Permit n CITY OF TIGARD MASTER PERMIT
'= a :: COMMUNITY DEVELOPMENT Permit #: MST2009 -00205
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11!13/2009
T (G A R D Parcel: 2S 102CD05200
Jurisdiction: Tigard
Site address: 13955 SW 95TH AVE
Subdivision: FLETCHER WOODS Lot: 2
Project: Fletcher Woods
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First 1250 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1704 sf Garage: 807 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $336,135.00 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Catch Basins: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 1 SF Rain Other Fixtures: 0
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 3 Water Lines: 1
Grains: 1
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 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'l 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: Y HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC 1/05 eo/J L /ASP
16869 SW 65TH AVE. #505 16869 SW 65TH AVE • 505 /- r
LAKE OSEGO, OR 97035 LAKE OSWEGO, OR 97035 ell (_ 1/q4/4 f
PHONE: 503- 387 -7577 PHONE: 503 - 387 -7577
FAX: 503 - 387 -7615
Total Fees: $17,508.05
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. AT ION: • - ?on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 0010 through OAR • 01'0. You may obtain a copy of the rules or direct questions to OUNC by callin .246.6699 or 1.800.332.2344.
e
Issue y:
/ / / j` x '/ Permittee Signatu / if0_t' C...( j
• Building Permit Application
Residential R FOR OFFICE USE ONLY
•
R eceived
City of Tigard Pi , �j
r " 3 Date : �Q / Agr Permit No rf Cf� r � #.._ . ' - ' 13125 SW Hall Blvd., Tigard, OR 97223 (, .w - Plan Revi :�. IC�.O�:'� Other Permit / /� CC
Phone: 503.639.4171 Fax: 503.598.1960 DatefB . i' d� /� '10 /1 i
Inspection Line: 503.639.4175 ■ f yrt Date Re`. • •. Je IE See Page 2 for
TIGARD (` ry
Internet: www.tigard- or.gov "�I�
� c OF f f Notif thod.�/ /;./e.' 010, � ' b / Supplemental Information
TYPE OF WORK / RtQUIRED DA : 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
—
® 1- and 2- family dwelling El Commercial /industrial Valuation: $ J3 (CV \ 35 .CY3
4 ❑ Accessory building El Multi-family Number of bedrooms
❑ Master builder ❑ Other: Number of bathrooms: Z .t',
JOB SITE INFORMATION AND LOCATION Total number of floors: Z,
Job site address: 13955 LJkl 95''94 New dwelling area: Z1 - 1 54... square feet
City /State /ZIP: Tigard, OR 97223 11 Garage /carport area: 156 (, square feet
Suite/bldg. /apt. no.: Project name: Fletcher Woods Covered porch area: 1 4. square feet
Cross street/directions to job site: SW 95 Avenue & SW McDonald Street Deck area: 21 square feet
Other structure area: ier square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Fletcher Woods 1 Lot no.: 2 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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes Type of construction:
Address: 16869 SW 65"' Ave. #505 Occupancy groups:
City /State /ZIP: Lake Oswego, OR 97035 Existing:
Phone: (503)387 -7577 Fax: (503)387 -7615 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Stone Bridge Homes All contractors and subcontractors are required to be
Contact name: Gayland Forsberg licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16869 SW 65th Ave. #505 jurisdiction in which work is being performed. If the
City /State /ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 387 -7577 Fax: : (503) 387-7615
E -mail: gayland@stonebridgehomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: ..,) (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fec (if applicable):
Phone: ( ) Fax: ( )
CCB lie.: 173318 Total fees due upon application:
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: Gayland Forshe g Kate: I b 1 4 09 * Fec methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUN -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM /WEB)
Plumbing Permit Application
' Building Fixtures RECEIVED FOR OFFICE USE ONLY
•
Received
0113 Of Tlgard Date/By: Permit Jry c c: (it'
0 13125 SW Hall Blvd., Tigard, OR 97223 21 2009 e. / I P i N ��< G j�
Plan Review
C . Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.:
Inspection Line: 503. 639.4175 CITY OF TIGARD Date/By:
T I G A R D . Date Ready/By: s: See Page for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: nG Supplemental 2 Information
TYPE OF WORK FEE* SCHEDULE
0 New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath X 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: 13955 SW 95 Avenue 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.: ) Page 2
Suite/bldg. /apt. no.: I Project name: Fletcher Woods Manufactured home utilities 50.03
Cross street/directions to job site: SW 95 & SW McDonald Street Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _) X Page 2
Storm sewer (no. linear ft.: _) X. Page 2
Water service (no. linear ft.: _) N di Page 2
Subdivision: Fletcher Woods I Lot no.: 2 Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer I 25.02
Dishwasher ( 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture /sewer cap 25.02
Floor drain /floor sink/hub 25.02
Address: 16869 SW 65 Avenue #505
Garbage disposal / 25.02
City /State /ZIP: Lake Oswego, OR 97035 Hose bib a 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker / 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Gayland Forsberg
Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 1 4 b /y 6 25.02
City /State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 3 '3 12.51
E -mail: gayland @stonebridgehomesnw.com Urinal 25.02
CONTRACTOR Water closet 3 25.02
Water heater ( 37.52
Business name: Legacy Plumbing Water piping/DWV 56.29
Address: 8985 Hazelvern Way Other: 25.02
City /State /ZIP: Portland, OR 97223 Subtotal
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: $72.50 0 'jZ
Plan review (25% of permit fee)
CCB Lic.: 173318 Plumbing Lic. no.: 26 -517PB -
State surcharge (12% of permit fee) (
Authorized signature: w y _e__ Date: PERMIT FEE .5 arc
Print name: Matt Nelson d DatC: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri- County Building Industry Service Board.
1: 1Building \Permits\PLMU- PermitApp.doc 10 /01/09 440- 4616T(10 /02/COM/WEB)
\LO N= __ 5GC ik (- .
PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment /systems)
Description 1 Qty. I Fee(ea.) I Total Description Qty Fee(ea.) Total
New 1= & 2- family dwellings Heating/Cooling
(includes 100 ft. for each utility connection) ` Air conditioning or heat pump* 14.00
SFR (1) bath 249.20 Furnace 100,000 BTU (ducts /vents) 14.00
SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) 17.90
SFR (3) bath 399.00 Gas heat pump 14.00
Each additional bath /kitchen 45.00 Duct work 10.00
Rain Drain, single family dwelling 65.25 Hydronic hot water system 14.00
Fire sprinkler - sq. ft. 0 to 2,000 115.00 Residential boiler
Fire sprinkler - sq. ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00
Fire sprinkler - sq. ft. 3,601 to 7,200 220.00 Unit heaters (fuel, not electric)
Fire sprinkler - sq. ft. 7,200 and greater 309.00 (in wall, in -duct, suspended, etc.) 14.00
Site Utilities " Flue /vent (for any of above) 6.80
Catch basin/area drain 16.60 Repair units 12.15
Drywell /leach line /trench drain 16.60 Other Fuel Appliances
Footing drain - 1 100' 55.00 Water heater 10.00
Footing drain - each additional 100' 46.40 Gas fireplace 10.00
Flue vent (water heater /gas fireplace) 10.00
Manufactured home utilities 110.00 Log lighter (gas) 10.00
Manholes 16.60 Wood/Pellet stove • 10.00
Rain drain connector 16.60 Wood fireplace /insert 10.00
Sanitary sewer - l 100' 55.00 Chimney /liner /flue /vent 10.00
Sanitary sewer - each additional 100' 46.40 Other: 10.00
Storm sewer - 1" 100' 55.00 Environmental Exhaust & Ventilation
Storm sewer - each additional 100' 46.40 Range hood /other kitchen equipment 10.00
Water service - l 100' 55.00 Clothes dryer exhaust 10.00
Water service - each additional 100' 46.40
Fixture - or Item Single duct exhaust
Absorption valve 16.60 (bathrooms, toilet compartments,
Backflow preventer 27.55 utility rooms) 6.80
Backwater valve 16.60 Attic /crawl space fans 10.00
Clothes washer 16.60 Other: 10.00
Fuel Piping
Dishwasher 16.60 * *($5.40 for first 4, $1.00 each additional)
Drinking fountain 16.60 Furnace, etc. **
Ejectors /sump 16.60 Gas heat pump **
Expansion tank 16.60 Wall /suspended /unit heater **
Fixture /sewer cap 16.60 Water heater **
Floor drain /floor sink/hub 16.60 Fireplace **
Garbage disposal 16.60 Range **
Hose bib 16.60 BBQ **
Ice maker 16.60 Clothes dryer (gas) ** -
Interceptor /grease trap 16.60 Other: **
Primer 16.60 Total:
Roof drain (commercial) 16.60 Mechanical Permit Fees
Sink/basin/lavatory 16.60 Subtotal: $
Tub /shower /shower pan 16.60 Minimum Permit Fee $72.50 $
Urinal 16.60 Plan Review Fee (25% of Permit Fee) $
_ Water closet 16.60 State Surcharge (12% of Permit Fee) $
Water heater 16.60 TOTAL PERMIT FEE $
Other:
Other:
Plumbing Permit ELECTRICAL FEES (residential single- or multi - family)
Subtotal $ Description Qty. Fee Total Insp
Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less 145.15 4
Plan Review (25% of Permit Fee) $ Ea. add'l 500 sq. ft. or portion 33.40 1
State Surcharge (12% of Permit Fee) $ Limited energy, residential 75.00 2
TOTAL PERMIT FEE $ Each manufactured or modular
9,0.
dwelling, service and /or feeder 90.90 2
a/ Ls c�3�� Electrical Permit Fees -
Subtotal: $
T DA" <6$ 9 Plan review (25% of permit fee) $
State surcharge (12% of permit fee) $
TOTAL PERMIT FEE $
I. \Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 2
r
Electrical Permit Application RECEIVED FoR OFFICE USE ONLY
City of Tigard Received Permit No.: C'T 1 P(. 7.
.l 1 ' _
go 13125 SW Hall Blvd., Tigard, OR 97223 I 2 1 200 Date Plan Review
IN Phone: 503.639.4171 Fax: 503.598.1960 DateB : Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY OF TIGAR D Date Ready/By: Juris: EI See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISI01• Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 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
® 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. A
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 1379 Job site address: 13955 SW 95 Avenue 100HP or more. occupancy.
❑ Six or 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: Fletcher Woods ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SW 95th & SW McDonald Street Description 1 Qrv. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Fletcher Woods Lot no.: 2 1,000 sq. ft. or less i 168.54 1( 3' t 4 —
Ea. add'l 500 sq. ft. or portion a 33.92 'Dv3 5z 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) i 67.84 -j 0 2
Limited energy, multi - family 67.84 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less q 100.70 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2
City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: Gayland Forsberg without service or feeder fee 56.18 2
y g first branch circuit
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: gayland @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business Signal circuit(s) or limited -
usiness name: City Electric
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: V Page 2 2
City/State /Z1P: Sherwood, OR 97140 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (971) 404 -1714 Fax: (503) 625 -3052 Investigation per hour (1 hr min) 66.25
CCB Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: r
90
Plan review (25% of permit fee):
Print name: Chuck Friesen Date: -
State surcharge (12% of permit fee): L 2 7 9
Authorized signature: ' 2...„, TOTAL PERMIT FEE:
—
This permit application expires if a permit is not obtained within 150
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC- PermitApp.doc 10/01/09 440.4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
I ;RESIDENTIAL WORK ONLY:
Fee for all residential systems combined .. $67.84
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
g Garage Door Opener*
Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORKONLY.E,.,.
Fee for each commercial $67.84
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \ Building \Permits\ELC- PermitApp.doc 10/01/09
'
' Mechanical Permit Application FOR OFFICE USE ONLY
-` . City of Tigard RECEIVED Received
Permit No.: <�1 \
J g Date/By:
cc `,�(r
° 13125 SW Hall Bl T OR 97223 Plan Review
IN
.: P 503 Fax: 503.598.1960 T 2 1 2009 Date/By: Other Permit:
TIGARD Inspection Line: 503.639 Date Ready/By: Juris: 66 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 13955 SW 95th Avenue
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) / 46.75 9(0.75
Fumace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: Fletcher Woods Heat pump 61.06
Cross street/directions to job site: SW 95th & SW McDonald Street Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 1' 23.32 .15. 32
Subdivision: Fletcher Woods Lot no.: 2
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater / 23.32 )3. 7 )2_
Gas fireplace / 33.39 - 5 - b. 39
Flue vent for water heater or gas /
fireplace Z 23.32 L 1(t •(01
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
0 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Stone Bridge Homes Environmental exhaust and ventilation
Address: 16869 SW 65th Avenue #505 Range hood/other kitchen
equipment 1 33.39 33.39
City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 - 53 .9
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7615 toilet compartments, utility rooms) S 23.32 1 1 ( •
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: SEE ABOVE
Fuel piping
Contact name: Gayland Forsberg S14.15 for first four; 54.03 for each additional
Address: Furnace, etc. 1 ' l .
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
- //'
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace /
E-mail: //
CONTRACTOR Barbecue
Business name: Comfort Zone Clothes dryer (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
City /State /ZIP: Troutdale, OR 97060 Subtotal ' .
Minimum permit fee ($90.00)
Phone: (503) 667 -5595 Fax: (503) 491 -8252
Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (12% of permit fee) 94 • 3(0
TOTAL PERMIT FEE 1 t5 . N
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: David Heldstab Date: * Fee methodology set by Tri- County Building Industry' Service Board
I:\Building\Permits\.MEC- PermitApp.doc 10/01/09 440-4617T (11/02/COM/WEB)
1 •
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
'Total Valuation: Permit Fee;
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $1 00.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I: \Buildin \Permits \MEC- PermitApp.doc 10/01/09 2
Dan Nelson
From: Todd Prager
Sent: Friday, October 23,
2009 11:11 AM
To: Gayland Forsberg
Cc: Cheryl Caines; Albert
Shields; Dan Nelson;
Mark VanDomelen
Subject: Lot 2 of Fletcher
Woods
Attachments: Fletcher Woods.pdf
Dear Gayland,
I am reviewing your site plan for tree issues on lot
2 of the Fletcher Woods Subdivision, and will
need the following prior to my approval:
1. Please show three 2" caliper street trees
on the south side of the driveway and
provide 4' of clearance from the utility
lines.
2. Have your project arborist provide a
signature of approval on the site plan
verifying that the location of the tree
protection is adequate and currently in
place.
3. Please remove the mitigation trees from
the site plan, they are not part of the site
plan review.
4. Record a deed restriction for the trees to
be retained as was done for other Tots in
this subdivision. Cheryl Caines can
answer questions about the deed
restriction process if you have any.
I have attached the record drawings of the
subdivision for your reference. The tree
protection is on sheet 5 and street trees are on
sheet 6.
Thanks,
Todd Prager
Associate Planner /Arborist
City of Tigard
A. MIK
- -
SToNEB
DOMES 1STW LLC
16869 SW 645tta AVE.. # aoa DATE: 11/9/2009
L•_I osVa60. ORIGON 97055 PROPERTY: FLETCHER -WOODS
(505)387 -7577 CITY: TIGARD
SCALE: 1 " =20'
' 1 PLAN No.: 195
la�� CRAFTSMAN ELEVATION
lafl
44' -9 I/2' 26' -II'
#
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260 TOW 259' 25; 256 A 254 252W 250
BOW 255' 0
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.'��� ' 6' -
.-a \Vr... ; . 251' I 2 -4':. a d
Ai I =• 255' L ' ..
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- ' .`'7� • � / Q i 256' '6'$. :1,, ' • . ` - 4p-,,, �'�`�V 2.964 FIT. . . $
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258 '.�Y ` 4 _'. - -- _0
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� . 1 , '� :1 FT - -266' 2., _�.
rIA. ' L 1 246
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1 1 `'7 .
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.{ 1 TOW 255' ^. 2 I / .,lit,
i BOW 255' •'II / In
^ �L _ - - SEWER 2 256 _ - -- 2' 32' 1 /
S TORM
I ! 1 i • 1 �. - - ill WATER ..m.
9
254 EL 216'
42' -91/2' 252 d1 •
250 248 246
i
LOT COVERACsE Lip -
.
LOT AREA: 1,916 SQ. FT.
BUILDING AREA: 2,206 SQ. FT.
—STREET TREES , �
PERCENTAGE: 21 .`�� — EXISTING TREE WITH
2 CALIPER TRIDENT MAPLE • TAG NUMBER TO BE SAVED
c
.); i f — EXISTING TREE WITH
TAG NUMBER TO BE REMOVED
o o o TREE PROTECTION FENCING
NOTES: (PLACE FENCE AT DRIP LINE)
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
i l ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. LOT *2
THEY MAY VARY AND BE SUBJECT TO CHANGE. -,
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5 C✓)•
STREETLIGHTS, AND OTHER SITE CONDITIONS.
AM iii
•
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: t■A,Sc100ct .002_0S
PLANNING DIVISION:
Required Setbacks: 3 Approved - 0 Not ApprorSIL:::;Llti
Side , ..5 Street Sirie ..I.' _
['r :X) . W
•-,;:-: a)0.. (
/ ...=■ ' -- —
- Not L Approved
!".- 1 , 0 pl i
'..•':,x ,,t•,! :-, I- .&' feet
.• • -.:•!.:,- • ■,.:il,:- Requircr;O: 0 'e- No
7 1?,,,--cr,•:...d
7 j)44/Llat Daft:: i 0/2-
ENGINEERING DEPARTMENT:
Actual Slope: / % lig Approved 0 Not Approved
Site PI 8 Approved 1=1 / Not moved
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Notes: , ,z.
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: t ■ _If • - • •
ees:
Pri
Street Trees:
Protected Tr 0 Not Approved
211 Approved
0 Not Approved
Notes: Date: . 0 '
�I ?f Y f� "'
J
= y t . Building Division
'' One & Two- Family Dwelling
I TT , I,G. R D
,. !N. Fees Checklist
PERMIT INFORMATION: 1 / . .
Permit #: M.5T -CO DS Plan #: Date:> 1 1/ (/ 7no?
Site Address: 1 951--G‘ 0.v-e Parcel #:
Subdivision: p1.p- . - _pc , c Lot #: 2_ Zoning:
Jurisdiction: Setbacks: Front: Rear: Left: Right:
Class of Work: Stories: First Floor:, 1 Qi3 1
Type of Use: Height: . ' Second Floor: 11
Construction: Floor Load: Third Floor:
Occupancy Group: Dwelling Units: Bonus Room:
Valuation: 51 , 1, jS Bedrooms: y Total Floors: a 951
Bathrooms: .j Basement:
Decks: Garage: neCo
Porches: 151 ' Other:
FEES: Description: Fee Amount: Amount. Paid: Balance Due:
Plan Check: Building:
Extra Set:
Permit: Building:
Tax:
Metro CET:
School CET:
Mechanical
Tax:
Plumbing:
Tax:
Electrical:
Tax:
Low Voltage: _
Tax:
CDC: CDC Ping. Rev.:
CDC LRP Fee:
SDC: Parks:
TIF Res.:
TIF MT:
Erosion Permit:
Erosion CWS:
Erosion COT:
Water Quality:
Water Quantity:
SUB - TOTAL:
Sewer: Permit:
Inspection:
SUB - TOTAL:
TOTAL MST & SWR:
I: \ Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 1
1w5 i zw 7
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Jurisdiction: 7
c ^'�Sr2oc' Co2oc ' • °i ``
Site Address: 39 Sr j.v 75-1
Subdivision/Lot #: r Z
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: 1---N Date: -Z f z / /a
Owner /General Contractor /Authorized Agent
Print Name: ' `/ /iv, 4S
ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
l:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1 , j n 7., x qt S f
Cr; 41/e--4----4-$ AJ6.1 LLL
am the general contractor or the owner- builder
at the following address:
Site Address: 3 if S v S ` �4 r e_..
City: 7 rel
Permit #: S j 2 col - Od 2v
Subdivision/Lot #: F(e- r It Z
and/or
Map and Tax Lot #:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture - sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: Date: 2/ Zfio
General Contractor or Owner - Builder
I:\ Building\ Form \RES- MoistureSensitiveWood_doc 09/25/08
PERMIT NO.
CleanWater Services
Our commi;iiicu1 is clear. LOT c
EROSION CONT IL INSPECTION REPORT
DATE /4. /® INSPECTOR ,r/ UBDIVISION /, / �. /1 4
OWNER/PERMITEE _ , J d s - r / . '. C
SITE ADDRESS - � 774
, tql OtLI
I N
•
THIS SITE MEETS THE POST - CONSTRUCTION
EROSION CONTROL REQUIREMENTS SET
FO T' 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 COMPLETE
OR PERMANENT GROUND COVER IS ESTABLISHED.
A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE
FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES
THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL.
OTHER
THANK YOU FOR YOUR COOPERATION!
INSPECTOR i__ �,� PHONE �o� ‘3�
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Yltar".W.V.W WWWP OW4 x F ..y e. i r M.' "fir - .. _;... -r+a,rrr. .,�.,.•�..- w .^- ...r..�..,��+f,. _ -. ., �.. _ s : _ >, -. n,:.:,.:. _,
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I p71 A s Owner /Agent for (4 I-,/. �(� . ik-- e-i AIL-) zz-c-
(PLEASE PRINT) (PERMIT' HOLDER)
x
Do hereby certify that the following location meets 1
City of Tigard land use and development standards w
for street tree installation.
G .
7
7
ADDRESS: , 3 CC 5c 11 ,4...,
i
SUBDIVISION: 1- c.v.-L. L--,a1 LOT: 2
i
SIGNATURE: DATE: 2( 2 -(l
( OI1 NER /AGENT
RECEIVED BY: DATE:
(CM' OF TIGARD)
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1: \ Building \Eons \Strcct 1'rccCcrtificatc 01/19/07