Permit * CITY OF TIGARD MASTER PERMIT
s • COMMUNITY DEVELOPMENT Permit#: MST2014-00010
T t i A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 2S 104AD06400
Jurisdiction: Tigard
Site address: 12865 SW WALNUT ST
Subdivision: 2009-055 PARTITION PLAT Lot: 2
Project: Hansen Partition(Roberts/Batzer)
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First 240 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 27 Bathrooms: 2 Second: 2031 sf Garage: 1674 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right. 5
Detectors: Yes
Total: 2271 sf Value: $340,250.07 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units: hydronic heating
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 3 Clothes Dryers. 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 1
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=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 add!500 sf: 6 201-400 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 2271
Owner: Contractor:
ROBERTS,MICHAEL P OWNER Required Items and Reports(Conditions)
BATZER,RACHEL E MICHAEL ROBERTS&RACHEL 1 Ersn Cntrl 503-639-4175
14736 SW SCHOLLS FERRY RD BATZER
#725 14736 SW SCHOLL FERRY RD#725
BEAVERTON,OR 97007 BEAVERTON,OR 97007
PHONE: 717-968-4718 PHONE: 717-968-4718
FAX
Fees: $20,883.94
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 a ce 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. A TION: egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 010 through OA 2-00 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue y: _ / `
Permittee Signature:
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.
L
. .
RECEIVED
Property Owner Statement JAN 3 0 2014
Regarding Construction Responsibilities "CITYOFTIGARD
Oregon Law requires residential construction permit applicants who are not licensed with th
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not
submit this statement.This statement will be filed with the permit.
Please check the appropriate box:
,, ell
', I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that a II subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I w ill
` reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
4,c,lkel ga-12-e,r
Print Name of Permit Applicant
� `�i CS ( /36/1
Signature of Permit Applicant Date
Permit#: H 1c .O/`t- (XX)!0 F
Address: tNtpp .
1 6,A 02 Q'7 i- ;A0.74/1
","
Issued N Date: 01/Y
This Copy for Permit Offices
Building Permit Application
RECEIVED
Residential FOR OFFICE USE ONLY
JAN 3 0 2014 Received � �y
III City of Tigard paten : i �d,,7 Permit No.:17Tj,, .ie: 1/0
- • 13125 SW Hall Blvd.,Tigard,OR 97223 ITYOFTIGARD Plan Review „=, /r n „�,/
Phone: 503.718.2439 Fax: 503.598. Date/B : `' Other Permit: C4ytCX ��a 0 4,
TI G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By. r /? laris: B See Page 2 for
Internet: www.tigard-or.gov N.ti6ed/Methad: Supplemental Information
earaLL LOIiiWW 1.
TYPE OF WORK REQUIRED DATA:I-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 Indic, ed on this application.
® I-and 2-family dwelling El Commercial/industrial Valuation' �,O '"r b4C_)IZS'.0 7
❑Accessory building 11 Multi-family Num: o . ooms: 3
❑Master builder ❑Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 12865 SW Walnut St. New dwelling area: ZZ`7‘ square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: f 674_ square feet
Suite/bldg./apt.no.: Project name:Roberts-Batzer House Covered porch area: 60 square feet
V Cross street/directions to job site:Building sited located on Walnut St. Deck area: 819 square feet
400 ft.East of intersection of SW Gaarde St and SW Walnut St. Other structure area: '?„94A t" square feet Z�
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.:6400 Permit fees*are based on the value of the work performed.
I Tax map/parcel no.:2S104AD06400 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New construction of a two story,single family home. Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Michael Roberts and Rachel Batzer Type of construction:
Address: 14736 SW Scholls Ferry Rd,APT 725 Occupancy groups:
City/State/ZIP:Beaverton,OR 97007 Existing:
Phone:(717)968-4718 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:Michael Roberts and Rachel Batzer
FLS plan review fee(if applicable):
Address: 14736 SW Scholls Ferry Rd,APT 725
City/State/ZIP:Beaverton,OR 97007 Total fees due upon application:
Amount received: !/7'_9 •(-"'
Phone:(717)968-4718 Fax::( )
E-mail: mprbrts @gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mo 'ted PhotoVoltaic Solar Panel System.
Business name. :atzer Construction Inc. O(o I`-' f , Submit two(2) - of roof plan with connecti•• .-tails
and fire department, ess,along with .- 110 Oregon
Address:Office: 1''i 'orth Ro . ane,Mailing:PO Box 4460 Solar Installation Specia Code • -c list.
City/State/ZIP: Medfor I i R 97501 Permit Fee(include view $180.00
and .. mistrative
Phone:(541)773-75 • Fax:( ) States • arge(12%of permit fee): $21.60
CCB lic.:13 ' : Total fee due upon application: $201.60
Authorized signature:A tl ct l 1 This permit application expires if a permit is not obtained
gc of �t within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Plumbing Permit AnnlicatRECEIVED
Site Utilities
City of Tigard JAN 3 0 2014 RDeaeteiveyd. t 30/4 ' 1-�, Permit No.:js--157 0/�X10
N . • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I�Y`�J
Phone: 503.718.2439 Fax: 503.S6IF�GARD Date/By: Other Permit No: e 90/11_,10004,
-
Inspection Line: 503.639.4175 BUILDING DIUISIOPPi Date Ready/By: Juris ® See Page 2 for
T I G n R I) Internet: www.ti ardor. ov
g g Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction LI 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
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 437.78
SFR(3)bath 500.32
❑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:12865 SW Walnut St Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223
Footing drain(no.linear ft.:290) Page 2
Suite/bldg./apt.no.: I Project name:Roberts-Batter House Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
400 ft.East of intersection with SW Gaarde St and SW Walnut St. Rain drain connector 18.76
Sanitary sewer(no.linear ft.: Page 2
Storm sewer(no.linear ft.:220) Page 2
Water service(no.linear ft.:50) Page 2
I Subdivision: I Lot no.:6400 Fixture or item:
Tax map/parcel no.:2S104AD06400 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve - 12.51
Clothes washer 25.02
Plumbing for new single family home - --
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Michael Roberts and Rachel Batzer Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 14736 SW Scholls Ferry Rd,APT 725 -
Garbage disposal - 25.02
City/State/ZIP:Beaverton,OR 97007 Hose bib 25.02
Phone:(717)968-4718 Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 -
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Michael Roberts and Rachel Batzer Roof drain(commercial) 12.51
Address: 14736 SW Scholls Ferry Rd,APT 725 Sink/basin/lavatory - 25.02
City/State/ZIP:Beaverton,OR 97007 Solar units(potable water) I 62.54
Phone:(717)968-4718 Fax::( ) Tub/shower/shower pan _ 12.51
E-mail:mprbrts@gmail.com Urinal 25.02
Water closet - 25.02
CONTRACTOR -
1060/3E-g- Water heater _ 37.52 -
Business name: Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal - 9
Phone:( ) Fax:( )
Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature:)( /141c-1,,�.1 1191j.1 TOTAL PERMIT FEE 1
This permit application expires if a permit is not obtained within 180 days
Print name: Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitAppdoc 10/01/09 440-4616T(10/02/COM/WEB)
•
Mechanical Permit ApplicatLECEIVED FOR OFFICE USE ONLI
City of Tigard JAN 3 0 2014 Received I gl/4 ( 1 5 Permit No. 1\G]� i,i _0M/0
- • 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.19�D'�p�TIGARD Date/By:By: 5�+e-�1,1 ,p
De eive Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: Sur s: ® SeePage2for
Internet: www.tigard-or.gov oV Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
_Air conditioning 46.75
Job site address: 12865 SW Walnut St. Furnace 100,000 BTU(ducts/vents) l _ 46.75 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Roberts-Balzer House Duct work 23.32
Cross street/directions to job site: Hydronic hot water system I 23.32 23 2
Residential boiler(radiator or
400 ft.East of intersection with SW Gaarde St and SW Walnut St. hydronic) . 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above r 23.32
Subdivision: Lot no.:6400 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2S104AD06400 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas ,
New construction of a two store,single family home. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ' ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Michael Roberts and Rachel Batzer Range hood/other kitchen
equipment I 33.39 _33.39
Address: 14736 SW Scholls Ferry Rd,APT 725 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Beaverton,OR 97007 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32 69.96
Phone:(717)968-4718 Fax:( ) Attic/crawlspace fans 2 23.32 46.64
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Michael Roberts Furnace,etc. 1 14.15
Address:14736 SW Scholls Ferry Rd,APT 725 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Beaverton,OR 97007 Water heater l
Phone:(717)968-4718 Fax::( ) Fireplace
Range 1 . ... _
E-mail:mprbrts @gmail.com Barbecue 1
CONTRACTOR Clothes dryer(gas)
Business name: Q/ ., EIL Other:
(/` MECHANICAL PERMIT FEES* _
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) 7
Phone:( ) Fax:( ) State surcharge(12%of permit fee) _
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature:k til I el \ V V • Fee methodology set by Tn-County Building Industry Service Board
Print name: l Date:
I.\Building\Permits\MEC_PermitApp_0401 I)doc 440.46177(I I/07KOM/WEB)
•
Electrical Permit Applica tRECEIVED FOR OFFICE USE ONLI
City of Tigard JAN 3 0 2014 Received 1 / -II All Permit No.: t L� ,lel_40oz
;. 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
II Phone: 503.718.2439 Fax: 503.59SI111100FTIGARD Date/B : Other Permit: (510/4 i/I!
l� lJ� J
I t 1 Kt) Inspection Line: 503.639.4175 Date Ready/By: Juris 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply(submit 2 sets of plans w/items checked below):
®New construction ❑Addition/alteration/replacement
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF GONSIRUCI•ION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of of new motor load of ❑"A","E","1-2","1-3",
Job no.: Job site address: 12865 SW Walnut St. I or more. occupancy.
❑Six x o or r more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Roberts-Batzer House ❑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.
400 ft.East of intersection with SW Gaarde St and SW Walnut St. Includes attached garage.
Subdivision: Lot no.:6400 1,000 sq.ft.or less I 1 I 168.54 168.45 4
Ea.add'I 500 sq.ft.or portion b 33.92 1
Tax map/parcel no.:2S104AD06400 Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) - ( 75.00 75,0D 2
Limited energy,multi-family
All electrical for new single family home. residential(with above sq.ft.) - 75.00 - , 2
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
0 PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 a
201 amps to 400 amps _ 133.56 2
Name:Michael Roberts and Rachel Batzer 401 amps to 600 amps 200.34 2
Address: 14736 SW Scholls Ferry Rd,APT 725 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Beaverton,OR 97007 Temporary services or feeders installation,alteration,and/or
Phone:(717)968-4718 Fax:( ) relocation
200 amps or less • 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 _
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54
Owner signature: _ Date: Branch circuits—new,alteration,or extension,per panel
0 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, -_.. 0 ,
Business name: each branch circuit '
B.Fee for branch circuits without
Contact name:Michael Roberts and Rachel Batzer service or feeder fee,first
branch circuit 56.18 2
Address: 14736 SW Scholls Ferry Rd,APT 725 Each add'l branch circuit 7.42 _ 2
City/State/ZIP: Beaverton,OR 97007 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(717)968-4718 Fax: :( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: mprbrts @gmail.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:
Ott �� Signal circuit(s)or limited-energy _ See
�/ panel,alteration,or extension. I Page 2 2
Address: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: Electrical Lic.: Suprv.Lic.: specifically listed(%:hr min) _
ELECTRICAL PERMIT FEES _
Suprv. Electrician signature,required: Subtotal: _
Print name: Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:x 4,:1,0 /1 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 1811
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 440-46151(11/05/COM/WEB
. 11Ilir-
Building Permit Number: H Tc2p l'-1 -coo/0
IPII s ' Building Permit Review RECEIVED
Residential Projects
TIGARD JAN 30 2014
Site Address: 12V)5 SV\1 V\ialnIxle 5+
RUI D NG pjvis
❑Verify site address is valid.
Project Name & Lot #: � t to PA2T,r,o ti>
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No El Received: Yes ❑ No ❑
Site Plan Elements:
Site plan must be on 8-1/2"x 11"or 11"x 17"paper Three(3)copies of site plan
Drawn to scale(standard architect or engineer scale) North arrow
Map and tax lot number,site address,project or subdivision Footprint of new structure(including decks)with finished
name,lot number,and zoning floor elevations
Applicant information(name and phone number) JLot and building setback dimensions
(Property corner elevations(2 foot contour lines if more than , Lot area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
Utility locations t. ❑Location of wells/septic systems.
1\}Irt 0Existing structures on site urface drainage
Rt treet names Street tree size,type and location
Erosion control(including drainage-way protection,silt fence Existing trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review
��L d Use Case Number: N1LQ LOT]-QQQQ$
oning:
R-4,5
Setbacks:
Front I Rear � 5 I Side 5 I Street Side Garage 201
Si/Landscape Requirement: _
ot Coverage Maximum:
L7 Building Height: Maximum Height Actual Height T7
isual Clearance
15K Easements
[ Sensitive Lands: ❑ Yes Type
-- .Urban Forestry Ian
ig Conditions Sari /J
Approved by: 'Z'T i ' �' \ 3 a
Date: 1 1 1
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
1:\Building\Forms\BldgPermitRvw_RES_123013.docx
W. , ..
Building Permit Submittal
Original Plan Submittal: Date: 1/ 0//y By ()(2 sr 41.L'
Site Plans: # 3
Building Plans: # 3
Create Case Record#: 0-Enter case#above for Building Permit Number.
Workflow Routing: EYP laming EVEngineering EPermit Coordinator 2(Building
Workflow Sign-off: Er Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: GVEngineering: (1) copy of permit application, (1) site plan, (1)building plan and
yriginal plan review routing form.
Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed B : /4. i I i .i Date: //f9/i./
Notes:
Engineering Review—reviewed by: I41/ G�jf;t¢i�,--)
Actual Slope: p:9
7Conditions Satisfied
Notes:
Approved by: t ;-4 Date: J�'//(,/
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Pe it Coordinator Review
onditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applic, t
Revision Notice 3: Date Sent to A.. ( . t .
i
Okay to Issue Permit- , �� Date: --___i J
I:\Building\Forms\B IdgPermitRvw_RES_123013.docx
1
ENERGY EFFICIENCY
TABLE N1101.1(2)
ADDITIONAL MEASURES
High efficiency walls&windows:
1 Exterior walls—U-0.047/R-19+5(insulation sheathing)/SIPS,and one of the following options:
Windows—Max 15 percent of conditioned area;or
Windows—U-0.30
High efficiency envelope:
Exterior walls—U-0.058/R-21 Intermediate framing,and
O Vaulted ceilings—U-0.033/R-30Ad•`,and
2 Flat ceilings—U-0.025/R-49,and
Framed floors—U-0.025/R-38,and
Windows—U-0.30;and
Doors—All doors U-0.20,or
Additional 15 percent of permanently installed lighting fixtures as high-efficacy lamps or Conservation Measure D and E
High efficiency ceiling,windows&duct sealing:(Cannot be used with Conservation Measure E)_
3 Vaulted ceilings—U-0.033/R-30Ad•`,and
°' Flat ceilings—U-0.025/R-49,and
Windows—U-0.30,and Performance tested duct systemsb
4 High efficiency thermal envelope UA:
Proposed UA is 15%lower than the Code UA when calculated in Table N1104.1(1)
• Building tightness testing,ventilation&duct sealing:
A mechanical exhaust,supply,or combination system providing whole-building ventilation rates specified in Table NI 101.1(3),or
ASHRAE 62.2,and
W 5 The dwelling shall be tested with a blower door and found to exhibit no more than
1.6.0 air changes per hourf,or
2.5.0 air changes per hourf when used with Conservation Measure E,and
Performance tested duct systemsb
6 Ducted HVAC systems within conditioned space:(Cannot be used with Conservation Measure B or C)
All ducts and air handler are contained within buildin l envelope
High efficiency HVAC system:
A Gas-fired furnace or boiler with minimum AFUE of 90%a,or Air-source heat pump with minimum HSPF of 8.5 or
Closed-loop ground source heat pump with minimum COP of 3.0
B Ducted HVAC systems within conditioned space:
All ducts and air handler are contained within building envelope'
Ductless heat pump:
Replace electric resistance heating in at least the primary zone of dwelling with at least one ductless mini-split heat pump having a minimum
• C HSPF of 8.5.Unit shall not have integrated backup resistance heat,and the unit(or units,if more than one is installed in the dwelling)shall be
sized to have capacity to meet the entire dwelling design heat loss rate at outdoor design temperature condition.Conventional electric resistance
heating may be provided for any secondary zones in the dwelling.A packaged terminal heat pump(PTHP)with comparable efficiency ratings
may be used when no supplemental zonal heaters are installed in the building and integrated backup resistant heat is allowed in a PTHP
• High efficiency water heating&lighting:
D Natural gas/propane,on-demand water heating with min EF of 0.80,and
A minimum 75 percent of permanently installed lighting fixtures as CFL or linear fluorescent or a min efficacy of 40 lumens per watt as
specified in Section N1107.2`
co
Energy management device&duct sealing:
CE Whole building energy management device that is capable of monitoring or controlling energy consumption,and
Performance tested duct systemsb,and
A minimum 75 percent of permanently installed lighting fixtures as high-efficacy lamps
Solar photovoltaic:
Minimum 1 watt/sq ft conditioned floor spaces
G Solar water heating:
Minimum of 40 ft2 of gross collector area'
For SI: 1 square foot=0.093 m',1 watt per square foot=10.8 W/m'.
a. Furnaces located within the building envelope shall have sealed combustion air installed.Combustion air shall be ducted directly from the outdoors.
b. Documentation of Performance Tested Ductwork shall be submitted to the building official upon completion of work.This work shall be performed by a contractor certified by the Oregon
Department of Energy's(ODOE)Residential Energy Tax Credit program and documentation shall be provided that work demonstrates conformance to ODOE duct performance standards.
c. Section N1107.2 requires 50 percent of permanently installed lighting fixtures to contain high efficacy lamps.Each of these additional measures adds an additional percent to the Section
N1107.2 requirement.
d. A=advanced frame construction,which shall provide full required ceiling insulation value to the outside of exterior walls.
e. The maximum vaulted ceiling surface area shall not be greater than 50 percent of the total heated space floor area unless vaulted area has a U-factor no greater than 1/-0.026.
f. Building tightness test shall be conducted with a blower door depressurizing the dwelling 50 Pascal's from ambient conditions.Documentation of blower door test shall be submitted to
the Building Official upon completion of work.
g. Solar electric system size shall include documentation indicating that Total Solar Resource Fraction is not less than 75 percent.
h. Solar water heating panels shall be Solar Rating and Certification Corporation(SRCC)Standard OG-300 certified and labeled,with documentation indicating that Total Solar Resource
Fraction is not less than 75 percent.
i. A total of 5 percent of an HVAC systems ductwork shall be permitted to be located outside of the conditioned space.Ducts located outside the conditioned space shall have insulation
installed as required in this code.
2011 OREGON RESIDENTIAL SPECIALTY CODE 11-3
TABLE N1101.3
SMALL ADDITION ADDITIONAL MEASURES(Select one)
1 Increase the ceiling insulation of the existing portion of
the home as specified in Table N1101.2.
Replace all existing single-pane wood or aluminum
2 P 8
windows to the U-value as specified in Table N1101.2.
Insulate the floor system as specified in Table N1101.2
3 &install 50 percent of permanently installed lighting
fixtures as CFL or linear fluorescent or a min.efficacy of
40 lumens per watt as specified in Section N 1107.2.
4 Test the entire dwelling with a blower door and exhibit
no more than 7.0 air changes per hour @ 50 Pascals.
5 Seal and performance test the duct system.
6 Replace existing 78 percent AFUE or less gas furnace
with a 92 percent AFUE or greater system.
7 Replace existing electric radiant space heaters with a
ductless mini split system with a minimum HSPF of 8.5.
8 Replace existing electric forced air furnace with an air
source heat pump with a minimum HSPF of 8.5.
9 Replace existing water heater for a natural gas/propane
water heater with a minimum EF of 0.67.
10 Install a solar water heating system with a minimum of
40 ft2 of gross collector area.
March 12, 2014
RE: NEW SINGLE FAMILY DWELLING
Project Information
Building Permit: MST2014-00010 Class of Work: New Res
Address: 12865 SW Walnut St. Lot Number: 6400
Area: 2031 Sq. Ft. Stories: 2
Builders Name: Roberts-Batzer Subdivision: NA
The plan review was performed under the State of Oregon Residential Specialty Code
(ORSC) 2011 edition. Please respond to conditions below.
1) Please provide structural calculations as per accepted engineering practice.
Calcs should include deck and retaining wall.
2) Please provide engineered detail sheet showing all engineered building
products.
3) Please show how radon control will be installed.
When responding, provide an itemized letter stating in what way each numbered
issue has been addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard
in tracking and processing the documents.
Respectfully,
Dan Nelson
Senior Plans Examiner
(503) 718-2436
dann @tigard-or.gov
f__
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
Transmittal
Letter
T I GAR I) 5 SW1l1&Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE ;!, _ I?�i 1
DEPT: LDING DIVISION
APR 2 2014
FROM: q .e ae•r CITY OF TIGARU
BUILDING DIVISION
COMPANY:
PHONE: `S�-( 1 — l� �� q � �
RE: AP-fre tt3ea/`. 1 t�T�'j 1�f —DUO /D
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Description:
Additional set(s)of plans. Revisions:
Cross section(s)and details.
framing.
Wall bracing and/or lateral analysis.
Flo Basement and retaining walls.
Beam calculations. Engineer's calculations.
I Other(explain):
REMARKS: , : 4 to • A . 1., 0_,A___ / jiaLLA
FO FFI E USE ONLY
Routed to Permit Technici. .. Date: ik— Initials
Fees Due: ❑ Yes g o 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
PHILLIP B. MCCULLOCH, P.E.
0
Structural Engineering Services (541)-778-8070 \�
� $' TeIe: ��
1655 Scofield o eld Street 1 Q
Central Point, Oregon 97502 � c \C?Q`S\Q�
February 4, 2014
Mr. Michael Roberts
14736 SW Scholls Ferry Rd, No. 725
Beaverton, Oregon 97007
Re: Residence Plans
Sheets 1 through 10, Revision 1 dated 2/3/14
Roberts & Batzer Residence
Tigard, Oregon
Dear Michael:
I have reviewed your prepared drawings, and have performed calculations and design,
and added details, notes and revisions as shown in the above referenced drawings.
This work is for the purpose of bringing the primary structural elements, both for vertical
and horizontal code specified design forces, into conformance with the 2011 Oregon
Residential Specialty Code.
My Oregon Engineer certification seal applies to referenced Sheets 1 through 10.
Please call me if you have any questions.
Sincerely,
gz.r.
adicr4 FE,
PROFFS
Phillip B. McCulloch, P.E. "<c- S�p2
4 �l
7690
A
OREGON �
9'2 (y j 3 �g3 () �'
fo Mco\Y- iz-3i• ?4-
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12865 SW WALNUT ST, TIGARD, OR, 97223 March 22, 2019 at
10:34:24 AM
Record Type: Record ID:
Residential - Master Permit MST2014-00010
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12865 SW WALNUT ST, TIGARD, OR, 97223 March 22, 2019 at
10:31 :13 AM
Record Type: Record ID:
Residential - Master Permit MST2014-00010
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12865 SW WALNUT ST, TIGARD, OR, 97223 March 22, 2019 at
11 :16:29 AM
Record Type: Record ID:
Residential - Master Permit MST2014-00010
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Seal counter tops to wall behind fixtures. OPSC 402.2
All else appears ok.
Water pressure 79 psi.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12865 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2014-00010
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Final erosion control approved.
Moisture content form received.
High efficiency lighting form received.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12865 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2014-00010
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor