Permit - CITY OF TIGARD MASTER PERMIT
ip
.' ° COMMUNITY DEVELOPMENT Permit #: Msr2olo 00012
T (GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 02/11/2010
Parcel: 2S112BD09100
Jurisdiction: Tigard
Site address: 14738 SW 78TH AVE
Subdivision: BRITTANY MEADOWS Lot: 27
Project: Brittany Meadows
Project Description: New SFR.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1229 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1670 sf Garage: 463 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $317,795.05 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 1
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 add'I 500 sf: 5 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'l Br Cir:
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:
Owner: Contractor: Required Items and Reports (Conditions)
ECF DEVELOPMENT COMPANY PACIFIC LIFESTYLE HOMES 1 MST Ersn Cntrl 503 - 681 - 4444
INC 11815 NE 99TH ST #1200
1310 SW 17TH AVE Brush Prairie, WA 98604
PORTLAND, OR 97201
PHONE: PHONE: 360 - 213 -0864
FAX: 360 - 574 -6401
Total Fees: $16,884.51
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 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800,332.2344.
Issued By: lk Ilk . _ . - _, 1 . i , 11 Permittee Signature: '1---,.--
yr i " #4 i7,- . 14 ,.: . t '' .�, A
Mechanical Permit Application 11 . 1.12.01.1.161.:SO sUE O NI br ' � nt ,
S
City of Tigard RECEIVED Retell {r • s`
Received Mc T��77�� ��(�('' 2_
y Permit No.:t t ll )11 o .1
13125 SW Hall Blvd., Tigard, OR 97223 0. )
0 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JAN 1 2010 Date/By: Other Permit:
f I G A R IT Inspection Line: 503.639.417 Date Ready/By: Juris: El See Page 2 for
<:,;.i Internet: www.tigard - or.gov Notified/Method: Supplemental Information
�}►C�I�TY OF TIGARD
TYPE OF WtSa DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
New construction Mechanical permit fees* are based on the value of the work
❑ Addition/alteration / replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
I111- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address:
r7J,p- f� 7 , /4/4 (requires site plan showing placement) 46.75
City /State /ZIP: 777eyesti UX- 172 Z C, Fumace 100,000 BTU (ducts/vents) 46.75
/ Fumace 100,000+ BTU (ducts/vents) / 54.91 ' 4 ,y
Suite/bldg. /apt. no.: Project name: Xy„, /1 er'-,-!f Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
// ` 4 Hydronic hot water system 23.32
/rS / Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75 ,
Subdivision: #� ' Z l� f . ,. .� G � Lot no.: Flue /vent for any of above 23.32
// " / Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater / 23.32 23.32
Gas fireplace / 33.39 ';3,
/i/^) S 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
ilf
Chimney /liner /flue /vent 23.32
PROPERTY •OWNER I ❑ TENANT
Other: 23.32
Name: Qy,,j S Air Environmental exhaust and ventilation
■ Range hood/other kitchen
Address: /l} � / C✓ equipment / 33.39 33 r3`?
City /State /ZIP: �� 4',.9• G '9 20..? C' Clothes dryer exhaust / 33.39 .�
/ Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) j 23.32 it
• $ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
� /1 Other: 23.32
Business name: )9 / e / Fuel piping
Contact name: lif,, `y , �,,, $14.15 for first four; $4.03 for each additional /
Address: //f/r
l l� x/6- / q' /j0-2..) Furnace, etc.
/ JGGas heat pump
City /State /ZIP: //7,)e ��� j / // a Wall /suspended/unit heater
Phone: ( p) a` ? _ Q r � 7 Fax:: ( ) Water heater /
Fireplace /
E -mail: Range / 14.[1
CONTRACTOR Barbecue
Business name: /e-- ,-�/ z-,--
Clothes dryer (gas)
Other:
Address: 22/e,‘,2 /fits 2 7 --!:-..< /9 MECHANICAL PERMIT FEES*
City /State /ZIP: eyvf[ /c ,%^ Jr 7,'c o f Subtotal , I.4
(?Co c Minimum permit fee ()
Phone: ) 0 6$ � J 74 (moo) i Fax: 2 7 � 7 Plan review (25% of permit mit fee)
CCB lie.: !% , 4 (0 \ State surcharge (12% of permit fee) '37.10 en TOTAL PERMIT FEE 346„, -
This permit application expires if a permit is not obtained within 180
Authorized signature: �� days after it has been accepted as complete.
Print name: " `1J-S , ; -_e.e_.t Date: / / 7- / 0 * Fee methodology set by Tri- County Building Industry Service Board
1:\Building\Permits\MEC- PermitApp.doc 10/01/09 440-46 7T (1I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total, Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Permits\MEC - PermitApp.doc 10/01/09 2
Plumbing Permit Application
Building Fixtures RECEIVE II , o l � 't1).11 ' /x e
' City of Tigard ;AN n N 1 5 2010 Received
Date/By: Permit No.: e(r '�70 k 1 O , ot (o ,
0 13125 SW Hall Blvd., Tigard, OR 97223 rn t r lJ\ coot
Plan Review
C Phone: 503.639.4171 Fax: 503.598.1 Other Permit No.:
. 7 L W ( OF TIGARD D ate B y:
='tG A IZ' Inspection Line: 503.639.4175 Date Ready /By: Juris: Ell See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath I 312.70
tej I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath _ 437.78
SFR (3) bath I 500.32 500,'3
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: / t/7 F 7g y ve Catch basin or area drain 18.76
/, _ Drywell, leach line, or trench drain 18.76
City /State /ZIP: // q /7 ' / 4'2L
1 / _,(/ Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name �� ///�. -_ i0c 4.wf Manufactured home utilities 50.03
Cross street/directions to job site: M anholes 18.76
g e,1i `� / --7,' '_ Rain drain connector 18.76
T , t� Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: ,� >/i L7 s I Lot no.: 2? Fixture or item:
fax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
/v Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
i /1/ '� /v S /� c .. Fixture /sewer cap 25.02
Name: Gf g
Floor drain /floor sink/hub 25.02
Address: 7Z,. /5-- " 4-- Garbage disposal 25.02
City /State /ZIP: sG f l/ 90 v- / 7Q .?Y Hose bib 25.02
Phone: ( Z 3) 66 ( - 5 Fax: (S�7) (�v - Sa %/ Ice maker 12.51
ig APPLICANT / ❑ CONTACT PERSON Interceptor /grease trap 25.02
,2 �
Business name: / / /
Contact name: Medical gas (value: $ ) Page 2
/.�� S , J /� fad Primer 12.51
Roof drain (commercial) 12.51
Address: / /OF 'W.- ��' f /2p-lj Sink/basin/lavatory 25.02
City /State /ZIP: rl/ c - _ / / it Solar units (potable water) 62.54
Phone: ( ) 62 //? _ p 7 Fax: :,(340 ).7y- (v r°1 Tub /shower /shower pan 12.51
E -mail: r J 4-7--.70-1 Urinal 25.02
�/; �J�ig� / /' /// , e`�� Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: ',(p4,e, "7:j07‘/7 y Water piping/DWV 56.29
Address: ":9 ee x 207 / Other: 25.02
City /State /ZIP: .Z/1y r1 /s eZe 977'' Subtotal A260.3
Minimum permit fee: $72.50
Phone: 67,,3) ?2 Y _ d ] 5 Fax: �G ) 32_ ie - Q S ep
Plan review (25% of permit fee)
CCB Lic.: /p 2. S 3 Plumbing Lic. no.: yip"7 Jr,
State surcharge (12% of permit fee) 6;0,C/4--
Authorized signature: TOTAL PERMIT FEE 5jC..0,
Print name: �J� - D ate: l C/ This permit application expires if a permit is not obtained within 180 days
� S - �+ J �� after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1 ABuilding\Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02 /COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - IS 100' 50.03 0 to 2,000 $121.90
Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer - 1st 100' 62.54 7,201 and greater $327.54
Sewer - each additional 100' 37.52
Water Service - 1st 100' 62.54 Medical Gas Systems:
Water Service - each additional 100' 37.52 Valuation: Permit Fee: •
Storm &Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to
p and including $10,000.00.
Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to
(minimum charge - 1/2 hour) and including $25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00/hr and including $50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge - 1/2 hour) each additional $100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations
please indicate work performed by fixture. Failure to Plan review is required for any of the following.
accurately report fixtures could result in increased sewer fees Please check all that apply.
Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and
Fixture Type: Replace greater, except systems designed and stamped by licensed
Previous Capped. Added Existing engineer.
Baptistry/Font
Bath =Tub /Shower ❑ New exterior plumbing site utilities for any complex structure
Tub /S i/Whirlpool as defined in OAR918- 780 -0040.
Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities.
Drive "tall ❑ Any multipurpose fire sprinkler system.
Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040.
Dishwasher - Commercial
Domestic Submit 2 sets of plans with any of the above.
Drinking Fountain
Eye Wash Isometric or Riser Diagram
Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings
that meet the qualifications above.
-4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial
- Industrial Comments regarding fixture work:
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar /Lavatory
- Bradley
- Commercial *Note: If the fixture work under this permit results in an
- Service increase of sewer EDUs, a sewer permit will be issued and
Swimming Pool Filter fees assessed for the sewer increase must be paid before the
Washer - Clothes
Water Extractor plumbing permit can be issued.
Water Closet - Toilet
Urinal
Other Fixtures:
1:\ Building \Permits \PLMF - PermitApp.doc 2
Uc a rkal Perm Aonl . lion RECEIVE
City of Tigard Received
®F TIGARD °
• '• , 3125 SW Hall Alvd. = Tigard, OR 97223 , I A N 15 2010 Fa '�"" "` " °. 1 �p OCX��
- - Phone: 503.639,4171 x; 503.5518,1960 pine RCA
r I I , , .•, 1: ; , Inspection We: 503,639.4175
i thtta/av: • _ Other Psrm;t
tatcntet: www.tlgnrd•or.gnv �'�! "'e adyioy: : ;,tit: ® see Poke: for
—
lu i fi tte t drj ad 2d;
�' , ,illl / , SUP lomental lnfortnatinn ..
V1�F . , r
• :. r tl .. 7. 4 " N'tf _.. I r..t.'
°.' .
1: New consbucdon ...r......_ a ,,,...�.� �'� ;P 4M s li x + } r: ' =, -
•
❑ AddEtion /alterAtion /replaccmem Moose thou all that apply evbmlt 2 acts of plane Whams checked below)
Building over three Mn ics,
: ❑ Demolition ❑ Other:
❑$ j- q o r i beder a mp a sore
p l0
�• where the available fault uumcnt
EX 1. and 2-family dwelling r meet+ 10,000 em of 150 Merman and hnntyarda
Aeocsscry building
" r --•� � t ; n • na wile or ❑ J•"loatlny; buildings.
y K L.J Commercial/Industrial ■ Iota to ground, or excceds 14,000 ❑Comtnarrlrl- Rao agncuhara,t
j' Malti•Pamil Nester builder amps for all other Inttdktiens, buildings.
0 Other: ❑ Fire primp, 11 Installation of 75 K VA or
t ':1 � /y - CI Emergency overt larger sepnrnicly derived . omR,
Joy 110.: /� /� ❑ Addition of now motor lead Of ❑ „hn "0", " "1 1..
•
Job site address 7 r- - 10 07•17 3 nt pert, occupancy.
` City /Slate /7IP: _Z Q r J:� ❑ Six or mare residential units, ❑ Reel vehicle p.
❑ H ❑ Rut=p1 voltaic i; +• n
eulth -care facilities he„ 22 tr,
Suite/bldg./ant, no : — 0 Ha►mdous locatinna, (UU volts nn• rno
_ -- Project nertte4 /�W ") Reece of Ioedar Hn4 amp or mac,
Cross street /dir• :etions to .job anti _ � —' — — --
•
1 _ f - +:--27 � Includes New residential slRlGle. in- rnulfi- family dwelling unit.
e,h
' ;rubdivlslon: ". - � •"- -,- odes arts ed�arage.
.X' C , ,r" Lot no.: .2
1,000 168. eq. ft. or less I ' ...
Ta x 1
` U I no:: — Ca d d'1 S sq. ft. or portion 3392 11.7FA-
n7 r t . arse
• y Lim G rysidential
•. ": f'' .'M �il (with above ia, a,) 6/.34
Limited energy. '• ? "J
ial mul ti- family
residential /with above sq. R.) 67.84 2
—
orvitaa or feeders Installation a.teration and/ /Or reh catio
.., r.. I' ry Y: a . . ,.� . .' .,�.�.�y 200 amps o lets I. 100.70 2
All .:: • :- 1/8 1N17� !. • an 201
. am / e to 400 am 133.56 2
re?"
/•
of 401 amp to 600 amps 200.34 2
'Address: 60111 1,000 2 4. a nt 5 301.04 Y
' / "� / Over 1,000 amps or volts 552,26
City/State/ZIP: ', ��
l.� �, TemAry services or feeders pnstnitatittn, alteration, anti ii rot
Phone: (5 � . � / ` d y� relocation
/ -- 5 _ , _ 200 amps nr leas " " "." 9
Ow
— nit rex; ( ',�c3 ) rvC.+ i nstttllntion: This installation iS being made on property that 10 vn which is not 201 amps to 4 00 amps 12� 7)11
1' intended for sale. lease. rent, or exchange. according to ORS 447.449. r0, and 701. 401 amps to 599 twips ,.
I Owner signature. B �.• _ ' '
.., ._ 168 I
-- _••, _ )�ptc _ ra h cam - new a /tetra or extenalnrl, t) r t • Q �1i 1' : , - , -" --- — --- . r1.. cc for branch r f i der f i ce. • —. shave service Or fee fc.
Business name: "" each branch circuit 7,42
L ee
u t 4i 7' B. PCC for branch Omits _
Contact name; — —.-
— m� _ _, without service or fader fee,
Address: //o -- - • fast branch circuit 56.1$
i f� Each add'1 branch circuit 7.42 J
ity/5tatc /ZiP; C�v� Nalco ; neon service or .t. eder out included)
-
_ manufactured or me • u ar
�ronC: ( ) ) / tlwcllin_ service and /0r r u d e r 7,84 2
�,t� ^l 7 ��f Reconnect on 67.84 2
,air •. • - . -: 1. or Uri :.ellen circle
.L.L. • ;rte,,',,...: 67.84
Sign or main lighting 6 7 84 2 •
;;S name- 2 _
• ° � d� 0i _ , anal cirrult(s) or !neared
sines
�� — energy panel, alteration, or
• „� r.e7�i ttxtcnsion. Describe: Page 2 12
• • ity /Statc/Z1P. j e 1 ' t ,
Each additional Phr (S�j'�) L ins 1 , lion over allowable In an al't's eh
CC � _-1: T It ; t+// 77 Per inapecrion do -
...`
-' B l .t'; „ � r Electrical ' �• -- Invgatlgation per hour I lir min. 2 5
ail Lich u. < I 6d c5 —
• Suprv. Electrician signature. required! /� � , 7.-- i n d trtttrls! plant or hot 76 le y
Print name: _ — �.
i I ,��'/ .. I Date: _ subtotal: . Z,� ,.is
c 4 &.- ELF Pla review (25%of ptmnit fee): 1
Authorized sig nattre: " —. State surcharge (1214 of permit fee)
. tint dame: 7U.�
TOTAL PERMIT' PEE: 4 7 a, t0 2 J
- Date: TWO permit application expire* it permit la not obtained within 180
to nA+Vanxi,atELC•Ferr trr�p.den tcunt/g9 days atter It has been acct a, ,,,,mplete,
x90.1 f 197(7 tlb5/eptd/wgg 9 Number of allowed pm permit.
Id Wd6b : E0 OIaZ SI • uer SZ6ZZb900S : ON Xtid 3I31 eeNeluo : WOeld
, - - -----(.4.
;1 : ',.
s ;
' JUED
- JAN 1 5
. ,
CITnF TIGARD
BUILDING DIVISION
. _ .
.. .
. • . .
1 ' ta:ti:Y;,M6adOW5', 27 • ' .: !
13rit.
14738 SW.,78th Ave, Tigard_OR 97224... .. ,.. .
.. ,,,,...:
Im
• 4
CD ...... Scale 1- 30
‘ 4, ii3111M 89
litC _ li.111313
r .....• ,3N0Hd
i b S.....,•e•----.-26 -1" -----■,_4, 5.5...e. .- ....Ir .. \ ...
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00 ";" rx ' ■': • : -- , 4• ...4 ; . .. „
• :':k .;■ %,.: : 1-.■ rc..4 i ■
r " 1 -() :f',.. ':• `i.'...:5-' cn
, V'i 'n, - cir " ' ' :". ... c,';• I d , g -.
' • ........ ! ,
(II 0
x ,
\ ‘ • • /.."
..:
L)
, \
- !
\N. - 4,
5' Sidewalk
■
•
''''''': , ,O, . 5 ..
_ _ : 2 : Caliper
4N Trident Maple
15-30' Spacing
L . :
—-- -- -------- —..,„ Lot ecLverge =38%
Lot SF= 4831
House SF= 1852
Impervious Surface= 468 SF
....
- - - - Si /-/
CITY OF TIGARD.- SITE PLAN REVIEW
BUILDING PERMIT NO.: rn [2x) n. 0001
PLANNING DIVISION:
Required Setbacks: proved 0 0 Not Approved
• Side: S Street Side:
I
Rear: /.5
Visual Clearance: Approved ❑ Not Approved
I y� Maximum Building Height �i‹
� feet
CWS Service Provider Letter Required: ❑ Yes ❑ No
�— t ceived
�e)
J - 1 ..A Date: /?/R (�
EN JINE£RINir EP,TMENT:
Actual lope' (� % Approved ❑ Not Approved
Site Pit Approved P3 Not pproved
BY: Date: I Zv /0
Notes: aer�D ve...et �•u ` � lJ
CITY OF TIGARD - SIT ' AN REVIEW
BU LDING`PERMI NO: 14 . • • • - P _ •�
Street Trees: Eli pproved ❑ Not Approved
Prole Tr • es: [J Approved 0 N'tA•proved
g PJ , Date: 1 , 0
Notes:
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
RA , am the general contractor or the owner - builder
at the following address:
Site Address: S 4) 7g - A i 7 rair *i
City:
I7c O
Permit #:
W►S'T2Oto- 01=
Subdivision/Lot #:
R-I ITIWY 144 41 °L.IS 2_7
and /or
Map and Tax Lot #:
•
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture - sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: Date: 5• -I y-
eralOontracto. Owner - Builder
l:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
•
Oregon Residential Specialty Code N1107.2
•
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction:
Site Address:
i SiAf 78 AA 716 t52
Subdivision/Lot #: .
R,e it 14AIV 1116$43241S Lor 2.7
and /or
Map and Tax Lot #:
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting, fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature: ,, Date:
ner /General o for /Authorized Agent
Print Name: 5( a' LJ, (.A10
ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
L\ Building\ Fonns \RES- HighEfficiencyLighting.doc 07/01/08
N
STREET TREE CERTIFICATION
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I, .S' p� v}}�� Y O w ne r /A g ent= f o- ' /? pic L/c6 ne .fi n
(PLEASE PRINT) ,-, ,; U k (PERMIT HOLDER)
4 S s r J' 463' 'S' y,
Do hereby ce rtif , t � >at th� lbscation meets
9.
g fi
City of Tig land 'sre and: '-de e * nt standards
for street t , t
Q3' � 43 WF ; w� slit W,`l
ADDRESS: ii.173$ SUJ 7Sv Ave Tics C
SUBDIVISION: 8RrnnmY rvi LOT: 27
SIGNATURE: . � � DATE: 5-i 4_ i�
LINER /AGENT)
RECEIVED BY: DATE:
(CITY OF TIGARD)
I: \Building \Forms \StreetTreeCertificate 01/1'9/07