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Permit CITY OF TIGARD MASTER PERMIT IA ° : COMMUNITY DEVELOPMENT Permit #: MST2012 -00267 • TIGARD ' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/20/2012 Parcel: 2S109AB17300 ' Jurisdiction: TIGARD Site address: 13216 SW WILMINGTON LN Subdivision: HIGHLAND HILLS ESTATES Lot: 2 Project: Highland Hills Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 991 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1322 sf Garage: 413 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2313 sf Value: $260,126.40 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: 4 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: Y 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: 5 • Fum > =100K: 0 ELECTRICAL • Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0 ' Ea add'I 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 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 ' _ 2313 ' Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports`(Conditions). PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 639 -4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503- 381 -3753 PHONE: 503 - 381 -3753 FAX: 503 - 214 -8524 Total Fees: $19,017.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire. if work is not started within 180 days of issuance. or if work is suspended for more the 180 days:. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 0 9 2- 001 -0090. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 800.33 .2344. Issued By: Permittee Signature: (fie hi f/ 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 RECEIVE RECEIVE 1 FOR OFFICE USE ONLY City of Tigard Received Permit No. a� 3.Lp II q 13125 SW Hall Blvd., Tigard, OR 97223 C' T 2 3 2012 Date/13y: Rew °� C Phone: 503.718.2439 Fax: 503.598.1960 ��/ �G^ ARD �p DateB ( (p' Z Other Pe it ex) - ads - l I ci A it r> Inspection Line: 503.639.4175 Ci l i Date R ty El See Page 2 for U Internet: www.tigard - or.gov g ILDINGDIVISI I �lo� ,: e od a 7 / 1 1 l� Supplemental Information /_ /rt / w� TYPE OF WORK REQ IR 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 ) , 00 (Z�,4D ❑ Accessory building ❑ Multi - family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13216 SW WILMINGTON LANE New dwelling area: 2313 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 413 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: I7 square feet +3 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134 Deck area: I square feet etq Other structure area: Z7 26, square feet 2J REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: HIGHLAND HILLS l Lot no.: 2 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 Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: ., Name: MISSOIN HOMES NW Type of construction: Address: PO BOX 1689 Occupancy groups: City /State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)214 -8524 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: MISSION HOMES NW (Please refer ro fee schedule) Structural plan review fee (or deposit): Contact name: JOSH KELSO Address: PO BOX 1689 FLS plan review fee (if applicable): City /State /ZIP: LAKE OSWEGO/OR/97035 Total fees due upon application: Amount received: --7, Phone: (503) 381 -3753 Fax: : (503) 214 -8524 VV E -mail: JOSHKELS03 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: MISSION HOMES NW Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: PO BOX 1689 Solar Installation Specialty Code checklist. City /State /ZIP: LAKE OSWEGO /OR/97035 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (503) 381 -3753 Fax: (503) 214 -8524 State surcharge (12% of permit fee): $21.60 CCB lic.: 186849 Total fee due upon application: $201.60 Authorized signat - . This permit application expires if a permit is not obtained [ t� (S7/"._ within 180 days after it has been accepted as complete. Print name: JOSH KELSO * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 3T(1 I /02 /COM /WEB) Plumbing Perm Applicatio Building Fixtures ' FOR OFFICE USE ONLY City of Tigard OCT 2 3 201$a eB ia/a C ' 1 Permit No.: atr I a• (Ave to 13125 SW Hall Blvd., Tigard, OR 97223 C Plan Review w ]� `, Phone: 503.718.2439 Fax: 503.598.1960 C � [1L�G e /g y . Other Permit No.. � � (/VdJb Inspection Line: 503.639.4175 BUILDING DIMS ead B lu t ® See Pa e 2 f I Ci A R D Internet: www.ti ard or. ov y Y g g g 9�151>e Supplementallnformation for 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 (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (2313 sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13216 SW WILMINGTON LANE Catch basin or area drain 18.76 City /State /ZIP: TIGARD /OR/97224 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: HIGHLAND HILLS Manufactured home utilities 50.03 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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: HIGHLAND HILLS I Lot no.: 2 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SINGLE FAMILY Dishwasher I 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: MISSION HOMES NW Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: PO BOX 1689 Garbage disposal I 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Hose bib 2 25.02 Phone: (503)381 -3753 Fax: (503)214 -8524 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: JOSH KELSO Roof drain (commercial) 12.51 Address: PO BOX 1689 Sink/basin/lavatory 6 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Solar units (potable water) 62.54 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Tub /shower /shower pan 4 12.51 E -mail: JOSHKELS03 @GMAIL.COM Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: S & B PLUMBING Water Pin i P g/D WV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City /State /ZIP: VANCOUVER/WA /98664 Subtotal Phone: (503) 545 -3601 Fax: (360) 695 -5031 Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: 168129 Plumbing Lic. no.: State surcharge (12% of permit fee) Authorized signal- _,e01111111 I o f 8 i TOTAL PERMIT FEE Print name: JOSH KELSO Da 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:\BuildingWermits\PLMU- PermitApp.doc 10/01/09 440.4616T( I0 /02/COM/WEB) Mechanical Permit Application E IVE FOR OFFICE USE ONLY City of Tigard Received Date/By: ( a-,3 2. W— Permit No.: -r 1` Ov ap ° 13125 SW Hall Blvd., Tigard, OR 97223 T 2 3 2012 Plan Review ODAJs Phone: 503.718.2439 Fax: 503.598.1960 Other Pi Date/By: ermt e� , l I G n K D Inspection Line: 503.639 �/ . Date Read /B Ia " Internet: www.ti ard -or. ov c 1 1 OF y y. ® See Page 2 for g g Notifie Supplemental Information BUILDING DIVISI o • TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees' are based on the value of the work ® New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 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: Air conditioning Job site address: 13216 SW WILMINGTON LANE (requires site plan showing placement) 1 46.75 Furnace 100,000 BTU (ducts/vents) 1 46.75 City /State /ZIP: TIGARD /OR/97224 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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: HIGHLAND HILLS Lot no.: 2 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 NEW SINGLE FAMILY Gas fireplace I 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 ® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: MISSION HOMES NW Environmental exhaust and ventilation: Address: PO BOX 1689 Range hood/other kitchen equipment 1 33.39 City /State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 Single -duct exhaust (bathrooms, Phone: (503)381 -3753 Fax: (503)2144524 toilet compartments, utility rooms) 23.32 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact name: JOSH KELSO $14.15 for first four; $4.03 for each additional Address: PO BOX 1689 Furnace, etc. Gas heat pump City /State /ZIP: LAKE OSWEGO/ OR/97035 Wall /suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater 1 Fireplace 1 E -mail: JOSHKELSO3 @GMAIL.COM Range I CONTRACTOR Barbecue 1 Business name: ADVATNAGE HEATING & AIR CONDITIONING, LLC Clothes dryer (gas) Other: Address: 2355 HYACINTH MECHANICAL PERMIT FEES* City /State /ZIP: SALEM /OR/97301 Subtotal Phone: (503) 393 -5315 Fax: ( ) Minimum permit fee ($90.00) _ Plan review (25% of permit fee) CCB lic.: /7 0 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: JOSH KELSO Date:l /fig .— • Fee methodology set by Tri- County Building Industry Service Board 'M I:\Building\PermitsEC- PermitApp.doc 09/09/10 4 6t7T( /0JCOM/WEB) 03/1 13:12 5034636863 CONNECTIONS ELECTRIC #2190 P.002/002 • ••.u.. I I. cVI I IV • TL/11/1 I,V• I ITV I. L . , Electrical Permit Application RECEIVED 1•0R OM( l:: 1 ' ?.1 ON.I. City of Tigard newe iv/ 33 I �- s� Fund! N°.:14 f3C aciy- o p3lt 13125 SW 1IeU Blvd , Tigard. OR 97223 OCT 2 3 2012 l siwr Other ; ► � a ' - coat - N V Mom 503.118.2439 Pea: 503.5911.1960 We/BV . , a 4 , ,\ , Inspection Liao: 503.639.4113 CITY OF TIGARD bate tie tlYMY:. Alec - See Paso 3 for Internet: V.Ww.tigard-or,gov B* Ir ©n; fWISIO Notlne4 M Ihod: T - Suppleental mrarmation • ... . • TYPE OF WORK a G .. . . ,• . .... :. ..r • ... V W . . • 14ew construction G] Addition/alterationtreptacement Alma cheek all that cob, (wmmt' l een orplem elbow checked below): O Sa tin or raeda 400 amps or ahvm Q Building ow three stain. • II Demolition Other, nt.et the tosibble rwu ewroa a Mutoas sad boe,yerda. ,t.1.9g _ 0� t ,� J •,,( ' caeeada 10,000 amps at 150 tolls or Q Etmtiag bail. loss l -and 2 - ihmil dwell! 0 Commercini/lndustrial ❑ Accessory building wems. or Ion em 14,000 CJ bendie rolslalso aadoabwat {� Y � 4' �g eaapslbrall 1wlldia8a. • f Multi - family ❑ Master builder ❑ Other: O lire pump. Q lasuualloa of75 KVA or • ' ' JOU BITE 1NFOAMA`floN AND LOCATION O Add G Em my mom m - ► E', "I dal system Addition anew motor load of Q • ", , « lob ao.: Job s ite ad dress : (3?.l [ , $ �,�,i, Ao L,'. Os awes llal oral occupancy- tehiole;ale. City/State/ZIP: I-, 0 p (92 94 2 y D H bow Watford. ►l. GI Sappiovoloao far aura Moo 600 volts nominal. • Suite/bldg./apt. no.: J Project name: 4 f fie y jl(,t,d Pumice a Reda600 amps or more. • Cross street/direclion9 to Job site: r>K S dpigIr i Otr. iel t wet ,• • 133 B l( ► lJ vt T� . -0 New residential ><Ing c - or ahultl -family dwelling unit. Inetudes garage. . Subdivision: � �t no.: Z 1011)6q. tt. orlesa I 1 168.54 4 Tax maplparco! no.: t---- Ea. 861'1300 so. ft or ponioo 4— 33.92 l • t ladls� OrD' oc.Oeftdeeil - ai I 7500 2 • DE CRIP13ON OF WAIlg . • ' .• l itb above ro. 0.1 • L imited eaergy,multihnWy 75.00 2 NEW SINGLE FAMILY rosldoatial (with above 44.11.1 Services or feeders installation adora tion, andiof reloeatlon 200 amps or loo 100,70 2 ® paope ;T'Y OWNER • • ' 0 TENANT ' _ tat amps to 400 amps 13156 Name: MISSION ROMES NW 401 amps to 600 amps 20034 1-2-2 601 asap+ to ( amps 301.04 2 • Address: PO BOX 1689 Ora 1,000 amps or ralu 1 55E26 2 City /Stare/ZIP: LAICE OSWICGO/O1Z197035 P1I n mesa or feeders in3attatian, sltiratlon, gables • Phone: (503)381-3153 Ea= (503 )214 -9524 • s a less 59.36 1.:21 to 400 Owner installation: This htslallalton is being made on property Mat t own which is not z01 amps tesS9 amps 18508 .... • Intended for sate, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 tos99 amps 168 54 Draneh circuits— new,,altera or extet�an, it panel Owner signature: _ Date: A. Fee ear bomb ciratustrhh . • .. ® APPLICANT J 0 CONTACT' r> lsON above service or Rader fee. 7,42 2 each branch circuit . Business nalne: MISSION HOMES NW a Pao for branch drabs without service ar feeder Aro, flesh 56.18 2 Contact nrtmo: JOSH KELSO birch circuit . - Each add'I branch circull 7.42 2 Address: PO BOX 1689 • Mlecejlepeoue5aorvice or feeder nat indudcdl • City/State/ZIP: LAKE OSWEGO/Olt/9'103S in . s a d /crte r 6. 2 4vheitiaP, service endla feeder � - - Phone: (303) 381.3753 1 1=4x:: (503) 2144524 Reconnect only 6744 2 E�mall: JOSffl ELSO3t�G11MA.11:IICOM Stan or t ftnc is titg 67.84 2 67.84 2 „�,.... �Slgn oro u dlra ll6htbrg CONTRACTOR Signal ctratd(s) orlleaitedkeergy • Business trams: CONNECTIONS ELECTRIC - .. panel, alteration, ofexleasioa Pogo 2 2 • Each additional rnsueetian owr allowable is any or the above Address! 4675 POR'1'x.AND tin NE }t3 '- 1136 Additional inspection(' hr min) - 66.25/hr — • . City /State/UNSALEMIONl973Q5 SAC, 01a.. In l(1Iwmi 7 hr Industrial plant (t lit min} - • Phone: (503) 390.7914 Fex: (Sla) d44 - _ ; , 3 %spot:dais nu which no 1'bo w 90,00f trt . - aperancally listed (vl hr min) CCP Lie.: 65444 Supty. Lie.: 3eeill5 - ELECTRICAL PEWIT FEES Subtotal: Suprv. Electrician signature, required: Wm review (354/8 anemic tee): Print name: 14 . . b.4 . 01.0 „ . 7. 214 .,„ �, bate: Stale surcharge (12°K ofpl fee ): '�'�� TOTAL PERMrr PM Authorized Signahsre Ns pariah application expires If a penmi is eel oblehed within 580 dye seer It pee been scrupled at complete. Print name: • J.s-* , fie f . [ Date: ( aV U- • Wumberofraspootlona glowed perporwIt . IgualtdirePermils C.rerml!Apodoe 07ro1110 a40 1 o ° Building Division Development Code Provision Review r i c n iz Residential Projects Building Permit No.: i OOv 1p7 Site Address: I 3 al toy L.44 1AC,T1.1, LL1 Project Name & Lot No.: tI a'PLP7 ij) 14144....-&—i In • a— CWS Service Provider Letter Required: Yes Cd No ❑ Received: Yes ❑ No ❑ Routed Plans: ' / Original Plan Submittal Date: to /a -3la-' 15t 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 at 503 -718 V90 or G @ngard- or.gov) _ Lapd Use Case No. / DOg"r9B3 4' I R - 7 [T Front t5 Rear 16- Side v- Street Side t0 .-T Garage 0. Br aximum Building Height 3 Actual Building Height — ea o.cq Ld' Visual Clearance M4asements Q"Sensitive Lands Type: 5 Notes: Original Plan: Approved / Not Approved Date: /-D A 4P--.. Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: ,? Notes: Original Plan: Approved Not Approved ❑ Date: 10 k--57/ Z 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) Lr Street Trees ❑ Protected Trees Notes: • Original Plan: Approved 11 Not Approved ❑ Date: l/2 - A - 43 — 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 App nt Okay to Issue Permit: Yes No • Date Routed to Building: / • • •r Page 2 of 2 • • RECEIVED_ OCT`232012 CITY OF TIGARD JE _ _ — BUILDING DIVISION S.W. WILMINGTON LANE i c S—(1' . 6. S--((• 1 COVERED 1 I`. , I DRIVEWAY ENTRY 1 '54 {L I T V ED '/ GARAGE // r: /; // / //, / rv'_'c%- . �f'%ilal • 4 f: 7 1 ''::// I ���17f % . COVERED ill 1 LO 2 I . ' 4, 77: SF. 1 t 50.00' SETBACKS: GARAGE 511 I ll — — " S'(c, GARAGE = 20' BUILDING =15' PORCH = 12' SIDE YARD = 5' STREET SIDE YARD = 10' 01 STREET TREE 0 S S itepfan v� SCALE : 1"=20° PLAN NAME: CCNIACI: Phone-503-381-3753 RA 2313 UJN: B I n xM• ,, D RA BKE PLOT: 10/11/12 LOT 2 mission Homes NW , LL.c. SCALE: 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 13216 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 910 Sprinkler rough-in/test 03/28/2013 00:00 MST2012-00267 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 13216 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 910 Sprinkler rough-in/test 03/28/2013 00:00 MST2012-00267 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 13216 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 115 Electrical service 04/03/2013 00:00 MST2012-00267 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 13216 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 320 Plumbing rough-in 03/27/2013 00:00 MST2012-00267 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 13216 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 06/21/2013 00:00 MST2012-00267 PASS Violation Summary: Inspector Contractor FOR OFFICE USE ONLY — SITE ADDRESS: /5,2 -(4) 51,o w t 644 L.() This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT T Letter 'r i,G.A R i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: 14_LL4\') DAT '< r r..:, t DEPT: BUILDING IVISION r % JAN 2 2 2013 F Q 0, k ird)-(3 CITY OFTIGARD COMPANY: �/ff/ 6- /L`a, vv BUILDING DIVISION PHONE: 5c ) 3— 3 X ( 257 BZ1 k RE: l 1 ) 3 ( Le t,0 lAWIAtivkkr fri(2 -- OD 7 (Site Address I �'('� ��Qn (Permit umber) ! CC�t�-C1/ Proj t ' ame o subdivision name a nd lot number) ATTACHED A ' THE F LOWING ITEMS: Copies: Descri 6 tion: Copies: Description: Addit'onal set(s) of pl s. Revisions: Cros• section(s) and detaf s. Wall bracing and/or lateral analysis. Flo s. /roof framing. Basement and retaining walls. Bea calculations. Engineer's calculations. Other (explain): REMARKS: , i-k ‘AJ /I -) FOR O FI E USE ONLY Routed to Permit Technician: Date: / / e' 23 Initials: Fees Due: F -- yes ❑ No Fee Description: Amount Due: f� x -313 $ /6 ?• ° c!l $ x• 3 5' . 7 (/ $ /2 .F. 9 .s Special Instructions: Reprint Permit (per PE): ❑ Yes to ❑ Done Applicant Notified: Date: /. 1://9j � pa. wI /. ��s k— Initials: (__J I: \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 /14572_012. O © 2607 STREET TREE CERTIFICATION \D , Owner /Agent for W' s \c.v, (PLE 4S'E PR)rT) - (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard and Washington County land use and development standards for street tree installation. ADDRESS: \ )\ 1 S .L , l,J, I►^, 1, \-cv, 1n - SUBDIVISION: IA J,,,3 LOT: k SIGNATURE: DATE: _) (OWNER /AGENT) RECEIVED BY: DATE: - 1 9 -1 (CITY OF TI GARD) I: \Building \Forms \StreetTreeCertifiicate 01/19/07 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: M 5 la - UU �� .� Jurisdiction: Site Address: S ?J Subdivision/Lot #: j. 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: maji_ JA, Date: ( -11-13 Owner /G eral Contractor /Authorized Agent Print Name: vNA t W ' ORSC Section N 1107.2. 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. (:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 / eW 2o7 /32/6 s k/ %,( Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 17�1'h , am the general contractor or the owner- builder _ at the following address: Site Address: 1'1)-11 S. L J ^ , \ I h 1 h`! �^ ( •, City: ■ 5 s Permit #: MO -UU kL . ) Subdivision/Lot #: t� J" i ` v I 11 and/or l 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. �" 11 Signature: �/, �" Date: General Contractor or Owner - Builder • • • 1•\ Building \Form\RES- MoistureSensitiveWood doc 09/25/08 , r '" 4 e 1 - - % '- - . • ; ,‘ , - _ _ _. ,.... _ a , PTCS Y` �� � - _ ' ......._, _ ____ , _ _ ____. Performance Tested _ Comfort Systems :* " 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) Tech PTCS Tech # I o SCE Name Q,4'Sr Date 14 IS Electric Utility b Customer Installation r i ` Name KG.S.Ip1N NOINVIS Site Address* 13a.1(p SuJ �i, lAls, ts:re Li Site Site / � Slte Zip Q Customer City* i iS� v ot State" ^ Code* I to s Phone # ( 3 ) 38 S I - 3 7 3 * If mailing address Is different, record here (b, City, St, Zip): Home Type (provide I rmation for Just one type, either a Slte Built or Manufactured Home): Site Built Home: ❑ Existing New Construction Manufactured Home: ❑ Y Site Built Home Foundation Type: II of Sections for a Manufactured ome: ❑ 1 ❑ 2 ❑ 3 Crawl Space ❑ Full Basement ❑ Half Basement ❑ Slab Super Good Cents? ❑ Y Year Built: X Heating System: ❑ Elec. Furnace El Heat Pump IE aas Furnace Heated AreartS Energy Star? ❑ Y air El Other: Gas Comp y(Ifapplicable): (sq ft) Are at least 50% of the ducts in unconditioned space? Gas # 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. ) 3 a House Pressurization and Duct Blaster Tests Do either of these special conditions apply? (check if "yes") Testing Equipment Used: ❑ -word Only— no duct sealing work done Energy Conservatory ❑ RetroTec TCS Certification ONLY — pretest leakage too low for BPA program ❑ AeroSeal ❑ AIr Care ❑ Other: - Hou ressurized (Blower Door) to Duct13Jader Location Pressure Tap Sup Register Location: +50Pa ❑ Other Pa eturn Grille 0 Other: WN ' .�. lr S ►. • i .(\/� Duct Leakage Test TYPICAL DUCT BLASTER CFM READING with Duct Pressure at OPa and Blower Door g+50Pa. DB Fan Pressure: Found using equipment; it is the fan pressure, not the house pressure. (Ex. Ring 1, 78 Pa, 364 CFM). Definitions: (DB)= Duct Blaster (8D)= Blower Door (AH) =Air Handler (SW) =Single Wide (DW)= Double Wide (TW)= Triple Wide III New Construction Existing Home, New Ducts ", : Exist4Home, Existing , Ducts:. : Manufactured Home` �+ '""" "' �� � � a rr y � v f rd t f' r4 4. n 5 rk S, � , . ❑Open❑1 ❑2 Q3 ❑ Open❑1 ❑2 ❑3 t '� �L �� ' { -,, A `10. .." "� r� ` ' ,.t'" ❑ H i� M Ell ,. ❑ H 0 M. 01. �..�,s .�r r y � •� Z ''l° ��I'gl"9��t��-t J :taaia,Ca(Y7�'(i�'3 ;l�zrr'g Pa Pa II cam. `"� : -� S� 3� r ' Ft s"2 'iY rr 0. N� €tls' r �'��7 a� k i ..o a ti ffl Wil ! h 1 ii } AP[[F[��'� ° ��A ; t ; * '~�' r CFM CFM Ihn llllll FF f ' .. a F --4. ya ` a l e .. w o,� ' ,— 4 c-4,14 �,� a .,r,-,, . 1 - f w r r M , i� �t i � a.. ❑ 2 100 CFM, SW -�'a r-1l -c � �;s� � w Fe r � *� i � � 2 t � , � `K r �. f ` e�c,m / sY:. i � *rr, < j r , #� xr rw + 2 250 CFM ( >1667 sq ft) , 'l di r� 3 s 1 1T ° � ��' z � T�1sL' El 2 150.CFM, DW k - ; 1 ; ,:_ pe � r a P,^ � r ., i ' ' v ❑ > 15� of home's sq ft ❑ 2 225 CFM, TW x4 7 '' ❑ p Open 01 0 H ❑ 2 ('i ❑ o �2 Q 3 ❑ O ❑ ❑ ❑a ` 0 3 ❑ 0 H CFM O3 Q `Q 3 � Pa Pa Pa r L CFM CFM CFM ❑50CFM,S W ❑ 5 696 of sq ft w/ AH ❑ 51096 of home s sq ft El , DW ❑ 510% of home's sq ft ❑ 5 496 of sq ft no AH Reduction ❑ 5120 CFM, � ❑ 2 SO% Reduction The duct sealing at this site meets program requirements including: plenum, main ducts, takeoffs and boots sealed; ago faith effort was made to remove existing duct tape and cover with mastic; metal duct connections are secured with screws. sealed; ❑ N Last updated: 30 November 2012 - Page 1 of 2 Combustion Appliance Zone (CAZ) Test Are there an mbustlon appliances in the home? Combustion Appliance Type: ❑ Fireplace or wood stove ❑ Y ❑ Gas Furnace ❑ Gas water heater ❑ Other: f Is there a UL- approved and functioning CO detector A carbon monoxide (CO) detector Installed in the home Is required in all cases Instal the home? where a sealed or non- sealed combustion appliance Is located in a conditioned ❑ 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 Combustbn Air Zone (CAZ) test required by the electric utility? ❑ Yes, complete the fields below IV • •, s ip to notes . Baseline Pressure with reference to outside (all exhaust devices Weather conditions on day of test: 0 Calm p Windy and air handier fan off): Pa With a lrhandler fan ON, record gauge readings: Interior doors open 'Interior doors doled Zone Description Reading (Pa) 11102=E Net (Pa) Zone 2 MIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Net Depressurization c Net (Pa) c 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 c -2Pa. Net Depressurization W 1– ( -2) = 3 Net Depressurization "Net" e • uals how much the •ressure :oes down when the air handier Is turned ON corn eared to the fan off baseline •ressure Installation/Technician Notes: • 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 corn • an from an and all Ilabilit arlsin: from or connected with • rovidin: this information. Electric Utility: v F Account H: Account holder name; .S 60 tA ti` o f 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 com leted as of the signature date below. Technician Installation f i Tech Phone a: name: N) 4N. V�C'T company: �j +1 CT ( S03 ) Zeta ' t Technician Signature: Date: ( O' i I, PRIVACY ACT STATE NT 4 l'w—lt& - Basic authority for colle g this information is authorized by 16 U.S.C. §9 832 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 BPA Energy Efficiency program. Last updated: 30 November 2012 Page 2