Loading...
Permit CITY OF TIGARD MASTER PERMIT ta - COMMUNITY DEVELOPMENT Permit #: MST2013 -00054 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/02/2013 Parcel: 1 S 136CA10600 Jurisdiction: TIGARD Site address: 11063 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 27 Project: White Oak Village, Lot 27 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 596 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 884 sf Garage: 162 sf Front: 10 Smoke Dwelling Units: 1 Third: 538 sf Right: 3 Detectors: Yes Total: 2018 sf Value: $217,164.72 Rear: 15 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 Tubs /Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell -Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 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: 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 2018 Owner: Contractor: HAWTHORNE BLOCK LLC WESTLAND INDUSTRIES Required Items and Reports (Conditions) 621 SW ALDER ST, STE 605 12670 SW 68TH AVE STE #400 1 Ersn Cntrl 503 - 639 -4175 PORTLAND, OR 97205 TIGARD, OR 97223 PHONE: PHONE: 503 - 245 -9715 FAX: 503 -598 -9081 Total Fees: $18,172.06 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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose des are set forth in OAR 952- 001 -0010 through OAR 95 001 -009 . You may obtain a copy of the rules or direct questions to OUNC by calling 5e 2 1 800.332. •344. Issued By: i Ul L &i Permittee Signature: � Mil I lit. � � _ ■ Call 503.639.4175 by 7:00 a.m. for the next available Inspection • ./,��p This permit card shall be kept In a conspicuous place on the Job site until corn • n of the project. Approved plans are required on the Job site at the time of each ins • ction. Building Permit Application RECE Residential FEB q FOR OFFICE USE ONLY - - - - City of Tigard B 2 8 20 1 Date/By: °7 f a Permit No. � DUI UOd sr 111 11 2 13125 SW Hall Blvd., Tigard, OR 97223 Plan ew Other Permit:` ,020 3' 70 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIG . ' 1 Date/By: R ev i Fz to Re ad / ]wis: c 0 See Page 2 for Ti GARD Inspection Line: 503.639.4175 pr I I f f1{�If: I5 , y y' r - p Supplemental Information Internet: www.tigard- or.gov DV LUllrui ufied /Met �� t� L.'Vl c 1.. uu S -( A TYPE OF WORK • REQUIRED DATA: 1- AND 2- FAMILY DWELLING Permit fees* are based on the value of the work performed. �ew construction ❑ Demolition Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. . CATEGORY OF CONSTRUCTION � � Valuation: $ 2- 17 1- and 2- family dwelling ❑ Commercial /industrial ' - Number of bedrooms: ❑ Accessory building ❑ Multi- family Number of bathrooms: ❑ Master builder 0 Other: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16 New dwelling area: '[7'18 square feet City /State /ZIP: p di-A ') Q ZS 7i Garage/carport area square feet IE Suite/bldg. /apt. no.: Project name: 4✓>'f17J the / //6- 4-4.6:—L. Covered porch area: square feet -- Cross street/directions to job site: Deck area: square feet Other structure area: Z I square feet ? I REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: /(Jt �� ��i�' (/ s V r i Lot no.: � Permit fees* are based on the value of the work performed. I Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: / S / 36 C'A to ! equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK • work indicated on this application. Valuation: $ /o%yT - '2 ;114 :0 Sl �� 1-4 tie-/ //MA' Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) / Fax: ( ) New: Q APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: f4 9774-VD _/..4J /, j 72/1 5 /At: Structural plan review fee (or deposit): Contact name: /20r fix,v es6s /✓ / ,�//�j 5i ivea/ - FLS plan review fee (if applicable): Address: /,2 7g 50 6 ,9=` , Total fees due upon application: City/State/ZIP: ��f1-j.: , ,0 / n � 7 2 23 Amount received: Phone: (03) 572- _ p /./6 Fax: : 93 ) 6V- �,� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES E -mail :;) J I:44 C 6 1 1k/ %G r C6'/ej/ Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: ,!(4 3)\v_. Submit two (2) sets of roof plan with connection details tj� 3s \tt� and fire department access, along with the 2010 Oregon Address: 1 — 7—&? 0 ci:ti 6:3 = qP6 Solar Installation Specialty Code checklist. tJ Permit Fee (includes plan review $180.00 City/State/ZIP� t. b / q 77.,7; and administrative fees): Phone: 5�) � „( ' ( �/� Fax:( s P r0 0 I State surcharge (12% of permit fee): $21.60 r CCB lic.: Total fee due upon application: $201.60 s. Authorized ' • gin) ..e This permit application expires if a permit is not obtained -- within 180 days after it has been accepted as complete. * Fee methodology set by Tii -County Building Industry I II rint nan : ` r c �r Date: �.'• (' Service Board. 1 1 I: \Bitilding\Permi L \BUP- RESPennitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB) . , 3 Plumbing Permit Building Fixtures RECI�I Applicatio FOR OFFICE USE ONLY City of Tigard FEB 2 8 2013 Date 013 Permit I 13 00.0S v 13125 SW Hall Blvd., Tigard, OR 97223 plan Review Other Permit Q 3 • I Phone: 503.718.2439 Fax: 503.59 i Date/By: � �� ZV� ' " Inspection Line: 503.639.4175 p ' OF TIGARD Date Ready/By: EI See Page 2 for TIGARD Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: lit" Supplemental Information TYPE OF WORK . . FEE* SCHEDULE New construction ❑Demolition For special information use checklist Description I Qty. I Ea. 1 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 id 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath i( 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SIT INFORMATION AND LOCATION _ Site utilities: f 1„Q_ Catch basin or area drain 18.76 /� Job site address: // ( ;; Y'46---44-(/ 1 c.4 or t Drywell, leach line, or trench drain 18.76 City/State /ZIP: '! 04 � w g ,: Footin drain no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: l Project name: C.� ref/ a-" Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) I Page 2 Storm sewer (no. linear ft.:____) r Page 2 Water service (no. linear ft.: ) 1 Page 2 Subdivision: t 0. t o • -� Lot n / Fixture or item: Tax map /parcel no.: / / G r6 Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK 6 AA Fee` �] f h �,. Clothes washer 25.02 6/6 >! /fi l � >> e / "'" APG2 - f Ce' %G / 'riff Dishwasher 1 25.02 // Drinking fountain 25.02 . Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal / 25.02 City/State /ZIP: Hose bib 7i 25.02 Phone: ( ) Fax: ( ) Ice maker f 12.51 IIK PPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: (A4 Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: 6 1 C Roof drain (commercial) 12.51 Address: ( 7r,..J La-) 6 7 1! Z. 0 Sink/basin/lavatory 25.02 City/State /ZIP: -77( / Pj) (7n• Solar units (potable water) 62.54 Phone: (Q 7 f1 - 642.. Fax: : (, " 7 j�_G� _ Tub /shower /shower pan °9i 12.51 Urinal 25.02 E -mail: ( - .14.1? . ii ` - J• Water closet 25.02 CONTRACTOR Water heater I 37.52 Business name: AM PUrc,I /,/' I C._ Water piping/DWV 56.29 - Address: /7 )_er 6:7- / A j / Other: 25.02 City/State /ZIP: e 4?7f 6 Subtotal Phone: ( ) Fax: ( ) Minimum permit fee: $72.50 /� ;r Plan review (25% of permit fee) CCB Lic.: 3 y Plumbing Lic. no.: a 'f' - 24 SjP/g State surcharge (12% of permit fee) C. Authorized signature: TOTAL PERMIT FEE Print nam ( / i (,4,t0A e l k �( Date: � • 13 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. v *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB) Mechanical Permit Application LvLi FOR OFFICE USE ONLY 514 City of Tigard FEB a a Perm N O 3 , 000 ( 't 13125 SW Hall Blvd., Tigard, OR 97223 IJ 2 8 Q Phone: 503.718.2439 Fax: 503.598.1960 ; t; Other Perm d' U / 3 v 00041- r TI G A R D Inspection Line: 503.639 CITY OF TI ! " .f eady/By: Juris: l3 See Page 2 for Internet: www.tigard- or.gov B V (� ILDtNG Di - ' 1'44 ethod: i _ } Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work f 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* RI- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: Aaj /�f rt ' (requires site plan showing placement) 46.75 ( v Furnace 100,000 BTU (ducts /vents) $ 46.75 City/State /ZIP: b. © a ? 2 / Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: �. �.y _ .1 f / �fi Heat pump r��►+ ( '�r°�' Y ` �h—� (requires uires site plan showin g 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: Ui. "(G D � iii / , 1�is I Lot no.: L7 Flue /vent for any of above 23.32 V Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 Gas fireplace/insert ( 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment ti 33.39 City/State /ZIP: Clothes dryer exhaust 1 33.39 Phone: Single -duct exhaust (bathrooms, ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: • 4 / Other: 23.32 Ail/0 Fuel piping: ( Contact name: 41 V ` �Qi0� I I ' 1f7OIf�JC/� $14.15 for first four; $4.03 for each additional 4. 1 Address: 1 r,1 t�/j"�} ��'�LJ" Furnace, etc. 2 0 7 `^� 6 t t/ ' Gas heat pump City/State /ZIP: 11 ") b Q Q �]� / ?j2j Wall /suspended/unit heater Phone: (Q let oV 2 r0 F "� Fax:: I 5j� c% Q ( Water heater I f� `^�� v Fireplace I E -mail: Range t CONTRACTOR Barbecue Business name: he , 1 / M ! g - L 0 ! .� �.) Clothes dryer (gas) � Other: Address: ' 9 6Q 1 W61_1,_ ES W ' to MECHANICAL PERMIT FEES* City /State /ZIP:�� \i1 j) Q b 5C Subtotal t D [�`� Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: 1 g? 411 State surcharge (12% of permit fee) / TOTAL PERMIT FEE _ f This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: V f %M i tf1` 7 Date: 2.20. `, * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 03/07 2 440- 4617T(11 /02/COM/WEB) r i Electrical Permit Application H(JIvI _ rO l O l l I ( , , , , ( ) . , ., 1111 City FEB 2 8 201 Da Received Ci of Tigard 1 Permit /3- (xjp seL ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �A`�� • ' s Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Perms SU L3 ��v76 Inspection Line: 503.639.4175 CITY OF TIGA • I1 Date Ready/By: 7 is' H See Page 2 for T I CARD Internet: www.tigard-or.gov BUILDING OfVIS 6 rfied/Method: BUILDING V J - V Supplemental Information TYPE OF WORK PLAN REVIEW ,New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. %L. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l - ", Job no.: Job site address: I Jif _ce , �'� �� to -it / t ,l more ❑ Six or moresi -it 1�� or a rest occupancy. r'" // residential units. ❑ Recreational vehicle parks. City/State /ZIP: '7 / C C ' �j �, ❑ Health -care facilities. ❑ Supply voltage for more than � v / ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: � - 0 (9 &-e--41-6- ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description l Qty. I Fee. I Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 6I - 04-g. I il -4 i-L. Lot no.: ;..7 1,000 sq. ft. or less . 168.54 4 Ea. add'1500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) / Limited energy, multi - family 75.00 2 aNe' 61G /11� 5cie � residential (with above sq. ft.) //f" " Services or feeders installation, alteration, and/or relocation 200 amps or less 10030 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or tY relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT ❑ CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: B Fee for branch circuits without �/ �S �C✓kNIJn/Ov57"�I S service or feeder fee, first 56.18 2 branch circuit Contact name: /Z06 ANflE�vCJ iT/tvk J �T/¢vQ/�I.t� Each add'l branch circuit 7.42 2 Address: !) 6 - 7 0 5 Y 6,50_ ` ..5 ire- e- lfva Miscellaneous (service or feeder not included) Ci City/State/ZIP: �1 7 2 Each manufactured or modular n : . / (t / � © 1 / 2-3 3 dwelling, service and/or feeder 67.84 2 (C0 3) t — Phone: (05 )572- �' Fax: : go g Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy panel, alteration, or extension. Page 2 2 Business name: EL g -R /(fir ,/,,,too 04 fi0v5 Each additional inspection over allowable in any of the above Address: ri r 4/6 3 5C- v�3 `- Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City /State/ZIP: £? S , ' A4 97L #q Industrial plant (1 In min) 78.18/ hr Phone: j) 3,5-1,3 -- 6 q' Fax: ( 811) 11 b.- 0'260 Inspections for which no fee is 90.00 / hr specifically listed (V2 hr min) CCB Lic.: /„ 9 t Electrical Lic.: 26_ �9j Suprv. Lic.:::'? 6) s ELECTRICAL PERMIT FEES K Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: ( ft, • I f 1G/ 7x•- Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 � days after it has been accepted as complete. Print name: Date2.z4 a N, . Number of inspections allowed per permit. 1:\ Building \Permits'ELC- PermitApp.doc 07/01/10 440.4615T(11 /05 /COM/WEB I N ' " ° Building Division Development Code Provision Review TI G A R D Residential Projects Building Permit No.: it s I 40 /3 - bn0 <� Project /Subdivision Name: C9 4-1 01W-- V i (.-L- (0C% , Lot #: .2..? Site Address: l (D(P3 fit) LE(p14-GLt 04v Lt) AG-( CWS Service Provider Letter: Required: Yes ❑ No Er • Received: Yes ❑ No ❑ Plans Routed: Original Plan Submittal Date: �cf/ 3 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2n 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 (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 'f approved. Planning Review (contact at (503) 718-.2M or Ayl @tigard- or.gov) /A Land Use C No. /a a0�fr� W/0 Zoning �' /Z E Setbacks: A l / I /Front v Rear / Side 5 Street Side l k Garage g0 L7 aximum Building Height: 3 .--- FT Actual Building Height 3 I Fes' (isual Clearance , ,Easements ensitive Lands Type: LAS Street Trees ❑ Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: 3/ Revision 1: Approved ❑ Not Approved ❑ Date: 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: Notes: Original Plan: Approved .0 Not Approved ❑ Date: 3 /r/ 13 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 Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Ap • ant Okay to Issue Permit: Yes No ❑ Date Routed to Building: Page 2 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 fIrt Pi FEB 2 S 20t3 CITY OF TIGARD BUILDING DIN SITE PLAN NOTES: L ALL IDOCE55 GRADING MATERIAL TO BE !)PORTED TO AN APPROVED DIEI•O6AL N / �O r LOCATION. 2. ALL FILL AREAS Ir MM. GARAGE ROOM, 61DtL141103, DRAMATIS, ETC_ TO BE r- LOCATION. COFPAGTED GRANULAR FILL. ` FowLER 3. THERE WILLIE A 6LIGF T OVER EXCAVATION TO PROVIDE CONCRETE FORMIT G ALL AROUND NEW STRICTURE. �L 4. PROVIDE COLNTYiCTTY APPROVED 6ED0'Orr FENCNG AROUND EXCAVATED AREA SW LEGACY OAK WAY < + HONE T DESIGN PRIOR TO EXCAVATION ADD CON6TR11GT1C ; 0 1 6. PROVIDE COLNTYi0TV APPROVED STABILIZED GRAVELED CONSTRIICTICN IBTIRANCE PRIOR TO EXCAVATION AND CONSTRICTION. 6. 6TOCIPILE6 MUST ISE COVERED WITH MULCH OR PLASTIC MEMO BEM EN r OCTOBER I AND APRIL. !D. 1. CONTRACTOR/ SUB- CONTRACTOR TO VERPY LOCATION CF ALL UTILITIES PRIOR TO O(1" • iEE. 00 t EXCAVATION AND CCNSTRIGflN. C . , .. - ,. -. e BOU R!Y DA AND Tel•CORMK N F Bc/ MATiON H46 B�1 TROADED TO SKYLNE MOMS 1 ACCURACY SPORMATION, IT 6 T1! SOLE RESPONSIBILITY OF TIL CONTRACTOR iii / /Wail WI r I, /OY4lR TD Amery ALL SIZE CODC 'I8 l NCI-WING FILL PLACED CN 6TTL a bb' F DRIVE I■■` J , TI 1 2' CAL } / , S. TOPOGRAPHY ELEVATIONS SERE COLLECTED FROM ACTUAL SUE 6URvEY. h P. 2 ` 10. ELEVATION LEGEND, 421,1 EE• EXISTING GRADE ELEVATION .6.4 FE• FNAL GRAPE ELEVATION \ -- C.0 a @ FFE• FNI61-ED FLOOR ELEVATION - IL PROVIDE A PI MMIMI GRAVEL BASE UNDER ALL DRIVtEIWY AREAS. . q F., I . Y1DE A 4' MNIh1Nl GRAVEL BASE UNDER ALL SIDE WALK ADD PATIO AREAS. 5 - 4 + P LS. PIPE ALL STORM DR NAGS FRIG 1 Be BUILDING TO A COLNTY/CIT' DI6PO6AL - r r PORdLCON6'CTIOK ' .7.9 L .1 }- CNIk of 14. MAXF1tl SLOPE OF CUTE ADD FILLS TO BE TWO (2) HORIZONTAL TO OD! (I) Z Pole ELE.D VERTICAL PONC46. 6TRICTURE6, FO.} ATIODM, ADD RETANN 4. G HALLS. . ,, 23 BATH 0 - Oh 8. MOW TH AND M4NTAIN PNI8N GRADE W P06111VE DRAINAGE AWAY FROM 3 BOFb`I — CO STRUCTURE ON ALL SES WRH A SLOPE OF 6 MN1 IN ' MN Id -O'. .4 192 circus ._ ID 0 IMPERVIOUS AREA'S: \ W 0 134 S FT. DRIVEWAYS I `=' Q. 54 SQ. FT. PORCH IS SQ. FT. WALK ¥ PATIO 100 PATIO is 132 SQ, FT. OVERHANGS 842 SQ. FT. BUILDING COVERAGE I PLAN No.: 3069 l280 TOTAL SQ. FT. n AREA'S EE o,r '02'W -0' PO BRAUN: T.F. DATE: 02 -11 -2013 LOT INFORMATION: n,,�., LOT 21 SCALE: 1'40' -0' LOT AREA 1,919 ea FT. r) �p6� WHITE OAK VILLAGE IMPERVIOUS COVERAGE: 438 SQ. FT. 111 CD 'tT TIGARD, OR PLOT CUIL.DMG COVERAGE: 42 % BUILDING HEIGHT: APPROX---- 33' -2' MN. BUILDING 1BACKS: 115' FRONT, 15' REAR 3' SIDES. PLAN 0 I 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 235 Shear walls/anchors 05/13/2013 00:00 MST2013-00054 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 05/15/2013 00:00 MST2013-00054 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in 05/15/2013 00:00 MST2013-00054 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 242 Interior shear walls 05/15/2013 00:00 MST2013-00054 PART G wall at lower front to be looked at after 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 335 Rain drain 04/12/2013 00:00 MST2013-00054 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 505 Sanitary sewer 04/05/2013 00:00 MST2013-00054 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 11063 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 04/10/2013 09:00 MST2013-00054 PASS Setbacks as per approved plans and builders String lines/Wooden stakes User tagged Erosion approved Mono pour Violation Summary: Inspector Contractor I L II STREET TREE TIGARD CERTIFICATION I, , owner/ agent for a5T1 �/.D gZ07"/E-S , (PLEASE PRINT) (PERMIT HOLDER) do hereby certiji that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: /1S72O/ 3 QQQ5 SITE ADDRESS: M /%3 so zi mG / a4e_ SUBDIVISION: Ai/71in> 0,4 A.6 -E._ LOT #: p9 7 SIGNATURE: �� d e - DATE: /4 - —/ 3 (OWNER /AGENT) RE CEIVED d� ) VERIFIED BY. / DATE: / /'-A3 (CITY F TIGA I I Tree location verified per approved site plan. I:\ Building \Forms \StreetTreeCeruficate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: n s r o2a 3 _ y Jurisdiction: G ��iy20 Site Address: / /od 3 a - 1 . y d 4 � i ' Subdivision/Lot #: 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) 110k Signature: /A- j'�.�' Date: /4) /J er eral ontractor /Authorized Agent . Print Name: R6 ii ,Sv4 ' ORSC Section NI 107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\ Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, RO6 AI fie-sO/(J , am the general contractor or the owner- builder at the following address: Site Address: 110,6 3 s � � � /,, I City: Permit #: i $772/3 _ # &s y Subdivision/Lot #: geze,40 z07 #42-7 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: - �1 Date: /.; ' °� 3 a 1 Contractor or Owner - Builder 1:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 1 Form 640S Completi Certification — Site Inspection pf7- c/? 228 t i ,. c New Homes Program — Single Family EnergyTrust of Oregon To be completed by Verifier Portland Energy Conservation, Inc. (PECI) is a Program Management Contractor for Energy Trust of Oregon, Inc. Input tab should be completed first to auto - populate applicable fields, indicated by orange highlighted fields. First Inspection Information Second Inspection Information Date: 4129 /2013IVerifier Name: jesse fear Date: 7/29/20131 Verifier Name: Jesse fear Incentive Payee Company Name Builder or Company: westland industries Contact Name: Performance Testing Company: Technician Name: Verifier Payee Company Name: Technician Name: Jesse Fear Site Information Development REM /Rate SCO Project ID: white oak lot 27 (required from verifier If project is ENERGY Name & Lot # File #: STAR®) Site Address: 11063 sw legacy oak City: portland State: OR Zip: Unattached r Attached Number of Stories: 2 Total Conditioned Area 2189 Sq. Ft. of of Bedrooms: 3 None Full Basement 1 Half Basement . -, I Crawlspace Water Heater Basement Type: Electric J Garage /basement combo ] Slab on grade ❑ Other Fuel: Electric Provider: Portland General Gas Provider: INW Natural Electric Meter Number (must be permanent meter number): Gas Meter Number (must be permanent meter number): 25 331 252 _46373506 Additional Project Information (please mark all that apply) ❑ Code plus Best Practices (meets minimum Best Practice requirements with improvements above code) El Path 1 EPS'M Best Practices ❑ Path 2 ENERGY STAR' Envelope Upgrade Equipment Upgrade Ducts & HVAC Equipment Inside ❑ Path 3 ENERGY STAR with ducts inside ❑ Path 4 Performance Plus with ducts inside ❑ Path 5 Advanced Performance ❑ Zonal Electric Efficient ❑ Advanced Electric Resistance ❑ Live Net Zero home Li Solar Electric (PV) 1 Solar Water Heating (SWH) 1 Small Wind Renewable ❑ Solar Ready Electric (SRPV) - I Solar Ready Water Heating (SRWH) Energy ❑ Qualifies for Solar Ready Incentive (must attach checklist) Solar Installer Name: Company: Low Income ❑ Yes ❑ No Does this project qualify as Low Income? (must provide documentation from builder) Accessory Dwelling ❑ Yes III No Is this home an ADU? Unit ❑ Yes III' No Is the ADU separately metered? If so, provide meter numbers above Earth Advantage - Certification Level Other Certifications .--,' LEED -H - Certification Level: _ Other: Return completed form to: Energy Trust New Homes -- Single Family 100 SW 5th Ave. #700 Portland, OR 97201 -5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 1 of 3 y " 11/19 god 3 - -dD05 Form 640S Ali Completion Certification —Site Inspection 74N New Homes Program — Single Family EnergyTrust of Oregon Verification Category Type Actual Model. Equipment Details & Notes Insulation Flat Ceiling R- 49 Insulation Type: bib Framing Type: Vaulted Ceiling R- Insulation Type: ❑ Standard Scissor Truss R- Insulation Type: 0 Intermediate Above Grade Walls R- 23 Insulation Type: bib Below Grade Walls R- Insulation Type: ❑ Advanced Framing Size: Floor Over Unheated Space R- 30 Insulation Type: batt Floor Over Garage R- 30 Insulation Type: bib Slab Floor (unheated) R- ❑ Under ❑ Perimeter ❑ Full Slab (Perimeter and Under) Doors Door R- Door Material: Windows U- 0.30 Window Frame Material: Windows SHGC: 0.30 vinyl U- Skylights SHGC: Window Area (Glazing) % Total window area: Lighting # Fixtures: 36 Indoor and Outdoor 52 % # ENERGY STAR fixtures or CFLs: 19 Appliances ENERGY STAR Dishwasher Q Yes ❑ No EF: Model #: Cooling Air Conditioning SEER: Btu/Hr: ❑ Fireplace AFUE: 95.5 Brand: fraser johnstone Primary Heat Source El Gas Furnace HSPF: Model #: tg9s060a10mp11b ❑ Electric ❑ Boiler SEER: Serial #: w1d3668359 p Gas Heat Pumps COP: Btu /Hr: 60k ❑ Air Source (ducted) Outdoor Unit (for heat pumps) ❑ Other: ❑ Mini Split (ductless) Location: Model #: . ❑ Ground Source cond space Serial #: ❑ Radiant Floor Heat ECM ❑ Yes El No Heat pump commissioning report attached or confirmation for ground source heat pumps that ❑ Cadets Electronic Air Cleaner ❑ Yes 117 No manufacturer's start up procedure was performed. ❑ Zonal Backup fuel ❑ Electric Li Gas ❑ Other ❑ Yes ❑ Other Notes on Primary Heating: Notes on Secondary Heating: Water Heater Type: Gallons: Brand: rinnai El Electric 0 Storage EF: 0.82 Model #: r175i ❑ Gas ❑ Tankless Location: Serial #: dk ca 099000 cond space Btu/Hr: Return completed form to: Energy Trust New Homes -- Single Family 100 SW 5th Ave, #700 Portland, OR 97201 -5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 2 of 3 S i/3 —nod Form 640S A Completion Certification —Site Inspection 717 New Homes Program — Single Family EnergyTrust of Oregon Ventilation O Meets Energy Trust Mechanical Ventilation Requirements? S Energy Trust of Oregon's El Yes ❑ No ❑ Supply Only Mechanical Ventilation Requirement 117 Air Cycler HRV /ERV Model #: ❑ HRV /ERV Ducts 117 Ducts Inside % ducts inside: 95 Ducts in Conditioned Space If claiming incentive for ducts inside, check one of the following: ❑ Ducts Tested 117 Visual Inspection per RTF Specs Duct Insulation R- 8 Duct Location: Ducts Sealing w/ Mastic El Yes ❑ No Performance Testing Duct Leakage Duct Leakage Cubic Feet Per Minute (cfm) Duct Leakage Air Handler in 117 Yes Air Handler Installed During El Yes 105 @ 50 Pa El Pass ❑ Fail Conditioned Space? ❑ N Test? ❑ No Fan Pressure ❑ DG Fan Ring Size/Type ❑ 0 ❑ 2 Leakage Test IS Total Leakage Gauge DG700 Pressure: 271 (check one) ❑ 1 0 3 Method ❑ Leakage to Outside Duct Blaster Location: return Pressure Tap Location: supply (Area Tested: 2189 Whole House Leakage Whole House Air Changes per Hour (ACH) Envelope Tightness Cubic Feet Per Minute (cfm) Leakage 3.9 @ 50 Pa I!7 Pass ❑ Fail 1141 ® 50 Pa House Volume: 18394 Best Practices Requirements (All requirements must be met to receive an Energy Performance Score) • Thermal Enclosure Checklist complete 0 Pass ❑ Fail (Thermal Enclosure Checklist attached? ❑ Yes • Insulation Quality Inspection Performed Ei Yes ❑ No (complete insulation verification section below) • Approved Mechanical Ventilation Installed 0 Yes ❑ No (complete mechanical verification section below) • Zonal Pressure Relief - All zones comply 0 Yes ❑ No If no, state reason for failure: • Combustion Appliance Zone Net CAZ Pressure: Pa If not applicable, please explain: all dv Testing (required) Forced air system operation must not depressurize Combustion Appliance Zone (CAZ) by more than 3 Pascals (Pa.) Additional Notes: Signature By my signature, below, I certify that I have performed the tests as described, that the form is complete, and that all information on the form is accurate. Verifier Verifier jesse fear jesse fear Date: 7/29/2013 Signature: Name: Red Tag Inspection (if needed) Signature 'Name !Date: Return completed form to: Energy Trust New Homes -- Single Family 100 SW 5th Ave, #700 Portland, OR 97201 -5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 3 of 3