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Permit 11111 rio rv.: P/ 6/di iy L6,-.29 ■ ' Building Division kJ Development Code Provision Review T i c n iz D Residential Projects Building Permit No: H 57-,2O/ 2 — a o 16o CWS Service Provider Letter Received: Yes ❑ No ❑ N/A [Q Routed Plans: / Original Plan Submittal 6 ittal Date: - : 9' tali iv 1st Revision Submittal Date: Ar -� � 0 Site Plan Only cll£d / 2nd Revision Submittal Date: BB t V' ❑ Site Plan Only 3" 4,2.4;b;o,• 9/i A-/l- elerbet oR':DCeks To the Applicant: 0/d7//5 ,. Arrr A. L- (t¢ ,S33-4•0s 0NiY 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- 74, or @tigard-or.gov) Land Use Case No.sUq2©1.19--E3 Name /44441=6)70 la' Zoning Setbacks: Front Rear Side Street Side Garage 0 Maximum Building Height Actual Building Height - -0 Visual Clearance s'in Easements r0 Sensitive Lands Type: A-)? Notes: a.,,,- e :. J �� �� ,,,6,t - ^ <<4 ;CQ .-i J 7' "Ateett AL, - %i . It i e 14/111601-1--.) I2ze i . f Original Plan: Approved ❑ Not Approved.0r Date: 7-7 / Z Revision 1: Approved�0' Not Approved ❑ Date: 7 -23 /Z Revision 2: Approved _( ' Not Approved ❑ Date: 7 -/8 "/z.- Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov) 0" Actual Slope: S Notes: Original Plan: Approved.0r Not Approved ❑ Date: 1 I 2-3/Z- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 RECFflJF..0 4„,..._., FEB 2 7 2013 LOT 3 CITY OF TIGARD "CEDARBROOK FARM" BUILDING DIVISION EL• -Cr-- - ? 1, 5®2'06N" W 5.-I1 8' - - ----0 �OIOEQ' irwv OZOYO` .'� OZOYI � ceuDUCw enEVl TrrFE: EL., , _ 1.rArSUeA TRS:E 30ID0' � � � S•���a✓✓� BUILDING% [DELI W We ORNA ENTAL TREE..,5TREET TREES, I -RLOLLERMG DOGROOD Lot 97 Lo I +� TRACT -EASTERN Rcctr - ,' W 0 peccuc e,E.•E IEEN ORNAMENTAL sums&. •: ,I wQ '��.'I OEGR,GRAPE ROLLERS.CURRANT xR.ICCeeIRRT , eNDUeERRr ��• `,ter •.�,.I "A\•.A CONNECT SIDEWgILKS CAL=41EM RAPHIOLEPOR �j �� ,��1 TO EXISTING ISUEN NA.16 CINQUEFOIL IjJ •• !i i I II f�l�(% VI DEVELOPMENT cEAND*we 4` �}�q / r`Il' I-1 CCENAM A-GRASSES IN OPEN AREAS 0TNwr UJ �'x`3'i 10.II '�+jl�''1' �1 11 ;ti s / j�J1 ® 1.91' Il..,. ..���, 11ID0' , ' dl- Z ,•) PERE»IIAL: III' 7930' O / ', IDb' IT,.,. ..• - 4•_as L.•' • _3mmm' 'tt/ 4 EL.• IiLyLI : i N V - "CEDARBROOK FARM" , !vl F-4- , Igo: . S.W. 92nd AVE� - 41 SIDEWALKS TO O 6 / O ��/ NALL BLVD. !III 7 - ;lOA'4 a I �/ O FIRE TRUCK BUILDING R5 9 �/ y(/� ACCESS ONLY 30.00° �I ilarillt' l/".....e:' - ('� S'-0"SIDEwALK ■ �� ai � i Q v `�--- - S 02'06'51" W e�t���os -6 O �� a cr itiaMillW- - S.W. 92nd AVENUE ` "'�„ •®d�_;;;� 7:-:_._-_....:- STONE 1 4 7. — — �: 'l� _ I, PROJECT / 9 E12C61oN CONTROL FENCE ADA RAMP ,�, b� - -.- ••• SIGN (WHERE REQJIRED) "; '; 3000' t ['. O 8'xa'GAZEBO W/S. / 6,• r ,a' ''' ' yF •. BENCH UNDER / of T9ID2' S._®.P.UE. •0 7 1• ` p: �`, PROVIDE(I)4"ABS STORM _ // ,1 /LOT I I� - --- ---— 1 ( T+' .-• J" SEWER TO STREET MAIN(EACH / .6 D I R�T� M_ „ I LOT : '' Od WIT) L 11 n „ LOT ,I ,/ 1 1�0 1• w •. • ,•,• I PROVIDE!u a°Pvc sANIrART � E � .�a1ia „ `I "12 _�' Q � �/� jI�'�...� TRACT LLER t09TEi MAIN(EACH JJ ° RTI O,� ,�E r ' n gl I LOT 1UMW I� nit: Al LOT 1 Is�. ''w = --,„„,,'-'411r1 p w CWS�'TR4CT TO�VMR(AT CUB WATER LINE I ' 1, LOT �` 'l I �Ir I' BOUNDRI TEACH MIT) / ' /I' c,. , LI °�l' `� "II _ h7 II e' I` LOT I O ALL SIDEWALKS I ' �/ � (T7PIGAU/ alilu_LOTiTIh ./ � ._ " LOT rIL�.I /TRACT I: �I, I� "8 [ r LOT I` ' " "' �` Lot ly p- . . / IIrr , _ II `I� . :I: TOT LOT WI ILOT -1 LOT L• !AM. Aril*gg kilo p swRUCSUReLwY• / �,4 — _ 1 I I I "-r C "13 9 I�` LOT Ad O. .-.I O BARK CHIPS / 5'-m°HIGH DE - �� 15.49' .. <_ I 1= P. �O ' � ^9 I (x'�.. .� I :O VINYL FENCE TO FIN '.• , •�'/hi 7. '. . : • - BUILDING 2' ALONG TRACT.A"I:_g:: _ .,Taro.• .:_17�' FROM PROPERTY LINE "I BUILDING 45881' _ O: ,J BUILDING 3111' BUILDING 3.. CONC•�CT SIDEWALKS NT EXI9TING DEVELOPMENT THE PERMIT APPLICATION 15 FOR BUILDING "4 ONLY SITE PLAN SCALE: 1"=20' (tli THE CIVENGNEERINHAEEN COMLETED MONTAGE R011HOMSS _ AND APPROVED CN THIS PROJECT AND THE DATE: I/24/13 TIGARD, OREGON UTILITIES AND PAVEMENT ARE IN PLACE NORTH 5.E . -`\D: THERE ARE(4)BUILDNG TYPES AND(4) MASTER PLANS FOR REVIEW BY THE CITY L A Mioojo ` OF 1 V CITY OF TIGARD MASTER PERMIT ''- l a .- COMMUNITY DEVELOPMENT Permit #: MST2012 -00160 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/28/2013 Parcel: 1S126DB05300 Jurisdiction: Tigard ' Site address: 9475 SW 92ND AVE Subdivision: MONTAGE Lot: 24 Project: Montage, Lot 24 Project Description: Building 4, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 278 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 625 sf Garage: 330 sf Front: 0 Smoke Dwelling Units: 1 Third: 666 sf Right: 0 Detectors: Yes Total: 1569 sf Value: $179,418.08 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 1 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 1 Backwater Value: 0 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn > =100K: 0 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 add'I 500 sf: 2 201 -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 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 SFA VB R -3 1569 Owner: Contractor: NW AREA INVESTMENTS LLC AAA PROPERTIES INC Required Items and Reports (Conditions) 11150 SW RIVER WOOD RD 16501 NE 65TH CIRCLE PORTLAND, OR 97219 VANCOUVER, WA 98682 ' PHONE: PHONE: 360 -609 -3465 FAX: 360 - 718 -9701 _ . Total Fees: $13,516.68 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. ATT • - . Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR . ' 952-001-00 0 through • - 95 ;, . -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or 1.800.332.2344. Issued By. / �, � 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. JU N 28 2012 J �„ 42 '.,' � Building Permit Application Residential ; Si City of Tigard , ; �� 1'erott No • /� -��� 13125 SW Hall Blvd.. Tigsrd.0 97223 plan Review Phone S03 71a 2419 Far• 503 5911-1060 twe/By 1"nJ— �/ b l.l.� �° P°'aa k�Q�oi� - Inspection Line' 503.639,4175 ore ReadysBy. n.,. 0 See pane ]nor Internet vwrw tivard�r PO. Nuufic6`MetlwJ, _ - _ Sag/pkoeWl takraabse r , —_ _ _ _ TYfl OF WORK -- REQUIRED REQUIRED DATA: t- AI D �AA{L` DW NG 1 w cconstruction iDemolition free fre non based on the value of the wvlr performed. I I indicate the value (rounded to the nearest dulls) of all ❑ :.3,'.ittx.'altersi :nfre.p mcnt ❑ Other: ; q-tpmc: t. material.;, tabor, overhead and the profit for the CATEGORY 01 COP T1t17C1'IOTI 1 WOE indicated an this application. � Valuation: S l t- aid 2- family dwelling f ❑ Commercial/industrial _ ❑ Accessory building _ - — 1 0 Multi- family Number of bedrooms: ❑ Master builder + 0 Other: I Namoee oa otalrooms: 7 JON SITE INFORMATION AND LOCATION 1 fulfil rtunhbea of {;ours.+ - too stte address 9475 SW 92 Ave f +kw ,► = at! i ng =a: sc.xe f. City.'St..te.21 '. - f ,' I Al i_. " - 1 t. J gercerport .area swam r... C.,.rr/hldg 1cfr nn 1 r name if n v. - i...„... , -' r Covered porch area square feet Cross strcet/dirctions to jnb site: , Deck area: square feet it LI _ _ I Other stnxture area ' / square tem RLQURtES) DATA: CIRECIOJST Subdivision' 1 Lc* no.: 24. 1 Permit fees' are bard on the value of the work performed. Indicate the value (minded to the neatest dollar) of all Tat map/parcel no.: ( equipment. materials, labor. overhead and the profit for the ` ` DESCRIPTION OF WORK work indicated on this 3splieation. ,_ I Valuation: S I I Existing building area square feet New building area: square feet - CI PROPERTY OWNER 1 ❑ TENANT I I Number of stories. N am' W 1 4 Cl FrC I If\✓t s s4i LL-C. I I Type ofconstnrton: Address. 1115 0- ►✓ R : y f r (t'Ced /? I I occupancy groups: - f C siy,Statuzl P. Pit r f / ci ref , e- k q 7Z i 9 + Existing: Pb : ,Sitj , 2 x 7. 3 777 1t : c3)38: 3�' ° f New: ,P,Arrl !! -5 ❑CONTACT raison -1 WILDING MAW PUP Business rtarne- F pp � A �{ - l il r�are et/M. rllar �y� - r �1.5 ' I Str urn plan review fee Ire deposit, ' L Contact name: t Cti LS. .e_` v - - _ I Address' I c ; ,, Y/'' f �(\ jj^^`` — I FLS plan t: oiev. fc. (i alplicabte), I r--- � v\ `� !� !'c-a! f-s d_'e •�- c�a City /StaterIlP: `iiQ ` v' ' Jar /`ti;? ~ T apd , t r y Lrntate lave( t_ � �,l� � I :4 t v � -1 + I � J Amount re:eived-1 • n — t T 1 , . • , n _ 1 ( PHOTOVOLTAIC SOLAR PANEL SYSTEM PEW !:...pail: '} f� l ' : /t: - t �" l Cf.) -t,-V k-�, (i TY Y1 i, .l- /YI J \-- ` L �� • t f Commercial and residentia prescriptive installation of ^ ', 1 r oof -wp mounted P'hotoVo)W had c Soahad System. Business name: A A- A 1 ) ( , } t '�(? C A - 1 C e- Submit two (2) sets of roof plan with connection details Address: 1 A, • t,. , • - ' and fire aepartmera ac rgon , along with the 2010 (A i - - - - 1k.50_1_ f 3V•_ _ (o -) l - l R_ __ I _ Solar InstallationAoeeiolT C ode checklist. _ — — - City/Stiae/DP: \ ' 1 ` 1 A �+9} / n P ermit Fee (includes plan review I v��t��p� s!V IT�Yy l mutadministrativefeest: SIR0.00 Phone: 1 3W) (, O'- _3�b5 (Fax: 43( f { � €.: . TL'1 $tau $wooing' (12%ofpenn;t sae): $21.60 t a r tar .: r_ 4 1� ,- /1 L_ Total fee � upon applcatro„J - $201_60 j( Authorized signature: / J /� ,i,� Thb permit applica expires if a permit u ant oetaIaed C n F f A L s + (tO _ /f / within IM days alter it has been accepted u complete. Print name: (71,4& . ( w 'Tf l R 00 KS -- rf e: h Ct)- I D� — 1 ' Fee methodology set by Tn-Coumy Balding Industry SIV ice Roar& I. WuddinePermitsWBUP- RF- SPermltApp doe 021:4/201 I 440461 ]T11 1102/COM/W'LB) t� . , il27n2 , . Plumbing Permit Application JUNG 8 2012 Building Fixtures • No DI l City Of Tigard p CITY O Tir(3•nl �:, p G�y,9�/y� // •� a Phone: 503.718.2439 Fax: 2235 HIDING a 0 �0- ( Permit -N Vey, -45 ado • 13125 SW Hall Blvd., Tigard, OR 97 I!1."�t* 4� F�1 ;fir, l3'' D ot ly: Inspection fir e 503.598.1960 98.!y6ll Dana73 I ewer VcPerm ection Line: y ' , i t, A n D P flare PeadytRy' tunas. i fa See Page 2 for Internet: wwW.tigard or.gov Notifred'Metbod. I I Sapplemental Information :'9TE OF WORK l FEE* 9CtlEMU New construction ❑ Demol ition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 (L for each utility connection) ' - €ATF.GORY OF CONSrR ON SFR(I)bath I 312.70 s ,•- and 2- family dwelling I ❑ Commercial/industrial SFR (2) bath 437.78 I ❑ Accessory building 0 Multi - family SFR (3) hash cm 12 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq ft.) Page 2 .193 SITE P POR.MATTON A,NO LOCATION Site utilities: Job site address: 9475 SW • 2 Ave. I Catch basin or area drain 1 18.76 City/State/ZIP: dr. (a Dowell, leach line, or trench drain 18.76 - _g (ca. ; :ice.- f:.: ) I P . Suite/bldg./apt. : apt. no.: Project name: RAQ `�'�� _ Manufactured horse utilities I 50.03 I q�. Cross street/directions to job Site: a ..oq i' ---- (J 31 1 � V `� Manholes 18.76 V Rain drain connector 1 18.76 Sanitary sewer trio. linear IL: 1 Pane 2 Storm sewer (no. linear ft.: _- Page 2 Water service (no. linear IL: _ ) I Page 2 ; Subdivision: I Lot no.: 24 , Fixture or item: Tax map /parcel no.: I Backflow preventer 31.27 . DESCSUPTJON OF_ WORK Backwater valve 1L51 Cinches washer 7 _5 02 I I Dishwasher 25.02 I Drinking fountain 25.02 Ljc as unip 25.02 'NRl1WFJRTY talYNil R Q 7Y Nd tti) 1 Expansion tank I 12.51 I Name: 1\N t t \ • Ma T.,�Ct-irnQ0,VS (-LC - I Fixture/sewer cap 25.02 drairvoor W 1'. 14 Floor sink/hub 25.02 ` - Address: 1 f Ul 1 ! tire, ��or X4 . - -- _ I n I G_rha�c tits veal ?9 11? City /State/ZIP: l N44tud r CR ( a q- -`9 I Hose bib 25.02 Phone: ( 7 l - 1 - 1 (1 Fax ! ( ? ? 46 I lee maker 12.51 u APPLICANT 1 0 CONTACT pERStih etc :xpto:;e.:ccac t; .p 25.02 r Business name: Medical gas (value: S _ ) I Page 2 Contact name: I Primer - - 12.51 Address: 1 Roof drain (commercial i " i2.5 I -------- ____ --- - Sink/basin/lavatory ( 2502 City/State /ZIP: I Solar units (potable water) 62.54 Phone: ( ) Fax :: ( ) Tub /shower /shower pan 12.51 E-mail: 1 brio:,' 25.0 I Water closet - - -- -- I 25.02 _ I - CONTRACTOR f- Business name: ,� t °a t r. ArC , (7w' n 7 j ` skater heater 3752 ♦r tr, . ,.t.Q *� r 6 ,f r .-.k - - +- r r. tu„ + Address: P. j) f f, r-- b' 6 r e) 47 'c_ I I water piping/DWV 56 -29 Other: 25.02 L City /State/ZIP: VQ/lli 4d,",tL _ LA ,,/ 0.1 e1 'd�a :3'4 > - r----- Subtotal Phone: ( 3) 7 g/ trf Fax: (560) 5 , _ / C�r ,! I Minimum permit fee: 572.50 I 3Cx 7� rcw- _ fee) CCB Lie.: d 7 /7 61 Plumbing Lic. no.: Lao I State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEET r_ A + Date: 't7 permit application ce "rs:f a rmit T. axt xbtxlace n:ceis !!5 d_,: Print name: ik . : / P - PP as Pc � � � g". •- `���' �•�' � I �� "`� „, � A after tt has been accepted n complete t • Fee metlmdn!nw set by Tri.County fluildinr Industry Service Rnard I TuldurzlPrrmtaPLMU•PmmtAw dac 10+01.99 4.0- 46l6t(t0/J:•foM/W ®l • w RECEEVED Electrical Permit Application JUN 2 8 2012 City of Tigard �� Perim[ Ne.: , Received ��, �� 1 � r�1a - ce /6o • 1 . 13125 SW HdI Blvd., Ti OR 97223 ' � - i � , _ e.i_ i4ur PlnRniew ����_��� • _ Phone: 503.7! 82439 fax: 503.59E, X960 . �; , ', I ' ; '` rt r Dasnli Panic .� ,.:c ,(Jai [ 1� Inspection Line: 503.639.4175 Date Ready,By. 6 l 0 See Page 3 for " � • Werner ww w 1ioilyd -or smv tvai0od ethod Sapplemeanl tefarasth, I TYPE OF WORK 1 PLAN REVIEW I reP Ncw construction ❑ AdditionrallerationJ tacement Please check all 'ha apply (submit j sets of plats w /[teat checked below): . n r.- :: �.. ` ❑ Demolition ❑ u ,, • ...„, .. ......'..'tx Y� CZ' JS.w ❑`.S'•Y....d.Le ,r4...: ,r4...: t.Y.. .;` : �.:.._ I Other: where the a.aila c teak cwrcm ❑ Marinas and boatyards. 1 CATEGORY OF CONSTRUCTION eri I u,Guu amp. is i30 S w ❑ Troia blwu o ,. n _.. r....l,• _, n_r F .• ..� + _ :. t 1 Accc -1 F.i _ ,�: n� less to grouad- arecceeds 14.000 ❑ Commercial agricult rat r..12.t� d' »:111;78 0 C .,lvu4 411 0 s5Giy bu1.,, aapataa)ilatlerosaiiaoorrs. aerarnss, • :- a Multi - family 0 Master builder []Other ❑Frapmlp ❑= riatatlstieeef 1 . JOB SITE INFORMATION AND LOCATION U mu ono fncwinoMxbadof system. tamer sepratetv ❑ "A","E ", "t - 2" `t -5' derivedsystem. - �,_. ❑Additiorto Job no_: Job site address: 9475 SW 92 Ave 10011P or mere. t, _ -- _ , ©six t, more residential snits. ❑ Reecteatranal vxliidc tom. Oily /Staters ❑ F leehh •care facilities. ❑ Supply voltage for mare than ( .-- --. _l_. ❑tivirdr..a 600 co nominal Suitelbldgiapt. no.: Project name: ❑ service or feeder 600 amp, or morn- I Q /a �Gt (I (�{ p �,r FE SCHEDULE street/directions to site � � _ l.t�'. l A � � TT' l t �.JIV 1 Vrr t fat t r «.' ( • iew rnwcatut magic- or o1lti4aan'y delytiag atilt. ` Includes attached garage. - - -- Subdivision: - -- Lot no_ 24 __ � 1 . 0 0 0 sq tl or less 168 14 1 • - -- - --- _ - r_ : j.•. cm 4 a _ :.- 3292 9 , Y ! a • i Tax map/parcel no.: > ®� - -_ .�- A Limited crier *. rend-volt I I 'SA0 8 r 1 7 1 l DiSt_RiPiION Ut• WORK i..Wltii.�. r) + 1 ' • i rl imlud ennuiy,nulti- gamut} i I 7s 001 i 7 t I T 1 restoentw twun wow sq. it.) I I I I I I Services or feeders lnstaRatioe. alteration, aad/or relocation 1 200 amps or less - 100.70 1 2 1 1 PROPERTY OW y NER 0 T 1 ,.`! Is I - .5-. c ' u TE,NA:r„ x t C _: , - 1% L\1 A e --1f1 V A V i r tr . w � 4 o i amps to tr. 1,000 amps 600 amps - 200 01 34 ." "` ✓ 'l •� 601 amps 301.01 4 2 ' I I 1 J V � 4" V � f W' f_.Cr t__ � r t r v Temporary semicesor feeders installation, alteration, anchor ' C:^ : ^, rZ ,� i OA G 5 v 1 t •�+1. i, t lsi t f' j I f retoaoon I ph:,:: r (n :h 2 (Y C 1 F_ � - r ! % 0 1 7 200 amps or lass I I 59 36 ! I I y rJ c7, t ' � ° I I - t�..� v s....., s....., T - .......> t s 71.. 201 amps to 400 amps I 125 os ( 2 property installation: This installation is being made on prope that I own which is not ! ;ul amps m 1 i6e 3. I 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 1 Branch rireaits- mr. alteration. or extension. per panel____ - Owner Signature: _ Date: _ A. Fee for branch Cirr]IICs with 1 abate sere ice or feeder fee 1 . I i 0 APPLICANT I t0 -ONI'AC PERSON` . ! . each branch cirruit I u,.- :.... rte;. I B 1'ee for brand[ circuits t 1 sco roe or lecher lee, lust Cont ect mom': 1 brand; cirant • 56.18 I I I Each add'l branch circuit j W 1 _ 7.42 I 1 2 , r�drts.r: cxtitatteutis(xrvkeurfouler[iit*JUdri1/ - Ci IS »tPr' /1" + [F mwlu err nitYdu i ' I u 67 t*4 I 7 la des v oting. server aniior genie[ Plr n..P• : ) I P,•-_ • t ) I 1 Recouinec o nly ( I 67 84 _. .. --J I I or Irruption circle I I 67.84 + 12 E-mail: 1 aldt.lt:.,.::....Iq:1l.:.a ' ..1 CONTRACTOR Signal cimrat(sl or limued<tera DusitICSS name: ( v � mea hmuon ur eadrnran I 7 rptr: 1 • i r / 1 tf ��� - 'C' / u p __ E"Ca addoaat ins t wo over allow;bie iw a■ of the above 0 Address: Not 3'r>fi 7 X't- o0cf" /' .1 `� 7 Additional inspection (I hr min) I I 66 25/ hr I .1 I CityJStateZIP: C1(177-7e2,'3 g(/4 `j' J 6V f 5 :.�� i.. t . [.: ,..i,.r r t ` ": 1 1 bdwtnal plant (1 hr mm) 7R 1 R/ hr j I yC I ona which no tee is Phone, � G + � " �; I is f ' %�,� Fax: ( ) _ i sceclfiwlh head DS hr mm 1 I 90.00 / hr i I , . CCB lac.: ��f y 9 y I Electrical Lic., A l i = f ' Sup - Lie.: 4/6 fl S A ELECTRICAL PERMIT FEES � Su„i.,iai, r Suprv. Electrician signature, required: 25 — Planrnlees( -5% of permit feel I Print name: ,/& (767,,,,,, s a Date: ,per /z .� ,421 1 _ _ Si ue swatarge (12 %ofpermit fee) ; - - tuim.rotvlll eLb: i , Authori7cd cir••ta*urc: I u ' _...._ ?!r•. ferm r !r' r' ^r• 5, 'wre'li I• rem• �' ....M .villeins .M gays after It W bed act as cyapiele. Print name: I Dat 1 • IJ..n•iw+mr ln•t..-.-Prom• nlMwerl n,+ trno.Y SEnld :m "➢c -meiri C,'- Pmn :IApp dues 67;311n 4 kl-46I SITi I:CS•C•OM:WEB REC(.4I . JUN G 2512 I NUCtiaaaleaTt e a i rea /also ApFINCa tOnT7 II::: cry <T , .. r1' - ; 1 rr; 7 a 1 ; • 1. ref ; • • . City : Tigr3 V Received .: lyg� !!a ' 13125 SW Hall Blvd., Tigard. OR 97223 P ,: `/ Phone: 503.718.2439 Fax 50.598.1960 -s Omer Pawn: 7 I (TwuHy /ea Ot �t �6 [aspcaion tine. 503 639 4173 Dr p.$ 33 _ -. s_r.. 1 g Se. °'r7- *. Internet. www,tvgWi -or gov Notified/Mew& Notified/Mew 1 Sapplreenst hhreeaY+n I �/ TYPE OF WORK ] C'Oi1QlII1tRCIAL PR I IJL& - [Rim I pQ Ne w constr cation 0 Addition/alteration/replacement pe rform sal permit fees• are (rou de t value of f wink performed. (ndiclle 9x utters (rounded to the nearest dollar) of of l i 0 Demolition 0 Other. mechanical m aterial ,e eiplipment, labor. overhead, aid/inti . I Value 5 CATEGORY Of CONSTRUCTION NR91DINTIAL SQUMMIIINT, amass YIPS I 01- and 2- tinnily dwelling 0 Commercial/industrial0 Accessory building Fir special Wattnalet Me checklist I 0 Multi :''�.li?i 0 M; cr. b'S.td 0 ()'.he:. fir .c•i�;or rkv 1 Fs I Toed .1011 SITE I FORMATION AND LOCATION � HtatlyeostiaR r 1 Air amwaianirgl • Job site address: 9475 SW 92 Ave (reea ms sire pbn shows* plxenco) 16.75 I ('i /State/ZIP: T . ; 'r 1 i1 Furnace 100,000 B l'U (mxls/v.:as) 46.ib I I �_ = c _ �` _ _ __ Funs = 100 0004 BTU (d:on've ts) 54.91 Suite/bidg /am. no.: - 1 Project name: Nip? in 4 Cr .0 - Heat pump - - — - 7 ` nwous es site elm tlwiaa &Amerman 61.06 Cross street/directions to job site 4 :7 r :f / 2. E k •5 r/ L:., ' f 1 . -d . 1 ) act wot4 2332 IiyJranic hot wart sysiern } I 2i:t Residential boiler (radiator or 1 1 1 1 nlc) is.32 I bydlu Unit he aters (ftleFtypc. era eftxlrid I I tn.wall, em -duel, suspended. etc. 4635 . UI uia3 V1A0. 11A3i nu.. 24 I I Flue/vent fnrmv of above 2332 (athe r. 1 23 32 T:::: ' rm.: 1 G tieer Seed aapluaces: - DESCR1*TION OF WORK 1- - heater I 23 i Gas fircpt,«rensett 1 1 33.39 I 1 lip vent f'K n L!ier er 11 1 • I frreplace 2132 I 1 - - ----- -- - -- Lela iirpr.er (kepi 23 32 - • Wood/pellet stove 3339 Wood fireplace/inert 23.32 4 PROPERTY ° ixen j ❑ TENANT t° i : ^.:r`r: tz: - t 23 -]: 1 �1 it/142,111 Other 23.32 Njmc. W. w • ti e'i U inch P. L L C Eav(rwneahl exhaust and ventilation: Actdr_.,.3: i Us Je � ;si R i vet-14)&4.4 A e( I other kitchen 1 33.39 T rig; Nimc / P; y ". ' .9 e3 I /'r i i i 7 ^ 3- • 1 f1 � tit ricj GI� , 7 .rr i , :a4oc dr; -erg • -- . 9 I I Single-duet exhaust (bathrooms, Phone: 1 583 j 7 s 3 7 7 7 I Far: / ?Q3t S 7' l3 3 7 r e ! t,;cet -:,n ,ems t =1: - a -.) 2332 f _ ❑ APPLICANT / 1 0 CONTACT PIE ON Attiderawlspace fans 2332 Business name: -. ��_ .. __ Other 12332 L - Fuel N: ' Contact name: 511.13 Rr grass Veers SLID for each additisse Address: t unlace. etc. t etd Cub (teat sump City/State/LIP: t wall/iusped/Imit heater t 1 ! Vhone: ( r ' Fax:: ( ► watt usenet ( „ I Fireplace _ t.tnnli. — -- ` - I A Rantr COIYMCT'.O'R C am`... Business name: t? 4 Qa -�. I� . nt.e Clothes dryer (gas) /� j� Older. ( 1 11 Address: A, 1 2 (. r� t l - ! - SPII'�IA!CI! 4/.!(!!13 IT FrISs City/StaiefZU P L2 A CK Satemul �-� Minimum perms fee (590.00) LMeorte: �"_ ,'� T - J C S ' Fax:( --- - — I PL revi 125•N. of perrair Iasi I I C CD lie.: q c 4 1 State mrcMrge (12%ofpermit fit) 3 _/ 6-4i r4 (k c tk� ... IU► FEE .• Authorized signature: . / /,. �. . Mis 'erwlt eporeaawe noires if a Perm( is am straiad stain IMO J cloys aver It tsas sae atceprea as compete. - , . • I Print name: % K ' v1Qi, 1:..c_-_,,:\ V ' Date. l , I.) q. 10 • Fa methodology set by Tn •Ccenty Bu:diag Wintry Service Bowd ' t1PuJe.*Perarcr.MEC- Prr:uppa:. 013)11 saw :ln tuLn COPtwea) 94/75 c 5c3 #VE. P` es >v- � � 6a #V 4r Sc 1, Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: M 5TP d/ 2 ' <3 0 1 6 d CWS Service Provider Letter Received: Yes ❑ No ❑ N/A [ Routed Plans: / Original Plan Submittal Date: 6 - y 1st Revision Submittal Date: �� 0 Site Plan Only S ` , ' a / ` / 2nd Revision Submittal Date: III IV ❑ Site Plan Only 3� �J,S,_0" 9/70. eicT7ze o/Lt'fe/ts To the Applicant: a/a - 1//3 -rm-r kR r6&. R 611.75 Tom s o,vi Y 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 (V) 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 901 at 503- 718 - 74, or @ tigard- or.gov) Land Use Case No.91 /'2049 - Da_ Name J1 G� Zoning Setbacks: Front Rear Side Street Side Garage El Maximum Building Height Actual Building Height --❑ Visual Clearance Easements Sensitive Lands Type: OUP Notes: • /2a.t i V lC� �!L'U 7CIN. ^ Cc�t • , o l� ~ . / i i a ♦ it nt/Xd Original Plan: Approved ❑ Not Approved Date: 7 / 2 — Revision 1: ApprovecL2 Not Approved ❑ Date: 7 Revision 2: Approved ,I Not Approved ❑ Date: 7 - 11 5 / Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) .Z Actual Slope: S Notes: Original Plan: Approved .12( Not Approved ❑ Date: - 7 f Z/ ( 2 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 . City borist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) I Street Trees ❑ Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: -7- .21 'J° P` Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit • . • +i Notes : . t Original Plan: Date Sent to Applicant: \ Revision 1: Date Sent to Applicant j Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No ❑ ?. r. Date Routed to Building: 1 r y 1 Page 2 of 2 (' i i -.., F G F i k i .1 ; I FEB 27 21;13 LOT 3 CITY OF- I IGAR u "CEDARBROOK FARM" Bur DIN!- :II ;it I T EL. • — r: — 7 � ' 5 02 W _ cecr wae eo�a. 9 ��• �OSO 47. OS OYO` _ {rrv.� OO( , 8 1• , _ �y�r�i' EL. a.1• � 3}. )70,11 - xA.relrtA TlEfl BUILDING .1 � � [ ..�� /�, DEagnue ow+u - TREE. (bT T tee) T I LO 97 , 00 . I a TRACT e.e171M orzdD /� w 3 n G.. ,1 Z 0 PEON OrawtxTaL ewme Q eVOUaeI•ar 30.00' , ,--,� I m CONNECT 91DE LK5 (Las GREEN wsw1wLE1•ct0 1•1 w TO EXISTING C 'L W I I I I I lira �I DEVELOF'MENf �0 Flr AL T tna00Ee M 01•01 0Em YRt1UM= `L 'V I ' ' ORNA '� rfEC a 0 l '__,) .91 I ll. � l i , ' j r ,' ;, ii /1 1 .; .. ..1 A� %// :)= F- 1' 11,.,.'. - 11.00' Z 92nd A E wAr ® �aa� ' 195 / 1• O % 4 1 '*6. 11.00 • _ / 30D0' L 1 O 0 1. 0 / LOT 4 EL.. "• � _�-- I L � CCC[7]]].1 =1_P °� iel '. tD n, 30 O , 9 W 'G "CEDARBROOK FARM" !- � , I! : =: ' ` S.W. l — ff % ��� . , CONNECT SIDEWALKS TO O ' . ` . ' 0 �/ NALL BLVD. ; I�W •Q' I (�� O� / BUILDING .5 : - VVV I "/� O :':: - ; �/ m Access ONLY O.'.'.' ,� /���� � [ � / FIRE TRUCK ° 30.00'6 � _,�� � __, I ` eA I +�+ v/\ 5' -0 SIDEWALK I � d � a _ _ _. . _ _ _ �•- ` y a r � • . /�: ``i' (�� — _ — s 0 2'06'51" W i eE ���f, m q e.' 0 1 L.L 1 01$8__ — — —c . .a 0. -' Q �ti' - �' V �' — _ _a S.W. 92nd AVENUE � � o ; ` f&.-7 ' STONE — / o : 11• PROJECT / o � TROL FENCE ADA RAMP J � / I` ' :'.'. : • . '. - SIGN z (WHERE REQUIRED) /.S, % I O _ !. [-: ,M O 8'x8' GAZEBO WI 8' /` _ _ "�! %,,� 30 L =,i�� ' ' '.j. BENCH UNDER / — _ b � — 1, — — � . 5' -0° SIDE ALK ' / 19.07 g PLE - p i +. . . . O M1t:/'; L. • PROVIDE (U 4" AB9 STORM _ '� . . i„= 3 0.00' .. /LOT I ' r I� 9 I „ — --- _ _ r • SEWER TO STREET MAN (EACH I 1•6 I 9 �._ LO LOT I �� O , I PROVIDE !U 4" Pvc eaNl �L � n ®I�� `J h2 015 _ 4 \� , Y p TRACT SELLER TO STREET MAIN (EACH / �� C I LOT �` 'I � � 1 1• - ( m �l Y ���� \�J O " E " P OVIDE (U 1° PVC WATER LINE GINS TRACT TO METER AT CURB — 1 �� 4, I ,1•5 �� • ` �� L L .l ' NDRY r u �' `I , I ALL SIDEWALKS 1/ - A WIDE w I 1•4 .- m - •Im 9 LOT .lo��, r�� �/��'.' TO BE 4' - 0" (TYPICAL) / ILOT � � o c 1 I F �l TRCT 1•3 ' a � LOT I 1- LOT - tm ,a , I p LOT O'.. c __Jr._ hT� LI `J `5 _ _ • �tl p:: $ - 1 �� 11• ,Y mil / I ; ,�O�j L .� . : ` -a,1• :: / r U '3 L .. �m ^� I` '1 L , 8 LO T s l� , / TCT _ _ '~� —` J TQTLOTW/ / / "A" 1• r - ■ - II 1= o'',F �LOT1��- I g I � �1 , ��II 'I' 0.... , . SWINGS PLAY 1• 9 LOT M L O -� I 1 . 1 ��� srRUCruRE w/ / I I • • L____ I - '13 $ �` LO All O :'. : . I O vi — DECOR BARK CHIPS .4 VE L 1135' J 15.49' °• I • �:':'-: P . I' I ` I / ". - .O / 5' -0° NIGH VINYL FENCE TO RUN _ _ . � ii ' @6' -7.I@ — _ • .'.'.t '�'\ - ALONG TRACT °A° 1' -b" BUILDING :....::::0 • FRCT I PROPERTY LINE rry BUILDING 458.8"1' BUILDING L. • BUILDING .j - :J .2 3100' r EL. • C�1E SIDEWALKS T� r 4 31.00 E XISTI DEVELO Ka i 7 THE PERMIT APPLICATION - 15 FOR BUILDING 1 •4 ONLY SITE PLAN • SCALE: 1 =20' ( A lk ENGINEERING THE CIVIL ENGINEERG 14A.0 COMPLETED BEEN GOPLETED MONTAGE ROWROMES - AND APPRObED ON THIS PROJECT AND THE DATE: I/24/13 TICARD, OREGON UTILITIES AND PAVEMENT ARE IN PLACE NORTH SHEET NO THERE ARE (4) BUILDING TYPES AND (4) MASTER PLANS FOR REVIEW BY THE CITY m A o --1- 0 1 -- 00 ' 6 0 ` OF 15 i ------ FOR OFFICE USE ONLY - SITE ADDRESS: tc / This form is most building departments in the Tri -County � rea for transmitting information. h s fo s recognized by mos g dep s ty g 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 III _ Transmittal Letter F l (; A It I) 1 _ W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard or.gov r `t T TO L- --- DATE VED DEPT: _ _ - D ING DIVISION i PR 18 2013 CITY OF TIGARD FROM: BUILDING D1VIStG COMPANY: PHONE: 1C q7 ) - '741%' .'6' By A Al RE: 9y0 S ` o? ti thV l` /o l . - ea /5 5 ' (Site Address) (Permit Number) / 5 � /5"? ( ec } or subdivision ame and la num 5r - A01 - c0 /C ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: C , n 66 � ��� P-61-66 FOR FFICE USE ONLY Routed to Permit c ician: Date: 4- (E I rf,, Initials:, (I j Fees Due: es ❑ No Fee Description: Amount Due: ki L +...3 }__1 i E $ 2: ,C $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 FOR OFFICE USE ONLY - SITE ADDRESS: 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 II I. Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: P4 A.) DATE IWINI 4•, D DEPT: BUILDING DIVISION I c APR 1 1 2013 FROM: frJA if / /Z4e /1)// BUILDING CITY OF DIVISION COMPANY: J/ I I ars /fr ��1 PHONE: 7( 7 ''q..3 B RE: i/i ` s / 1-1-r' 0 g - QO f.- S t 'r ' ress (Permit Number) /5---, ' 5 7 (Project name or subdivision name and lot number) / 8 ATTACHED ARE THE FOLLOWING ITEMS: 1 0O Copies: Description: A. Copies: Description: Additional set(s) of plans/ l Revisions: Cross section(s) and details Wall bracing and/or lateral analysis. Floor /roof framing. / / Basement and retaining walls. Beam calculations. // Engineer's calculations. Other (explain): ain) � : REMARKS: le7/ ' / A dd/ /is / 41 , .4;• & - ..7 :_ slea ' ;..t e FOR O FICE USE ONLY Routed to Permit Technici . Date: t ['7,, Initials. Fees Due: ❑Yes Fee Description: Amount ue: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: l:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 FOR OFFICE USE ONLY — SITE ADDRESS: ‘ ? y9 s 7 /5 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 1,111 Transmittal Letter M T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov 1 TO: DATE RECEIVED: N .._ - DEPT: BUILDING DIVISION FROM: ehY/PY, I/ REC EIVED n COMPANY: Uj/ a / z- iJ7 71izC ,AAR 2 8 2013 PHONE: / - 2- 7 as . fl ( / : v.,1V � /LJST oia — D 0 /SS" rte • s . ress (• ermit "um. er X57 (Project name or subdivision name and lot number is-, y 159 /6 0 0 ATT HED A T F LLO I ITEMS: \,) C ies: Description: Copies: Description: ii Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculions. Other (explain): -1 % ) T REMARKS: if / //i //I1 / /l'd %fil _-(7 — /1'S P 4 i ,-/- -,-- . _ _ 4 ph, ,.---,---0/ -7. - r i '/V rT ; - l/ � 7/4t . $ s`,, -- t/ 7 ' FOR FFI USE ONLY Routed to Permit Technician ate: 1 j'" Initial Fees Due: ❑ Yes o Fee Description: Amount Due: $ C — $ $ ' Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 • - ""aLL Q) A - c7c2--eioeJ44 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 03/21/2013 09:00 MST2012-00160 PASS Site Development Erosion Control City of Tigard posted Ufer tag installed, yes Setbacks, front to footing on bldg hub and tack Setback, on side of bldg hub and tack Setbacks, rear of bldg hub and tack 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 242 Interior shear walls 06/12/2013 00:00 MST2012-00160 FAIL IBP 2nd 3rd floor Sheetrock both sides or provide engineering change submitted to plans examiner 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 03/19/2013 14:00 MST2012-00160 FAIL Not ready for inspection. No inspection made ORSC R110.5 Provide stamped and approved plans on job site 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 220 Slab 04/05/2013 09:00 MST2012-00160 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 340 Storm drain 03/27/2013 00:00 MST2012-00160 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 505 Sanitary sewer 03/29/2013 00:00 MST2012-00160 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 06/28/2013 00:00 MST2012-00160 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 06/28/2013 00:00 MST2012-00160 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 135 Low voltage 06/28/2013 00:00 MST2012-00160 FAIL NEC725.136 Low-voltage circuits to be separate from line voltage Not to be run through same holes 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service 06/28/2013 00:00 MST2012-00160 FAIL Protect SER with nail plate below panel 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 9475 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 245 Firewall 06/24/2013 00:00 MST2012-00160 FAIL 1. Provide nailing pattern for 1 hour and two hour interior and exterior fire walls from approved Drywall Manual. Inspected interior 1st and 2nd layer firewalls at mechanical equipment-chases/plumbing fixtures-chases/fireplaces Recall when ready Violation Summary: Inspector Contractor w • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: h„ A2 c 16 0 Jurisdiction: Site Address: q rr £ w, ki d A I j,., Subdivision /Lot #: / 1/3T 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: 0 Owner /General Contractor /Authorized Agent Print Name: c 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: \Bull ding\ Fonns \RES- HighEfiiciencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 2.e., � �G2,�Q, , t) , am the general contractor or the owner- builder at the followi address: Site Address: C'r TI‘gx=ciad L � "1 S �- C , 2 WC City: c* `` 2 2 3 Permit #: r' ` -00 1 co Subdivision/Lot #: flu) �t-t-a 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]. 8318.2 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: 0 `23 — 15 General Contractor or Owner- Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 .71 STREET TREE TIGARD CER TIFICA TIO N c) Tc ctie_ owner agent for Au Ia P v --s (PLEASE PRINT) (PERMIT HOLDER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.:S 4 2-012 SITE ADDRESS: qt-( 75 S -. 2.0 SUBDIVISION: h ctc LOT #: 2. SIGNATURE: f ) DATE: C7 43 -13 (OWNER/AGENT) RECEIVED & UERIFIED BY DATE: /,,1-//0//3 (CT1Y F TI L. Tree location verified per approved site plan. 1:A Building \14)rms \Strcctfrcc(:crtit cats 05/30/2012