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Permit s /3gS ,A0 95 CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit #: MST2009 -00149 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/18/2009 Parcel: 2S102CD05600 Jurisdiction: Tigard Site address: 13882 SW 95TH AVE Subdivision: FLETCHER WOODS Lot: 6 Project: Fletcher Woods Project Description: New SFR. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1163 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1544 sf Garage: 1059 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $320,302.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 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: Y 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 Srvc /Feeders 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: 6 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'I 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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) MCADAMS, JAMIE & SUSAN 1 MST Ersn Cntrl 503 - 681 -4444 24300 NW GREEN MOUNTAIN RD BANKS, OR 97106 PHONE: 503 - 780 -5542 PHONE: FAX: Total Fees: $17,436.51 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 s= forth in OAR 952- 001 -0010 thro •h OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.24•••99 or 1.800.332.2344. Issued ByNi■ ���— - . / Permittee Signature: 11/13/2009 14:33 5033240580 MALMEDAL ENTERPRISES PAGE 01/01 . A.t Weef , ± l' rtrunt Application . • Building Fixtures RE City of Tigar nemrved 11- , i 97n3 •i! I L 15 200' paillta1: "�'nNo,�5'T-aBa9 10 0/ 11 /9 Phone: 503.639.4171 Fax: 5 pal e`Icoo - Inspection Lino; 503.639.4175 MY OF11OA' •' °Wa Caber Permit Nod r lntm�rlot www.tigAra -or.gw >t i ;� • Rexdy/eyd Aria o ��. .., lVIS l. • eenmcdmod: ow commotion 0 Demolition `` �st i ro ut: t ' ecome ❑ AddidaNalteratipn/replm 0 Other: Drsni •lion . {� �1' Total l ,rx, �.- 1:�.,+ � x;. .c.. New 1- Munn, dwell togs (Includes 100 ft. for each utility connection) �, ;, " , ;,� i �}"�il t��; fir Ity connection Jiacir�.a..M(6� SFR (1) bath 24920 Al- and 2- filthily dwelling ❑ Commereialhntinstrial SFR (2) bath y C:1 AcOes my building 950 Q Multfgorrlily SFR (3) bath NM 399.00 Master builder ❑ Emil additional Otlxr_ brnh/kitehen 43.00 NM 4 g ''; .4� it .rL'a'•'(t : y a .B 1 S , y � r, Fix sprinkle► L.,•• _ eq. R,) r P 2 Job site address: ���_y� C ei Catch basin or area drain 16.60 City/Stare/ZIP: i pfaiS >w MINN • Drywall, leach Ih10, or trench drain i 16,60 Saito/bldg. /apt. no.: Project name: Poenng drain (no. Hiieer ft.: _.) ��•+. Croce atteoddirbotiotts to Job site: Menultictumd home utilities MN 110.00 MINN Manholes 16.60 MIMI Rain drain connector _ 16.60 r Sanitary sewer (no, 'inset It,: `�) Page 2 St01r► Sewer (no. linear ft.: NOG 2 Subdivision; Water sorviao Lot no.: (no. J1npp R,; J Tax Tr ap /poled no.: Fixture or item ?�??. , , i -�. Abrerpsian roti :t:, U�} 71 'a �D } rGS Ybtr.Cri c , ri � v to 16.60 X11 ' ^- r b r ra Banes. prevents Backwater valve 18.60 Clothes washer 16.60 ''' : '` ,. !Nemesis,* !Nemesis,* MI 16.60 EMI , A . V, ; f i ,m- +`.r • - mtain 16.60 Name: ,a ggsqqpt( Drinking fal tkieta ldaump 16.60 Address: Expansion tank Me City/Staic/VP: — -- F ` 16.60 IIIII ( ) Fax: Oarb drain /door smfdhub Phony ax: 16.80 ; - - ( ) Garbage dismal I xiac x..!r f! • • ' fir.,.. 1-loscbib ft +ii Frr \ Y w' A, 1 r i : ;i j lr�i •„ r �i: 314'i-44. . 16 4° r Icc Business mire: Contact name: " "" ' :, 16.60 NM Address: Medical gas (value: $ _ ) 111111111221 — Primer 16.60 City/State/41: Roof drain (commercial) 16,60 Ma Phone:( ) Fax:;( ) E-mail: �- -- 16.60 16•60 MN '�1�:bm `eYk 16.60 Business name: wafer closet Mil A 8 • 1, ' 4 a r L 16.60 Address: O -'• Water heater 16.60 • City/Slate/ZIP: if Other �� S '7 1' + 170 Poona: (,� • ) A — O 5."- �,�.������ . • �iiiYZIKAW„ ' % Residential minimum pion foe: $72.50 _ - -cat Lic.: Q �� 1 .Idr dgttial bticktlow minimum • it fee: $36.25 `jL ( • 4061_ //LJ:,I rug Lic. no.: • -A76 f7� „ . Authorlted signature. ' 70 Setae surcharge (12% of p permit fee) Li i►r .I�r Imnle: t1/ //tom T( O per it is act ?imam o b - ! r This permit application expires U's permit In not obtained within - 180 days after it has been steepled es complete, t lasae LAtp•senelurTdos wanes satiAsismnrovcownwan 'Fcc methodology set by Trificunty Building Industry Service Board. ' ; , a - Mechanical Permit Application RECEIV : FOR OFFICE USE ONLY Ini City of Tigard Pamit No.�ls�aao 9 -Qoi ate/By: 13125 SW Hall Blvd., Tigard, OR 97223 Received 1 5 20 "Plan Phone: 503.639.4171 Fax: 503.598.1960 J�,lan Review Other Permit: MI Inspection Line: 503.639.4175 Date/By: CITY OFTIG ' '47: Ready/By: runs: 6i See Page 2 for Internet: www.tigard- or.gov BUILDING DIVI run Method. Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST "New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ LID 1 -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. ( Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 12 Db o� - Air conditioning or heat pump v�t i_� (requires site plan showing placement) 14.00 4.4w City/State /ZIP C'1--1 Furnace 100,000 BTU ( ducts/vents) 14.00 i ? YG Furnace 100,000+ BTU (ducts/vents) ( 17.90 ' ? Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 _ Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue/vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 10.00 (O. ik l ) T G uevent fce g 1 10.00 IP.co i Flue vent for water heater or as fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 �. City/State/ZIP: Clothes dryer exhaust 1 10.00 (0.6C Single -duct exhaust (bathrooms, �� Phone: ( ) Fax: ( ) toilet compartments, utility rooms) ' 6.80 / CC1 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional J, Address: Furnace, etc. I ) Gas heat pump City/State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range I CONTRACTOR Barbecue Clothes dryer (gas) Business name: tk3 Z I f .Q e. A. 6 , , / „k. t A' T�� /,vaher: t Address: /7 , At As/ i 4/1-- MECHANICAL PERMIT FEES* City/State/ZIP: i `L3o.r✓O , Q 2 77 /.Zy Subtotal j t 1 . 2,0 Phone: (,I) C yf ` - / s6 � s� / I Fax: ( ) Minimum permit fee ($72.50) BB Plan review (25% of permit fee) 6.L.CCB lic.: 143 E, Q s 7//i �i State surcharge (12% of permit fee) 1 , ?� ffffff777777������ TOTAL PERMIT FEE t Z 6 6 Authorized signature: This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. i Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board I:\Building\Permits \MEC- PermitApp.doc 01/19/07 440- 4617T(11 /02/COM/WEB) ' ui'h hng Permit Application • Res.dential RECEIV : FOR OIFI('E USE ()NIA City of Tigard Received 7 /S M ari a" \ C /7 PermitNo.: (w 2 i ∎ -• DateB �`� , It , • 13125 SW Hall Blvd., Tigard, OR 97223 1 5 O I'•Ian Revie- 2L I' s . Phone: 503.639.4171 Fax: 503.598.1960 U Date : /t. r � Other Permit: _ ) .. „ doo c 4 Inspection Line: 503.639.4175 Bate Rea y: luris. ® See Page 2 for TIGARD Internet: www.tigard- or.gov CITY OFTIGA N otified Method: 5 y �� � Supplemental Information ILDING DIVI • ' TYPE OF WORK ' t ` *.a> 6 i't t 9' _( t� Chew construction ❑ Demolition Permit fees e based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement er: e materials, labor, overhead, and the profit for the �. �, ,r7 i, , � 130th. �, . . k . ? work indicated on this application. e , rr ,, r. 1- and 2- family dwelling ❑ Commercial /industrial Valuation: _I�� YI M m al Number of bedroom . ❑ Accessory building ❑ Multi - family �2f�� "PAZ ,8 • ❑ Master builder ID Other: Number of bathrooms: JOB -SITE INFORMATION ° ND' LOCATION ' Total number of floors: 4 Job site address: 1 36'2 5 lA, 95 Ave New dwelling area: square feet City /State /ZIP: -{.-1 c„ PA) Q 2 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: _ , ' - tAi it _ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet _ < -mss WIN ! 't r I t Subdivision: Lot no.: • Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the xD �Ti1*' +E '•� work indicated on this application. elk) • Valuation: $ X ` Y �► U ` Existing building area: square feet New building area: square feet in s" s € d s -, , , ,47.4 , 70' - '44-'": ° " Number of stories: 4 Name:. - SKlar. m Ada `"^•S Type of construction: Address: ZC/ 3 00 IV W 6 rrc,^ r"o„.4}ti RCQ. Occupancy groups: City /State /ZIP: `tea Kks a P. 1 7 /b,. Existing: Phone: (503 )7a0-5Se.4 Z Fax: ( ) New: ❑ A'AT Pt * s .. • +;., : ..4 as +.. u .. i -h� -4t `. �". M '( >� �w ^a, �� S Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax::( ) E -mail: Business name: ti � �. + . ' •. I : _ •Y•' r , i'- r '' 3 ,t Address: L --a3 l 5 Ai W D_vci IIYt co r te - . a . , q r r� ' ^ V 6 Structural plan review fee (or deposit): City /State /ZIP: � v-I,Y2 -, I a I 1. Phone: (5 3) .5.7-Z - /3 ,-13 T Fax: ( ) FLS plan review fee (if applicable): CCB lie.: L (Q 5(Q 4-8 Total fees due upon application: G' Xf i 2ib //4/0", c liff/AO ii 4C771/6 Amount received: 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: * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB) , • Electrical Permit Application i tD L r. 'al I� ill NM 1 FOR OFFICE USE ONLY ' City Of Tigard " \ ' 1 'ii Y Date/By: Permit No. 1 2/ 13125 SW Nall Blvd., Tigard, OR 97223 P r Plan R eview Phone: 503.639.4171 Fax: 503.598.1960 1 1 + Other Permit: � DateB : _ Inspection Line: 503.639.4175 S 1 Le ( Date Ready/By: IBS: ® See Page 2 for Internet: www.tigard - or.gov )) ' „ li Notified/Method: Supplemental Information ti, t ' ) 1. t1 " ;'i ,l TYPE OF WO':` lQ New construction ❑ Addition/alteratio rep acement Please check all that apply (submit ? sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ 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 f e j 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ 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 - ", 100HP or more. occupancy. Job no.: Job site address: 1 b$c -A. .31 &) t1 L ❑ Six or more residential units. ❑ Recreational vehicle parks. City / State/ZIP: \ l &.. 04._ ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: tfta Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty 1 Fee. I Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less ■ 145.15 IA6 - .1r 4 Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 ' (,,4('; 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) A \ , L-:) Limited energy, multi - family 75.00 2 Il 1 Q . (1� `� r- residential (with above sq. ft.) _ /// ���►►► �C Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel g A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) - Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 ^ Signal circuit(s) or limited - Business name: c,l(Kx 9 l ce d c. I t/1 C , energy panel, alteration, or , Address: /P.a. 6 9� j � extension. Describe: Page 2 2 City/State/ZIP: / 14, $,6 py e 2 '7/..q....3 Each additional inspection over allowable in any of the above / Per inspection 62.50 Phone: 4543 ) 6 ��,,,, yt - 5� � Fax: ( ) ," Investigation per hour (l hr min) 62.50 1`, / CCB Lic.: I S8 ' t C t Electrical Lie.: a/ °f p C Suprv. Lic.: 7. g ( • Industrial plant per hour 73.75 4+t' '''i �, (( F ELECTRICAL PERMIT FEES �' Suprv. Electrician signaturd,'f uttted:° _� Subtotal: 1,, .. Print name: , l � - Date: 9/A /pal Plan review (25% of permit fee): V State surcharge (12% of permit fee): , 4.7 Authorized signature: TOTAL PERMIT FEE: 7d 0 '. Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Number of inspections allowed per, permit. I:\Building\Permits\ELC- PermitApp.doc 05/ 23/06 440- 4615T(11 /05 /COM/WEB W '^'-)' Y t z_T- - 2‘71 - t'2 9 -- MALMEDAL ENTERPRISES PAGE 01/01 11/13/2009 14:33 5033240580 . A.,lima><>'r,n~1~~~flil~x Appllc~ti(Iri • Building Fixtara KECEWEJ~~~~ City of Tigard P.caipiwd t'cnnit No, S oZpp 9 D • 111 SW 14911 Blvd, Tigard, OR 97.223 i1 1r 1 Z~Q Dxe1p,; Phone* 503.639.4171 Fax: 503,599.1940 Plan eviCV Otho jwMitNo.: lnspee0cm Linty; 503,09A175 CITY OF 7IGAR a Raidy/Byf Mk ® See Ps>`s 2 for lrttcrrlat: Www.6tWr -or.l;ov AlUaDING MI CceegJStttaod: Sepplrsetnr•I lnrbrtn,atioe y f-~'r: ~;yl- v,' ~aL.r 'i`'"`,•';. ,i!• ~ ..y `ti'iJ` :7' +o~ '~+'aG7?,?ti;+:.:. ~]~yy~+1~~(~aC 7 :~i: "`f :iy.P. 7 P'. wr .`.•,w:•.IhT." -.,:~yL: N .vfI tLL. ;YF, •..•T'n}. r 06 /J+1~. J~)~ `•.~Y aW1iconsrlva1;ion Atmolition Fors l rrn SOM tree charrli A Descri lion Tatpl Addition(altlTStip4t~fOpl000tnent Q Other New 1- 2.4imiiy dwellings (tnctudks 100 A. for eat}) utility connection) i;:: try;.- ^ ' ~r • w' SFR (1) bath 249 zc 1 and'Yibtniiy tfwefling ❑ Commcraialfindttstrial ST-9 (2) bath 350,00 C} Ao=.4nry building Q Multi•ftunily $FR (3) bath 399.00 Each additional baMitchtm 45,00 Nestor builder Outer: Fin sprinkler ( a:q. H.) Page 2 uc ito utilities lob site address: Catch basin or area drain 16.60 city/statrAlp-- Drywall, loeoh 117te, or trench drain 16.60 suite/bldg./apt. na.; Project name: Woodnit drain (no, linear A.: Page 2 Mrt►itfactumd home utllitia~ t 10.00 Crops atrcot/dirootiorts to job Si1c; 1vlanholcq 16.60 Rain drain connector 16.60 Samitsry sewer (no, !inert Page 2 Storm scwcr(no, linear ft.: Pat 2 Subdivis'roni Lot no.: Watcr serviuo (no, linter A„ Page 2 Future or Item tax map/parcel too.: AWOrprion halve 16.60 .fir ~ 'a .i " "1~ - - r ~aClt~ltwr prWenfJCT Pagr: 2 133awatcr valve 16,60 Clothes washer 16.60 DialrwaRhu 16.60 Drinking fouritain 16.60 ,:,;,,,:y~tt:,rf s d;~:,•,»..y::.eettntt/aump 16.60 Namc Expansion tank 16.611 Addrw: rixtMe/wwcr cap 16,60 City),statV21P; Floor dram1floor sink! O 16.60 Phone: ( ) Fax: ( ) 0wbap disposal 16.60 r s Hose bib 160 h I kc maker 16,60 Busincss name InteroWor/grease trap 16.60 Contact name: Medical Qas (vaiue: $ ) PW 2 Address! Primer )6.60 City/State2lP: R06forain (oommmrafai) 16.60 Sin$ibasIrAt vmcry 16.64 Phone: ( ) 1'aa`' + ( ) Tublahoweti(sAower pzui 16,50 7~-m®fe Vrinai 16.60 16.60 Ot 01080 Bu Anon noyrte: Water heater 16.60 Address: P 0 Dthcr: i~ Subtotal CSrylState(LI}': i~1//t~ Minimum permit roe: $72.50 Phanc. 4 ) r Fax: (5,0 Residential backPow minimum it fee: 536.25 Plan review M% otpt►mh fa7 e,C03 Uc.: Q /l 9 Imbing Lic, no.: A76 Authorized eigraature. Stmt surcharge (12%ofpermit fee) TOTAL. FERWrr pF, Tint nKme: t w~ Date: This permit spplicettoti expIrcia iris pcrMIt it not *bMincd within 180 dRys after it has bttn Attepied as camploc, 'Fec methodology let by Tri-County Building fnduAry Service board. (:1Dudd1„s~prnnita4PLMP•POfmllnpp,Qsp IL7T/Qt ~awe16'r(cnW~G;rynywaa) ' City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 Wednesday, December 16, 2009 i T I GARD Westek Manufacturing - 24300 NW Green Mountain Rd. Banks, OR 97106 RE Transportation Development Tax (TDT) Refund. Our Permit No. MST2009 -00149 for 13882 SW 95th Ave. At the time the above building permit was issued you paid a Transportation Development Tax (Tin) fee of $4,599.00. Effective December 1, 2009, Washington County approved a Temporary Discount on TDT charges and has made that discount retroactive to July 1, 2009. The enclosed check represents a refund to you of the difference between your original TDT payment for your project and the new Temporary Discount charge. The amount of the credit refund is $920.00. Please call e at 503 - 718 -2426 if you have any questions. bert Shields Permits /Projects Coordinator - 503- 718 -2426 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard - or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Accela efund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Accela System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Westek Manufacturing DATE: 12/10/09 24300 NW Green Mountain Rd. Banks, OR 97106 REQUESTED BY: Dianna Howse AMS TRANSACTION INFORMATION: Receipt #: 174894 Case #: MST2009 -00149 Date: 08/18/09 Address /Parcel: 13882 SW 95th Ave. Pay Method: Check Project Name: Fletcher Woods EXPLANATION: Refund amount discounted for TDT per Washington County. REF. N,I INFORMATIO.N: . ..... :. .. {, j w i � .. ..,.may'... .� �. �•., .,:... ... �?ee= .Yeseh tion:From:Rece tj _ = Revenu"e'AccountNo: ,. Refund.; -.> Exai i 'lei thLb. ;Perm t a ..... .p .. =[B, . ..�. .._ . .'.F e� .......' .. .. _ ' �Exairiple= .245 =Ob00- 43200:0 TDT - Transportation Development Tax 4050000 -43320 $920.00 TOTAL REFUND: $920.00 APPROVALS: If under $5000 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board 0OR-ACCELA; SYSTEM .AD11%IINIS'TRATION::U.SE:ONLY ';:: `........ „ Refund Request Reviewed: Date: ; By: Case Refund Processed: Date: ' ' 4 - ter: C 4a-- /o ai9 ? I: \Building \Refunds \RefundRequest.doc 04/13/09 • CITY OF TIGARD RECEIPT p E a . _ 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 TIGARD Receipt Number: 176343 - 12/18/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2009 -00149 $ - 920.00 Total: $- 920.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 102199 DHOWSE 12/18/2009 $- 920.00 Payor: Westek Manufacturing Total Payments: $ - 920.00 Balance Due: $920.00 • Page 1 of 1 • CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 t 3 503.639 4171 ,..,,,..., .4: TIGA'RD_ • Receipt Number: 174894 - 08/18/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2009 -00149 Building Permit 2300000 -43104 $1,740.41 ---;.• MST2009 -00149 TDT - Transportation Development Tax 4050000 -43320 $4,599.00, •• MST2009 -00149 Plan Review 2300000 -43106 $ -16.26 MST2009 -00149 CDC Plan Review, RES 1003100 -43112 $46.00 MST2009 -00149 CDC Plan Review, RES - LRP 1003100 -43117 $6.00 MST2009 -00149 12% State Surcharge - Building 1003100 -24001 $208.85 MST2009 -00149 Metro Const. Excise Tax - Residential 2300000 -24011 $384.36 Use MST2009 -00149 Tig -Tual School CET - Residential 2300000 -24102 $2,707.00 MST2009 -00149 Park - Single Family Unit 4250000 -43300 $5,370.00 MST2009 -00149 Erosion Control 1003100 -22002 $112.00 MST2009 -00149 Erosion Plan Review CWS 1003100 -22003 $36.40 MST2009 -00149 Erosion Plan Review COT 2300000 -43102 $36.40 MST2009 -00149 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $345.55 MST2009 -00149 Limited Energy 2200000 -43103 $75.00 MST2009 -00149 12% State Surcharge - Electrical 1003100 -24001 $50.47 MST2009 -00149 SFR - Baths 2300000 -43101 $399.00 MST2009 -00149 12% State Surcharge - Plumbing 1003100 -24001 $47.88 MST2009 -00149 Air Conditioning or Heat Pump 2300000 -43102 $14.00 MST2009 Furnaces >= 100K BTU 2300000 -43102 $17.90 MST2009 -00149 Water Heater 2300000 -43102 $10.00 MST2009 -00149 Gas Fireplace 2300000 -43102 $10.00 MST2009 -00149 Range Hood /Other Kitchen 2300000 -43102 $10.00 MST2009 -00149 Clothes Dryer Exhaust 2300000 -43102 $10.00 MST2009 -00149 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $34.00 Utility Rooms) MST2009 -00149 Fuel Piping 2300000 -43102 $5.40 MST2009 -00149 12% State Surcharge - Mechanical 1003100 -24001 $13.36 MST2009 -00149 Plan Review 2300000 -43106 $397.53 Total: $16,670.25 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 484 LSELLERS 08/18/2009 $16,670.25 Payor: Westek Manufacturing Total Payments: $16,670.25 Balance Due: $0.00 • Page 1 of 1 7034 NEW ea ' EXISNG PNWS -AWWA BACKFLOWASSEMBLYTESTREPORT 0REMO ED PROPERTY ^^ ❑ REPLACEMENT OWNER: :TA YY1 ■ •E ill r ! roS PH ONE: 7R'C�`5 C 7 MAILING nn • ADDRESS: 1 �j S S Z S tA/ (T j ' h A t/ P CITY - 1 - 1 A rcl STATE (5k- -ZIP 9 7223 ASSEMBLY S Ari.9— ADDRESS: STREET ❑R.P.B.A. t!9 D.C.V.A. ❑ R.P.D.A. ❑D.C.D.A. ❑P.V.B.A. ❑S.V.B.A. ❑A.V.B. ❑AIR GAP SIZE: 1 1''.11°1 MAKE: W t I K�-1'l S MODEL: 3 � WATER SERIAL - PURVEYOR: (.-4 t I (Y, —� I t o E , fcC NUMBER: A o7-2 31 ASSEMBLY i � LOCATION: Vs SI c o C V e LJ Ay REDUCED PRESSURE ASSEMBLY P. V.B.A. / S.V.B.A. INITIAL TE '( MI CHECK If DOUBLE ; CH CK;(- AIR CHECK PASSED []' PRESS DROP (A)I CHECK 1 INLET FAILED ❑ INITIAL RELIEF VALVE g TIGHT 2. t] O PENED AT: PRESS DROP TEST OPENED AT ( ) DATE: MIN 2 PSID LEAKED ❑ PSID RESULTS BUFFER PSID PSID 2/ w A - B = I CHECK 2 MIN 3 PSI RELIEF VALVE 'TIGHT I, V DID NOT FAILED SYSTEM PASS ❑ FAIL ❑ 'LEAKED ❑D OPEN ❑ ❑ PSI COMMENTS REPAIRS AND /OR PARTS REDUCED PRESSURE ASSEMBLY ..P.V.B.A. /S.V.B -A. AFTER REPAIRS MI CHECK D:C.V.A. PRESS DROP (A) (\- DATE: TEST • RELIEF - I CH #1 OPENED AT PRESS DROP AFTER OPENED (B) TIGHT ❑ PSID REPAIRS BU _ - '@1P� IC #2 • A - B = .,@,,,a I TIGHT ❑ PSID PSID PSID PASSED ❑ { IN COMPLETING AND SUBMITTING THIS TEST REPORT,•THE TESTER. CERTIFIES THAT THE y ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE j RULES AND REGULATIONS OF THE WATER SYSTEM, AND STATE REGULATIONS. • GAUGE CALIBRAT D - IT /01 DETECTOR METER READING - `--rY L ' c .' . _ - 4526, TESTER SIGNATURE - - CERT 1E-V-1 1 k 6 P.-- 1 / 02o Y Z0 TESTERS NAME PRINTED - I s 333 Al L ) t-- '' 1,) 7 `� -� \ 324G-ATE y . , • TESTERS ADDRESS - ( _.. PHONE M LI,R1 n oyv L l.1 In - c 4 COMPANY NAME• - - SERVICE RESTORED - REPORT RECEIVED BY (REPRESENTATIVE OF OWNER) s . WHITE • Water System Copy PINK - Customer Copy YELLOW - Tester Copy CITY OF TIGARD CERTIFICATE OF OCCUPANCY _ a Permit #: MST2009-00149 -' COMMUNITY DEVELOPMENT Permit Issued: 08/18/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 639 4171 Parcel: 2S102CD05600 Jurisdiction: Tigard Site address: 13882 SW 95TH AVE Subdivision: FLETCHER WOODS Lot: 6 Project Description: New SFR. Class of Work: NEW Type of Use: SF Type of Constr: VB Occupancy Group: R -3 Occupancy Load: Project Name: Fletcher Woods Owner: MCADAMS, JAMIE & SUSAN 24300 NW GREEN MOUNTAIN RD BANKS, OR 97106 Phone: 503- 780 -5542 Contractor: MLM CONTRACTORS INC. 12395 NW DEVONMOOR AVE. BANKS, OR 97106 Phone: 503 - 572 -1343 Fax: This Certificate issued 1/7/2010 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. ® 0ri L Vet Nib ,,_ ) g Inspector Building Official POST IN CONSPICUOUS PLACE Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: dL I _ Qc. 1 9 Jurisdiction: c . I; r-vn cll Site Address: �Z � A 0 e 1 I C v / Subdivision/Lot #: rie_I �1 r) _C0 S LO- 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: X/7111;Pi) Date: / 2 - 3 - 9 Owner /Ge ral Contractor /Authorized Agent Print Name: P C -mil \il, ' 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. 1:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 J. Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLE I GEMENT FORM 1, NA. . k, P v�v \ WV• , am the general contractor or the owner - builder at the following address: Site Address: Z 5 l / City: ,--\ G-V Permit #: aoo9_ l 9 Subdivision/Lot #: cie+C\A. e W OOCO5 L-0 f 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 weig of dry framing members. Signature: / /� Date: /Z - 31 - 0 General Contractor or Owner - Builder l:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE CERTIFICATION I, ivL1`el\c l [)t),./1/..c).._ , Owner /Agent for (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation. ADDRESS: / 3 SW 9c Aver eve o SUBDIVISION: e do ci.5 LOT: (� � , _ SIGNATURE: ij.,.i; AP' DATE: 1 Z -3 / d � (OWI\TER /AGEI \iT) RECEIVED BY: DATE: (CITY OF TIGARD) • I: \Building \Forms \StreetTreeCertificate 01/19/07 t fir; • PERMIT NO. m f ' 1'®0) 9 CleanWater Services y C O,ir cornmi,.enl is cI; °ar. � � - LOT EROSI O C SSNTROL INSPECTION REPORT DATE 1 ZO(0 INSPECTOR ,11.-iiek, SUBDIVISION 1 [ Q� OJr')(1 ,g I OWNER/PERMITEE QQ SITE ADDRESS t?) ) L 6 OJI tl s 117k F ;r 1 k �' i aka 7 , ' wy, L • THIS SITE MEETS THE POST- CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORT IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST – CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING `.: EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPI.''ETE • OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION`CONTROLWiNSPECTION REPORT MUST BE FORWARDED TO THE NEW O WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITYEOR;MAINTENANCE, REPAIR AND REMOVAL. • OTHER • THANK YOU FOR YOUR COOPERATION! INSPECTOR c PHONE ( 3 9 _ � v t Building Permit Application Checklist One- and Two - Family Dwelling 1.014 tn. FRT. t si: 0\l.A Cl of Tigard Re ceived g D Permit No.: 13 125 SW Hall Blvd., Tigard, OR 97 223 Associated permits: 3 Phone: 503.639.4171 Fax: 503.598.1960 T I G A R D 24- Hour Inspection Line: 503.639.4175 ICI Electrical ❑ Plumbing ID Mechanical Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ' es No NI. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 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. 11 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 surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ 0 ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 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. 15 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. 16 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. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ . ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ . architect licensed in Ore.on and shall be shown to be ap •licable to the . ro'ect under review. .IURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1: \ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02/COM/WEB) 1 4 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\ Building \Permits\MEC - PermitApp.doc 01/19/07 2 i 6 4. `A • ■ .. Ilk • RE:: CiTY F TIQARD � " ? _ _ N 2°03'48" E Y ISIQ - 80.00' ;� I- = '7.5' RECIPROCAL ; ,. ' . ' , ; _I DRIVEWAY EASEMENT "C? I 0 iv -., o D N iD N ,'`1 21' 0" 0 9 5 O 9 /5.-0" • -t 1 9c) " / • 7 I o r iD CD �rn r 0 / GARAGE WI . Z I / EL. =99.5' T o o ' N I J io a MAIN FLOOR / \\ o rn oo EL.= 130 / '` cn1 1 5 N 2 °03'48` E 9b. 12.00• 3 0 do a. �I� \ 1 �I z l a 99 � J 5' -0 L ..... I. ................._I L H b 0, Ta N\:. \ m9,..., o 4" CONC. l'o': o DRIVEWAY I �� o z g "I (3500 P.S.L.) oo a -y Z G � - 1'1 - ,74 .2 N 03'48" W \ _ _'° S 2 °03'48" W_ I % �h 1 \ 8.33' \\, J T 61.67' \ \'.' ..._ — ' ii L:, ' 15' PUE. S.W. 9 5TH STALL E_ AVENUE -t- -.I ce T TOO KEE eep:oi P e c�t+c�n o ' \ / / PROPOSED •\ TREE ro REMOVE / \ 06/30/2009 SRR SCALE 1 " 2 0 ' - 0 " N E ALAN MASCORD DESIGN ASSOCIATES, INC. IS N0T CITY LIASLE FOR THE ACCURACY OF THE TOPOGRAPHY 2 1 6 A WADER TION. IT IS Tiff SOLE RES DITION . IN OF THE F ..... ■ ETCHER OF WTIGARD OODS WADER TO LACE ALL SITE CONDITIONS. INCLUDING ANY FILL PLACED ON THE SITE AND NOTIFY THE LOT 6 OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS. COLLECTION ALAN MASCORD DESIGN ASSOCIATES, INC. °°'""''°'° °°" ° ""�, °" ,'�, (7,046 So. FT) FOR : JAMIC 8 SUSAN MCADAMS • • • PLASTIC MESH TREE PROTECTION FENCE TREE PROTECTION PUN N BUILDER .) TREE ww �„�*men Awla N. BaA SPECIAL CONSIDERATION TREE PROTECTION e w. 4 " .ex. w w. M wen IY OM TREE PR OTECTION 00 SLUE ROTES I p Mr (0104 0m _ ao a m RR IN MR A 01[01. .w.w. x ... t (0 t O YrY R M ! (1 1. Y N «wN . BATE ORANGE OR SLUE 0, ONLY K. FENCE FOR If TM. TREES ROOTS ME EMCOUNTERS° 13071. IRE DID OUT FOR FDUNM1gN L Nr O P. OIAew NNa urt Au Two f ... to eakew r 4/..) I. R• 11.0 1074: or mow �' FOREST PROTECTION MCC ONLY CONTACT PROJECT A.M. FOR MEAN'S OF PROTECT.. 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LINE SC I INSTANCE 10 ONE WEST MARL BE WELL N EXCESS FOR SRNI DI' PoN SITE DEVELOPMENT. r 4 0 < . I /a J t . FENCING SHALL BE WJ.fMKO THROUGHOUT Cp1S1INCRW LINE OF SIGHT TO NE VW MAY REWIRE ADdTI°f1AL WAWA w mIIR1c10e r.. M 010 Mt 0 !R[0 NR w0( RO E■TIIOATIOrI SCHEMA F, , DIAL N VEGEUIIO. REMOVAL DATED OR PUBLIC R/W NWT MT. wOrAD Ma v 4 R M. 4000 0 40 ON mot PER f } TOM MOPOSE0 M NGARO. O YS[ C w. 00 R ENGINEERING DEC. E 1°05. AS A Geol. mu. MR wow RV iti ra3r Of MOM OWN OW (D.R..f (*10 ' a. I \ MAR / oDImTA$ FIR. S• - RN, NNX: TOIN- DFTE.• -9BB n 00 �M FLIMia WAS C• 1 0504 [.MNF. m)ewiTT. At KO m mo.cr Km Two mr 0w <STREET TREES NOT d 1.01.0 IN a 1.7101 > ROD. 1.R r POW 0[ Ra m ONSITE . I Srt NO OAT. MRICASON SCHEDULE NOME WK. WC Caw 707,1 35. LOS3 or 1 0 0 AP e $.15..... n 4 a 4 301E J TREES PER HOW Ol - I. TREES SRO. NS1Jl4 - IRTATRM TIMES umoommart w M o . IAt I.a MI 50 R x p A 1. H MR (PLANTED B.) TREE PROTECTION �'> 7 O OFFSRE TMHGA/gN SCHEDULE: I T.1C L I e..1 . . : L r oM RA Zell O OM0 0. . NOV 0000 ROH UM rNE RELNRNOETt °f REES 74441E n x001 LMra ro arER00 M pCre1N! J A TREES PINEPM[D BI VAR DENNPORf; OOVVIV INCLUDE: COMS P , y[ 1 ; I ,�1I _ u . maws N. vulv.e .wens TAR( form. m ar.0.0M. EK000 I. ENMEW000 R. ENGLE.. LE N AND C F C'-? 4� T'- V I I , ' ( ] 1 ACM. TREE LO.DONS MAY WANGC DEPENDING ON TT 11�� '1.JIj L J �/4� • ���y1/ 0 N[ RMI VW. .AID rVE+N[ WORN. MI0 Naaw, WM. STFfl MO UTIIY LOW... AND LOCAL 504 CORP 1 n 4A.y T�?�y 1 (. .'4 1 Q E 1 1 w S SHOWN ON Ott .NCTN MANS. ° T� ±rJ 77j-- Tl E V K R i T FT T `lJV € . • ir..u'i1 • AS 5 N E xx r 0a _ • wK .N o..,,,,,,,,, NRa.P AmWW IMINrM IUw ro wNIIE NE .RM 0[[ .g f'� I M RAAIEO M rw Paw RACE Mo mMNm Roan NNW, VI ROMEO 170.4 VIES RN ` L A 1,1,1j > i F, (, �' M , me M .P(D H.D its to WV Le-A0 An L m e rn Ivy I el „ wit] I ( r� ... ` ,T ti J - �,� . ,� t "'� ' O . o • rn n S M.T Md.O WO NW.rvt M Lrrtcd of .wR< AMOE ALL Z ., f` � '� � R ' ) PST AIL ' r > ' , J I` .`I I I s� /q ,; M , • v R rI a [.nRwaMMa away a Oe e� yy IRE .01 CTI°N 1( 1` �,.( h T R DURING CONSINIICNON I • I• N 0 Y E 1 S.:N O . .n :: 4ROw , ROO MAY 10 wR 0*0 � ;0 IIMRn M0 0 401 _ r A � tyafl 5 .1 `r I ,..0,...„.. � .. / I II. KM DS DICE 1E. e l , E r.. .. M IAA MD.G AN. MMpN M(PMN R. ° "., - - - ..,4* `• M N.R(a.D I - - tl r w..RMPM o�Ia �,* m �.. ,. - F. P - • MH OROwn ORP O. • m.1, w[ pI, M Y D®.F KM, .R /0w SON.. . 0,9 ; ' � » Awe NR ft.. m. Rear VS 1. ROM NM OR NN. MIRO � 1 L _ ._ ._.. 10 10 Vii - 7744 Q r " "' M NP°" I "IY:au,.w 44' _ S 0T0S4a• w SW NTH AWENU v W M"F • OJT, AFTER C08547R IC170N' RR%y/' . I d, ▪ AAA., WM..( Ni ENA MNA M, RARE Row ow% H M[ Roma Aw )� N 391.14 - -_ PRE NW M M.P .r wM w M N. .3 (tom. w n~, R . j am - _ • �M "{ t,.. L iao0 1. MO OT eeCUMIL, f rla. MO MOROI w MOTO OR v X;e7R V . � ,a - --• -- - - -- ._. 102, .... ..._. __. ti , (tJ15' R.aR r "`"' I Mw.WR pm IK 1 r - ,w 'TT: a m lum. n (.AY '#'• a0 m RD, w uxn NWF aM ew .E DRAM m a1.R eF NCI v /� e., S . 4 m W WV t MA 7,11.74 7,11.74 Boor ErarE.f ta4 MDN MH Y d ]OIL 0[ .DBE m1 O ♦ / U MD. ME CAE1.R nt WNaf Or OMwc(w lI[ R007 Srar(r. w �, ® i��(l,,'� ? � , !, j . . � r • • P.o.oE RPeRmR AVM Meat m ERAAm PRE 5OVIIMRIR. COVrn0 M. H r -.- (((1y��{ - - e - - m T M✓ j .. . U THIS TREE E N T U M PAN ID[ U LO ss E WE C E N DDED PROlCC10* ' I - ,: T�( "{ � . p y a• l ' ...UM MMHT UFNARRAN.D TR Lo 1M IOU E` '.R.6I E( /T ^J/1/ \yil, f EASUNES UNIT THE AMWNI Of END. DISTURBANCE WOO/Wm THE • NESS AND UNIT THE REMOVE OF THE TREE'S ROOT SYSTEMS. 04E 0 TO �, E N E NNA IO Of EVERY PROJECT, R 5 WARY ALL OF THE ABOVE Y M pC 15 I UNELY FkN MEASURE PRACTICABLY NECESSARY 14 10 0010 m N 1 . .C3 f 4 y . • I U. 74 To INC 0 405 OO Of CONSIRUCTCN A MUNK 10/.0 E EE BETWEEN A 1 175 .-I �LO C CER I UT ' TFRD ATHE APPROPRIATE 070E 0001 OF Y fID15 T BHEW ' c�E ND � � 4 ;I _ .... ( 4 i p m I I l Ufl I VIED RB ST ARO INF LEVEL SAY PROTECTOR .TRACT FOR EACH TEE, IN L • RELATOR TO WIMT WORN MEOS TO EM COMPLETED IN O. TEE'S 00040. ll ON 441E SUPERVISION BY A COPPED AMORIST WILL BE DETERMINE° AND 'N S D SUPPLIED AS NECESSARY. A - � It" t' .. . - . it, TAG NUMBER SF REMOVED .5 R 'a R Q-_,_, Ill _C All I 0 • I ii �(yi .wl EXISTING TREE ST 7' •e 1 0% St R ( Y J�Y� - . N • • 1 }- T. Nu.eER ICI Of LLEO - * , 'CA. �Y�'TY A , Y , TREE PROTECTOR FEMVm .� 'iT -. - (PUCE M. AT OR1P LOO) I I *00/0 • O1 TREES UNLESS MOOFIEO BA T. LP.OI[C11011 MMGAD ARBOR., OR CITY FORESTER I Y L 0MIUI , •21aII T V._ I O1PICA1> uC SPECIAL CONSPERATIONSO 0 0 SCALE 1 REFERENCE INFORMATION AND .0004. w ROTJNDS'I'DNE DEVELOPMENT INC. FLETCHER WOODS (nN� _ 0050 EN BFAVODON IMASDALE Wel AS BUILT ��� ° "° BRA503 -70 OR 910aS SW McDONALD STREET ._ ( 0I RM R 50.7- TOS- TfTT 5. TREE PR A Al 00 .4.5 LS H ARRIS - MoMON ROLE ASSOCIATES. INC. " NAM 0 13 . : 0. WA AM tat wurDMENSION, °°151 R - aDRYEYORR TREE PRESERVATION PLAN 5 • ISO OR INML "' SW McDONALD ST AND SW 95TH AVE Of 14 M RERR TO TRICKED FOR uTRr 11£1,61014 own JM °4 ./10/06 MORO 15.7 ••341-3433 A * 1 r.. • • CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.:0A cT .2C'r)cr • 00 14 q PLANNING DIVISION: Required Setbaks: Approved ❑ Not Approved Side: Street Side: � Front. _____ G rage: Rear: /{ Visual Clearance: [Approved ❑ Not Approved PA 4 Maximum Building Height feet CWS Service Provider Letter Required: ❑ Yes ❑ Received IJ : � Date: `7/'4/ DI IN � DEPARTMENT: ENGINEE Actual Slope:% A Approved ❑ Not Approved Site Plan: Approved ❑ Not A roved BY: 4L �� % f r v� t t �/% Date: Notes: _. CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: Jf A. u\ 7 $ C • OCR` L-(1 Street Tr � A pproved ❑ Not Approved Protected T L' Approved ❑ �t Approved B Date: 4/it 9, Notes: