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Permit CITY OF TIGARD MASTER PERMIT '`1 COMMUNITY DEVELOPMENT Permit #: MST2012 -00178 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/17/2013 Parcel: 2S109DA14200 Jurisdiction: Tigard Site address: 12639 SW MOUNT VISTA CT Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 61 Project: Arlington Heights No. 3, Lot 61 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 840 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 36 Bathrooms: 4 Second: 1452 sf Garage: 623 sf Front: 15 Smoke Dwelling Units: 1 Third: 1523 sf Right: 5 Detectors: Yes Total: 3815 sf Value: $428,263.16 Rear: 12 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 2 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 7 201 -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 3815 Owner: Contractor: STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 4230 GALE WOOD ST SUITE 100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 639 - 4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geeo tech report required prior to footing inspection PHONE: 503- 387 -7577 PHONE: 503 - 387 -7577 FAX: 503 - 387 -7615 Total Fees: $22,877.42 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 i ordan with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ENTION: Oreg n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -0010 thr ugh OAR 52- -00 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or _1 .8 800.332.2344. Issued +_ 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. fluilding Permit ApplicarE Residential FOR OFFICE USE ONLY ill u City of Tigard JUL 1 2 ti 2 Date By: • Permit No.: H T•Ava.e ty7g 13125 SW Hall Blvd., Tigard, Q� .� Plan Review a 'I, Phone: 503.639.4171 Fax: Sf�i1�8 3;1 TIGARD Date /B : A w j t . �- Other Permit: 9.0a,e0a2 TIGARD Inspection Line: 503639.4 503.639.4BUILDINGDIVISION Date Ready/57 eady / I Juris: El See Page 2 for Internet: www.tigard- or.gov Notified /Method: ( Ip /.3 Supplemental Information TYPE OF WORK REQUIRED DATA: I- 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 Valuationr 2821 3 � Q L ❑ Accessory building ❑ Multi- family Number ll of bedrooms: q. (—��� ❑ Master builder ❑ Other: Number of bathrooms: . 1.5-4 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: I24vi SlN WANT VISTA CT • New dwelling area: 3v5 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: (Q �3 square feet 1523 Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 91 square feet 4� Cross street/directions to job site: Deck area: T-70 square feet 6 4 0 Other structure area: square feet "i f REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Arlington Heights Lot no.: IQ I Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New, Single Family Residential Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge Homes Type of construction: Address: 4230 Galewood St, Suite 100 Occupancy groups: City /State/ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)387 -7577 Fax: (503)387 -7616 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: SEE ABOVE All contractors and subcontractors are required to be Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax::( ) E -mail: dbritt @stonebridgehomesnw.com CONTRACTOR Business name: SEE ABOVE BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax:( ) CCB lie.: 173318 Total fees due upon application: CX) 1 Amount received: 7 ' Authorized signature� This permit application expires if a permit is not obtained 444��� within 180 days after it has been accepted as complete. Print name: I FIRI7IZe /'L1TT Date: 07.1141 * Fee methodology set by Tri County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(1 I /02 /COM /WEB) Plumbing Permit Appli . E .73VED Building Fixtures 'I FOR OFFICE USE ONLY City of TI and JUL 12 2012 Received Permit No.: al 13125 S W Hall Blvd., Tigard, OR 923 Date/By: 7 1R// 2 H5720 f /7g II Ph one: 503.639.4171 Fax: 5 1 �D Plan Review C . l 1 `. Date/By: ther Permit No .W o1 -W b Inspection Line: 503.639.4175 •' � 1 • n{ y T I G A R D p 't j1 j ' � 1i� � Date Ready/By: kris: ® See Page 2 for Internet: www.tigard or.gov B i..i Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use check list. Description 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 (I) bath 312.70 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen r 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( _ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I21931 Sw MoVNT VISTA C'T • Catch basin or area drain I 18.76 I Drywell, leach line, or trench drain 18.76 City/State /ZIP: Tigard, OR 97223 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: Arlington Heights Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: Arlington Heights I Lot no.: ($1 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New, Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Stone Bridge Homes Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 4230 Galewood Street, Suite 100 Garbage disposal 25.02 City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02 Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: SEE ABOVE Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Deirdre Britt Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: dbritt @stonebridgehomesnw.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Max Plumbing Water piping/DWV 56.29 Address: p0 Box 5597 Other: 25.02 City/State/ZIP: Subtotal ty Beaverton, OR Phone: (971)275 -0198 Fax: ( ) Minimum permit fee: $72.50 CCB Lic.: 194644 Plumbing Lic. no.: PBI083 Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: ✓ j. / �r TOTAL PERMIT FEE Print name: Jason I46 ��`� ' - Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \PLMU - PermitApp.doc 10/01/09 440 -4616T(10 /02 /COM /WEB) Mechanical Permit Applica • w , FOR OFFICE USE ONLY c I[- ` � Received 5 l City of Tigard �'di „� i Date 1 Permit _�� q 13125 SW W Hall Blvd., "Tigard, OR 9 2 iwr. }j L C Plan Review • . Phone: 503.639.4171 Fax: 503.598.196A ,, Date /By: Other Permit: lQ / i��� T I G A R D Inspection Line: 503.639 J �J _ a 2 2012 Date Ready/By: Juris: Internet: www.ti ard - or. ov 5 /B o' S See Page l I g g Notified/Method: Supplemental Information _'CITY T!GARQ d TYPE 14 eiVISInN 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: I2 w MOUNT T Y /3q VISTA IS (.T Air conditioning (requires site plan showing placement) 46.75 City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 46.75 Furnace 100,000+ BTU (ducts/vents) 11 54.91 Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: V Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 New, Single Family Residential Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ® PROPERTY OWNER I Chimney /liner /flue /vent 23.32 ❑ TENANT Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Address: 16869 SW 65 Avenue #505 Range hood/other kitchen equipment 33.39 City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (503)387 - 7577 Fax: (503)387 - 7616 toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: same as above Fuel piping Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: dbritt @stonebridgehomesnw.com Range CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer (gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES* City/State /ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee ($90.00) Phone: (503) 667 -5595 Fax: (503) 491 - 8252 Plan review (25% of permit fee) CCB lie.: 110091 State surcharge (12% of permit fee) .2.------ TOTAL PERMIT Authorized signature: This permit application expires if a permit is not t obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: • Fee methodology set by Tri- County Building Industry Service Board 1:1Building \Permits \MEC- PermitApp.doc 10/01/09 440 -1617T 111 /02/COM'WEBI .. r to Electrical Permit Appli:t; La I '" o E.D FOR OFFICE USE ONLY City of Tigard Received Al Permit No.: r� , ` g 20�� Date/B 7 i Pv - 0 13125 S W Hall B Tigard, OR 3 Plan Review / Phone: 503.639.4171 Fax: 503.598.196 q n a i l) B Date : Other Permit: 54,0 �A -Orif& T I G n K D Inspection Line: 503.639.4175 qv o � 1 r .7 1k` Date Ready /By: tads 0 See Page 2 for Internet: www.tigard or.gov � iL ril lAG ONAZIVI‘ Notified/Method: Supplemental Information lje TYPE WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ® New construction El Addition/alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. p � 12 Addition of new motor load of ❑ "A ", "E ", ' l -2 ", ' l -3 Job no.: i4.1 Job site address: IZ SW MOUN 1 VA Cr. 100HPormore. occupancy. I x► J 1 ' ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more. job site: FEE SCHEDULE Cross street/directions to J Description I Qh'. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: 0 I 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 67.84 2 Limited energy, multi - family residential (with above sq. ft.) 67.84 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: Stone Bridge Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2 City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: SEE ABOVE B. Fee for branch circuits Contact name: without service or feeder fee, 56.18 2 Deirdre Britt first branch circuit Address: Each add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 67.84 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E -mail: dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: City Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2 City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (971) 404 -1714 Fax: (503) 625 - 3052 Investigation per hour (I hr min) 66.25 CCB Lic.: 42422 Electrical Lie.: 26 -289C Suprv. Lie.: 35925 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: ! TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building /Permiis1ELC- PcnniiApp.doc 10/01/09 440- 4615T(t1/05 /COM /WEN 4ez4,J, r/J t` 6r5 nvi ? 4d 114 _ ° Building Division • Development Code Provision Review T I G A R D Residential Projects Building Permit No: h T 9.0 / 2- - C / 7 15 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: 1.t Revision Submittal Date: / d / /a- ❑ Site Plan Only 2^" 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 Cheri I Ca; v e-s at 503 - 718 -e� 37 or eh J C. @tigard - or.gov) Land Use Case No. $U,6abOb -0 ao 0 I Name Ail in 14 tit. cjhJ 3 Ig Zoning R - 7 Setbacks: \ p" -- Oricin loo 7 w /r-e -d'►w S 4{ "b 4 c -L1 Front !S Rear /A Side 5 Street Side I a Garage „? O ❑ Maximum Building Height 35 -0 Actual Building Height 3" �{ [ ' Visual Clearance ❑ Easements I C Sensitive Lands Type: v ev1 ei dur+n4, 5 14 di v os; o n _ Notes: 3t..:lc1t c h.ei1w. is e�ctc d L• �im:� -. t t v�-l+'n. . d' y,n c c s w�•t. r•.<.d- Io a r, c l 0 i s ; l� pie.,. -I A 44 e*n c.4. 0. w..r .- -c c-1 4o P e 1p-swill. iICa.JC ✓tvi1e p14,1.5 -lv w► tt+ 3S feV.1 4 . Original Plan: Approved ❑ Not Approved l Date: 1 t - a Revision 1: Approved' Not Approved ❑ Date: S — Z Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard- or.gov) Actual Slope: 26 f Notes: Original Plan: Approved0 Not Approved ❑ Date: 7 r 0/1-4. Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City� Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) /Street Trees �' Protected Trees Notes: Original Plan: Approved I Not Approved ❑ Date: . ' 7 /� ' 1 a Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: .ti Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov) "2 ❑ 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 Mi. No: •_ V/0.2- "------ Date Routed to Building: 1 • .. 7� Page 2 of 2 I .1 STONE BRIDGE OBE:1432 1 rEE LOT: 61 �J HOMES NW � DATE: 6/28/12 4230 GALEWOOD ST. SUITE goo JUL 1 2 2012 PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 HEIGHTS (503) 3 (;f�}/()F CITY: TIGARD � � « �1� � SCALE: 1 ° =20' PLAN No.: 281 380 PRAIRIE — ELEVATION \ 318 3'16 i i i� 6 314 S ` a e �� i� �� � $ 312 ,, 384 386 , \ \\ \` 388 0 \` / 390 392 e „, �, 394 r' �i � > \ \� 396 Si. ✓ a FT „, ti ,,�, *581grri4 ��. = ■9'il n : ;gym ,? . s. � 4, EL • - _..csit . 40.:::.:4 , , . .; . , . it • '42), \ste4 --”: . 1 .-.* ,.... 44, 4 .• 6 \H'''' ''.:.!;•‘. A Tik ■ %Ale .>0 44, 410 * i7 �/ EL•3891 s), LOT COVERAGE STREET TREES LOT AREA: 5,173 SQ. FT. BUILDING AREA: 2,353 SQ. FT. P - PYRUS CALLERYANA PERCENTAGE: 45.4% ORNAMENTAL PEAR NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING vARY ARE ESTIMATES. AND BE SUBJECT TO CI- IANGE. THEY MAY LOT •1 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,113 SCI. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/17/2013 00:00 MST2012-00178 PASS - C of O Blower door test Air duct Street tree Lighting efficiency Moisture content All forms received 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 05/14/2013 00:00 MST2012-00178 FAIL 1. Corrections #1,2 & 3 from inspection dated 05/07/13, not done. 2. re-inspection fee will be assessed if previous correction(s) are not approved on next inspection 103.5.6 All else ok. 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 242 Interior shear walls 02/20/2013 00:00 MST2012-00178 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 240 Exterior sheathing 02/20/2013 00:00 MST2012-00178 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final 05/14/2013 00:00 MST2012-00178 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 322 Shower pan 04/03/2013 00:00 MST2012-00178 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/14/2013 00:00 MST2012-00178 FAIL 1. Provide plumbing final approval 2. Provide lawn irrigation final approval. (Inspection dated 05/07/13 PLM2013-00093) 3. Not ready for inspection. No inspection made ORSC R110.5 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/17/2013 00:00 MST2012-00178 PASS - C of O Blower door test Air duct Street tree Lighting efficiency Moisture content All forms received 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 240 Exterior sheathing 02/20/2013 00:00 MST2012-00178 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 12639 SW MOUNT VISTA CT, TIGARD, OR, 97224 Residential - Master Permit 242 Interior shear walls 02/20/2013 00:00 MST2012-00178 PASS Violation Summary: Inspector Contractor Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: / a0 /2 — 0017 1,01+4, Site Address: / Z t 3 Subdivision/Lot #: Lo f ' / ' , 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: S- (3 -/3 Owner /General Contractor /Authorized Agent Print Name: B't et,ve r4 ORSC Section N1 107.2. 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\ ZES- 1- lighEfficiencyLighting.doc 07/01/08 Greg ©n Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I l OA- AA-2- , am the general contractor or the owner - builder at the following address: Site Address: J ` 3 ('l S w 7, �{ 51-01- • City: e Permit #: cV 1)-- "(19 Subdivision/Lot #: pkir_df 0 �1, I I , cj L , g- 1,6 - C 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: Date: —( 3 General Contractor or C)wn Builder L\Building\ Form \RES- MoislureSensiliveWood.doc 09/25/08 _ , r STREET1REE '`a TIGARD CER TIFICA TION I, ?,1 A,_. k,, 4--c. , owner/ agent for 5.41n, gre(e. {��,,,e s M./ . ire,, (PLEASE PRINT) (P HOLDER) do hereby certiji that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: Al 5r e9.0)2 — o o `7 g SITE ADDRESS: /� 6 3 S ski SUBDIVISION: ILL; ti5,0u, 4 ��_ LOT #: W SIGNATURE: DATE: ,5" / 3 — (OWNER/AGENT) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreerTreeCertificate 05/30/2012 Energy Trust New Homes r \ClialGE FOR THE ETTER WfT}I Certified Residential Air Duct System E B NERGY STAR ;tom EnergyTrust or or no. Company form ation Company Name y'1 ,f- ` - I. 47 Technician Date /M` Combustion Appliance Zone (CA Z) Test Main Zone Zone 2, if applies CAZ WRT Outside Pa Pa Baseline (WRT Outside, fans off) Pa Pa , NET CAZ Pressure (subtract baseline from CAZ WRT outside) Pa P Duct Leakage (fill out one sticker per duct system) • Description of Area System Serves j ,, Cond. Floor Area System Serves (ft' 51 i'i z j ) --; ❑ yes no Air Handler in conditioned spice? Ff yes ❑ no Air Handler present during test? "yes" for either, then ` um CFM is 75 CFM @50 Pa or floor area x 0.06 = - d. CFM @50 Pa, whichever is greater. If "no" for both, then maximum CFM is 50 CFM @50 Pa or floor area x 0.04 = CFM @50 Pa, whichever is greater. Test Method: ❑ Leakage to Outside or ❑ Total Leakage Test Result k D. 3 CFM @50Pa Fan Pressure ` q Pa Gauge type: ❑ DG -3 or )4DG -700 Ring (circle one) Open I 2 Duct Blaster Location -4C 0- 410Z.- Pressure Tap Location OVivA4. ;l5_ i •1-11 mill V �.rt S:�,ta'nntle 6:c'��'n ar l CS7ma!e !x' %tra I earthadventage In e:�r_ - . , institute 808 SW 3rd Ave $4t.1 ° BOA, Re d'::: n i CR. 99 4 1 503.96t3 s6D In specti on Date: S. I3. 13 A ddress: l 2b"3q SW M4 . V,s}c Cl . City: 1114 r 3 Blower Door Test Results Maximum Allowed ACH: 5.0 (for Earth Advantage) /4.0 (for ENERGY STAR) Actual CFM: I W 1 o ACH: , 3, �r Verifier Signature V PLb.- 4