Permit CITY OF TIGARD MASTER PERMIT
ai COMMUNITY DEVELOPMENT Permit #: MST2012 00174
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2012
Parcel: 2S109DA14300
Jurisdiction: Tigard
Site address: 12603 SW MOUNT VISTA CT
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 62
Project: Arlington Heights No. 3, Lot 62
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 873 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 27.5 Bathrooms: 3 Second: 2259 sf Garage: 469 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3132 sf Value: $351,389.52 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
0 Tubs /Showers: 2 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: 1
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
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Tema SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 6 201 -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 3132
Owner: Contractor:
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST SUITE #100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503- 639 -4175
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior
to footing inspection
PHONE: 503 -387 -7577 PHONE: 503- 387 -7577
FAX: 503 -387 -7615
Total Fees: $21,060.97
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 rd- • = 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. ENTION: Oret•n la, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 1 -0010 through OAR . , -0 r • i :0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 1987 or 1.8 32.2344.
r
Iss ed By: • / /� � Permittee Signature: k
Call 503.839.4175 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.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
1
, ' ^
City I Received
Date /B r of Tigard 3 � ? / Permit No.: d5 J / jj1 � oOf 7
V I -
13125 SW Hall Blvd., Tigard, OR 9 0 Plan Revi w �.
: C 3.59 Phone: 503.639.4171 Fax 50 bQl TIG�RD Date /B : 4 &A L�J 1 other Permit: ��p���/ /
T I G n R D Inspection Line: 503.639.4175 Vr Vtiiu/ Date Ready :y: � lun ® s: See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: X 1 / 0 ( ' Supplemental Information
TYPE OF WORK REQUI D DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I- and 2- family dwelling ❑ Commercial /industrial Valuation: � 7T� i
❑ Accessory building ❑ Multi- family Number of bedrooms: 1 4 --�=
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address: 121.03 SW MOUT4T VI STA t f New dwelling area: 1 132. square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 4 101 square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: (51- square feet 1_ ,
Cross street/directions to job site: Deck area: 222. square feet
Other structure area. 3 c,e) ( square feet 2.7
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: (i? 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.
New, Single Family Residential Valuation: s
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes Type of construction:
Address: 4230 Galewood St, Suite 100 Occupancy groups:
City /State /ZIP: Lake Oswego, OR 97035 Existing:
Phone: (503)387 -7577 Fax: (503)387 -7616 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: SEE ABOVE All contractors and subcontractors are required to be
Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax::( )
E -mail: dbritt @stonebridgehomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 173318 Total fees due upon application:
ov
' Amount received: 75 '
Authorized signature: • ` � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: "p strivRt B oil Date: 07.02.12. * Fee methodology set by Tri-County Building Industry
Service Board.
1: \Building\Permits \BUP -RES PermitApp.doc 10/01/09 440.4613T(I 1 /02 /COM /WEB)
PlumbiitgPermit Application
Building Fixtures RECEIVED
City of Tigard ? 3 1,.. r
PemitNo.: !fr�/a.�An 1
a 1 3125 SW Hall Blvd., Tigard, OR 97223 JUL 0 3 2012 Dat R eceived
C Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.:A 2,--t6157
T I G A R D Inspection Line: 503.639.4175 Cl[ i OFTIGARD Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard- or.gov B INaDIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath ( - 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: 124 SW M OV NT VISTA el'. Catch basin or area drain 18.76
City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: _) Page 2
Suite/bldg. /apt. no.: I Project name: Arlington Heights 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: Arlington Heights I Lot no.: 02. Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New, Single Family Residential
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 16869 SW 65 Avenue #505
Garbage disposal 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Deirdre Britt Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: dbritt @stonebridgehomesnw.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Jardine Plumbing Water piping/DWV 56.29
Address: PO Box 186 Other: 25.02
City/State /ZIP: Estacada, OR 97023 Subtotal
Phone: (503)351 -8532 Fax: (503) 6302882 Minimum permit fee: $72.50
CCB Lic.: 108747 Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee)
State surcharge (12% of permit fee) iipv
Authorized signature: �j`..�/ TOTAL PERMIT FEE
Print name: Jay Jardine Date: 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 Building Industry Service Board.
1:\ Building \Pennits\PLMU - PermitApp.doc 10 /01/09 440.4616T(I0 /02/COM/WEB)
Mechanical Permit Appli FOR OFFICE USE ONLY
R eceived
City of Ti and Permit No.
�J g ,� L 0 3 2012 Date/By: / �� /��7��
13125 S W Hall Blvd., Tigard, OR 9 Plan Review q�
C Phone: 503.639.4171 Fax: 503.598.196 F TI Other Permit: Q /� —� /5
nn
T l G n It D Inspection Line: 503.639 erry G D a t e / By:
AIW Date Ready/By: Juris: RI See Page 2 for
Internet: www.tigard - or.gov BUILD)(3DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction Mechanical permit fees* are based on the value of the work
❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
1i(O SW MOU t1 `I w CT- Air conditioning
Job site address: //��VV S� 1�r1 IVT �J aT^ (requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) E . 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 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: Arlington Heights I Lot no.: (a. Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32
Gas fireplace 1 33.39
New, Single Family Residential 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
® PROPERTY OWNER I Chimney/liner/flue/vent 23.32
❑ TENANT Other: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Address: 16869 SW 65 Avenue #505 Range hood/other kitchen
equipment l 33.39
City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust ( 33.39
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 1J 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: same as above Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace
E -mail: dbritt @stonebridgehomesnw.com Range
CONTRACTOR Barbecue
Business name: Comfort Zone Clothes dryer (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
City/State /ZIP: Troutdale, OR 97060 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 667 -5595 I Fax: (503) 491 -8252
Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: ` This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: David Heldstab I Date: • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Pemnits \MEC- PermilApp.doc 10/01/09 440-46171 (I I /02/COM/WEB)
ElectrlcarPermit Application n aive) FOIL OFFICE USE ONLY
IN +�+�/L� ��ll ��
City g of Tigard Jr . � ,.. / 7
Date/B % K
• 13125 SW Hall Blvd., Tigard, OR 97223 JUL 0 3 Z012 Received Plan Review / Permit No.: ,// � / 157
II Phone: 503.639.4171 Fax: 503.598.1960 D : Other Permit: OwI� /
'I' I G A R D Inspection Line: 503.639.4175 Date Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard or.gov CI i GARD Notified/Method: Supplemental Information
BUILDINODNISION PLAN REVIEW
TYPE OF WORK
® 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.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
A ,T �y ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: I� 33 Job site a ddress : ( O3 SIN M OVt`a 1 VISTA GT• Six or or more.
❑S ix or more residential units. occupancy.
its. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more.
job site: Description FEE SCHEDULE
Cross street/directions to
J P I Qh• I Fee. I Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 42 1,000 sq. ft. or less l 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with abovesq.ft.) ( 75oo 2
Limited energy, multi - family 67.84 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2
City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: SEE ABOVE B. Fee for branch circuits
without service or feeder fee,
Contact name: Deirdre Britt first branch circuit 56.18 2
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: City Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in an of the above
Per
Phone: (971) 404 -1714 Fax: (503) 625 -3052 inspection 66.25
per hour (I hr min) 66.25
CCB Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Chuck Friesen Date:
Man review (25% of permit fee):
State surcharge (12% of permit fee):
Authorized signature: > , TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within Igo
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\ Building \Pennies \ELC- PermitApp.doc 10/01/09 440.4615T(l1 /05 /COM/WEB
/A40,3 ,c to Mou, I// ST.L
A 2 L hkidrt Ai 4dr. 43 , toI-c
I o Building Division
Development Code Provision Review
T i c A iz D Reside ntial Projects
Building Permit No: H 5 T 90 r . - co 174 /
CWS Service Provider Letter Received: Yes ❑ No ❑ N /A'
Routed Plans: � /3 /12-
Original Plan Submittal Date: l
1st Revision Submittal Date: ❑ Site Plan Only
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 approved.
Planning Review (contact Cifter4 I Co.i fief at 503 - 718 -014 or t"i1e..ril I C @tigard - or.gov)
Land Use Case No. 5 1.143 oloob ' 0 +I Name A f I ; l4 i-iti gh Zr
g Zoning I ' 7
T Setbacks:
Front 15 Rear 15 Side S Street Side /° Garage 02
Maximum Building Height 3 5 c • Actual Building Height • S '
Visual Clearance � oZ�]
A Easements
91 Sensitive Lands Type: 51-e ep sl u p s - re vi e a uod et- s u,b d; " s; °'''
Notes:
Original Plan: Approved g Not Approved Date: 7 "5 - 1 a.
Revision 1: Approved ❑ Not Approved g Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov)
xr Actual Slope: 2-5- 'I %
Notes:
Original Plan: Approved R Not Approved ❑ Date: 7(
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)
❑ 1 �treet Trees
C7 Protected Trees
Notes:
Original Plan: Approved / Not Approved ❑ Date: 7/57, fa
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 Applica
Revision 2: Date Sent to App • ant.
•
Okay to Issue Permit: Yes No ❑ •
Date Routed to Building:
Page 2 of 2
RECEIVED 1
•.ciol STONE BRIDGE OBE:1433
JUL 0 3 2012
• HOMES N W LOT: 82
CUT OF TIGARD DATE: 5/23/12
4230 GALEWOOD ST. SUITE ioo BUILDING DIVISION PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97035 HEIGHTS
(5 3 CITY: TIGARD
SCALE: 1 " =20'
PLAN No.: 243B
ic STANDARD ELEVATION
. 4g EL -7°1-, �
C,4t w
<; P
° '''''
0 4,
.4\ ., ,_
40
ic 4, -
/ 1111f ,4 w S
OP e ,,p1 . \ID , *;
'! ` ` o / s. �QYi U �� _T y
_,Ici• O o �
c���
er , .e' \ \fib ` � 0.. +�" b aGn ''' • ') ELo96ms
6
01)) EL.- 364 ti
011) 11 11 a‘i,-..36, ^ � P
) -441Ir a
ii i /7"::*:'• 41 \ - -. X 383 • 6. •
\ D vE WAY \ ° J o P. y . . •
\ \ \\', ,' n S GT - y 1
‹V \ ` /3 ' \'e , y t- 5 ' utiE
J 00
J r
,.,t/ / \ // / �� CV
/ a- s — o
474 '�10� .w mss. —ae. ' N0
EL 2312' 3‘; - � P� .
LOT COVERAGE STREET TREES
LOT AREA: 1,222 SQ. FT. 46
BUILDING AREA: 3,093 SQ. FT.
ao — PYRUS CALLERYANA
PERCENTAGE: 42.8%
ORNAMENTAL PEAR
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL RETAINING WALL HEIGI-ITS
AND BE SUBJECT TO CHANGE. ESTIMATES.
LOT *62
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 1 ,222 eq. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
. - ,vi S ,T 41 poi ,2 - y
W.6%,,,,,,A, Northwest ENERGY STAR Homes, Version 3 (Rev. 01)
rFt Thermal Enclosure System Verifier Checklist
Home Address: 12603 SW Mount Vista Court City: Tigard State: OR
Inspection Guidelines Must B Verifier N/A
Correct Verified' Verified
1. High - Performance Fenestration
•
•
1.1 Fenestration shall meet or exceed Northwest ENERGY STAR Homes BOP or TCO 2 ❑ I ❑ I 0 ❑
2. Quality- Installed Insulation • • . " ' _ .
•
2.1 Ceiling, wall, floor, and slab insulation levels shall meet or exceed Northwest ENERGY STAR
Homes BOP Prescriptive Path or TCO requirements 3 ❑ ❑ 0 ❑
2.2 All ceiling, wall, floor, and slab insulation shall achieve RESNET- defined Grade I installation
or, alternatively, Grade II for surfaces with insulated sheathing (see checklist item 4.4.1 for ❑ ❑ 0 ❑
required insulation levels)
3. Fully - Aligned Alr Barriers, . . •
•
At each location noted below, a complete air barrier shall be provided that is fully aligned with the insulation as follows:
• At interior surface of ceilings. Also, include barrier at interior edge of attic eave using a baffle that extends to the full height of
the insulation. Include a baffle in every bay or a tabbed baffle in each bay with a soffit vent that will also prevent wind washing of
insulation in adjacent bays.
• At exterior surface and interior surface of walls
• At interior surface of floors, including supports to ensure permanent contact and blocking at exposed edges B ' 9
3.1 Walls 70
3.1.1 Walls behind showers and tubs ❑ ❑ 0 ❑
3.1.2 Walls behind fireplaces ❑ ❑ 0 ❑
3.1.3 Attic knee walls ❑ ❑ 0 ❑
3.1.4 Skylight shaft walls ❑ ❑ ❑ 0
3.1.5 Wall adjoining porch roof ❑ ❑ 0 ❑
3.1.6 Staircase walls ❑ ❑ 0 ❑
3.1.7 Double walls ❑ ❑ ❑ 0
3.1.8 Garage rim / band joist adjoining conditioned space ❑ ❑ 0 ❑
3.1.9 All other exterior walls ❑ ❑ 0 ❑
3.2 Floors
3.2.1 Floor above garage ❑ ❑ 0 ❑
3.2.2 Cantilevered floor ❑ ❑ 0 ❑
3.2.3 Floor above unconditioned basement or vented crawlspace ❑ ❑ 0 ❑
3.3 Ceilings 10
3.3.1 Dropped ceiling / soffit below unconditioned attic ❑ ❑ 0 ❑ .
3.3.2 All other ceilings ❑ ❑ 0 ❑ .
4. Reduced Thermal Bridging . . . , , , .
•
4.1 For insulated ceilings with attic space above (i.e., non - cathedralized ceilings), uncompressed
insulation z R -21 extends to the inside face of the exterior wall below. 11 ❑ ❑ 0 ❑
4.2 For slabs on grade, insulation under slab meets or exceeds Northwest ENERGY STAR
Homes BOP or TCO, and 100% of slab edge insulated to z R -5 at depth specified by BOP or ❑ ❑ ❑ 0
TCO and aligned with thermal boundary of the walls.
4.3 HVAC and other attic platforms constructed to allow for full -depth insulation below. ❑ ❑ ❑ 0
4.4 Reduced thermal bridging at above walls separating conditioned from unconditioned space (rim / band joists exempted)
using one of the following options: 1'.13
4.4.1 Continuous rigid insulation sheathing, insulated sidina or combination of the two;
R -3 in Climate Zone 4, z R -5 in Climate Zones 5 & 6 7 4.15, OR; ❑ ❑ ❑
4.4.2 Structural Insulated Panels (SIPs), OR; ❑ ❑ ❑ 0
4.4.3 Insulated Concrete Forms (ICFs), OR; ❑ ❑ ❑ 0
4.4.4 Double -wall /staggered stud framing OR (see next page); ❑ ❑ ❑ 0
Effective for homes permitted starting 01/01/2012 Revised 04/16/2012 Page 1 of 14
Northwest ENERGY STAR Homes, Version 3 (Rev. 01
t ( 01)
ENERGY STAR
HomESilliffi Thermal Enclosure System Verifier Checklist'
Inspection Guidelines Must Builder Verifier N/A
Correct Verified Verified
4.4.5 Advanced framing, including all of the items below: ❑ ❑ ❑ El
4.4.5.a All corners insulated to ?R-6 at edge AND; ❑ ❑ ❑ p
4.4.5.b All headers above windows & doors insulated AND; ❑ ❑ ❑ m
4.4.5.c Framing limited at all windows & doors AND; ❑ ❑ ❑ 0
4.4.5.d All interior / exterior wall intersections insulated to the same R -value as the
rest of the exterior wall 20 , AND; ❑ ❑ ❑
4.4.5.e Minimum stud spacing of 19 in. o.c. framing unless construction documents
specify other spacing is structurally required 21 ❑ ❑ ❑ O
5.1 Penetrations to unconditioned space fully sealed with solid blocking or flashing as needed and gaps sealed with caulk or foam
5.1.1 Duct / flue shaft ❑ ❑ O ❑
5.1.2 Plumbing / piping ❑ ❑ 0 ❑
5.1.3 Electrical wiring ❑ ❑ 0 ❑
5.1.4 Bathroom and kitchen exhaust fans ❑ ❑ 0 ❑
5.1.5 Recessed lighting fixtures adjacent to unconditioned space ICAT labeled and fully
gasketed. Also, if in insulated ceiling without attic above, exterior surface of fixture ❑ ❑ 0 ❑
insulated to > R -10 to minimize condensation potential.
5.1.6 Light tubes adjacent to unconditioned space include lens separating unconditioned El
and conditioned space and are fully gasketed. 22 ❑ ❑ ❑
5.2 Cracks in the building envelope fully sealed
5.2.1 All sill plates adjacent to conditioned space sealed to foundation or sub -floor with
caulk. Foam gasket also placed beneath sill plate if resting atop concrete or ❑ ❑ ❑ 0
masonry and adjacent to conditioned space.
5.2.2 At top of walls adjoining unconditioned spaces, continuous top plates or sealed ❑ ❑ ❑ O
blocking using caulk, foam, or equivalent material
5.2.3 Sheetrock sealed to top plate at all attic / wall interfaces using caulk, foam, or
equivalent material. Either apply sealant directly between sheetrock and top plate or ❑ ❑ ❑ m
to the seam between the two from the attic above. Construction adhesive shall not
be used.
5.2.4 Rough openings around windows & exterior doors sealed with caulk or foam ❑ ❑ ❑ 0
5.2.5 Marriage joints between modular home modules at all exterior boundary conditions ❑ ❑ ❑ m
fully sealed with gasket and foam .
5.2.6 All seams at Structural Insulated Panels (SIPs) foamed and /or taped per ❑ ❑ ❑ 0
manufacturer's instructions
5.2.7 In multi - family buildings, the gap between the drywall shaft wall (i.e. common wall) ❑ ❑ ❑ m
and the structural framing between units fully sealed at all exterior boundaries
5.2.8 Rim /band joists between conditioned and unconditioned space fully sealed using ❑ ❑ ❑
caulk or foam
5.3 Other Openings
5.3.1 Doors adjacent to unconditioned space (e.g., attics, garages, basements) or ❑ ❑ ❑
ambient conditions gasketed or made substantially air -tight
5.3.2 Attic access panels and drop -down stairs equipped with a durable zR -10 insulated
cover that is gasketed (i.e., not caulked) to produce continuous air seal when ❑ ❑ 0 ❑
occupant is not accessing the attic 23
5.3.3 Whole -house fans equipped with a durable aR -10 insulated cover that is either
installed on the house side or mechanically operated 23 ❑ ❑ ❑
Verifier Name: Mike Wirkkula Verifier Pre - Drywall Inspection Date: 09.27.12 Verifier Initials: 1102
Verifier Name: Emily Vella - 0302 Verifier Final Inspection Date: 11.16.12 Verifier Initials: EV
Builder Employee: Builder Inspection Date: Builder Initials:
Effective for homes permitted starting 01/01/2012 Revised 04/16/2012 Page 2 of 14
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: /1//5 /Z 00/7i-/ Jurisdiction: 77) 4 / 0 7
Site Address: / 2 60 3 5 /,) (,c_7-- m - �-- V/ 5 - i ��
Subdivision/Lot #: 6 Z
and /or
Map and Tax Lot #: / 2
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)
Signatu - 4.-111110 •__..> Date: / / �1 / "— / Z-
Owner /General Conitautttorized Agent
Print Name: ,1), H ) i r v-21-
•
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
o ��-hQfi'S� -
l'h : `�
. ).
STREET TREE v
!Ttc CERTIFICATION
I, ,,i411 ✓•e / 5 , owner/ agent for s7p 'r� /7 ez,c
(PLEASE PRINT ) (PERMIT HOLDER)
do hereby certify 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.: /14 :7-- 20 1 - co/ 7 (-/
SITE ADDRESS: / � � ' 3 S -J 0 �J_ T 5r cT
SUBDIVISION: A (� v, f O ,� LOT #: CZ-
SIGNATURE: l DATE: //- /99 -/ 2
R/AGENT)
RE CEIVED &
VERIFIED BY // _ - DA"1E: / /_( / -Z_
(CITY OF TIGARD)
❑ Tree location verified p: r approved site plan.
I:\ Building \Forms \Street frccCertificatc 04/01/2011
Oregon Residential Specialty Code 8318.2
•
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
i , am the general contractor or the owner - builder
at the following address:
Site Address: / Z � � s St") /0 Cr
-
City:
7/3a r
Permit #: — 2 0 / — 66 / 7 L-/
•
Subdivision/Lot #: 6 'Z__
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 8318.2 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.
Signatui - • Date:
General Contractor or Owner- Builder
1:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
•
George Heimos
From: . Dj Velasquez <jrluggs @yahoo.com>
Sent: Monday, November 19, 2012 10:30 AM •
To: George Heimos
Subject: Fwd: Final Inspection Report - 12603 SW Mountvista
Sent from Dan Velasquez
Begin forwarded message:
From: Emily Vella <evella @earthadvantage.org>
Date: November 16, 2012 12:07:29 PM PST
To: "jrluggs@yahoo.com" <jrluggs@,yahoo.com >, "pbrown @earthadvantage.org"
<pbrown @earthadvantage.org >, "vcrosby@earthadvantage.org"
<vcrosby @earthadvantage.org>
Subject: Final Inspection Report - . 12603 SW Mount Vista Ct, Lot 62
Pfl /? _ a n y
Final Inspection Report
Inspection bate: 11.16.12
Builder: Stone Bridge Homes NW
Subdivision: Arlington Heights
Lot #: 62 •
Address: 12603 SW Mount Vista Court
City: Tigard
Certifications: Energy Star /Earth Advantage
•
Solar Elements: N/A
Re- inspection Required: No - inspection is pending •
Required Action: No further action is required. I'm waiting to hear back from our ENERGY STAR
provider to see if the 4.2 ACH blower door score will be allowed to pass. I'll will let you know as
soon as I hear back. Valerie will mail the ENERGY STAR sticker for the electrical panel once the
home is approved.
Final Inspection Results
Insulation Inspection: Pass
Thermal Bypass Checklist: Pass
Energy Star Measures: Pending
Earth Advantage Measures: Pass
1
Blower Door Test Results
Maximum Allowed ACH: 5.0 (for Earth Advantage) / 4.0 (for ENERGY STAR)
Actual CFM: 1395
ACH: 4.2 •
To better serve you, we have begun to measure and report the actual air flow of bathroom
exhaust fans and the ventilation system's intake air. These flows serve as an indicator of the
quality of duct installation and to ensure that all equipment is capable of meeting ASHRAE
62.2. Please note, it will be a requirement that these parameters are measured when version 3
of the ENERGY STAR standards comes into effect in January 2013.
Bath Fan Test Results
Hall /Powder Bath CFM: 95
Master Bath CFM: 80
To meet ASHRAE 62.2, all bathroom fans must be capable of exhausting at least 50 CFM. This
requirement only pertains to bathrooms with showers, tubs, spas, or similar sources of moisture
(not half baths or rooms with toilets only).
•
•
Ventilation Test. Results
Required Continuous CFM: 66
Measured Continuous CFM: 85
Controller Setting: Damper will open 47 min every hour. The control was originally set to
OFF.
http: / /www.earthadvantage.orq/ .
http: / /www:ductsinside.orq/ .
Please take this brief survey to tell us how we're
•
doing: http:// www.surveymonkey.corn /s /RVLY2T7
•
<L -62 - TEC.pdf>
2
,rwv.avery.com 6 AVERY® 5168Tm
800 -GO -AVERY
0/5'1%Zoe o/>
Energy Trust New Hdmes CHANG ;rE
.0 Certified Residential Air Duct System ` -/ ENERGY STAR ��.
„ EnergyTrust
I roe i
` k . ;,< ,Corn . a " `` Information „; , •
Company Name add • • k_
Technician lee ,_ ,• j 1:II Date C i
' Combustion A: plian Zone ; (CAZ) Test3 '.'�>
Main Zone Zone 2, if applies
CAZ WRT Outside Pa Pa
Baseline (WRT Outside, fans off) Pa Pa
NET CAZ Pressure (subtract
baseline from CAZ WRT outside) Pa Pa
• tl - Duct Leakage (fill out_ one's!ic perd system)< `
o �
Description of Area System Serves ..Sforet_
Cond. F oor Area System Serves (ft `3
5 yes no Air Handler in conditioned space?
.......„ yes no Air Handler present during test?
If "yes” for either, then rpaXiinum CFM is 75 CFM @50 Pa or
floor area x 0.06 = / CFM @50 Pa, whichever is greater.
If "no" for both, then maximum CFM is 50 CFM @50 Pa or
floor area x 0.04 = CFM @50 Pa, whichever is greater.
Test Method: ❑ Leakage to Outside or ❑ Total Leakage
J ' Test Result (Q7 CFM @5OPa
'( Fan Pressure I (f7 Pa Gauge type: ❑ DG -3 or 1 .i DG -700
Ring (circle one) Open p 1 2 0
Duct Blaster Location (st F106 r
Pressure Tap Location .�