Permit 949C to 92-'4 A-1.)E.
- M 4 & 9 /q
• ' Building Division U /
Development Code Provision Review
r i G n iz Residential Projects
Building Permit No: H'5Tp9O I a '60 I 5 c
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A I:t
Routed Plans:
Original Plan Submittal Date: P g ia'
1s,Revision Submittal Date: 7 7 2.— ❑ Site Plan Only
2nd Revision Submittal Date: 67//2,4'2-- ❑ Site Plan Only gytrE/2r o,t 7( kck5
. /°»!/r3 .TNT4/tSoe 24J�sxwv5 ONL i
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 (1) 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 cyon "L,tact at 503-718- 213f or @tigard-or.gov)
Land Use Case Nio.nt€9174 -'f' Name 1h
Er Zoning
Er-Setbacks:
Front Rear Side Street Side Garage
E I Maximum Building Height Actual Building Height
Cl Visual Clearance
-El Easements
JD Sensitive Lands Type: p),
` Notes: _L� ,A,...414-1.41*4 4- hel.32. y ,,,,,i,/,,,to r
„1.3i /. (
Original Plan: Approvedi0 Not Approved ❑ Date: 7'9 --/.. ...
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)
Afr Actual Slope: 5—
Notes:
Original Plan: Approved a, Not Approved ❑ Date: —7/z_ /'Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
L
,
(Review Continues on Page 2)
Page 1 of 2
LOT 3
"CEDARBROOK FARM"
EL.•
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7 �OSOEp'_ v O OIOYO_ .�
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pIGDUPtl CINM'INTR.TREE-!STREET MEM I Y
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0 DEGWQN: CURRANT aNdRE++T.0 a..OEle �� , �l 4 GRAPE .
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o / LOT 4 � Mil I_/�—d'i!'� iILR -I4;. I a
RCEDARBROOK FARM" f
�o: : Ill
,P , b# � , SW. 92nd A H - — o L4
SIDEWALKS TO �� Al O•q.
�/ / HALL BLVD. III �' n 0
W / BUILDING"S �O••-• 1` \
"``VVVV FIRE TRUCK ��. . . wy/
ACCESS ONLY � �1h " 'o ",-. (--
30�'e _ – --.1 JO 4 I Q
�� _ 5'-0 SIDEWALK 9I o d—01 _ _._ _ _A�O, t-t� ■ n/
�v�
■ $0����851 W - L�]m�, .I-`_, Lam•,. r.m R `''- ..4w-....::: i 1111 1.L
a S.W. 92nd AVENUE T 4� r.CO' \ – – _ _ ; 0 _ 40__-/.. :-: : " • it PROJECT 11
/ – EROSION CONTROL FENCE ADA RAMP • - SIGN
(WHERE REQUIRED) •-*1'- E x8'GAZEBO W/8" 0 I-
_ X1'0
(( 5'•0"SIDEWALK (WHERE
��' L°i _/1. .� f. l'.' BENGN 11NDER
.r / 1 / 1902 8'-0"P.UE. •O. 1 t �- I '. PROVIDE(U 4"AD9 STOR1
/ ,, /LOT I „ I� -- „ _ __ r .f - - �,/. SELLER TO STREET HAM(EACH/ •6 � �I_ LOT LOT I CO �. PROVIDE U 4•PVC SANITARY n I _ I =1��" TRACT I SELLER TO STREET HdIN(EACH
r I
6, ('. �1r1�'I�1 r ��` - _ •1� �Ir�-I •,���o .-+ IIC II PROVIDE(U I"PVC WATER LIME
�T _ GTRAGT EACFI UNIT)
aI I LOT I� �� LO T LO �� '��� r:�v��' Ida\ o Rr lO METER AT CURB
/ ,, c`. 'J II� p��� `J •II �ftT__ I� ` hl I' " I` 43 '+ O
1 — v, ... w ' `I� I ,y�l' `I v I NLON SDTEET S D )
/ ,
I I OTV = *•I r o rI�ai .(per �� ;� TO BE 4'_m'WIDE
vi ,4 I (0 LOT " LOT—T� �'% i0� ' - � '7 ie-: (TYPICAL)•r V ,= '� ��I� `i�,,,,o mT l p :.TRACT i LOT r 't2 I' I
/ �` I r q LOt 1 1- LOT I m�s I.iL'��Op T a �IHRI Q/ /
c r MO=
— ',' ,.Fr r c '15---Mr-___ __
LOT 0.0.0. 41 p `\
i� LOT Le`pu - ./TRrl ��r �IMII o I I. r O: .-t TOT LOT W/
�I--r�� I r .I'O • SWINGS 4 PLAY
/ LOT -�I LOT L� t�_ � �'�� STRUCTURE w/
•� '-1 «13 $ LOT p 1; O BARK GRIPS
S'-m^PK.P DECORA 1 �3 7�� 4 :. I • O I '9 1 I :O■
VI-n FENCE TO RUN _• ^@6' MI -2�, _ I' -'
/ ALONG TRACT,A•I'-b" BUILDING - _ 157 . . . . ::.. ._: O_
PROM PROPERTY 1-6 N BUILDING 45881' BUILDING L.. BUILDING EL.• ' J
3100' •4 3100' -. CON4EOT SIDEWALKS T.
EXISTN6 DEVELOPMENT
THE PERMIT APPLICATION
a• IS FOR BUILDING 04 ONLY
,. SITE PLAN
SCALE: 1"=20' TUE CIVIL ENGINEERING PAS BEEN COMPLETED
MONTAGE ROWHOl1ES AND APPRO"ED ON THIS PROJECT AND THE
D4 TE: 11.4;!,
TIGARD, OREGON UTILITIES AND PAVEMENT ARE IN PLACE
S+:EE'NO
NORTH
4r THERE ARE(4)BUILDING TYPES AND(4)
MASTER PLANE FOR REVIEW BY THE CITY A (II)
Lpi■ 4-31 aotD, --001s-s- ,,,,... , 5 .1,
FOR OFFICE USE ONLY — SITE ADDRESS: ` N
c i r
This form is recognized by most building departments in the Trl -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
i . q
7
Transm Letter
1 t ( ; -\ F< i ) 1 2. W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: L _ DA 1'ir
DEPT: ING DIVISION APR 18 2013
CITY OF TIGARD
FROM: BUILDING DMSION
COMPANY:
PHONE: ?C. q 7 ) - ZZd ^ eb46 By /
RE: /yaS- cJ Fad 4 1( , - vo /5S -
(Site Address) - ' "'�0,
C 4 3 1 ec n or subdivision name and lO num er)
/la0
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: (24i O 0.,s �-0- 60
' 52..
' v
FOR FFICE USE ONLY
Routed to Permit c ician: Date: � � I 1 Initials
Fees Due: es ❑ No Fee Description: Amount Due:
kt`r,Crto 4-L / ) $ 27 ,GC
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
N
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
1111 _ Transmittal Letter
r i c „\ 1Z , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: P 4Z) DATE
RIMMED DEPT: BUILDING DIVISION
APR 1 1 2013
FROM: fr i f , / / L ' ' J BUILDING CITY DMS ON
COMPANY: &/_ � I / 4/G Alr .`,
PHONE: l �, 7e ''q \" : k
r `�
RE: li s .s / NP ?- QO /SS"
t ' i tress (Permit Number) /5---
/
(Project name or subdivision name and lot number) / SIT
t 5
ATTACHED ARE THE FOLLOWING ITEMS: 1 eao
Copies: I Description: 4 . Copies: Description:
' ' Additional set(s) of plansk7y it k- Revisions:
Cross section(s) and details /90 Wall bracing and/or lateral analysis.
Floor /roof framing. / Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
•
REMARKS: / � / - ' Lif /.Ais
.►/ Ale 4.''' L fo." Al I .i•> .'
FOR O FIC,E USE ONLY
Routed to Permit Technic[ . Date: 4-1 t ('7,, Initial ¢; .,
Fees Due: ❑ Yes o Fee Description: Amoun ) ue:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
(:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
FOR OFFICE USE ONLY - SITE ADDRESS: / 7 ,9'ri-
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
114 _ Transmittal Letter
r i ( , A ]t 1 ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
n
TO: DATE RECEIVED:
0
DEPT: BUILDING DIVISION
FROM: 4 5 / 2 2 l&oPixim RECEIVED
k) COMPANY:, whivii , %1i»J eegl 2 ,,AR 2 8 2013
/ '' Z?� ' e' _ �' QFTIG
PHONE: ISI
7 WILDiNGDNISiUN
RE: 1 AlS7 a,' — o
rte • • press 'ermit "um.er
/57
/s'F
' (Project name or subdivision name and lot number
•Z, A/ /sg
0 ATT HED A T F P LO VG II�G ITEMS:
\U C ies: Description: Copies: Description:
4 1 . Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
c■I\& Beam calculations. En calcul ions.
Other (explain): ( <J
w REMARKS: I f l //1/i "ilf / WWI J7e'' .-S "
%
.7 i ' ' Al
ir• F -� ii S= / 7S -
`� FOR FFICE USE ONLY
Routed to Permit Technicians / 4 ( i --2_, Initialj
Fees Due: ❑ Yes EFKo Fee Description: Amount Due:
$
$
\ Special
Instructions:
Reprint Permit (per PE): ❑ Yes _ ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \Buil ding\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
- -- A--
-
or,
-C)F
. t t Tr �.
1 y r, CITY OF TIGARD MASTER PERMIT
11- is ..., COMMUNITY DEVELOPMENT Permit #: MST2012 00155
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/28/2013
Parcel: 1 S126DB04800
Jurisdiction: Tigard
Site address: 9495 SW 92ND AVE
Subdivision: MONTAGE Lot: 19
Project: Montage, Lot 19
Project Description: Building 4, new SFA
BUILDING
Floor Areas Require Set backs 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: 2 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: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 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 & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecom asin Y
Other: N Other Description: p g
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 RIVERWOOD RD 16501 NE 65TH CIRCLE
PORTLAND, OR 97219 VANCOUVER, WA 98682
PHONE: PHONE: 360 -609 -3465
FAX: 360 - 718 -9701
Total Fees: $13,676.65
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co es and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issu ce, or if work is suspended for more the 180
days. ATT egon law requires you to follow the rules adopted by the Oregon Utility Notificatio Center. Those rules are set forth in OAR
952 -001 -0 10 through OA 9522 -00�Q 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 32. 987 or 1.800.332.2344.
Issued B �/ l Ac)--Ce Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available Inspect! date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
- f
BuildiajPermit Applica$ hh
Ramada ri : -r - ' . ' . , , . , :r r .. .
El
City of Tigard ! UlV g 20 �2 (r L ' ., 1l1 Peru Iva f / '
13125 SW hall Blvd_ Tigar OR 97,.2/ Plan Re+' o Z/4,�
tkAer Pa,ui
Phone' 503.718_2439
ard Far soD 5 . -', 40 uatdBV 9 a /a�6 /► 3 --
Inspection Line 503.639.4175 4 v Qre Ready /BY. - ft.. ' to Sea Pep 2 air
Internet: www tivud - env I - .a - Nadie t Mettad. 1,... S.ppkeweaal bforman .
TYPE OF WORK j Rtiiillii u DATAs I- AND 1WAHILY DWELLING
7w.cw construction 0 Gcmviitiun Permit e fees' am booed on the value of the work perfonned.
^
Indicate the value (rounded to the nearest dully-) of all
+i u Additiors'alteraionirepbeement ❑ Other. equipment. sr-met labor, overhead. end the profit for the
I CATEGORY OW CONSTRUCTION - I work indicated on this application.
� ' I Valuation: S
�- l- a — nd2- family dwelling 1 ❑ Commercial/industrial -
! TAceessnry building ❑ Multi- family Number ofbcdrooms: -
❑ Mauer builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION fowl 'lumber .,fflours: ;,
job site address 9495 SW 92 Ave � N. d.sellins =a: sgox •r'- " -t
Cuy.'St:.te /7JP. T - .- i t 1 6 ' 2.."? 3 Garage/carport Ise. eq. fem
Cuitr/hlda /apt no • Proien name fr r �! ' 1 Covered porch arcs square feel
J
Cross street/directions to job site: Deck area: square feet
-- - - - - J %� - - — - - - -
- - - —] Other struuure area: ' /. c square feet
- l 7 :LQUIRED DATA: CHECKLIST
Subdivision• l Lot no.: 19 I Permit fees tm
are bayed on the value of the work petfoed.
' I Indicate the value (rounded to the nearest dottrel of all
I fax map/parcel no.. _ equipment. materials, labor. overhead. and the profit for the
m=CRITTICE1 OF WORK ant indicted on this vplixuun.
I p - Valuation: S
I y
Existing building area square feet
New building area: square feet
- ` - - - - -
❑ reorERTY OWNER I ❑ TENANT , Number of stories
Name. A t•ki- Aret1 f v. ve s- f rrNe ✓ - LLG _ I 1 Type of construction:
Address. I l) s 0 5 w R; i re r Lard RJ I I Occupancy groups:
cit Y r f f (-1 an cf c% . q 7 Z 19 1 + fxis- in
P ( 5( 7.3 7 7 7 I Fes: (5 c 3) 3 5 7- 3 7 7 7 t-- Ne,,,: --
ArinacANT ❑ l CONTACT PERSON aun,De m t> a PEWS*
tame: 4-A-A- M MIx1(•'t-tC_ i l ..l .� 1.—= - figilely Mr laMtln4
' Contact name: &a ution! plan review fee (or depositk 1 .,,-
Address: i1 7- : - f G (-_,\''D �. FL• plant r,vt. -x fc: (if applicable)
City/Slane/BP: r � v '1 t \ (1af U A / _ O� ( fatel fees due von icanor..
- lo n / n r: r I rl / ! y I Amount receive I
-hone t L l� '( ^ K '1 -. .4 4 rat:: L'4ttJ 1 ,[ _- 4 V( a I
1:- tail: IN n , n ) i . i /'r — _ !m 1 /l PLLOTOI-OLTAIiC SOLAR PANEL SYSTEM WEEP �rt ct Jl I - C �
C1 t a f rev :1:1
{ t I -t Commercial and residcnbal prescriptive Installation of
A T- -I ■� I prof -tarp mounted Photovoltaic Solar Panel System.
K
A
Business name: A k ) ( n( ' ` - ( S Submit o
it two (2) sets ofrf plat with connection details
. ((( ��` l Al / 1 J, and tore department mom, along with the 2Ulu Gregor
Address: 1 (G'SQ ■ t E 10 S C. (Q _ _ _ _
QJ Solar S
olar Installation .eciuiy Code chcddist. -- - _
City /StateP: J �� UVO C W A q 9 6 q - I Permil Fec (includes plan review 5180.00
Phone. (- 5W ) te 061 _ �4 b 5 F•ax : l� &J) . C ? t ff a g e (12fpcn administrative feed:
I State surcharge (IZxofpertnit fee): s21.60■
UCH lac.: 1 a 4 t�� /7 Total fee due upon appication: 5201.60
X Authunzed rr signature: / r ib pttRll appeaseoa etplres If a permit b trot obtained
(rte n t G, ' 4 t ion _ f / _ } • within IN days after it has been ar opted as complete.
[Print name: 1 R.J X L & (4 P 011 Kr- J Date: I AO- methoddogy set by Tri Coumy Bolding Industry
d im f
I. 04u ildingtPermitslS(J mm�
P- RFSPerApp doe 02/24801 1 440
127/12 +fair
Firr ,1_,., Plumbing Permit Application -fi
Building Fixtures JUN 2 8 201: - . - -- . - 1.0R -(Wl ECr 1'SE CiSLY ___ . _ - -
-
_ City or Tigard Reu i Qom. , !' Permit No.: �!)rAti�'eld
; t • 13125 SW Hall Blvd., Tigard, OR 97223 ce 1- Y �[(+ {mo mss' !/ � II Phone: 503318.2439 Fax: 503398.1 6 i Other Perm No Q / A,�
Inspection 503.639.4175 ?` . A . . -. ' eRY "���
Ins
I- Il.hlL 17 P � 7 '°�• •` "t' i.�t•, RearhdRy turn- I Q See Page for
Internet www.tigardor.gov Notified/Method; I Supplemental Information
• TYPE OF WORK F'€E• SCHEDULE
, New cons
onstruction ❑ Demnlition For special information use checklist
Description I Qty. 1 Ea I Total
❑ Addition /alteration/replactunent ❑ Other: New I- 2-family dwellines (includes 100 ft. for each utility connection)
•ITEGORY OF COT't,UN SFR (1) bath 312.70
D4 and 2- family dwelling I 13 Commercial/industrial SFR (2) bath 437.78
U Accessory building 0 Multi - family SF?? (3) bath 500. 32
Each additional bath./kitchen 25.02
Master builder 0 Other: Fire sprinkler ( sq. ft.) I Page 2
_ • . J!^'g S T ON
E i. !FORMAT AND LOCATION' Site utilities:
• Job site address: 9495 SW 92 Ave Catch basin or area drain 18.76
City/State/ZIP: - oa - 4) Drywell, leach line, or trench drain 18.76
Footin drain (no. linear ft.: _) Page 2
Suite/bldgJapt. no.: v I Project name: �/��y
1 s �'V Oc Manufactured home utilities 50.03
Cross street/directions to job site: qDi t q y 5 `l I I vb1V Manholes 18.76
f Jt 'J'"r 1 Rain drain connector 18.76
Sanitary sewer Mo. linear 0.: 1 Pace 2
Storm sewer (no. linear ft.: 1 Page 2
Water service (no. linear ft.: _ ) I I Page 2
Subdivision: Lot no.: 19 Fixture nr Item:
Tax reap /parcel no.: BactFlms pm-venter 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer I ?5'12
Dishwasher I 25.02
I I Drinking fountain 25.02
Ejctdo.a/auidp 25.02
PRCWF.RTY OWNER i f;] N4!Y! Expansion tank 12.51 (
25.02
Name: 1,.! w_ a-iro ��1�10 e �S Fixture/sewer cap
f ` ' ��' �� Floor drain/tloor sink/hub 25.02
Address: A `/J� () W , d ((��
_ 1)( ta - O( q �' al' Hose disposal I I 25.02
2.502
I City /StateJZ1P: t Hose bib
Phone: ( }J pal, -31 , 1 I Fax .3j 3f)- -3'7 b I Ice maker I 12.51
j� A. r►.;ia =At`?
f 0 CObTAL'T PERSON trcrceptong,ea:c trap t 25.02
Business name: Medical gas (value: S _ ) I Page 2
Primer 12.51
Contact name:
I kook drain (commercial) 12.51
Address' Sink/basin/lavatory 25 02
City/Statel7,IP: - - I Solar units (potable water) 62.54
Phone: ( ) I Fax:: ( ) I Tub /shower /shower pan I I 12.51 I I
h -mail: L' in; l 25.02
CONTRACTOR I Water closet 25.02
Business name' rs l ,, 7 l o R I Water heater 37.52
� A/1.F./ r r.i Lis t��Te., kr : f C1= � / Water piping/DWV 56.29
Address: p r7 _ izf_-1 77 o Liz R Other: 25.02
City /Stat e/ZIP: LA. Subtotal
Phone: ( 1 ) 7 G
77- 71 C V 1 Fax: ( ) . - lip ii f Minimum permit fee: 572.50
CCB Lie.: l 7/76 /4!�.3I11- I Plumbing Lie. n!:e1 Lao 1(t
State e: urch arar: (25 "3 ofp.-mitfee)
1111 ge(12%ofpermitfee) 1
Authorized signature: TOTAL PERMIT FEE
r. This permit apptia I x
don expires if a nni is not obtained within ISO dam,
Print name: Ali lrP R P� f p �• ; �� F �, + Date: (, .. 4 Q 74 after it has been accepted as complete. e ��
•Fee methodology set try Tn - County Building Industry Se vme Board
19,tdmv1PermiiPL.Mt:- Pam5Ape doe Idel.'a9 4.O4616T/Ia97;COMWE5i )
Electrical Permit Application JUN 28 2
City of Tigard r ,, �, ."
.( I R .� cif i * I �" - aX /53
13125 SW hall Blvd_ . Tigard, OR 47223 3 • ` �� • caw .
Phone 503.7182439 Fax: 503.598.1960 , 41 ; ;, : r i' 1 c3tbcr Pmt -c'� -` 42 elci
1.. n is Inspection Line. 503 639.4 175 Udt cadyiDv hks 0 See Page 3 for
Internet www.ugardor gov hIonfted^vM3od J - - L sappleweatal Informallea
TYPE OF WORK I PLAT' REVIEW
I XNew construclion ❑ r \ddition/alte ation/rcplaecnicnt ( P1esse evade ill riot ayply (submit j sets of plans whims checked below)
n Service t. feeder 401) amr• or more ❑ fluildint over three stories
❑ Demolition ❑ Other: where the available flush current ❑ hlannas and boatyards
CATEGORY OF CONSTRUCTION a -e morn 2r= s. 150 ,..,7 e. p ,1,. y
levy to ground. or exceeds 14,000 ❑ Commercial - we agncultural
Anil 2-family dweliino ❑ Comm. •ream /indnarirl 0 A cceecnry hilil(lirT r f� �„ l_ _ ,t_ ,�
i g Multi - family ❑Master builder 0 Other: ( ❑rue Pump CI tnnatlanon of 7 5 KVA or
- JOB SITE INFORMATION AND LOCATION I u u „s.6cay. 3ralti,I, 1 .•1 sew d ds,'.�. ,y „a
❑ Addition of KW motor load of ❑'A','E�,'1 - ,. 1_,
Job no.: ' J Job site address: 9495 S 92 Ave I iwnYor mere. .MUD
t I ❑ vas lt more s amts. ❑ S oral vehicle parks
Cil�” /StatclllP: *--1 CCA � - CJttealih•n f re atilincs tincs ❑ Supply pty voltage t
lrage t« more e 113.11
a�x
�j ❑ Ildous locanotis 600 soils nominal
Suitelbldg./apl. no.: Project name: 4_t(� + � - C` l O Servioe or feeder 600 amp: or more
L- -•
'IC(
F££ SCHEDUL
Cross street/directions to job site6� X /�tu orserptias I �. I cry. ) r «
' ,3 — I -
- I garage.
Ness :v de:tint single or maids family draping salt
Includes attached rage.
Subdi% ision: I Lot no.: 19 ! �- 1.(-w l sq n or Icss j r 168 )4 1 1 4
I f Fa add'I 500 sq ft or pomnn I I 33.92 I I I
lax map!parcel no.: d minis eminis
I i Llmme, rtsadtrual
7500 l 2
DESCRIPTION OF WORK (with shrove so R)
- —
- 1 Limited energy. multi -family I I I
7500 2
rc :id. °rt :nl (uilh ;Lbw,: s. n ) , ,
I - I Serv ices or feeders Installation, alteration, and/or relocation n
amps or less { I W in T ~
LW 2
!XPROPERTY OWNER i - ❑ TE1 . t ti-r - 1 201 amps to 400 amrr 1 111 56 I � 2
- ! 401 am(u to 600 amps 20034 , 2
_time: _�,'i �'on r"1 � r� r� i ne 1,a ti). r 1 4-C I
1..._ 1 t t ��t 1_-c .>_v si I LP._ C
_I 601 amps to 1.000 amps _ 301 04 2
I Address' I S t c1 c t. i v (.i , - A r� f I Over I (x11 emns nrvolts I I sc!26 I
�- I --i 1 1 ��
( Teoponry services or feeders installation, alteration, aodlor
cin/StateVIP: 1 CA to 0( . 1 l
t ,_� Q i a v - r -t � , relocation
r Phone: tb -n k 3 � i - s i 4 a,
1 F- ( 31 - L, 4. - 3 4-
-} [ 200 amps or tens I 59 36 I L I
—I amps to am to 400 amps I 125 08 I 12
Owner installation: This installation is being made on property that I own which is not I
101 :ing:ocmam� I t64 -st 1
I intended for sale, lease, rent. or exchange, ac according to ORS 447. 449, 670, and 701. : t 1 I I - !
Branch circuits- new, alteration, or extension. per panel
1 Gunter si -- Dale_ - _ . - -- tlr
- A tee tor mauls wan t
I ❑ .�PPLCA.�T 1 ❑ CONT.ter PERSON above sm,« a feeder fa, I Q7 I
j j i
: Business name- - ! 13 Fee for branch circuits witre I -ter
M
I - - _ J Ser Ice Ice, t 1 sh ! R ' 2 .
Contact name' 1 (e ked1- tirS
L br>nch circus - - i. i _- _ —L_- __ - -1
Each add'I branch circuit I I 7 42 ; 12
I Address: ( Miscellaneous (service or feeder not included)
I City/State/Z1 P - -- — 1 Each manufactured or modular I 67.84 , 2
F _ d ;,:n and'or fxdcr _ _
I Phone: ( 1 I Fax:: ( 1 Reconnect only 67 84 I ' 2
- -- — t - - - -- -- I Pump or 'emotion arcle 67 84 I 2
(; -mail: I c,o or outline lishune 67 R4 1 T I
I CON I
_ S�gra! nrcuitls> or tanned-energy
l3usin s name: /Ulf - /ee /Z/ C- L C'i.'- � to "
• _ Each addititwal inppectioa over allowable in any of the above
I Electrical Lic.: (- ` I r F Additional inspection (1 hr man) -T—
' Address: I 66 25/ hr (
vZ �fvs; � C;1%
_ i_ --- -- - -- I Insestwalrm /I hr mint I I 6h ?V hr '
. Cttv;State.'LIP: 9 i c == - ! - ,
F _ - L / { � -« "J `� �_�� _ _ ( Irdustr talpliM(I hr mm) -- I 7 R IR / hr I
Phooc: (• - .) 1 lax: ( ) 1 Inspections for anich no tee is
z . - - ( _ I l i t 90OW � I
specifically listed CA hr min)
C'C'B Lie.: /yJ f/ - / f L ft I Suprx. Lie.: 4 / ,'y y ,S. E LECTRICAL PER
�� I I PERMIT FEES
c I
I Suprv. Electrician signature, required: k
_ I I Plan review (25%ofpermit fee)'
Print name �4 :$ 7 7-`,.. . / . 7 j I Date. t1e fe /, I I State surcharge (I2%ofpermit (x) I
I I lo: :AL[IR ., ILL. l J
Authoriicd sicnanlre:
I l lle permit applcaties cvpires if a permail u sot ,Naiad ions,. 180
_ I Print name I [late: - - — 1 days after d tab bees accepted as cumplete.
___. -_ - _ —_ _ - I • Nume, n
h of allowed porno
__ -- - __ -
b,nldn Pass .i -1 ('- Pan do, 07.,111(1 41I- 1s1.1(I Ires /fOM
� n r-�
��'�- � ; ! , Il rrtf
Ir�t ;t - ., I ,. l ,,� l�
JUN 2 3 2012
Mechanical Permit Atiplicat®i+i, Bur 0y , v� r,: r :: ar I1 -, - r ,.:, •
City of Ti isti Owe*: , M ria.: H r, /;- -eot
13125 SW Hall Blvd.. Tigard,OR 97223 p p� y �,
Phone: 503.718 2439 Fax: 503.598.1960 TAtcea Other '� ( 91 4 4_9049 '�l /
(aspersion
Line: 501639.4175 � : Rz,f$ . s'•• es Sec Pape 2 ter
Internet. vmw.tipfrd or.gov tSprt0ed7aterhod %palmate t ldlr>•astaa
TYPE OF WORK QOMMEMAL RV SCKIODULE - pfQtz
iCKLIST
�/ Medrniral permit toes' are based on the value of fee work
pQ New construction O Addition/alteration/replacement performed_ lndicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: roechaaieal materials, equipment, labor. ovuhead, ndpnfit
Yalu $
CATEGORY OF CONSTRUCTION j I AL EQUIPMENT/ SYSTEMS FELS'
el- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building I Fes special afirerakur sae c*e ega
" ❑ �.9Ulti- fcrtiily ❑ Master buil3er ❑ Other. t Docriptiert I Qty 1 Fa. 1 Total
Heatiycocalmr.
JOIE 911E DEFORMATION AND LOCATtOPI
Air rx ake:st ng ,
tub site address 9495 SW 92 Ave (rtrgairq .ite plan ther.ma plaarornt) 46.75
^ Furnace 100.000 BTU (ducfs/vcma) 46.75
City /State//1P: T._; (_'r -I .� . CT !` _ Furnace 100.000+ [3771 ft:el ven's) 54.91
SuitelbldgJairt. no.: Project name: . Het pump
M,, •) lei 1 c �, 3E t et= showine mot 61.06
Cross slreetidiredtons to job site: 5 w : r.2 r ? /� i e- y 5'!/ .. ' r / ,- • Duct watt 23.32
Hydronic hot warier system 23.32
Residential boikr (radittor or
liydrunic) 23.32
Unit Imams (fuel-type. not electric).
in -wall. in-duct, suspended. etc. 46.75
Subdivision: I I of nu.: 9 Fluchcm fm any of above 2332
()diet , 23 32
• Tax t. t, l no.: _Other fuel appiiaaees:
DESCRIPTION OF WORK Wren bum - __ I 1 23.32 _ W
' Gasfneplaccatsert — I 1 33.39
Flt.- rem ter enter hem? or gut
1 I
fireplace 23.32 ,
— — — — - Log lighter (gas) 23.32
Intl ielln stove 3339
Wood fireplace/insert 23.32 ,
d e tOirturn OWNER ' D TENANT Chiaacy/lin:.r/Rufran 23.32
1 Other 23 32 i
Nom: N. w . Area f n✓es frrIe litS L LC. Eavtrwneatalexhaustsad militates;
hood/other kitchen I I
Addr 3: 1 115 D s eh) 12; ve rwor i a dt equipment 3 ¢ C lr:t er shyer Charst 35.19 339
, City/Siete/71P:
pr ct r1 c{, �>Q i 7 2 ! � C
Phone: ( Far: ( a0 Single-duct exhaust (bathrooms.
S o3) 3 2 7- 3 7 7 3)3g 7 - 3 77 t filet camptarta , Wily,.,wu) 23.32 ,
❑ APPLICANT 0 CONTACT PERSON Att)daawlspace faros 23.32 1
Omer: 1 23.32 1 I 1
I_Business name: : , — - _ ______ _ _ Fee! p±gl>s
Contact name: 511.13 for Ural fear; MID nor each aiditias.l l
Address: Furnace. etc.
_Um heat pump
City /State /LIP: Wall/suspended/mil heater
a W trek hearer
VMitr: ( 1 1 Fax: ( 1
Fireplace
E-mail: .
ria—itge .
, CONTRACTOR . B.rbc.ue
!� t P , � � p Clothes d r y er (etas)
Business name: ` � P _
Other:
Address: A c e F t ! EMANICAL LEIGH T FEES'
City/State/AP: Q_k_ ,cA OP_ Ci 14 -Q7 Subtotal
Minimum permit fee (590.00)
Phone: , �,0 Fax: ( )
{ - -- - - -- Plan review (2SX. permit fee)
. I CCB lie.: 1 41 - 91 , 1 State surcharge (12%ofpenult fee)
- 44 Canew'ka / I TOTAL PERMIT FEE I
x Authorized signature: ./ ` � - 7Ys permit Yada6uiaa dwtt►intat
cloys alter It M toes accepted a ceorplew
I Print name: ( 4 \ GC P c ;,1 N I Date: t- � i I l g. 1 • Vet methodology set by Trt•Cawy ll+n,dirg I�iry Service Board
a're ,gep eo, ormrvrs 4E45171 (II/0 t'dttw®)
949 s to 9 2 ,4-0E
M 0-,1 I /9
I m Building Divisio
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: n 'bTac 1 a. -dO l `. C
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A r'
Routed Plans:
Original Plan Submittal Date: , a g , o/-
1st Revision Submittal Date: 7 7 Z - ❑ Site Plan Only
2nd Revision Submittal Date: ( 7//2 , //9--- - ❑ Site Plan Only eje7 ,2i 62 -- Eck5
.Di.?-7/1' e - 7 - MrEnst , Q. R�zJssSwvs onri- ;
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- 0 / 3 f or @tigard- or.gov)
Land Use Case No. 2- - ° Name 147 .d.
Zonin
ErSetbacks:
Front Rear Side Street Side Garage
Er Maximum Building Height Actual Building Height
El Visual Clearance
ZI Easements
Ja Sensitive Lands Type: at
Notes: -L AM 1 - 4 ‘ ,40- .1 . 4 -- 4 y witipa-i-of
Original Plan: Approved .0 Not Approved ❑ Date: 7" 7 --/.....
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 Er Not Approved ❑ Date: "7 1 Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
•
a 1
Citty / Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) •
Ct reet Trees
Ild Protected Trees
Notes: .
Original Plan: Approved tI/ Not Approved ❑ Date: 7 -.97 l
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator (contact Albert Shields at 503 - 718 -2426 or albert @ tigard- or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes 1 o ❑
Date Routed to Building: -
1
;i
-f
Page 2 of 2 - ,
i
/ 1
REC EIVED
FEB 2 7 2013
LOT 3 CITY OF i"IGAHU
"CEDARBROOK FARM" BUILDING DIV SlOF <'
EL. •
—I _ 7950' 5 m2 "06'51" IU
5 III1• OlIm ,. 8r- r, — 0
DEGOUGI9 !GREEN TREE, EL. • _ T _ i '''' . _ ,. 1 o reer(
-Y�v�R: _ 3 1.
'� . ic4Tdw, TraE 3000' - • -- , ,�e i 1 7 BUILDING 5 r •��. • , `,,, DEGDUGIS ORNAMENTAL TREE, !STREET TREES) Y
' d \ - ° L O O P Y • D O G W O O D - LOT 52 I
- EASTER+!MOSSO
1 .4 TRACT
/I W 3 I
GDUGIS/EVII GREEN ORdAt !ARMS , ma _0 ��� 11 0 DE
GR GOR GRAPE • �l L
eNOU�+ERmr 3000' _ _,- -, I, , JJ W Af CONNECT SIDE) LKS
GULP L P GREG! R A F IOLEPSIS I _-- . /mot Ali --- - TO EXISTING
ue W � ll 1 A P' � 41 DEVELO 4)
cEaNOn
oPNa TRAL caaaeeEe N°Fe+ AREAS WTRIOIIT i . t_ .M, I1 1 j V I 1 1 I ts / `JJ
REE OR eNRme CO ► 1. '1 I 11
. , a•in, L I— PER TNIAL, n 'rm `; Z y - DAYLI / O ? " /: ` \ I o C31 / � \ ID6 IIIDO' 00' 4 ' :i. 30 PJm' j ,
^ Q / LOT 4 EL. • Nl il _ i° d F li p , m i 16 , 1 i n. ` � Cn II
(� 3000 1 _r - 1, - \ 1 Q "CEDARBRO FARM" I io. r , - ' C ' S.W. 9 2nd A (��
/ 91 TO 1.1 � � ../ / ( ;i • n
��/ HALL BLVD. Ill �� 0 -� m D v O
O / FIRE TRUCK BUILDING 5 0 ! v
ACCESS ONLY T C�
EL.. ® o ., fir_ al
,/ 3000' 0 _, _� _ � •
■ IN
5' 0• SIDEWALK 6A � - i/
cry/ — _ -.1. – S.W. 92nd AVENUE - 3 4 . d`..... – sroNE I 0
\ p — /J- .4 RR S 1 �J
/ – ER051ON CONTRO L FENCE ADA RAMP ', /r' h - . . I
(WHERE RECIIIRED) . � � .
� c _
5' -0" SIDEWALK _ _ - EL . _ 8'x8' GAZEBO W/ 8'
4n„' L ', - :::` , ~ O BENCH UNDER
6 : r.. 3000'
,40.7!..-- . O d '
la
Ile 1
a / / – — — / 19ID7' S'_0 PLE .. ... • 0 - 1! Y., �'. - ( . . - PROVIDE (I) 4" ABS STORM / '1 / LOT I 11r - - -• - _ _ - 1 /� � 1 -• �(� _ SEWER TO STREET MAIN (EACH
I � I �� _ _ u.. UNIT)
/ - / 6 ,, i._ b . P LOT I ,� – – °OQQI -'� PROVIDE (I) 4" PvC SANITARY
1W n " I �� • Q TRACT I SEDER TO STREET MAIN (EACH
PROVIDE (I1 I° PvC
i �1 :. �11 I LOT J r 12 rte. r I _ I ° Y
I' O „Eli WATER LINE
. iD 1 LOT -, Nag � I� — I s A� R II' •y �JlloJ 3 E
aR "5 I' � LOT LOT I -' I ' ■�� !� S!\ O :::.:• Q TO METER AT CURB
_ I /EACH UNIT)
/ • ' I� I `� ° � L � � Ikt "1 +14 'hl II `I��I �i\ LO / O 9 : BOUNDRY US TRACT ALL SIDEWALKS A '
((� a I LOT ' m . � � R R 0 I � � �I� Ya :, .�0 L ' `J �O v I (NON SHEET SIDE) • 0 I r4 m LOT a) _ ' * i . 0 riiti- I I� r r _ WIDE
/ Ici° I - inin-foriMP.i'
'it I- o'� r lm 0 • • .1e. OT y l�R i J (TYFIC4L)
e 1 L OT Q .- r c r �h s :' TRACT TO BE 4'_0" �( a I :40,10011
L
/ , = c 1 � 3 F L ' �� J� f f L'' 9T ' SOT Id .it:*m T .; ? p . 11 R,, .(� - 15 I. ,J � � P2LO1 O $ ` . .:-::-::-:-:
/ OT r\ 'I m LOT �� ) �_ I � IZ.�
TRACT ;: . 1 MI lump �ry ���► �� , O LO r\ i � "'�' �i LOT ....dill . i, Amu Iv 1 / - I.� �0 ::':� TOT LOT W/
I � r `I �'
O '' -' • SWINGS t PLAY
/ "A"
LOT $ I - LOT M L �I \-- I 6� ���i f
r4 1
/
V,, I _ ry DECORA i _ –: I ° ° L � i - I -[ - r13 $ • g ir � /— 1 11. ` (J BARK CHIPS /
fi
/ 5' -0" NIGH - �' I — .: . ''. ._.___ IIIIIN
15.49' I ° �:•: ! 1 : ':-:1'. i � O
VINYL FENCE TO RN
•�[ ' {� ,7 - ,
ALONG TRACT °A^ r -6" BUILDING : -- , _ ' -'
BUILDING 458.81' '�
FROM PROPERTY LINE « ' _ - • 0
BUILDING L. • BUILDING EL. • J
r2
r 3100' r4 3100' J COItIEGr SIDEWALKS i•
EX ISTING DEVELOPMENT
THE PERMIT APPLICATION
15 FOR BUILDING 0 4 ONLY
SITE PLAN
SCALE: 1"=20' / THE CIVIL ENGINEERING HAS BEEN COMPLETED
MONTAGE ROWHOMES \_ AND APPROVED ON TN1S PROJECT AND THE DATE: 1/24/13
TICARD, OREGON UTILITIES AND PAVEMENT ARE IN PLACE
NORTH SHEET NO:
THERE ARE (4) BUILDING TYPES AND (4)
MASTER PLANS FOR REVIEW Sr THE CITY
A
M cra 0 la -00 is \ OF 15 j
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
340 Storm drain
03/27/2013 00:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
03/19/2013 14:00
MST2012-00155
FAIL
Not ready for inspection. No inspection made ORSC R110.5
1. Provide stamped 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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
240 Exterior sheathing
06/12/2013 00:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
245 Firewall
06/12/2013 00:00
MST2012-00155
FAIL
2nd floor mechanical chase common wall not complete
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
242 Interior shear walls
06/12/2013 00:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
03/21/2013 09:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
210 Foundation walls
03/19/2013 14:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
205 Footing
03/19/2013 14:00
MST2012-00155
FAIL
Not ready for inspection. No inspection made ORSC R110.5
1. Provide stamped 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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
210 Foundation walls
03/19/2013 14:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
115 Electrical service
06/27/2013 00:00
MST2012-00155
PASS
Seal knock out in back of panel before final
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
505 Sanitary sewer
03/29/2013 00:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
245 Firewall
06/28/2013 00:00
MST2012-00155
PART
Not muddled and taped. Provide ladder to check at final
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
135 Low voltage
06/27/2013 00:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
135 Low voltage
06/27/2013 00:00
MST2012-00155
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
9495 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
120 Electrical rough-in
06/27/2013 00:00
MST2012-00155
PASS
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: J s +Il D+ 2_ _ i -- Jurisdiction:
Site Address: � y q S W
'32.A ) 12 01 k 2 2 3
Subdivision/Lot #: ' n
and/or `7
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: 07 - 2s ` 1 S
Owner /General Contractor /Authorized Agent
Print Name: S L2 q TAk h K. 0
' 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 fmal 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: \Buil ding\ Forms \RES- HighEfficiencyLighting. 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, t , am the general contractor or the owner- builder
at the following address:
Site Address: T� q 92 AV
City: - T - ; 5 Q f2 d C 1 2 2 3
Permit #: � 2-01 2 - 0 0 /5S
Subdivision/Lot #:
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: 07 2 s - /3
General Contractor or Owner - Builder
I:\Building\ Form\ RES- MoistureSensitiveWood.doc 09 /25/08
STREET TREE
TIGARD CERTIFICATION
I, S p q r TS k r h Y c) , owner/ agent or c - I !2p sz. k S k �`
g f �
(PL SF PR/NT) (PERAItT HOLDER)
do hereby certify 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.: 0j2 $
SITE ADDRESS: Tic? G S [/: C1 2. A V-
SUBDIVISION• caz_LOT #: 6 9
SIGNATURE: DATE: 07-2E / 3
(OWNER /AGENT)
RECEIVED &
VERIFIED BY � DA1 E: l
(Cm' OF TIG KD)
Tree location verified per approved site plan.
t: \Building \ Forms \StreetI'ree4;ertificate 05/30/2012