Permit ,, CITY OF TIGARD MASTER PERMIT
11 1 s ' -' -• COMMUNITY DEVELOPMENT Permit #: MST2012 -00148
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2012
Parcel: 1S 126DB06200
Jurisdiction: Tigard
Site address: 9193 SW MONTAGE LN
Subdivision: MONTAGE Lot: 33
Project: Montage, Lot 33
Project Description: Building 6, new SFA ,
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 278 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 31.5 Bathrooms: 3 Second: 625 sf Garage: 296 sf Front: 10 Smoke
Dwelling Units: 1 Third: 666 sf Right: 5
Detectors: Yes
Total: 1569 sf Value: $176,460.08 Rear: 16
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: 0
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
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: 2 201 -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 SFA VB R -3 1569
Owner: Contractor:
NW AREA INVESTMENTS LLC W PROPERTIES INC Required Items and Reports (Conditions)
11150 SW RIVERWOOD RD 16501 NE 65TH CIRCLE 1 Ersn Cntrl 503 - 639 - 4175
PORTLAND, OR 97219 VANCOUVER, WA 98682
PHONE: 503- 387 -3777 PHONE: 360 -609 -3465
FAX: 360 - 718 -9701
Total Fees: $13,622.80
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through • • R'1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344.
I
( _
Issued By: I Permittee Signature: , �" me�'t'19� -_
Call • 3.639.4176 by 7:00 a.m. for the next available inspe tion date. A u�/ -e_il. In i L_ L. C,
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
c v I. °J
• buildi Permit Applicat o - "'
Residential FOR OFFICE USE ONLI
City of Tigard
Received
Jl,no ()�� - d� ? , Date/B : = Permit No.: /l$ • 13125 SW Hall Blvd., Tigard,OR 72' '.; 'V.' , ' / y y_ ���
:� [i g 19 Plan Review j`C� Qra Other Permit'
Phone: 503.718.2439 Fax: 503.598.1960 Da R : .... / — Gbi
FIG \ It U Inspection Line: 503.639.4175 Date ReadyBy: lurk: El See Page 2 for
Internet: www.tigard or.gov Notified/Method: 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.
Valuation: $ I 7( 4-60
❑ I- and 2- family dwelling ❑ Commercial /industrial
/ ❑ Accessory building A Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: /
�
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / � / � ,', j/ / Aew New dwelling area: 1 96,4
square feet
City /State /ZIP: 6 Garage /carport area: // square feet
Suite/bldg. /apt. no.: Project name: /4 # CO Covered porch area 4.. ✓' square feet
Cross street/directions to job site: Deck area: 6 e4-. square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.:33 Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
C 1st r � �6v , 0ty R - j1 � Valuation: S
j //' - o /v / : .�1 ,, V r ` Existing building area square feet
IS 1- A POW r765) New building area: square feet
❑ PROPERTY OWNER / I ❑ TENANT Number of stones:
Name: At ,pp • / �� ' 7 !�!/�/ Type of construction:
Address: //f ,! //./ / / /f ied7d �`G Occupancy groups:
City/State/ZIP: t t A • q 7 'J 14 Existing:
Phone: (92 - 7 1 Fax: ( I 3'7 ....-77e3 New:
PfA P ¢ �� ❑ CONTACT PERSON BUILDING PERMIT FEES*
�`�/ 1 v� ]�m'
(Please e refer (or e osit): schedule)
Business name: /�' ‚fT.
FLS plan review fee (if applicable):
Address: i � Q , t / Structural plan review fee (or deposit):
Contact name: I ` / ��
Y 4 � baao /// s' /t , r
City /State/ZIP: f� 7' �� ) p 7 / 6 Total fees due upon application:
Phone: ( 7 4 , Z - / q ' , ��� Fax:: ( ) ` Amount received:
E -mail: A, l v c - p � ' j in ) I - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/
CONTRACTOR r Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: A-AA P rope N'►es -� Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 1 ( N t, (e, ti Solar r Installation Specialty Code checklist.
City/State /ZIP: \ha V\ecov air Inl 1k C? g b g a Permit Fee (includes plan review $180.00
and administrative fees):
Phone: ( 6o-1 -34 bf Fax: (Q) c .‘gj_ q % State surcharge (12% of permit fee): $21.60
CCB tic.: 14 t- . , A
Total fee due upon application: $201.60
Authorized signature: // 7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
/ fi • �
Print name: � `. L. i / LA Date: r • / � * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits \BUP- RESPernitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
•
. Plumbing Permit Application,
�'p� �h
I � 4 FOR OFFICE USE ONLY
City of Tigard 2 5 2012 Date/By: (f/ Received /,, A id_ V Permit No.:W y 9...00/L{g
I li - a 13125 SW Hall Blvd., Tigard, OR 9 Plan Review
0 . Phone: 503.718.2439 Fax: 50348 l Other Permit No e r3/
1 � - �-± rr DaleBy: //
T I G A R D Inspection Line: 503.639.4175 • ill - . I 5l t' "1 1., Date Ready/By: luris: See Page 2 for
Internet: www.tigard or.gov RUJI DING DS7%161i.)N 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
El 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler (-_ sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: / 7 5, . gieywo° /j� Catch basin or area drain 18.76
/ 6 Drywell, leach line, or trench drain 18.76
City /State /ZIP:
Footing drain (no. linear ft.: Page 2
Suite/bldg. /a no.: Project name: ,1L.l1f7`ll YX& Manufactured home utilities 50.03
Cross street/directions to job site: ���� " " / /��'' 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: I Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
i � Z niT _ , „# Dishwasher washer 25.02
-
CJ �� Dishwasher 25.02
, f �p . PAW/ 1 Drinking fountain 25.02
Ejectors /sump 25.02
PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: ,, W o , - f oke ! -'�N�1 j- 1„,"...-c_ Fixture /sewer cap 25.02
Address: NJ J V S: /4/ r /1/ ve Floor drain/floor sink/hub
�, Garbage disposal 25.02
City/State /ZIP: pOi/4 vb� FA . 4'"7 2 Hose bib 25.02
Phone: (5 - 30- 7 ' X77 Fax: ) '37- 7? B Ice maker 12.51
IN APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: 01u Ai / /I U `/`■41 ` Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: 7 72/21/ ` �U�lli� z Roof drain (commercial) 12.51
Address: 1i8,, _ /p ' Sink/basin/lavatory 25.02
City /State /ZIP: / "/ <7 , e� 6i/` r z f L 2 � / , Solar units (potable water) 62.54
Phone: i/ )l - .1, Fax: ( ) I Tub /shower /shower pan 12.51
E -mail: 4 , e ) 9 ' i , i J ., Urinal 25.02
6 j ` Watr closet 25.02
CONTRA R
n Water heater 37.52
Business name: j .4.62.4143 � IrpCao Water piping/DWV 56.29
Address: P 0. ii 7 2, (12q Other: 25.02
City/State /Z1P: o tAWIP.4., f 0- _ Subtotal
Phone: (360) 77Z yr / Fax: ( d) 3 Z (, / (, Uf Minimum permit fee: $72.50
CCB Lic.: /7 17 6 / Plumbing Lic. no.: Y 3O Plan review (25%
of permit fee)
1 State surcharge (12% of permit fee)
Authorized signature: , TOTAL PERMIT FEE
- Wier /1p tl I/ � This permit application expires if a permit is not obtained within 180 days
Print name: Lp ,‘, I Date: ! Iv G p PP after it has been accepted as complete.
- / . . •� I *Fee methodology set by Tri -County Building Industry Service Board.
I: \ Building 'Permits\PLMU- PermitApp.doc 10/01/09 470- 4616T(I0 /02/COMVWEB)
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. Mechanical Permit Applic '� F 1 i , ,r ° -- R ; FOR OFFICE USE ONLY
n .j ,.� , ,
Received it Mr }1 ,/
• City of Tigard UN 2 5 2012 DateBy: Permit No.. 50 ri(08
III 13125 SW Hall Blvd., Tigard, OR 97223) Plan Review �� v ` Q " /
0 Other Permit: 5(4)g. 90 fa — Gi7
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ! 3r
TI G AR D Inspection Line: 503.639.4175 r3i Y OF TE 3 t. +r: Date Ready/By: lulls: RI See Page 2 for
Internet: www.tigard or.gov BUILDING C'b- I Notified/Method: Supplemental Information
TYPE OF WORK CONLMIERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
:New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building For special information use checklist.
X Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 7 "? 5) vv i / L/ /t (requires site plan showing placement) 46.75
City/State /ZIP: _` / �/ Furnace 100,000 BTU ( ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: 4 Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WO Water heater 23.32
C O N / / // // Gas fireplace/insert entfoto 33.39
v 12CU ! A �G Flue vent for water heater or gas
57,06 �r j /'� fr L fireplace 23.32
fit/ L / X Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32
/�� /�� / / Other: 23.32
Name: • W /961- //G I/ �° . 0 5 / �- C/ Environmental exhaust and ventilation:
Address: 1/� �/ ,Q`jO Range h kitchen
/ / , equipment ment 33.39
City/State /ZIP:p,/17� /� e, • .7 'all Clothes dryer exhaust 33.39
Phone: / ! ^'� -y7 Single -duct exhaust (bathrooms,
l � � '") " -� 7'7 Fax: I (9 )i ?— 5 L ` toilet compartments, utility rooms) 23.32
PLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: f" / -7_, IL. L I . 16C - `' � : Fuel 23.32
/ r / piping:
Contact name: �` U W� & A d v . S14.15 for first four; S4.03 for each additional
I O/ b c 1 F- n , / c� Furnace, etc.
Address: (% < /�/{� t
p 19/IL,r/ � qj . /A Gas heat pump
City /State /ZIP: Wall /suspended/unitheoter
Phone: ! -i) Z7 p - ` C / I Fax:: ( ) Water heater
I ,, t Fireplace
s'
E -mail: a �� y � 'Glee �7J��l4/ / Range
( � CONTRACTOR Barbecue
•
Clothes dryer (gas)
-
Business name: �(,tt� QL t� V 1 _ 1+ tl'�1/ P Other
Address: A 1 6 MECHANICAL PERMIT FEES"
City /State/ZIP: Pb QA.lavvI 1 pa-Qt(- Subtotal
Phone: (53 q 14-€.051;3 Fax: Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 144 oq 4 State surcharge (12% of permit fee)
�_ TOTAL PERMIT FEE
Authorized si nature: This permit application expires if a permit is not obtained within ISO
g / days after it has been accepted as complete.
Print name: e 1'1_ A f / �11/ � I Date: t • `79 I • Fee methodology set by Tri- County Building Industry Service Board
1:\ BuildingtPermits\MEC- PermitApp.• 1 3/07/12 440-4617T (I I/02/COM/WEB)
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• Fleetriea 1 Permit Applicatio �PCH t"� L 0 FOR OFFICE USE ONLY
limv Rece
• City of Tigard
(p t2- a.���g
q 131 Hall lvd., Tigard, OR 97223J 2 5 2012 Plan R
Permit No.: r
• l . Phone: 503.718.2439 Fax: 503.598.1, V. C -- { rr 9{0 Date/By: Other Permit: --oot 3/
TI G A R D Inspection Line: 503.639.4175 r ply: Date Read B: tuns:
Ready /B: to See Page 2 for
Internet: www.tigard- or.gov BUILDNG .r Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW '
Ff New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
/,S % less to ground, or exceeds 14,000 0 Commercial-use agricultural
!i i -and 2 family dwelling ❑ Commercial/industrial 0 Accessory building amps for all other installations. buildings.
,i: Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE Pi IFORrIATION AND LOCATION ❑ Emergency system. larger separately derived system.
�/f ❑ Addition of new motor load of ❑ "A ", "E "1 -2 ", "I -3 ",
Job no.: I Job site address: q � �. /!" I or or more occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: /ikt/g- f l ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description P I Qty. I Fee. I Total I •
New residential single- or multi family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
. DESCRIPTION OF WORK (with above sq. ft.)
�� 7 !
�If� Limited energy, multi - family 75.00
//I residential (with above sq. ft.) 2
/1''���� G / / - Services or feeders installation, alteration, and/or relocation
//1/ 200 amps or less 100.70 2
PROPERTY OWNER 7 I ❑ TENANT 201 amps to 400 amps 133.56 2
/ . /Y) /� / �� �� 401 amps to 600 amps 200.34 2
Name: �/ s / / l 7 r ltC ' . ! f / �j l p l — 601 amps to 1,000 amps 301.04 2
Address: // / . ..S aj , , 2 / (5 ;2722 /� Over 1,000 amps or volts 552.26 2
City/State /ZIP: / /�/2/��� J (/ 04 L7) � 1 Temporary services or feeders installation, alteration, and /or
/ ' relocation
Phone: ( p) .
'7-. Fax: (L;j, 3 �'
-) ' 2 g 200 amps or less 59.36 I .
/ nstaall which G 7 6 201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
APPLICANT ❑ CONTACT ,PERSON above service or feeder fee,
7.42 2
Al APPLICANT branch circuit
Business name: /A! !! , / .4 A li� / B. Fee for branch circuits without
{ {�f / service or feeder fee, first 56.18 2
Contact name: N � d dill / gel" Li branch circuit
/ v • Each add'I branch circuit 7.42 2
/
Address: L eb 5' VT X� _cr. Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 67.84 2
` � t� dwelling, service and/or feeder _
Phone: /. ' ) / ,.. ,72 19 — g , , , Fax: : ( ) / Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E i 44 4. / A / A___ i >IW ' _%J/d Sign or outline lighting 67.84 2
/ r CONTRA .r" Signal circuit(s) or limited- energy
Business name: G panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the abov
Address: _-tre-c‘-/E6 Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: Investigation (I hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: ( ) Fax: ( ) Inspections for which no fee is
specifically listed (%, hr min) 90.00 / hr
CCB Lic.: Electrical Lie.: Suprv. Lic.: ELECTRICAL PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: Plan review (25% of permit fee):
Print name: I Date: State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 180
Ty ' —' ...t -r days after it has been accepted as complete.
Print name: I Date: • Number of inspections allowed per permit.
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11111 o ° Building Division 1 9 5611)2:° 11/1
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: N 51 1?- _ / 4 4 8
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ZI
Routed Plans:
Original Plan Submittal Date: 1 -6195 — 1/ 0.----
1st Revision Submittal Date: L-11—/Y ❑ Site Plan Only ih If 2- /' 1 -7
-7
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 approve
AO
Planning Review (contac 1..!....' �e-/ at 503 - 718 - Z �s� or rare, @tigard- or.gov)
Land Use Case No. S "Q ay..' ' Name /''€ /04•=4114-e-4-4 !!
..0rioning
-Er Setbacks: i / .
Front 1 0 Rear 1 6 Side 6 Street Side a /f
Garage ''ii /' J 51494 J
Maximum Building Height Actual Building Height 3 I '9 1/ .
j2KVisual Clearance J
Er Easements rem o -vE �"yvte .:. e .' i M-`
❑ Sensitive Lands Typ /0 A"
Notes: 4411.15 tAskotalz 50 5 * -Ce— d f 4 elF.!//� ��
IV 64
Or iginal Plan: Approved ❑ Not Approved, Date: lv " 2. L ° AZ
Revision 1: Approved .0- Not Approved ❑ Date: 7 —23 /L
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: S
Notes:
Original Plan: Approved Not Approved ❑ Date: L /tz,
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
1
I
I
City Arborist Review (contact Todd' Prager at 503 - 718 -2700 or todd @tigard - or.gov)
Ek Street Trees
�( Protected Trees
Notes:
/ , , .
Original Plan: Approved Not Approved ❑ Date: " -d - 4 61--
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
. •. u
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or:gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes7 No ❑
Date Routed to Building:
Page 2 of 2
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Sr 10 - Oo pig Jurisdiction: I Not t2 64
Site Address: Q Q 3 hAo h i a OP h
Subdivision/Lot#: I O 3 3
and/or
Map and Tax Lot#:
By my signature below, I certify that a minimum of fifty(50)percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: Date: /— 3- /3
Owner/Genera ontractor/Authorize gen
Print Name: siz.$352. I S
ORSC Section N1107.2.High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
I:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, .5, CJ�c, 13112,a,�1 'c.0 , am the general contractor or the owner-builder
at the following address:
Site Address: q 4 3 )(KDh Q ei z / h
City: I a� C.itZ d tZ
Permit#: - 2012
Subdivision/Lot#: 3
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: ` Date: 3
General Contractor or Owner-Builder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
FOR OFFICE USE ONLY — SITE ADDRESS: 9/13 S� /,t/7 gC,t LAJ
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
I a Transmittal Letter
e
F I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION C 57 '' ` .
:,.x. ; , .., 3 "
� ,, . .1 V , 0
FROM: '14IS j} P, & 4-Nc)/�& AUG 0 9 2012
COMPANY:
C177 7. ` -'-J
PHONE: 0*' 7 *---.7-77 By: `
RE: lfiG /.4 Lai 33 /1 rr /? —OD�
(Site Addr (Permit Number)
r:3 G 7 /r rA/7 �" / J
(name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: Description:
Additional set(s) of plans. L Revisions: c me-'
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR FVICE/USE ONLY
Routed to Permit Technici Date: / I'— Initi als:
Fees Due: ❑ Yes [g'No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Re • rint Permit • er PE : ❑ Yes a llo ! / ❑ Done
Applicant Notified: Date: a .. c / i • VA/// ''1 Initials: 1..._,-°"k1
(:\Building\ Forms \TransminalLetter - Revisions.doc 05/25/2012
0 . ` I , i t' - h
0 1, ` . I :;,
e r�
e ° Building Division
Development Code Provision Review
T i c n ►i Residential Projects
Building Permit No: N..( �O /o - oe/yep
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 0
Routed Plans:
Original Plan Submittal Date: 4/ZS / /.Z
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: P /�! /4 ❑ Site Plan Only 7- ",977VN C/5‘g4,4 - ,' .D
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 ' d at 503 - 718 - 2 y e( or @ tigard- or.gov)
Land Use Case No. 5lii3 2on?- Dl/nt3 Name ir) / . T k /w/WOMES
❑ zoning
❑ Setbacks:
Front Rear Side Street Side Garage
❑ Maximum Building Height Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type:
Notes:
T OVTA- 4 1 r 1,111.0 ko it � ,,., C 1u-.,Jt ticttir t.
Original Plan: Approved-a' Not Approved ❑ Date: 8" 7 Z
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)
❑ Actual Slope: cyo
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
ail Tg00, /`f '
gig3 N
Dan Nelson
From: Gary Pagenstecher
Sent: Thursday, August 09, 2012 9:19 AM
To: Dan Nelson
Cc: Dianna Howse
Subject: Montage Elevation Changes
Dan,
Bayard requested revisions to the approved elevations to Building 6, which may be applied to future buildings as well.
The revised elevations require land use review because specific elevations were approved with the county land use
decision. With this email and the approved revision review form I am acknowledging and approving the proposed
changes (decks now span whole unit supported by 16" x 16" columns to the railing height). Planning needs a copy of the
elevation sheet for the land use file. I will sign off the revision in Accela.
Thank you,
Gary
•
DISCLAIMER: E -mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E -mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
1
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