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Permit n CITY OF TIGARD MASTER PERMIT IL '11 3 COMMUNITY DEVELOPMENT Permit #: MST2012 00237 TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/25/2012 . Parcel: 2S112BC14700 Jurisdiction: Tigard • Site address: 14561 SW 82ND AVE Subdivision: 2007 -038 PARTITION PLAT Lot: 3 • Project: Pac Rim Partition, Lot 3 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 898 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1445 sf Garage: 500 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors Yes Total: 2343 sf Value: $266,605.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fu m> =100 K: 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: 4 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 . ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: :Occupancy Group: Square Feet: NEW SF VB R -3 2343 • Owner: Contractor: ' GALVIN, BEN L SEVEN PILLARS CONSTRUCTION Required Items and Reports (Conditions) 16733 SW WRIGHT ST 16733 SW WRIGHT ST 1 Ersn Cntrl 503 - 639 - 4175 BEAVERTON, OR 97007 BEAVERTON, OR 97007 ' PHONE: 971- 275 -7788 PHONE: 971 - 275 -7788 ` FAX: Total Fees: $19,148.14 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 m e t 180 days. ATT N: • - •on law requires you to follow the rules adopted by the Oregon Utility Notification Center. e rules are set forth in OAR 952 -001- 10 through OAR • • 2 :81- You may obtain a cop of the rules or direct questions to OUNC by calling 503. . or 1.800.332.2344. I Issued y: �/ � �1�....A _ Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,,. Building Permit Application Residential RECEIVED . FOR OFFICE USE ONLY City of Tigard Da te /By: /2 r Received c // / Date/By: )� � Permit No. f 9 a- (/p1. --oD�,3, ° 13125 SW Hall Blvd., Tigard, OR 97223 F; 13 2012 Plan Review : ,;' Phone: 503.718.2439 Fax: 503.598.1960 Date /By: ' L 'ie OtherPermit:5w .�,a.._ a�Qit. TIG Inspection Line: 503.63 CITY OFTIGARD Date Ready/By: , El See Page 2 for tf -,.< Internet: www.tigard- or.gov BUILDING DIVISION N fled /Method: � (/. �F� Supplemental Informat (i ✓M w/ .- tDIaLtb1 vµ se,A TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING N VNew construction El 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: S I - and 2- family dwelling ❑ Commercial /industrial -❑ Accessory building El Multi-family Number of bedrooms: `i ❑ Master builder CI Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: .Z .1 � ii r G . job site address: I L( � S ely'Ct _ New dwelling area: 235 3 square feet . . . City /State /ZIP: T /� r'g C i Garage /carport area: 5 Q 0 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: (4 square feet t o Cross street/directions to job site: G-. g� t Deck ar ea: square feet En8 c Other structure area: 7 F) square feet 2. REQUIRED DATA: COMMERCIAL - USE CHECKLIST d .Subdivision: p, r (. l l - Q t Y „.. \ I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: ! 7 5 .1 i ; , , LI . 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 Ji Valuation: S — ]� Existing building area: square feet New building area: square feet A] \ PROPERTY OWNER ❑ TENANT Number of stories: Name: � L / ?Q I , Type of construction: Address: � �5 �,-\) n ) v 1 • Occupancy groups: City /State /ZIPS G{xJ' —i/I -'' V 0,2_ C i - 0.7)9 Existing: Phone: (I'll ) 2 * -3,-415 Fax: ( 5$) 3$ ct -.I 1 I New: . APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* 2 . Business name: ` QS o���� (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: Phone: ( ) Fax:: ( ) Amount received: E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name. t �5 T�e.� Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: ( (5) '; 5\rs/ V‘.1 ✓. e\. \- -- Solar Installation Specialty Code checklist. City /State /ZIP: cb. /{. C Permit Fee (includes plan review $180.00 and administrative fees): Phone: ( ) 02,'}s- ' �.'5ScS Fax: (56 ) 3 - 34 State surcharge (12% of permit fee): $21.60 CCB lie.: 1 1 01 2 / 3/5(//y Total fee due upon application: $201.60 Authorized signaturaY This permit application expires if a permit is not obtained /� within 180 days after it has been accepted as complete. Print name: (1��,� �I O y\ Date: f3 / /ZulZ * Fee methodology set by Tri- County Building Industry l Service Board. I: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB) Mechanical Permit Agplicatio V D FOR OFFICE. USE ONLY Re City of Tigard Re ce e iveive d q It 3 Permit No.: ILIC /01P"° DO q 13125 SW Hall Blvd., Tigard,OR 97223 : ', 1 3 2012 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit: TI G A K D Inspection Line: 503.639.4175 D ate R eady /B y: RI See Page 2 for Internet: www.tigard- or.gov CITY OFTIGARD Notif ied/Meth o d : Supplemental Information 3UILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work K New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all emolition ❑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. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: I 4 j 6, / v-..) 67 — el (requires site plan showing placement) 46.75 Cit /State /ZIP: 1` Furnace 100,000 BTU (ducts /vents) 1 46.75 y I ..� �7iq Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: P roject name: 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 i �✓./ J- J/ Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: A G � ' ` G t rye Lot no.: Other: 23.32 Tax map /parcel no.: 1 { 2 j2 --, 1 y - 7 op Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 Gas fireplace/insert I 33.39 Flue vent for water heater or gas 1 ` -'� - • fireplace 23.32 Y v Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: ( I v I In Environmental exhaust and ventilation: Address: , v Ni ` ^ _ Range hood/other kitchen � SV " V V ✓��� equipment ( 33.39 City/State/ZIP: � e wC/ 1-a,....-1 q i an Clothes dryer exhaust I 33.39 Z ..3.2 ( � 5 41 - 7t / ' toilet compartments, rtm e n ts (bathrooms, Phone: (CO-1) Fax: J �` I t compartments, utility rooms) 23.32 Business nam A PPLICANT ❑CONTACT PERSON Attic /crawlspace fans 23.32 • / \\ Other: 23.32 �,�,�S ��� Fuel t m Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. I Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater i E -mail: Fireplace 1 Range I CONTRACTOR Barbecue V Clothes dryer (gas) � Business name: ,^r't � u' _ � ����, -�--'1 ��� I " Other: Address: 6312.5 tit W at..l, Wtt.So n) KAJ 1r2 QA MECHANICAL PERMIT FEES* City/State /ZIP: 6, (_ 6 ? 7/17 Subtotal Phone: q.� , ` Fax: ( ) Minimum permit fee ($90.00) �/ ( ) 2 15 - 2'1 2 Plan review (25% of permit fee) CCB tic.: ; , 4 1l/. State surcharge (12% of permit fee) I G ` / h't� l TOTAL PERMIT FEE I This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: 'y %,, _ p ..k. _- I Date: /1 3 /2O1 21, • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PermiIApp.doc 03/07/12 440-4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum' fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each. additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • I:\ Building \Permits\MEC- PermitApp.doc 03/07/12 2 ' Electrical Permit ApplicatioRE E " `t FOR OFFICE USE ONL City of Tigard 2012 Date/By. Received q ( ( IM 13125 SW Hall Blvd., Tigard, OR 972 ` Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.19� r , Date/By: Permit No.: 4 x0(.._ OD ;47 "---. .TIGARD Ins Line: 503 C ll Y OI�CTIGARD Date Ready/By: luri " ® See Page 2 for Internet: www.tigard or.gov �Ttfff R RSY1�iGID�iS�( ®N Notified/Method: , Supplemental Information . -. -,. 'TYPE OF WORK _ '- -PLAN REVIEW : • - lew construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of Glans w /items checked below): ll���` ❑ 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 ❑ Ploating buildings. - . ' • less to ground, or exceeds 14,000 ❑ Commercial -use agricultural and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. "' ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ['Installation of75 KVA or JOB SITE INFORMATION_ AND LOCATION 0 Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 • ? ", "I.3':, �} 100HP or more. occupancy. Job no.: Job site address: (4 S / _ \ � " `—j2 ✓�( ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Ts 01 �c � r J x-22- ( 0 Health -care facilities. Hazardous locations. 0 Supply voltage for more than 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑Service or feeder 600 amps or more. • - = - FEE' SCHEDULE - -- ' Cross street/directions to job site: S •.j t Description 1 Qtr.' I Fee- I Total I • New residential single- or multi - family dwelling unit, Includes attached garage. Subdivision: Pcie., n 1,000 sq. ft. or less 168.54 4 1�5 �� Lot no.: T _ / arcel no.: a Ea. add'l 500 sq. ft. or portion 33.92 1 Tax ma � ' map /parcel �) I a. -Q3( ■ - Ft Limited energy, residential -- - . 2 AESCRIPTION OF WORK" (with above sq. ft.) I 2 Limited energy, multi - family 67.84 residential (with above sq. ft.) 2 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: ' 401 amps to 600 amps 200.34 2 l_ �'� Gr t_,U i r ...) 601 amps to 1,000 amps 301.04 2 riddress: \ (45 Sv,,f vv 2 - G4 i f Over 1,000 amps or volts 552.26 2 • City/State /ZIP: t_� _/ y am — ��� -) �_ 9 nO I Temporary services or feeders installation, alteration, and /or relocation Phone: (c3) I) 2-4s- - 9 ' <6 Fax: (5 ) - '5gI — y I ( 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 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with - _ _.. - * -_ _ ❑ COrTeACT PERSON - _ • above service or feeder fee, each branch circuit 7.42 2 Business name: L Iac25 B. Fee for branch circuits without service or feeder fee, Contact name: 56.18 2 first branch circuit Address: Each add'l 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: Pump or irrigation circle 67.84 2 i�ON'I RACTOR : - Sign or outline lighting 67.84 2 Business name: Ross Electric, Inc Signal circuit(s) or limited - energy panel, alteration, or Address: 2870 SE 75` Ave, # 203 • extension. Describe: Page 2 2 City /State /Z1P: Hillsboro, Or 97123 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (503) 642 -2800 Fax: (503) 642 -5815 Investigation per hour (1 hr min) 66.25 CCB Lic.: 157891 Electrical Lic.: 34 -436C Suprv. Lie.: 4232S Industrial plant per hour 78.18 �- ;/� .; ELECTRICAL _PERMIT- FEES ' Suprv. Electrician signature, required: V / d � /� Subtotal: Print name: Stephen Ross 'C Dates q 7 i j /2 4 Plan review (25% of pelmit fee T State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a perniit is not obtained within 180 Print name: Date: days after it has been accepted as complete. i Y P P • Number of inspections allowed per perm :t. I \ Buildmg\Permits\ELC-PermicAppdot 10/01/09 440- 461ST(I /COM/WEB Plumbing Permit Application 13 2012 Building Fixtures FOR OFFICE USE ONLY � ITYOFTIGARD Reeei,ed s s - City of Tigard Dategi • • l '3 11 v "20 Permit No/,( y - eo 31 I v 13125 SW Hall Blvd., Tigard, OR qf! nil GiVISION Pl Hevteµ Phone: 503.718.2439 Fax: 503.598 1960 Date /Hy. Other Permit No TIGARD Inspection Line: 503.639.4175 Date Ready %ny '�� 0 set Page 2far Internet: www.tigard or.gov 1 Noufied-Method `, T Supplemental Information TYPE OF WORK FEE* SCHEDULE X New construction ❑ Demolition f .s i! in eca o � �rmation use checklist Description y_ I Fa. _ Total P � ❑ Additionlalterirtronireplacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) I SFR (1) bath 31 CATEGORY OF CONSTRUCTION 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath i 500 32 ] Accessory building ❑ Multi- family .J Each additional hath9(itchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: t Catch basin or area drain 18.76 Job site address: l q 5( ) `Dv\ f) 2 __- .....__._._— ._..__ -.-___ Drywcll, leach line. or trench drain 18,76 CityfState/rLlP: ! -D___. Footing drain (no. linear ft.: ) Page 2 Suite/bid la t. no.: i Project name: &•' p I Manufactured home utilities 50,03 Cross street/directions to job site: Manholes 18.76 - ki-i Rain drain connector 18.76 Sanitary sewer (no. linear ft. _) Page 2 i Storm sewer (no. linear ft.: _) Page 2 ...... r Water service (no. linear ft.: ) Paget Subdivision: f 1 ... ` l--, 2 t '( 1 of no.: • € Fixture or item: 1 Tax map ?parcel no.: i Back flow preventer 31.27 I 1 DESCRIPTION OF WORK BSc eater Valve 1 12.51 Clothes washer 25.02 Dishwasher 25.02 r----- - M Drinking fountain 2502 Ejectors/sump 25.02 - -OPRTY O1 1 0 TENANT , Ftpension tank 12.51 ` Fixture/sewer cap 25 02 Name: ._.... - 21 1 U � ..'� Floor Main/floor sink/huh 25 02 Address: 7 5Y v� �O� _._._ �.„ , ° � J Garbage d .... 24.02 City /State/ZIP; (lose bib 4 _ 25.02 phone: ( ) he■: t ) Ice maker En ��PI.ICAN C3 CONTACT PERSON leteraptur /grease trap �_ - 25 02 Medical pas (value. S _ __ _ 1 Business m n e: ...__ ? - yl.4. . f%i Q.l' V _ _� Primer . 2 i I Contact nlu )u �._ __ . __�.. Roof draltt l) — 12.51 Address: ,-- — — Sink/basin/lavator 25. City/State/ZIP; Solar units (potable water) 62.54 Phone: ( F ) — Fax: : ( ) Tub /shower /shower pan 12.51 E-mail: Urinal 25 - 02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: EDWARD MULLEN PLUMBING Water piping/DWV 56.29 Address: 1601 SE RIVER ROAD Other: 25.02 City /State/ZIP: It11d.SBORO, OREGON 97123 Subtotal Phone: (503) 640-0113 Fax: (503) 040 -4483 Minimum permit fee: $72.50 MB Ile.: 92689 Plumbing Lie. no.: 34 - 260P11 Plan review (25% of permit fee) State surcharge (12% of permit feel Authorized signature;` .....e...- TOTAL. PERMIT FEE Print name: RAY MU ., EN Date: 1 t ).1--- This Permit application expires If a permit Is not obtained within ISO days . after it boa been accepted as compkta. •Fee methodology set by Tri Building Industry Service Board I' Hue ;dln.`Permits•.PIA1L-PernutApp doc 1 0.01/09 140- 1616T(I 0/0 ('t1MIVEH) Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No.: S7 — 't) -7 Site Address: / .-- _. A Project Name & Lot No.: lw / , / j?_ , �vi T3 CWS Service Provider Letter �/ Required: Yes ❑ No L7 Received: Yes ❑ No ❑ Routed Plans: Original Plan Submittal Date: 4/' 3 /.7 Q. 1st Revision Submittal Date: / 2$//L — Site Plan Only 77 E ,/zo T&-GT/O/1/ . 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 [ at 503-718- `a L k ) or AM @tigard - or.gov) La9d Use Case No. Ai LP A006 BOOo 62 Zoning 7— 7 s I11 Setbacks: ront 7 /, , Rear / ' Side -5 Street Side 1 --. Garage 2_O / Maximum Building Height F / Actual Building Height 2-`S ® isual Clearance L'1 Easements ❑ / Sensitive Lands Type: Notes: I � 4 Original Plan: Approved V Not Approved ❑ Date: q ?" — 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) ..2r Actual Slope: /0 % `° — Notes: Original Plan: Approved Not Approved ❑ Date: /IJIZ Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @ tigard- or.gov) ❑ Street Trees ❑ Protecte Tr s Notes: -C 42-` OA/ 9/3 C(/C7LyL jD Lid 77,4E CANT 777 r'Z 77e-6 , 20 r 77on/ CF277 , 6 - 7 - 71 a y T e s: 7E /1/4"-n/ -fCE AAA/ /'tczJ) e a =u s i /''c19 - n/ O 9/2s//2_ !'E7z 4 , Original Plan: Approved —� Not Approved ❑ Date:. y / % -- Revision 1: Approved C3 Not Approved ❑ Date: If-- 2. ' Z Revision 2: Approved ❑ Not Approved ❑ Date: 1 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 Vi No ❑ #7 Date Routed to Building: – _ 1 r • • Page 2 of 2 .11 .VI I 2S RECEIVED SEP 25 2012 (EL 1921 18.43' CITY OF TIGARD _ I Vt DING DIVISION —� t�V b — i I c 1. ° /;r � , �� bo t --- / -co / / / .4- _r "-- oi -p i '25' -g„ G.� to ..- ,, (10 ge Ott �,,ti✓�'' } I 1. o i `^ Si "t MAP l R93. 164 4.4 0 A i - 3,, ,, A ,, l-li'4 6 -d a c wf +ji d Y e � � t P cr) A - / ° � I da ca ° � � Si vi 411. �` / •' � Y - J l .... G 6.)61 U r 8028' IEL 182 / F'SSE � E N YuU " `t 0 <0 EROSION CONTROL F 71( ti ' NORTH = 20' - PACIFIC Rf LOT ' ! 14-5 1 ew 02rd AV . BUILDING FOOTPRINT = 1428 5Q. FT. 11% COVERAGE AREA OF LOT - 8104 SQ. FT. P I I I I C F ©O®® U e scull. OM. ` 6..., Man a(m) 275-nr J Tr/IR RECEIVED SEP 2 5 2012 IEL 192) • 78..43' CITY OFTIGARD ___,----• MITI DING DIVISION Ar''' rvr c cc eZ .-Ceis 1/ ma iiiiK in on 5' -0" 2 -9u c1\ A G in ilAri I Ili _I - PPEL W3 ___________________-- H 4 6 CV x s�tf3" 0 13014'44*/ n 0 7 1 T v e t Pv°f ± t a I (J e ovi-J 5)1e_i n ° I J 1V a Z V� U 8028' IEL 1821 PSSE El p 9y6V ti 06.40 13 C EROSION CONTROL FEN ii. N CO .CA3rtif NORTH \ - / -- - - -- - -1 ° = 20' -0" F4CfJFC he OT `�� -M t 14571 SW 02n AVE ,./ -y.-„,-,. ■ BUILDING FOOTPRINT = 1428 SQ. FT. AREA OF LOT = 8104 SQ FT. - 17% COVERAGE Pill,�rs I ©cf® Dew, n.1 is . c-„di , Mew g WO V5-7718 4, Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14561 SW 82ND AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 03/29/2013 00:00 MST2012-00237 FAIL 1. Complete soaking tub valve and drain installation. 310.4 2. cleanout plugs needs thread sealant at: front porch and under front window. 316.1.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14561 SW 82ND AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 04/03/2013 00:00 MST2012-00237 FAIL Provide street tree cert Lighting efficiency cert Moisture content Blower door test results Crawl space duct pressure test results Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14561 SW 82ND AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 04/08/2013 00:00 MST2012-00237 PASS - C of O *Erosion Control (CWS) approval received *Street Tree Certification, checked for trees. Received signed/dated completed *High-Efficiency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certification checked. Yes *Approach to Sidewalk Approval. Passed *Carbon monoxide Detector checked. Yes *Garage Vehicle Barrier Installed. Yes Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14561 SW 82ND AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 04/08/2013 00:00 MST2012-00237 PASS - C of O *Erosion Control (CWS) approval received *Street Tree Certification, checked for trees. Received signed/dated completed *High-Efficiency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certification checked. Yes *Approach to Sidewalk Approval. Passed *Carbon monoxide Detector checked. Yes *Garage Vehicle Barrier Installed. Yes Violation Summary: Inspector Contractor No" STREET TREE TIGARD CERTIFICATION , owner/ a ent or S ()■\\kr---_) g f (PLEASE PRINT) (PERMIT HOLDER) do hereby certift 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. PERMITNO.: M$C 2,o\Z - u�V ST/ E ADDRESS: 1 L S G1 S L et5) v Qlc�� SUBDIVISION: ( Kr\ 3 LOT #: 3 SIGNATURE: DA'1 E: *- 2, -13 (0 ' ER /AGENT) RECEIVED & VERIFIED BY DA1 E: - (CITY OF TIGARD) Tree location verified ser approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, GKI V ►-N , am the general contractor or the owner- builder at the following address: Site Address: 1 G ( SI. City: t dic Permit #: , - \� — Subdivision/Lot #: Q�� < I 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: f - Date: Genera Contracto or Owner - Builder I:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: AASs- �b \ )_ 00a3—) Jurisdiction: C1� IS 1-14 Site Address: ( ( - 6 l 51,6 Subdivision/Lot #: c Q L Vt L:="tf 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) Signature: / Date: L "3' Owner /General ontractor /Auth• e• gent Print Name: ( Cysl V 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:\BuildineFormARES- HighEfficiencyLighting.doc 07/01/08 r ilk Fr_,,g _ Fiat i ) jimo co RYv/ 4L L •NS U1_ -P N Air & Duct Leakage Affidavit Permit #: House address or lot number: 1 ( 4 - 6( L() e2,, ) FL_ City: �) ( a/ Zip: Cond. Floor Area (ft2): 27-41 Average Ceiling Height: .g ' S Air Leakage test; Maximum Air Leakage: (6ACH x V / 60) = It '' / CFM @50 Pa Measured Air Leakage: / 70U CFM @50 Pa Baseline: — • / Pa may_ Ring (circle one if applicable): Open 1 0 Windy? Yes No Air Handler in conditioned space? yes &cAir Handler present during tes . ye no Circle Test Method: Leakage to Outside Total Leakage Maximum duct leakage: Post Construction, total duct leakage: (floor area x .08) = CFM @50 Pa Post Construction, leakage to outdoors: (floor area x .06) = f''i" / CFM @50 Pa Rough -In, total duct leakage with air handler installed: (floor area x .06) = CFM @50 Pa Rough -In, total duct leakage with air handler not installed: (floor area x .04) = CFM @50 Pa Test Result: ( CFM @50Pa I4 Ring (circle one if applicable): Open 1 C Duct Tester Location: gig + W 1 4 Pressure Tap Location: G c- 8e4Arec. t 5 mil (y I certify that these air leakage rates are accurate and determined using standard ODOE protocol. Company Name: Westside Drywall & Insulation Technician: K le Chase Technician Signature: �� %� Date: - V P ne Number 503 -806 -1339