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Permit CITY OF TIGARD MASTER PERMIT I ....... s COMMUNITY DEVELOPMENT Permit #: MST2013 -00030 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/30/2013 T [ G'4 g Parcel: 1 S136CA10100 Jurisdiction: TIGARD Site address: 11076 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 22 Project: White Oak Village, Lot 22 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories: 3 Bedrooms: 3 First: 713 sf Basement: sf Left: 3 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 950 sf Garage: 198 sf Front: 11 Smoke Dwelling Units: 1 Third: 520 sf Right: 3 Detectors: Yes Total: 2183 sf Value: $235,080.60 Rear: 13 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays. 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer. 100 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea addl 500 sf: 3 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other N Other Description: Ecompasing Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R - 3 2183 Owner: Contractor: WESTLAND INDUSTRIES WESTLAND INDUSTRIES Required Items and Reports (Conditions) 12670 SW 68TH AVE, SUTIE 400 12670 SW 68TH AVE STE #400 1 Ersn Cntrl 503- 639 -4175 PORTLAND, OR 97223 TIGARD, OR 97223 PHONE: 503 -572 -0746 PHONE: 503- 245 -9715 FAX: 503 -598 -9081 Total Fees: $18,574.93 This permit is i- - - • - bject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done ' accordance wi . 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. •TTENTION: Oregon :w • ires you to follow the rules adopted by the Oregon Utility Notification ter. Th. e rul- are set forth in OAR 952 6 01 -0010 through OAR 952A1.01-0090 4 You may obtain a copy of the rules or direct questions to OUNC by calling 50 ,�.33 Is • ed By: Permittee Signature: .1 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 corn. : on of the project. Approved plans are required on the job site at the time of each inspection. Bdildling Permit Application Residential RECE FOR OFFICE USE ONLY City of Tigard ` eceivea J D �� 0`� ' 'ermitNo.: , "0, :x.9_ 13125 SW Hall Blvd., Tigard, OR 97223 FEB 6 11111 2 0 1 ". Plan Review '41111 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �( Erite . Cher Permit /3 O�r TI G A E D Inspection Line: 503.639.4175 CITY OF TIG a ty Date Re : f 7 / _ l Page 2 for Internet: www.tigard- or.gov Tl° eth od i A b �� 3 1 (Cc/ Supplemental Information BUILDING D1VIS U TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the • CATEGORY OF CONSTRUCTION work indicated on this application. Igl 1- and 2-family dwelling Valuation: $ 2 ......1 ) l j Y g ❑Commercial /industrial 1 El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms JOB SITE INFORMATION : AND LOCATION Total number of floors: Job site address: • , SAJ Z C(-/(C Y U�e wky New dwelling area: Z ) 3 t square feet , City/State/ZIP: 7 / 6-/q-,� 10/P 17 2 3 / Garage/carport area: le? t) square feet /-72,c Suite/bldg. /apt. no.: Project name: 4t)h //e, `0A-4% . /11-46 E- Covered porch area: , 1 square feet Cross street /directions to job site: Deck area: square feet Other structure area: Z - ( square feet 21 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: OH , o ,,K V//- LR I Lot nog Permit fees* are based on the value of the work performed. Tax map /parcel no.: 5 / 36 -/1- a rQY — Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIP ION OF WORK work indicated on this application. 0/11: T21/GT AZO 5M g- /;4 0 1 / -44i E Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) / Fax: ( ) New: IVAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: W/ f (Please refer to fee schedule) Ll��i, Structural plan review fee (or deposit): Contact name: ROB 4 804) — .fnt•, ST/l.U41,2bcr FLS plan review fee (if applicable): Address: `a 6 70 SW 691.1.1`../4/6. SS Fr 1'O6' City/State/ZIP: "� ' , O / 7_2_, Total fees due upon application: Phone: (S O5 ) c 7�- O ?C Fax: : ( 577 ) d 2 /01 Amount received: / � �� E -mail: J(oL q avC��9r¢/C. �� 0 1. C.0/14 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR �/ Commercial and residential prescriptive installation of � � J roof -top mounted PhotoVoltaic Solar Panel System. Business name: 1 yT� /.i� � 7i /(s Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon 7 Address: �� 7 + � 6-i___ G le.a Solar Installation Specialty Code checklist. City/State/ZIP: rii-iei� AC 9 -7 Z3 Permit Fee (includes plan review / and administrative fees): $180.00 Phone: (S ) 7 10-a6 2,6 Fax: (:Z ) ceY - qoi ( State surcharge (12% of permit fee): $21.60 CCB lie.: 0 - '0 g 3 j � = Total fee due upon application: $201.60 Authorized signature: ,= This permit application expires if a permit is not obtained -I{ within 180 days after it has been accepted as complete. Print name: J 2. � 7 N LJ Date: * Fee methodology set by Tri-County Building Industry Service Board. I:\ Building \Pennits1BUP- RESPeimitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB) Plumbing Permit Applicatio Building Fixtures FoR Orrice i iSL ONLY FEB 6 2013 Received / / 1 .-6,- ; , 00 42 3z City of Tigard Date/By : iC (p / 3 I Permi No .: IN ■ 1 3125 SW Hall Blvd., Tigard,OR 972 y I Phone: 503.718.2439 Fax: 503.59: . t OF TIGARD Plan Review Other Permit No.: Q � �t , 3 -604 Q Date/By: TIGARD Inspection Line: 503.639.4175 vi DING DIVISION Date Ready/By: kris: H See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 lal,-a1 2 -family dwelling ❑ CommerciaUmdustrial SFR (2) bath 437.78 SFR (3) bath Q 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler L_ sq. ft.) Page 2 JOB SITE I ORMATION AND LOCATION Site utilities: r�3 / f / ( Catch basin or area drain 18.76 Job site address: / d /A (� y F/'! J ` r ® ' 9 � ` Footing rain leach lute, or trench ... drain 18.76 City /State/ZIP: l 6- Footing drain (no. linear ft.: Page 2 Suite/bldg. /apt. no.: Project name: iigettac Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _) ( Page 2 Storm sewer (no. linear ft.: r Page 2 Water service (no. linear ft.: _) , Page 2 Subdivision: iit� Lot no.: Fixture or item: Tax map /parcel no.: / / 7 6 GA- O 0 Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK ,F, Clothes washer I 25.02 6 6R5/��ill if)-7.4") l ( i24e /GY � Dishwasher 25.02 Drinking fountain 25.02 . Ejectors/sump 25.02 ❑ PROPERTY OWNER l ❑ TENANT Expansion tank 12.51 - ' Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal f 25.02 City/State/LIP: Hose bib 7 25.02 Phone: ( ) y Fax: ( ) Ice maker ( 12.51 0. ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: 1 :::p0: A Medical gas (value: $ ) Page 2 / v'^ Primer 12.51 Contact name: '7 � If�� �� S/ � �/�,, Roof drain (commercial) 12.51 Address: () 7) �� 0 7 /Y ( Sink/basin/lavatory S- 25.02 City/State/ZIP: 17&'32]) C� q72- � Solar units (potable water) 62.54 Phone: (t -2g - ()6�,�y Fax:: (;( } / Tub/shower /shower pan 12.51 E- mail: a E . l� L ( Urinal 25.02 / c.� ° Water closet 25.02 CONTRACTOR Water heater 1 37.52 Business name: A Pu r" Water piping/DWV 56.29 Address: 1-2 a) , Other: 25.02 City/State /ZIP: / (Mb 4)-2i 6 Subtotal Phone: ( ) Fax: ( ) Minimum permit fee: $72.50 �J- �'�„/ Plan review (25% of permit fee) CCB Lic.: ( 3 rte ` Plumbin g Li no.: r t - State surcharge (12% of permit fee) ---, 4 Authorized signature: TOTAL PERMIT FEE i This permit application expires if a permit is not obtained within 180 days Print nam:gr�,L t'y'ket I Date: after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\PLMU- PermitApp.doc 10/01 . 440- 4616T(10/02/C0M/WEB) Htk►tIVCU Mechanical Permit Application 6 2013 I UR U1 11( 1.1 'I.0\I 't City of Tigard ��/ TIGARD DR P erm it No. . TAV� 4�.0 • 13125 SW Hall Blvd., Tigard, OR 9UY3 I OF I Phone: 503.718.2439 Fax: 503.598. )SING DIVISION Plan Re : view Other Permit: 51.0 a 0l3 cttWpa8 TIC n R D Inspection Line: 503.639 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work f New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* rill- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: � '1 / � Air conditioning Job site address: 11 O7r_ 6 /` ' 4 / Of re y (requires site plan showing placement) 46.75 K+ / Furnace 100,000 BTU (ducts/vents) ,p ' � (9K.1177-7- 3 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: L/` Project name: ( ��.y _ r', Heat pump i e�z4�W (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: W '(G D ill v , I Lot no.: 90 Flue /vent for any of above 23.32 A •" _ Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 Gas fireplace/insert l 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER l ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment , 33.39 City/State /ZIP: Clothes dryer exhaust 1 33.39 Single -duct exhaust (bathrooms, ' j Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 14 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: j �`��j QOM) �1 / �?' /� t 1 ri . i7 " Fuel piping: Contact name: A 1 nit t` 10/-1...:e." `1j' I t ♦ t $14.15 for first four; $4.03 for each additional Address: �f G,t,' \l Furnace, etc. 2.47 % "`� Gas heat pump City /State /ZIP: ' ( Il QL a ?Z?/27 Wall /suspended/unit heater Phone: (03 I5 O€•20 Fax: : (q)5 f Qa 7 ( Water heater I ""� " l0 v Fireplace I E -mail: Range ' CONTRACTOR Barbecue Business name: JZ i'ee t -rii L Oath) ! �L7� Clothes dryer (gas) �4tJJ Other: Address: 19 19Q4 W6L1,-- 651-q A v€ MECHANICAL PERMIT FEES* City/State /ZIP: 6,N1�� �l Q S l Subtotal �'I O `� v • Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: I t 7 4 I State surcharge (12% of permit fee) / TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: %i� _ � �� Date: CCC /// * Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doe 03/07/12 440 -4617T (1 I/02/COM/WEB) I Electrical Permit Applicatio. I FOR OFFICE USE ONLY City of Tigard ��� Dat : A , Permit No.: Ai — 6 _Goo I - ° 13125 SW Hall Blvd., Tigard, OR ' Plan Review Other Permit: ���� Phone: 503.718.2439 Fax: 503.598.19 6 Date/By: T fCARiS Inspection Line: 503.639.4175 8 6 Date Ready/By: Suds: ® See Page 2 for Internet: www.tigard- or.gov !NC OF ��/� �p� Notified/Method: Supplemental Information TYPE OF W(,� F � 1 PLAN REVIEW l acemeen JN Please check all that apply (submit 2 sets of plans w /items checked below): ,,TNew construction El Addition/alteratiooti ❑ Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. 01. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", // I00HP or more. occupancy. Job no.: Job site address: 4 / 2 3 e- , f.UKY 04.4 � ❑ Six or more residential units. ❑ Recreational vehicle parks. // t/I // ll lI ❑ Health -care facilities. El Supply voltage for more than City/State /ZIP: / (�I �" Ll ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: /401 - c (9/ /4 ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I " New residential single- or multi- family dwelling unit. - 1� ft Includes attached garage. Subdivision: l / r f-/r� 0.4- I/1 / Gz- 4�� - Lot no.: y ].- 1,000 sq. . or less ( 168.54 4 • pp Ea. add'] 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) I 75.00 2 Limited energy, multi- family 75.00 2 6�Jy TX , r /✓/ii: ) j - /0 residential (with above sq. ft.) ((UJJ v Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 201 amps to 599 amps 168.54 2 401 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: ' // Fee for branch circuits without E B. GV �ilocc, - 7 - /E, S service or feeder fee, first 56.18 2 Contact name: gob AALN25ca.) / J - i` , t cr,4-xiO/Zik branch circuit Each add'I branch circuit 7.42 2 Address: f _ 6 -70 5,ec � 4 -,: 5 /,-, 4(32 Miscellaneous (service or feeder not included) n Each manufactured or modular 67.84 2 City/State /ZIP: �5 p 5 ) 57 -v ��f(� Fax: c &-,' / (),e.._ -7z-3 3 a dwelling, service and/or feeder Phone: (co 3 )S�L/ — `O g / Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy .,' panel, alteration, or extension. Page 2 2 Business name: E ' /61./ 1 -7-7-14)5 Each additional inspection over allowable in any of the above Add ress : ,/64'6 3 .5 � 42 ,� dr Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr mm) 66.25/ hr City/State /ZIP: afi 5CG/5 , ' p , 97aq Industrial plant (1 hr min) 78.18/ hr Phone: (6 ) 35 3 7 ' Fax: ( 137 y7 (�' - X1.2 ' Inspections for which no fee is 90.00 / hr specifically list (%z hr min) CCB Lic Electrical Lic.: A. n� Suprv. Lic.`� p , 6 )� 3 Su ELECTRICAL PERMIT FEES 6 � � � ( I �' � Suprv. Electrician signature, required: 43 Subtotal: Plan review (25% of permit fee): Print name: i ( II> Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: " � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: _A * Number of inspections allowed per permit. I: U3uilding \Permits \ELC- PermitApp.doc 07/01/10 440 -461 ST(11 /05 /COM/WEB 7 i• Building Division Development Code Provision Review r r " A ►z D Residential Projects Building Permit No.: H`a'r (9U ( 3 '000 30 Site Address: / /n? io 'a`'J i a-PA_ Project Name & Lot No.: Lok. v , Lte. 1 W CWS Service Provider Letter Required: Yes ❑ No Received: Yes ❑ No Pr Routed Plans: Original Plan Submittal Date: 1st Revision Submittal Date: Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only 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 !n - 4 alt lle at 503 - 718 -2 or @tigard- or.gov) Land Use Case No. S Ufb 2004 " 1C /APR zal► ^ 1 Zoning /Q ` 1 2 -- 0 Setbacks: i Front /1 Rear Side Street Side A/ fr Garage 2 0 Maximum Building Height: 3S' Actual Building Height 27 Visual Clearance Easements / Sensitive Lands Type: it/ Trees Protected Trees iti P}- Notes: f? /1s 5" 1TE 211 fElz RED J.'$ - Flzviv7v46E b1>>t� /d 4 t - -_,..e/ , • . , cell) 1-- • /a... ei •, 2. 444i -41 prrtiire ‘ - i 1AAL C Original Plan: Approved ❑ Not Approved Date: .2 6- /3 Revision 1: Approved Not Approved ❑ Date: 2- "/ 2 /3 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: Notes: Original Plan: Approved ❑ Not Approved .0r Date: 2 7 / Revision 1: Approved' Not Approved ❑ Date: Z /Z 13 Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Ap cant Okay to Issue Permit: Yes No ❑ Date Routed to Building: Page 2 of 2 SITE PLAN NOTES: . I ALL EXCESS GRADING is G MATERIAL TO BE EXPORTED TO AN APPROVED DISPOSAL MGM LOCATIC . 2. ALL FILL AREAS Ie, LPJDER GARAGE FLOORS, SIDE) ALK5, DRVEtLLA18, ETC_ TO BE COMPACTED GRANULAR FILL 3. THERE WILL BE A SLIGHT OVER EXCAVATION TO PROVIDE CONCRETE FORMING ALL AROwD NEW STRUCTURE. 12 ' -0' 13'-0' 4. PROVIDE COUNTY/CITY APPROVED SEDIMENT FENCM AROND EXCAVATED AREA rn -/ _ / - PRIOR TO EXCAVATION AND CONSTRUCTION. S. PRIOR TO EXCAYATIIOTMN CONSTRUCTION. STA ILIIZED GRAVELED CONSTRUCTION ENTRANCE �* - CAMBRIDGE TR EE. 0.0' - b. STOCKPILES MUST BE COVERED WITH MULCH OR PLASTIC S NG HEETI CETLLEEN 1> 2' CAL EE. 0.0' O D OCTOBER I AND APRIL 30. 0 ` I �,Y 3.00' O 1. CONTRACTOR/ 61.35-CONTRACTOR IF B - CONTRACTOR TO VERY LOCATION OF ALL UTILITIES PRIOR TO °_, S-TOR1r1 1 , 1 1' OVERHANG W/ X -1 - EXCAVATION AND CONSTRUCTION. - N. iii if-. Ci11.,.... n.. I YIJJn INC. �� + A BOUNDARY AND TOPOGRAPHY INFORMATION HAS BEEN PROVIDED TO SKYL<rE HOMES GAS LINE v -• u a ■n---,two. W7 I AND DESIGN C. SKYLINE HOMES AND DESIGN, NC, WILL NOT BE HELD LIABLE FOR Tl-c ACCURACY OF THIS IN O FORMATION, IT IS THE SOLE RESPONSIBILITY OF THE CONTRACTOR /OUI'ER TO VERIFY ALL SITE CONDITIONS INCLUDING FILL PLACED ON SITE. O ■ S. TOPOGRAPHY ELEVATIONS LLER'E COLLECTED FROM ACTUAL SITE SURVEY. D FEB I V N.15.. FEB 1 2013 10. ELEVATION LEGEND■ EE• EXISTING GRADE ELEVATION .. . - • �' 2 .5 BATH T4 - I N X FE. FINAL GRADE ELEVATION CITY OF TI CARD FFE• FMISHEp FLOOR E L E V A T I O N I . • N -' : ° 3 BDiRM. __t BUILDING DIVISIpN IL PROVIDE A MI n GRAVEL BASE D L ASE LIER ALL DRIVEWAY AAS. . • i 12. PROVIDE A 4' MINIM-11 GRAVEL BASE UNDER ALL SIDEWALK AND PATIO AREAS. +0- • •, . > . _ • �� ' • 2,160 SQ. FT. MINIM-11 13. PIPE ALL STORM DRAINAGE FROM THE BUILDING TO A CONTT CITY DISPOSAL T {i •.. V.'''. /� ':' • e TO ` I POMT/CGMELTION. : _ A�� 10'X . 14. MAXIMI 1 SLOPE OF CUTS AND FILLS TO BE TLC (2) HORIZONTAL TO CNE (I) CAMBRIDGE .:� • , RIVE �' `• ..: l9 - 1 SQ. FT. . PATIo • - • ., X N VERTICAL FOR EUILDI! S, STRUCTURES, FOUNDATIONS, AND RETAINING WALLS. 2' O • x . .. L B. PROVIDE AND MAINTAIN FINISH GRADE WITH POSITIVE DRAINAGE AWAY PROM • . t :. • . •. . 15 0 I ° 2 2 ' 7, STRJCR/RE ON ALL SIDES WITH A SLOPE OF b' MINIMUM IN l0' -0'. P.Y.C. WATER MAIN :.. ��-�— • CJ , .. IMPERVIOUS AREA'S: SAN. SEWER LINE _ .. • . to , ,@ X W JD / FIRE RATED PL. X I O r EE 0.0' n ol ISO SQ. FT. DRIVEWAYS � � .. :. � 13.01' EE. 0.0' O Z to Q SQ. S FT. PORCH >` — Y = Q 32 SQ. FT. WALK ^ 100 PATIO 20'-0' 13'- 0 -Q p SQ. S FT. OVERHANGS 825 50. FT. £BUILDING COVERAGE / ' -/ / " 111 N 1256 TOTAL SQ. FT. IMPERVIOUS ARA'S n LOT INFORMATION: W LOT AREA: 1,911 SQ. FT. IMPERVIOUS COVERAGE: 1 .286 SQ. FT. 1a in BUILDING COVERAGE: Si % BUILDING WEIGHT: APPROX---- 31' -O' PLAN No.: 3069 MIN. BUILDING SETBACKS: IRS' FRONT, IS REAR 3' SIDES. DRAIN: T .F. DATE: 2 - - 2013 SCALE: I' :10' -0' EROSION CONTROL PLAN PLAN la PLOT i liT:4 COVERED STOCKPILES UJOODEN CURB RAMP X SEDIMENT FENCE Q CATCH BASIN PROTECTION N—..." o j CONSTRUCTION ENTRANC N!!.+ COVER ALL AREAS OF BARE LOT 22. El M IS IN PLACE PERMANENT LANDSCAPE UNITE OAK VILLAGE I I WORK STAGING/ MATERIAL STORAGE TIGARD, OR. ._s 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 11076 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 205 Footing 06/11/2013 09:00 MST2013-00030 PASS Setbacks ok, measured per plan Low point drain Erosion control Ufer tagged Violation Summary: Inspector Contractor III mg' STREET TREE T I GAR D CERTIFICATION j, o,� APEX-So/to/ , owner/agent for V-57--zpfitho ._,/,✓/JU,.c /ers , (PLEASE PRINT) (PERMIT 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.: A5-r- 0/3 -00®5O SITE ADDRESS: //a-74 5iu L f c y D .4_ 40/ SUBDIVISION: al /T1 One I%L46-' LOT#: 0202 SIGNATURE: DA"1 E: //-//-/3 _ _ (OWNER/AGENT) RECEIVED & VERIFIED BY �. DA 11✓: 4/9 7/9 "(CITY TIGARD) Tree location verified per approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: n7.5-7-2.0/3 --0/V36 Jurisdiction: ��A4 Site Address: //g 5iti 1 `/ `Z1'/ Subdivision/Lot#: f - 41- / - 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 04#Si nature: Date: //—//---/5 t 'r/Genera Contractor/Authorized Agent Print Name: /66 %rDe1_�atj 1 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\Forms\RES-HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 06 i!/Qbeso/(/ , am the general contractor or the owner-builder at the following address: Site Address: //�746 5 ) 1 Cy a 4v. 11,1/ City: Permit#: /115TI 3 -.4M 30 Subdivision/Lot#: /''t/ /I frt zi�� /jr- 2 Z 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: //-4--- ..7.3 G; - Contrac or or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 ,(14S- go 13 - sG'e-)?6' Form 640S .f' • Completion Certification—Site Inspection '' New Homes Program—Single (Family EnergyTrust of Oregon To be completed by Verifier Portland Energy Conservation,Inc.(NEC!)is a Program Management Contractor for Energy Trust of Oregon,Inc. IIInput tab should be completed first to auto-populate applicable fields, indicated by orange highlighted fields. First Inspection Information Second Inspection Information Date: 6/16(20131 Verifier Name jesse fear Date: 10(23/20131 Verifier Name: jesse fear Incentive Payee Company Name: Builder or Company: westland industries Contact Name: Performance Testing Company: performance insulation Technician Name: Verifier Payee Company Name: performance insulation Technician Name: Jesse Fear Site Information Development white oak lot 22- west IREM/Rate (required Project ID: l Name.$Lot,# Fil # (required from verifier if protect,s ENERGY STARti Site Address: 11076 sw legacy coak%day City: king city State: OR Zip: Unattached 7 Attached 'Mumbler of Stories: 2 Total Conditioned Area: 2189 Sq. Ft. of of Bedrooms: 3 j None 1 Full Basement Half Basement 1, Crawlspace Water Heater Basement Type: Gas 1 Garageroassemerrt con tun Stan on grade ; 'Cltner F'set,. I Electric Provider: Portland Gemeral pas Provider: INW Natural Electric Meter Number(must be perrrmanenr;meter number) Gas Meter Number(must be permanent meter number): x24.6 &552 ,4.6725362 Additional Project Informattion (please mark all that apply) El Code plus BFest Practices(meets minimum Best Practice requirements with improvements above code) • Path 1 EPS–Best Practices ❑ Path 2 ENERGY STIAR® Envelope Upgrade , Equipment Upgrade . Ducts&HVAC Equipment Inside P Path 3 ENERGY STFAR vaiith ducts inside ❑ Path 4 Performance? Plurs with ducts inside O Path 5 'Advanced Performance (l Zonal Electric Efficient • Advanced Electric Resistance • Live Net Zero home j Solar Eletctric'(PV) Solar Water Heating(SWH) j Small Wind Renewable ❑ Solar Reaady Eiiectric(SRPV) i Solar Ready Water Heating(SRWH) Energy ❑ Qualifies for Solar Ready Incentive(must attach checklist) Solar Installter: Name: Company: Low Income ❑ Yes [ No Does this project qualify as Low Income?(must provide documentation from builder) Accessory Dwelling a 'Feb r 140 "ts Yn'rs home an faitiz Unit ❑ Yes E_ No Is the ADU separately metered?If so,provide meter numbers above ❑ Earth Advantage-Certification Level Other Certifications ❑ (.EED-H---Cerlai kation Level. j Otter: Return completed form to Energy Trust New Homes--Single Family 100 SW 5th Ave.#700 Portland.OR 97201-5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 1 of 3 MS! poi3 - ocv30 Form 640S Completion Certification—Site Inspection New Homes Program—Single Family EnergyTrust of Oregon Verification Type Actual Model Equipment Details&Notes Category Insulation Flat Ceiling R- 49 Insulation Type bib Framing Type: Vaulted Ceiling R- Insulation Type: Standard Scissor Truss R- Insulation Type: 0 Intermediate Above Grade Walls R- 23 Insulation Type: bib p Advanced Below Grade Walls R- Insulation Type: Framing Size: Floor Over Unheated Space R- 30 Insulation Type: batt Floor Over Garage R- 59 insulation Type: bib Slab Floor(unheated) R- 1] Under 7 Perimeter —; Full Slab(Perimeter and Under) Doors Door R- Door Material: Windows U- 0.30 Window Frame Material: Windows SHGC: 0.30 vinyl U- Skylights SHGC: Window Area(Glazing) % Total window area: Lighting #Fixtures: 40 Indoor and Outdoor 50 % #ENERGY STAR fixtures or CFLs: 20 Appliances ENERGY STAR Dishwrasher 7 Yes ❑ No EF: Model#: Cooling Air Conditioning SEER: Btu/Hr: ❑ Fireplace AFUE: 95.5 Brand: fraser-johnstone Primary Heat Source Q Gas Furnace HSPF: Model#: tg9s060a10mp11a ❑ Electric ❑ Boiler SEER: Serial#i w1d3668366 Gas Heat Pumps COP atulrir. 60k 111 ❑ Air Source(duucted) Outdoor Unit(for heat pumps) ❑ Other: ❑ Mini Split(ducttless) Locatior Model#: ❑ Ground Source° cond space Serial#: ❑ Radiant Floor Heat ECM __ Yes El No Heat pump commissioning report attached or ❑ Cadets confirmation for ground source heat pumps that Electronic Air Cleaner ❑ Yes C No manufacturer's start up procedure was performed. ❑ Zonal Backup fuel `1 Electric Ll Gas 7 Other ❑ 11 Other Other Notes on Primary Heating: Notes on Secondary Heating: Water Heater Type: Gallons: Brand: rinnai EVectsic i Storage EF:. 0.82 Mode4*t: Tim Gas Tankless Location: Serial#: cond space Btu/Hr: 180k Return completed form to. Energy Trust New Homes--Single Family 100 SW 5th Ave.#700 Portland.OR 97201-5542 1.877.283.0698 Fax 877 501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 2 of 3 / V7 2.v 3 ( 30 Form 640S ,t' Completion Certification—Site inspection New Homes Program—Single Family EnergyTrust of Oregon Ventilation I Exhaust only (Meets Energy Trust Mechanical Ventilation Requirements? System Energy Trust of OregonAk 3 _Supply Only 177 Yes ❑ No Mechanical Ventilation Requirement Air Cycler HRWERV Model#: HRV/ERV Ducts Ducts Inside 10k ducts inside: 95 Ducts in Conditioned Space If claiming incentive for ducts inside,check one of the following. Ducts Tested Visual Inspection per RTF Specs v'Lctrttsuihnarr f�- g ettocaf*n 95 cond 5 attic Ducts Sealing w/Mastic Yes ❑ No 100 attic-return Performance Testing Duct Leakage Duct Leakage Cubic Feet Per Minute(t:fm) lLk Leakage Air Handler in U Yes Air r-iandl'er ihstall'ed Curing Yes 97 ©SID Pa ❑ Pass ❑ Fail Co- LJ Conditioned Space? El No Test? s �' No Fan Pressure ❑ DG3 `Fan Ring Size/Type 1U 0 ❑ 2 Leakage Test Total Leakage Gauge DG700 Pressure: (check one) ❑ 1 [H 3 Method ❑ Leakage to Outside Duct Blaster Location- ra (Pressure Tap Location: hall way 'Area Tested: 2189 Whole House Leakage Whole House Air Changes per Hour(n.4CH) Envelope Tightness Cubic Feet Per Minute(cfm) Leakage House Volume: 18394 3.2 @ SD Pa Pass ❑ Fail 983 @ 50 Pa —, Best Practices Requirements (All requirements must be met to receive an Energy Performance Score) • Thermal Enclosure Checklist complete! g(Pass ❑ Fail (Thermal Enclosure Checklist attached? ❑ Yes • Insulation Quality Inspection Performed ®Wes ❑ No —+ (complete insulation verification section below) • Approved Mechanical Ventilation linstaiked ®Wes D No (complete mechanical verification section below) • Zonal Pressure Relief-All zones cromply ®Wes ❑ No If no, state reason for failure_ • Combustion Appliance Zone Nett CAZ Pressure: Pa If not applicable,please explain: all dv Testing (required)! Forced air system operation must not cdepressurize Combustion Appliance Zone(CAZ)by more than 3 Pascals(Pa.) Additional Notes: Signature By my signature,below, I certify that I`have performed the tests as described,that the form is complete,and that all information on the form is accurate. Verifier jesse fear Verifier jesse fear Date: 10123)2013 Signature: Name Red Tag Inspection (if needeal) Signature Name Date: Return completed form to: Energy Trust New Homes--Single Family 100 SW 5th Ave.#700 Portland,OR 97201-5542 1.877.283.0698 Fax 877.501.9629 Form 640S v08 DRAFT newhomes @energytrust.org Page 3 of 3