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Permit /9 k",-- 7 64,, dv c 111111- CITY OF TIGARD MASTER PERMIT *' - C OMMUNITY DEVELOPMENT P ermit #: MST2011 -00162 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10(07/2011 Parcel: 2S108AB03900 Jurisdiction: Tigard Site address: 14262 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 1 Project: Brentwood Estates, Lot 1 Project Description: New SF with accessory residential unit. 12/29/11, CHANGED ELECTRICAL CONTRACTOR. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 3970 sf Basement. 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 0 sf Garage: 750 sf Front: 20 Smoke Dwelling Units: 2 Third: 0 sf Right: 5 Detectors: Yes Total: 3970 sf Value: $449,462.00 Rear: 15 PLUMBING Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 0 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: Y 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: 7 . 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: 8 201 -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 3970 Owner: Contractor: STEEL CREEK HOMES LLC STEEL CREEK HOMES LLC Required Items and Reports (Conditions) 7327 SW BARNES RD #507 7327 SW BARNES RD #507 1 Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97225 PORTLAND, OR 97225 PHONE: 503 -519 -6078 PHONE: 503 -519 -6078 FAX: 503 - 987 -1448 Total Fees: $22,172.71 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 rul >= - • • • = • by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 95 - 001 -0090. You may obtain a • • • • e r = or direct • estions to OUNC by calling 503.232.1987 or 1.800.332.2344. / -I Issued By: - .lam ` i — • •rmittee SignatuFe: .��_ : . > 1!w = = .� Call 503.63' .,'c. # 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. Dec 29 2011 2:45PM HP LASERJET FAX 5033560513 p.1 Electrical Permit Application . ham Foil r11!4 i4 F. list: ONi,V City of Tigard Received g axvigv ; M 13125 SW Hall Blvd., Tigard, OR 97723 P'an Review • : . • phone: 503.718.2439 Fax: 503.598.1960 -cw a t5ztdra : Other Permit; TI GAR tj. Inspection Line; 503.639 � ` , �y O '\\ Date Ready/By; lurle, See Fagg 3 for Internet; www,tigerd- or.gov S Y �. , ' 1 11, Notificd/Method; Supplemental Information ;' , ' . :K; . yFlr T .'ii''','.1a1. ,. i�" . .r • Fi: -. ,, pi:: p , `y �, .. <,.. . '• , n.�: x'.': , , , n'�Ad, , `ti; "i;}., ,�. r„ : + „- :.f"��. , , wr ■mC' ; ..!C;.; =, '�L '�,,� `'.� ' �..,; „ . ,., i . l .. . ' � . , � . • :, . +l , + � . :. 0 New construction ❑ Addition /alterationlreplaeer + t s Plena cheek all that AyDiy (submit lasts of plans W /Irene checked be10w): Gp El Service or feeder 400 amps or more ❑ Building over three stories, ❑ Demolition ❑Other: `S. where the nvnilable fhult current ❑ MAYtdat sod boatyards. buildings. :' ..'vr . gi . -kN.a,; ' h, a' 4 ''�p :: ( " "f," :; " `wr ,�"l ,..r' !silyl�i'� "+ t i;>i;;i' • t : exceeds 10,000 ast,pset 150 volts or ❑ Ploatint{ � /'� A G �' - ,f ,.i,>Q c� „^", ',�h' W';+'BR" �UI1,. ; +� >Il�k ". Y'1: °•`y;�a � "''{ ' "`'� '��•� '' '�' ,r " " "' w "� - 's'kr'1w.r.] lase to ground, oraxeeede ❑Commercial use agriculturat ❑ 1• and 2- family dwelling ❑ Ctmlmercial/ipdustria ❑ '- Accessory building Amps for all other installations, buildings, 0 Multi- family El Master builder 0 Other ❑ Fire pump. ❑ 111011164m of 15 KVA or • , airy vlle i „v: (KK yy ��!r}}.ii ° , "7 �vya,�' ,�•,j''t l,�?.nr lFfALi�.w:R� :I: 0 Emergency syeic tn. larger separately derived System. ,, ! ; tl I � dFr14l .0It r ':., 04, *'S") i:? 1 1 ”' y 'li 11. F ': �: ., . u r. �, � i, , rc +,r � ,a .i v ! % ❑ Addition of /ww motor load of ❑ "A "' "5" ,' I- 2` "'I -3" .rob no.. Jab site address i � p • IOOHP or more, occupancy. 1 ✓.�' I " I ■ Six or mom msidentinl units, 0 ReomahonAI uehlo.e parks. ✓ F-- r 0 Hoatth-oere facilities. ❑ 5o4 nom! or more then City /State /ZIP; �� "L ❑ Hazardous locations, Suite /bldg. /apt. no., (/ Project name; ❑ Service or feeder 600 amps or inure, ,;;?; ; a , : :kE : 10,4 0,1 , ' Cross street /directions to job site: De,crialion I Ob. I Pee I 'null I " ' New residential single- or multi - family dwelling unit. Includes attached garage. or lass 168,54 4 t R. Subdivision; " 7 tin t ��� Lot no.: I,000sq, Ea, ndd'i SOO sq. ft. or portion 33.92 1 Tax map /parcel no.: e ' Limited energy" residential 75,ou i,: :N''.'in w:, , o1r'W t ` A ,. : , { , ! � \''' °I∎ i; .; ., fi. Ji :' ,_with above aq Lim N^ -"�"` , (vAt Limited energy, (with a f above sq. amily 7500 2 . ©1 r � �d,r ..►-'p _�n dAr� - ( Y r ] � r ' / 7 \Jt.- r -f�,I� l (with b R) f LC. � \ t i v l ,,��, AA 6 ,l 0.. ,' I - 001 Q l.t [ ��- � residential Services s o r l feeders Inetallatl to on100.70/or relocation 2 r+7 ,.,t•_a�t�o /Y� ✓�ri 1. �,;+ ?;r- ��.Al, /,l�:w.Y,;,�.,�i.�l ,, 4 5e vn al ati n Cli. ,.: 1 ,-�n,;nll i i 4, '„ 411.F , i � �;,11s ,' ^; � , k! � 4.V , 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amp 200.34 2 • 501 amps to 1,000 amps 301.04 3 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: /Slate/ZIP: ' Temporary services or feeders installation, alteration, and /or Y relocation r Phone; ( ) Fax:( ) 200 am or Tess 59.36 I 201 amps to 400 amps 125.08 2 Owner installation; This installation is being made on property that 1 own which Is not 401 amps to 599 grata 168s4 2 intended for sale, lease, rent, or exchange, according to OILS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel ` Owner signature: _ Date: _ A, Poo for branch circuits with r�l yyi ,,. . r, yl ;,i; tw �!71S* .' 4, :i!; #' u +„ f �y���yr,,I;,{ �.:r r�{l ? „i'::( above service or feeder foe, ;'', i 4 ,; r,i74, Irseit,,�Ytl;;;Ii i ilhITit,:',, 4,';ii� -VO t :iiglill t Ul .,i4, #0,0,t:f, a'.u': '„ . each branch circuit 7,42 ? • Business name: B. Fee for branch circuits wallow service or feeder fee, first 56 18 2 _ branch circuit Contact name: Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67 s4 City /State /ZIP: dwelling, service and/or feeder Phone: ( ) Fax: ; ( ) Reconnect only 67,84 2 Pump or irrigation circle 67.84 2 L -mni l: `:`; (r ?ti;'V° J q 'I$n .jtll , i''�l i,' :` �i' M. o-i�'” ` °� "�f16'i�i�j;i'f'! "rS�;1;11 %' Sign or outline lighting 67,84 2 i . . :a ; ° ig1,: )i::`, • ,. . il. - l�„1 .e.; *0TT'iS +,' ?fa.l:;,,., , : ,, ,: ^. ; i'I:;t; : ' f ?:.1;;l 1' �, �,li;,,::;:: Signal circult(s) or limited-energy Business name: RK Electric, Inc, panel, alteration, or extension. PEW' 2 2 Each additional inspection over allowable In any of the above Address: 24495 NW Oak Drive Additional Inspection(1 hr min) - 66.25/hr City /State/ZIP: Hillsboro, OR 97124 investigation (I hr min) 66,25/hr _ _ . Industrial plant (1 hr min) 78. Phone; (S03) 640,1344 Fax: (503) 356.05t3 inspections for whi no fee is 90.00 /hr f:pc listed '4 hr m in CCB Lic.: 94275 Electrical Lic,: 34-375C Suprv. Lic.: 4724 -5 ' �+ w ''' ; t'k ` ) C E lE Suprv. Electrician signature, required:( Subtotal: Plan review (25% of permit fee): — Print name: Ron L. Kurtz 1 Date: ,. State surcharge (12% of permit fee); -------- r _ 'TOTAL PERMIT FEE: di :, Authorized signature: t 180 per it a ppric-rtfon expires If a permit is not , • dined +y��'({{hid 180 Print name: Ron L. Kurtz Date; / 9_- ,— V duyr after ft has been accepted as comnfete �/ i Nu b o' • speeuons allowed per permit �^� ' 1 �� •/t'r,' �1'1�� (� � C [ I: Ia, �ildinctnermilebLC- ParIIlltApp,deu 07,01r10 440.4415T(I1M(C0. 00 f6F 3 TO C t; 4 1 " I�v ' c-�t �— V` T 1111 CI OF TIGAR® MASTER PERMIT #: MST2011 -00162 .t Perm g COMMUNITY DEVELOP Date Issued: 10/07/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel 2S108A603900 Jurisdiction: Tigard Site address: 14262 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 1 Project: Brentwood Estates, Lot 1 Project Description: New SF with accessory residential unit. BUILDING Floor Areas Required Setbacks Required Stories 1 Bedrooms 4 First 3970 sf Basement 0 sf Left 5 Parking Spaces 0 Height 28 Bathrooms 4 Second 0 sf Garage 750 sf Front 20 Smoke Dwelling Units 2 Third 0 sf Right: 5 Detectors Yes Total 3970 sf Value $449,462 00 Rear 15 PLUMBING Sinks 2 Water Closets 4 Washing Mach' 1 Laundry Trays 1 Rain Drain 1 Urinals 0 Lavatories 0 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 Drywell- Trench Drain 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning Y 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 7 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'I 500 sf 8 201 -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 V B R -3 3970 Owner: Contractor: STEEL CREEK HOMES LLC STEEL CREEK HOMES LLC Required Items and Reports (Conditions) 7327 SW BARNES RD #507 7327 SW BARNES RD #507 1 Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97225 PORTLAND, OR 97225 PHONE 503 - 519 -6078 PHONE 503 -519 -6078 FAX 503 - 987 -1448 Total Fees: $22,082 71 This per. ed subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be d• e in accordan with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 181 day- ATTENTION: Ore••n I requires you to follow the rules adopted by the Oregon Utility Notification Center Th• rules are set fop in OA1 95. 001 -0010 through OAR 142- 001 -Or -I You may obtain a copy of the rules or direct questions to OUNC by calling 503 2 1987 or 1 801, ; 3 < ; 44. . / _ • .1117 a,- Issu - + By: �� PermitteeSignature: \ `� � Call 503.639.4175 by 7:00 a.m. for the next available inspect'. n date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicat' EEIVED Residential ' ,,�„ :� FOR OFFICE USE ONLY , , ', w �� tt SEP 2.2 2g11 City of Tigard Received , ::P::iiit l 4 d OR 2.71 _ Q .. O`�f &�� e o Q FTI GARD Pl an R eview �. 08, V 0 ' Phone. 503 718 2439 Fax 503 9 Date /B i .6 , M TIGARD Inspection Line 503 639 -4175 BUILDING DIVISIO Date Read t/ • Juns 0 See Page 2 for Internet www tigard- or.gov Notified /Method Supplemental Information — §'" , ,, .,�' 3: e,T,', ' rsz::�'�'r�,. b;4b.+^'„4t, � i - a ,er rK�w k W c '' emu-'_ its; .. i r r ', -'2 - , ;„s . 1 : 1 ',, < I ,, ..` .," -: > W ORK=' ., :y � • RE° 4 IJIRED. DA'I'1 1 AN Uh2 FAMILY DWGLLINGt ` • a�$ my; �! �r� „'°°`��i''�n'�'�'�?t5'��.., -�. a '�., ^A. a- , ,s.4.,../.„0 - _�� s#: `� °�! _ �... _ �.-x�,,.�, :.,,i.” �. � ... � .�;. & 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 \ " >" i s ..� w ' - -' , ; " OJ ' OF e ,� �, .�•„- , w ork indicated on this a . • M yy . ,• ._� - FY,,, ,Cr1TE GORY :.:OEg CONS'CR , „; i , : ' 3` fi i 'r application a�n4;. s ,. �d�`a....•.. },.,.�. -. �i!'..xi2,B�a, ...,� =o-.�'. n°':.. >.. ,. �_v t..a^ "x. *,� "," :,,� Y� =_5.; =^ ^.-',.: ro - s.,. ��. -.1, .., r'+'f �'� °fa i 0 T" I- and 2- family dwelling ❑ Commercial /industrial Valuation: S ❑ Accessory building ❑ Multi- family Number of bedrooms ❑ Master builder ❑ Other: Number of bathrooms 467. i :•��� s °,� °�`. - -> - „,�,':�' -.y , �. m- ��,'�"gs�°zv "� 3;dar ° .s>'A °. -: ^v �t=* ?;f��T �P� s�'=�€�, I * °:.,,,;�'P / P °xl '%' 0 r - � a.. t�^ ` Total number of floors. JOB SrTE IN RIVIATION ",, :.,a'N' "; ° - „ t �� S";��'�:�'` °s'��""�,+,` pia � =?a-s� =.mac _f .�4.u+��,.��s �s v,;� rr'"�n- r; sro,�.: .^_ ■ __ ' ^e�ar"fx.�:'��.�':� Job site address: / o . 7 . ,, / . _ • ,�' y •. L _-[ New dwelling area: g 7 7J) square feet City /State /ZIP• / i�y,/, OK_ q 7 ' Garage /carport area: -7�� square feet Suite/bldg /apt no : / Project name: ..- W00V 5�7k5 Covered porch area: �e�'�(� ) square feet ea Cross street/directions to job site: Deck area: /�' C square feet <Ijt) / i/ / / 1,,A 4 , 7Z � S fJC� L-( Other structure area. 7� .square feet ` / ,= REQUI DATA :.COMiM US {51., ' a';! - Sh RED "' :'s= . " ix� ° . �e- Pk ^""t. >n' *x`f°2"�3i?_ k�` `+ - Subdivision: t --�� 1 ) j — `— .5 Lot no.: i 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 1.4P 14'4, ?,:i? ,.t `•v ' i .J' , �. es ' �,�.,tri" - r *-r� � „°.� a a, ,s ' _ � 1_,? t= - " _' D ESCl2I P` 1 `.I ON'OF ,W O -x,, =` - :• , { work indicated on this application. ' :', x��` t.` .�.,;..'�asm�.^.-"- ,�+:a $ � `�r' �t�'�n'»� �, @-^ry_�.- � °. - k »< ,ail...',X;:.- �, S': n2F*�� , � w'-�,T�v�'��, ° a:��*-� "Y r i�'`� °` _', _ . ,. , » PP 14/ L � / / 1- ' Valuation S 4 ( ✓ v °\... Existing building area square feet New building area square feet 'V , : ,,, ti'c �E >�.'suh�, c,�ac'a: l a - , r i�-�,' :".• .'a ri., �Z•^ , .' - `; f _' /tv �„ �,,, i ': i *, Mi' V *; "> �� ':iss 44, "E d O :e; '' , E si_ , . y1 e.�::rt�r4-4_,..c, x�- : =-,�, � `,_,4,��' ` t� ,� ;ia " _'��„�. ®r ; TENAI\�T � ,,,t�s t:;� x �,�^ Number of stories: Name: i / .Y., ,,_e 7— 140,....I _ ( 14 r k° Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: Y ''; u :. .,X14��t au r��; e . ;.., :,. s�: `44 ,i..: si t •66 : - 'I- .�. y:�„�;r; .r „7 � ; - e y r# e , '`„ ►° ; 1 AI'P =, A`NT: .7� : , ,�t ^;5 ;- , G ; ° F <:i ';CONTACT PERSOr' ;m = rat t�.-- . =b,,. Ea,`. ,�t. ' r �, � � � z �BUI I:DING ;R ERMFI " I }E,E$ ; i , __ .,.�.. �¢ = �, --. �:'`u v ;mr x a yt; >. ... : �;r x: „1,,,,,,„..,,0„, € --�. �� ,•�,: � '" �. ; w,as�w 4'�9' + °° , z, x-,,1`. ',•r. i f m ' r e o f i e µ, a1: °t 4 0i . Business name' ° � � < � � '�° _ � � (!'lenseiejerla fee schedule) � � �, `� t ad; .e ° e •'• M t - L' � -e S --(--- Structural plan review fee (or deposit): Contact name: `_, I vi 7 . 'i (I YY FLS plan review fee (if applicable) • Address "7 z " t` f/ /� 2 ,7 yv— ( . j City /Sta /ZIP: (7) A �(2 g 7-7 ,z� Total fees due upon application: ��� _ p Amount received: Phone: ( �� , J�( Fax:: (r . ��� �� E-mail: = PIIOTO SOLAR PANEL SYSTEM FEES , `t - , €:4 s`, ; y r x ' ;`,� , -= ",,,, ", Y ,,,,y ri ^ i,, is"i =r, „,r.„;,. w;” :i` - 7Z .-^ -7.' csa <,4. , : ::t Commercial and residential prescriptive installation of i^ ' . v - »; > j`' ,r a ' .� i . r -F, '.� ' v' N774A T0K - v `•,' ;'' : ''; ; ''a = 5 =i. +:'r, : .F.r ,. <t`., q t; :, ltriu = .'.,� _ ;, :._ ; _t x� C O.,,,.. ,4,- ,,, :. :K;o -L ;ss , ;',A; , .s 3a` .vIryr w .° ,4, 4,1 roof - top mounted Photovoltaic Solar Panel System 4�,y , rs I ,� i Business name: 'L,.6 7 - v6 . ./ _ .'LS t /4 / Submit two 2) sets of roof plan with connection deta'. and fire depart! access, along with the _ . Oregon Address: Solar Installation Spe .lty Code c• • ist. City /State /ZIP: Permit Fee (includes • -an review $180 00 and as • nistrative s) Phone: ( ) Fax: ( ) State sur •,rge (12% of permit fee) $21 60 CCB he r � - -/ Total fee due upon application $ , 1.60 Authorized signature: ��� !��( G -. � l/ ^ \ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name. / e_. 1 i ) Date / � * Fee methodology set by Tri Building Industry 1 Service Board I \ Building \Permiis\3UP- RESPermitApp doe 02/24/2011 440- 4613'l'(I I /02/COM/WEB) OCT 07 - 2011 (FRI) 08:28 Bear Electric (FRX)5036781108 P 001 /001 Rx Date /Time OCT - 07- 2011(FRI) 08:15 5035981960 P.001 10/87/2011 10:38. 5935981969 CITY OF TIGARD PAGE 01/81 KitCtIV $ectrical Permit Application I•r,u r si I. is I., I .Si.. ON I.1 City of Tigard S E P 2 2 2011 Faill2ret P—(0 41: r?T (94711 /ro 13325 SW Hall Blvd_„ Tigard, OR 97223 111.._ • Phase: 503.7182439 Fax 503.596.1960 OFT " no Rev;e.v B Ph Other Permit;; _ 240/4. . t l e,+ I: I:r inspection Ling: 503,639,4175 BUILDING DIVJSIO oar . Internet: www•7ig3rd- or,gov VP! ' *} NotiOad/Attthgd: fi Y �• ' t ' P! OF � Ny ., ' I ja • :., : .j4.4, 7tiF• t' • 1; .�'�• r .: • ■ '• :r *'C7. • ' 1't' A New e0fStnICtibn 0 Addition /alteration/replacernen€ Time Check ill that misty (submiti of plans + hem shocked berg.): taerl'tOG1jOri Oth er. ❑ Service or feeder 400 two* or rapxe ❑ Building 0Wr Once srarid• *ma trot available (bolt ems of Q Marinu and boatyards. . .. 6;i itOORY' • C 1'R1)'t Old =cods 10.000 amps at 150 volts or © Flsatia67nitdingt. law to wined et cacao& 11,000 0 eornmerniatwae na*iaalhaal ) 41- and 2•family dwelling 0 Commercial/Industrial © AccCSaory building amp ibe all otherlrrttallatiam. battdh 0 Multi - family ❑ Master builder ❑ Other, Q Fire parap, Qlnorallatlan KVAar J8`t3Tf[ )n+Vtllr"1rDtAli •'esiVD Locator". ©�n"h °y^a" forger separately derived system. • ❑ Addition ewe motor load ar ❑ "A;'S, Ix', '14; Job no.; Sob sac address: �J 1001iPormerm, ncr. ..Z + w a — IP CO ❑ Age or woo residential mita, ❑ Recreational vchic]e pule. City/Statc/ZTP: • { - / r te D 1 eakh•carc facilities. ❑ Supply whip tar marc than ❑ Haracdout locations. 600 volt* renminat SY Suitetbldg. /apt no.: Project name: 0 5arviw or loader 60o ataps ar mem _ Croce sneet/dircctions to job site: - L1f.E JMBIE a L_ , r New residential sitgltr• or mold- family &weptnt unit. �a'�� pi includes annelid rsge- Subdivision: 1 �, I L M * I it or leas t 16854 l .in r� a d d'l 500 s Tax map /parcel no.: 130, A m portion 14 33 ;'_1! 9l Limit= energy, rssldanual •• - 11 - 'N'•t ' e $'OF WORK • .., di above .4. 11 75.00 -•z� ri . - - - Limited cacrgy, multi- romily 75.00 2 . L - Iv wsldentie1 (with above ail. It) Semite., or feeders Installation,nIteration /nr relocation _ 200 amps or kris 100.70 •PI_OP> ,OVNltittt., . I ' ' • 0 `['1�NArrr ' r 201 amps 11400 reap+ 133.56 .... p - - - 401 amps In 600 amps 200.34 Name: 6f1 amps to1_000 1.11 301.04 MIME Address; over Low aegis or vetta 552.26 2 City /5ta[e /ZIP: - Tcmpvrrty a rvicee nr feedcra It BTAlktion, alteration, and/or relocation _ Phone: ( ) Pax: ( ) 200 amps or lam 59,36 _ 1 Cromer installation: This installation Is being made on property that 1 own which i9 no t 201 amps m 400 amps 173.08 2 O ant am - to 599 amps IIM 168.54 Q intended fur sale, lease, resit, or =change, according to ORS 447.449, 670, and 701, Brinell eieLUlls TIM alteration or a lrtenalort and Owner signature: Date; it Fee far branch drains retry 111111 ,A�lEtrfi • • ; %• 3'Ac r. PER4O L • , above service or Carder fee 7.12 each branch circuit Business name: e. Ike tar brnrrch circuit; wit • at II �, 'mice or feeder foe, Galt 56.18 II Contact name: ANIIIMS branch circuit Each etdd`1 branch circuit 7.42 El Address: [ J 4 �� llitacdlwn (service or lbedcr not included) City/State/ZIP: a • • r - / q r 5 — d Eachmmfaeturcd or modular 47.84 2 _ wnP aervsCCDt1d/arfcedta PhOnc: (Z / • • . _ -` Pox; ; (Zj / Aa r_ / ` Reranncctotst 67- - �� r� or irrigation circle r _ — fl E ,.a.,[l �EENr' ,� ♦ Sint or u rine b$lstina 67.84 2 ' Signal eircwit(a) or limitedtnergy Busfnt ss names ,�, panel, alt eration etraxtrnaion. P:., 2 2 J Each sdditional Inaptx ove ertow In + sly of the *Earn Add ; i i� ( V1 . Additional int - - ceon 1 br 66,25 hr MI City/5sme�IP: • Jl / � `� lrevelq: •don (1 hr min) � _� ,rte lndtmMa] plant (I hr min) i� � Phone: ( („ 7 � — + 7 `7 Fax: ( 0 T` —' /r lnc fur which ao a 90.80/ hr � ( J �y� ,6call listed X lir min Cal Lic_: i Electrical Lie.; A .., ♦ 0 Suprv. Lic.: I A ..• / . • , , • :>iCt,>3;C'E17:5 CAL' IltVirl _ .. . . Supra, Electrician si - attire, required: t^ Subtotal: I • . ` O kit ._ ' Plan review (25%or permit fa): Print name- 0,1,1 U 0. if c.e. Date: 1b,,. '1}1 Statesttrchtuec(12%o[pennitfee): Authorized signature: TOTAL PERMIT P.EE: 6 . 69 This permit speaceetsn empire* if a parents not obtained whale 180 days after it bas We atteptod sa movie,. Print name: Date: • Nan 1 erarinsa ,ecdaaaaltowoa Per permit. Illrik0d4116PaniliVAR C.PennerAIV dec 07A1110 4 •1 1 - 4 41 s 11ta71CoMAVP_A RECEIVED Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard SEP 2'2 2011 Date/By. n // '�' M / � , g ,9 I Permit No. I - /T / `<� 60/6 'q 13125 SW Hall Blvd , Tigard, OR 97223 ��++ Plan Review °, Phone: 503.718.2439 Fax: 503 598 1960c ITY OF TIGARD Date/By Other Permit ' 4011,06 Inspection Line: 503 639.4175 BUILDING DIVISION Date Ready/By runs &I See Page 2 for T [ G A ' D Internet. www tt ard -or. ov g g 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. Value $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* / KI- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 0.-1 , 7 / crt, i �( (q plan showing placement) (requires site lan showm � � re 46.75 l' ' City /State /ZIP: l Furnace 100,000 BTU (ducts /vents) f 46 75 , `. 17�C/Ll C 7 j (�� "l � ! Furnace 100,000+ BTU (ducts /vents) 54 91 Suite /bldg./apt. no.: v Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23 32 5 / , /r • , / ! / �I 1 C 1- • (kkG Hydronic hot water system 23 32 ��1/ d/�V ( l 7 [ �i Residential boiler radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: (.2-�- � i 4 Lot no.: / Flue /vent for any of above 23 32 Other: 23 32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23 32 Z3? " 4_ Gas fireplace 33.39 `�'j, I AI W e c eiVLg �iithe/L 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 N] PROPERTY OWNER ❑ TENANT Chimney /Inver /flue /vent 23.32 Other. 23 32 Name: Environmental exhaust and ventilation: Range hood /other kitchen Address: equipment 1 33 39 'j°J•� City /State /ZIP: Clothes dryer exhaust 1 33.391 ` Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) (0 23.32 13 b 1 APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32 f Other: 23.32 Business name: \. - ' dy I / f ,,, i - 1,1 fff ii ece S /' Fuel piping: Contact name: / (A ,, _ /4� J $14.15 for first four; $4.03 for each additional Address: '7'7 - r J ((( x „4 5 J '* L 7 Furnace, etc r 14 � ci - /C f i - i7 ;Z 3 . ^ t Gas Wall/suspended/unit L ' , ,� Wall /sus ended/unit heater ii Phone: ( .79 5-1 4f „( ()- Fax: : (3r/ 11 qs- /qq Water heater t, .12.4", E - mail: ^ ,� Y f Fireplace 3 t" 1 5 t ! (/ .� �C 4"f �t([.�S : IA �C.' Range 1 CONTRACTOR Barbecue t Business name: _ 1 CU i J_S //141-6.- Clothes dryer (gas) /� / (/ ` " t 7 ' t g l J l-In�G ✓ f �C At�•�( Othe ) Address: -� MECHANICAL PERMIT FEES* City /State /ZIP: ipa - 1 a4 ci -izoa Subtotal 449,i I r Minimum permit fee ($90 00) Phone: (,'- j 2,34 -----/--3 I Fax: (t2 43 _ ` Z _ Plan review (25% of permit fee) CCB lic.: t /-f q 1 1 State surcharge (12% of permit fee) , " TOTAL PERMIT FEE 0 " This permit application expires if a permit is not obtained within 180 d ays after it Authorized signature: /� has been accepted as complete. Print name: Lt. V- -- "' /// Date: t 21 -' I * Fee methodology set by Tn- County Building Industry Service Board I \Buddmg\Permits4MEC- PermitApp doe 09/09/10 440 -4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I \Building \Permits \MEC- PermitApp doc 09/09/10 2 Plumbing Permit Application RECEIVED ' Building Fixtures FOR .OFFICE USE SEP 2.2 201 City of Tigard R eceived 411 ap Perm No . ■ 'I 13125 SW Hall Blvd., Tigard, OR 97223 PITY DatDate/By l/ 5T— h d l �— M Phone 503.718.2439 Fax 503.598 196 OF TIGARD Plan Review Other Permit No.p tt Inspection Line 503.639.4175 BUILDING DIVISION DateBy. T I G A R D p Date Ready/By Juns 1 ® See Page 2 for Internet. www.tigard -or gov Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE XNew construction ❑ Demolition For special information use checklist Description I Qty. I Ea I Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 'X1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437 78 ❑ Accessory building ❑ Multi- family SFR (3) bath \ 500.32 Li�� Each additional bath/kitchen l 25.02 2fi,1��— ❑ Master builder ❑ Other: Fire sprinkler ( sq ft) l Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14 .Z _57 ,/ / ! A/� C...--(,_ Catch basin or area drain 18 76 ._ r� �° " Drywell, leach line, or trench drain 18 76 City /State /ZIP: , [ �' 7 a .-z�L Footing drain (no. linear ft ) Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 50 03 Cross street/directions to job site Manholes 18 76 e- 2- ' 7 / 44 /_ _' j • Teri 53 - - -' L r Rain drain connector 18.76 /sly v ?J f' f t 1 ] /�-fy ( Sanitary sewer (no. linear ft.. ) Page 2 Storm sewer (no. linear ft . ) Page 2 � �� Water service (no. linear ft.: ) Page 2 Subdivision: V /c, 0 _i �S - r-tei I Lot no.: / Fixture or item: Tax map /parcel no.: C' ` Backflow preventer 31.27 DES RIPTION OF WORK Backwater valve 12 51 / V f ,, / Clothes washer 25 02 l ti , I (-6 V/ I _ Dishwasher 25.02 • Drinking fountain 25.02 Ejectors/sump 25 02 gt PROPERTY OWNER I ❑ TENANT Expansion tank 12 51 Name: . j ( VC 40 .E S l�C� Fixture /sewer cap 25 02 A Floor drain floor sink/hub 25 02 Address: Garbage disposal 25 02 City /State /ZIP: Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 N. APPLICANT i gt CONTACT PERSON Interceptor /grease trap 25 02 / Medical gas (value $ ) Page 2 Business name: „e,,,c' r l --Y �C21 , t S � � ` ex vI - f Primer 12.51 Contact name: �� i � _ � �} Roof drain (commercial) 12.51 Address: '7 3 Z'7 (N ) Ida` k -,Gs V t�"SV 1 Sink/basin/lavatory 25.02 City /State /ZIP: o a r - t t et i.,i--,) Oka el 72 75 , Solar units (potable water) 62.54 Phone: (,�/J) b� f .,, o il Fax:: ' q fs -(-� �7 ilg Tub /shower /shower pan 12.51 E -mail: Ia ( v S Urinal 25.02 CONTRACT R Water closet 25.02 Water heater 37.52 Business name: 6„,..t.- � if y t 1 t v 7.. � j...44. j...44c_____ � Water piping/DWV 56.29 7 Address: 02) V, �, 2 /� Other. 25.02 ✓ City /State /ZIP: 1 . ‘ j/ , i 0 oK Gf71 `-r Subtotal � ,3+ Phone: (t.) Q 3 -_3 .2 � Fax: ( �j) 633 � Minimum permit fee. $72.50 !�' J 2 Plan review (25% of permit fee) CCB Lie.: f 14 3 1 • ilumba g n Lic. no.: r p 2l i � State surcharge (12% of permit fee) �,�`S Authorized signature: TOTAL PERMIT FEE 3 Print name: ) I `c..... y J - Date: 7 ,Z j— i/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board I \Building\Permits\PLMU- PermitApp doc 10/01/09 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1 100' 50.03 0 to 2,000 $121 90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62 54 Medical Gas Systems: Water Service - each additional 100' 37.52 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 62 54 $1 00 to $5,000 00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37 52 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1 52 for Other Inspections or Fees Qty. Fee (ea) Total each additional $100 00 or fraction thereof, to P and including $10,000.00. Inspection of existing plumbing or for $10,001 00 to $25,000 00 $148 50 for the first $10,000.00 and $1 54 for which no fee is specifically indicated 90 00/hr each additional $100.00 or fraction thereof, to (minimum charge — 1/2 hour) and including $25,000.00 Inspections outside of normal business 90 00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1 45 for hours (minimum charge — 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90 00/hr and including $50,000.00 Additional plan review for revisions 90 00/hr $50,001 00 and up $742 00 for the first $50,000 00 and $1 20 for (minimum charge — 1/2 hour) each additional $100 00 or fraction thereof Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Performed: Capped Added Relocate q y g' Baptistry/Font Please check all that apply. Bath Tub /Shower ❑ Any new commercial building with water service 2" and Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918 780 - 0040. Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities - Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040. Eye Wash Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Dram ❑ Isometric or riser diagram is required for new buildings - Domestic— non -food s g q g Disposal - Domestic —food related that meet the qualifications above. - Commercial —food related - Industrial -food related Ice Mach /Refng Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Smk/Lav - Non -food related - Bradley - Commercial -food related - Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer - Clothes Water Extractor increase of sewer EDUs, a sewer permit will be issued and Water Closet - Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures. I:\ Building \Permits \PLMF - PermitApp.doc 02/24/2011 2 ' 11 1111 Building Division IN Development Code Provision Review T [GA.RD Residential Projects Building Permit No: ° `r�O// -�/ (� ��d��'����'�b � ST 4 S/ her/ g CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ( /L/a'16, A w /5 . Routed Plans: / � /// Original Plan Submittal Date: / 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 ,�pp � att 5 0 3- 718 - AK/ or @tigard- or.gov) Land Use Case No. ()J a O C 'Name £�saLTi DI eS ❑ Zoning ❑ Setbacks: / Front / 5 Rear ) S' Side 4 Street Side / 0 Game ❑ Maximum Building Height 3_5 Actual Building Height ❑ Visual Clearance ❑ Easements 1A. ❑ Sensitive Lands Type: Li Notes: Original Plan: Approved Not Approved ❑ Date: C t I c i'l) 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) 2( Actual Slope: C 7 Notes: Original Plan: Approved „0 Not Approved ❑ Date: / Z 0 l 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) Street Trees D Protected Trees Notes: Ata 6 11v',.• � o n L p � on h 4 * tc wc- p 1 - , V" 6 -7 , 44 Original Plan: Approved lld' Not Approved ❑ Date: 9 '';?''a-0 - 19 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved El Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to I suance of Building Permit Notes: ) Alt-; O 4/ Original Plan: Date Sent to Applicant: 5f1) �„ G 7�����, Revision 1: Date Sent to Applicant i Revision 2: Date Sent to Applicant / //D 0 me r — Okay to Issue Permit: Yes ►vi/ No rift - Date Routed to Building: 141 645/ /6-3-7( Page 2 of 2 RECEIVED 4 I1 i 344 1 $ 1 1 SEP 2.2 2011 OF), c BU ITY OF TIGARD t, ii, A BUILDING DIVISION j i;3lii � SW 155TH TERRAC i'� n �jA A. �d ii l 1 N V` .r V / i f V . I i - ' -'-' !.,_, , . 0,. I Q i / , cc i r Q \ Z c TRACT D / `, , � J a` � t � jI/JfG } 5 k 1 \ <,, 111 7 rlt y / ..1.=;, j______Lii_r_____ ., IF 11 ° �y 11111 15 5.04,1 d . l E •- —_ & 1 I 1 ! I 11R!i PLOT PLAN t 30' 11;i�� � LOT •I BRENTWOOD • TIGARD, OR A RESIDENCE FOR: STEEL CREEK 1-- IOi`1ES IIi9 Albert Shields From: Albert Shields Sent: Wednesday, September 28, 2011 2:37 PM To: Gary Pagenstecher Cc: Dan Nelson; Debbie Adamski Subject: MST2011 -00162 & SUB2009- 00002, Brentwood Estates Gary, Condition #00 of the SUB calls for review and approval by you of every MST application. I've left the routed app for MST2011 -00162 on your desk for your review and approval. Albert. 7 2 « ,,Z �l ,. (`'2' 2 / /( / 1 • - 77-7/ 7- ,//‘. Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM � r 4p,. ( I , am the general contractor or the owner- builder at the following address: Site Address: \ L 2 ] rA C City: 0 Permit #: ,� /► c (/ / Subdivision/Lot #: -r7 .4_ A _ : t and/or Map and Tax Lot #: f z / 2 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: 23 z��� General Contrac or or Owner -Build 1:\ Building \Form RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ,�,( zo' f _ oo/ / z Jurisdiction: .�{ �,�{ v ` 1D C� CCC...��� • Site Address: //1z. / � 1.5 5, r Subdivision/Lot #: aie.' lO 3 L S / and/or Map and Tax Lot #: / f„ g ( / 3Z 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: — 417.3 /Za/ Owner eneral Co tractor /Authorize Agent Print Name: b a .41 . i4 .(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. 1:\Building\Forms RES- HighEfficiencyLighting.doc 07/01/08 . STREET TREE TIGARD R TIFI A TI CE C ON ? 1-L. << 5 owner agent for CI v ee b e,C. >>� (PLEASE PRINT) (PERMIT HOLDER) do hereby certify 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.: /" \¶ T 201/_ CD/407._ ST1 E ADDRESS: 4 Z (AZ, ST--1 v a e- SUBDIVISION: , -�"' -.'s LOT #: L arf SIGNATURE: - . , DAZE: �Z3 Jzci Z, (0 R/AGENT) RE CEIVED / VERIFIED BY 1 DATE: 7 — Y 070 - (CITY OF TIGARD) ❑ Tree location verified per , .proved site plan. I: \Buildir. ns \StreetTreeCertificate 04/01 /2011