RESIDENTIAL 1 & 2 FAMILY PERMIT APPLICATION

RESIDENTIAL 1 & 2 FAMILY PERMIT APPLICATION Community Development ~ Building Division 333 Broadalbin ST SW / Albany, OR 97321 (541) 917-7553 Fax (541) 917-7598 Applications may be obtained online at: http://www.cityofalbany.net/drc Job Site Information & Location: (Where the work is taking place) Job Site Address: Lot Number: Property Owner: Name: Mailing Address: Phone #: Subdivision: Owner/Builder? Yes No Owner Installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange according to ORS 447, 449, 670, and 701. I own, reside in, or will reside in the completed structure. Owner Signature: Applicant / Contact Information: (Permit owner) Name of Applicant: Mailing Address: Phone #: E-mail: Office Use Only Permit #: CATEGORY OF CONSTRUCTION Single Family TYPE OF WORK Accessory Structure Duplex New Addition Alteration Repair REQUIRED DATA (Information required may vary by project) Is the property in a Floodplain or Natural Resource Overlay District? Yes No Don t know Is the property on septic Yes Permit fees are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. See Construction Valuation Table in Fee schedule for new construction minimum valuation. Valuation: Type of Construction: VB Number of bedrooms: Number of bathrooms: First Floor, square feet: Second Floor, square feet: Basement, square feet: No General Contractor Information: (if different from applicant) General Contractor Mailing Phone #: Oregon CCB # NSFR Contractor Information (required) Address: LICENSING: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ORS 701. Plumbing: CCB # Phone # PB # Mechanical: CCB # Phone # Electrical: CCB # Phone # EL # Garage/Carport, square feet: Unfinished space/other, square feet: Project Description: Plan Options: Authorized Signature: Print Name: Right Left Date:_ NOTICE: PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.

DESIGN CHECKLIST - NEW HOME The design standards for single-family homes are intended to create pedestrian-friendly, sociable, safe and attractive neighborhoods through human-scale design. These standards emphasize the functional relationship between the home and the street. Compatibility standards protect the architectural character of existing neighborhoods. These design standards are adaptable to many different architectural styles. These standards apply to all new houses, manufactured homes, duplexes, and attached houses on individual lots in all zones that allow single-family housing. They do not apply to existing structures, new additions on existing structures, or manufactured home parks. Development on flag lots or on lots that slope up or down from the street with an average slope of 20 percent or more is exempt from these standards. Attachments required: Plot plan showing the proposed home on the subject property. Scale drawing of the front elevation of the home. Front Door Orientation At least one main entrance of the home is located within eight feet of the longest street-facing wall of the dwelling unit (excluding the garage), AND Distance from main entrance to longest street-facing façade = feet Either: Faces the street; OR Is at an angle of up to 45 degrees from the street; OR Opens onto a porch that meets all of the following standards: The porch is at least 25 square feet in area; Dimensions: x Area = s.f. The porch has at least one entrance facing the street; AND The porch has a roof that is: No more than 12 feet above the floor of the porch; and Porch roof height = feet At least 30 percent solid. This standard may be met by having 30 percent of the porch area covered with a solid roof, or by having the entire area covered with a trellis or other open material if no more than 70 percent of the area of the material is open. Porch roof coverage = % solid Street-Facing Windows At least 15 percent of the area of each façade that faces a street lot line must be windows and/or main entrance doors. Windows in garage doors do not count toward meeting this standard, but windows in garage walls do count toward meeting this standard. To count toward meeting this standard, a door must be at the main entrance and facing a street lot line. For a corner lot, only one side of the home must meet this standard. The area of the street-facing facçade is determined by adding the square footage of surface area of each section of wall visible from that perspective. For buildings with more than one wall along one facçade (for example, rooms jutting out from the main building or a building where each floor is set back from the floor below), all of the walls are included in the total area. The total area does not include any roof area.

ONE & TWO FAMILY DWELLING BUILDING PERMIT APPLICATION CHECKLIST Permit # Checked by Application cannot be considered complete until all of the following items have been submitted. Please submit this completed checklist at time of permit application. Subdivision name, if applicable THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW YES NO N/A 1 Septic system permit, if applicable, or authorization for remodel from county health department. 2 Soils report. Must carry original applicable stamp and signature on file or with application. 3 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 4 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if there is more than a 4-ft elevation differential, plan must show contour lines at 2-ft intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area, percentage of coverage; impervious area; existing structures on site; and required landscaping details. 5 Stormwater management. Show existing and proposed elevations or contours in sufficient detail to show all cuts, fills, slopes, and drainage patterns. Site plan must show ground slope direction(s), elevations at all property corners, finish floor and slab elevation, and elevation of top of curb or edge of pavement at frontage corners and elevation of low point drain. Show roof and foundation drain location, routing, slope, and elevations at discharge points. Indicate destination of all surface water (e.g., public storm sewer, on site retention, etc.), and indicate adjacent drainageways. 6 Erosion control. Include drainageway protection, silt fence design and location of catch-basin protection, etc. 7 Foundation plan. Show dimensions, anchor bolts, any hold-downs and reinforcing pads, connection details, vent size and location. 8 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 9 Cross section(s) and details. Show all framing-member sizes and spacing such as floor beams, headers, joists, sub-floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 10 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full size sheet addendums showing foundation elevations with cross references are acceptable. 11 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non-prescriptive path analysis provide specifications and calculations to engineering standards. 12 Envelope Details. Provide building envelope details on plans showing the walls, windows and door sealant/ flashing, and moisture barrier controls. Provide specific window manufacturer installation instructions regarding weatherization. 13 Floor/ roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 14 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 16, Engineer s calculations. 15 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists exceeding prescriptive code requirements, and/or any beam/joist carrying a non-uniform load. 16 Manufactured floor/roof truss design details. Provide point loads of trusses. 17 Energy Code compliance. 18 Engineer s calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an Oregon licensed engineer or architect and shall be shown to be applicable to the project under review. 19 Front door location. At least one main entrance of the home must be located within 8 feet of the longest street-facing wall of the dwelling unit. **Must also complete back side of permit application form. 20 Front door orientation. At least one main entrance of the home either faces the street, or is at an angle of up to 45 degrees from the street. **Must also complete back side of permit application form. 21 15% Window frontage. At least 15 percent of the area of the street facing façade, must be in windows and/or main entrance doors (windows in garage doors do not count). **Must also complete back side of permit application form. 22 Do you have any trees on your property 6-1/2 feet or larger in circumference? If yes, are you proposing to remove any in conjunction with this permit? Applicant's Signature Date

MUST BE PRESENTED PRIOR TO THE FINAL INSPECTION CITY OF ALBANY 333 Broadalbin ST SW, Albany OR 97321 Office: (541) 917-7553 Fax: (541) 917-7598 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction Site Address: Subdivision/Lot: and/or Map And Tax Lot: By my signature below, I am providing notice that all of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that have high-efficacy lamps. (Oregon Residential Specialty Code N1107.2) 1 Exception: Two permanently installed lighting fixtures are not required to have high-efficacy lamps. Signed: Date: Owner/General Contractor/Authorized Agent Print Name: 1 ORSC Section N1107.2. High-efficacy lamps. All permanently installed lighting fixtures shall contain high-efficacy lamps. Screw-in compact flourescent and LED lamps comply with this requirement. The building official shall be notified in writing at the final inspection that the permanently installed lighting fixtures have met this requiement Exception: Two permanently installed lighting fixtures are not required to have highefficacy lamps.

SELECT ONE OPTION FROM EACH OF THE SECTIONS/ TABLES: PRESCRIPTIVE ENVELOPE REQUIREMENTS a - TABLE N1101.1(1) BUILDING COMPONENT STANDARD BASE CASE LOG HOMES ONLY Required Performance Equiv. Value b Required Performance Equiv. Value b Wall insulation-above grade U-0.059 c R-21 Intermediate Note d Note d Wall insulation-below grade e C-0.063 R-15/R-21 C-0.063 R-15/R-21 Flat ceilings f U-0.021 R-49 U-0.020 R-49 A h Vaulted ceilings g U-0.033 R-30 Rafter or R-30A g,h Scissor Truss U-0.027 R-38A h Underfloors U-0.033 R-30 U-0.033 R-30 Slab edge perimeter F-0.520 R-15 F-0.520 R-15 Heated slab interior i n/a R-10 n/a R-10 Windows j U-0.30 U-0.30 U-0.30 U-0.30 Window area limitation j,k n/a n/a n/a n/a Skylights l U-0.60 U-0.60 U-0.60 U-0.60 Exterior doors m U-0.20 U-0.20 U-0.54 U-0.54 Exterior doors w/ > 2.5 ft 2 glazing n U-0.40 U-0.40 U-0.40 U-0.40 Forced air duct insulation n/a R-8 n/a R-8 For SI: 1 inch = 25.4 mm, 1 square foot = 0.0929 m2, 1 degree = 0.0175 rad, n/a = not applicable a. As allowed in Section N1104.1, thermal performance of a component may be adjusted provided that overall heat loss does not exceed the total resulting from conformance to the required U-value standards. Calculations to document equivalent heat loss shall be performed using the procedure and approved U-values contained in Table N1104.1(1). b. R-values used in this table are nominal for the insulation only in standard wood framed construction and not for the entire assembly. c. Wall insulation requirements apply to all exterior wood framed, concrete, or masonry walls that are above grade. This includes cripple walls and rim joist areas. Normal compliance with R-21 insulation and Intermediate Framing (N1104.5.2) with insulated headers. d. The wall component shall be a minimum solid log or timber wall thickness of 3.5 inches (90 mm). e. Below-grade wood, concrete, or masonry walls include all walls that are below grade and do not include those portions of such wall that extend more than 24 inches (609.6 mm) above grade. R-21 for insulation in framed cavity; R-15 continuous insulation. f. Insulation levels for ceilings that have limited attic/rafter depth such as dormers, bay windows, or similar architectural features totaling not more than 150 square feet (13.9 m 2 ) in area may be reduced to not less than R-21. When reduced, the cavity shall be filled (except for required ventilation spaces). R-49 insulation installed to minimum 6 inches depth at top plate at exterior of structure to achieve U-factor. g. Vaulted ceiling surface area exceeding 50 percent of the total heated space floor area shall have a U-factor no greater than U-0.026 (equivalent to R-38 rafter or scissor truss with R-38 advanced framing). h. A = Advanced frame construction. See Section N1104.6 i. Heated slab interior applies to concrete slab floors (both on and below grade) that incorporate a radiant heating system within the slab. Insulation shall be installed underneath the entire slab. j. Sliding glass doors shall comply with window performance requirements. Windows exempt from testing in accordance with Section NF1111.2, Item 3 shall comply with window performance requirements if constructed with thermal break aluminum or wood, or vinyl, or fiberglass frames and double-pane glazing with low-emissivity coatings of 0.10 or less. Buildings designed to incorporate passive solar elements may include glazing with a U-factor greater than 0.35 by using Table N1104.1(1) to demonstrate equivalence to building envelope requirements. k. Reduced window area may not be used as a trade-off criterion for thermal performance of any component. Exception: Table 1101.1(2), Envelope Measure 6: calculation allows baseline case 15 percent of total wall area as window when design case utilizes window area of less than 15 percent. l. Skylight area installed at 2 percent or less of total heated space floor area shall be deemed to satisfy this requirement with vinyl, wood, or thermally broken aluminum frames and double-pane glazing with low-emissivity coatings. Skylight U-factor is tested in the 20-degree (0.35 rad) overhead plane in accordance with NFRC standards. m. A maximum of 28 square feet (2.6 m 2 ) of exterior door area per dwelling unit can have a U-factor of 0.54 or less. n. Glazing that is either double pane with low-e coating on one surface, or triple pane shall be deemed to comply with this U-0.30 requirement.

ENVELOPE ENHANCEMENT MEASURES - TABLE N1101.1(2) Revised Envelope Enhancement Measure (Select One) 1 2 3 4 5 6 High efficiency walls & windows Exterior walls U-0.045/R-21 cavity insulation + R-5 Continuous Upgraded features Exterior walls U-0.057/R-23 intermediate or R-21 advanced, Framed floors U-0.026/R-38, and Windows U-0.28 (average UA) Upgraded features Exterior walls U-0.055/R-23 intermediate or R-21 advanced, Flat ceiling e U-0.017/R-60, and Framed floors U-0.026/R-38 Super Insulated Windows and Attic OR Framed Floors Windows U-0.22 (Triple Pane Low-e), and Flat ceiling e U-0.017/R-60 or Framed floors U-0.026/R-38 Air sealing home and ducts Mandatory air sealing of all wall coverings at top plate and air sealing checklist f, and Mechanical whole-building ventilation system with rates meeting M1503 or ASHRAE 62.2, and All ducts and air handlers contained within building envelope d or All ducts sealed with mastic b High efficiency thermal envelope UA g Proposed UA is 8% lower than the code UA High efficiency HVAC system Conservation Measure (Select One) A B C Gas-fired furnace or boiler AFUE 94%, or Air source heat pump HSPF 9.5/15.0 SEER cooling, or Ground source heat pump COP 3.5 or Energy Star rated Ducted HVAC systems within conditioned space All ducts and air handler are contained within building envelope d Cannot be combined with Measure 5 Ductless heat pump Ductless heat pump HSPF 10.0 in primary zone of dwelling High efficiency water heater D Natural gas/propane with UEF 0.85 OR Electric heat pump water heater Tier 1 Northern Climate Specification Product For SI: 1 square foot = 0.093 m2, 1 watt per square foot = 10.8 W/m2. a. Appliances located within the building thermal envelope shall have sealed combustion air installed. Combustion air shall be ducted directly from the outdoors. b. All duct joints and seams sealed with listed mastic; tape is only allowed at appliance or equipment connections (for service and replacement). Meet sealing criteria of Performance Tested Comfort Systems program administered by the Bonneville Power Administration (BPA) c. Residential water heaters less than 55-gallon storage volume. d. A total of 5 percent of an HVAC system s 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. 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 U-0.026. f. Continuous air barrier. Additional requirement for sealing of all interior vertical wall covering to top plate framing. Sealing with foam gasket, caulk, or other approved sealant listed for sealing wall covering material to structural material (example: gypsum board to wood stud framing). g. Table N1104.1(1) Standard base case design, Code UA shall be at least 8 percent less than the Proposed UA. Buildings with fenestration less than 15 percent of the total vertical wall area may adjust the Code UA to have 15 percent of the wall area as fenestration.

SMALL ADDITION ADDITIONAL MEASURES (Select One) TABLE N1101.3 1 Increase the ceiling insulation of the existing portion of the home as specified in Table N1101.2. 2 Replace all existing single-pane wood or aluminum window to the U-factor as specified in Table N1101.2. 3 Insulate the floor system as specified in Table N1101.2 & install 100 percent of permanently installed lighting fixtures as CFL, LED, linear fluorescent or a min. efficacy of 40 lumens per watt as specified in Section N1107.2. 4 Test the entire dwelling with a blower door and exhibit no more than 6.0 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 10.0 8 Replace existing electric forced air furnace with an air source heat pump with a minimum HSPF of 9.5. 9 Replace existing water heater with a water heater meeting Conservation Measure D [Table N1101.1(2)].

Address: CITY OF ALBANY Public Works Department 333 Broadalbin St. SW Albany, OR 97321 (541) 917-7676 Phone (541) 917-7573 Fax (541) 791-0116 EPSC Hotline epsc@cityofalbany.net JOB SITE LOCATION Map Lot No.: Subdivision: Lot: OWNER INFORMATION Name: Home Address: Phone: Cell: email: 24-HOUR EMERGENCY CONTACT Contact Name: 24 - hr Phone No.: GENERAL CONTRACTOR - IF APPLICABLE Contact Name: Company: Address: Phone: Cell: email: CCB#: EPSC PLAN PREPARATION - IF APPLICABLE Person Preparing Plan: Company Name: Address: email: Phone: PERMIT APPLICATION EROSION PREVENTION AND SEDIMENT CONTROL (EPSC) MINOR LAND DISTURBING ACTIVITY MAJOR LAND DISTURBING ACTIVITY PERMIT TRANSFER - OWNERSHIP TRANSFER DESCRIPTION OF WORK Lot Size (sq. feet): Size of disturbed area (sq. feet): Description: The disturbed area contains or abuts: Disturbed Area is greater than 1 acre Average slopes greater than 10% in affected area Slopes greater than 3:1 exceed 6 feet in height Contains Stream, Creek, River, Lake, or Wetland Drainage way or swale (collects 1+ acres) DEPARTMENT USE ONLY Date Application Received: Plan Submitted Date of Plan Review: By: Date of Site Inspection: By: EPSC Permit No.: SI Project No.: Building Permit No.: SI PROJECT NAME IF APPLICABLE By my signature below I swear or affirm that the information provided above is true and correct to the best of my knowledge and belief. I understand that failure to comply, on the part of myself or any other persons or entities performing work under this permit, with the requirements of the City of Albany EPSC program, this and any other applicable permit, the Albany Municipal Code, and any other applicable laws, codes, and covenants, can cause delays in the permitting process, result in a stoppage of work, and/or incur fines and other penalties. I understand that I assume full legal and financial responsibility for all activities performed under this permit which cause damages to rights-of-way, storm drains, swales, drainage ways, wetlands, and/or Waters of the State. Signature of Property Owner Date Printed Name of Property Owner