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Permit ,, CITY OF TIGARD MASTER PERMIT • ' - - " COMMUNITY DEVELOPMENT Permit #: MST2012 00147 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2012 TIGARD Parcel: 1 S126DB06100 Jurisdiction: Tigard Site address: 9185 SW MONTAGE LN Subdivision: MONTAGE Lot: 32 Project: Montage, Lot 32 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 Yes Dwelling Units: 1 Third: 666 sf Right: 0 Detectors: 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 • Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 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 AAA 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 9 - 001 -0190 You may obtain a copy of the rules or direct questions to OUNC by callin 03.232.19E 7 or 1.800.33 2344. ` � ` � t �� ez C C. / ,�2 nit e" gc Issued By: Permittee Signature: �� f • Call 603.639.4175 by 7:00 a.m. for the next available Insp ction date. $ /` ti / e0` /r vte.,b'tacu 4 LL(' 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 Application il rC 1 Res ential # „...1 , .,a 1 ' "' FOR OFFICE USE ONLY Permit No.: Cl of Tigard s 2 `J g � Date 2 Received B : r ���� / Q • 13125 SW Hall Blvd., Tigard,OR 97223 Plan Rev iew g 1, l t Other Permit: ,00-00 Phone: 503.718.2439 Fax: 503.598.1960{ (� ID c TlGL :' �' DateB t "�/ f I C. A R D Inspection Line: 503.639.4175 1 t : • ;'� 't � \I Date Ready/By: luris: ® See Page 2 for Internet: www. tigard or.gov 1 ° t �sl N V I,:j' Notified/Method: Supplemental Information BU1 9. TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ti '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: e I 460 t CO ❑ 1- and 2- family dwelling ❑ Commercial/industrial / El 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: 5 . r / // /a[�/�I , - �- New dwelling area: i J 9 L square feet City /State /ZIP: Garage /carport area: /J�� square feet Suite/bldg. /apt. no.: I Project name: MaV'7 # (.0' Covered porch area ,l . square feet Cross street/directions to job site: Deck area: e square feet Other structure area: ) square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: 7. L 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. Ci r ,4- fd G v , /•70t f 2* Valuation: S j W iJ�,l /bL�6 , 5 Existing building area square feet 7 As 4 �i�fY/r / /2 'ow/ 77E5)2 New building area: square feet ❑ PROPERTY OWNER / I ❑ TENANT Number of stories: Name: N , • �/� 7/1 !,l Type of construction: Address: 1 / / f 11 9/ j ✓ �j l % r/,�,t%(/� , Occupancy groups: City /State /ZIP: ` • q 7 2 4 Existing: Phone: (93 - 7 - 7 , Fax: ( 7 ....,..3-77e New: K APP C N T ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: gA. ' � UN( J�m j review e e (or d � le) - /� , � r t Structural plan review fee (or deposit): • Contact name: `/ V /r /� ��/� � 1!" , , / � ..0_01.-. FLS plan review fee (if applicable): Address: I g , .c, . / �, City/State/ZIP: /� / / n / "14. n p/ ir 7 Total fees due upon application: Phone: ( 7 4 , ? e - qo�� Far:: ( �/� !� Amount received: E -mail: � � l�l �j ' v I Y - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* /`'' /� C� � G " ° Commercial and residential prescriptive installation of / CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: A-A-1k Roper+i es Submit two (2) sets of roof plan with connection details 1 and fire department access, along with the 2010 Oregon Address: to 'ID 1 NC bS e.( V . Solar Installation Specialty Code checklist. City/State/ZIP: �QN�d ' w N l9, 9\ Permit Fee (includes plan review $180.00 and administrative fees): Phone: ` e10 - bog -31465 Fax: 13(,0 - V: ' State surcharge (12% of permit fee): $21.60 CCB lic.: .Iq 'r 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. Print name: ,11. `,/ Z , �N ZuM �� , Date: t 11 ,1 v * Fee ervicetBoartigy set by Tri -County Building Industry I:\ Building \Permits\BUP- j RESPermitApp.doc 02/24/2011 !"' 440-4613T(I I /02 /COM/WEB) M • - Numbing Permit ApplicatiooPt.I! : � � FOR OFFICE. USE ONLY JUN 2 5 2012 Received /,, / / P ermi t No.: 4a-D0 /C/7 City of Tigard Date/By: (y p t6 IN . n, il? n 13125 SW Hall Blvd., Tigard, OR 9724 1 ^ - E-I/ -, j .� Plan Review Other Permit No ?� Ph one: 503.718.2439 Fax: 503.5 211 60 ! , G • +7 . Date/By: ` tt �( / / T I G A R D Inspection Line: 503.639.4175 BU LDIN O V i !ON Date Ready/By: Juris: 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 dwelling SFR (2) bath 437.78 ❑ 1- and 2-family g ❑ Commercial /industrial 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: / ra c c` / ' r / Catch basin or area drain 18.76 / C/ !/ Drywell, leach line, or trench drain 18.76 City/State /ZIP: Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name:na 7 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 V Z /v /9�^S�' /!Z Dishwasher her 25.02 /`/ / Dishwasher 25.02 ,r/i4)& �p PA ` L Drinking fountain 25.02 Ejectors /sump 25.02 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: , 14/ i -t f10� �(�� Fixture /sewer cap 25.02 � � Floor drain /floor sink/ hub 25.02 Address: /!1 S. //f/ r /�` V�j��j /k� r Garbage disposal 25.02 City /State /ZIP: "iz /4 p2 ez , ? -2.1q 2 Hose bib 25.02 Phone: (5 3g 7 7 77 Far: 67:3) ?jS7" 77 B Ice maker 12.51 'd APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: ju j, / /1 // UM `g 4 f ` Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: 7/21/40401W CAVANL � � Roof drain (commercial) 12.51 Address: /U �i. I -/� / % f ' Sink/basin/lavatory 25.02 City/State /ZIP: / 4 <7 p, x r q c•-/f,, Solar units (potable water) 62.54 Phone: ( (� ) /) - . , / j / Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: �f � �/4 O ��� 1 � � . Urinal 25.02 �� / Water closet 25.02 CONTRA R Water heater 37.52 Business name: / Z,R 'r i ei , (p i t_ Pg Jats Water piping/DWV 56.29 Address: P 0 , 6 eg2 04 tq Other: 25.02 City /State /ZIP: U COuVe'IC- W k Q Fg F2 Subtotal ^� c Minimum permit fee: $72.50 Phone: (1F70 7 / ) Z .R te f Far: (36e) '' /4,1( Plan review (25% of permit fee) CCB Lie.: n 6 P Plumbing Lic. no.: c a (12% A State surcharge (12/0 of permit fee) Authorized signature: TOTAL PERMIT FEE rr //Y .i fly' /V i/ i-/ ►-'"7 Print name: V L,44.0 ° te: FY �jJ l I /J , �A t, This permit application expires if a permit is not obtained within 180 days / b after it has been accepted as complete. • /" • r V / . - ' *Fee methodology set by Tn -County Building Industry Service Board. 1:\ Building \Permits\PLMU- PermiWpp.doc 10 /01/09 440- 4616T(10 /02/COM/WEB) ~ Mechanical Permit Appllcati (" I it m FOR OFFICE USE ONLY • Iu _ � Al ity of Tigard Received Date/By: �i� Permit No.: /- /ry( `( ne 13125 SW Hall Blvd., Tigard, OR 97223 JUN 2 5 2012 Plan Review C: Phone: 503.718.2439 Fax: 503.598.1960 etv2 , - Date/By: Other Permit: 6 - 0, T I GA R D H Inspection Line: 503.639 >I � X 1 6 �, n Date Ready/By: lulls: See Page 2 for Internet: www.tigard- or.gov B UI' ) � F 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* ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. Xi Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: I/ 7 �[ i � / 7 Air conditioning pin Job site address: �/ � . (requires iressite plan showing placement) 46.75 Fumace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: 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 WORK Water heater 23.32 C ®A C U G 464) il G Ii Gas Gas fireplace/insert 33.39 G vent entfor water heater or gas C /y6 �+ ��� L y firelace 23.32 J �(/ !/ 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 23.32 Name: . W //6 0 ! / Other: � ����� _ - ' / J Environmental exhaust and ventilation: Address: 11 1 �/ � �� L Range hood/other kitchen /1 equipment 33.39 E. City/State /ZIP: / //�TG/� e/ • 42 17 Clothes dryer exhaust 33.39 /� Fax: !! l Single -duct exhaust (bathrooms, Phone: () �3 (7? (9j —' 577g l toilet compartments, utility rooms) 23.32 :1 APPLICANT ❑ CONTACT PERSON �7 Attic /crawlspace fans 23.32 Business name: �� /�� / Gl � / Other: 23.32 // Fuel piping: Contact name: re " r ire;(-/R/OA4 �j�' $14.15 for first four; $4.03 for each additional I O / h C � F ,_, • /14, �f /5v/` g/ Fumace, etc. Address: f (% L r pp . 0A 13 � Gas heat pump nde City/State /ZIP: v .�7��t1/7 Wall /suspended/unit heater ? /) 27 O - n , / I Water heater Phone: v(( / Fax: ( ) /, c- i.n4/1 t Fireplace E -mail: ./. 1 a G/,�c pL4' t pi n i / Z liM Range ( il/ CONTRACTOR L Barbecue Business name: - �^1 CY3� Q V �` r � ,^ „ _ Clothes dryer (gas) �l _ Other: Address: 3 2 6j _I 1 e_ MECHANICAL PERMIT FEES* City/State /ZIP: QDR�-ICavk 0(z q 4- 3 Subtotal /� /' Fax: Minimum permit fee ($90.00) Phone: ( �) "11' go5� _ Plan review (25% of permit fee) CCB lie.: I-4 'T State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: 1/ /,/ J This p ermit application expires if a permit i s not obtained within 180 days s afer r it t has been en acecs fed as complete. Print name: �� k Date: / 1 1'jj, , • Fee methodology set by Tri-County Building Industry Service Board I: \ Building \Permits\MEC- PermitApp..oc 13/07/12 44046I7T(II /02/COM/WEB) • - Permit Application FOR OFFICE USE OiNLI' �+ Received i /a �s II City of Tigard °� ( p 0141,2 Permit }��Irdla- l�rf ..--' 's 13125 SW Hall Blvd., Ti ard,OF sE ° y I ��tY Da Re 9 g , p_ Plan Review Other Permit: I� �� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ` dwQ� / 7- 'eV/ 3/ T I G A Ii D Inspection Line: 503.639.4175 JUN 2 5 2 012 Date Ready/By: kris: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF-40111W / IGt - 0 PLAN REVIEW ,New construction ❑ Add itio151S #tl3r�tlil3 v 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. / . - = I . 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. a ,►' Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE L�IFORivIATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no. : 1i Job site address: IooHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: q 1 35 5)1/, • R - I // ❑ Health -care facilities. ❑ Supply voltage for more than • ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: 11,-frig-f, ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 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'l 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.) - l �1 j :r l jw '/` //' r / / / - / Limited energy, multi- family 75.00 2 residential (with above sq. ft.) ‘7//0 /�� /� %� / � Services or feeders installation, alteration, and/or relocation p� l 200 amps or less 100.70 2 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 �f }� 401 amps to 600 amps 200.34 2 Name: /1/, ' /Il i �� �C % % 601 amps to 1,000 amps 301.04 2 /// / , i A'j , y � / a��� Address: Zr /� p Over 1,000 amps or volts 552.26 2 / Temporary services or feeders installation, alteration, and/or City/State /ZIP:�� 04 �� ��� relocation Phone: (,y 7'7_ I�%� 777 I Fax: (_ ,2.-7__.....5-7 ? 8 200 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 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, . er panel Owner signature: Date: A. Fee for branch circuits with APPLICANT above service or feeder fee, ❑ CONTACT ,PERSON each branch circuit 7.42 2 Business name: f2 • A72/), i 4 O /772--‘11 B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: �� d1 / /10 / v� branch circuit x � - � 7 � 7 Each add'I branch circuit 7.42 2 Address: l/ gke2 5-(&., / �b / J "N • Miscellaneous (service or feeder not included) City/State /ZIP: fiXT1/4--ity2 / Ea ch manufactured or modular � 17 K dwelling, service and/or feeder 67.84 2 Phone: ) 2:70 Fax: : ( ) / Reconnect only 67.84 2 IMIV )/1,E������Z�7/n /, �2� Signor outline lighting 67.84 2 Pump or irrigation circle 67.84 2 E -mail: �'�/ �/! / /�'!�' CONTRAC Signal circuit(s) or limited- energy Business name: panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: _s L - y� Additional inspection (I hr min) 66.25/ hr C , v Investigation (1 hr min) 66.25/ hr City/State /ZIP: Industrial plant (I hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is ' specifically listed (%A hr min) 90.00 / hr CCB Lie.: Electrical Lic.: Suprv. Lie.: ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): n . - Authorized signature TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit. I: Building \Permits\ELC- PermiWgt.doc 07/01/10 440-4615T(I1/05 /COM/WEB RECEIVED Electrical Permit Application AUG 0 ^^ City' t,f Tiord 2 r ? , _�': ' i i _ _ � / L fsla o�� - O M 11 ;; l Svc Nil tM . 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Iraletll � r l ar •Wl1 Korb pMr.nd ?w.p.m.. WW1 ar * 994 .J d b... A 4 ME k S — •�••dmII 1 • a..1 T V. ill Iy �'' 91to .e.a:.m .�>� 1 C ir; •Sur�Z1? _ 1. � vw yea 711e/le .--..- - 1 "Wow 1 097 4 91._ F ( I earn er ...al .o he : vJ eri he ipx cos li . cf ? e�ieal Lk.: t r i • • I Sta<.r. lx: 4.�fta 1 'kW? �wna` wiw 7RI AL IIIRMR PLO } Sr..orr. Uecri;Ilsi fiolllum *wind: f�;1 I N•Mrl L Pim I.re+ Q Iii gfisme f.. ) t`•• r 4 r i e / 0 ' 4 7 1 , 4 . 4 . 1 7 S f VIM. ai e' /l'Z WW «edlrrit. (12% , "e .a r1. ar r!•xlr_d cttbttae TUTAL Mt NM /LP_ • f1.11 lean •/I•lle.a ••pal If • rmIg Yee d.a>...i.r /M f'raw Tar m-: �^ PM. • Mpg .11/m I MN a.�.e.. ...Mel. I • I.... a t w+.:.. Amid '.lw. I ar:.wa. ∎e.e-P.....►n CRle .v r,rh.1e4tPe".1. /0////3 "le rT —mmi GCJ0- 7-7 </ A i_s- l 41'' 11-x- 3 2- �. C(tgs (V1 lig I ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: H 5 T O L — OO 147 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A / Z. Routed Plans: Original Plan Submittal Date: 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 (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 approve . Planning Review (contact ei QG at 503 -718- 250i/or @tigard - or.gov) Land Use Case No. c/1/.4-2.1-03 Name at �ts�*hcJ�ot:c, Zoning E Setbacks: Front I o Rear 16 Side c/D Street Side / 1 / 2711 Garage / (� 6 Maximum Building Height Actual Building Height 3/ Er Visual Clearance Er Easements .. Sensitive Lands Type: Ai 4-- Notes: Original Plan: Approved.O Not Approved ❑ Date: 6 — Z C 'f'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) /Er Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: _ 2-4 17_, Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) It treet Trees w Protected Trees Notes: Original Plan: Approved 1 Not'Approved ❑ Date: X"')7' . - 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 Applicant Okay to Issue Permit: Yes o ❑ Date Routed to Building. Page 2 of 2 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: h ST 2o 12 -©o I ki n Jurisdiction: / Gy cc Site Address: q 2 s 9� D 1,40, eoz_ , Subdivision/Lot#: - 3 2 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: /— 2 ' / 3 Owner/General Con actor/Authorized Agent Print Name: S r S-I; TSci 12 h le(-0 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 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Seizeeca J7godz.2h Leo , am the general contractor or the owner-builder at the following address: Site Address: q ss Su,. 11,10 r + .Q- j City: T; i , () R_ Permit#: ix $.r. lot 2 - Co f Q'( 7 Subdivision/Lot#: 3 and/or Map and Tax Lot#: To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: g.,t Date: I— 2 3 -13 General Contractor or Owner-Builder I:\Building\Form RES-MoistureSensitiveWood.doc 09/25/08 FOR OFFICE USE ONLY — SITE ADDRESS: 9 .6c3 Jago VT9e- GN This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. l ig City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT >s ' r Transmittal Letter e r I c=; A is r> 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION r' ^ 7 '$, di {�7 % FROM: � f p /11W r& r AUG 0 9 2012 S/F71 it 14 ! -,; :5A:fy.) COMPANY: ;i j s ; :.'4ary ,- ; ::'v +V ._ t.; ai � PHONE: — 7 — X77 7 By RE: //ici � f- Le 7 oZ AISSI vRQ /, - r e,0 /$' (Site Address) ) (Permit Number) .( e5 Sc 6 7 6i-c LA/ roject name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: I Description: Additional set(s) of plans. ✓ Revisions: r�G 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 OVVICUSE ONLY Routed to Permit Technici Date: v / t� Initials: i " 'R • Fees Due: El o Fee Description: Amount II ue: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes o ❑ Done Applicant Notified: Date: <pe h-e —I-a ✓r.L.a _.0_,--k 1/10 7- Initials (:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 ;� a Building Division Development Code Provision Review T i e n iz Residential Projects Building Permit No: /75 i �4/.2 — ti /V7 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Jr Routed Plans: Original Plan Submittal Date: li /Z.0o2- 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ,! //Z ❑ Site Plan Only ELF' 'ion/ C/b9-4/6C Arx. bE 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 at 503 - 718 - 2 0 or @ tigard- or.gov) Land Use Case No. 514 ,6 ton5;"- finnO3 Name /) p . T k /A/fieti S ❑ Zoning ❑ Setbacks: Front Rear Side Street Side Garage ❑ Maximum Building Height Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: Notes: E010#4 ) I A lhpilr I )1., C 1 die e1 Original Plan: Approved. & Not Approved ❑ Date: 8-- ?- 1 2-- 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: 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 // s C ) Qa - c /47 ig5 sr-) / Lo 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." • • • • •