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Permit CITY OF TIGARD MASTER PERMIT 0 • - COMMUNITY DEVELOPMENT Permit #: MST2012 -00172 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/30/2012 Parcel: 1 S136CA09000 Jurisdiction: TIGARD Site address: 11047 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 11 Project: White Oak Village, Lot 11 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 713 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 29.5 Bathrooms: 3 Second: 950 sf Garage: 180 sf Front: 0 Smoke Dwelling Units: 1 Third: 520 sf Right: 0 Detectors: Yes Total: 2183 sf Value: $235,139.76 Rear: 0 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: 1 Drywall- 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 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 500 sf: 3 201 -400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other. N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2183 Owner: Contractor: WESTLAND INDUSTRIES INC WESTLAND INDUSTRIES Required Items and Reports (Conditions) 12670 SW 68TH #400 12670 SW 68TH AVE STE #400 1 Ersn Cntrl 503- 639 -4175 TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503- 572 -0746 PHONE: 503 - 245 -9715 FAX: 503 -598 -9081 Total Fees: $17,618.45 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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica enter. T•.• -- rule. are set forth in OAR 952- 001 -0010 through OAR 52- 001 -0090, You may obtain a / opy of the rules or direct questions to OUNC by calling •03.232 19' • '.0.332. ••44. Issued By: �Y1.Cf4:/1 Permittee Signature: ei„,,k, .. Call 503.639.4175 by 7:00 a.m. for the next available Inspectlo This permit card shall be kept In a conspicuous place on the Job site until co the project Approved plans are required on the Job site at the time of each inspection. y -,.. wa /r 1 Building'Permit Application AQ / FOR OFFICE USE ONLY City of Tigard JUN 8 2012 Date/By: Received . ' Q( j� A/ / Pennit No.: , y -1 n /a f 7 • IN 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Vo t Other Permit C O /iZ L ® ' Phone: 503.718.2439 Fax: 503.598.1960 '� Date /B : kl1 Inspection Line: 503.639.4175 CITY OF TIGARD % Date Ready •y: Juris: See Page 2 for T I G A R D p Internet: www.tigard- or.gov BUILDING DIVISIO Notified /Method: 7/2‘, /y Supplemental Information $O /5 es TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING slew 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 work indicated on this application. CATEGORY OF CONSTRUCTION �p �, - Valuation: $ 2 I 1 ..7 ‘, E { I - and 2- family dwelling El Commercial /industrial Number of bedrooms: ❑ Accessory building ❑ Multi- family — ❑ Master builder ❑ Other: Number of bathrooms: JOB ,, S I TE INFORMATION AND LOCATION Total number of floors: Job site address: /101/7 0/i OC' y a abiry New dwelling area: p.4 X ! square feet City/State /ZIP: /6-7¢� 2 / / 75 Garage/carport area: U ` a square feet ' Suite/bldg. /apt. no.: Project name: a1/2 l ` //c 4-4-6—E_ Covered porch area: square feet if56 Cross street/directions to job site: Deck area: ,P square feet ? 0 Other structure area: Z�j 4 square feet ,"j REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: f /7 0 e - -4"r ff Lot no.: /1 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.: /3 / 3f C/1 0 fO equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. �/ i Valuation: $ ( �, / 7— f vv S r L lr, <f-/Ji //�/ /y1F Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: -- Phone: ( ) Fax: ( ) New: [jQ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer In fee schedule) Business name: / 4 57 - 6_4,o Tt/P✓%T� /1 5 /'L Structural plan review fee (or deposit): Contact name: / /2Q/3 f�,t//leSp,c / // /� o,e /itt� I -.�,r FLS plan review fee (if applicable): Address: 44 70 - id an_ %(l/ N 7 0626 Total fees due upon application: � i� 6 City/ State/ZIP: , 9 7 2 2-3 Amount received: •� Phone: (Sd3) j 7} -67i/6 Fax: : (! ) fPj'%Q ' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: J / 0� C 06or .E /L i Cal Commercial and residential prescriptive installation of CONTRACTOR roof -top mount- • PhotoVoltaic Solar Panel System. Business name: to`-'t nvJVg Submit two (2) sets • •of plan with co • - : • • etails and fire department access, . • .1 - the 2010 Oregon D !_dr 41 1 .� S Installation Spec' • , os - tecklist. Address: U plan revie • ' City/State/ZIP. Permit F n ece • q 72�2� and administrative fees): $180.00 Phone: (R� ? ) - -7 1: ( t2 Fax: ( 529 — 1 State surcharge (12% of permit fee): $21.60 CCB lie.: ,. U2 � Total fee due upon application: $201.60 Authorizes • _Arm This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry 'Lint nan A call". . ' j .1 ,r Date: / .'L['. ( Service Board. l:\ Building \ Penni,.\BUP- RESPennitApp.doc 02/24/2011 440 4613T(11/02/COM /WEB) , . , • cool/ 11 Plumbing Permit Application Building Fixtures RECEIVED . City of Tigard Items Pmmitxa.: } /a► /7�. . al 131x5 Tigard, OR 97223 JUN 2 8 2012 sy 6 ak f Phone: 503.7182439 Far 5 03398.19 60 No.: Ao a0 ()` _ay�s- 1 g 7mis l SeePaget: for Inspection Line: 503.639.4175 CITY 1- f" ARD 1» TIGr�I:D r �[l1:�` �ia.t �Y ho taiInforwati® Internet www. Tr .r, 1�,1L65iON xotifediMethac Tit of *OW ' - conshntxiion ❑ Demolition For special iz1 o rrralion use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Oilier: New 1- 2-family dwellings (includes 100 ii for each utility connection) . •. . CATEGORY OF'ICONSTRUCCIOPI SFR(1)bath r 31170 J 2-fanntiy ❑ SFR (2) bath 437.78 SFR (3) bath Q 50032 "dam ❑ Accessory building ❑ Multi-family Each additional bath/kitchen 25.02 ❑ Master builder - ❑ Other: Fire sprinkler L. sq. ft.) Page 2 • MOB SITE'• 1NEOI 14TXON A1kliD COCA' TJt N . ' _ Site utilities: Catch basin or area drain 18.76 Job site address 0 ,_ l _ _ _ y %�,I Drywell, leach Vie, or trench drain 18.76 City/State/HP: r i ' # r i r i � Footing drain (no- linear ft.: : _) Page 2 Suite/bldg apt no.: Project name: 7 Adif6c- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear &: __) _ P Page 2 Storm sewer (no. linear ft.: ____) / Page 2 Water service (no. linear 1: _ i 1 I Page 2 Subdivision: V /ii %- A a(. i I Lot no.: d I Fixture or item: Tax map/parcel no.: / / 7. C ' Backflow preventer 31.27 vvo Backwater valve 12.51 DESCRIPTION OF ORK ) ,.-,� } f % Clothes washer / 66 4°5/41(/ �Ea" 1.C. V6 ] W Dishwasher ( 25.02 Drinking fountain 25.02 . Ejectors/sump 25.02 ❑ PROPERTY OWNER d TENANT Expansion tank 12.51 - • Fixtme/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal / 25.02 City/State: Hose bib 2.--' 25.02 Phone: ( ) z Fax: ( ) Ice maker ( 12.51 • 1lrYAPPuc.ANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Medical gas (value: $ ) Page 2 Business name: 2 / -' 7 � / 1 A • primer 12.51 Contact name: �+ Jfh� s�'; / �n� Roof drain (commercial ) 12.51 Address: ` )4,96 f../..Q) V/ OK (/ 5 ) Sink/basin/lavatory S 25.02 , City/State/ZIP: 6,,Ip_ �� Q72----, rrtt�a` Solar units (potable water) 62.54 Phone: ( - ()A 21 Fax:: ( .-G9 / Tub/shower/shower pan 12.51 E -mail: ( W E /, . � fin Urinal 25.02 . ? (a' °� ( C!!( r Water closet 25.02 CONTRACTOR }} 6 Water heater I 37.52 g a Business name: r /( 6 rt4 N � FY Water piping/DWV 56.29 Address: i �� Other 25.02 City /State: d , N of___ i b Subtotal Phone: ( • ) Fax: ( ) Minimum permit fee: $72.50 �„/ Plan review (25% of pelmet fee) lll CCB Lic.: Plumb' Lic. no.: r s - State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name V V < <8t l� t u ! . I Date: f p e rmit a expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tel -County Building Industry Service Board - L•mBuadnnglPemmitAPLMU -Pe mitApp.doe 10/01/09 440- 4616T(10/02/COM/WEB) Mechanical Permit Application RECEIVE FOR OFFICE USE ONLY i Received II City of Tigard Date/By: , sir / .- (Z Permit No.: H9 x0 /7a C ° 13125 SW Hall Blvd., Tigard, OR 97223 plan Review Other Permit: �CV.Z.��j —QQ /5-s-- . Phone: 503.718.2439 Fax: 503.598.1960 ._ JUN 2 8 2012 DateBBy: I I GA li D. Ins Line: 503.639 Date Ready/By: Juris: a See Page 2 for Internet: www.tigard - or.gov Cm OF T JGARD Notified/Method: Supplemental Information BI HIDING DIVISION 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 EQUIPMENT / SYSTEMS FEES *' land 2- family dwelling ❑ Commercial/industrial ❑ Ac 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: // 5i� � Dii . /_ j 1 */ (requires site plan showing placement) 46.75 ////��� t/I ��" ""1 Furnace 100,000 BTU (ducts/vents) i 46.75 ` City/State /ZIP: ` 1( L - � r j c - 1-73 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project ject name: C - / )) L• � Heat pump &A le__ " ( (requires site plan showing placement) 61.06 Cross street/directions to job site: 50 ' 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: 1M4 rig eft .- 1141410,,6*--- I I t / j�� Lot no.: /' Flue /vent for any of above 23.32 '" •— _ Other: 23.32 Tax map /parcel no.: ,5 13( Cj Other fuel appliances: DESCRIPTION OF WORK Water heater i 23.32 o,/ }� Gas fireplace l 33.39 C- /�P�I' -J r 1'"' if I ' 6. 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 Chimney /liner /flue/vent 23.32 23.32 ❑ PROPERTY OWNER . I ❑TENANT Other: Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 1 33.39 City/State/ZIP: Clothes dryer exhaust ( 33.39 Single -duct exhaust (bathrooms, QQ Phone: ( ) Fax: ( ) toilet compartments, utility rooms) ii 23.32 - 1 � • 0 ❑ CONTACT PERSON Attic/crawlspace fans 1111 23.32 Other: 23.32 Business name: 1 f f t � • Fuel piping: V � Contact name $ 14.15 for first four; $4.03 for each additional Address: � l � �•7 ill.) D _ /)..) 4 / (tint Furnace, etc. 14 +� 1 r� " Gas heat pump City/State /ZIP: 17L7. i f .. ) Wall /suspended/unit heater Phone: 0 )S/7_01 ( j/ .1o1 : (czy- s� , qh Q ( Water heater I i/ Fireplace I Email: - 111 v .( f ill _ 1 � � i • 1% A Range I CONTRACTOR Barbecue • Business name: „ \ t Clothes dryer (gas) , Other. Address: f• b• 1 I MECHANICAL PERMIT FEES* City/ State/LIP: q76\69 Subtotal b ► Minimum permit fee ($90.00) Phone: ( <k) S IS s-71,-* Fax: ( ) Plan review (25% of permit fee) CCB lic.: I x,,1 1 c f State surcharge (12% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: TA/ 0 (,t i i--- Date: V • 2.$• I y • Fee methodology set by Tri - County Building Industry Service Board \ I:Building\Permits \MEC- PernitApp.doc 09/09/10 440-461'7T (1l /O2/COM/WEB) I Electrical Permit Application R E C E I V E D FOR O F F I C E . ! s i O N L\ II City of Tigard " Co 0 i� G Pert xa : f �T a - ?Z 13125 SW Bali Blvd., Tigard OR 97223 Plan Re view / a.,.ep /5 -- J UN 2 8 2012 other Permit Phone: 503.718.2439 Fax: 503.598.1960 DateBy: � ;g See paw 2 for 503.639.4175 r r I.G AR Date y: ed/Met Supplemental lnformation T � � \ ti 0 InspectionLine: Internet www.tigard-or.gov C x Z O D Notitied/Methad TYPE OF JS ISIO _ „ .' R : ....: -•• '; .. ew construction Ptease. check all that apply (submit a sets of plans wrtems checked below): ❑ A ddition/alteration/replacement ❑ Service or feeder 400 amps or more ❑ Bidding over three stories. ❑ Demolition ❑ Other. where the available fault cement ❑ Marinas and boatyards. CATEGQttY OF. CONSTRUCTION . exceeds 10,000 amps at 150 wits or Floating bm7dmgs • less to ground, or exceeds 14,000 ❑ Commercial -use agricultural is 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 . ❑rsmergeucy system. larger separately derived system. JOB SITE INFORMATION AI9 LOCATION... • ❑ Addition of new motor load of ❑ "A ", "E", "1-2", "1 -3 /D Zed, £ Six or ero a r es moo' Job no.: • Job site address: / v / ❑ six or more resitleatial unity ❑ Recreational vehide parks 6 1 / ❑ health- camfaalities. ❑ Supply voltage for more than City /State/ZIP: ai�� ❑ Hazardous locations 600 volts nominal. Suite/bidgJapt no.: Project name: 1,4„. ir,. alle. Uk /4 ( ID Service or feeder 600 amps or more. FEE SCHE ULE Cross street/directions to job site: n cripdn e n I Qiv. I Fee I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: VIZ-1-451- � O Lot no.: f 1,000 sq. R or less 168.54 4 Fa.add'1500sq.Rorpo,tion 33.92 i0(,7&: t Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK. (with above sq. R) Limited energy, multi -family 75.00 2 -k C1 — �C (emu/ I 5 residential (with above sq. R) 6/ FJ /1 ) 5 1 , /�� I� ! t� Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: • 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 5936 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, per panel Owner signature: _ Date: A. Fee for branch circuits with 1APPLICANT I 0 CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: A/Cm/we) Tv,9 -0.../E, s B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: gob NDasBv 17-1„,c-mx.0,2,,,e-- /,y branch circuit Each add'l branch circuit 7.42 2 Address: g.610 yeti t/ j f ` i 5I i 400 Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/State/ZIP: ��� / ©� 1 3 dwelling, service and/or feeder Phone: (7 3 )572. 07l6 I Fax: : (4-63 )• W-1'O Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: • Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited -energy • Business name: c panel, alteration, or extension. Page 2 2 GL '� `�� Each additional inspection over allowable in any of the above Address: 6 g3 5 „23, __ Additional inspection (1 hr min) 6625/ hr Investigation (1 hr min) 6625/ hr City/State/ZIP: 8104. scei ' ! ° ' ®04 Industrial plant (1 hr thin) 78.18/ hr Phone: (9 ) 3 — G /eq Fax: ( g1'7) lib_ OZ u(J Inspections for which no fee is 90.00 / hr specifically listed 0 hr min) CCB Lic.: 6 le (2. Electrical Lic.: 2.- kW' Suprv. Lic.:e7 i ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature, required: Plan review (25 %of permit fee): Print name: ( 1,t Date: State surcharge (12% of permit fee): �� �Jj • TOTAL PERMIT FEE: Authorized signature. d'his 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:1 BuildinglPe rmitsdELC- PemtitApp.dac 07/01/10 440.4615T(11/05/COM/WEB l ez /7 1 l_.- r i (!� . a� � 1 . ( � III C ° Building Division Development Code Provision Review T i e n iz Residential Projects Building Permit No: ti 1K9O I'? — dd I -- 7.-. CWS Service Provider Letter Received: Yes ❑ No ❑ N/A )0 Routed Plans: // Original Plan Submittal Date: (D q /2 1st Revision Submittal Date: 2 ❑ 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- ZV3 or @tigard- or.gov) Land Use Case No. 1A A ' 1y / �i _ 0/ -Old y fame i✓ � V 6 Gts o Zr Zoning 1?-- l2 pJ ❑ Setbacks: ( , , Front 0 Rear / 3 Side 1 Street Side D' 4 Garage 20 J21' Maximum Building Height 3 c Actual Building Height 30' Zf Visual Clearance Easements ❑ Sensitive Lands Type: 6k /ft f Notes: < 3 6 `' 40 E yAW i..407 e4A4 o o Original Plan: Approved ❑ Not Approved ,r Date: 7 - 3 — /2 - Revision 1: Approved ,gr Not Approved ❑ Date: 7 2 - 6 'I Z Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) ❑ Actual Slope: C Notes: Original Plan: Approved,,,0 Not Approved ❑ Date: 7 /2-4/ . Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City� Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ' Street Trees Protected "frees Notes: • Original Plan: Approved Not Approved ❑ Date: 7 (- /A-- 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 Applic nt: Revision 1: Date Sent to App • ant Revision 2: Date Sent to Ap 'cant Okay to Issue Permit: Yes No ❑ Date Routed to Building: . :// Page 2 of 2 • RECEIVED ' .,... U SED z � JUL 2 5 2012 Fri! CITY OF TIGARD Ill .. , PLANNING /ENGINEERING z HOMES .—J Wine Hares kleAvs U l 2 6 2 012 Ponlwxt OR 97 6027 SE M�wmJ702 SITE PLAN NOTES: 503.235.3810 13' -0" , 40' -0" y 20' -0 1/32" / C1TYOFTIGARD ` w.cty6nl>p1sll :m. L ALL EXCESS GRADING MATERIAL TO BE EXPORTED TO AN APPROVED DISPOSAL L/1 j BUILDING DIVISION 2. ALL LL FlU. FILL EA9 IA GARAGE FLOORS. SIDEWALKS, DRIVEWAYS, ETC... TO BE COMPACTED GRANULAR FILL 3. THERE WILL BE A BLIGHT OVER EXCAVATION t0 PROVIDE CONCRETE FORMIC. ALL. 0 N 0 ARDW4D NEW STRUCTURE. EE 0 Nt N 13.00' EE. 0.0' uI `- r N dl w 4. PROVIDE con/un APPROVED SEDIMENT FENCING AROUND EXCAVATED AREA Z., y X W � -- 1 PRIOR TO EXCAVATION AND CONSTRUCTION. 0 /� I' IDV�RHANCs 11/ \ . V ' B. PROVIDE COUNTY/CITY APPROVED STABILIZED GRAVELED CONSTRICTION ENTRANCE In\ W/ FIRF RATED PLYWD. - O 'V / z PRIOR TO EXCAVATION AND cOHSiRICrIO1 22' 18' U GAS LINE 0 t0 6. STOOYPILES MUST BE COVERED WITH MULCH OR PLASTIC SHEETING BETWEEN / o \ W 1 ill 0 OCTOBER I AND L 30. - 1. CONTRACTOR/ SUB- CONTRACTOR TO VE AI'R WFY LOCATION OF ALL UTILITIES PRIOR TO ›C � b 0 B EXCAVATION AND CONISTRUCTIOL �/ O QY 1 `� GAR A Q ' �T' QT D I Y 1!-. CONC. n Q 41l a BOUNDARY AND TOPOGRAPHY' I FOR'IATION HAS BEEN PROVIDED TO SKYLINE HOMES /` O AND DESIGN INC. SKYLINE HOMES AND DESIGN, INC, WILL NOT BE HELD LIABLE FOR THE ACOJRACY OP THIS INFORMATION. IT IS THE SOLE IESPONSIBILIn OF THE CONTRACTOR a 0 2!5 BATH Q - .� t is /ONYE mITI R TO VERIFY ALL S CpON9 INCLUDING FILL PLACED QN SITE. e 1 N 31 BDR M._ 17 ' 6 " s TCPCr RAP41Y ELEVATIONS WERE COLLECTED FROM ACTUAL 917E SURVEY. eV ry 2! SQ. FT. .1- N �f FE. INAL GRADE ELEVATION 10. ELEVATION LEGEND' � � EE. EXISTING GRADE ELEVAT1ON N. 8..: PLAN 3044 A 9' ( j)) d) F v' v PPE. FINISHED FLOOR ELEVATION x - • T '' ,, 11 (- IL PROVIDE A M INIMIPM GRAVEL B ASE UNDER ALL DRIVEWAY ARE 1 A l-1-1 0 e 12. PROVIDE A 4• minim GRAVEL BASE UNDE AL L SIDEWALK AND PATIO A \ I 44' I I -� .I N ND 13. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A COIINTY /CITY DISPOSAL 0 r O VERHANG w/ I . .4 P. V.G. WATER MAIN el l POINT/CONNECTION M X ___yule PLYWD.X W $ SAN. SEWER LINE H P411 . MAX•M SLOPE OF CUTS AND FILLS TO BE TWO (7) HORIZONTAL TO ONE (I) (L - VERTICAL FOR BUILDINGS. STFE 1E AND ICTU9. FONDATIONS, D RETAINING WALLA E 3.00' E. 0, 0' EE. 0.0' B. PROVIDE AND MAINTAIN FINISH GRADE WITH POSITIVE DRAINAGE AWAY FROM I STRUCTURE ON ALL SIDES WITH A SLOPE CF 6' MINI ILIM IN m -0•. I I ) al IMPERVIOUS ANA'S: I 13' 1 15/3 2" I 48' -0" 1 1I' - 10 11/32" 160 S0. FT. DRIVEWAYS �{' I I 1 IS SO. FT. PORCH 32 SO. FT. WALK 100 PATIO 150 80. FT. OVERHANGS 825 90. FT. BUILDING COVERAGE 1,256 TOTAL S0. FT. IMPERVIOUS AREAS - 1 LOT INFORMATION: EROSION CONTROL PLAN ■ • LOT AREA: 1,880 9O. FT. IMPERVIOUS COVERAGE' 1,286 S0. FT. PLAN No.. 3054 -0 BUILDING COVERAGE: 61 % El DRAWN: BUILDNG WEIGHT: APPROX---- 3 1' - 0' C OVERED STOCKPILES WOODEN CURB RAMP DATE: 1-24 -2012 MIN. BUILDING SETBACKS: 11.5' FRONT, 15' REAR. ' SIDES. R SCALE: - X - SEDIMENT FENCE Q CATCH BASIN PROTECTION FILE: 3054 ■ • ■ A CONSTRUCTION ENTRANCE KB, COV ER ALL AREAS OF BARE LOT 41IF i( PLAN SOIL UNTIL PERMANENT LANDSCAPE I 15 IN PLACE WHITE OAK VILLAGE —, WORK STAGING/ MATERIAL STORAGE TIGARD, OR. I ' I ■ ■ 0. • ■ I I ii . 1 • • 1 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Ps O/2 -D0/7?-- Jurisdiction: /WO Site Address: /log 7 A a/ Subdivision/Lot #: , / , �f /� fit 2 / and/or !'� v / 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) 41. # Signature: 40 Date: / o Ge a Contractor /Authorized Agent Print Name: R6 /4i'/J4 O J 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 R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I oe /4l�W J , l a m the general contractor or the owner- builder 'V , g at the following address: Site Address: , > oz / 7 sit) z e cy 0 City: ` /4 -4e-0 Permit #: /14S7-010 /a — 00/ 7 Subdivision/Lot #: Ai /erre, 0 4 / /1 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: AfI�• Date: - al Contractor or Owner- Builder l:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE TIGARD CERTIFICATION e , owner / agent for IU 577 ti' /usT% c S (PLEASE PRINT) (PERMIT HOLDER) do hereby certifii 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.: 71 57 - QOM HIE ADDRESS: /1 '/7 54i LE cy C %Air SUBDIVISION: I �� ,� ��4-� LOT #: SIGNATURE: s. — DA1 E: / (OWNER/AGENT) RECEIVED & VERIFIED BY: DA 1 E: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012