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Permit � - CITY OF TIGARD MASTER PERMIT `F a :.' < COMMUNITY DEVELOPMENT Permit #: MST2013 00050 T 1G AR") 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/18/2013 Parcel: 1 S135CA11500 Jurisdiction: TIGARD Site address: 11481 SW 96TH AVE Subdivision: EVERETT TERRACE Lot: 14 Project: Everett Terrace, Lot 14 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 680 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 960 sf Garage: 202 sf Front: 27 Smoke Dwelling Units: 1 Third: 339 sf Right: 4 Detectors: Yes Total: 1979 sf Value: $217,055.84 Rear: 50 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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: 3 201 -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 1979 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports (Conditions) 16280 NW BETHANY CT 16280 NW BETHANY COURT 1 Ersn Cntrl 503 - 639 -4175 BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 502 -6623 PHONE: 503 - 502 -6623 FAX: 503 -533 -5164 Total Fees: $18,105.64 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is uspended for more the 180 days. • • • . 9 - ,on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those .-s -re set forth in OAR 952 -06 -0010 through OAR • -• • 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 3 ' or 1.800. , •44. I / ' Issued % : / 4 I ___ . P ermitteeSignature: • Ate, , / �� / Call 503.639.4175 by 7:00 a.m. for the next available inspection d - e. This permit card shall be kept in a conspicuous place on the Job site until co • leti • of the project Approved plans are required on the job site at the time of each I : • action. Building Permit Application LO t `I RECENED Residential , l / FOR OFFICE USE ONLY ci - Received City of Tigard FEB 2 8 2013 Date/13y: u. �- / Permit Noll5 )f 3- � 111 . ° g 13125 SW Hall Blvd., Ti ard, OR 97223 y � Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Pl Date/By: an Revi ew t i ' ( her Permits k �/ 3 - owSd). T t G AR D Inspection Line: 503.639.4175 BUILDING DIVISION Date Rea y y: t Juris ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: 3I/ / 3 ' 71& Supplemental Information TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S 24 1 (5$ ® 1- and 2- family dwelling ❑ Commercial /industrial I ❑ Accessory building ❑ Multi - family Number of bedrooms: "3 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: O ... Job site address: 1k LI'S t 81/4 9c,,--La R New dwelling area [ 74 square feet City/State /ZIP: --- c", C d , ere 910 ?� Garage /carport area: c 20 square feet 33:1_ Suite/bldg. /apt. no.: Project name: Everett Terrace Covered porch area: square feet 1C-(2) Cross street/directions to job site: Deck area: 1 50 square feet Other structure area: 218 1 square feet 2-5 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Everett Terrace Lot no.: I la Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1 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. Residential New Construction Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Sage Built Homes LLC Type of construction: Address: 16280 NW Bethany Court Occupancy groups: City/State /ZIP: Beaverton, OR 97006 Existing: Phone: (503)502-6623 Fax: (503)533 -5164 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Sage Built Homes LLC (Please refer wjeeschedule) Structural plan review fee (or deposit): Contact name: Katie Patterson FLS plan review fee (if applicable): Address: 16280 NW Bethany Court Total fees due upon application: City /State /ZIP: Beaverton, OR 97006 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Amount received: E- mail: katie @sagebuilthomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: Sage Built Homes Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 16280 NW Bethany Court Solar Installation Specialty Code checklist. City /State /ZIP: Beaverton, OR 97006 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (503) 502 -6623 Fax: (503) 533 -5164 State surcharge (12% of permit fee): $21.60 CCB lic.: 189330 Total fee due upon application: $201.60 Authorized signature: A � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. , 2 * Fee methodology set by Tri-County Building Industry Print name: Katie erson Date: ' ��, 1 �J Service Board. I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(1 I /02 /COM/WEB) . Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Received k 0 S �/ 3 _ C Date/By: 02 0� b l Permit No. c/ mu 13125 SW Hall Blvd., Tigard, OR 9722[3 EB 2 8 2013 Plan Review - Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.% JeAN 3 .0(JOS01-1 TI CARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: )1/762 l See Page 2 for Internet: www.tigard or.gov BUILDIN.G DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction El Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ® 1- and 2- family dwelling ❑ CommerciaUindustrial SFR (2) bath 437.78 SFR (3) bath , 500.32 SOO .' 2_ ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: ' 1' 1 ` G 1 , ` () Catch basin or area drain 18.76 Job site address: " 1 . �.! W '] �. City /State /ZIP: Tigard, OR. 97`ga 3 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Everett Terrace 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: Everett Terrace I Lot no.: 1 1,/ Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 095 .0,9 Residential New Construction Dishwasher 1 25.02 as ,O2 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Sage Built Homes LLC Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16280 NW Bethany Court Garbage disposal I 25.02 4.-_,9S .Da City /State /ZIP: Beaverton, OR 97006 Hose bib 25.02 so .02/ Phone: (503)502 -6623 Fax: (503)533 -5164 Ice maker 1 12.51 19 , S i ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Sage Built Homes LLC Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Katie Patterson Roof drain (commercial) 12.51 Address: 16280 NW Bethany Court Sink/basin/lavatory .5 25.02 05 . I p City /State /ZIP: Beaverton, OR 97006 Solar units (potable water) 62.54 Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Tub /shower /shower pan 12.51 D. 01 E- mail: katie @sagebuilthomesllc.com Urinal 25.02 Water closet ° 25.02 75. Cjo CONTRACTOR Water heater ) 37.52 37. S- Business name: Malmedal Plumbing Water P� � i to WV 56.29 P Address: PO Box 207 Other: 25.02 City /State /ZIP: Banks, OR 97106 Subtotal Phone: (503) 502 -6623 Fax: (503) 533 -5164 Minimum permit fee: $72.50 CCB Lic.: 1 O,P S 3S Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: i00. . / , �fJ /6y� TOTAL PERMIT FEE �s•L. v Print name: Katie ' tt • rson / Date: 9- IX (3 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.\Budding`,Permits\PLMU- PermitApp.doc 10/01/09 440- 4916T(I0 /02/COM/WEB) Mechanical Permit Applicati FOR OFFICE USE ONLY City of Tigard ECF IVED Date/B ved ;O Perm Nag sr ( ;_ zt v j0 - ° 13125 SW Hall Blvd., Tigard, OR 9722 '• Phone: 503.718.2439 Fax: 503.598.1960 Plan Review FEB 2 8 2013 Date/By: OtherPermita.rt,„0I _ 0005 TIGARD Inspection Line: 503.639.4175 Date ReadyBy: Juris: 0 See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: T f C o Supplemental Information BUILDING DIVISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST TYPE OF WOKK Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. , Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: {� , Air conditioning Job site address: ` l Li $ ` sw Y r„ J ` �G (requires site plan showing placement) 46.75 u/ r 11 r �� �� Furnace 100,000 BTU (ducts/vents) 1 46.75 t{G • 75 City /State /ZIP: Tigard, OR t 9a Furnace 100,000+ BTU ( ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Everett Terrace Heat pump (requires site plan showing placement) 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 Subdivision: Everett Terrace Lot no.: 1(4 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 93.3 Gas fireplace /insert l 33.39 33 • '7 Residential New Construction Flue vent for water heater or gas fireplace _ 23.32 . _ Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Sage Built Homes LLC Environmental exhaust and ventilation: Address: 16280 NW Bethany Court Range hood/other kitchen ' equipment 33.39 33:3 City/State /ZIP: Beaverton, oR 97006 Clothes dryer exhaust 1 33.39 33.:39 Fax: 503 533 -5164 Single-duct compartments, rtm ents (bathrooms, Phone: (503)502-6623 ( ) toilet compartments, utility rooms) k i 23.32 93.2 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans I 23.32 23 Business name: Sage Built Homes LLC Other: 23.32 Fuel piping: Contact name: Katie Patterson $14.15 for first four; $4.03 for each a dditional Address: 16280 NW Bethany Court Furnace, etc. Gas heat pump City /State /ZIP: Beaverton, OR 97006 WalUsuspended/unit heater Phone: (503) 502 -6623 Fax: : (503) 533 -5164 Water heater Fireplace E- mail: katie @sagebuilthomesllc.com Range 1 CONTRACTOR Barbecue Business name: The HVAC Team Clothes dryer (gas) Other: Address: PO Box 854 MECHANICAL PERMIT FEES* City/State /ZIP: Sherwood, OR 97140 Subtotal Phone: (971) 322 -5013 Fax: (503) 352 -9349 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 16 t, -I U State surcharge (12% of permit fee) " TOTAL PERMIT FEE 1// — This permit application expires if a permit is not obtained within 180 i Authorized signature: ' I ��% days after it has been accepted as complete. Print name: Kati ' a • rson ��/ Date:'0 J // 3j * Fee methodology set by Tri -County Building Industry Service Board L\Building\Permits VI ' ' ermitApp doc 03/07/12 440 -4617T (11 /02 /COM/WEB) • "Sep 05 2012 12:55PM ROSS ELECTRIC INC 5036425815 P• ECEIV r Alec>tricsl Permit ApuUcati ' ED (, ,„. , i(+ I I I ',+ ( v ( City of Tigard G ~_ R(mind I • I31 SW Hall Blvd„ Tlgprd, OR 97223 - 2 8 2013 a 7.43 h a .r Phone: 503.711.2439 Felt: 503.59 D. + ' Omer Parent adE -()/, j - 0605 , Inapeotlon Line: 503.639.4175 tiP OF TIGARD Data Reidy/By: Intenet: www.ligard- ot.Oov 71 .111.0ING DIVISI)P "`u°.d'Mathed; liffigliBiEffallaM TYPE OF WORK PLAIt REVIEW New coneuuction IN Addition /alteration/replacement u s e all /tat apply (a met rota orb one wI1 me oNO a ow : ❑ DemDlitlOn Other: ❑ awes ce Nader 400 amps ammo CI Bolidtna over tn h . moles. where the available hull oumnt 0 Mulrma and boatyard''. CATEGORY OF CONWI RUCTION cacaca 10,000 amps al 150 volts or ❑ Fluidal buildings. Commercia11industrial tig I• and 2damily dwelling [] leap do around, or stall mooch tyo0o p buildings], use a8rtn,ltunl �] Accessory building amps fir ell other Installation baildrnye, ❑ Multi- 11171111y ❑ Master builder ❑ Other: In Pim pump. O ltutel7atloo all KVA or Iced of JOB BII'E INFORMATION A LOCATTON o sar onoy n an otna w cn t lamas B" , •1 dr. wean. - ❑ Addition moor CI "A', "6 " ��((f L� � \\ (y / 1/L a a I00FIP or mote. occupancy. lob no.: lob site address: 1 L �U ( SW -I)' O8ieor MOM reddeM(duolr9. D R.u..lbnd0veYalepadre • City /SCity/State/ZIP; + - O 729 O I ttah {se taei(idu. CI Supply wheys hr ears 11,.72 1� — O 3 10 Har�ldaaa Ieaalion., 600 volts nomina) Sulte/bldg. /apt, no.: Project name: Everett Terrace in 5orvioo or reader 600 amps or more. Cross erect/directions mirth cite: e 1 an FEE SCHEDULE , New re.ddeedsI single- or tau Monti &walling us% Includes attached gene_ Subdivision: Everett Terrace I Lot no.: I L _ 1,000 eq. ft. or teat i j 160.54 1(4 • s' 4 132. edd'1 !CO ace. R. or portion 33.92 ;r,3 - c l ' � - t Tax rrlapTattel no.: Om(led energy, n fdent(al ( I 75.00 2 DESCRIPTION OF WORK __limn above ea. R) Residential New Construction Limited eldeM energy, muhl a so. 75.00 2 r tte �dt are w.� ) ._ len " ar den ImItenetioNgliete lea ). and/or relocation 200 Mops or leer 1 100.70 Ina, 70 2 ® PROPERTY OWNER 0 TENANT 901 amps im ams .16 2 401 amps to to 606 406 atatpe a t 73 / 200.34 1 Name: Saga Built Homes LLC - • 601 amps to 1,060 amp. 301.04 2 Address: 16280 NW Bethany Court ever 1,000 amps Or We ' 332.26 2 City /3tt>ite/ZIP: Beaverton, OR !'/006 Temporary services or (Were renlallatlor, ahenUon, and/or Phone: (503)802.6623 Fax: (503)533-5164 100 amps or lea ' 59.26 ' I • — Owner Installations This Installation Is being made on property that I own which Is not 201 amps to 400 amps 129.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 405 amps to 590 amps _ 168 .34 2 Branch Iseult - new ;Hera , or extension . r .1 L. Owner signature: Date: A. Fee brawn droulb woe ® APPLICANT ❑CONTACT PERSON above service or Metter (Yet 7.42 2 ma brunch cit{vlt Business name: Sage Built Homes LLC e. Pee for branch cirvults wldion: service or Rader lbe, Ann 96.16 2 Contact name: Katie Patterson branch alre■L Each edd'I branch circuit 7.42 2 Address: 16280 NW Bethany Court Mleceliancoue eervlce or fg44er sot Included) :ea mwwfbctured or modular 67.04 2 City/State/ZIP: Beaverton, OR 97006 dwelling, aetvioe endity Baden Phone: (503) 502.6623 I Paz:: (503) 533 -5164 Reconnect only 61.04 2 -mail: katIe es ebuilthomeallc.eont Pump r irrigation /nn 1 d • 67.84 2 67.84 2 E I3 Blgn or nutlino l e CONTRACTOR Bland circul e) or limited .� Business name: Ross Electric . retl ., •ar • Eeeh pddi noel Inspection aver ahle n say the above Address: 2870 SE 711 0203 Addltlonal Inspection (11v min) 66.27/ hr City/State/ZIP: Hllsbors, OR 97123 Invaeuptien (1 le Min) 66.23/ hr ty _ tndurrriet plant (I hr min) _ 78.1(V M Phone: (903) 642 - 20000 ^ �J Fax: (503) 6424815 Inspections (6r which no taoTa 90.00/ hr 1 S7 p 1 1 'J 1 13C L Lie. 1 3, 5 614;111011y hood (y1 hr miry, CCB Lie.: Electrical Lio. t Suprv. c, ea! ECTRi('AL lP.Rd4T FEES tilupty. Electrician signature, required: F�7 Subtotal: Plan +e (Mice 0e): Print name: • , • 464. . Dale: 5tala surcharge (12% Opamit tee): � TOTAL PERMIT FEE: Authodaed signature'. A!/, / ACY i �, mu perm,' .ppitcreoa expires Ira permit u eat obtained ,d1NG 100 day. after Is he. be NM name: Katie P rson Dace; `r en emptied es ea mettle. z / • Numbs of inspections allowed per molt I:'Beadti''Pwrrntm a., pp lac 07mU10 e40 ST( 1 IAa/COMnvEB 4 . , 1 , 1 q Building Division Development Code Provision Review T l G A'i D Residential Projects Building Permit No.: Al ST8O /3 - .061 Project /Subdivision Name: aaerr r Lot #: l9 Site Address: / qeo ' 4 0b CWS Service Provider Letter: Required: Yes ❑ No ❑' Received: Yes ❑ No ❑ Plans Routed: // Original Plan Submittal Date: .r(! 3 Routed By: 1St Revision Submittal Date: 3/7 //1 ' f i Site Plan Only Routed By:D 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: 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 on if approved. n Planning Review (contact at (503) 718 ?9v or �l�l ' @tigard- or.gov) Land Use Case No. *../ / /� /a 2// - 0d/ Zoning /?.---- fi Setbacks: i f �� ? /'� Front Rear Side Street Side 1 /1 Game 1 _,r Maximum Building Height: - S Actual Building Height 2.- M``TT IJ Visual Clearance GKEasements ffe Sensitive Lands Type: Er Trees Protected Tre s G n 1 / , tr� s;� �/ 'J l � �L/ � I c,/ No AGM) MI/ / , /` ,, ( 1 1 '.S Q o ApA ns 0//4 45/ / r r -41 1.07) - + P %A-fe , of, d ce /{ale( tVo 56 Original Plan: Approved y u Not Approved Date: _' V7/ Revision 1: Approved I' Not Approved ❑ Date: �/r3 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) ,0' Actual Slope: (o Notes: W 6 6/ LID! ,1- PP(Ait , irs 8 f // r- Original Plan: Approved ❑ Not Approved -Be" Date: /`t/ 13 Revision 1: Approved . Not Approved ❑ Date: 3l (1 ✓ /1 3 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 Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applican Okay to Issue Permit: Yes • No jei 3 Date Routed to Building: 3 /1/3 /7 Page 2 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 :. a CITY OF TIGARD FEE AND PAYMENT HISTORY a :• 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD SWR2013 -00052 - 11481 SW 96TH AVE, TIGARD, OR 97223 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due Sewer Connection Fee 500- 0000 -25500 $4,665.00 $4,665.00 $4,665.00 Sewer Inspection - Residential 230 - 0000 -43118 $35.00 $35.00 $35.00 Totals for Fees $4,700.00 $4,700.00 $0.00 $4,700.00 Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount Total Payments: $0.00 Balance Due: $4,700.00 11481 SW 96th Avenue CYAN= B��°� ^�A CE V E D LOT 14 OF EVERETT TERRACE BYBD�D>c SON RAIN DRAIN RECF OVERFLOW TO CONVEYANCE 0 7 2013 SITE PLAN r =J4R ♦ NOTES , p..1 %11 6 s ilf - 8t'( OF TIGARD 0 EX S7CRY OWNER / BUILDER = A, ,, NNINt�,'E iGI BERING PO? SHEET 5. ASSTS 7 ; , • : � N • ` . O EX N Y SANITARY YAM SAGE CUSDME HOMES ' :�r. '. / j , � � `` �. .. ; 0 PER mar WO a ASBU�1 16210 NW BETHANY COURT 120'0 SCALE :„ ° 1 , _. - GROWING Y y, � . BFAYERTOV OR 97006 -4687 : ';; ° ' _ A • ,16'LIN. 0 ♦ . ! • �- 61RUC7URAL WALL C018YEL•T 70 a. 4 SANITARY LA ERAI � -. -� 0 _ ' '` ' ;' I L '' .1 O PER SHEET 49.10/18 ASSORTS NOTES . *K ". ' `(: ;r; N: T.�. \ �� � � 17 - /� FACILITY � xiJTY�E �R 6' YIN OVEI11Ap UP ® CONNECT TO Ex s STORM LATERAL , :s , -:. ,. ,•• ;• -: - . SHEET 49.10/18 ASBURTS LOT COVERAGE: ' .c.:::.1).:..7, .c.:::.1).:..7, :[ ':,. ,.,�✓• 17 16°TOF t3'�'DRNN ROCK PER O 1071CAAON PLANTINGS PER 2491 SF FOUNDATION '�'{ „ ,, z r . ? '-'`• t,.Y 5 SHEET 11/Te ARRAYS EHIflOPG78Mr (XV FO UN 1 ATI ° ` OVERFLOW TO STREET FACING FACADE COUNTY —1 14 ,, ., .� Y �,,,,, , . , ,, ,•y :7. �x ,o... '. CONVEYANCE 9YS 1 O'YWDDIY DEPRI OF © EX TREES TO BE RETANHED PER EAST FACE 295 SF (4625 Sr . 151q < ca, r. 8 IATERAL TO SERVE 'Q' YINOIUY FAQ trtv SHEETS 4 a .78/18 ASBU27S GLUING : 47 SF (P6%) -; '„ ."r •. (OR VN1C TS TREE PROTECTION MOW ZO ZONING R -12 y 6 ''^ . A . , +'6 WIDTH (OR YATCH DESIGN) I : - P X X TREE PROTECTICIH FENCE ' A 4 , POSNIONED IN DRAW ROCK LAYER P +o PROP TY OWNER PIN GENERAL INFORMATION A P.r ; . :, O OETENTIMI DESIGN. 5 EE PERFORATED PIPE WATER PROOF CL/WP _ STE CMS, 114181 SW 968E Ammo NOTES: ' TAX ROLL T rq EVERETT TERRACE YEB 1 LL: 1. PRIVATE WATER QUALITY TRFATT AROVT TARO SETBACK 15-FT N ' EUROPEAN HORNBEAM GARAGE 5ETBAac 78-17 2 A AATEo B BASED ACONE4H FLOWS. / 2" CALIPER SIDE -YARD SETBACK 4-FT ( AOWSTED AS PART OF APPRS 4Q LOT# 4 KIN SWIM. ES 1. vEGETA7 SMALL 6. TRFATYFM REAR -YARD sE78A0f 15-FT BOX SIZE (SF.) 69 SQ FT 4. NO TREES OR DE ROOTED VEGETATION OVER PIPING. Molar NW 6. AIRMAN t] DOUGLAS FIR / # OF PLANTS 69 RAIN DRAINS OVERFLOW TO 6UWYUY LINEAR SEPARATION. WI, INCENCE CEDAR ' � TYPE OF PLANTS HERBACEOUS 6. ROMAN OUSTTO BE USED WITHIN FACILITY. VINE MAPLE/RED ALDER SIZE OF PLANTS)¢ GAL I. GUMMI. PROTECTION SIZED PER FLOW CALDDLAnoxs. 2" CALIPER & PLANTER HEIGHT ABOVE GROUND ARO DEPTH BELOW GROUND PER OTHERS 2•141NDIUY ABOVE OR EN MON N % N. QWG I BUL AJRISOH TIDN APPROVAL REQUIRED WHEN 1 ' ! DEPTH OF FACILITY IS BELOW BITING FOOTING. 1 41 i ► _ . _ 1 \ 33,x' 4 4 1 I- --+ : . Alk ■ L f -I • I 2.1,k © �� '�� 101-0" `r I ra 01 I 1 ■ -' .��� � �� " 1 . Q 4 - __'. • \ \ I_. I ` Alf I Mil Pt ■ — WO 1. 417E 9, i . -- --- L .1 1 1 c:i 1 I / % . . , 11 Pr NCr w ' v q:. .T 1'-_ y1 �� 1 . . , i Alpr. ,...,,,,____ tied S . t 111 �i6 �- . i,..2t2 ., k ...., • 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 330 Water service 03/29/2013 00:00 MST2013-00050 FAIL 1. Provide water piping minimum 24” depth below finished grade at side walk and meter location. 609.1 2. Hookup to meter to come. 310.0 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service 05/03/2013 00:00 MST2013-00050 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 242 Interior shear walls 05/13/2013 00:00 MST2013-00050 FAIL Upstairs interior shear wall not completely nailed Construction documents to be on site R106.3.1 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 275 Framing 05/10/2013 00:00 MST2013-00050 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 610 Gas Line 05/06/2013 00:00 MST2013-00050 PASS Standard pressure verified 10 lbs 15 min 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 320 Plumbing rough-in 04/26/2013 00:00 MST2013-00050 PART 1. Provide approval for water service inspection dated 03/29/13. All else ok NOTE Install AAV on kitchen sink will check on 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 275 Framing 05/06/2013 00:00 MST2013-00050 FAIL Work shall be installed in accordance with the approved construction documents per ORSC R106.4 Missing LGT2 ties at 4 locations on girder trusses circled black on sheet S-2AR Plumbing rough approval needed for water service. Will be looked at at final Ok to insulate with installation of girder ties to be looked at at insulation 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 235 Shear walls/anchors 04/26/2013 00:00 MST2013-00050 FAIL 1. Provide stamped plans on jobsite. 2. 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 11481 SW 96TH AVE, TIGARD, OR, 97223 Residential - Master Permit 280 Insulation 05/10/2013 00:00 MST2013-00050 PASS Violation Summary: Inspector Contractor /i5 2-61 ric STREET TREE m_. TIGARD CERTIFICATION I, GALE boli&y , owner/ agent for S °E,tm. c wee U C, , (PLEASE' PRINT) (PERMIT 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.: ZO (?, Coma HIE ADDRESS: / (ti S [ StAi '76 tti Ave SUBDIVISION: E e - T � ' e - LOT #: /6/ SIGNATURE: DA l E: 7 7/20/3 OWNER/AGENT RE CEIVED d� VERIFIED BY DA1 E: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I:\ Building \Forms \StreetTreeCertificate 05/30/2012 ro I 3- cc°CC Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Cei1P, bctwy Ar S &i i+ BPS , am the general contractor or the owner- builder at the following address: Site Address: / / .Si 6 1- A , , City: T a Permit #: 249 13 © ©O 5'6 Subdivision/Lot #: U e T- ^ 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: 0/7-P �3 General Con or or 0 - Builder I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 /1/t97 0005 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 7 I S CC O �� Jurisdiction: � \ - 1 F T Q t rd U Site Address: / / C p / c � y {-Lj A vc - Subdivision/Lot #: v� ( face / /c( 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: C % ! Date: 7 Owner/Gener ontrac Authorized Agent Print Name: CA-66 J© ,1/�� ' ORSC Section N 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\ Building\ Fortes \RES- HighEfficiencyLighting.doc 07/01/08 Glenn Waer Energy Consulting, dba Willowaer, LLC 16266 Hiram Ave Cell: 503 - 701 -3165 Oregon City, OR 97045 Phone: 503 - 723 -9979 gbopwaer @msn.com This is to verify that I performed a duct test at the following address on 7/2/13: 11481 SW 96 Ave, Tigard These test was done in accordance with ODOE /PTCS testing specifications and the test results were as follows: A total leakage test of 79 cfm was recorded. If you or anyone has any questions concerning the tests don't hesitate to call or write W atA Glenn Waer