Permit y- p CITY OF TIGARD MASTER PERMIT
" ! S COMMUNITY DEVELOPMENT Permit #: MST2012 -00163
T t ; A A D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013
Parcel: 1 S126DB04400
Jurisdiction: Tigard
Site address: 9433 SW 92ND AVE
Subdivision: MONTAGE Lot: 15
Project: Montage, Lot 15
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: 0 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100
Drains: 1
Tubs/Showers: 2 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:
Drywell- Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea 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: $13,605.30
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 -00 • . , I OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued : 0 Permittee Signature: <� Qe— I eV- ---
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
�,,, .oar
Building Permit Application P1 r � . + o...�,
-
Residential i i, �" ' rs ` -
Sg City of Tigard N 28 2012 Phone .� �,I' Y`,r
13125 SW I lap Blvd.. Tigard. OR 97223 JU ., O � /�
Phone V13 711 2479 Fax' 503 59111960 ji• TIGI- .1 ' ■' —�' ,71V2 ��. od'°I`ti"a'IC�LpQi�/i "�;
Inspection Lute 5(13.639.4175 r .,, ' 1 00 DM �+ �'l� � j `iwwMN
Internet vww heard -o *o p e y'�_'� �" 1 • } , t }' `�+ MsE efa ►ad. �� ,— --
r-- -
TYPE OF ; WORK
Permit os►TAs 1 - Aim YFAi1Ri.Y tbUYtiti.t.fitiG
cvnseructiorm _T itl(l
fees" ere booed on the value of the wmrk performed.
o Dcmoliuun
Indicate Oa videos (rotnded to the nearest dulhrl of all
❑ Additiomlaltexarion/repteccnusu i ❑ Other t equipment, mase ials, labor, overhead. and the profit for the
CATEGORY OF CONOTRU T11ON work indiculed on this application.
— --__'
-1 f Valuation: S
rrl
• and 2- family dwelling / ❑ Commercial/industrial - -- - --
❑ Acccssry building ' 0 Multifamily Number of bedrooms - z z
Q Mann builder - - j ❑ Other: - Number of bathrooms: 3
JON UTZ om IS NATION AND LOCATION foal samba of Boos. - -.
,orb Isle address: 9433 SW 92 Ave Ncw dwelling area: square fret
City.'S1atc:Z2Y: - 1 - ^ •"+ t ;1, l? i..' ' 1 12 3 / (iarandcarpert tma square fen
Surte4144 no.: 1 Project name: ite f r '►r AO Covered porch area square fret
J
Cmss street/directions to job sue: Deck area: square fret
Other stumure area: ' /.nrc square feu
NiQUiIRN DATA: COMOSIIICIAL41111 CINCIQ.RaT
Subdivision 1 Rust oat.: 15 Permit foes` are bowed on the value of the work pakrmed.
Indicate the value (nnnd:A to the nearest dntlai of .1I
Tax mapipar et no.. equipment. materials, labor. overhead. and the profit for the
`
DESCRIPTION OF WORK wok indicated oar this application. __ —_
c /� Valuation $ — ` — —
1 r- r Existing isildillNarea square feet
i 0 - Natr brifiiL•illsa square fort
rROF aiv OIhN�R I O mama Nturtbn ofstorks�
..NiQ1e I. Arta i nVes iMewlf L L.(. Type of constracion:
^lower- i 115 O 5 wt/ R: kf e r 1-Ltild i2 d 1 Occtrpaecy 1r031Ps — — —
c.ty,Stat lP p r f in r , 0 R 1 i 9 f + _Ex mhos: — —
I then:t al t 313 8 7-3777 Pas:(,'3)397-3 I r New:
1 t'AP*UCANT Q nonuser meow 1* BUILDING !MOT MIS*
C'orracl name: i Ls ' = r ♦ -1 &mound pion mew* foe tor deposit. i_
��`� FLS plat review fee (if amplicablei. i
l ildress Mar ' nail • Total stn due open application ( -
F -Ciity/State/DP: G a. �_� /roi% t Amount revrivcd I
i : * terare trials ff e t ► � L iu PROTOVOLTAIC BO AN ?ANKLETS PRE
0. - Commercial and residcnt.alprescriptive outallsoon of
tuof-top tnwarad FitotuVoiutc Soar roues System
BuaimaesaalliC AAA 4 ( rhteS Subutit two (2) seta of roof plan with connectionderatls
au/ lire department woes, along *Rh the 2010 Oregon
ArklanC - • a • 4 _ Solar Installouon ieei+fly Core checklist.
{Q Fe rran lee includes rev re wtr r _ —
CKYJSYial>OT 1 er C ` "� Q � and administrative feast: I S1110.00 . -
liiare ., • I . d • Form t3 = i " O r Sure surcharge OM of permit fask 521.60
t & : 1 f CAO Told for shoe room appicairen: $201.60
X Authoeired signature: K T1L paaM a�taAfaa'spira l We hail is vat cloaked
Pont ont name- C.,n itf C to+r Dat es , F � Irlr spy Tn.Correy Smithies Wiest' r.
1 ('K fz IAA. -Tea R pin o T b f1• 8� k.. ox Board
l aHwldre(emlermusmBt /P -RFSPe amApp.doe 02/24/2011 440.4613T111A2rCOMVWES)
427/12 a ttactuptiM(.((480x3232)
Plumk in& Permit Apnl in _ '
Building Fixtures , ' 2 s I t ■:; I I, I I •I t).i )
s
City of Tigard ' tece1•.ed Pamir No.
1 111 13125 SW Hall Blvd., Tigard. QR.,,
a Phone: 503.718.2439 Fax: Soj. ten o'ww I Other Hamm No
Inspection Line: 503.639.4175 I
ti..AAll. Maur Rrvhon, 1 Wir aTw P•nr2for
I ntefnet: www.tigard or.gov Na died/Method I Sappkmental inn ation
i TYPE Of WORK 1 { FE°' SCHEDULE
_ Newamstruction I 7 rlemntitinn For special information use checklist
Description I Qty. 1 Ea. I Total
0 Addition /a iteration/rep laccrrrm ❑ Other: _ New I- 2 -taimih dwelliatts (includes 100 (I. for each utility tmnectioo) '
s U rtl , . , - OF CONSTRUCTION SFR(1)both r 312.70
al.Kand 2- family dwelling I ❑ Commercta_ industrial I SFR (2) bath 437.78
t I ❑ Accessory building I ❑ Multi-family SFR (3) bath 500.32
Each additional beth/kitchett 25.02
0 Masher bushier I ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ,,
JOB SITE P9FORM.kTTO!N AND LOCATION T ... Site trinities:
job site adaess: 9433 SW P2 Ave I Catch basin or area drain I 18.76
I
I _ t
City/ State/ZIP: i cu i Ory11, leach line or trench drain 18.76
� rooting drain (no. know P..: _ Page 2
' Suite/bldgJapt. no.: I Project name: m.Q ( 7 Manufactured home utilities 50.03
Cross strat/directians to job site: 110 f'1V� ,/ 5('-1,') 5('-1,')
-Rail Ybivj rMarAtoles 18 76 2
A fI Rain drain connector 18.7
I Sanitary sew (no. linear R: _ 1 Page 2
Storm sewer (no. linear It: ) Page 2
Water service (no. linear It: _ ) I Page 2 I . .
Subdivision: _ f Lot no.: 15 Fixture or Item:
Tax map /parcel no.: Backflow ireventer I 1 31.27 •...
r Backwater valve I / 12.51
:'DESCRIPTI OF WORK
-___ W - _ _ Ckshes washer 2[ 51 ,
Dishwasher 25.02
. 1 I Drinking 8mntain 25.02 -
P R(1PERRTY OWNRR rl TENANT
1 Expansion lank I 12.51 I
Name: 4 \� a �.
. AVO V \Q41 t--L fixture/usrercap 25.02
1 ` +' Floor drainnlow sink/hub 25.02
'111 k W %,41.01
c 1 °viMlge disposal 2507 I
Address.
City/State/ZIP: Pi l `4451 1A d ,
ony .1 g f a l l
c� yC Hose bib 25.02
Ph (�1 3 (i -Ill 1 I Fax: H34) V -' 7 v Ice maker I 12.51
0 :u lTLICAt1T j 0 CONTACT PERSON J httercxptor/gnase trap 25.02
Business name: h 8s (value: S - ) i 1 2
Cachet twee: Primer T 12.51
Root'drain(trornrnercial) 12.51 '
Address:
Siak/hasiNlaraASxy 2302
City/State/ZIP: Solar units (potable water) 62.54 -
Phone: ( ) l Fax: : ( ) Tub/showe,lshower pat 12.51
E-mail: -- - -- Urinal 25.02
CO;�•TRACrO Water closet - 25.02
' Water heater 37.52
Business name: 14 AM f tf ! k E C f ape c $ 7,X Water pipin8/DWV 5629
Address: p o any tot e7 Z Q 4Z 4 I Other: 25.02
City/StateIZIP: V&ui tl ark ^. , 4r/ - _ _ q 6 e z.., I sabtoal . .
f Phone: ( 3re0) 77'2. a J 4 - I Fax: ('p) 376, _ /b 1! Minimum permit fee: s72.50
I Plan review (25% of permit fee)
CCB Lie.: . 7 /7 6 i I Plumbing Lic. no.: L/3,0 J
State surcharge (12% of permit tee)
Authorized signature: TOTAL PERMIT FEE
Tai permit appeiealt a expir if a permit is not obtained midriff 23 9 da
Print name. , Date: � " • 2 G r alter it Ms tree mega' w ea.pleh:
•Fes methodology at by 76-County Building Weary Service Board
t'Judiet`Pu t,\PtMUYhnnWAgadec tO011ttl 441a6teTttaan(• .s rat
. . .
. .
Electrical Permit APPlicatioik '
City of Tigard
SI r; < -..• -
No.:
13125 SW Hal Blvd_ Taped, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
I mpectioss Line 503.639.4175
e , . .. Received
Permit
1
Dil"Y. Odle Panne.
Dee Re My/W. Me IR See Pose I f
Internet wow tigateko nv ew - NrTifierSIMedsod SaMismisIMI Miamollam 1
TY" o�$' i '+...' ',.);'i :...;i:,:'t PLAN REVIEW
J Ncw construction 0 Additionitiltaationireplavanait Please duck al thst apply (submit 1 sera , obese/item died tOd below).
0 Serviccer Seeder 400 mem or nor 0 Molding met risteemorics.
0 Demolition 0 Other: where dm medeble Ink amem 0 Mimes sod Roelyeek.
CATEGORY OF CONSTRUCTION mew& i0 sopa et 130 vole vs 0 notifies bade.
his to peet or emcees 14.000 0 Cemereed-me eerteektral
1 421 1- and 2-family dwelling 0 Commercial:industrial El ,tc.ccssor building mope tor aii mho mositetsam temkeese.
nia Multi-family 0 Master builder 0 Other 0 Fee peeps 0 huisnabos of 75 KVA or
0 Eromptecy system tamer sepaneely eared
i system.
JOB SITE INFORMATION AND LOCATION I 0 Adaitios of saw motor loud of 0 - A", "E", - 1-2 - , - I-3",
I 100111 a more. oraimiley.
lob
L . k 'b s ite add 9433 Sr...Ave i 0 Sox at more orideotel emu. 0 Recreeteed Mete pas.
City/State/ZIP: /cok T 0 ibelda-mre Ocilthes.
t CI SIEPAIY PI 1 NM ler lam *a
t tr L C 0 14avardeins Meaties
600 volts soesivit
.. Suite/bldg./apt no.: Project name: 14M _ 13 service ot Mohr 600 seco or more.
nil SCHEDULE
Cross street/directions to job site X *it 4 • ...b.. 1 ..,. 1 ... 1 T. i
__ __
_
Near nadasemi simile- ea' oselli-irdiy awake mit.
Wales attsehed wane. 1
Subdi I, ision: Lot no.: 15 t.000 ,q. R. or less 166.54 I 4 1
. .
Ets midi 500 m ft or porton J 3192
Tax mapipalvel no.: Limiest energy. mitleastal I 75.00 1 2 1 ,
DESCRIPTION OP *ORR (with above su. Al
Looked craw, lade-fandy 7500 2 1 ,
teselasial Nal show sm. 11./ I
"%. .
Services Sr Reim lestelloise, elleraties. aolier relocation
200 amps er les 100.70 1 2 I
PROPERTY OWNER 0 TENANT 314 amps to 400 amps 123.56 I 2 I ,
Name: ‘ I c 5
f 0 L 401 siege el 600 maps 200.34 I 2
vIA Qv • s LC ____ 60 , ....,.
301.04
, - -
Addrizar W CI 4.,,,0 1_ V .0 i rw € , Cover !AO arms rx volts V,... , -
'1 ■ ,
Teopesery services or kola's iesidlelles, elierodeo, andier
1 2 1 1
City/SI:MeV?: - f i kt:A. it N d i v R 41 OA ct reisessise
Pagin ea_3) 3S 31 1 - 4- I Pm " ( a a : e -- 1 - 3 i 4-e 'a' .1411"1.1 5936 I 1 1 .
201 amps a 400 amps 125.08 2 1
Omar iastallatkoa: This installation is being made on property that 1 own which is not 1
401 araps so emye 16g..S4
intended for sale, lease, rent, or exchange. according to ORS 447, 449. 670, and 701. 1 2 1
Breed drake - eew, elIerades, sr esteesies, per Aped
OWNS signature: Date: A. Fee kr ham& camas with 1 1 1 i
0 APPLICANT I
1 0 CONTACT rursot: above service or feeder fee. I
sack Mach name 7.42 2
Business name: B. F. far heuedt ammts Irkkarr I .
same or Reda lee, tea 1 56.18 2
Contact name: hiinia clam
Eyck earl treed cease 1 742 2
Address: Miresiloosoms(serwirx or tinder wet Lthriali
Each ammacisral as madam
City/Staler! IP: tivapihma. same amsieor foods 67.54 2
Phone: ( ) 1 Far : ( ) Recamect orgy — 671P1
-- faMis er ininabes circle 67.64 -- 1 2
E-mail:
Saga or motive *gains 67.14 2
copirraActoti- Sigel Omits) or Iiimised-essrgy
1 1
. ,
Business name: c ?-70h4 le, fZe C- Cl i 9 P1 5 • 1 , 111111111.aleatiss, ereseasima.
Each eildbleimil isisca 2
lekever aleweble le say et dm Mew
Address: Ot aQ /f/C 02d 41 S''' Additional imspation (1 a me) I 66.25/ hr I i i
inunnastion 0 br inia) 66:_v■ b 1
City/State/ZIP: 6 - ;a 077ee : 4 a,,.0 y4)60 A
I 1
bnlosernd Ow (I hr oink 7t IV hr ,
Phone: ( 34? ) fer / - , i - e.p2.. I Fax: ( ) . Iiip ar iiiii is 90 00/ hr
spacifically Wed eh hr min)
CCB LiC.: if 6 - ,9.iy Electrical Lic.: C- 1 Suprv. Lic.: 4/6 ELECTRICAL Isamu FEU
. ,
Subtotal
Supra. Becirician signaurre, required: ,et , .7
Plan mit* r
OS% of pens* fee): I 1
-----
Print name: o reek - 74 *It 7/ - .0 07 S
Authorized signature:
Print mime: { Dote: o _7 7 / 12..
I lod MEd Date:
State surcharge 1 (I 254 of permit fee): 1 I
11)1AL rt.KM11 Mb:
71* prrwx appacetiim enders if a perm* N old olloteirred gArida MO
r il MS MOO -
sespisi so ampaes.
• Neosho", of tgarectiong alSowed peg pm...A
I AloddinurVgrosiirdELC-PenudtApp dog 07/01/10 440 i ST/ 11/0510(1140WEB
. • , •
: • . . : - .../
Mcckaiicat remit Amthattion 1 " , •
gi City of Tigard , • .
, . limbed pin se.
13125 SW Hall Blvd.. Tiprd.OR 9743 . , . . , PIIIR Ftevier ve
fb:or M.711.2439 Fax: 503.590.19111 _ :: '.. • - . , • .. Downy Ono Penal:
laxpreana Law 503.639.4175 DOS Itenhay . 0 ... 1 • Sae rap 1 aw
Memel. www.tigard-or $aw Naninahleollo0 Soap Ialsnessiss
TYPO Or WORK comosocus. row scomouut - uscuscourr 1
ilielmikal pemik Isms In band aide value of Ihe work 1
Et New conalruction 0 AddValtmationireplacencat performed. Indica Ds value hounded so tbe newest dolts) of all
I 0 Demolition 0 Other mechanical amerials. emealem.1190r. meshes& IN Pak I
Value: S
CATIGORT 01 commtucnon MU ITL
NDINA 11410FRONT/1111111110 FEW
611 and 2-family dwelling 0 Comrnercialfuekistrial 0 Accessory building Fee week! Eljannafaa we deed**
i 0 Multi-family 0 Mom builder 0 Other. Descriptiom I City I Toed
Nesaistoellm
XIII SITS INFORMATION AND LOCATION
- i kw conditioning
I lob site liddreir 9433 SW 92 Ave besomi sions denna elesonswi) 46 73
Furnace 100.1100 STU (Sisdishews) _ 46.73
. ,. , . Furnace 100,000* STU unamemisi 56.91
_...... - .
— — . ... •
I Suite/bldg./AO. no.: — TProjec1 saw Ma n 4 a 54. Nem pump
I peram sift pna dlowit Irmo 61.06
Crass smet/diredimei to job site: 51 1 *7 rei / 42 ye . 5 :.:,1 R 1 ,- Does my* 23.32
. .
Hydra* boi wow wawa
23.32
Itssidmild beat (maw/ or
I Unit Mel (tmi4ype. not electric). 2132
in-wall. iodegoospessied, est 46.75
Subdivjiino Lot au.: 15 Flaelveas kr osq of above 2332
I
Other 23.32
1 Tax niap/panxi no.: Oar kid amimiciE
orsaurnon OP WOOL Dew, beam_ 23.32
Gas Ilissimaimen 33.39
Flow veal for we/er kiln or gal
1 firelblor 23.32
[ — ____ — Log Haim Masi
, Woodfsellet sIpve 2332
, 33.39
-- 1
i driorsory owns — 1
, A 0 TENANT Weed ArepleeeMasis
Cliimocy/I0Orkitheat
23.32
23.32
23 32
Mem: w. or . /1 r'l (.4 triVe.5 / WI e 'ifs L 1 -C. Ovie im
=e4d4mot oil vesama
1
Address: It150 ski R;verLtiati ac( es1.1101111 1339
( Pe r i ii4 p14. OR 97 zit/ Clothes deter almost 33.39
Siails-dact Wilma (bathrooms, i
"mile 1. Se3 7 37 7 7 Fax! 4 50 3)36' 7- 3 77 8 mild nsrajlistments. unsay roams) 23.32
0 APPLICANT 0 CONTACT !MON AMensawisloce km 2332
— Ober 1 2332 1
%sile nt name:
Contact mine: Sit IS Far 1Ins Dein $6.03 he emit adMissid
Address: FaMII0e. ne. 1 I 1
Cies beat , .
Cuy/StetefLIP: WalVsinteadedrusit Wow
Phone: ( ) 1 Fax: : ) , Wow honer ,
Fin:piece I
I 1
1 Mole
CONTRACTOR ! Ilarbox.ve
1 Nosiness name: Na Q Qa.*.., 1__Ap Clinks kw dass)
1 _
, Odscr:
Addittsc ',‘ ' 3 se t 4- 12 _
MROMMICAL MAWR PIMP .
1
City/Slaieillr: 1A CA 0 1 402,. .....1
_._
Minimusn perms fee (S90.00)
Mom: f:::/ CR , — % ("S Fax: ( )
______ --- — Nos review Ofw.of payee Ste)
cat lic. , I 4 ii, . -
dy Sam %edam (12% of' palm ke)
6-0 nd•CeA CrevIracfir , TOTAL PLRMIT FEL
r....- 1
. pr. Andwriaed stgaesma . ...-1.-- '‘.._ — raft mei makains mina it • aarnith ow aboard :WM
Imp WI
after it Use 5 amp as
s' ampiris.
I MK same: C rt R 00 1.,,, ,—., I w LI 0 il I • Fee eededeteey se by tri.Cossiy meow lognan Unite bawd
I , atalaaearaaaallikr•Pentatapp4ow 03/07112 441a411.1/1 II 061Malla
. _
- ..... —
9z7Z 3 90 " 1- - 1° / 9-1}E
Building Division U
Development Code Provision Review
TIGARC) Residential Projects
Building Permit No: 1 l `)T 9 12 - CO ((�
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Or
Routed Plans:
Original Plan Submittal Date: a / 2
1st Revision Submittal Date: 7 �-. ❑ Site Plan Only
2nd Revision Submittal Date: T�' / /P y ❑ Site Plan Only 4 i /
2 9743 ,ZArr4zrv / 2 lv ars.tr- i otn
o the Applicant: Woks A-DD, ,,,1 ,� 'rb
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- 237 or @ tigard- or.gov)
Land Use Case No. e Name / /&*— Q
(� Zoning lQ��
,2' Setbacks:
Front Rear Side Street Side Garage
Maximum Building Height Actual Building Height
O Visual Clearance
fd Easements
O Sensitive Lands Type:NA
Notes: J I / Ali I 9 1 19 w !Gc ae-w j
Original Plan: Approved -e' Not Approved ❑ Date: 7 P '
Revision 1: Approved .8' Not Approved ❑ Date: 9 '' L
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: L t
Notes:
Original Plan: Approved,..Cf Not Approved ❑ Date: -7 (Z
Revision 1: Approved Not Approved ❑ Date: 4 4 13
Revision 2: Approved-43
pproved - 3 Not Approved ❑ Date: - f3
\---7 5 & 4/1( (13
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
B'Atreet Trees
DO Protected Trees
Notes:
Original Plan: Approved CY Not Approved ❑ Date: 1— `1?'
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 Applicant
Okay to Issue Permit: Yes "1 No ❑
Date Routed to Building:
7J .
/, 4 1"r f i / -4 / /
Q k 3 /r/1
Page 2 of 2
9zI3 3 9
Al owe / i ` - 3 , /5" Building Division U
Development Code Provision Review
i C' n is i> Residential Projects
Building Permit No: + ( '7T do - Co l (D
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Isr
Routed Plans:
Original Plan Submittal Date: 6 / 2
1st Revision Submittal Date: Site Plan Only
2nd Revision Submittal Date: F/ rn / ❑ Site Plan Only z!r% iL/Q a_ -Dt 5
,:z P. -'si »-" C
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 if approved.
Planning Review (contact /Ia.c/ at 503-718- or @tigard-or.gov)
Land Use Case No. IL. s D Name 044
El- Zoning
,0' Setbacks:
Front Rear Side Street Side Garage
,0 Maximum Building Height Actual Building Height
El Visual Clearance
Easements
0 Sensitive Lands Type:Al A
Notes: (� L 9 tv i61
Original Plan: Approved -0' Not Approved ❑ Date: 7
Revision 1: Approved .0" Not Approved ❑ Date: / `/ 7 2-
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope:
Notes:
Original Plan: Approved,21" Not Approved ❑ Date: - 5 (2.--
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: - (
This form is recognized by most building departments in the Tn -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
ft
Transmittal Letter
T I G A R D 13.25- SW Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: � �
DEPT: BUILDING DIVISION WAD
APR 18 2013
FROM: 4 '' S2— CITY OF TIGARD
COMPANY: // BUILO NG DJVISIO
PHONE: 2( G L 1 `�2 O ' q6 e /
RE: g9 4ve 2.- oo /Ca/
( ite Address) (Permit Number)
(ject nar c or subdivision name and lo umber)
v (Q�
ATTACHED ARE THE FOLLOWING ITEMS: /
r
Copies: Description: Copies: Description:
lo�
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
FOR OFF CE U E ONLY
Routed to Permit echnician: Date: / �,
�s 1 Initials. t
Fees Due: es No Fee Description: Amount Due:
R ce_10 $ 277 CG
_$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes El No El 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
•
.71 :
Transmittal Letter
T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 •503.718.2439 • www.tigard- or.gov
TO: P4-0 DATE RED
DEPT: BUILDING DIVISION MO V E
APR 1 1 2013
FROM: /,I IA 4 /V CITY OF TIGARD
COMPANY: i %" , :/Jfr 1 1116/17/377 BUILDlf�1G D31�IS
PHONE: 17/ -- '2? D • G�• 3 B
RE: A/, /: ' „ 3 am ) c0l (0/
rte • I a ess (Permit Number) ((p g
l &
(Project name or subdivision name and lot number) (6 `f
(6s
ATTACHED ARE THE FOLLOWING ITEMS: iOce
Copies: Description: Copies: Description:
Additional set(s) of plans /44'n/r Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. ` ig Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: 1 =/ � `` J
.r. �O .r > -. ��J /■■::
/ . /7 / ; ..i /1 i /
FOR OFFICE �SE ONLY
Routed to Permit Technici�an n : Date: � ( 3 Initials: J
Fees Due: 111 Yes ®-11q Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1: \Building\ Forms \TransmittalLetter- Revisions .doc 05/25/2012
FOR OFFICE USE ONLY — SITE ADDRESS: '� 9�
r/a /fj /€
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
Z : 2 r Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
t TO: DATE )W ED_:
N DEPT: G„ BUILDING DIVISION t� W v ED
q
MAR 282013
FROM: �� x.07, � ReItilv41 CITY OF TIGARD
A ,� BUILDING DIVISION
COMPANY: /71 �j l�i�7U/'C(
PHONE: q 7 Z -7?1 ' ..:, By:
4 RE: i7/G m j /1" -- 1 1 — 0 0 /
Site Address) (Permit Number)
G
(Project name or subdivision name and lot number) /4 9
--k 0 r- Z—Tn i A ACHE TOL G I T� S: S /(/ Co
opies: Description: Copies: Description:
r 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. / P
Beam calculations. Engineer's calculations. /rl J & .7
Other (explain): Nl • - lij' /i1 ,1 �� <; ,' ,
i REMARKS: 7/p /�% ,f) - z. cJ ///ev S 7 s ,ev
*7? % .a . ■ _ IS .5".-..--i-_,,,/
c r i4 //_`. /7S i G4,. — 2 �'- 'A"
7 ,r A'/?G H/ , $ � n _ �,
F t OFFIC ., U E ONLY
Routed to Permit Technician: Date: '�� Initials . 'fit Due: ❑Yes o Fee Description: Amount Due:
J $
c_._,,,
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done y
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
9433 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
335 Rain drain
05/21/2013 00:00
MST2012-00163
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
9433 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
340 Storm drain
05/21/2013 00:00
MST2012-00163
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
9433 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
220 Slab
05/31/2013 09:00
MST2012-00163
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
9433 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
340 Storm drain
05/21/2013 00:00
MST2012-00163
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
9433 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
330 Water service
05/21/2013 00:00
MST2012-00163
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
9433 SW 92ND AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2014-02-27 00:00:00
MST2012-00163
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,, T ey S���s? , owner/agent for ,tom Aga _Zh d-GS7o-nPi7Z',
/ EASE PRINT)T) (PERM-iTT HOLDER)
do hereby certift 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.: nxjT jf QD/6 3
SITE ADDRESS: p9193 CSw 92 /4e
SUBDIVISION: /flowage- LOT #:
SIGNATURE: DA,1 E: c 6./4/
(OWNER/AGENT)
RECEIVED &
VERIFIED BY: ,,, `/ //
(cm- TIGARD DA7 E: 414
Tree location verified per approved site plan.
I:\Budding\Dorms\titrcetPrccCcrtificatc 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
(.Sager 4 3 , am the general contractor or the owner-builder
at the following address:
Site Address: �Il .�3 c c-Tfg- A yr
City: -'' c�J arc
V
Permit#: 06900--001 3)
Subdivision/Lot#: 0[\06,tal 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.
r--
Signature: ----�' Date: -5 l
Gener 1 Contractor or Owner-Builder
I:\BuildingTorm\RES-MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: I t )- n) 1001 (03 Jurisdiction:
Site Address: 61 J
c fa. 4:3ara
J
Subdivision/Lot#: plooaco
and/or ;J
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: /� � ., > Date:
Owner/G neral Contractor/Authorized Agent
Print Name: 5(' e tSQ Qeto
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\Fans\RES-HighEfficiencyLighting.doc 07/01/08