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 a PROPERTY OWNER ` . ❑ -- TENANT" - • Chimney/liner /flue /vent • 23.32 ` Other: 23.32 Name: J.T. Roth Construction Inc. Environmental exhaust and ventilation: Address: 12600 SW 72°d Range hood/other kitchen equipment ‘ 33.39 t; ) City /State /ZIP: Tigrard OR, 97223 Clothes dryer exhaust I 33.39 ' J / 503 639 -2639 Fax: 50 624 -0239 Single -duct exhaust (bathrooms, Phone: 3 +� ( ) ( ) toilet compartments, utility rooms) Y� 23.32 1.41— ❑ APPLICANT ' ® CONTACT' PERSON Attic /crawlspace fans 23.32 Business name: J.T. Roth Construction Inc. Other: 23.32 Fuel piping: Contact name: David Jensen $14.15 for first four; $4.03 for each additional Address: 12600 SW 72 "d Furnace, etc. R. h Gas heat pump City/State /ZIP: Tigard OR, 97223 Wall/suspended/unit heater Phone: (503) 806 -0602 Fax: : (503) 624 -0239 Water heater Fireplace • I E -mail: davidj @jtrothinc.com Range I , CONTRACTOR Barbecue Business name: B &M Heating Clothes dryer (gas) Other: ' Address: PO Box 1111 MECHANICAL PER MIT FEES* City/State /ZIP: Boring OR, 97009 Subtotal '324, 3 Phone: (503) 637 -3489 Fax: (503) 637 -5244 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 124757 State surcharge (12% of permit fee) l 4 1Z.— ��� TOTAL PERMIT FEE _ kg, �"� Authorized signature: L i2� This permit application expires if a crep perMit is not obtained within 180 r / days after it has been accepted as complete. Fee methodology se by Tri - Coup Building Industry name: Bruce Wye Date: Apri127, 2011 gy y �' g t>stry Service Board 1:1 BuildingtPe rmitsNEC- PermitApp.doc 09/09/10 440- 4617T (11H2lCOM/91EB) COV - Ptuni'bing Permit Applica l E t 11 . Building Fixtures APR 2 2011 FOR OFFICE USE ONLY IIII `J g DateB a 13125 SW Hall Blvd., Tigard, OR A 1 T Permit No.: )1t)T J�/ .. eyl�C/�G Cl Of TI and Received Q 9 D j � ' OF TIGa Plan Review Phone: 503.639.4171 Fax: 503,,t r.1 plVISlO Date/By: Other Permit No.: t �Q` /i T1 G ARU Inspection Line: 503.639.4175 L Date Ready/By: Juris: ra See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK , FEE* SCHEDULE 0 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 OE CONSTRUCTION : SFR (1) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 0 .2---- ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 12433 SW Autumn View Street 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: Beef Bend to 122 " Manholes 18.76 Left onto Autumn View 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: Mountain View Estates I Lot no.: 5 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 . ' DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Plumbing of new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I • ❑ TENANT Expansion tank 12.51 Name: J.T. Roth Construction Inc. Fixture /sewer cap 25.02 Address: 12600 SW 72 "d Floor drain/floor sink/hub 25.02 . Garbage disposal 25.02 City /State /ZIP: Tigard OR, 97223 Hose bib 25.02 Phone: (503)639 -2639 Fax: (503)624 -0239 Ice maker 12.51 ❑ APPLICANT e CONTACT PERSON Interceptor /grease trap 25.02 • Business name: J.T. Roth Construction Inc. Medical gas (value: $ ) . Page 2 Primer 12.51 . Contact name: David Jensen Roof drain (commercial) 12.51 Address: 12600 SW 72 "d Sink/basin/lavatory • 25.02 City /State /ZIP: Tigard OR, 97223 Solar units (potable water) 62.54 • Phone: (503) 806 -0602 Fax: : (503) 624 -0239 Tub /shower /shower pan 12.51 E -mail: davidj @jtrothinc.com Urinal 25.02 Watet closet 25.02 CONTRACTOR - Water heater 37.52 Business name: Malmedal Enterprises Water piping/DWV 56.29 • Address: PO Box 207 Other: 25.02 City/State /ZIP: Banks OR, 97106 Subtotal 1- 7t't 5_ Phone: (503) 324 -0759 Fax: (503) 324 -0580 Minimum permit fee: $72.50 CCB Lic.: 102535 4i( 1' 14-- Plumbing Lic. no.: 34 -276B 7 , /1( P ►n review (25 %of permit fee) I State surcharge (12% of permit fee) 0.10, Q Authorized signature: ,��� , / TOTAL PERMIT FEE Print name: Kris Malmedal Date: April 27, 2011 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tti- County Building Industry Service Board. t:\ Building \Pamits\PLMI}- PemiltApp.doc 10/01/09 4404616r(10/02/COM/WEB) RECEIVED ?�, ,1 ai ..- ... 1 v q --e N 89 W' � � °� N 44 °1.5'10' W JUN 2011 T 58.25' �� 0.54' *;.. �> �0�� CITY OF TIGAR v ,� o , 1 ,, BUILDING DIVISI N MARK STEWART i d i t' S 11 05 19' F HOME DESIGN — i 19.72' �7 ,r i st: ' _..,a A . S 18 °3.9'04 , ` -. mt. X- —1 I 1 51- 5' - e -� 4.70' 9 ' FG.'• hl 0..r ` '� � �� i I3191 0EN EC O d j e : 1' } a vi i'45 Tt Chegon 91Oh2 I� r� y b I 031 BBS9311 P , f GS 03) 5.9.4137 F 0 p ' " � 1 i 9 � ` , © 6 : �. ' ; � � wmerketawere eom ti Nli r - ' f G • :'13 5' ' `9 ^ Q � / ' FG • 313 - / // .. 3S 'V 7.- @ . f j e t I I ,� I MF_ . 3 - � ' 1 ,.'1 y 0 � ` • I I / I ^J' /1� Stock Home Plans 6jy � Custom Desl9n ' / / G 310 .0' ' � � O I Builder Market! � � Interior Design I ' I SInCe 1982 131112— ' I' © V _L 310.0' / / F. • 312.0' I 0m p1.a w! try d.p. tivn _ _ I '7b Mo. r u. � I,' T I , tent Disclosure � � ----.1 �� IL� _—J �° Please read, ' � X 17 �� � 0 P r �j '".c• 4�-, ' S 69°49 2" /7 /f I 1 Z-� ;9r/' �'~ , • Iw.u a 9 i / 04.0/ 3650' .��,� -R�,, ' .1. • rh. w... °.. ' .• / ^^).(' � i 0 6 ..... ar °we.mq JT ROTH MOUNTAIN VIEW g P.-N °sy • MOUNTAIN VIEW ESTATES LOT #5 1) SW AUTTMN VI EW STREET ESTATES LOT /5 . APRIL z, 2011 Potlf ® SCALE: 147=1 0 H5fonol!— Q,-?C� SITE " Building Division Development Code Provision Review T i G n iz ° Residential Projects Building Permit No: CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ❑ Routed Plans: Original Plan Submittal Date: o1g 1st Revision Submittal Date: / ❑ 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 Ora at 503 - 718 - ,)-4,5 I or ✓ @tigard- or.gov) Land Use Case No. t( - , Ull Y'000 Name O`ra j) (Id nn Zoning t-i E r Setbacks:.✓ Front /b Rear / s Side Street Side I D Garage Er Maximum Building Height 3 S� Actual Building Height 2 q-;< Er Visual Clearance ar asements g 1 Sensitive Lands Type: QJJ S SPA, Notes: Original Plan: Approved Not Approved ❑ Date: waif ( I Revision 1: Approved 12r Not Approved ❑ Date: to f 4I i l Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: lid Notes: Original Plan: Approved Not Approved ❑ Date: 4- 2 - Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) 1S Street Trees Protected �rees a 11 / Pfr I A Notes: Pte. .)-/ ( (4. I- It4�/L. J & � 64 3,, ^ / i (, f"^ Co N.c. ov% , Original Plan: Approved ❑ Not Approved % Date: ��t Revision 1: Approved 0 Not Approved ❑ Date: f/ ✓ f/ 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: Yes 4 + ■ Date Routed to Building: Page 2 of 2 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK, ONLY:, „ Fee for all residential systems combined ... $67.84 Check Type of Work Involved: ® Audio and Stereo Systems* ❑ Burglar Alarm ® Garage Door Opener* ® Heating, Ventilation and Air Conditioning System* ® Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY:. Fee for each commercial $67.84 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape T.ighting* • ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:1 Building \Permits\ELC- PermitApp.doc 10/01/09 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, SK , am the general contractor or the owner - builder at the following address: Site Address: k(1/4.k-s,-v-vt--... City: � y > O Permit #: — ooeO O Subdivision/Lot #: A 1 ` , � b C olkk v t �57� 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: r Date: 4b ) (9 General Contractor or Owner - Builder L \Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: S t 1i � Jurisdictiom _.[ a i J Site Address: 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: 'a f) wner General Contractor /Authorized Agent Print Name: 4A LLS (1" 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- HighEfciencyLighting.doc 07/01/08 ir•. STREET TREE CER TIFI A TIO 4 TI GRAD; N I, 1 QL ■ , owner /agent for C��tis►� , (PLEASE PRINT) (PERMIT HOLDER) do hereby certj 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.: MSS ill- aao SITE ADDRESS: 1 a 2 , 4 ) / ,x.....v ..,,, S . SUBDIVISION: LOT ■ #: SIGNATURE: 1 L / DATE. /L((,). (OWNER /AGENT) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I:\ Building \forms \StrectTreeCertificate 04/01/2011 t or!' r 0,4/33 )1A/ l�'1��rl ifil✓4- i1 Project: Roth Mtn View 4 and 5 i/ _ V v 9 0 page Mark Stewart front / Location: Column 1 at front of garage �}ff�� ,r M347 ark Stew art Home Design G #ffi31� ' 6� Column NW 9 Ave of [2009 International Building Code(2005 NOS)] Portland, OR 97209 5.5 IN x 7.5 IN x 9.5 FT #2 - Douglas-Fit-Larch -Dry Use StruCalc Version 8.0 106 0 9/19/2011 11 13 49 AM Section Adequate By. 1.2% LOADING DIAGRAM VaRT(CAL REACTIONS Live Load: Vert -LL -Rxn = 11887 lb Dead Load' Vert-DL -Rxn = 10085 lb Total Load Vert-TL -Rxn = 21972 lb B COLUMN DATA Total Column Length. 9 5 ft Unbraced Length (X -Axis) Lx 9 5 ft Unbraced Length (Y -Axis) Ly 9 5 ft Column End Condtion -K (e) 1 Axial Load Duration Factor 1 00 COLUMN PROPERTIES #2 - Douglas -Fir -Larch Base Values Adjusted Compressive Stress Fc = 700 psi Fc' = 539 psi Cd =1.00 Cp =0 77 9.5 ft Bending Stress (X -X Axis) Fbx = 750 psi Fbx' = 750 osi Cd =1 00 CF =1 00 Bending Stress (Y -Y Axis) Fby = 750 psi Fby' = 750 psi Cd =1 00 CF =1 00 Modulus of Elasticity F = 1300 ksi E' = 1300 ksi Min. Mod of Elasticity E min = 470 ksi E min' = 470 ksi Column Section (X -X Axis) dx = 7 5 in Column Section (Y -Y Axis) d/ = 5 5 in Area • A = 41 25 in2 Section Modulus (X -X Axis) Sx = 51 56 in3 Section Modulus (Y -Y Axis) Sy = 37 81 in3 A Slenderness Ratio Lexidx = 15.2 Lev /dy = 20 73 AXIAL LOADING Live Load PL = 11837 lb Column Calculations (Controlling Case Only): Dead Load PD = 10000 lb Controlling Load Case. Axial Total Load Only (L + D) Column Self Weight CSW = 85 lb Actual Compressive Stress Pc = 533 Si p Total Load PT = 21972 lb Allowable Compressive Stress. FN = 539 psi Eccentricity Moment (X -X Axis) Mx -ex = 0 ft -lb Eccentricity Moment (Y -Y Axis): My -ey = 0 ft-lb Moment Due to Lateral Loads (X -X Axis): Mx = 0 ft -lb Moment Due to Lateral Loads (Y -Y Axis): My = 0 ft-lb Bending Stress Lateral Loads Only (X -X Axis)' Fbx = 0 psi Allowable Bending Stress (X -X Axis): Fbx' = 750 psi Bending Stress Lateral Loads Only (Y -Y Axis) Fby = 0 psi • Allowable Bending Stress (Y -Y Axis). Fby' = 750 psi Combined Stress Factor: CSF = 0.99