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Permit • • CITY OF TIGARD MASTER PERMIT 114 q COMMUNITY DEVELOPMENT Permit #: MST2012 -00268 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/14/2012 Parcel: 2S112BD08600 Jurisdiction: Tigard Site address: 7770 SW CORNUTT ST Subdivision: BRITTANY MEADOWS Lot: 22 Project: Brittany Meadows, Lot 22 Project Description: New SF BUILDING Floor Areas Required Setbacks Req Stones: 3 Bedrooms: 4 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 33 Bathrooms: 3 Second: 1162 sf Garage: 746 sf Front: 15 Smoke Dwelling Units: 1 Third: 1240 sf Right: 5 Detectors: Yes Total: 2402 sf Value: $284,323.04 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 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 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 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 addl 500 sf: 5 201 -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 +ampNolt: 0 .ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 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 2402 Owner: Contractor: BRITTANY MEADOWS LLC ALAN NATHANIEL GOFFMOORE Required Items and Reports (Conditions) BY WESTLUND, MORRIS R 13950 SW BARLOW RD 1 Ersn Cntrl 503- 639 -4175 16615 MAPLE CIR BEAVERTON, OR 97008 2 geo tech report required prior LAKE'OSWEGO, OR 97034 to footing inspection PHONE: 503- 781 -1981 PHONE: 503- 664 -6423 FAX: Total Fees: $19,585.93 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all • er 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 . ork ' sus-ended for more the 180 days. ATTENTION: • - eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th • • e -- are set forth in OAR 952- 001 -0010 thro e OAR • -2 -00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 ••r . ;,...4K 2 • Issued By: Permittee Signature: y . ∎ Call 603.639.4175 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 completio .he project. Approved plans are required on the Job site at the time of each inspection. • Building Permit Application Our Residential RECEIVED FOR OFFICE USE ONLY ' -,\ Received of 4�� / / `6^ _ '2 - City of Tigard Re eiv : /0 t Permit No.: -[ J �{�/ 13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 3 2012 Plan Revie • , Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 41`; -• ` I ( Z Other Permit: gi App /2 �,2* Ti r n a n Inspection Line: 503.639.4175 Date Ready /By: / Jam: ® See Page 2 for Internet: www.tigard- or.gov CITYOFllGARD Notified/Method: It f i ( I Z 5 1 Supplemental Information BUILDINGDIVISIO 5p o Icc WI 41 w,✓ TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S Z.4- ) 323, ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 7770 SW Cornnutt St New dwelling area: 2402 square feet City /State /ZIP: Tigard, OR. 97224 Garage /carport area: 74L, square feet Suite/bldg. /apt. no.: Project name: Brittany Meadows Covered porch area: 168 square feet (ZA.0 Cross street/directions to job site: Bonita Deck area: 100 square feet 11 W7 Other structure area: :-N4 square feet 2� REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Brittany Meadows Lot no.: 22 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.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New home Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Brittany Meadows LLC Type of construction: Address: 16615 Maple Circle Occupancy groups: City /State /ZIP: Lake Oswego, OR. 97034 Existing: Phone: (503)781 -1981 Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Pacific Evergreen Homes (Please refer Iola schedule) Structural plan review fee (or deposit): Contact name: Alan GOffMoore FLS plan review fee (if applicable): Address: 7410 SW Oleson Rd Ste 133 City /State /ZIP: Portland, OR. 97223 Total fees due upon application: el E.) Phone: (503) 664 -6423 Fax:: ( ) Amount received: E -mail: alangoffmoore @gamil.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Alan GoffMoore Submit two (2 ets of roof plan with connection detai and fire depart •nt access, along with the 2011 ! egos? Address: 13950 SW Barlow Rd Solar Installation . • laity Code the • . . City /State /ZIP: Beaverton, OR. 97008 Permit Fee (inclul eview $180.00 and . • - !strati • = ees): Phone: (503) 664 -6423 Fax: ( Stat- . arge (12% of permit fee): $21.60 CCB lie.: 187268 _, Total fee due upon application: $201.60 Authorized signatu - 4 _' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 10/23/12 * Fee methodology set by Tri -County Building Industry i / lQ� Service Board. I: \Building \Permits \BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(1 1 /02 /COM /WEB) Plumbing Permit Application Building Fixtures RECEIVE 1- FOR OFFICE USE ONLY n • City of Tigard Deceive° !0// 3 P¢ (Af0 Permit No.: t/STpeia- e>d .2t�� - a 13125 SW Hall Blvd., Tigard. OR 97223 OCT 2 3 212 Plan Review /� ,p_ n Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit No. lI - (pO T I GA R D Inspection Line: 503.639.4175 CITY OFTIG ARD Date Ready /By: Juris: ® See Page 2 for Internet: www.tigargov TYPE OF WORK � v+ ffivI IL Og otitied/Method: Supplemental Information TYPE FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. DescriQtion I Qty. I Ea. I Total • ❑ Addition /alteration /replacement ❑ Other: New I - 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: 7770 SW Cornnutt St Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: Tigard ,OR. 97224 Footing drain (no. linear ft.: _ ) Page 2 Suite /bldg. /apt. no.: I Project name: Brittany Meadows Manufactured home utilities 50.03 Cross street/directions to job site: 79 and Bonita • 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: Brittany Meadows I Lot no.: 22 Fixture or item: Tax map /parcel no.: Backtlow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 New Home Dishwasher 25.02 Drinking fountain 1 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER , ❑ TENANT Expansion tank 12.51 Name: Brittany Meadows LLC Fixture /sewer cap 25.02 Floor drain /Floor sink/hub 25.02 Address: 16615 Maple Circle Garbage disposal 25.02 Cite /State /ZIP: Lake Oswego, OR. 97034 Hose bib 25.02 Phone: (503)781 - 1981 Fax: ( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Pacific Evergreen Homes Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Alan GoffMoore • Roof drain (commercial) 12.51 Address: 7410 SW Olseon Rd stuite 133 Sink/basin/lavatory 25.02 City /State /ZIP: Portland, OR. 97223 Solar units (potable water) 62.54 Phone: (503) 664 - 6423 Fax:: (503) 208 - 7127 Tub /shower /shower pan 12.51 • E - mail: alangoffmoore @gmail.com Urinal 25.02 Water closet 25.02 CONTRACTOR 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: Hillsboro, Oregon 97123 Subtotal Phone: (503) 640 - 0113 Fax: (503) 640 - 4483 Minimum permit fee: $72.50 CCB Lie.: 92689 Plumbing Lic. nil: 34 - 260P6 Plan review (25 % of permit fee) A ` / State surcharge (12% of permit fee) Authorized signature' /IA�/ TOTAL PERMIT FEE Print name: Ray Mullen �'I �M�`11 Date: 10/18/12 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 Service Board. I \ Building \Permits\PLMU- PermitApp.doc 10/01/09 440.46 16 t 0 /02 /COM/WEB) . ' • Mechanical Permit Appli 1' il ` E LIVED roe orrice:: vs!: or \ 1.1 City of Tigard DateBy, /g WnPermitNo.: -' Srp1r/lj -Ud 13125 SW Hall Blvd., Tigard, OR 97113 1 T 2 3 2012 Plan Review t����e ' !: Phone: 503.718.2439 Fax: 503.598.1960 p 11 D /B Other Permit OWL 60p3/(p f 1 G A It D Inspection Line: 503. 639.4175 Cl l l OF TIGARD Date Ready/By: kris H See Page 2 for Internet: www.tteara-0r.gov BUILDING DIVISION NonfiedMethud Supplemental Information �.. ..}. .- ..�. . : . !.-. , Wig ._,� u. , � _ _. i .. : xc ..� . - , : .:. l:rr �•q: [ :: :� :r .J.cr ._�, I:.c; .� . .' == :ct- �x : �::= -9.42, �• ,L• � zra�....• . F,- ,_ : =� l r., i � . � ���a! z; r ISj�S�riii� :' :i ° _ - `�4' ">✓ �_f� ::_ . . t ;.. : „�.. , ,,.c _ . ,- ..- :E k,, : : -- _ .' , yq : ?S,hY.v.r` ;I� °:� 7 Sri - , :n . i a .._s _Yd� +i:,F:.. .I FJ _.t _.... -.l !: .rl... `: +i.:: : �_ _ � t-.rs _ 1.3r� ,.I ...�:n ru;: :.'r. : - `- �"- ---` � - 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 _ r ..�,: :_� _ :ru _ `" - Value: $ J 4 F , L.'tiiti!7?, • F .f 1r 5 1 f ' �' rhti r.:L15 � r.::' - � .4:. s a; ,.. _..::.i :�, : :._.�! mss. � ,,, _ � :� . =�_ �;,..r :, :,,.■.., r .:. .....0 x,� - qt ! : YaI� • I' F l � i i ii;bt °ir r aj .... '4' 1 - and 2- family dwelling ❑ Comme rcial/industrial ❑ Accessory building For spedal information use ekeekllst ❑ Multi- family ❑ Master builder ❑ Other Description I Qty. I Ea. 1 Total _ ∎ v-. }-t } `f - " ! • :i':✓ ,v 41): . :., r 7;;V } r t i - :...:f, 1s Heating/cooling: .:.. _r `,n I.r..._. i�I fi F s 7- �l. _._ =1:i4 ,._ i \C)A i .m rr -n. a:hd - v,,...._3. :,,c.• -_ • �'•�• • Ali conditioning Job site address: 7 70 ScA.) _de C n n V (requires site plan showing placement) 46.75 City/StateJ>ZJrP: q77-714 Furnace 100,000 BTU (duets/vents) I 46.75 J • Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldgJapt no.: Project name: • Q j-a rjt rY)c • u S Heat pump (requires site plan showing placement) 61.06 Cross street /directions to job site: _ - L i■ 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: ; a # , , IL- Lot no.: r j Flue/vent for any of above 23.32 Other. 23.32 Tax map/parcel no.: Other fuel appliances: �•-:.:��_ -, 2 � = _ - __ -- _ i,_,' ._ ;,- �- _-� - ° ij :; : :._. r Water heater 23.32 Gas fireplace//msert 33.39 _ 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 .,- ter,. ..,:, :- ..r.,: - :--: . _ - r - <; ;r - - ; C /l i n er /flue/vent 23.32 = . ?�i� +,' :�f. :-. J . ; : - 1 i: �, � i ' : .,_ �C'- r-. �•. i:•: �: : : :i.- L:- :� :u7 :�'r�nn..l.r. n.. ,..,.,. - _ _ - r : _._,�__ Other 23.32 Name: -. a A • - • , V - Environmental exhaust and ventilation: Address: 7'-1• 1 0 (4) a , `r I f s hood/other kitchen I 33.39 City/State/ZIP: • • k a d D• '1223 Clothes dryer exhaust 1 33.39 Single duct exhaust (bathrooms, Phone: (503) Fax: r )1-0$ "7 toilet compartments, utility rooms) 5 23.32 a u -4 'w� x rc,sFP .lt �r k : >.,...__. Attic%rawlspacefaas - 23.32 ��- e ms... ` .:.._ . _. _ _ :.. -J.. e1 _J•. rvi -. , ■ , ..:..-1- . , _,.,.�7 • Other: 23.32 Business name: 1 a • • i I C Fuel piping: Contact name: A • I r � u • At • $14.15 for first four; $4.03 for each additional . ` - , Furnace, etc. 1 Address: • .. / . Gas heat pump City/State /ZIP: 'Ceti / , •. ■ i t • 7223 Wall/suspended/unit heater Water heater I Phone: (50)(0(p 23 �� • Fireplace I E -mail: ' an • o • oo 0 ma Q V r' e ( . co , I r c'oS�E r' i r l Yt+; i 1'` •_" :i * l I I Barbecue � ..,_..�. L � r � . ....t__._ ?L '�E .., :.s.,. •,:..,...n Business name: - amid H -,.ti 1 • .. • r . Clothes dryer (gas) Other. Address: 9409 NE Colfax St. - ;': ? i'rj 7-7.: `y ap; ' <, ?) `F :; i is � a: ' t : ° = = S City /State/ZIP: - o an., • R 97220 Subtotal ) q Fax: (r '7 34 32- Minimum permit fee ($90.00) Phone: (503)1%6 1 %I "t 2 Z Plan review (25% of permit fee) CCB lic.: 4 3g Z State surcharge (12% of permit fee) TOTAL PERMIT FEE applition expires If a Authorized signature: .._ ` ,5.#10A- This permit days�after it has been atcept as complete. within 180 Print name: A pv S I Date: 51 I I 11 Z • Fee methodology set by Tri- County Building Industry Service Board I\BuildiegWamits\ME PermitApp.doc 03/07/12 440 Electrical Permit Ap licatI 4 A FOR €© ,F)10E'USE ©NL`1.4 �., �r r w City of Tigard � � Date /By: 4 / / J— ( » Pemmit No.: j-/5rA/.?�cZe 131 of Hall Blvd., Tigard, OR 97223 Plan Review •� o ! Other Permit: 6wQ�t��lo ,�: Phone: 503.718.2439 Fax: 503.598.0@T 2 3 2012 Date/By: gi -N "'- - Inspection Line: 503.639.4175 Date Ready /By: lurk: Ht Sec Page 2 fur TLG ARU t*''�-A Internet: www ugard or gov ( ^ �, � IG Notified/Method: Supplemental information ; r ., �, , , - TYPE; 1.1 PLAN R EVIEW _ -_ ® 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. =2C4T:GORX :;OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. a -,,,_ ,.: s . , less to ground, or exceeds 14.000 ❑ Commercial -usc agricultural ® I- 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 _..a; - - em. am. 1`. ANDtrLOCrT10N> : : - , : ._ : := ,. Emergen system. urger separately derived system. - JOBSITE INFUR)ViA <T;10 . �� • ❑Addition of new motor load ol - ❑ "r1 ", "[ ", "I -2 ". "I -3 ". 100HP or more occupancy. Job no.: Job site address: 7770 SW Cornnut St ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR. 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Brittany Meadows ❑ Service or feeder 600 amps or more. _ 4 FEE:.$CHI DULL' Cross street/directions to job site: Description I Qtv. I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Brittany Meadows Lot no.: 22 1,000 sq. Ii. or less 4 168.54 4 Ea. add') 500 sq. ft. or portion 33.92 I Tax map /parcel no.: Limited ener • , residential DESCRIPTION WORK F - (with above sq. ft.) J 75.00 2 Limited energy, multi - family 75.00 2 residential (with above sq. li.) Services or feeders installation, alteration, and /or relocation 200 amps or Icss 100.70 2 v— - _ ' 201 amps to 400 amps 13356 2 - - - �y® = "TENrUV - . .,_., .._ ®- TROHERTl- ! OWNER, I '; =, „ _.,._ ' �_., , 401 amps to 600 amps 200.34 2 Name: Brittany Meadows LLC 601 amps to 1,000 amps 301.04 2 Address: 16615 Maple Circle Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: Lake Oswego, OR. 97034 relocation Phone: (503)781 -1981 Fax: ( ) 200 amps or less 59.36 I 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 _ - . _ _ " - - _ _ ,., -;, - - - - _ - _ - - - - - _ - - above service or feeder lee, 7 47 2 - ti ig1.4: L ,,O*1 "• t _�� �_,. _I .. - , : , _ ®_ - CONTACIs,_PERS_ON ,� i.t :: ::, each branch circuit - Business name: Pacifice Evergreen Homes 13. Fee for branch circuits without service or feeder l''ec, first 56.18 2 Contact name: Alan GoffMoore branch circuit Each add') branch circuit 7.42 2 Address: 7410 SW Oleson Rd Ste 133 Miscellaneous (service or feeder not included) Each manufactured or modular G7 84 City /State /ZIP: Portland, OR. 97223 dwelling, service and/or feeder Phone: (503) 664-6423 Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: alangoffmoore ®gmail.com Sign or outline lighting 67.84 2 „ ._ - -,;',, - CONTRACTOR ,,. , .:-:';:t . -, , Signal circuit(s) or limited - energy Business name: Garner Electric panel, alteration, or extension. )'age 2 2 Each additional inspection over allowable in any of the above Address: 2920 SE Brookwood Ave Ste ,.A Additional inspection (I hr min) 66.25/ hr - Investigation (I hr min) 66.25/ hr City /State /ZIP: Hillsboro, OR 97123 Industrial plant (I hr min) 78.18/hr Phone: (503) 648 - 4552 ax: (503) 42 - 7925 Inspections for which no fee is 90.00 / hr specifically listed ('A hr min) CCB Lic.: 121159 Elect!' al Li . 343 SC Suprv. Lic.: 3707 - S :, ; ELEC1RIC4 ,1'E1t11T1'F :EES ' • r if , Subtotal: Suprv. Electrician signature, req red AS lt � (25% o a Plan rev iew (25 /� of permit fee): Print name: Chuck Garner J am ✓ : State surcharge (12% of permit lee): TOTAL PERMIT FEE: Authorized signature: - - - This permit application expires if a permit is not obtained within IYt) days after it has been accepted as complete. Print name: Date: - ' - • • Number of inspections allowed per permit. P\ Building \Permits \ELC Permit App doe 07/01/10 440 4615!(1 /05 /COM /WEB Building Division Development Code Provision Review T i c n Residential Projects Building Permit No.: k-Pf 9-0 Site Address: 7776 0n2Akci r 4 a7". Project Name & Lot No.: 60., TA Y MP6��DO[.�5 4-or 24.- CWS Service Provider Letter Required: Yes ❑ No Received: Yes ❑ No 9e Routed Plans: Original Plan Submittal Date: /0 /P 3// y 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 a proved. • Planning Review (contact C % /� at 503 -7182 % - w or @tigard- or.gov) Land Use Cp No. pee )j2/ Zoning 1 7 Setbacks: _ Front 1L Rear � Side `� Street Side /0 4, Garage Maximum Building Height: Actual Building Height C — d / Visual Clearance Ltd asements ensitive Lands Type: EStreet Trees ❑ Protected Trees Notes: Original Plan: Approved V Not Approved ❑ Date: /0' I /2 � PP PP l Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 EnOteering Review (contact. Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) Er Actual Slope: /I Notes: Original Plan: Approved ICJ Not Approved ❑ Date: • /4 1�� Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved 0 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 Appli t Okay to Issue Permit: Yes o ❑ Date Routed to Building: Page 2 of 2 TROXEL'S HOME DES! I 3 2712 1217 N.E. BURNSIDE STE. 303 ' GRESHAM, OR. 97030 CITY OFTIGARD BUILDING DIVISION i yl .,� „IU I ' LOT #22 Nht ELEV. 6,361 5Q FT 5.oa /1 57.80 I I - I• 1 1 I .., I I I I I 1 I • DECK • 1 .. I • in N I I Ia I I I 0 1 I 1 I°' —I a • I I • i I PROPOSED - I I I RESIDENCE 1 PLAN # 1 263 I I 1 M.F.E. = 11 0.50' I I 1 • I 1 G.F.E.= 100.50' • I I . 1 I � I I r - ,=-- --- , _ _ COVERED i I I i --- PORCI1 I I I I -- — S - -I I . z I - 1 I O 4” CONC 1 cv I vt DRIVE / / �►�`'�'^I 6°41 ! I _ J i / � 3� A� .luS eLev: - I 7.95' h 9 r J- l°° SIDEWALK 103 . ., : / o - 9 ...: Z i 'i(�¢A ` �1 _ - � 2' �ti 1 � —. , • SW 78th AVE. 4►;■ • LEGEND — ' e 3" SEWER _ . �P` .0 I " WATER !� !9:!' GAS 3/ - - POWER • - --- RAIN DRAIN ' - - • • • NAME: _______ SITE PLAN GATE: 10 - -12 SCALE: 1 20.0W PLAN PLAN# 1263 .._..__ DRAWN B (: NICK POVEY_____ ADDRESS: LOT 22 BRITTANY MEADOWS 7 7 7 C - * 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 7770 SW CORNUTT ST, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 02/26/2013 00:00 MST2012-00268 FAIL 6x6 post and double joist missing on lower floor/ceiling. Marked on plan circled correction 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 7770 SW CORNUTT ST, TIGARD, OR, 97224 Residential - Master Permit 610 Gas Line 02/26/2013 00:00 MST2012-00268 PASS Standard pressure verified 10 lbs 15min 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 7770 SW CORNUTT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/01/2013 00:00 MST2012-00268 FAIL Handrail required on stairs 4 or more risers R311.7.7 ORSC No opening from walk surface to guard over 4" R312.3 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 7770 SW CORNUTT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/03/2013 00:00 MST2012-00268 PASS - C of O Lighting form Street tree Moisture content And duct seal forms receiived 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 7770 SW CORNUTT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final 05/01/2013 00:00 MST2012-00268 PASS 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 7770 SW CORNUTT ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/03/2013 00:00 MST2012-00268 PASS - C of O Lighting form Street tree Moisture content And duct seal forms receiived Violation Summary: Inspector Contractor .71 STREET TREE TIGGARD CERTIFICATION I, / k� PlAe , owner/ agent for Races -PI b cve-r r tloott , (PLEASE PRINT) (ERMIT 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.: SST Z,dl -©0168 HIE ADDRESS: - Trio S w c ua- R.0 -rr SUBDIVISION: g ds -f, ' eADowS LOT #: Zz SIGNATURE: Al , Le. Fe4esson DA 1 E: 9-N-13 (OWNER /AGENT) RECEIVED & VERIFIED BY DA 1 E: (CITY OF TTGARD) ❑ Tree location verified per approved site plan. I•\ Building \ Forms \StreetTreeCemficate 05/30/2012 Oregon Residential Specialty Code R318. MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, PtuA-„,) G 0-f V ft Yx5 , am the general contractor or the owner- builder at the following address: Site Address: - 77 - 10 Sc ) cog_.,jO1i sr City: rat -A (z.- Permit #: yv) SY 2,0 12 -co (08 Subdivision/Lot #: 6RX1TAr.14. )01 X1- toS 2zi 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 - : installation of interior finishes, the building official shall be notified in writin ' by the general contractor that all moisture - sensitive wood framing me bers used in , onstruct on have a moisture content of not more than 19 percent by dry fight of dry fr. ing me bers. 41/03 Si Date: eneral Contractor or Owner -But • er I•\Buildmg\ Form \RES- MoistureSensitiveWood.doc 09/25/08 gm mt-t . Performance Tested ▪ � r z , i - y , y _ , e t r = . Comfort Systems : v� h ' , ,, tr -:r .,, s,Y. . ® •- , " ki t «` ggiUS 4. ,t:_ -�A ,) ,, :''6 r .. - • PTCS Duct Sealing Certification Form All sections must be filled out by a PTCS- certified Technician at the time of installation, signed and dated. A copy of the completed form must be promptly submitted to the utility and homeowner in accordance with utility policy. Please enter online at www.ptcsnw.com or fax to 877 - 848 -4074. Questions? Call 800- 941 -3867 or email ResHVAC @bpa.gov. Site Information (Please print clearly) PTCS ++ Tech Install Customer's Tech # 1 0 Name �vJ " l l t1�OV Date Electric Utility Customer p Installation , �1 Q Name ` aG` i C EveglQ� zx Site Address *117 & 0 ) C l E3 ' ' (�} Z2 Site 111 Site Site Zip / � n Customer 1 t City* �aILa State* O� Code* u1 (L/ l Phone # ( ) - ' 1 * If mailing address is different, record here (#, City, St, Zip): , Home Type (provide information for just one type, either a Site Built or Manufactured Home): Site Built Home: ❑ Existing � New Construction Manufactured Home: ❑ Y ❑ N Site Built Home Foundation Type: if of Sections for a Manufactured Home: ❑ 1 ❑ 2 ❑ 3 ' ❑ Crawl Space ❑ Full Basement ❑ Half Basement ❑ Slab Super Good Cents? ❑ Y El N Year Built: 2013 Heating System: ❑ Elec. Furnace ❑ Heat Pump it Gas Furnace Heated Area r� Energy Star? ❑ Y N ❑ Other: Gas Company (if applicable): (sq ft) Required 21 OC Are at least 50% of the ducts in unconditioned space? 1[l Y ❑ N # of supply registers # of returns If more than 50% of the ducts are in conditioned space, the home does not qualify for PTCS Duct sealing. 10 i House Pressurization and Duct Blaster Tests DQ either of these special conditions apply? (check if "yes") sting Equipment Used: tit Record Only — no duct sealing work done NJ Energy Conservatory ❑ RetroTec 0 PTCS Certification ONLY — pretest leakage too low for BPA program ❑ AeroSeal ❑ Air Care ❑ Other: Et Huse Pressurized (Blower Door) to: Du Blaster Location: Pressure Tap Supply Register Location: +50Pa ❑ Other Pa R eturn Grille 0 Other: 5 cioSad i'o PlzePlaez Duct Leakage Test: TYPICAL DUCT BLASTER CFM READING with Duct Pressure at OPa and Blower Door @ +50Pa. DB Fan Pressure: Found using equipment; it is the fan pressure, not the house pressure. (Ex. Ring 1, 78 Pa, 364 CFM). Definitions: (D8)= Duct Blaster (8D)= Blower Door (AH) =Air Handler (SW)= Single Wide (DW)= Double Wide (TW)= Triple Wide New Construction Existing Home, New Ducts Existing Home, Existing Ducts Manufactured Home .S`_ -. t :' :'''1 _ _ _ :h:::, ;:. - - - Z: - es Ruf� t O en 1 2 3 Open 1 2 - - 9 . ,, a?: � °� �_s,w t =fi;b'= �_' - -y .r .: � - ▪ ` ; ` ` `» �_� <; ::<��;� � -: a � "== � - y s- P ❑ ❑ 3 r - � ,x: _ >'Nof:Applico¢le - :�_ - = - - - :at PR c o- ❑ ❑ ❑ ❑ P ❑ ❑ it oiie A l e` v's • °, -' Ndt ! p i ill lir � _ t«r ' Y t : -, .;-- ni = = A P , . ,R _ 7.7':':_-2;:-:; - A p l 1 ,ico ti le, ' ▪ - _ : - Pa Pa DB:CFM - lijotApp Iicable - - NotAppHcabfe _L CFM CFM s Pretest -:: : K ° _ w ,- ? ',= ,, - �' b ^,ti ❑ a 100 CFM, SW __ i - - .;s, =w _,- . , ~ z • , -- T ,; ❑ Z 250 CFM (>1667 sq ft) Re - - ;s ;., NotAppbtaiile ;T= ; =� .:',A 1p ir ile`�_ ' =� ❑ z 150 CFM, DW :.4'-a:-C1, t# Only) -1 -:' -'„ °i_'.-s ❑ > 1 of home's sq ft i. -4_= L -._x : Ys•, -_ = =' -,a; 1-.. r = - ._- . • k ='_- - r --�- ▪ r _ ❑ 2 225 CFM, TW E i ( ❑ 3 ❑ Open ❑ i 02 0 3 F .._: - e ❑Open ❑1 ❑2 3 ❑Open ❑i ❑2 ❑3 ❑ Open 0 1 0 2 (se(ec grie). Yi 0 0 ❑L ❑H ❑M ❑L 0 0 N CI ❑H ❑M ❑L '. DBFbn;presiUre —)01,4 Pa Pa Pa Pa , , , 6 5 CFM CFM CFM CFM O a, r,y' ;r '7, - - - =i , ❑ <_ 50 CFM, SW 4. „ Celrtifica Req- ICJ < 6% of sq ft w/ AH El 10% of home's sq ft ❑ 5 80 CFM, DW (check•o(ltii �: ❑ 5 10% of home's sq ft ' s_ = i ' - 1 2i= ° - r' -``,? "- ❑ 5 4% of sq ft no AH ❑ a 50 % Reduction ❑ 5 120 CFM, TW 'Y' E ~= ❑ a 50% Reduction The duct sealing at this-site metes program requirements including: plenum, main ducts, takeoffs and boots sealed; a good faith effort was made to remove existing duct tape and cover with mastic; metal duct connections are secured with screws. ❑ Y ❑ N Last updated: 30 November 2012 Page 1 of 2 � n ; Combustion Appliance Zone (CAZ) Test Are there any combustion appliances in the home? Combustion Appliance Type: ❑ Fireplace or wood stove 0 Y ❑ N ❑ Gas Furnace ❑ Gas water heater ❑ Other: Is there a UL - approved and functioning CO detector A carbon monoxide (CO) detector installed in the home is required in all cases installed in the home? where a sealed or non - sealed combustion appliance is located in a conditioned ❑Y ❑ N space or attached structure i.e. garage. RECOMMENDED CO detector specifications: UL 2034 /CSA 6.19 -01, digital display, peak CO memory and recall. Is a Combustion Air Zone (CAZ) test required by the electric utility? ❑ Yes, complete the fields below ❑ No, skip to notes Baseline Pressure with reference to outside (all exhaust devices Weather conditions on day of test: ❑ Calm ❑ Windy and air handler fan off): Pa With air.handler fan ON; record gauge readings:' Interior doors open Interior doors closed Zone Description Reading (Pa) Net (Pa) Reading (Pa) Net (Pa) • Zone 1 Zone 2 Net Depressurization = Net (Pa) = All fans off Reading (Pa) (minus) Air Handler Fan on Reading (Pa) Example: Baseline reading with all fans off = 1 Pa; Reading with air handler fan on = -2Pa. Net Depressurization = 1— ( -2) = 3 Net Depressurization "Net" equals how much the pressure goes down when the air handler is turned ON (compared to the fan off baseline pressure) Installation /Technician Notes: gry k i 4 it1t e ( 0 .); 6.6e1 — . 10 50 g'o....01 - 30 . Required Signatures: To be filled out by the electrical utility account holder. This form must be signed by the person whose name appears on the electric utility account. ENERGY INFORMATION RELEASE: The undersigned utility customer requests and authorizes the specified utility to release billing and usage information for the account listed below to the PTCS program. With this authorization, the PTCS program can request billing information for up to two years pre - installation and two years post - installation. The utility customer also hereby releases the utility company from any and all liability arising from or connected with providing this information. Electric Utility: Account #: Account holder name: Account holder signature: Date: By signing below, technician certifies that this form and any accompanying documentation are complete and accurate, and that all measures associated with this project were completed as of the signature date below. Technician Installation Tech Phone #: name: 621 &AY-C7 Company: � uPAINiJ Heat ,4 � ( ( ) 533 - 0-26 Technician Signature: ; ] Date: 0y/2z/13 PRIVACY ACT STATEME f Basic authority for collecting this information is authorized by 16 U.S.C. §§ 832 et. seq., and 838 et. seq., pursuant to Bonneville Power Administration's Conservation Program system of records established in 46 FR 31700. This information is primarily intended to further, but is incidental to the performance of, BPA's overall Energy Efficiency Program, the objective of which is to acquire energy resources through energy efficiency, to determine what cost - effective conservation and direct application renewable resources measures should be installed or adopted under different circumstances, and to provide incentives for the installation of such measures. Other routine issues of this Information include: aggregation into a public database on energy efficiency; furnished to authorized personnel for installation /repair of equipment; aggregated into a database for program publicity; and in some instances information regarding buildings will be made available to subsequent purchasers of the buildings. Your disclosure of the requested information is voluntary, however failure to provide requested information means that It will not be possible for you to participate in this SPA Energy Efficiency program. Last updated: 30 November 2012 Pag Oregon Residential Specialty Code N1107. HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Yr loll 602,6 Jurisdiction: Site Address: .110 SCE CJT S Subdivision/Lot #: egai ✓ e s /z2._ 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 menti -' building have been installed with compact or linear fluorescent, or a lighting source that , . inimum efficacy of 40 lumens per input watt. (Oregon Residential Sp alty Code N110 ■malk 4,, Signature: W_ - Date: y /0.3 i wner /General Contractor /Authorized Agent Print Name: Al. 4,-- (,o ticdte 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