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Permit ,� CITY OF TIGARD MASTER PERMIT IN a COMMUNITY DEVELOPMENT Permit#: MST2012 -00162 T t GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013 Parcel: 1 S126DB04300 Jurisdiction: Tigard Site address: 9429 SW 92ND AVE Subdivision: MONTAGE Lot: 14 Project: Montage, Lot 14 Project Description: Building 3, new SFA BUILDING Floor Areas Reauired Setbacks Reauired 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 1 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 Times 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 Tema Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R -3 1569 Owner: Contractor: NW AREA INVESTMENTS LLC AAA PROPERTIES INC Required Items and Reports (Conditions) 11150 SW RIVERWOOD RD 16501 NE 65TH CIRCLE PORTLAND, OR 97219 VANCOUVER, WA 98682 PHONE: PHONE: 360 -609 -3465 FAX: 360- 718 -9701 Total Fees: $13,621.15 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001! 1 • • . OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 51 32.1987 or 1.800.332.2344. • Issued B / .,d _,,,,i4::_I Permittee Signature: 4111110 ' iii �r'i' Call 503.639.4175 by 7:00 a.m. for the next available inspection • . 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. ....,-, . ... . ........ . . _ . • - ' ,; r Building Permit Applicatiol peril huri 1 sr„../C 4CD Residential • ______ ........_ City of Tigard JUN 2 8 2012 . . PgRiL i r t PenniNe $r ,/ ,.• ,- 13125 SW Hag Blvd.. Tigard. 0R 97223 Pim gram Phone 503 211 2419 Fax 503 59a tri l PV OF TIC; bpn i g ) / Pi r / l 1 III t inspection Line 5031139 4175 - . ' , DOI . , 0 , 5 ..... - Sae Pase2 br Si Internet w et wow teed-or Ito., . Sappleamtetaillafselasitee _ _ _____ TYPE OW Wt RIQUIRED DATA: 11- AND &WALT WILLING _ 4i4C ' o Danoiliion Permit fere me hosed on the value of the work performed Indicate the valise (roasted to the newest dollar) of all 0 Additioaealterginnlrepbeement 0 Other: equipment, materials, labor. overhead, and the prof Mr the CA el..' 2-family dwelling TECCialf .31 mearmucn°114 0 co.mercioinduarid I, work tads:sled on this application. Valuation: S Ntanber of bedrooms: 4 0 Accessory building I 0 lidieln-farnily 0 Matter frothier i 0 Other: Number ot bathroom= JOS WTI lifdlORMATION AND LOCATION Iowa matber of amen .7. -- j° site addreur 9429 SW 92 Ave New dwelliag arca: s..lax: !,.-rt , - -- — Cit}:Staie/ZIP: -r.le, I d . 4 1:2 0 1 2;1 3 Oaregeicarport BM squirts? ft... SutteibldE rapt . RD.! -..--.'-"-..- NOVI moor h /7 t f ai z• et f'r 1 Covered porch area square feet Crops street/dividing to job site: ,. Dock area: squire feet C0 O 0 ther struaurc area: ' br- 1,1 iquare fee: _ — _ _ ... 2 9 ___,- QU r ItILIRID IIIATAt 1111110ALAISZ CIIICKIJET Subdivision I till au.: 14 — Parni - fees• are based on the value of dic work performed {Micas the value (mantled to the nearest dontr) of all fax marsperoel no.. equipment. materials, labor. overhead, and the profit for the DESCRIPTION OF WO= indicated on this application. Valuation. S I Existing building area square feet New building area: squire feet 0 maim 0111/021 1 0 Yammer Number of stories. NI Kt A r Uk i ^We s+ me ...It L. LC Type of construction: Address. i I )5 0 Sas,/ R . Ire r weed Rd Occupancy groups: CityiSiwoZIP: p r 1- / i'l in d a fz,,. 9 7.1 k 9 Lusting: Mom (030J 7- 37 77 Fix ye7- 377 e New: - 0ARIPILICAPIT 0 ecarrAcr MOON 111 MART PEW , _, Mem fee is Ise ashvadfl Besiris am , a ' it lit i 6 sfili, _ l i Slavonia' pion review foe La jcpart it i Combed AMC -rqe I • iiton.k(o KS plan review ke (if sipticable). • Address! i . ‘%3 la ' . _ _ _. CStaterar: Tatn-r=111111M-.-- iffirotiNIIIIINI Total tees due instm applicodiatm • eiwne t .912reMEEMIIIIIIICMPU-faliRtnItai Amount maim* Ern : i T V ,ilivtirmanwevarimpamc, FIRYPOVOLTA/C SOW AM NIIIWIt pau• commamos (,,\ Coen c I s prescriptive instal s Man of t atillinC115 1'11=7 A A 1 "c: 1 :m1'A-s t e t i c Submit two (2) sets afoul' plan with connection details and tine dmartment aceess, along with the 2010 uregon 1 Address: i 1 _....w_ , ._ Setae Inseadatton ApecicAo• Code checklist _ i Ity/StakeiLlP! \Ill arw kku 4t9dliSa — • Permit Fee (includes *preview I MOO and administrative fees). I Phone 6 W) t 0 q 0-1,4105 f PlUi: GC:0 t A 4 6 -- q i f3( kat surcharge (12% of permit key S21.60 i COI tic it. .: / Total En Roe upon appications $2014.0 j( Authorized signatule: TIM perm ailleadba (spirts If a gamma is mat obtained ' - (Ire n& co .. a ill AMIIP'r I within 1110 days ales it her been areeptea as complete. LP— ni-r- oK5ei LAO. re.11 eGy■Ko AA- lo T mar F• ee methodology set by To-County Bolding Inst duo • 11 , Scry ice Pkwrd I ViuddintesPennitASUP-RFSPerawAppAlcm roma I 4411-461 3T(11/02/COMAVLB) J27/12 , gtbSoh rtenll 4 480a 3232) 'p :'vim ' .! Jr Plumbing Permit Auplica��� Building Fixtures I � + JUN 2 8/°2012ry 3r - -- `n'rr- rwricr iv --- °' City ofJB R'4TM G1?R .t... i Ti;� • 13125 2S SW Ha ll Blvd.. Tinard.0 2 /I� ! ° WA* ... rp. i _ __ WA* 7n.. ' ' a ('hone: 503.718 2439 F ax• JS- ;" !}^ -1°;:' i'.. 4 - p h)) DaicBy t /I Permit ‘17 2 r Inspection Line: 503.639.4175`' - • ^ -' y , ' e: • I { f w Pat. Nee R early tn. I l one -_ I nternet: www.tugard -or. goy I Na16ed/Method I I Sapplemt:ital Information I i 1 OF WORK 1 EEL' SC5 :r.>;L'LE 1 I New construction I f? nemi tin ion I I _ . ___ - For spec 'ialinformation use ckeckf6t Description I qty. ( Ea. I Total 0 AdditiOO/albstatioo/teplaaamem I ❑ Other: New l- 2-farily dwellings (includes 100 ft. for each utility connection) Y OF CONSThJ(FliON - SFR (1) bath 312.70 • - and 2 - enity dwelling + ❑ Commercial /industrial - I SFR (2) bath 4 78 U Accessory building SFR (3 teeth ❑ M ulti - family - - - - - --} Each additional bath/kitchen 25 02 Master lwiidet 0 Other: I I I Fire sprinkler ( sq ft I l Page 2 1.048 WIT !NFORM.!Tt' N AND LOC.tT'ON Site entities: Job site address: 9429 SW 2 Ave ( Catch basin or area dram 18.76 City/StatdZl T Drywell leach line, or trench drain J 18.76 Footing drain (no. linear ft.: _ ) Page 2 Suite/bldgJapt. no.: Project name: �/� y� { t v� t rtraQ Manufactured home utilities 50.03 Cross street/directions to job site q� i v Pa Q � - �, 0 Manholes _ T 18.76 Rain pram connector i 18.7(9 Sanitary sewer (no. linear ft: 1 Page 2 I I Storm sewer (no. linear ft.. , ) Page 2 14 f Watel service (no. linear ft.: ) I I Page 2 Subdivision: I Lot no.: 14 I Fixture nr Ream Tax map/parcel no.: � Back flow pm 31.27 < -- - - - -- --- --- -- -- " - - - -- Bukwateryalve 12.51 "1" `'ESCRI'11oN OF WORK i - Clothes washer 75 0 . - Dishwasher 25.02 I Drinking fountain 25.02 Ejectulsistunp 25.02 thou rn aTYNF7t I 0 TFN ;NT I I Expansion tank 12.51 Name: Fixture/sewer cap 25.02 tN U., - T O � OS1- I, V. (...-k, ( Floor floor sink/hub 25.02 Address: W �l� 1VC N �f W pl - - - -- trMh4pr at�� w1l z5 m City/State/ZIPVo U d OE l t ea, y Hose bib ! I 25.02 Phone: I ( i J 11'J I ��) 7 ^) ? - 7 v _ ! } - Fax: Ice maker 12.51 APPLICANT ) G CONTACT PERSON Interceptor /grease nap 25.02 I Business name { I Medical gas (value: S ^) Page 2 Primer 12.51 Contact name: I- - - - -__ . .. 1 kool drain (commercial) 12.51 Address: ._ Sink/basin/lavatory 25 02 City/State/ZIP: Solar units (potable water) 62.54 1 Phone: ( ) I Fax:: ( ) Tub/shower /shower pan 12.51 t -mall: Urinal 25.02 CO?(TRitCiO8 Water closet 25.02 Ill Water heater 37.52 Business sins name' Ill ar f {Ll nn �. E�-e rw ? ` r / l s+. r jaaic I I Water pipingiDWV 56.29 Address: PO (Lew 7 70 479 ( 25.02 I 1. City /State/ZIP: _VA/UV 4 Subtotal Minimum permit fee: $72.50 I I Phone: (3y) 772., ST/ 4e- Fax: (1gry ) zig, - tie // Pi= renew (25% of per- fee) CCB Lie.: / 7/76/ 1 Plumbing Lic. no.: Lao State surcharge (12% of permit fee) I Authorized signature: -.- TOTAL PERMIT MtT FEE Date: Print merle: r _ This permi app tzpirrs if a permit is not obtained Kithira t3C days in, *0 4 ' 410, I'" fy • 10'11 ;.,}r"t lit I 6.-4.7 . ?ail. after it hu been accepted as complete. a "For metludnlnw let by Ili-County Antidote Industry Service Board 1 lau ldinePannfnPLMU- PanulApa doe {601/09 44646 16.7( I SdCOMAVFA). 1 ... bole .,.... Electrical Permit Application City of Tigard 28 201 R t ,alt No nateiFiv 13125 SW I tall Blvd.. Tigard, OR 4 �i" y Pim Review 11 1 Phone- 503 718.2439 Fax: `303.591.1p • ' 6 I . DsssBr 1 Permit. inspection Line: 503.639.4175 r1 } ( .. , Readr�By: { let+ O See Page 2 for Internet won*. ii i or �rw `" "� y'i4 � ( [hoc Notified/Method I I 'Sw�r.eeaei taf rmadm TYPE OF WORK PLAN REYiF.W PiNcw construction 0 Additionialte►ationreplacement Phut check all that apply (sink j set: of plus Wiens diedked beiow ): r, a :+ix ‘ii 1:2 '' 4 M aromas aim zu thew *dim i El Demolition ❑ Other: - _ - whom de a.adabk ant name ❑ Mamas mil boatya I I CA7EO(MY OF COft T7BUC ICK4 Wu'," iu. h m sfaa tse.garu w 0 t ar.d 2 - i:; dwelling 0 cowoariaLle :nlrial ❑ Ac:�cssor d building imps to ground . w r..orsls M.000 ❑Ca...roir..,.+e- --J aapa iw si1 mar rttlsalinhe•s dadilR Multi - family tEl Master builder ❑Other: ❑ Fespun, 0 liietaratissef7SKVA 0 Em earn o s >s i m larger sganerY esirad wawa. / JOB SITE INFORMATION AND LOCATION ❑ Addn,ua of ream ngpr Isai d ❑'A', `E', "I-27. - 14". Job no.: Job 1 1 r site ' ' w . : 9429 S 92 Ave 1prlliP a more ❑ si% of more res,dmOd M itt. U Komsomol vehicle parks_ f ❑ liralih ,.arc Iaralitiaa, ❑ Su ppt uIlape for more di.. 1 ; ❑ I a,wtn., hr ali0fa. 600 volts nnminel Suite/Mg./apt. /ttpt BO.: Prolax name: �� / / ❑ Service a klldar OM amps a ,sore Ctvss atreetJdiradions b job site t FEE SCtiFill;i B ♦l� � ► V a.reisel� 'eats. FM ttW 1 • I T 'Beet resillieaoqu single- or mike- family a ncil m omit. Irtdda attac *arctic. Subdis ision: 1,.O* no.: 14 1.000 eq. ft or less I 1 68.54 4 Ea. add' RV on ft o r , ` .. rfer f I - „ 4 1 Tao map/parcel no.: l i IWIemi , residential C:RIPi K A OF WORK (void, ay. f., 75-00 2 lllily LimiteduIcre'. multi -famdy I t 75 O(1 I Kniannd onion adore ion. n.1 i I I 2 Serrips or feeden htntaration, altrraeite and/or relocation 200 mpg or let 1 I 100.70 1 2 Xeno R7Y (Mail I 0 ii 1 Alhf _' i ^: amps u 400 arils I ! ii .5 2 N ;sacs 14 . Area la Y A n 42,At s t.c. 401 amps to 600 amps _ � 1 200.34 _ tin 601 amps to 1.000 amps I I 301.04 1 1 2 1 Address t { f3 r- t f �►.� I o: r '.on0 amps or tro it 552 r 1 4- k N j ro e t cy ankle eat iced!// itltlslisMM, NseratiYa. mediae- relocaden Peel 3534 -3"1 l 1 r a w - 3 1 - 1 - 6 31- , 200 =Pi orIca ' 5936 ' f I 201 amps to 400 amps 12508 ii 2 Owner installation: This installation is tieing made on property that I own which is not 1 intended for sale_ lease. rent. or exchange. according to ORS 447, 449. 670. and 701. 401 amps to 599 amp t t1iC Si I ` Branch circuits - pew. alteration. eat aU tuna signature. - - _ -- Date: - -___ A Foe for tench drams with above scr Ice or feeder fee. + ., u APPLICANT I 1 CON FACT PERSON I{ I__ __each branch cadre__ 7.42 B name - _._1 I A es w Fee foe branch eseern ir/,rwr I • — - — SeniCC or feeder fee, fast 56. ft 2 C ontaa rime: brand, circus 4 E a c h a d d ' I branch errand l 1 742 -2 Address: AllisveViaawasee (ea'rek ''e or kegler malt L46.10144.4 City!State ZIP: F:di mandFarnrm ar module, i I 67 84 I 12i —. --- • Phone: ( ) I r• l • ? P per rtasl!' 67.84 MIN E -alai, ils av« cock 67 . ►ac daces lighting 5784 R Sigma conies) or ftmilsdwap' me: / .e4'y, iU " t , Business name: / d .!a!� "r - - 2 2 - I N Each additional ' over aHwsalde i of the abase t v 1 e 4 �� i t s r..p I m ever say Address: I A ddglauil ,itsPe.'Ison { t M min) K=SIIr ' 1 I City/State/ZIP: C12,,na., Wi4 (;4)5 X •.- ,',,: -._ : mid) ft- WIT tndustnal liars (I hr NM) 78 lt/lr RiesC ( , ;) OP � - . � 2 I Foe: ( ) irtspxt au Fa whack no roe u a0 rl0l ,- listed4hhrmin1 CCB Lie.: /9,` )!j I El is l Lit.: C= Lx . I Suprv. 1,ic.: '/5 - y!! ELECTRICAL PERMI1' FEES . I SYpfr. Electrician aypnturc, required: Plan review (25% of pennn feel' Pitt tide: 4TQ *4 r;EA n Ell 67€4.767€4.767€4.72' �a titbit. wrdwae (1216 of period Foe) I Atntlori>edsigmeurlc Il/1ALYtt(lKtl het - i . This prole appres':... ..Tim w ... if per1[ I. nhes:.sr4 with:. 110 I Print name: D f N .r days atm it a.s trace acceprad as c.t plese. � I m h . d n.vc e. ,.r+1 .v., 71M.we.1 ,x. ,. erno 1 auiM.nelPe* e.,Ft C-Penvol Apo tin. 07411 410.4aHfr11/464X11411a8a I RgirJ.-:iirfs.. ....,.,,„ ._,,, Mecktmical Permit Amdissitikm City of Tigard J o N 2 8 2012 13125 SW Hall Blvd.. Tigank012- 9712,3 ?boor 9)3 7152439 Fax: 903.5984M r!G i RD mpl:boo I me 503 'I Dr 0 ;); .,..; _.. .,.. ri.: 1......i. ..u g ov - .. — . aselivai Draft Pima No. 1.11116 Obei Palm I e Dor fftablb. 1.... Fig 3IP, Mgt Mr NSIAIN41116X1 ime/IONSIIIIII 616,11111100 T Of WORN 01111111111111CIAL PEW SCINNIALlt - UR CNICELMIT Medwittel permit hes* are bared one vahie of the work li(New construction 0 Additiontalteration/reglecemcat perforated. tedium be value Bounded to the neeresdalbr1 of all El Demolition 0 Other enclimical menials, nyipment, labor overlies& and pro& valve- f CATWORY Of CONITINICTION NINININITAL INPUNNUNT/IVIIIIIIIIIPBIEM j 631. end 2-(amily dwelling 0 CommernelAndustrial 0 Aceesenry building For wader Inthremem me thereat 0 Multi -famib 0 Master builder p Other. D�s I Q, Fs UPI Ana in W imputalor4 AND LOCATION Air conditioaing Sub site 911619 9429 SW 92 Ave t ow.. sir AN Armee tlasompaft) 46 75 Femme 100,000 BTU mociaromen 46.75 City/StaterlIP: . ,--, 4 ( iz... Femme 100,000# 19111 tronsomain 54.91 Suitatlildtheri. no.: -÷"-- Ti T rojec1 saner Ma II .1 il:74, Hem pump . 4mpres sift vias ahmany panowinsi 61.06 Cross Mesthlireclions to job site: <5# 1 r ? te. ye N. 5, u ., '1 ri / ,- Mat work 23.32 Hydroste hat wager system 23.32 Residential boiler (radiator or ! Miaow> 21.32 Unit beams (thekype. not (Nettie). a -wait. is., sugpcmied. CSC 46.75 , Subdivisino. I Ihe au.: 14 Fishes' kr way el above 2.3.32 ITIter 2332 ' Tax map/puree no.: Other heel amthanmer 1111210101111014 OP WOOL Weser keens 23.32 .._. .___ ____ . — Gee Ilmolecolnent 33.39 Rae re weirrImaerar me . *eel.* 23.32 , — — - -- - Log liainer (psi , 23.32 V1994/1ELlet iamm 33.39 Wool Greptheeineat 2332 / -IA PRorsitTV °MSS 1 0 MANI Clomneythaerflhaervent 23.12 Otha 1 ' ;33; ,. M o m w. tni. A el a Inile3 i *Me nis L 1-C. f,avireamened =bend and smelthideo: 1 Ramp Snobbier kilthen 1 Addvusc 1 1 i .5 0 -S ki R ; Ve ( 14 1 0034 a 4 Men" t 3339 CiIPSteer Pc/ I' t ia ol ot , C-W ei IC, Clothes dryer alms 3.7.39 1 Siegle-dod saltine (bathrooms. 1 ""v'503 77 I Fax: 4 503)36 7. 3 77 el 1 toad con1011011.00. WM moms) 1 23.32 ... 0 *PINT I 0 comer mom I Aniclaewlepece free I 23.32 Other I 1 23.32 BlIbilfleet MOW. --- . —... ._ .... — .. _ _. _._ ... __. Feel MOM: Contact name: N r k lbei than $4.63 w ia O melt athlsid . _ SIA Address: furnace, sic. , Lim beat pump City/State/LIP: I Phone: ( 5 I Fax: 7 i 5 Welfseenendedunit haler F Wain healer 1 1 1 E-maii: 1 Raw CONTRACTOR i Itertitwe I fistineitt mane: NCI ip .... A.--k QC 1 , 3 , I Clothes Ayer tast) 1 1 Other Address: „, 1 )2 . MOW MOP City/Slate/if: t • iie vo k c , ,st?"'-'-'6 Fax: ( 1 Misinnum pease lee ($90.00) Nail imam (254Sof perm* Alm Cal lk.. 1 4C-I tol _ _ , Stile surtharge (1296 of panne fry) , fpoi nil' e,4 Crinkit c is-af TOTAL MOW VIA . A Audimired smarm' ....---- /..-' - . nit pore* a-cs illos espins We privil km GM elisiare em SR d.ys Mar .1 lir Me ornipsNI as eemplusw : i Pnat Halne: C RCA. - 44 I -561 li19, I • ree wadaddogy se by To-Coner &Weft bidwarf Savior Mord IlbAdmairammAl&CAmmeilApp fo. 03/01/12 1 571 II I WW1) - . 9d/ 674, rP 4-1> E. Ha t? 9- E 4'4 Building Division U Development Code Provision Review TIGARD Residential Projects Building Permit No: H' rd0 (L -6o /60 2- CWS Service Provider Letter Received: Yes ❑ No ❑ N /A, Routed Plans: Original Plan Submittal Date: 1st Revision Submittal Date: / / 9— ❑ Site Plan Only 2nd Revision Submittal Date: 9 /7. 2- ❑ Site Plan Only Z.- breCie27 e eaks d a 7 Ri.V?53vos cwt.. (to the Applicant: S//A// 3 44D „- A Tv 64.2 Or' •z: A)c v AJ . I ZtiOV Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact " S at 503 -718- or @tigard - or.gov) Land Use Case No. IL r O Name .$ Zoning Setbacks: Front Rear Side Street Side Garage '0 Maximum Building Height Actual Building Height Visual Clearance 0 Easements a Sensitive Lands Type: 0N Notes: Original Plan: Approved-Er Not Approved ❑ Date: 7J Z Revision 1: Approved' Not Approved ❑ Date: ' ” e -(2- Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) la Actual Slope: 4 Notes: Original Plan: Approved,2 Not Approved ❑ Date: Revision 1: Approved,' Not Approved ❑ Date: 1 Revision 2: Approved .B' / Not Approved ❑ Date: $ y3 13 ?)-c.0 S-t r•� : £// 1 7/ 3 (, "F)-e% �o : � f 3 p 6- lok Page 1 of 2 City A�rborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) l� / �treet Trees 0 Protected Trees Notes: Original Plan: Approved lli' Not Approved ❑ Date: "793' f. 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 A plicant Okay to Issue Permit: Yes No ❑ Date Routed to Building. l _ / . 0 / 2„ V/ i /XIV • Page 2 of 2 9 9 E II Ho ,v T74 /4 4- 5 / 64- / L I • Building Division U • Development Code Provision Review I i n ii D Residential Projects Building Permit No: H 6r (2- 60 /6 2- CWS Service Provider Letter Received: Yes ❑ No ❑ N /A Routed Plans: Original Plan Submittal Date: 6� / ,9' 1st Revision Submittal Date: < / / 9,-- l /� ❑ Site Plan Only 2nd Revision Submittal Date: 9//9./9- ❑ Site Plan Only e4n'•Pdo2 L+k5 00) 743 .7N 7 gi.J .75.21iN 5 cm/L 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- 2Y J or @tigard- or.gov) Land Use Case No. . Name /) c .a Zoning Setbacks: Front Rear Side Street Side Garage ❑ Maximum Building Height Actual Building Height ❑ Visual Clearance El Easements JD Sensitive Lands Type: Notes: /4- A- j,1,1 < Y . - iv L t v Ain J Original Plan: Approved-Er Not Approved ❑ Date: 7 Y7 Revision 1: Approved ".la- Not Approved ❑ Date: ' ( / L Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard- or.gov) la Actual Slope: 4 Notes: Original Plan: Approved Not Approved ❑ Date: tz..- Revision 1: Approved ❑ Not Approved ❑ Date: - Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 FOR OFFICE USE ONLY — SITE ADDRESS:( 9 5 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. Iii : City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT .4 Transmittal Letter T I G A R D 13 Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: C--.�_- DATA REGEI�ED;, DEPT: BUILDING DIVISION titlitiVU APR i8 2013 FROM: S --- CITY OF TIGARD COMPANY: // BUILDING DMVMSIO' PHONE: /. 7 j -- 2_1 Q ' q/� RE: 9z7L ; q A H �a -1- - ,,tt 3. -oot / (Site Address) (Permit Number) C i(a ;, sect n o su name and t um / e ¥ ATTACHED ARE THE FOLLOWING ITEMS: 1 t/o' 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: tic j —1-54 P L"- P -6 1 2) FOR OFF USE ONLY Routed to Permit echnician: Date: ~ � Initials: ` ' � "` Fees Due: es ❑ No Fee Description: Amount Due: lit ai, '� V kEv( ego $ 2:7o. C $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 FOR OFFICE USE ONLY – SITE ADDRESS: This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT "111 1 g Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: P4 DATE Rf3 1 P DEPT: BUILDING DIVISION C 1 1 1 Ti /, APR 112013 FROM: ///7 j� %, CITY OF TIGARD WO),(1/0 7 / DUILDI�IG DIVISION COMPANY: PHONE: '7 7 / `- - 21D • .1663 a RE: �// /f ' �f��/a l�l ite • • . ess" - (Permit Number) ((Q . (Project name or subdivision name and lot number) /CO / ( 6DS ATTACHED ARE THE FOLLOWING ITEMS: /Oce Copies: I Description: I Copies: Description: Additional set(s) of plans ,4 4'46 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): r l REMARKS: /a / v `` J / r / . .014e/ _ _%`t _ /� % / � l /1 4 FOR OF .ICE JTSE ONLY ` Routed to Permit Technici�an Date: - (" f Initials: A; Fees Due: ❑ Yes © Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 FOR OFFICE USE ONLY — SITE ADDRESS: ?9c Lc� 92' 5 S ff/j 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 .rovides hel.s the review .rocess and res•onse to our .ro N Z City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 2 " Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATE " `' V WED M ,, DEPT: BUILDING DIVISION � '� E q ' MAR 2 8 2013 FROM: 7/1 yj 7 7 4 CITY OF TIGARD i /ij'ffii'M / g BUILDING DIVISION COMPANY: l �j iec,7U/ PHONE: ' 7 — - 2-- -- 70 . .- , - By: `: RE: A J� — /'7STaD/� -0 01 (ite Address) (Permit Number) /e.2 as (Project name or subdivision name and lot number) 9 Nk A ACHED AR THE FOLLOWING ITE S : Co opies: Description: Copies: Description: t. e2„--- Additional set(s) of plans. Revisions: V Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. I I Beam calculations. Engineer's calculations. M w,1 Other (explain): , . ', ,, • ,`// / _di , _ /� iS REMARKS: if-7 /G9eri .5 /j S mil/ */? 2r%2 t 4 . A. i - S �%!i /� • _ i St44; , / / / 75- F OFFIC U E ONLY _ Routed to Permit Technician: Date: ' EZZIN Initials:�`�'�i'MM q Fees Due: • Yes I o Fee Description: Amount Due: .1 $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I (:\Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 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 9429 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 330 Water service 05/21/2013 00:00 MST2012-00162 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 9429 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 220 Slab 05/31/2013 09:00 MST2012-00162 PASS 3" radon pipe installed 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 9429 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 05/07/2013 12:00 MST2012-00162 FAIL Not ready R109.3 ORSC 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 9429 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 505 Sanitary sewer 05/21/2013 00:00 MST2012-00162 PASS 3" tested 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 9429 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 05/08/2013 14:00 MST2012-00162 PASS Violation Summary: Inspector Contractor FOR OFFICE USE ONLY - SITE ADDRESS: c 7e7Z 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 Transmittal Letter T i G A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: .9i\/ A/EZ -Con/ DATE RECEIVED: DEPT: BUILDING DIVISION R ECEVED FROM: o%4 /1, e'/ 4 im4 JUN 19 2013 COMPANY: Ailif // iik--/7 �: ITY OF TIGARD / BUI DIVI PHONE: 0/71 ��� ge By: RE: A'ST.,2e/a - DD /lp 9 E 92• ,( (Site Address) (Permit Number) 7122 / r /6_3 9 413 3 'roject name or su. @'vision a an. of num, • 1 ( /‘ y ' , 13 /C'..S 994 ( // ATTACHED ARE THE FO WING ITEMS: ti /I /i /6 cr y Li 5 Copies: Description: Copies: Description: Additional se, s) of plan Revisions: Cross section(s) and detai . Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: '5 //U:. &16/ Ae / z - /23 7 7 7 Z / A / 0Z FOR FFI� USE ONLY - Routed to Permit chnician: Date: 7 r ( Initials: Fees Due: es ❑ No Fee Description: Amount Due: •'D ■ •L f +i.` _ ■ _ $ a ct:3 Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: _ Initials: C C a 7 /AI of I: \Building\ Forms \TransmittaiLetter- Revisions.doc 05/25/2012 pAy + "' O/ STREET TREE TIGARD CERTIFICATION I, c 76 i 4R�•c)KD , owner/agent for f}a> A£&4 vesfi/nenrJ (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.: M,57-02o/c1- Do/6.Q STI E ADDRESS: 9Z/4249 66j g9 11.ve_ SUBDIVISION: ii20j2 63-e LOT#: /y SIGNATURE: - �// DATE:E: •P7 R/AGENT) RECEIVED & VERIFIED BY: DAl E: v vl/ /9 (CITY O TIGARD) ❑ Tree location verified per approved site plan. I:\Building\Forms\StreetCrecCcrtificatc 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: o/vC,r- 1 n ,0010, Jurisdiction: Site Address: Aact C ca � /I a r J C� -1 C� Cpl C � Subdivision/Lot#: `'�!�O� in A �! and/or 'T� 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)1 Signature: _— `�j ' Date: 3 -5- 7� Owner/G neral Contractor/Authorized Agent Print Name: &(' Qv Q ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear,fluorescent,or a minimum efficacy of 40 lumens per input watt. I:\Building\Fol ns\RES-HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I (...� C_)ec5e f jSaRen+e-0 , am the general contractor or the owner-builder at the following address: Site Address: (314,94 5 go.. m e City: 1 ClareA V Permit#: 11151- 01 n -001(4 Subdivision/Lot#: Ill t and/or rT 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. Jr 7 Date: c�f 5 (4 Signature: _ _— Gener 1 Contractor or Owner-Builder I:\BuildingWorm\RES-MoistureSensitiveWood.doc 09/25/08