Permit MASTER PERMIT
11/11 ' CITY OF TIGARD
_- COMM DEVELOPMENT P erm i t #: MST2011 -00094
Date Issued: 06/17/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109DA15700
Jurisdiction: Tigard
Site address: 15362 SW GREENRIDGE PL
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 76
Project: Arlington Heights No. 3, Lot 76
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First: 1850 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 16 Bathrooms: 2 Second: 0 sf Garage: 480 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 1850 sf Value: $214,880 50 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 3 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: 4 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 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: 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 -2 1850
Owner: Contractor:
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
16869 SW 65TH AVE #505 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 681 - 4444
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 Geo Tech prior to footing
inspection
PHONE: 503- 387 -7577 PHONE: 503 - 387 -7577
FAX: 503 - 387 -7615
Total Fees: $16,408.36
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE . on law re. 'res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 10 through OAR -00 • '90. Y. may obtain a •••py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344!
/ ,
Issued By: L Permittee Signature: �' i
�i �
Call 503.639.4175 by 7:00 a.m. for the next available ins.
This permit card shall be kept in a conspicuous place on the job site until completion of the project. !%
Approved plans are required on the job site at the time of each inspection.
, r
Building Permit Application - ,- / ,: - , ,„ .i ,, ,
RECEIVED t- .
Residential FOR OFFICE USE ONLY
City of Tigard
9 2 011 R eceived
JUN
/, e.
q Date/By: / I i.... � / Permit No: u I sl�/ liCiCJ
13125 SW Hall Blvd., Tigard, OR 97223 -
. g Plan Review
Phone: 503.639.4171 Fax: 503.5 D ate/By: Other Permit4a €940/ //..
p �i�$ TIGARD y y 65 See Page 2 for
I I C A R D
Inspection Line 503.639.4175 Date Read /,, hits: BUILDING D IVISION
Internet: www.tigard- or.gov Notif d/Me o d: LF I1 Supplemental Information
�P// L t - .e.,A, a1.,.../
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.
)
® 1- and 2- family dwelling Iii Commercial/industrial Valuation: $ 2_1(4k-e,.@6' �t
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I S SW (, EEN P-I D (' E ?L . New dwelling area: I fb 5 0 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 49) 0 square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: — 14 square feet
Cross street/directions to job site: Deck area:
31 (j) square feet
Other structure area:23 square feet r b
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: 1 (p 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 he
Contact name: Deirdre Britt 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: dbritt@stonebridgehomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: 173318
Total fees due upon application:
•
Amount received: 75 - 40
---- _, , _ .. R
Authorized signature: - - 4:? .....} 50
This permit application expires if a permit is not obtained
� R.l� B fare O� pct.,. , y within 180 days after it has been accepted as complete.
Print name: Date:
Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1 /02 /COM /WEB)
Electrical Permit Application FOR OFFICE USE • ONLY '
City of Tigard Received /„ dt ,/ �� P errot ti o. : 1 i� 0 '
1 111
, Y b rate e, : (y 7
I313> SW I l ll Blvd.. l'ir�ard, OR 97223 Plan Re, ley,
t Phone: 503.639.4171 km 503.598.1960 DateBv: Other Permit. - .029
TIGARD'
inspection Line: 503.639.4175 date Ready Jun:: Q Sec Page 2 for
Internet: WW, w.tigard- or.trot Notified /Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that a pply (submit 2 sets of plans tc teats checked beloss 1:
® New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building ON CI' three stories.
❑ Demolition ❑ Other: n here the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 ,outs 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 or 75 kvA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency ssstem. lorg l
arsepaatel }
PL. ❑ Addition of nCn motor load of ❑ ...�• , ..I: _�-' "I-
Job no.: 1417 Job site address: 15342. S W (,REEK 1� DIvE PL.. 10011P or more. occupancy.
❑ Six or more residential units. ❑ Reelcational ∎chicle parks.
City/State/ZIP: Tigard, OR 97223
❑ Health-care facilities. ❑ Supply s olta!e for more than
❑ Hazardous locations. 5011 \ olts nominal.
Suite /bldg. /apt. no.: Project name: Arlington Heights ❑ Ser, ice or feeder 600 amps or more.
FEE SCHEDULE
Cross street directions to job site: Description I 06'. I Fee. I Total I "
New residential single- or multi - famil) dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights I,ot no.: `•)' b 1.000 sq. fl. or less i 168.54 t ,�- 4
La. add'I 500 sq. R or portion '•j 33.92 10f' I
Tax map/parcel Ito.: • Limited energy. residential
DESCRIPTION OF WORK (with chosesy.lt.) ) Za ,
Limited ever*, multi- family
residential (with above sq. ft.) 67.84
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
Name: Stone Bridge Homes 101 amps to 600 amps 200.34
601 amps to 1,000 amps 301.04 2
Address: 16869 SW 65th Avenue #505 ON er 1.000 amps or volts 55'.26 2
City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)387 - 7577 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 135.08 2
intended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date:
......_.__....._.__.._....._..__...__....._.._ ...............__ _.._^_._.__. _ A. Pee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee.
each branch circuit 7'42 2
Business name: SEE ABOVE 13. Fee for branch circuits
without service or feeder fee,
Contact name: Deirdre Britt 56.18
first branch circuit
Address: Each add'l branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City /State.ZiP: Each manufactured or modular 67.84
dwelling, service std /or feeder
Phone: ( ) Fax:: ( ) Reconnect only 67.84 2
E -mail: dbritt<dstonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuits) or limited-
Business name: Cit Electric energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City/State /7..1 P: Sherwood, OR 97140 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (971) 404 -1714 Fax: (503) 625
investigation per hour I 1 hr min) 116._5
CCB Lie.: 42422 Electrical Lie.: 26 - 289C Suprv. Lie.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 25'w>
Print name: Chuck Friesen Date: 06.09).11
Plan review 125% of permit tee):
f
State surcharge 112% of permit ice): A--1,4-4-
.
Authorized signature: ) TOTAL PERMIt' FEE: 3 8k,,'74_
Print name: This permit application expires if a permit is not obtained mithin NO Dale: days after it has been accepted as complete.
" Number or inspections allowed per permit.
I: aitu Winc APermitsll :l.U- PernlitApp.doc 10,01119 440 4615rt I I e05;t'opq'Mil
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of T igard
Received
�/1�
Y I)ate•By: l �, IJ Permit No.: � AYY7 -1
1,11 a 1 3125 S W 1 tall Blvd.. Tigard, OR 9722 3 Pl Rectee f � �/�� Phone: 503.639.4171 Fax: 503.598.1960 Oil emit: � d � ��w 0 0g.3
Data'B}:
T,TGARD Inspection Line: 503.639.4175 1)ate Rea(1),B.: Juri>: RI See Page 2 for
Internet: www.I or.gns 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) 01
❑ Demolition ❑ Other: mechanical materials- equipment, labor, overhead - and profit.
CATEGORY OF CONSTRUCTION
Value S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
® 1- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building
For special it fui'n us(' c ltcci(ii-rl.
❑ Multi-family ❑ Master builder ❑ Other:
Description (1t }. 1a 'Dotal
JOB Sift INFORMATION AND LOCATION Heating /cooling
Job site address: ,53Cp2 SW ((RE�NRID pi... Air tep
(requilres tus site plan shosrin,_ placement) 46.75
City /Stale /ZIP: Tigard, OR Furnace 100,000 B Its (ducwvents) ( 46.75 - ,,77 -
Furnace 100,0004- Wit (ductsheuts) 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
Flue'vent for any of above 23.32
Subdivision: Arlington Heights Lot no -: i J, 23 32
Other:
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK
Water heater 1 23.32 Z3• gill
Gas fireplace ) 33.39 •-5-5 * j
New, Single Family Residential Flue vent for water heater or gas
fireplace 23.32
Low: lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplaceiinsert 23.32
Chimney liner tlueit ent 23.32
® PROPERTY OWNER ❑ TENANT
tither: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Address: 16869 SW 65` Avenue #505 Range httud %other kitchen I
equipment 33.39
City/State/ZIP: Lake Oswego, OR 9703.5 Clothes dryer exhaust \ 33.39 3,`3
S ingle -duct exhaust (bathrooms.
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments. utility rooms) 23.32'��
❑ APPLICANT ❑ CONTACT PERSON Attic'crawlspace fans 23.32
Other: 23.32
Business name: same as above
Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address:
Furnace, etc. 1 14,1
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: ( heater 1
) Fax::( )
Fireplace )
E -mail: dbritt @stonebridgehomesnw.com Range k
CONTRACTOR Barbecue
Business name: Comfort Lone Clothes filler (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FI/ES*
CityiState /ZIP: Troutdale, OR 97060 Subtotal 2710
Phone: (503) 667 -5595 Fax: (503) 491 -8252 Minimum permit fee (S90.00)
Plan review (25% of permit tee)
CCB he.: 110091 State surcharge (12% of permit tee) 3 3
TOTAL PERMIT FEE 3 M g ,y
Authorized Sirttalul'8: This permit application expires if a permit is not obtained Within ISO
da) s after it has been accepted as complete.
Print name: David Heldstab Date: O(p • O Q)• 1 1 ' Ice ntethodologs set by I ri- Count) Building Industry Ser ∎ ice Boaid
I:\ likiildiug \ Pc.on as \ NIEC- Permit- App.doc 10;0609 440-4617r t 1 I 0 'C'OM (1 HS)
Plumbing Permit Application
Building Fixtures . FOR OFFICE USE ONLY
City of Tigard Received , 4
■ \_ , � '.I / I'ermit'Su: ; ° ./019q. Datolly:
li g 131'_5 SW Hall Blvd., "I igard, OR 97223
Plan Review
D •- Phone: 503.639.4171 Fax: 503.598.1960 Other Permit \o. 1,,,
DatetBy: : �
T I GARD Inspect iott Littc: 503.639.4175 Date Read), By: lois. p See Page 2 for
Internet: w'w'AA.tlgard or.gos Notified Method. Supplemental Information
TYPE OF WORK FEE° SCHEDULE;
® New construction ❑ Demolition For special information use checklist.
Description I Qt . 1 La. 1 Total
❑ Addition /alteration /replacement ❑ Other: Nell 1- 2- family dwellings (includes 100 It for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I - and 22- Tinnily dwelling ❑ Commercial /industrial SFR (2) bath 1 437.78 4'57: 76
SFR (3) ball) 500.32
❑ 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:
,lob site address: 153(02 SW (,REEN 1 101...., Catch basin or area drain 18.76
Dn « ell. leach line, or trench drain 18.76
City /State /ZIP: Tigard, OR 97223
Footing drain (no. Iwear It.: ) Page 2
Suite/bldg./apt. no.: 1 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.:) Pale
Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Arlington Heights Lot no.: ' 1 10 Fixture or item:
Tax map; parcel no.: Backtlow preventer 31.27
Backwater v Ave 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
New, Single Fancily Residential
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture 'sewer cap 25.02
Floor drain/floor sink /huh 25
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 Interccptor'grcase trap 25.02
Business name: SEE ABOVE
Medical gas (value: S ) Page 2
Primer 12.51
Contact name: Deirdre Britt
Roof drain (commercial) 12.51
Address:
Sink`basinllavatm 25.02
City /State /Z1 P: Solar units (potable water) 6
Phone: ( ) Fax: : ( ) Tub /shower shower pan 12.51
F. -mail: dbritt((6tonebridgehomesnw.conl
11rinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Legacy Plumbing
Water piping /DWV 56.29
)
Address: 8985 Hazelveru Way Other: 25.02
City /State /ZIP: Portland, OR 97223 Subtotal A -37
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: S72.50
CCB Tic.: Plan review (25% of permit fee)
159281 Plumbin g Lie. no.: 26 - 517PB 22
) State surcharge (12% of �jL
fee) .�
Authorized signature: " '7,, �,9- f J J • L_- TOTAI. YFRMIT FF,1:. 0, - J (
This Print name: Matt Nelson L his permit application expires if a permit is not obtained within 180 days
Date: L
after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
tVBuildingiPeumlrvPl Atl PcnnicApp dor I(001 '09 110 -4616 I( 1 0;02'('OMVU1 li)
11 q Building Division
Development Code Provision Review
T IcAR° Residential Projects
Building Permit No: H ‘ ( ao( /_ C OO S
CWS Service Provider Letter Received: Yes ❑ No y N/A ❑
Routed Plans: /
Original Plan Submittal Date: q
1st Revision Submittal Date: ' Ng. 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. I/
Planning Review (contact �1.1r / - at 503-718,::2-4V or -54 / @tigard-or.gov)
0 A 40. 3 /
Land Use Case No. � _, /1_ N ame �L /Il�(p7Y} 4�
EKZoning
Er Setbacks:
Front l S" Rear i S Side Street Side /b Garage
❑ Maximum Building Height 36 Actual Building Height 11
IL. Visual Clearance
5a" Easements S f Sue' g's ' Pa"."
LC S 0,16-
❑ Sensitive Lands Type: �o DkL
Notes:
Original Plan: Approved Not Approved ❑ Date: ti ( f 0:/ / I
Revision 1: Approved Er Not Approved ❑ Date: 4, jl
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope: 2•
Notes: 4.
Original Plan: Approved Not Approved ❑ Date: `
Revision 1: Approved_ k Not Approved , ❑ Date: 6 /NMI
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)
Street Trees
L] Protected Trees
Notes: cu.( i,V'
Original Plan: Approved ❑ Not Approved tI Date: 6-/y -)0//
Revision 1: Approved Not Approved ❑ Date: C • f6
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 Applic. t
om /
Okay to Issue Permit: Yes 4 No l�Q
Date Routed to Building: 1
II
Page 2 of 2
STREET TREE CERTIFICATION
_ _
a for .: .- gr 4 Pa
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert fy tha the fol location meets
City of Tgardlan�d';,use ,andde_velopnent standards
for street tree installation and ,is consistent
i�ith�:the appro_ved4 to plan.
P E R M I T NO.: m 5r 7o) I 0 0 0 - _ _ -
SITE ADDRESS: ) S 3 bZ S Cc/ iC
SUBDIVISION: i/ , (/t LOT #: 7
SIGNATURE: _ 1/` . DATE:
(o • )
RE CEIVED &
VERIFIED BY: DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I:\ Building \Forms \StreetTreeCertificate 07/01/2010
Oregon Residential Specialty Code R318.
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ,Dp 1/.r? / c , � � am the general contractor or the owner - builder
at the following address:
Site Address: I 5 3 6-z, & � '� R.- ; d9 8 City:
1 --- 15c!
Permit #: cr Zo 1 1 O ®Lf
Subdivision/Lot #: 7 `
and /or
Map and Ta Lot J
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: Date:
General Contractor or 0 er- Builder
I: \ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ! U O G Jurisdiction 74;9' /
Site Address: c
Subdivision/Lot #:
and/or
Map and Ta Lot #: '7 /
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: ' • ' 1/
'Owner /General Contr r/A orized Agent
Print Name: //v V-i
I 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