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Permit
CITY OF TIGARD MASTER PERMIT 0 • COMMUNITY DEVELOPMENT Permit #: MST2012 -00151 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/11/2012 Parcel: 2S112BD07300 Jurisdiction: Tigard Site address: 14765 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 9 Project: Brittany Meadows, Lot 9 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1078 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1436 sf Garage: 480 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2514 sf Value: $281,566.48 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 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell -Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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: 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 SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R - 3 2514 Owner: Contractor: HERONWOOD PROPERTIES ALAN NATHANIEL GOFFMOORE Required Items and Reports (Conditions) 16615 MAPLE CIR 13950 SW BARLOW RD 1 geo tech report required prior LAKE OSWEGO, OR 97034 BEAVERTON, OR 97008 to footing inspection 2 Ersn Cntrl 503 - 639 -4175 PHONE: 503 - 781 -1981 PHONE: 503 -664 -6423 FAX: Total Fees: $18,288.01 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. AT • • . : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 $010 through • • R 9 101-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 3.232.1987 or 1.800.332.2344. Issue. =y: . � PermitteeSignat • i «. Call 603.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project Approved plans are required on the Job site at the time of each Inspection. 1 it. • Building Permit Application Residential FOR OFFICE USE ONLY �t�j ri iirrl f� y =!J i Received. A/_ Permit No.: y �-Q'L ✓ / City of Tigard Date : ',Ito— q 13125 SW Hall Blvd., Tigard, OR 972alnl 2 6 2012 Plan Review . � 7 l 1 v Other Permit - e/�-C,‘ 3 . Phone: 503.718.2439 Fax: 503.598.1" c0(� Date/By: 1 � 'i l th H See Page 2 for Inspection Line: 503.639.4175 CITY �/ / �C ^ (� Date Rea. - . n /, r TIGARD Internet: www.tigard or.gov CIl tl O I f�f, � Notified/Method: (/ Supplemental Information BUILDING DIkiiuiON TYPE Of' • WORK . • REQUIRED DATA: 1- AND.2- FAMILY _ DW.ELLING. ® New construction 0 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 I ❑ Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION • /� Valuation: S 't 564, ® 1- and 2- family dwelling ❑ Commercial /industrial Number of bedrooms: Li ❑ Accessory building ❑ Multi - family • Number of bathrooms: , S ❑ Master builder ❑ Other: _ . JOB SITE INFORMATION AND • LOCATION Total number of floors: Z Job site address: 14765 sw 79` Ave New dwelling area: Z 5j, L. square feet City/State/ZIP: Tigard, OR Garage /carport area: yfjO ' square feet . Suite/bldg. /apt. no.: Project name: Brittany Meadows Covered porch area: -70 square feet (436 Cross street/directions to job site: 79 and Bonita Deck area: square feet 1078 Other structure area: zcria square feet 24.. REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Brittany Meadows Lot no.: 9 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.: 2S11BD0730 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF, WORK . work indicated on this application. Valuation: $ New Home Existing building area: square feet New building area: square feet s ® PROPERTY OWNER ❑TENANT . Number of stories: r Narr:'Nieronwood Properties Type of construction: Address: 16615 Maple Circle Occupancy groups: City /State /ZIP: Lake Oswego, OR. 97034 Existing: Phone: (503)781 -1981 Fax: ( ) New: .® APPLICANT • ❑ CONTACT PERSON BUILDING PERMIT FEES*,. ' (Please refer to fee 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 Olseon Rd Ste 133 Total fees due upon application: City /State /ZIP: Portland, OR. 97223 Z' / Sb P received: Phone: (503) 664 -6423 Fax : :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: Alan @PacifrcEvergreenHomes.com Commercial and residential prescriptive installation of ., CONTRACTOR roof -top mounted Photo Voltaic Solar Panel Sys - Business name: Alan GofiMoore Submit two (2) sets of roof plan with co. • Ion details _ and fire s - : • ment access, alon: • 1 the 2010 Oregon Address: 13950 SW Barlow Rd Solar/nstalla • • S,ecialty •.e checklist. Permit Fee (I .. ..es plan review $180.00 City / State/Z1P: Beaverton, OR. 97008 a • •dmint . •tive fees): Phone: (503) 664 -6423 Fax: ( ) State su arge (12% of perms - $21.60 CCB lie.: 187268 / Total fee due upon application: $201.60 Authorized signal . This permit application expires if a permit is not obtained = within 180 days after it has been accepted as complete. �� Date: 6 /25/12 * Fee methodology set by Tri- County Building Industry Print name: Service Board. I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 - 46I3T(I 1 /02 /COM /WEB) llumkiing Permit Applicatie r ECEIVED Building Fixtures JUN 26 2012 FOR OFFICE USE ONLY . Date/By: Permit No - Cifv of Tigard Received �i� 7-a 2,..00 `J ^ n � a '13125 SW Hall Blvd., Tigard, OR 99��3 f ®F TIGA9D Plan Review Other Permit No.GG••--' /�I�,(JO13� • Phone: 503.718.2439 Fax: 50301jIL' , D I` I Date/By: &, Q T I GA R D Inspection Line: 503.639.4175 v I ON Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard - or.gov 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 ■ ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath , 500.32 9:CA"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: Job site address: 14765 SW 79 Ave Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City/State /ZIP: Tigard, OR Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: 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 Lot no.: 9 Fixture or item: Tax map /parcel no.: 2.1/ Z g j) 673 (949 Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 New home . Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Heronwood Properties Fixture/sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: 16615 Maple Circle Garbage disposal 25.02 City/State /ZIP: Lake Oswego, OR. 97034 Hose bib 25.02 Phone: (503)781 - 1981 Fax: ( ) Ice maker 12.51 ® 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 Ste 133 Sink/basin/lavatory 25.02 City /State/ZIP: Portland, OR. 97223 Solar units (potable water) 62.54 Phone: (503) 664 -6423 Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: Alan @pacificevergreenhomes.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 Road Other: 25.02 City /State /ZIP: Hillsboro, Oregon 97123 Subtotal Phone: (503) 640 -0113 Fax: (503) 640-4483 Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: 92689 P , ing Lic. no.: 34 -260PB o State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Ra Mulle . _ This permit application expires if a permit is not obtained within 180 days y ' 'v after it has been accepted as complete. "Fee methodology set by Tri -County Building Industry Service Board. I:\ BuildinglPermits \PLMU- PermitApp.doc . 10/01/09 440- 4616T(10 /O2/COM/WEB) n r ;! i , ii," j Mechanical Permit Anplica oI`: FOR OFFICE USE ONLY 114 11 131 of Tigard JUN 2 6 2012 Dlt . 'C�ty- oo(5t� 13125 SW Hall Blvd, T' Pe rmit No.: tgard, OR 91223 _ E Phone: 503.718.2439 Fax: 503.598.19/ /AP � , yr' D B Other Permit / ( /y Inspection Line: 503.639.4175 " • � � • p'�7, - . , Sy/ I et Sce Page 2for T l G A R D Date p �[ Ready /By: Interned: www.tigard-or.gov BUILDING Li N NotiSed/Method: Sapplementat -- �.,z'G =� - - ".7 -°�_ c '._ - 'j_`.," - "� E- °�. - . _ - - ^'_. - --= -- '" .; 4,�i =a j : ,- - .. - ...z,.. - -::-.. i - - ;r.,.tn_= ._ nz _ 6 c_ ' - b r,, r : r � ''�: .. ( - � --�� a t' .�h,� ..e _ -_- 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 ��_�= - '.'. °''- - 4 - 7. ' `; r ‘^ -----'-'-'1 E� - -._:4fi M7-.= Value: $ - - - - - - ---- - .�,. - -..: .ir� r • ,, . �-' w te - = e6.- -' . 7 - z �' _ ; n : - - - :: �_ af .:.�. - .�:.:...,.v- _ - �. �'s.::. ...,._�j:,'. . e ^ .. -`•: ya>- aia 'e�� - `�..,.� -"4. -rF -l;�l �j .. .iF� -rr c] I- and 2- family dwelling ❑ CommerciaI/industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total :.=, . - _ _e 'y VX -77 °.:l iM- ir'= -\`� - �._ -- Heating/cooling: - •_-- -a _ _ .. - . ..._._ - Air conditioni Job site address: 1 ij 7 ( , S W 7 q tt, Akk (requires site plan showing placement) 46.75 ; 0 a (At-, Furnace 100,000 BTU (ducts/vents) I 46.75 City/State/ZIP: �x�,, Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: I Project name: 3 a1-4 'J'i nEACo e7S Heat Pump (requires site plan showing placement) 61.06 Cross street/directions to job site: 1 ? / ed,AIrt A 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: oTip r [ r � ry QClQw.S I Lot no.: q Flue/vent for any of above 23.32 Other. 23.32 Tax map/parcel no.: 25 (( Do 300 Other fuel appliances: _= r= ss ;c.a :L,2.3,21:4`,1:11,- TEg r , r ? Water heater I 2332 _ - Gas fireplacelinsert I 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 2332 Wood/pellet stove 3339 Wood fireplace/ insert 23.32 _ _ _ F .: ;: ;: uY ,- . ' . �, Chimney/liner/flue/vent 23.32 Q .. %• L:t l t2� 9 1 ca • `':. . s :,.t p ,/� Homes Other. 23.32 Name: vac l L � f Y' ,e- lit ' Environmental exhaust and ventilation: Address: 7 4 esO Range hoodlothm kitchen ! 33.39 • equipmera City /Statue: Port land 1 0 v q - 1 2 23 Clothes dryer exhaust l 33.39 Single-duct exhaust (bathrooms, C� Phone: (503) Fax: (9,)'D$ 7 I toilet compartments, utility rooms) 23.32 • p 2 .98 ` �., i;, xn a ° b = : - ,,, . r? _ . . _,, J. Atlic%rawLspace fans 23.32 Business name: t e / �� Other: L 23.32 Fuel piping: Contact name: Alan ( rno3re_ $14.15 for first four; $4.03 for each additional _ Address: 7L IQ 5t.t) ()Ie$on pa . Furnace, etc. 1 «,16 City /State/ZIP: Pori- d / 06 , 1 � I Wal/suspended/unitheater Phone: (5)3) (�N l w u 23 I Fax: ( JuC9 2l iS -1 1 21 Water heater i Fireplace E -mail: pi,t an ' o . u oore2 0 mar C0m Range l : aY ee •. x . i ce`, - e rte = ,c„ Barbecue Business name' Pyramid Heating & Cooling Other. dryer (gas) Other. Address: 9409 NE Colfax St 0 , __3 , l i ;_ i ;vi L - . ■f -=� , City/State/ZIP: Portland, OR 97220 Subtotal Phone: ( ) F ax: ( tJQ3) '� 3L. ?��, Minimum permit fee ($90.00) Pho 503 S t� Q 522 8(A Plan review (25% of permit fee) CCB lie.: 501 3 g Z State surcharge (12% of permit fie) TOTAL PERMIT FEE signature: This permit application expires if a permit is not obtained within 180 Authorized Sl gn ( days after it has been accepted as complete. Print name: A ph 1 - ef set\ I Date: 51 1 (i 2 • Fee methodology set by Tri.County Building Industry Service Board I:\BuildagTermi¢1ME - PamitApp.doc 03/07112 440.46 17T(I 1/02/COMAVFB) • •.. , Eleetric2.11 Permit Application :-..--„-,:...,.„-:,..:..-.:::-. . .. .-FORQE.FICE14.S.E1;INIX.- . :. • • ..,, • . . • .. 7 : 11111114 City of Tigard 1 ....-.• 131 sw ran 131vd . Tigard. (.A 9 r ' 172' I li ; 1 n'":" t'.. 11411°1712.."139 (5.° ir 2 !•;:: i'horsc :0.713. 2 4.3 9 F 5 0 3 : 98 .1 96U - ""' •.• .. - •I•. 1 r7EuE..lic ■ ! otim i...inEU: 5‘00,?_Opt 3101 '• '. ..' Lint: 7 fi..3‘.+.4175 JUN 2 6 2 0 1 2 c.„,,,,Reads,_:,•, , it.:1, I @ Set. Pace 2 for TIGARD: : • ' , .7.7,7:7-..- .:•••. 7:7': int:.:rnez: tto,..A.,..tigarti gos.. i .. 7'...:a . “...d - m,h,i. . , Supplemnul Info 1111 a Iii: 11 , i . . TYPE OF 7 ------,--... WOR '411/1.':.Qt.i''fliGkiIn — t • . PLAN' REVIEW ! _ _ --1 E• :77... New eurst: Ej Ad ditionta II erat it4feVaiffikinS)I'V 6`1 it • • -7:0 ,n ■ II ■ , b Au.t, ...,,,,,.., oc:o, alllp, J: in.;:, CI li:Iikil:1:.!..),:, th:',; - 4■1.1.i‹..... , .. i i ...-- ■ : Li Demolition 0 Other: : 1 %, her, !!'.•: ;,..• oildbi...• ;:i1.:il ■.•;;; .-..-------, - -- 1 I 1 . CATEGORY OF .C.ONSTItUCT'ON.-:,- :' .••• •• • al 1:1;,:y.1,,;,.tb;u1: • .._...._, 1 I i...,,..,•,; e. ...1;).);1 0 1.:11 ‘_:■,: - ,:iiii 2 e c .om dwding. 7 morcial:mdustrial 0 AccesNor:. budding i i amp- !••••• .:0 •7.1er ::-.u.01::::o:is. ::;:i:d:n1 ! F NltEEii 111 Mask.tr buiider 0 ()titer: • ,__,. tr, ,,,,.1: ri . . . . .. ! .10B SITE INFORMATION AND. 'LOCATION .• • . 1 i C ; , i , f , :,-,-..,:•::,,,, ,.-.,-.0,- !:.: • i ■ .:•1: :!;.' i R S'.1 dr / SW - 79 61 Atk, i r.:3,:.„.,.: „:,,,,,,,:,..k..10:::.; ::;::',... El 0 ii,E:E.7-,E7... :......EEE:E., ...j.••_:,: i..); rn.,.: ';• ■ ( .. - :1: , 'Si:::: , ...H ' : -4- — -- — ' i 01::.,:ii o0c sir:1•1 il•ii!!3:4:1: I 5.i.. I Pr41:i ila:i1: arri4/41 446900PaS . i 0 I•4•41 i4r!..•4•4!... i;!..S) -...• . ,. -FEE 8CIIEDULE , .. -t - i .. ___ _ , ,.._ ... , ; -;•:1•L::: 7 9 ii-, /3 ; ,. Dericrips ,_ .1.t,.._L___):.__....:_____:[91. L ' • - New residentiA I iiile- ur multi-family d' unit. , .• • ! ! includes at:ached taratzo. i • •-; ; . , I i .i iJi: St; !I. 4,4 I.:SS HUI).i.ii eArlIAW1 iruFAD01..n ,, 1 oi q . . ...: __________ • • • • -; F:, por^.3.m . .!!:::•. mop/pi:NE:I rE71.• 2 Sil 2,13D 0 3 oo , ,--. . , . !,,,,,,,.,„.„.,....„,,,:,,„ .,....... , 1 i , . . . : . . DEsCRwTION - OF WORN • . - - _ • . , ... ., ._ 1 • : la.t muilirmuy i ' . i • 7,..,1) kNSUU 4041/ . ' ii - ---------- --------"----------------- --•••-• --- - • • - 1 ' Services; Eir feeders insinilatEon. Alteration, 7i ntUur relocation I : j.i.g.i ,:r.-.i..., ,,, ',.; j•::' 7:! - - ---- __..... ..._ . • .. : ' - g PROPERTY OVVNER O. TENANT ' 2W. :::-7, ut .:,.::: :Ur*. : • - , .,, 6 ,Irrz•:. . 7 2::',.....1 : - • N:iii2;..:: yyl aell..,c5 wes-rt 6/ s: , . I _i .,.._-,,,,,, , ,-,,r..,„-„., ..... . , ::: , ,••, ..... ..__ , . ... ........_.. ... ic:/ 6 6/ 5 /7 7,41:k• 6 „,,,,_ ceg .- . °v.:, , ,...„-,,,..,,„,,,,,„ :...,,„• i ' • T.:7rnporm NiTylECS I w it•cd er s inst:iliation, alte•ratilin. A Adfor . rd„ca,, ______ ____......_.____.... . _____ i .__........ _ ,,, ....................... . ...: I114.■114:: ; 5 - 7 ),-/ / qw ; Fax; i I ) • ..:.of —,— 2 imu • 4 mpf. rre . 1 i Tistallation: . 1111. ins:al InEion 'E being made on prof :hat I own 'i i. i:>. no: I . . 7 -- .......... .. . .lio....•: E..1 34.7 Imo, !,77.;•;.3; I • 1 • - 1 . EE71:.•Eld , :.:1 ror sal.:. le. r,..ni. ,-,r excluErE7.zi.7. ;Eccor( thr !ct OR!; 447. 4 (:70. :Err: 701. • I ilranch circuits -- new. 7E11 or extension,Trr _ ......1 ii .. !Arc:: I )ai,.. ■ ; A 1':' .4:: i: '!"..iV4 ■: hi: I - - ...4: 4-..1 0; I I . g APPLICANT . - ...'. 0 .CONTAC:T. PERs. ON nulc . - 42 i --- :5:::i:Ik'S■ 11:.um.7. pAezi i fet _ r _„ . , // , , 3 Fe: ::.7.: hrnucli :cithe.4r; . : i 1 . : : s•::•;".1.:•.• oi i,! ;....% 11:,.i . . , /16 . : • -- — j I 1.•.41...'i ,!tsi.j i! :n7...flu • . ,_ . ! • '! " i ‘ 1. 7 ! • ; ‘ : ?4'/O Sc,,) 0 (, 5 _. )33 - miscull;:pc,.;:s (scrt ice tu• feeder not includrEFE ..-.----.---.....-- . .. ....._ ; E lac!..1 ( uf,E;•::::•,...I :-.• motit;la: , l': po,(Z11..,41.3D aft_. 97 zz3 „ ! , ,.. , : I.,,d, , .:-..: ..„ . , . . . ./. ..... ....... . .. ,: , : , T,„:„..,„„;:,_:„„,.. ••.- . . . . . : •,,,,,,:. ,.. 5 6 , 6 ,y 6(.1 :. !---.ix::( , . - r - 4 ! Pump 07 .IITT' Ciitri: I I I :. - 711 i I I : . a Lazt_e prisir 1/Ar C,C ! ; , i .. -it::!: ..; .ii:114n.: .1!::1:1:1 - t ,-,' NI I .. ; i . ..1.... _ CON' AcroR. -..:- • : . . SI' C1J :•".• :10 _ RK Electric. Inc. . 1,:d-vrit'r;::, ■ I ! ' ; 77 : :. ;;;. -1: ..:•.:;:r,: , ] . i'....•": ::;;; ;7.:.r,' :I Ltic'l - ,.f:.!:til..,:ili in.:pee:lion over ;1110i1)1, i ai o of the abm,- I ....... _________ _ - . .?-:.,..:,-,:,:>: 244q5 NNV Oak Dui% e : . 1,,sp.:,.■ ion :,! !..; 11:::: , t•"....:5:1 i ' •4 .. _ ... _ • . ir.7. .. I 1 ;:un; ... iiilisboro. (.M. 97124 •• 4 - ; . ...,. -.., • 1:7.for:,!.1. ..'. i•-.7 Won ' ':-., !,::'.: 1 , . /,:•341:5'. 640-1344 i F • (503) 356_013 • E InE:necElons .:7! no 14 IN i .. I . I ,.. — ......... . - i . i k' I` I :1 i 1 . --1 Lie.: 34-375(.. i ...7tErEr•v. 1,i-,•: : 4724-S ELECTRICAL 'PERMIT FEES SI:htot;i: i . , 77 c' -- 1 :11i.rc. bliceErieiun nitin:e. :••:;.juired: .E f \ 36,1 (... A . , . . . Nan in 3,'W 44'.:;':•.4:! rieltliilit.:Ci: I I ,! .0.):Iit7: 5f1112 .,...E7; ..ti;:7riarge E E.7 , 01 7 1. iLe.. i I • - I P.,0. Al. PERM: I i•l'i 1 1 . _!- \,..,..r.,:i'i‘'="U''r. ‘. I/ e.7 j ;'( Ir 2F ---- - . This ;!(!4•414:1 2ppfier...tigui expires if it perm* is net 01: ,.iittiii 1:..o 1 : clays afier it h -p a been a.A:c.'t,1 az campi.;:c. Z I -V , • Date• ~VI Iii ) i - - - - 1 • \,:,..!,:--,-.. ifINi•c.:ii.n' .iii,11.,.eii i..,3 iimnii "fr M.. J 1-- ` i 7111 ' Buildin g Division 5 A'E' Development Code Provision Review TIGARD Residential Projects Building Permit No: ' ` O JT 9-01)- — 00 1 SI , CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ca, Routed Plans: / Original Plan Submittal Date: 6/94 f i 9' 1' Revision Submittal Date: ( ❑ Site Plan Only 2 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 (1) 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 Cp'ie,'., 1 C•' new at 503 - 718 - 02437 or C.l>'e- rut I c- @tigard- or.gov) Land Use Case No. S1.1t3 a WS - boo 15 Name B A *any Me -0, ci o uJ S kin Zoning R - 4 . S ❑ S acks Front 020 Rear Side - Street Side i Garage d D Maximum uilding Height 3 Actual Building Height 024 Eg Visual Clearance El Easements IXI . Sensitive Lands Type: i-1/ A Notes: F 5 , , . . 1 r e d 5 ea-bc clL -, -, -f H R - y - S Zone i S d v -C e e - t -- ' t - - - f ^-I-- V & prop o s ed -Put- f- y a •d Se4 -hack i s IS 4- c,,- less . Original Plan: Approved ❑ Not Approved Zi. Date: b -a - I a Revision 1: Approved g Not Approved ❑ Date: (o '4 S - t a. Revision 2: Approved Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) AI Slope: to Notes: "j$, / (r f L-T) , .7 �x " C � 146. Q u - S Original Plan: Approved . Not Approved ❑ Date: 6(24/ i Z Revision 1: Approved 0 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) L E / Street Trees O Protected Trees Notes: Original Plan: Approved Not'Approved ❑ Date: r; - 2 V- 2o/ D.- 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 Applicant Revision 2: Date Sent to A.plicant • Okay to Issue Permit: Yes 't No iil 6 %' Date Routed to Building: r k / • • ■ • a. Page 2 of 2 TROXEL'S HOME DE GN 1217 N.E. BURNSIDE STE. 303 GRESHAM, OR. 97030 ._._ .. 5 5:00 '.. _ _ . RECEIVED M� I a , LOT #9 1 411_/ — 7,920 5Q FT j . 'N 2 8 2012 - A.' CITY OF T' GARD BULL r y , i DIVISION i I A I I I I I I I I of Io ; N- • CONC. • 4r/47 PATIO 5,Cr 1624 I I t I PROPOSED RESIDENCE . PLAN # 1 235 I I I F.F.E.= 101.00' . i G.F.E. = 1 00.50' Ij COVERED I I PORCt1 • " 4" CONC DRIVE • I� I LEGEND 55 O 3" SEWER ® I " WATER PLANTER Q GAS O POWER = RAIN DRAIN SW 79th AVE. NAME: SITE PLAN DATE: 6-1412 SCALE: /-= 2 O. 00 PLAN: PLAN a 1235 DRAWN BY: NICK POVEY ADDRESS: IW I fF.181.90 0 - "' I I / q .. 5 U + SDMH -86 _ !I 5 /� 4, 112819 I ' I '�' EE SHEET 10 � i J CWS.DTLO10 "1 S 0 - _i___ I1 I°O ird I AFB PoM.170.13 L ; - — �J E - �� I I 1 Ff.173.20 I $ LOW POINT a � , :.... s H ;I V) I Fil — SOCB -86 -1 STNUT r . I 4\ • r , o I 1281 -- ^• ma c.. — i — . — — — I 0 z FF.184.00 p1��8 FF.17S.3 I _ I` • SDCB - - 8 F :0 2 ii ) _ �i . i 4. 7 I - � I #128194C . I I I I PUB I 3 I Cws.DTL225 s I STMLAT LINE ' ' • • i FF.169.20 i I 999 I E E I a , i — 4SC° — — 358.31T 12' PVC — 2 - I�no — S.D.E -ill i t - I Q — _ .T . I I — - - - T f - rs Q II - g 1 15 SDE 1 � h STAG +oo B y E E' _ 9 1 I I F 4.90 FF.175.40 I _ 0 f 11 0 1 v.1 r 3 • J � - [' 28 7 I a EXIST. i ^ _. ' I „,..„, ac i °` .1-co CCNC. I I. AW uOns A 4 hi P STMLAT SEPTIC ? x 1411 — -- — o STMIAT — i 1 .Em, a >, - _g1 __ I FF. 178.20 i p - STMUT - ' - :. --- • I STMIAT EXTENSION - + F :.1-_-- , • 1 1 M FF.184.90 INSTALL CLEANOUf W 1 1 IN I I ,. 89.0 LF 6' C-9 0178 ..80 $ r 1 I 2 WITH SLOTTED DRAIN CAP S =0.0110 - I N �. la, i <-- -- TO DRAW LOW AREA INSTALL CLEANOUT & I 1 RAIN DRNN CONNECTS t BY HOME BUILDER /- �: I� _____I i. I I • BY HOME BUILDER ] - lti - t ° i`T' —..- Low POINT — M � ., ;;: :: k.:: : I* \.... __IJ SOCB - E2 - 1 Q STMIAT EXTENSON �I o:: —F I • '-Al I I #128187C / rr ; STMLAT CWS.0TL.22S INSTALL CLEANOUT 81' HOME BUILDER WITH SLOTTED DRAIN CAP ° : 11}0.0 1 B' C -900 I rr 1 I • (1 -FOOT DROP IN WO' TO DRAIN LOW AREA i 5 =0.0110 x' g ! - FF.u8.50 EXISTING OUTFALL BY HOME BUILDER INSTALL CLEANOUT I �-�e • 1 I F ABANDON EXISi1NG SO RAIN DRAW CONNECTS .F-F-1 II r STMIAT BY HOME BULDER 181.50 1 _ WORK 'E 1 A 1 o I I 1 FF.179.80 1� INE ' ,. a -crr S qd Sr M . . L - ENO-WORK r s H - \ _ — STA.8iO4.5 UNE 'B' I 1 '8188 •I I SDMH - B8 I 1 ;_ _ ' TL010 I I L - y, I I 112B190 E V 1 VG 1 MH 1 I 1 I 1 R94.178.44 1 A/0 I I )' o F T/L 4200 T/L 4300 1 l I "S "" I ECF BRITTANY MEADOWS LLC I BRITTANY MFAf�n1/1/s ICE SHOWN .041.9E.v- HMC 1 z +n cw 1 7TU AM' RECEIVED /1Sio2O /a - Op /S/ '` 1 5 2012 Effective: 2014PTCSTt" Duct Sealing Certificate & Sealing Form May Instructions: All sections must be filled out by a PTCS - certified technician at the time of inst= • •f completed form must be promptly submitted to the utility and homeowner in accordance with t ° . 5 RIG iSION enter online at www.ptcsnw.com or fax to Ecos IQ at 877- 848 -4074. Questions? Call 800 -941 -3867. Technician Certification Number Installation Company Electric Utility PTCS - LO `- 3 c Name Pi atlmi A i(eei i'n Company Custoppr Name t Address Main boRmoot2 jc1465 SW 74144 Ave to+ 9 v Site Address 2 City ,, State Zip Code Phone Number (Unit #/ Mailing Address) `�; IiAaK� ` Og CZZ (tb3) 661 - 6WS z 0 Site Built (Existing) Site Built (New Construction) Manufactured Home 0 Y DI N > Year Built: 2012 D Y El N Energy Star Home? Sections 01 0 2 0 3 o Foundation Type: 0 Half a Full 0 Crawl 0 Slab - Energy Star Home? 0 Y El N Basement Basement Super Good Cents? 0 Y 0 N o What type of heating system 0 Electric 0 Heat ,r ,( Gas AHree zz was installed at this site? Forced Air Pump t� Furnace Other. Area ft) 2 51 Li Are at least 50% of the El Y ante majority of the ducts we In conditioned # of supply # of returns ducts In unconditioned space? 0 N space, the home does not qualify for PTCS registers: i O 1 Duct Sealing. House Pressurization Test - Required for Existing Homes with Existing Ducts and Manufactured Homes Equipment Type I 0 Energy Conservatory Is this a Test -Only? , (g Y Blowyr Door House Pressurized to: Er RetroTec ❑ N SI +50Pa CFM50 0 Other Duct Leakage Test (DB) = Duct Blaster (BD).= Blower Door Leakage to Outside Test ONLY New Construction Existing Home New Ducts Existing HDucts 6asting Manufactured Home Pre Ring Open 1 2 3 Open 1 2 3 (Circle One) Not Applicable Not Applicable H M L H M L 16 Duct Blaster co Fan Pressure Not Applicable Not Applicable Pa Pa a Pre Duct DBCFM@OPa BD @+50Pa DB CFM @0Pa BD @ +50 Pa Blaster CFM Not Applicable Not Applicable m CFM CFM C) Post Ring Open 1 0 Open 1 2 3 Open 1 2 3 Open 1 2 3 0 (Circle One) H M L H M L H M L H M L w I sm - Duct Blaster 2 • Fan Pressure -118. 1 Pa P a Pa Pa I N Post Duct Flow Flow DB CFM © 0 Pa BD @ +50 Pa DB CFM @ 0 Pa BD 0 +50 Pa r Blaster CFM @50Pa 6 4- @5OPa ° CFM CFM Pre -Condition Leakage: Pre - condemn (check one) D >250 CFM or O Single wide > 100 CFM D >15% of floor area O Double wide > 150 CFM Elf Compliance Path 6% with AH o (Whichever is Less) 0 Triple wide > 225 CFM (Check One) O 10 /o O 4% no Ali Reduction 50% Reduction 0 50% Reduction Was furnace to plenum Cl 10% of Sq. Ft. connection sealed? 0 Yes 0 No Duct Blaster Iii Return Grille 0 Return Grille D Return Grille Cl Return Grille Location 0 Other 0 Other Cl Other 0 Other Pressure Tap . t � � . Location (Supply s n _ i (�0�'1 Register) red Page 1 of 2 Form continued on next page ► • • Etta-Jim. 2011 PTCST'" Duct Sealing Certificate & Sealing Form A CAZ test is required if there are any non sealed combustion appliances in the home. Are there any combustion O Yes Combustion o Fireplace or 0Gas o Gas Water 00ther. appliances in the house? 0 No Appliance Type: Woodstove Furnace Heater Baseline Pressure with reference to outside / Weather conditions (Calm (all exhaust devices and air handler OFF) — 0 _ 1 Pa on day of test: ❑ Windy m m With air handler ON, record gauge readings below internal Doors Open Internal Doors Closed c Zone Description Reading Net Reading Net c, Zone 1 0 Pa Pa Pa Pa 3 11 2 w Zone 2 - Pa Pa Pa Pa m o CA -1 D Zone 3 Pa Pa Pa Pa v C Net Depressurization Example Air Handler OFF 1 , Atr Handler ON z "Net" equals how much the pressure goes down when the Baseane Rearing 3 Pa ? , (o ,, z 3 Pa Rearing m air handler is turned ON (compared to baseline). H e Depressurization u -4 P c For systems to qualify, the air handler must cause no more than a -3 Pa net depressurization in Yes No m any zone. Does this system qualify? (check one) ❑ ❑ Is there a UL- approved and functioning A Carbon Monoxide (CO) detector installed in the home is required in all cases when a sealed or non- CO detector installed in the home? sealed combustion appliance is located in a conditioned space or attached structure, i.e. garage. EA Yes No RECOMMENDED CO detector specifications: UL 2034/CSA 6.19 -01; digital display; peak CO memory and recall. Notes - Attach additional sheets if necessary n- 2 a Ztokw G(- �O& '. 11 1-1. er.t Ses CAvt .4.55Lk.R : _5 f . LfO. i -Z∎H0 1 (`I . cn 5 0 Ir 5 251it o z m u. PTCST'e Certification of Compliance - To be completed by technician at the time of installation As a certified PTCSTm Duct Sealing Technician, I certify the Duct Sealing at this site and related equipment is in accordance with the standards set for the Performance Tested Comfort Systems (PTCS F) progra . m - o z m ~ m-o PT Certified Technician Name (Print) PTCS^" Ce rtified Technician Signature (Required) - m T 5 - 0 ZZ7 - 61� ° m � Co Date PTCS Technician Phone Number m r. r z 61 _ Customer Name Customer Signature Page 2 of 2 • Ila STREET 'TREE TIGARD' CERTIFICATION ,....._.„....„:::0:0,. I, kz ?. ��w: , owner / agent for kJ t1 ` e,' AbWitS , (PLEASE PRINT) (PERMIT HOLDER) do hereby certify that the following location meets City of Tigard land use and development standards I. for street tree installation and is consistent with the approved site plan. PERMIT NO.: 'WS," - ce/5/ SIl E ADDRESS: l ql76 5frti --2 A / 7 ,¢20 SUBDIVISION: a t- 7;4,,,,1i p 19D1„, . LOT #: 7 SIGNATURE: ,4'f, £yy Dom]1E: /7- g -IL (OWNER/AGENT) RECEIVED & VERIFIED BY: DATE: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I:\ Building \Forms \StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, it, 4,IJ ,� , am the general contractor or the owner- builder at the following address: Site Address: iq 7(05 CW 7 I , Ave City: R•Z-D Permit #: M 57Zp,Z —Oo) Subdivision/Lot #: /r .34ET Vn/1 0 769 'LBWS / 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 inst. .tion of interior finishes, the building official shall be notified in writing by the en= al contractor that all moisture- sensitive wood framing members used in constru ion ave a moisture content of not more than 19 percent by dry w- g t of dry framing • mbe , s. -. . Signature: Date: / /A/ - Z, G • • ral Contractor or Owner- Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS • • Permit No.: • r ZOl Z _ oo, 5 ( Jurisdiction: � � Site Address: 'N765 5W - 2/ 1 Avc 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 m- • : ed building have been installed with compact or linear fluorescent, or a lighting source t' at has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Sp- ialty'Code N 107.2)' Signature: — Date: 11 / z/Z • wner /General Contractor /Authorized Agent • Print Name: ,AtA4f✓ 4 ✓key' t 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. I:\Building\ Forms 'RES- HighEfficiencyLighting.doc 07/01/08