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Permit III CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit #: MST2012 -00161 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013 Parcel: 1 S126DB04200 Jurisdiction: Tigard Site address: 9425 SW 92ND AVE - Subdivision: MONTAGE Lot: 13 Project: Montage, Lot 13 Project Description: Building 3, new SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 278 sf Basement 0 sf Left: 0 Parking Spaces: 0 Height 32 Bathrooms: 3 Second: 625 sf Garage: 330 sf Front: 0 Smoke Dwelling Units: 1 Third: 666 sf Right: 0 Detectors: Yes Total: 1569 sf Value: $179,418.08 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 1 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywall -Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel TWOS Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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: V 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: $13,946.65 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE I • . Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0f 0 through • .R 9 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calline I .' 21987 or 1.800.332.2344. .- w 4. Issued B ___ , 2... !�`. Permittee Signat Ilk' �..•�r� �� — "� Call 503.639.4175 by 7:00 a.m. for the next available In - AP– This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ....... , „.,„ _.... — • ■ Building Permit Application , . Residential Sli City of Tigard itsestied /9 ,,___Nnisoie..,i 13125 SW tfall Blvd_ Tigard:OR 97221 u N 2 8 2012 P Revi Phone. 5037112439 Fat 503 59$ 1960 as ew „ .1. / , zoi.tv oil. p.m. , 62 .4, / Inspection Line. 543.639.4(15 -/ ,, I iii ! Seitrieillie .. Mane WWW tieard gov CM' OF TIG.4,9D tiongediMethed. Oil/ I Snajleirmamt holannommo BUILnINO D.'. ;1 1 MX 01 WOW 1 IIIQUOISO DATA: I- AND 14AMILY IIMULING Cjilk 1 Permit fees* am bated on the value of the work performed. construction I omiiban Indicate the value (rounded to the merest MAIO of all i 0 Addldontakerstion/mptscammt 0 Other equipinem, materials, We. overhead. and the profit to!' ----__ 1 CATEGORY OR COMMRUC11014 I work indicated en this application, [ en- and 2-family dwelling I 0 Commerciandu Valuation: S strial ---- Number ofbedrooms: .... I 0 Accessory building 1 p Mufti-family ID Master builder i r3 Oder: Number of tatiroonix: __ ____ _ __ JOS errs INFORMATION A7411) LOCA110114 Iota *amber of ROOM :,- - — Jab sac address: 9425 SW 92 Ave 1 New dualling area: square fcet _ i City/State/Z1P: 1 .:4 f) i... 61 1 2;2. 3 I Gaturicarport wet tgeere fecr J Suite/bldg./mit no - I Project name: toe. 4 r 4 - el " I Covered porch ace aquae fret I Cross urect/directions to job site: Deck traa: squire &et Other straillare woe • br i;_ square feet f5i1 ,J - - ---- /S INIQWRINVOLTAt 00111111111=ALANIX MOO= Subdivision I Lot no.: -13 Penult foes* at bred as the value of the work pafonned. Indicate the indite (minded to the neatest dottrel of all Tat mapqwcet no.: equipment, materials, labor. warhead. and the prof* for the \, DISCRWTION OF WORK week indicated= this igsplication. `-"C.,,-; Ivalustion: a Existing building WM square feet J New building SAM square feet -- 0 rioeurry OWNER i 0 1171AMF Number of stories; , Name: W Psi, il r eck I yuie5+h n4c 4_1-c. I Type of construction: A d d r e s s . I I 1 .5 e ) .5 w 1Z : frt f 1 k d I Occupancy groups: City/SurtiaZIP. p 4 1 r 1 I n yi d ak 972. k i i Existing: Phone: cip3)3 e 7 - 37 7 7 Fix: UZI> 3 6' 7 3774' Near. APPLICANT 1 0 corfrAcr PEON IMAM MOOT PET" Ousisess nom bA-A- AiR2(4-{ -VAAt ~a trek ofrosaM41 ,--. i f remotaind plan levies., fee (or pp ticpusitr: I Contact none: ._.s .ac ki " iizin.i.so _ FLS plat style-v.- izt (if aiigkitrbtei• Adliltss: 110 Q i t E1 b G . Tond fees due von apflication: f ri \,1 rs , (•7. r, , ,--,, ., 1 •-, -Ls i , T _ . Amount received: i • . Plausir t at / iti , -,V465 I Fat: :A . Ito - Li ,, „t:C1 PROTOVOILMIC 110LAX PANEL SYSTEaf VW' 6 1 Pt-AA elellei ( TAAAt rt 0-z A'n . ' cornaterna ( I Commercial and residential prescriptive installation of — p Business ' 1 " 77N AA A ' oclearA;ie. s. ‘ roof-top minimal Pitutuliniuur Soar Panci System. Submit two (2) sets of rout plan with connection deist's and lire Ottpsnment screw along with the 20i0 Oregon Address: k 6s,0 k .. e Q. Solar installation Speciofq rode checklist Cit \la iiNer,We r ti A q9)kga Penni* Fix (includes planreview i S180.00 and admininradve fees)- 1 Pktigle: 4 t, 0 6 1 - 34 bS I Fox: (8&)) fAc6 -ei 4.0 State soncharge (12% of permit tee): 1 $21.60 \ I t •Cii fic r q 4.0 4_ ./1 Tani fee due upon apple/then: i $201.60 X Authorized signature: 4 fr ___„„---fle The Frith applikattua expires If a permit is not obtaleal walla IN days afar it has been strepad ss complete. Print name: OK-Ltoa - 14,4 R QV\ K . 0 rDste: e;i Gr-, • Fee methodology set by In Bolding Industr, Servim noted 1 . 11 luddinglPerntits\BUP-RESPenndApp.doc 02/24/2011 4404613T111102/COM/Vall) . . _._ /27(12 - . .-, attachrnent 3232 ) t Plumbing Permit Ain) if, tea i t un . - ' •w Building Fixtures JUN 2 8 2012 iniz rirrIT ( )N.1 1 a-Ulf TUARD - City of Tigard Res-cited 1 Permit Nu 13125 SW Hall Blvd., Titi I Date/By: Phone: St/3.718.2439 • 1314)11N0;150:',''d!CIPIP, Date/By 1 Other Perm No , Inspection Line: 503.639111 - '^ --', 1 . I , ....■..... , 14 rime Rearivill I Nos 0 '44+ NM. ] few Internet www.tigard-or.gov Notified/Method I I Supplemental Information ....- WIT OF Ivo= me.- SCIfErt'LE 15(4ewetiostruction 1 7 nen),411.n ,.. bes _ iiiiiiion ._ For special information use checklist I Qty. T --- t.ii.1 Total 0 Addition/alteration/replacemeni I 0 Other New 1 - 2 dwellings (includes 100 ft for each utility connection) TFG I OF CONSTRUCTION (1) bath I 312.70 __ • -- - --- - and 2-family dwelling I CI commercialiindusiriat sER (2) bath 437.78 - - SFR (3) bath 500.32 U Accessory building 1 0 Multi-family Each additional bath/kitchen 25 02 0 Nia.SLCII" builder 1 0 Other: Fire sprinkler t sq ft Page 2 10/1 5/TF IPWORMATTON AN& LOCATION Site anittk-sr • - ' ' • ' Job site address: 9425 SW 92 Ave I Catch basin or area drain 18.76 City/State/ZIP: U (..,... Drywell, leach line. or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bidgJapt. Project name: '1(Y \C rk-kekeke Manufactured home utilities 50.03 Cross street/directions to job site: c5 ' "p a si--3 Manholes - - ---- -/-7.--v----- - - - 18 76 -- Rain drain connector 18.76 Sinker!, sewer Inn. linear 117 1 Page 2 - Storm sewer (no. linear ft.: ) Page 2 Water service (no, linear it.: ) Page 2 Subdivision: 1 Lot no.: 13 Fixture or Wein: Tax map/parcel no.: Back flow preventer 31.27 OF WORK Backwater valve 12.51 - DESCRIPTION Ckehes washer 1.4 01 I - . I Dishwasher 25.02 Drinking fountain 25.02 ! , Ejr,Clor/surnp i 25.02 51 PROPERTY' OWNFR 1 B TFNANT I Expansion tank I 12.51 I I i 1 25.02 I Name: 1\\ 4.\ _ P4P0 -- tv\t.tost-try‘ev\-‘- L-1 _C I Fixture/se 1 Address: " C tA) ..dik.,4 Floor drairulloor sunk) hub arbage d.poset i I 25.02 25 02 i I City/State/Z1P: .0 L a d le 0 . I G Hose bib t i 25.02 .- Phone: I ' , ii : - Fax: ( i " - 77 • Ice maker 12.51 Lj Air/lc:NT I r:t CONTACT PERSON 1 i Interceptor/grease trap 25.02 I . Busine narne 1 Medical gas (value: 5 1 I Page 2 __I Primer 12.51 Contact name: T Roth dram tcommerciall - . i 12.51 Address: I 1 Sink/basin/lavatory 25 02 City/State/ZIP: 1 Solar units (potable %ate!! 62.54 --1 Phone: ( ) I Fax : ( ) Tub/shower/shower pan I 12.51 E-mail: Urinal 25.02 . Water closet I 25.02 CON:RA(7r= - I Water heater I 37.52 Business name. W 1 Ak f_al EA 7 . cla' , s 7 Iiiti Water piping/Et 56.29 Address: p 0 (20,,,v- ??o 4. I Other: I 25 02 City/State/Z1P: VA je Subtotal i Jo u 6 .7_34 c lif i _ Ptime: ( .3 777.- l a ______ Minimum permit fee: $72.50 review of permit fre) _ CCB Lic.: / 7 17 6 I I Plumbing Lic. no.: /134, Plan (25% State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT iii - This permit application cipires if a ;mint; is net obtained it idria 1St flay, 1 Pnnt name. .40, pp ,41, Z.Q. 0 L ,,... • Lite • 01'14 . Date: 6. ?a after it has been accepted es aunpiete. gr • Fee methodolthn set by In-Caton', Riolchor Industry Serswe Board 1.41tukinePer•ths 1041/09 444 1blfiT110412,1COMNIFII1 .'-i pivcin . . • . REC,, Y 44 -,.•• - ... ....... . .,. ,. Electrical Permit Application _, N 28 2017 City of Tigard gi r ir OF T!G1.4Pr', 13125 SW Haft Blvd., Tigard, O.. ifsql . , ,..,.. Other Permit. 1 Phone 503.7182439 Fax I .t.': / 1: ", .0 o f , , -; -- ,, - 1 ....,P1- • P61 1 Inspection ne. 503 639.4175 m r V ■■ 1(..% • ' I Dm Readytily Li Nottfted/Meshod hei 111 r I See Pate 2 i for Internet %foa tufrard.o 120 at ----l 1 • I TYPE (W WORK PLAN REVIEW I laNcw construction 0 Addition/alterni ion/replacement Nene check all the apply (submit a sets of plans wAilla checked below ) feeds 40Damot. o. =OM On 1 0 00110litiOrt 0 Other: abate the a.aalsble auk arrest 0 Mannosnal homy& I CO CATEGORY v 0 C a OF NSiltlICTION 1- anil 2-fansi4 du 0 Cciumaciariadtistrial 0 Ar building nu.ono k,,ock amps& I SG .stiia ot 0 floseisabeithey. less to oted. or accemk 14.000 omeatilion stialltwal mpg Sce ail wax restaitanons *Mimes Mufti-fatailv 0 Master builder 0 Other 0 Far pew 0 hesallance of TS KVA ow — 1 0 Vottripory system larger sepenetly *mooed gyms. JOB SITE INFORMATION AND LOCATION 0 Addition of neu motor toed of 0 Mann 013.: Job site addin: 9425 SW 92 Ave mow Of ZOOM ocammoy. 0 Sea or sore residential uses 0 inwerient Wide parkr. • City/State/11P: is . 0 tkolik lactlittcs 0 Heneckwn keshors 0 swot Mb. ex mese am 606 oda nominal Suite/bldg./apt an: P11071 namm ' VA * 1 / 4 - 1 1. , 0 Service or feed.' 600 amps or mote Imre - — FEE SCHF.DULS [ Cross strectichrectiani lit job ' ' ,.. ril - a ilik ilrM ..., • EIMINII111111111121 ' sax ' . :41 4 .7: 0 • - - New rerideribei sift*. or ormiti-fatuie, ch■ eliiug mit Iselades mistlied wrap. Subdi. ision: I_ LOt as.: 13 1.000 NI. ft. ar les i 1 1611 „1: 4 1 I 4 staff Ea 500 sq. IL Kriastion I 1 . • tax map/parcel no.: Line ne al any, tesi I anatel 75 00 1 2 DESCRIPTION 00 WORK , (nth abereta I. LiWninnigy,selnIlliarly I I „ on I 2 ' twiliniintera aim ea ni 1 i Serena er bears Naldhellensterranne, earlier relsallse 200 amp er Ins 1 100.70 v 2 k PROPERTY OWNER I 0 UNANT 20J awe lc 100amps I 133.56 ‘ 2 Name: ANI Ptr c' . .. A i Q S L.LC — 401 mige to 600 rapt 2 - t ., ,.. 601 amps to 1.000 amps 1 1 3111.1M Address- - yd NA,L) 4 0/0(4.1 • e .. OVer l.tro:". imp nig 'MU X1226 , .2 i ' Twopenny wedges sr anew. istolitlin. salenalen aware; City/State'ZIP: R q— . e ,i- kat IA 6 1 i 4.1 Macau» librule: 601 a Si -311 I Fire (3)3e1 -31-74-6 200 alpt et len i 593 6 I 2 I , IN ampate4110araps 1 ' Owner iaidsHatios: This installation is being node on property that I own which is not • _ 125.01 • Alf MI 10 99 esa t411..S4 1 intended for sale. lea9e, rent, or exchange. acoarding 10 ORS 447, 449. 670. and 701. N 5 m 2 Mani circuits - sew, afteratier et edessien — Owner signature : Oar ' A Fee for Nance mains wrth - - — -- - - r above SCINICC Of feed= kt. 0 APPLICANT 1 0 CONTACT PERSON 7,2 2 Pusiness name- hi Toe for hrcnc4 circOtt; m t sem ox or feeder fec. first SEM 2 Contact tIM•11.- branch osruo Each addi brand came ----" F - 17.42 2 Address: ) ifilibeollaw•aina (Ice we Seeger ow tiosketierli i path wed or areduler I City/State/ZIP - _trioiiinnenviniatiler feeder 67 54 2 1P1v4ine: ( ) 4 Fax: : 1 ) , recanted airy 67 84 2 , ... , Pow Of if !WYO. friode 67.84 ' 2 li-nnil: $4 141101111 6711 2 UNTIRACT Salreeigoortimisaivaqg view Business name: , . , i y j a h a g f e e p i t z e c... 4 e r - - , . bleb 816.18811181140110 e v e r a l l s e r n i k l a I d lle dove Address: at .. 4' - 024) - ii ,.c-," Additiond inettien 0 hr ens) 6425/hr, , 'n louci.lisatoo 0 bra* ' 66 br aly/Stale/ZIP: wen Of/4 'e50 Indertresi pima (I br NW 78 1 V/ kr _ . - ft EMO: (J ) ft, / - if,PZ. Fax: f / Inpectams for whalia-1-&-ii 90.00/6r , Ancirscasv hoed 16 Is nit Cal 1.iC.: l en/ i 4 , a.m.:du. et t Supre. Lie.: 4/5f6..c Alt MINIM jail Sof" Electsici. sissaturr- required: Pim what ass of pan* Ink Print wee: 000(0.'40 it„,111•40,,,7 s I Dal= e76/ 40--Ar state terdonne(1296 a/permit het . ._ _ __ ._ .s.,, ll.fl AL l't1t..Mi I t t. Authorired given= J TIrki ismer eqlfrafshoff r•pir, if • rrrronfl i■ ... .1114sivwf .■tf.ff. 1 en t r r i t Wm bees oreopow Bo tampion. Print name: t days al Daft: . • N °mho, 4 , ....r.r. - fle.f. allf..crl Ix-. raermli I bilsidasalbasiteld.r.suicass doe 0741/16 , 4�.4k157111OIVIVES _- -- - - : -- E PrIFIVED Mectaaical Permit AD 1 "2 8 2012 I City of Tiprd 13125 SW Hall Blvd.. regard.ORATAP ric Tir ARP Nam: 503.7112439 Fax: 503.5903060.); , , , 7 , Wos" oI Inspreboo Ude& 503.434.4175ni T ; ' :''' ' : ''. Dag licadylity. P... , 111 See Mgr 2 for Mast. womm.nprdorgar • • - ' - - , • . randsiothaand Napokasoon thAraansa MR OR WORK C011011111CI4L mar scums - um anacurr f 14adura:01 permit hes* me bored on value of the wort geNcw coodniclion 0 Additian/alteration/repIacancat peofoneed. Iodide the value (synodal io the moral dollar) of dl I o Demolition 0 Othcr medwaial snaserids. animas* labor ovatioad. Ind wok I valor S CATIGORT OP carentecnon IIRIIIINIPOIAL ROUIPIIIRIT /INVIIINID PRIMP faor_ „id 24araily donning 0 Commercial/WM.44U! 0 Acaziory building My 'acid Wiererls. cos diothibt 0 Maki-family 0 Master builder 0 Othrr. ciaaomaieo 1 Qv, Fo Tool J0111 NM INPOISMATION Alla LOCATION Relogoirosollaw , Air consdiraning ke site addltsr 9425 SW 92 Ave frosoim Alan sannon oloonnoal , 46 25 Forum 100.000 BTU( 4sasoveasi I 4673 .. City/Stage/7 M "T" ;,-( -, 4 .71 el K Flamm 100d0D4 SITU nonarrors), 54.91 ,..,--- --- Switertrldg./api. no.: I Projecl sway HO /I 4 ely. Ilea pump nossoos aim olem amathe piemmil 61.06 Cross drastidisections Isjob sib= 54 .1 7 r = og: yr ±r 5 y/ .. "I ri I , - 1 ,4 - - Not work 2332 - Haim* hoe water sysocro 23.32 Rosidathid Soda (reader er r t Badman) Za.32 then healers (hoeitype. not exam). 1 neArail. iodate, impended, eid 1 4635 Subdivisino. I lot au.. 13 Flueartea for say of above 2.332 Mar 1 23 32 Tax map/paver rat: ' Odor hod anyhissees: 111CICRIFTIOth Of WORK • thaw lama .. _ _ ,, _ , 2332 Gee Ikethatermat 33)9 Rae rent Isr water Mew or gat , Reathrre I i 2132 / 44 mammy own= — 1 ^- " — -.- - - - - 0 IMAM Loa 14loa (gni Rrocidisallet stove !iced fitiOispeliesat asimouryitisartfluervent Other , 23.32 33.39 . 23.32 23.32 , _ 23 32 I Name: W. w . fl Ye A InVes tiMenh g_ LC, EaViegmammid alma astoengladan: Range Mod/elm kilthen 1 I Address: 1 115 0 -5 IV R;ve ( pa 39 , arms* 3 3 3 3. VP i Cier•Atoreri*P: P r Hcl fri a, C R. ri 7 2- 1 cl Ctalhes dryer aim* I I Siario-deal WINN lballasolee. 1 "I°111 7- 37 7 7 I Farr 4 sa3,3e 7. 3 77 8 I 0 APPLICANT 1 0 CONTACT NINON 1 1 taikt ammeinads. soma) 2332 L 7332 t 1 Ehriilletlit name: i 1 23.32 [Feet - 1 Coatael maw MIS lir Ines am sus ow old gairrii, Address: I furonce I Goa kW gimp City/State/LIP: , 1 WallfsvothadaVeitis healer Phone: ( ) i Fog: : 4 ) Vises Beam . Fireplace F-enaii: RAW CONTRACTOR ' eM I I Salibcc ' "Wine" Mgae t)-i . ea LAP I Clothes dria Ws) Other Additss: : Se I 44- )2 SOICIRRNICAT PIRSAMP PROP City/Sleet/JP: ie) Q Aavd1/4 0 1 Ci 4 ' , , frabsood I , Phone: #N ,..,, ,..., ,_ Mannum parse tee (S90.00) Pim avian 42934.01 patois lise) , . I Ca/ hc: 1 4 43 Stria =gawp (1716 of perm* ke) , 64 ntf 4.4, C4Wird c h.? TOTAL PIANO 1' VIA 1 , . A Audieriardsagamuse: ---- /.._ _... *Me growth agithemiso elides If • penthe i Dm domino& wIthis No Mays thew le Moe Wes amegeed se comithrom I Prism sane: C 11" \ (9C p Qt \ 1,./... ! Doe l IA /I I • Fee methodology set by To-Coady Buddrog lodustry Soviet Board bL. ■ 1.-amaagadaramraer-Panandooda. . min 44 cum L thl) - — — s Wic aw r,a 9vL {lo - A-a t 4/I *5 I-or/3 III • Building Division Development Code Provision Review r i c, n Ei D Residential Projects Building Permit No: 1 do /- -66 /4./ CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Vi Routed Plans: Original Plan Submittal Date: G Pg' "y 1st Revision Submittal Date: iti 1° ❑ Site Plan Only 5Week 2nd Revision Submittal Date: ` 9- I - ❑ Site Plan Only E_ ,e --0Eaf 5 a/2 NT4 .r L /LEv I» J5 ONLLc ^_ To the Applicant: `/ /ld�! ft ,J a .2 T RFR'/ o - Dc" f"-.1 rJ� (L+�J 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 -or @ tigard- or.gov) Land Use Case No. J O , ` 3 Name MO �Q Zoning .,...Er Setbacks: Front Rear Side Street Side Garage 9- Maximum Building Height Actual Building Height $ Visual Clearance ja Easements ❑ Sensitive Lands Type: AIM' ■ Notes: / 1) 0 a ,-61-1- 4 - 1 ..) ise0-qi/ / -1 Id / S 1 4 1 /i Original Plan: Approved. -F7 Not Approved ❑ Date: i i' 7"1 Revision 1: Approvedel Not Approved ❑ Date: 7 -( L9 "/ Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW@tigard-or.gov) .Actual Slope: S Notes: Original Plan: Approvecl,-Er Not Approved ❑ Date: 7 2-3 i Revision 1: Approved ..Er Not Approved ❑ Date: 1 4 13 Revision 2: Approved ..gr Not Approved ❑ Date: 13 5 , y- om^' t o-. : q 1,1 11 3 1 A- mac' I o-". Le & Z l tee. 4I ( s. 11 3 ----?}, - p a.,,_ 47 ,p.k .1 / bo Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) A�d�treet Trees L� Protected Trees Notes: Original Plan: Approved Ltd' Not Approved ❑ Date: 7 7 3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albcrt @ tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ' No ❑ Date Routed to Building: _, 1 `/ 2 " Page 2 of 2 9 9 / e stYrfra t 6/d 5 1-47- /3 • I " Building Division Development Code Provision Review G n R D Residential Projects Building Permit No: h 5 r do / . - CO /6' / CWS Service Provider Letter Received: Yes ❑ No ❑ N/A la Routed Plans: Original Plan Submittal Date: G PT /y 1st Revision Submittal Date: h ❑ Site Plan Only q7A45 2nd Revision Submittal Date: ` 9 - / 2 - ❑ Site Plan Only E_,r7- 2 `oec,E 5 a /27 /r 3 Ai 1 EA2'i�t (LE VY -s j pu ON L Y To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact at 503- 718 -2/& or @tigard- or.gov) Land Use Case No. J , O 3 Name f) 7U 7 _ _0 Zoning Setbacks: Front Rear Side Street Side Garage 9. Maximum Building Height Actual Building Height .9' Visual Clearance 52 Easements ❑ Sensitive Lands Type: !U /1' Notes: /app , -624c i Syr -," ,^P-0 ` t 1-1 lam/ lb' G✓ /vi -v)° ' Original Plan: Approved -E7 Not Approved ❑ Date: 7- 7'-/2' Revision 1: Approved Not Approved ❑ Date: 7 - f fJ / 2. Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) . Actual Slope: S E 1 Notes: Original Plan: Approve Not Approved ❑ Date: 7 3 1z- 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: ( 91 s .-- `, 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 I N a Transmittal Letter r I i , A it 1) 13 5 S VW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: CL• DA DEPT: BUILDING DIVISION APR 18 2013 . FROM: —f-51 CITY OF TIGARD BUILDING DIVISIO COMPANY: /y A PHONE: 2C' - 7 ) 2.1 o r �G RE: 9 .P5 O qP 40e . r� -00/67 (Site Address) , 5` / �3 ect subdivision name and lo umber) / , q ATTACHED ARE THE FOLLOWING ITEMS: I r410 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-e9 FOR OFFICE USE ONLY �� , Routed to Permit echnician: Date: kJ2� f Initials: �� i� Fees Due: es ❑ No Fee Description: Amount Due: • P lTiOa00Pct.– E - L) R r $ 2 7C . C $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:1Building\ 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 III _ Transmittal Letter F I A K n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: P4 DATE DEPT: BUILDING DIVISION APR 1 1 2013 FROM: 1 .W/i, CITY OF TIGARD BUILDING DIVISION COMPANY: 1'VA/ 1,1-1///-VIT _ fi n PHONE: /7/ j ? Q • ,q6,/ 3 B Y : �l RE: L/ / L A d..- 3 Hiii f a7 l of ite ' ' a' ess (Permit Number) ((Q R 1(o (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: /0 Copies: I Description: Copies: Description: Additional set(s) of plans /44 Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. it." I/ Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): t REMARKS: Li ,..--.....-- it' i' Avp___/0_4&(_ — / A / d/ �7� .0' .4 t L> ■ / FOR OF ICE �JSE ONLY Routed to Permit Technician Date: - J ( Initials: !�; Fees Due: ❑ Yes ©'No Fee Description: Amount Due: $ $ $ $ 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: ?Vc $ St-3 9 ff/ /&° 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. N -I City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT -. 11 II r Transmittal Letter I , 1 i; I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov t TO: DATE M 'l DEPT: BUILDING DIVISION V 1 N I MAR 2 8 2013 FROM: t7'9)074P � � R w CITY OFTIGARD � BUILDING DIVISION O i� ' c COMPANY: rn ,/,1 �7' J PHONE: "/ 7/— 2-70 _, - By: RE: � ��D ess) A. �s Tao/� — o o ��/ Site Address) (Permit Number) /4.2 /`3 C bdi t P (rojec name or subdivision name and lot b ot numer) N.\ �� y i2 ` A A CHE A THE FOLLOWING ITE , /G (D "' o ies: Description: Description: Copies: Descri p P P P v Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. p Floor /roof framing. Basement and retaining walls. t Beam calculations. Engineer's calculations. "I 0 �•=1 `, Other (explain): /2y , f/ , k, • , ff - - '- // / % fi x J 8411 REMARKS: 7/T /727A)0,17/40 /vj S 7 7J /5 s G /? -!i' s• S 4 ` 1h* /7S % i,. Z 17 7 'Alili - HZ 5 >_ / F ► OFFI U E ONLY Routed to Permit Technician: Date: ' '2-4 I -, Initials ,A0' i ., cl Fees Due: • Yes (i' o Fee Description: Amount Due: J $ Q $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: i 1: \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 9425 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 305 Plumbing underslab 05/29/2013 14:17 MST2012-00161 PASS NOTE: drain, waste, vent (DWV) rough/test with water, Pass. Check grade on all branches prior to pour 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 9425 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-02-27 00:00:00 MST2012-00161 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 9425 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-03-06 00:00:00 MST2012-00161 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 eR6-E}/ 7saie,Ka , owner/agent for ,V Gel 4e14 (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.: /A57-00/07- ©D/6/ SI"1 E ADDRESS: qy L5-e/ 901 Ave SUBDIVISION: LOT#: /3 SIGNATURE: DA 1 E: C_ G . /y (OIL NER/AGENT) RECEIVED e- VL'RIFIED BY: RD) DATE: V f j OF GA Tree location verified per approved site plan. / 1:\Building\Forms\Street'I'rcccertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, (Del o" l.SaRen+eo , am the general contractor or the owner-builder at the following address: Site Address: qi ose (0 ,a kite? City: ---1 a.f`c Permit #: \A(\5-c 9.0k9. Subdivision/Lot#: 3 ill cro a e. 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: -5r(.4 Gener.1 Contractor or Owner-Builder I:\Building\Form1RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: \ 9ç) i1 _o 0 I Jurisdiction: Site Address: ci 446 ( la !we 413ct rd Subdivision/Lot#: 1flo \aq 1 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)1 __ Signature: 1� > Date: 3 �5 7 Owner/G neral Contractor/Authorized Agent Print Name: &.1€.1 isQ vet/ ice ' 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. 1:1Buildingl Fonns\RES-HighEfficiencyLighting.doc 07/01/08