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Permit II CITY OF TIGARD MASTER PERMIT a • • COMMUNITY DEVELOPMENT Permit #: MST2012 -00024 T I G AR 0 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012 Parcel: 2S112BD07000 Jurisdiction: Tigard Site address: 14709 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 6 Project: Brittany Meadows, Lot 6 Project Description: New SF BUILDING . Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1184 sf Basement: 0 of Left: 5 Parking Spaces: 0 Height: 24.5 Bathrooms: 3 Second: 1168 sf Garage: 462 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2352 sf Value: $258,183.24 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 Drywell- Trench Drain: 0 Other Fixtures: 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 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 4 201 -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 1 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 2352 Owner: Contractor: PACIFIC EVERGREEN HOMES PACIFIC EVERGREEN HOMES LLC Required Items and Reports (Conditions) 7410 SW OLESON RD STE 133 7410 SW OLESON ROAD #133 1 Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97223 PORTLAND, OR 97034 PHONE: 503 - 664 -6423 PHONE: 503- 664 -6423 FAX: 503- 671 -0204 Al Total Fees: $18,153.55 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co , es an. all other applicable law. All work will be done in acc = ,,'- , ith approved plans. This permit will expire if work is not started within 180 days of issu nce, o- if work is nded for more the 180 days. ATT ION: Oregon aw r- -' es you to follow the rules adopted by the Oregon Utility Notifi - ' • I Cent - r. Those are set forth in OAR 952 -001 010 th • ugh OAR 952- 0 1090. Y • u may obtain a copy of the rules or direct questions to OUNC by calling '• ity- --.• 44. Issued i;' /� ' J .4 / . Permittee Signature: �4 Call 503.639.4175 by 7:00 a.m. for the next available Inspection • .te. This permit card shall be kept In a conspicuous place on the Job site until c •, pletlon of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIV I Residential FOR OFF ICE liSE ON I..1 . City of Tigard FEB 2 2 20 : ' TIMM 61 PermitNo.: I5 .000, 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 CITX OF TIGA �� �� '�(� Other Penaic , 49Q /a_ A Inspection Line: 503.639.4175 RI See Page 2 for D Internet: www.tigardor.gov BUILDING DIVI '� i h od: 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. I- and 2- family dwelling ❑ Commercial/industrial Valuation: S ��� ( �3 ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Oar: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 14709 SW 79 Ave New dwelling area: 2352 square feet City/State/ZIP: Tigard, OR. 97223 Garage/carport area: 462 square feet Suite/bldgJapt. no.: Project name: Brittany Meadows Covered porch area: 24 square feet t 1 Cross street/directions to job site: 79 and Bonita Deck area: 0 square feet t Other structure area: (6.quare feet 24 REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Brittany Meadows Lot no.: 6 Permit fees* are based on the value of.the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New Home Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Pacific Evergreen Homes Type of construction: Address: 7410 SW Oleson Rd Suite 133 Occupancy groups: City /State/ZIP: Portland, OR. 97223 Existing: Phone: (503)902 -1149 Fax: (503)208 -7127 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer tofee schedule) Business name: Pacific Evergreen Homes Structural plan review fee (or deposit): Contact name: Alan GOffMoore FLS plan review fee (if applicable): Address: 7410 SW Oleson Rd Suite 133 Total fees due upon application: City/State/ZIP: Portland, OR. 97223 Phone: (503) 664.6423 I Fax: : (503) 208 -7127 Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: alangoffmoore@gmail.com Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: Pacific Evergreen Homes Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 7410 SW Oleson Rd Suite 133 Solar /nstallalion Specialty Code checklist. City /State21P: Portland, OR. 97223 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (503) 664 -6423 i I Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB tic.: 192852 �// Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: iffe Date: I 31 • Service Board. methodology set by Tri- County Building Industry 1: \Building \Permits \BUP- RESPermitApp.doc 02/ 24/2011 440-4613T( I I /02/COM/WEB) Electrical Permit ApplicaREC FOR OFFICE USE ONLY Received Permit No.: W9 ("a p City of Tigard D „elBy; �-'� • 13125 SW Hall Blvd.. Tigard, OR MR33 1 3 2 0 1 2 Plan Review n Phone: 503.718.2439 Fax: 503, G Date/Ily: Other Permit: Inspection Line: 503.639.41750 OF TIGARD Date Ready/By: Jens el See Page 2 for T I G A R Q Notified/NW fied/Mct hod: Supplemental Information Internet: www.tigard- or.gov TYPE PLAN REVIEW ® New construction E] Addition/alteration /replacement Please check all that apply (submit 2 sets of plans whims 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 ® I- 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 ❑ Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ A ”, °E", 1 -2". 1 -) °, 100HP or more. occupancy Job nn.; Job site address: 14709 SW 79 Ave ❑ Six or more residential units. ❑ Recreational vehicle parks ❑ Health -cart facilities. ❑ Supply voltage for more than City/State/ZIP: Tigard, OR. 97223 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt- no.: Project name: Brittany Meadows ❑ Service or feeder 600 amps or moue, FEE SCHEDULE . Cross street/directions to job site: 79 and Bonita Ocscripron I Qrv I Ft. l Tout ( New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Brittny Meadows 1 Lot no.: 6 ) ft. or less 168,54 R" , Ea, add'I 500 sq. fl. or portion A- 33.92 05 ( ; I • Tax map /parcel no.: Limited energy, residential 1 DESCRIPTION OF WORK (with above sq. 11,) I 75.00 i � 2 Limited energy, multi - family 75.00 New Construction residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 12 IS PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 I 2 401 amps to 600 amps 200.34 Name: Pacific Evergreen Homes 601 amps to L000 amps 301.04 2 Address: 7410 SW Oleson Rd Suite 133 Over L000 amps or volts 552.26 ' Temporary services or feeders installation, alteration, and/or CipJSlate/LIP: Portland, OR. 97223 relocation Phone: (503)664 -6423 Fax: (503)208 -7127 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 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. Fee for branch circuits with I • above service or feeder fee, ® APPLICANT 1 ❑ CONTACT PERSON 7.42 2 each branch circuit Business name: Pacific Evergreen Homes B Fee for branch circuits without service or feeder fee, first 56.IR Contact name: Alan GofTMoore branch circuit I Each add'I branch circuit 7.42 Address: 7410 SW Oleson Rd Suite 133 Miscellaneous {service or feeder not included) City /State /ZIP: Portland, OR. 97223 Each manufactured or modular 67 84 ' 2 _ dwelling, service and/or feeder Phone: (503) 664 -6423 Fax: : (503) 208 -7127 Reconnect only 67 84 2 - -• Pump or irrigation circle 67.84 i E -mail: Ala nGoITMoore(ggmail -tom , J i Sign or outline lighting 67.84 _ �- - CONTRACTOR Signal circuits) or limited-energy panel, al teraiion, or extension. Page 2 1 Business name: RK Electric Each additional inspection over allowable in any of the above Address: 24495 NW Oak Drive Additional inspection (I hr min) 66.25/ hr City /State/ZIP: Hillsboro, OR. 97124 Investigation (I hr min) 66.25 / hr Industrial plant (1 hr min) 78.18/ hr Phone: (503) 640 - 13.44 Fax: (503) 356-513 Inspections for which no fee is 90.00t hr J! specifically listed (h hr min) CCB Lic.: 95275 Electrical L,ic,: -375C Suprv. Lie.: 4724 -5 ELECTRICAL PERMIT FEES (/ � i Subtotal: 3 .72 Suprv- Electrician signature, required: tit) `/' 1 /.--s,"/ •-iz . Plan review (25 %ofpermit fee): Print name: Z + Date - l 1 State surcharge (12% of permit fee): ili, 51 =#) Y1 I., . u r t c31 a ,,.. j TOTAL PERMIT FEE: A 7 � Authorized signature: k i , ? -) r ) L ' —'- This p ermit applic ation expire if a permit is not obtained within 180 Print name: 1 2 Date: days after it has been accepted as complete - p � L I ✓ r ,a./D..//d.__, Number of inspections allowed per permit. t utuddin8'Pamits\ELC•PermitApp 01101110 44o.4ntsr(ttt ourosvw•ca • 1'kcl)(aaical Permit Application FoR OFFICE USE ONLY City of Tigard RECEIV g G r ifs �%J Permit No.:H / ���, 111 lIl q 13125 SW Hall Blvd., Tigard, OR 97223 RECEIV 11 'an Review . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: IA) Q� Q/o1 � oZ 4 ' do . II G A li U Inspection Line: 5013.639 FEB 2 2 201 P Date Ready/By: furs: ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information CITY OF TIflA RD TYPE OF WORKS UILDING DIV1SInN COMMERCIAL FEE" SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work Ei 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* m 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: I 14 70 9 C 79-Q- Avc (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) t 46.75 City/State /ZIP: . P CLO / 02. ' 7 77 3 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: (?J 2.tT 'ra I M ( 0 WS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: `7 B j Nom pt Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: - f -��.NL( t41 ��} GcxWS 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 I 23.32 Gas fireplace - I 33.39 &)EL■) CO rJ S i (2-0 C$1.1.e Al 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 0 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: P A rte ' tj Z..c, r ) /4 0/ (S Environmental exhaust and ventilation: Range hood/other kitchen Address: - 7 /4 ( 0 Su.) Q(_ S4('.) i20 STh 1 33 equipment I 33.39 City/State /ZIP: PCB -4"PD , eyz_ 9 7 Z2., Clothes dryer exhaust I 33.39 Single -duct exhaust (bathrooms, Phone: (5-y) 6Ct Z3 Fax: ( ) toilet compartments, utility rooms) 4 23.32 93•26 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: p(-62....A. /V1SD I�09 Other: 23.32 Fuel piping: Contact name: 4 P12 - EL )ems SC's $14.15 for first four; $4.03 for each additional_ Address: 9 G f oq / IJ 6 G 0 6, /_-. ST Furnace, etc 4'5 q 7 Gas heat pump City /State /ZIP: Pon TL rdND , !y am / ZZ0 Wall /suspended/unit heater Phone: (503 ) 7 _ C � s Z , ` Fax :: (5 3) ? s.-6 3z_. Water heater E- mail: ( Fireplace I Range I CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: s A l� � MECHANICAL PERMIT FEES' City /State /ZIP: Subtotal . 7, ( Phone: ( ) : ( ) Minimum permit fee ($90.00) / Plan review (25% of permit fee) CCB tic.: 5 0 33 / , t - 0_z R `7Z State surcharge (12 %ofpermit fee) • 7 '3j 2 llV// TOTAL PERMIT FEE q I � , t Authorized si a This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name" Date: 2 - 213 /L t • Fee methodology set by Tri - County Building Industry Service Board 1:\Bui : g •ermits\MEC- PermitApp.doc 09/09/10 440-4617x(11 /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. 1:\Building\Pertnits \NEC- PermitApp.doc 09/09/10 2 PJur ping Permit Applieatio 'NED Building Fixtures 2 FOR OFFICE USE ONLY City g Cl of Tigard 1' 2 2012 Received A o p .A Z 1 I Y/ Permit No.: p(/ I ii� /Ji,/ v 13125 SW Hall Blvd., Tigard, OR 9 i Date/By: �e GARD Plan Review + Phone: 503.718.2439 Fa)C ( 5 Other Permit No.L�a Q /a' Date/By: " `� D Inspection Line: 503.6398 ING DIVISION TIGARD Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or. Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® 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 OF CONSTRUCTION SFR (1) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 r5T) ?� ❑ 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: 14709 SW 79 Ave 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: Brittany Meadows Manufactured home utilities 50.03 Cross street/directions to job site: 79 and Bonita 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: Brittany Meadows I Lot no.: 6 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New Construction Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Pacific Evergreen Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 7410 SW Oleson Rd Suite 133 Garbage disposal 25.02 City /State /ZIP: Portland, OR. 97223 Hose bib 1 25.02 Phone: (503)902 -1149 Fax: (503)208 -7127 Ice maker 12.51 g APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02 Business name: Pacific Evergreen Homes Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Alan GoffMoore Roof drain (commercial) 12.51 Address: 7410 SW Oleson Rd Suite 133 Sink/basin/lavatory 25.02 City /State /ZIP: Portland, OR. 97223 Solar units (potable water) 62.54 Phone: (503) 664 -6423 Fax: : (503) 208 -7127 Tub /shower /shower pan 12.51 E -mail: AlanGoffMoore @gmail.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Edward Mullen Plumbing Water piping/DWV 56.29 Address: 1601 SE River Rd Other: 25.02 City /State /ZIP: Hillsboro, OR 97123 Subtotal L,X:t Phone: (503) 640 -0113 Fax: (503) 640-4483 Minimum permit fee: $72.50 CCB Lic.: 92689 7/11/1 Plumbing Lic. no.: 34 -260PB Plan review (25% of permit fee) State surcharge (12% of permit fee) 700" Authorized signatu-f' � TOTAL PERMIT FE j-. C This permit application expires if a permit is not obtained within 180 days Print name: la • v ��jP DatepeldAeg. 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(I0 /02/COM/WEB) r I / i al Building Division LS 6 Development Code Provision Review T i c n D Residen 'al Projects Building Permit No: lad /0 — 0 CWS Service Provider Letter Received: Yes ❑ No ❑ N/AAr Routed Plans: Original Plan Submittal Date: A /a 1st Revision Submittal Date: ❑ Site Plan Only 2°d 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 at 503 - 718 - c2.45 1 or @ tigard- or.gov) Land Use Case No. ` : i 00( Name ffZ»J 4 x.443 4021-t ❑ Zoning ❑ Setbacks: Front __ Ai) Rear 1l( Side S Street Side IC G ge ❑ Maximum Building Height � Actual Building Height` ❑ Visual Clearance j' ❑ Easements ❑ Sensitive Lands Type: Notes: Original Plan: Approved Lam! Not Approved ❑ Date: . _/ 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) i .P( Actual Slope: ,S Notes: Original Plan: Approved Not Approved ❑ Date: Z �e • Revision 1: Approved ❑ Not Approved ❑ Date: c Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) • Page 1 of 2 City t&borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) treet Trees l Protected Trees Notes: Original Plan: Approved CJ Not Approved ❑ Date: a '2 3 - /Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to App 'cant Revision 2: Date Sent to Ap licant Okay to Issue Permit: Ye z , No ❑ Date Routed to Building: I Page 2 of 2 \''i5ro90 /a --a'/ TROXEL'S HOME DESIGN 1217 N.E. BURNSIDE STE. 303 RECEIVED GRESHAM, OR. 97030 7 ®®\\ 5 1 24 `� LU IZ - - LOT #6 " CITY OFTIGARD / 7,39 1 SQ FT BUILDING DIVISION I I i r 1 • � I I i a I I I n I � � I 1 � I � � I � I I 1 to c•a 3"). o • PATIO I....• ' 0 b I CONC. • K 5 ') PROPOSED 5' RESIDENCE PLAN # 120G i I F.F.E.= 101 .00' L COVERED PORCHI G.F.E.= 100.05' 1— I I j 3/11/ //+7ANUS ERb5 a I b 4" CONC i § DRIVE ._ ._._. ' _ 1 E LEGEND ' SIDEWALK 51.41' ��� • 1" • WA TER �i ���\ �� � - © GAS © POWER --- RAIN DRAIN SW 79th AVE. NAME: ?_41.c,rKrz. Eves ifS SITE PLAN DATE: 2-19.12 SCALE: 1" = 20.00• PLAN: PLAN # 1206 DRAWN BY: NICK POVEY ADDRESS: 1 709 S) -- ,¢14- �_ 1 �C. I zza Oregon Residential Specialty Code N1107.2 • HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: M ,5-< UppZV Jurisdiction: 1 Site Address: i L. 7 o Sw 7q -II- Subdivision/Lot #: B Z. - -( » - S / L D r G 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 .: ting source tha as : minimum efficacy of 40 lumens per input watt. (Oregon Residential ` • - alty Code N11 '47.2) S i nature: �� Date: c-li d wner /General Contractor /Au i orized Agent Print Name: /.. .aN/ AUK` / Lt ' ORSC Section N 1107.2. 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 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, 414 /1 (0 f r , am the general contractor or the owner- builder at the following address: Site Address: 9,4) `" rt i4✓'E City: CSC, Aa-U 1 OW- . Permit #: ,M ST Z Z - OOOZ- Subdivision/Lot #: 80...tf1 - 4n?1 m lbu'S GoT 6 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 R3I 8.2 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 m- •bers used in co • ction have a moisture content of not more than 19 percent by dry • t of dry fr. ing embers. Signature: Date: /Z eneral Contractor or Owne - $wilder I:1 Building\ Form \RES- MoistureSensitiveWood.doc 09 /25/08 Customer: Pacific Evergreen Homes Street Address: 14709 SW 79th Ave MC Goal: 18% Start Date: 4/27/2012 Sales Order It: 15573 Subdivision: Brittany Meadows Lot/Unit #: 6 City: Tigard, OR Completion date: 5/3/2012 PO #: 1018 Cross streets: Site Supervisor: Alan PH It: 503 - 664 -6423 Cert: Expected Date: Price $: $450 Date Moisture Content Readings 5/3/12 10:04 17% 17% 16% 18% 17% 17% 16% 17% 17% 16% 16% 16% 17% 18% 17% 15% 16% 17% 17% 17% 17% 17% 16% 16% 16% 17% 15% 17% 17% 17% 18% 17% 16% 16% 17% 17% 16% 16% 17% 16% 16% 16% 16% 16% 17% 18% 18% 17% 17% 16% 16% 17% 17% 17% 17% 16% 16% Crawl Space Livings ace E ul : 2205 1298 Pulled 2205 1298 220 2182 Equi 220 2182 Crawl Equipment: 1834 Pre - insulation moisture testing (Frame drying): X Notes: 5/3/12 Still in Crawl Crawl tesling/drying: X Floor testing /drying: Water Damage: Sheelrock drying: Stud scrubbing: Certilicate of Moisture Content: Other: Electric heat: • Visitation: 4/30/12 A � ; ': Connector signature: *t `r ' Date: 5/ 3/ 2 01 2 Customer signature: I A a Date: 502012 Curt Kaupe STREET TREE auk:" CERTIFICATION } � s Q T, � (�� W;Jt , owner/ agent for (���� � i 0� (P1.r:. IS!i PR!. \"r) ( lIOLDIiR/ do hereby certt 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.: )4161"' 41 v 1 zo/ z SITE ADD1 sSS: 1 ` 09 ac ,J / (I 41.1 livE, SU'BDIT "7SION: r 1 i D — — I_OT #: SIGNATURE: `- --_—.° 12 12 (OII"XIiR /.K;h \'1 ) �� RIChIl "I sD ��• VERIFIED BY ___ DAM: i' 4 ( n:71(;.. lw)) E l The lace /ion veil /ted per approved she plan. I:` flu.li,,o. Dui* \S r .•i I rr. (ti IiIc.'(c u4/u1 / .1111