Permit � C IT Y OF TIGARD
MASTER PERMIT
t ,,. COMMUNITY DEVELOPMENT Permit #: MST2010 00107
TiGArix, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date'Issued: 07/01/2010
Parcel: 2S 11 BC 10400
Jurisdiction: TIGARD
Site address: 12031 SW CAFFALL LN
Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 2
Project: Bull Mountain View Estates, Lot 2
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 3 First 2036 sf Basement: 0 sf Left: 5 Parking Spaces. 0
Height: 18 Bathrooms: 2 Second: 0 sf Garage: 644 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $229,141'.40 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 - Rain Drain: 1 Catch Basins: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn > =100K: 0 •
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 'addl 500 sf: 4 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 addl Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing. Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square, Feet:
Owner: Contractor: . Required Items and Reports (Conditions)
WEST HILLS DEVELOPMENT WEST HILLS DEVELOPMENT 1 MST Ersn Cntrl 503 681 - 4444
735 SW 158TH AVE 735 SW 158TH AVE .
BEAVERTON, OR 97006 BEAVERTON, OR 97006
PHONE: 503- 726 -7033 PHONE: 503- 641 -7342
FAX: 503- 641 -7661
Total Fees: $11,088.35
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0100. You may obtain a of the ui r direct questions to OUNC by calling 503.246.6699 or
Issued By. / . -- � Permittee Signature: ��t ' 1 �L- ( j /^ _
..........__..
,..4.-- uilding..P'ermit. Application
5 .. � - . jv a - RECEIVED , t, {x„ , .� e�,,:,„ a s s i a Y..'0 a ` : ' ,u T' tr J a
R si len t a �r 4 '4' fi 41 1 1 „ " FOR OFFIC : U SE O , i z r v s
i, -:n3,F, Cl Of ,Received L
, : Tigard _J 2010 U Q Da te /By: k UN 1 1 Penns No. .Qp�Q`7
`J g t/O /' dao
' 13125 SW Hall Blvd., Tigard, OR 972 Plan Rev 1
!
.1: . Phone: 503.639.4171 Fax: 503.59A. l 0 Date /By. �/ ' � 3 " I Q Other PermittOt2 o1O —O jW
"
' Inspection Line: '503.639.4175 iI ' 11 OF TIGARD Date Rea (�. Supplemental Juris: El See Page 2 for
T. ' +AR IGARD Internet vvww [[ or gov yB UILDING DIVISION N otified /Metliod: , f2' /t 0 , Information
S J/ 1
t Alm . -fur / 0 S4 .
�c+eµ xs ;- n Kt ,,:: 7 . a Yrs 'VMS' ae N 'v r ens° �t
1;47,141.:44,1 ...p ,r.' ` ii,Ye OF WO RK �N ,.� „; 6.0, . l.ec[ f -, t I RED DAI , .. 4 9 ANDr2 L, ;DW ELLING
. ' , mra r. - num . V 7 " a,Xw:k:ottt4t. r 4uttovvautirsfi: , . ∎3"'Sa
® 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 Cl Other: equipment, materials, labor, overhead, and the profit for the
#� rev x 004'ty . 1a k ., x tip ,
yE ,y o k 1.444 ..e..- h work indicated on this application
k c F fit_ , CAT> CORY '• @ONSTRi1C oN _: r_, ,' ,. ,,,;
Valuation: $ 22-9 I4' r Ad
®1- and 2- family dwelling ID Commercial /industrial -
III Accessory building ❑ Multi- family
Number of bedrooms: 3
111 Master builder 1=1 Other:
Number of bathrooms: 2
•
*fi a9 , s e � r� a �� i t to 40 ., i 2 • r. Total number of floors: 2
,'t ",� t" a�J SITE , a i0 N =.AND LOCA a� � ..:; Rti 1 ` . F"
Job site address: 12031 SW Caffall Lane New dwelling area: 2036 square feet
City /State /ZIP: Tigard, OR 97224 PP , Garage /carport area: 644 square feet
Suite/bldg. /apt. no.: " Project name: 1 ! i `, tI L Covered porch area: 2,98 square feet
- Cross street/directions to job site: Deck area: square feet
Other structure area: Z . square feet le
REQ E D D ATA' ;COM.IVMERCIAL USvr E HECKLIST q
ratN.la a Onwp nrMW wwf:VM4 xr, ?aaeatarct^. , a+ sMar 4
Subdivision: Bull Mtn View Estates Lot no.: 2 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
qy§ r > �,' a ar stmaarr a; e. �r�r!x k
f DESCRIPTION O WORKf A . °" !'' , 4 tg; $ work indicated on this application:
New Construction Valuation: 5
Existing building area: square feet
New building area: square feet
t rsa t o euaa " n �m � t rn a ti' rc
':; ' RI ZI `P dlitlilirt,( 14 .-,A . 1M le * w' "... El T t . r "� Number of stories:
- Name: West Hills Development Type of construction:
•
Address: 735 SW .158th Occupancy groups:
City /State /ZIP: Beaverton OR 97006 Existing:
. Phone: (503)641- 7342"' • Fax:'(503)641- 7661,
,.. New:
ro �a� drr�rtH,�fi,�ra. tFS tr'f P a': ..,F =' : + a� 9 v�
1. r ; 2 NnL;ICl : z�1 :: I } l EllreM = 4 . ,2 : ht-e f, , " , ° ' O TI C � ' .. i
' u 3 .4. gyp' - .1...!rzK6... $!lf_ ,._.._ .. r n:4i.,. :., - ... .e�S.kz- ...4.4_. . .. w ,�Y' "'.+ R ,, , S
_
Business name: West Hills Development All and subcontractors are required to be
Contact name: Angie Cook licensed with the Oregon Construction Contractors Board
under ORS 701 and may required to be licensed in the
Address: 735 SW 158 Ave jurisdiction in. which work is being performed: If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: Beaverton, OR 97006
apply:
Phone: (503) 641 -7342 Fax: : (503) 641 -7661
E =mail: acook@arborhomes.com
arborhomes.com
=;�tu r�cv4 1 xor .. ,
y r ,` CONTRACTOR 4 . x ' �i ' , i
to Aldae. s: rpso_.4 .r t W. �.� .rs- t'- .. 1- ..M,.w 9a ,, i tZ4-,:
Business name: West Hills Develo r - R BUI DINGG P 1 iyEES *J�� wavArk"i
Address: 735 SW 358 Ave o �'- .,.asii :i . ( Please`re j ernto jee sctied al ai ., t" 's
Structural plan review fee (or deposit):
City /State /ZIP: Beaverton OR 97006
FLS plan review fee (if applicable):
Phone: (503) 641 -7342 Fax: (503) 641 -7661
Total fees due upon application:
CCB lic.: 104847
Amount received: f 756 '
Authorized signature: 4 u This permit application expires if a permit is,not obtained
within 180 days after it.has been accepted as complete.
Print name: Angie Cook Date: 6/4/10 * Fee methodology set by Tri- County Building Industry,
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) .
. ,
v 1,1i a ' '''''''''';' r" r r `4 n i mo n r '^ i
;E Appl A roR o �r( ^usE,ON � r .
,. ' Rceciveil
t , City o f Ti gar d RECEIVE Datc/13 ° Le t tU Permit No.: 1-, . o - ,0 10 . 7
a' 13125 5W Htt11 Blvd Tigard OR' 97223 Plvt Review
• ! 1 aAt:D Interne
,phone:. 503 63 Fax 503 .598.196 U 1 1 z0I .
N n Datc/B ` _ . . ,, Other Permit ,;' 2a o
" Phone:; 503,6394171 03 ,Fax:
41= JJ 1111 I ' Detc ReadyB luris: El See Page 2 for
° ' Internet www tigard - ov. p Notified/Method: Supplemental information
as . 1 . _ -
a stir F i F M ° t . .31 erg tit 1 ,: ' a 40 ° "�, x) � ,P � `;a i ?
• Please cliech all that apply (s itimtt 2 set`s,ot plansiiJ /items checked
❑ "New construction ❑ Ad'dthon(al eratio replacement
❑ Scrviec or feeder 400 maps or more ❑ Building , over inlee stones.
❑ _ ,❑ Other - where the available fault current ❑ Marinas and boatyards. • • t `° * it C • 1F O t� ° `� t 0 1 ! t , � , .1 �' 00 amp's et 150 volts or ;❑ Floating buildings,.
, r fir ' T t - ' t . ,2, . ,, , "� s� N 'exceeds 10 0 less,10 ground, oc exceeds 14,000 ❑ Comrnerctal -use agricultural
❑" and`2- family dwelling ❑ Commercialtihdustrtal' ❑ Accessory building amps for.ill'other installations. buildings.
❑
Multi-family ❑ Master builder ❑Other ❑ Ft ❑ Installation of 75:KVA or
r e
y , kr�g 4 ra*r itI�O�J t ` �I 1 i ti 11 )� r � " �z1"r` *,2H ❑AditiO fnewmo g D Y „I.3. sy
,- a 1
. ..:. t ar er se' r
0HP or more load ❑ occupancy,
c pac
Job no Job.site address: 12031 SW`Caffall Lane 10
yratcl ti nvc stem:
(] ar mor e restdential.units. ❑ Recreational vehrcle,pa ks.
City /Siate/ZIP: ❑Health care facilities. ❑Supply,voltagc for more
Tigard, OR 97224 . - ❑ Hazaizious locatiotrs ■600 volts nominal.
Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more.
, t r ""7 '14=; .47;11t rtf 6 g” ft4ITAirek: I
Cross street/directions to job :site: Ibcacrintlon. . 1 .4of. l Fee. I Twat, 1 •
Ncw residential single- or multi -frimily dwelling unit.
7pcludes garage.
Subdivision: Bul I Lot.no.: 2 1000_sq ft orless (, I 168 :54 ( 'c„54 4
1 Mtn View Estates
Ea add'1 000 sq. (t_ 0r' portion A` 33:92 ('gi5:, (pQ? I;
Tax' ma / arcel no ;Ilium Limited energy, residential 67:84 ( ?
•
PP
' m. 3 •� • ' t ` q . n , (with above sq , ft )
k..F;,g to s� ' "�w, '�� 1 ` 0 ° 0 - , 3 ' � �t
Limtted'energy multi famil • 67:84 2
New Construction residential (with above sn' ft.) .
• Services or feeders installat ion, alteration,, and/or relocation
2 004i4s artless 100:70, 2
na -m �
Eiii11 1 1 #�� e 201 ^ amps 10 400 arnps 133.56 ' 2
' r 4. d . ,d t � � � 6 ref X �. ce >eY'+
- 401 amps to 600' a_ mps, . . 200.34 2
Name: West Hills Development
601, nmps,to' 1,000"arnps 301.04 ,
• Address: 735 SW 158th Av,e over 1, 000'drnps or volts _ 552: 2'
Tempornry services'or feeders installation, niteratton;iand /or
City /State /ZIP: Beaverton, OR' 97006 relo-e `tion
• tY
Phone: 503 ) 641 -7342 I Fax ) 641 -7661 200 amps or less 59.36 • l_
201 amps to 400 amps; 125'.08
• Owner installation :rThis'installation':is being.made on:property'that :I ownrwhich is not
intended for sale; lease, rent, or exchange, according to ORS'447, 4'49, 67Q and 70 01 rsm t.arcurts mps 168:Sa_
401 amps to 599'
' — nes ,,alteration; or extension „per panel
Owner signature b .
e A , at fee for branch circuits With
s. ^- , abo service; or fceder
" '” . 6L' y .,-.. e W 4-i .. " !a 4-: _ 7.42
?C« '°' - • . ,, . lei,.. rr-) • `" Y ; , - , s+m s r a d -*: E �� '" '' ,7:
cacfiar circuit
Business name: West Hills Development B: Fee for branch circuits without
P service or feeder fee, first 56,18 2
Contact name: Angie Cook branch circuit
.
Eaai ada'I:bmncfi circuit . . 7.42 2
Address: 735 SW 158th Ave NLscellaneous (service or feedernotidcluded)
- i Encl ,manufactured or, Modular: 67
City /State/ZIP. Beaverton OR 97006 dwelling, se[vicednd/or !ceder 2
Reconn only , .: _ 67:84 2 ..
Phone: ( 503 ) 726 -7042 I Fax i ( 503) 641 -7661 .
Pump or lrrigatiorccircle 67 2
E: e a s Sign or.'outhnc liglumg 6784 7
E -mail
! li
rk v'iglf ,l? e° LiEY. -Lt t tr""i "r ' K .ff . ..tat 5ignaI:ecuit(s)or1imited energy
Business :name: Garner Electric panel, alterntion,.or extension. Paget .2
Each additional inspect ion :over nllownble in;nnrof'the above:
Address: 2920 SE Brookwood Ave Additionalinspection (1 hr min) 66.25 /'hr I
Investigation (1 ; hrmin) 66.25 /'lir
City/State /ZIP: Hillsboro, OR 97123 _ Industrial planr(1 hr min) 78.18 /hr
�� ( Fax
. Luc.: 3707S " . 244i� �:tr as rtic- ./u it" _`4,04,a 90.00/ hr
one: 5 03 ) 648 - 4552 ( 503) 6 7925 9
n
V CCB Li 121159 Electrical 4_ .5 P.. ._- -. +.. . _ \,_ESrt
sOlotal: 72 .DC
-Suprv. Electrician signature, •requir - • a i ./ / Plan review (25 %of permit fee): ----" Print name: Chuck Garner C} Date: 6/4/10 State :surcharge (12% of permit fee): , . (1 .
TOTAL PERMIT FEE: 4 1 "� 7 1 .
Authorized signature:
This permit applicntion'ezpires.if.n permit 15 not.abtntncd wwithin.!80
days after kilns been accepted as'complete.
Print name: Angie Cook Date: • Number of inspections allowed per permit. -
1:\Soilding \ P erm its \ELC- PcrmitApp.doc 10/01/09 440- 4615T(11 /05 /COM/WEB
Ate $
Mechanical Cl ical Perlmllf. ica • ' Ili CEI � t . t ()I C)t 1 l til () t N
of Ti and
' ( / /Q Permit No
�Y. g Date/BY: � , � � ab (0 . t>o D
>` • 13125;SW Hall Blvd Tigard, OR 97223 PlmReview'
20.0 OtherPcnnu:
� Phone; 503 639 4171 Ctix. 503.598:196UU I V 1 1 T pate/By � �UtO ' GYRO. ; , .
i' it "� Inspection Line: 503.639 :4175 Date Reedy/Hy it * P See Pag 2 for
1 ,4 Internet: wwtv.tigerd or.gnv C'j�'�7 Notified/Metliod: Sppplement¢llnfarma
-�t(1 n OFTIG<:�RD
rr t om ` 0 : - 02 , 5'. rev' OF,- ORK�s; '� ''' �;a': . ' ,a.., D1 s
®N ew construe �� �rW. ��� n���. �:� COMM
tion El Addition/alterationlrepincement Mechanical permit fees' are based on the nlue'ef the work
... .. perfortned.ilridirmc the'vnlue (rounded to the nearest dollar),of rill
❑,Dem ,❑
olition 'Other ' mechanical •matcrinls, equipment, labor, oveitiead, and prot:
fi
� ' S ..4'tP.FGORYIPF". O' UCPI S��,t w . _ Value. S.
` F eclal;tJ�orm "orlon use check girl
® 1- and 2- fami °dwelli ❑ Cornmcrctal/industrittl ❑- Accessorybuilding
( . ��� '°"'���� /�
p . 1 Qty. � 'lt
El Mulfi- family ❑Master buildcr' ❑` Other: Dcsori lion - Ea. 1 Total
T `',, ' , tt311 1E OR*1113Pf AInt aDRIItO N?`�' •'rt^tM i 3 Hcatirig/cooling. -
Job site address: 12031 SW Caffal l Lane
Air coi - ittoni s
(raqulies site plan showing placamcaq 46.75
City /State/ZIP: Tigard OR•97224 Furnncc 100,000 BT (due slvcnu) . i . 46.75 ' !t- ;►
.Furnace 100;000t BTU (ducWJcats) 54.91- .
Suite /bldg /apL.no.: Project name: Hein pur tp _ 61.116
Cross st;eet/directions to job site; • Duc 23,32
Hydroni •h sys 23132
Residential boiler(redialor or
hydranic) 23.32
• Unit healers (fuel -type, not electric);
in -wall ;in -duct; suspended, eta. . 46.75 .
Flue/ventfdr.anyof above 23.32
Subdivision: Bull Mtn View Estates Lotno.: 2
Other. 3392
Tax map /parcel no Other inel applinnccs
•
2,
`rr'r -„. 1 rn`n rirra..i—tg _.... ici r _.-._ 4`r-r. 57 1:77 F
• DESGRIP'I'IONO�'sWOR�K� t; :-: Water•heater � 2332 , , /.
Gt'iY.S. rt _ _ C.: - .._.�1.l�_ - ......- .._._......,_•.._ ..,, •.__. - :l .s -. - _._..i i.- 1 -_.. .. '.. - - ..
Gtu!fiteplocc 1 3339 , �•�
New Construction n -
Fiuc fot•. water heater orgns
fi replace _23.32
Log•lijl tier (gas). - 23.32 ;
:Weed/Pellet ithve .3339,'. -.
Wood'fireplaiefinscrt .2332:
�P. ..�...� w....... ,., .
�„ i ., • .�.� .. • i 1 .. � i �.�� zl + - ney/Ilner /flue/vcnt - _ -
Chita . 2132
? i ® ROAIIRI i:aOWNER i�... _ _ -. •.- i`_.ir,.. �I3 ]r ,'r` _ ..:2� . , ,
Other.;
.Naive: Wesel-3111s Development; Cnvirorim enlateirhaustiand :ventilation .
. tt.ango kitchen
Address: 735 SW 458 equipment 1 3339 • za:
• Ci ty/S ta telLlP: Beaverton OR 97006 CI'othes.drycrcxhoust 1 3339 ,3.�.3?
Single- duct=ciih¢ust (bathrooms.
. Phone: (503)641 -7342 ,Fax: (503)641 -7661 tollct,compartments, utility rooms) k 23.32 1 .
� �T-' ® L`IC i i" i . i . l �" ; { 'tt7 ! CO�.rd CL40N"�v ''�, Aitic/crawlspacefuas 2332
L(F3?>z11�1f�Y�snv Y Oticri 2332
,-
Business.name ' West titls;Devclopitiont -. F uel !Aping .
Contact name: Angle Cook , eachiadditonal
Futnac¢, ctc. i 5 forfirst four; 5 4 :0 3?1' or ,1411
Address: 735 SW '158 Ave
Gasficat- -pump __
_
CIty/State/ZIP: B OR WalUsuspeaiied/unitheater .- .. .
Phone: (503) 726=7042 Fax: : (503),641 -7661 Water heater
Fircplacc 1 .
E -mail: ncook@arborhomes.com Range 1 •
i ?; _„ 'e.5 , , 4 ' ''- „ S uCONTRAGTOR t 1 > t n '- Barbecue •
Business.name: Pyramid;Heating &`Cooling Ciotics dryer {giis)
• .Other. . . _ . _. . -
Address S5699 SE'Iuternatiotial Way Suitel9; y, t ° ,j GFIANIa[2P);RMII :a. 11- - -
ty Subtotal _`L .
Ci /State2]P: Mihvnukia OR 97222
- p P )
Ph c:,(503),786`9522 :Fax, {503) 786 -3432• plan review 2556 of crm —
- - Mlnimttm crm t ea
.
- CB lie :59382 State surcharge (12 %.ofpermitfcc) 7.3 ,, , / .
TOTAL PERMIT FEE ,
Tbts appllmtlon expisrs tf o permit b natobtnlaed svithIn'180t •
Authorized sigrl¢ture:� days after ti-has been acrepted m complete.
Print name: Greg Phillips - Date: 5/7/10 • Fee methodology sct by.Tri County9uildingdndusuy Scrviae;Bowd
013u ¢dingTemiits'MEC- PcnnhApp.doc 10101/(19 4404617x(11 /02/COht/WEB)
d
Plumbing Permit Application .
Building Internet: www Fixtures v 'nr s I r . r .r �• ;" m� ax °s .- RECEIVED `� v FOR�EOF
City of Tigard
Y °� ;;� � , 4.:
Plan Re: (� l f 1 o Permit No.: 1‘17--,9.0.6f).-06/42-17
c 13125 S W Hall Blvd., Tigard, OR. 97223 y
� pq Plan Review n ^(
I � C Phone: 503 639.4171 Fax 503.598.1960 JUN 1 1 '� J I � Date Date /B/By Other Permit No. O'er 8?
a sSc Inspection Line: -503 639.4175 Date Ready /By: Juris: EI See Page 2 for
, ; ,. . „ AItD _ "
�t , hgar Or gOw 1 ' . p ®, Notified/Method Supplementallnformatron
etiVgi , n s t t f : t OE W artrIA 711'1* lli I :l: a.xx ilFEE SCHED E g tit , 1
® New. construction ❑ Demolition • Tor :specia1 informiltion use. checklist Description 1 Qty. I Ea. I Total
• ❑, Ad dition /alteration/replacement ❑ other'
New 1- 2- family dwellings (includes 100 ft. for each utility connection)
a s i x
�I�� +Y �CONSTQRC�TrIN ; i�,�t� � SFR (1) bath 312.70
® 1- and 2- family dwelling ❑ Comnier ial /industrial SFR (2) bath l 437.78 LM,'7e
SFR (3) bath 500.32
❑ Accessory building ❑ Multi- family
Each additional bath /kitchen 25.02
.0 Master builder ❑ Other:' Fire sprinkler ( - sq. ft.) Page 2
s a " 11 ' ' fx € 1t t tJOB S
tTl'E 1NF0I2MATION l∎Ii LO AT ON>! �` Site utilities:
1
Job site address: 12031 SW Caffall Catch basin or area drain 18.76
Drywell,-leach line, or trench drain 18.76
City/State /ZIP: Tigard OR 97224
Footing drain`(no. linear ft.: _) Page 2
Suite/bldg. /apt. no.: Project name: Manufactured - home utilities 50.03
Cross streetidirections to job site: Manholes 18.76
Raindrain connector 18.76
Sanitary'sewer (no. linear ft.: _) Page 2 _
- Storm sewer (no. linear ft. _) Page 2
Water;service (no. linear 13.: ) Page 2
. Subdivision: Bull Mtn View Estates I Lot.no.: 2 Fixture or item:
Tax n:ap /parcel no. Backflow preventer 31.27
• m ' .• , . ,_ , Backwater valve 12.51
� r � .RIAi i' DESCRI9717OF WRK I O a 40.Et !lr r' : ., F
_ ^ " "'• 4i al Clothes washer _ sher 25;.02_
New Construction Dishwasher . 25.02'
Drinking fountain 25:02 _ ,
Ejector•/sump. 25.02 •
�n k. "•" x' " E x ansion tank 1251
® PROPERTsYY�WNER 9 i x r; � ° y .. ®�TE ANT; t om 1 4 5 is b: P
Name: West Hills Developmenf Fixture/sewer. cap 25.02
Floor drain/floor 25.02
Address: 735';SW 1'58'' Ave
Garbage disposal 25.02
City/State /ZIP: Beaverton OR 97006 .Hose bib 25.02
Phone: - (503)641 -7342 Fax: (503)641 -7661 Ice maker. 12.51 •
, t ..J' 1 .., #�O i� ' D CO TN CT PER SONr , „; Interceptor /grease. trap 25.02
� -e.'' t f .4 �'x® AI 'w� C rANT , wrI , t3'��E"�,stz+ � a ,u� A. . T. .,
Business name: West Hills Development Medical gas.(value: '$' ) Page
Primer 12.51
Contact name: Angie Cook
Roof drain (commercial) 112.51
Address: 735 SW 158 Ave. Sink/basin /lavatory '25 02
City /State /ZIP: Beaverton OR 97006 Solar Units (potable water) 62.54
Phone: (503) 641 -7342 Fax: : (503) 641 -7661 Tub /shower /shower pan - 12.51
Urinal 25.02
Email acook @arbor homes com
e 1;4 n ;g, 4; t t 0 e Water closet 25.02' .
">itl " 9
''.,e1 ., i1^i r '. 1:4i , C� ',: °. �)1 :i..14: ,, , E ° s � xr
Waterheater 37.52
Business name: Development Northwest (Wolcott Plumbing) Water i in DWV 56:29
• PP g/'
Address: 1075 W Historic Columbia River Hwy Other: _ _ 25.02 •
'City/State/ZIP: Troutdale, OR 97060 Subtotal
C 4 7.7e
Phone: (503) 667 - 1781 Fax: (503)6679891 Minimum permit fee: $72 "50
Plan review (25% of permit fee) •
CCB Lie,: 112220 Plumbing Lie.. no.: 26 -824PB
State surcharge (12% of permit fee) • .51„
Authorized signature: "
l e ,� /.30*.,.....--- TOTAL PERMIT FEE A' C I a `1 •
"/ D 6/4/ 10 This permit application expires if a permit. is not obtained within 180:days
Print name: Cliff Bowm after it has been accepted as complete ...
*Fee methodology set by Tri -County Building Industry Service'Board.
I:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(I0 /02 /COM/\EB) '
RECEIVED •
JUN 11
limite CITY OFTIGARD
BUILDING DIVISION
BULL MOUNTAIN VIEW LOT 2
12031 SW CAFFEL LN.
TREE PROTECTION PLAN
Prepared For
ARBOR HOMES
735 SW 158 AVE.
BEAVERTON, OR 97006
Residential and Commercial. Spraying •Fertilizing•Pruning•Landscape Installation•Landscape Maintenance•Consultation
MEMBER: Tree Care Industry Association•International Society of Arboriculture•Oregon Landscape Contractors Assoc.
State Licensed Tree Service #62635•Landscape Contractor #5659•Chemical Application @000231•Insured
P.O. Box 1566•Lake Oswego, OR 97035.503- 635- 3165•Vancouver360- 737- 2646•Fax 503 - 635 -1549
Visit our website at www.tclu.com•E -mail: info@ltclu.com
. .
J)
f.‘
• ,
6 4iimitt 6
• CONTENTS
• Summary 1
Tree Protection Check List 2
Tree Protection Plan Drawing 4
•
, -
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fa. Litil
C) -- (si9 .
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• - �:.�
'41imite
ARBORIST REPORT
Nature of the Report: Tree Protection Plan
Address of the. Report: Lot 2 Bull Mountain View
12031 SW Caffel Ln.
Tigard, Oregon
Date of the Report: June 4, 2010
Report Submitted To: Scott Goddard
Arbor Homes
735 SW 158 Ave.
Beaverton, OR 97006
Summary
I have visited the site and reviewed development plans. The attached outline and drawing detail the
Tree Protection Plan for this site. Tree protection fencing and areas requiring direct arborist
supervision have been detailed.
Excavation work within the Tree Protection Zone will expect the contractor to probe for roots under
the supervision of an International Society Arboriculture Certified Arborist. As roots are discovered
the arborist will determine whether to cut them or work around them. All root pruning will be done to
I.S.A. standards. The Builder should be prepared to modify the foundation as required to preserve
significant roots.
In the event that tree roots larger`than`2" in diameter are found outside these areas the site arborist
should be notified.
The developer and general contractor are expected to notify all subcontractors of the need for tree
protection and the tree protection plan for this site.
Other general Tree Protection Measures are included in the attached check list.
Sincerely,
Kay Kinyon
Certified Arborist PN0409A
Tree Care & Landscapes Unlimited, Inc.
Residential and Commercial, Spraying •Fertilizing•Pruning•Landscape Installation•Landscape Maintenance•Consultation
MEMBER: Tree Care Industry Association•International Society of ArboricultureOregon Landscape Contractors Assoc.
State Licensed Tree Service #62635•Landscape Contractor #5659•Chemical Application @000231•Insured
P.O. Box 1566•Lake Oswego, OR.97035•503- 635'- 3165,•Vancouver360- 737- 2646•Fax 503 - 635 -1549
Visit our website at www.tclu.com•E -mail: info@tclu.com
Page 1
Tree Protection Plan
REVISED 7 /27/05
SITE ADDRESS 12031 SW Caffel Lane, Tigard, Ore.
Follow the below listed instructions in order to provide the proper protection before, during and after
construction for trees #10158, #10159 " &. #10160.
I. Before Construction:
ADD. Non -App.
X7 ❑ a. Identify and number- the trees to be protected, verify by mapping and /or tagging and note their
size in D.B.H. (Diameter at Breast Height), variety, health and structural conditions, review
plans.
Xi ❑ b. Check'with local government agencies for tree protection ordinances.
M ❑ c. Remove any low limbs that may be in the way of construction equipment, and prune as needed
to adhere NAA standards.
❑ d. Leave a protective covering on the soil, i.e., existing groundcover or mulch.
21 ❑ e. Notify all other contractors that these trees are to be saved and protected.
D ❑ f. Install a temporary 6' high metal no -climb fence to protect the trees and their root systems.
Install tree protection sign on fence. Posts located 10' on center as a general rule. For every
inch in diameter of the trunk (D.B.H.) allow up to 1 foot of radius from the trunk as the
protected area. (Example: 24" D.B.H. = 24' radius of protected root system.) Ideally, we
need to protect more than the drip zone. The drip zone into the trunk is the support roots that
hold the tree up. The roots from that drip zone out provide nutrition, water and oxygen. Try to
avoid Toss of more than 30% of root on any one side. This allows some encroachment within
the drip line. This should be determined on a case by case site conditions reviewed. (SEE
ENCLOSED SITE PLAN)
10 ❑ g. Identify any insect or disease problems that may require treatment.
a ❑ h. Engineer and design proposed structures and construction to avoid root Toss. Bridge type
foundations can save major roots.
51 ❑ i. Design landscape islands and planting areas large enough to accommodate trees at maturity.
a ❑ j. Plant the 'right tree in the right place. Avoid future conflicts with buildings and utilities.
DI ❑ k. Have an experienced Arborist review landscape plan to assure the right tree is planted in the
right place and proposed changes don't kill retained mature trees.
El ❑ I. Consider tree removals adjacent to trees to be saved for wind related stability concerns.
Page 2
App. Non -App.
• ❑, m. Check for past and proposed grade and drainage changes, consider the effects.
• ❑ n. Check trees for stability.
XI ❑ o. Remove all trees that would not survive the effects of change. Remove all hazardous trees.
1 ❑ p. Minimize environmental changes.
II. •During Construction:
• ❑ a. Keep equipment off of the root system to avoid compaction.
M ❑ b. Keep equipment away from structure to prevent damage to trunk and limbs.
• ❑ c. Don't allow chemicals to be dumped on the ground near the tree, i.e., gasoline, diesel, paint,
herbicide, cleaner, thinners, etc.
• ❑ d. Provide means of temporary irrigation if the project runs through the summer.
D ❑ e. If roots or limbs are cut or damaged, have them inspected by an ISA Certified Arborist and
repaired or treated according to his /her recommendations.
• ❑ f. Protect the trees from excessive heat, i.e., equipment, paving and /or burning.
g. Avoid trenching through the root systems, boring under them or hand digging can save roots.
ffiI ❑ h. Contact the ISA. Certified Arborist familiar with the site prior to and during any activity within
the drip zone or tree protection fencing for consultation.
III. After Construction:
❑ a. Carefully landscape the area under the tree, being careful of the roots and structure. Use .
plantings that will live under the same conditions as that of the tree.
IX ❑ b. Provide insect and disease control, fertilization and pruning as needed or adhere to long -term
protection plan if provided.
• ❑ c. Avoid direct irrigation spraying onto the trunk. The amount of irrigation needed to keep new
plantings alive can often be enough to kill mature trees.
G ❑ d. Do not cover existing root systems with more than 2" of soil. The more soil you add, the
greater the chances of damaging the root system.
>}I ❑ e. Provide irrigation and /or drainage to emulate pre- construction conditions.
NOTE: This tree protection plan identifies construction protection measures to prevent unwarranted tree loss.
The identified measures limit the amount of earth disturbance surrounding the trees, and limit the removal of
the tree's root systems. Due to the variation of every project, it is unlikely all of the above identified
measures can be practicably applied to each individual tree; nor is it° likely each measure is necessary to
retain each tree. Prior to the beginning of construction a meeting between a certified arborist and the
necessary contractors will be held to determine the appropriate level of protection for each tree, in relation to
what work needs to be completed in the tree's vicinity. On site supervision by a certified arborist will be
determined and supplied as necessary.
Page 3
. '
___----.\
EXISTING STREET., E
\ SIDEWALK \
SEE "STREET TREE K _ _ D ENT --• — — — --
8' PUE ) 1
• — -- E --- P'N
77‘
/ 1 :I IMU ,--
11-1-7-1— '-. DING SEli LIN #10158
E \- . "-:------------'\\\ (-- V-
OO.
e .... 7. • •••■ " . ." - (..,..„ : CONTROL
/ SIN
7‘1\ NI
I
ENR
r2 BUI
1.4 ils MI
4 . 1_ _ - - - - k - f-. 1-4 . -- ;' - •,* 4 I I
---
/ _ _____. ... _...)
5 : - - 2—% ::::::::::::11.F.....:.:•....::::.:......:.:.:::.::::::::::::::::: P C M 50.11
1 ,h r.. :1 .:;fr _
• 1 (
i ''N
.::: ` ::.:::.:::::::: ::::::•::•: -. 411: , , \ `1 ' 4, 3 EXISTING TREES TO BE PROTECTED:
::.:•:1:::::::.::: : ::-. • ..... :::::::::::::::: . sHA05,4:MP‘: . p . • - #10159
30 i „ . ,
TREE #10158
1 . :: -..•• 5UPERVISION ro
.BY ',C r W I 1 12" FLOWERING DOGWOOD
MAX 4 " : - ' ' • ,0,115.A. ARBORIST::. , ' (4 STEM5,5",5"A",7") M SCORD I .: . TALL . ::' ... — '
• : ::.:.:.: :.: :•:.: . • T 2 B a I : m m"Ti N t.:::::: r .,: i 1 i TREE #10159
ALLAN I :::::4 , .: .:... / ..:- :::::::::::::: .1 4 ........----_, 1 .
/.... . MAIN FLOOR:::: r / 12" FLOWERING poGw000
(3 STEMS 6",7",8)
7 .,
i :I-ANb /
,.// .:: .....
2 : :•::: : :. :::.: : :.:-: :::::: :
LOT 2 ;,:.:: -
A , TREE #10160
7 TREE #10160
,1 o i CA 13" FLOWERING DOGWOOD
P 1
1 1 4
: 2: '. -:. :::::•;:4 , 7: ..- ' '''' .'-:::::::; ::::: .:- ' .!'•.: 0'
PORCH SURFACE
. jr1 ROOT PROTECTION ZONE SEE ATTACHED
›,:„...:: i:N-rizy PORCH .
..:, ...T > _ ,.. „„,_ ., _.
• -: : : : : : : : :: : : : : : • .. : : : :•: .. 4 yks•,... - .,' •.,.e 4, :
5'4 47 a-::::::.: :' % ,'-::::•:•:::-::.:::.:.::::::: .:::::::::::::::: -. : . — — '' :: te I
7/;;' . . 7--
, ..:... F. ; i .i.,... • C . ... ::!::■:.;?: (' - -
BOUNDARY. ALL WORK ARBORIST'S
WITHIN THIS AREA TREE
REQUIRES SUPERVISION BY PROTECTION
I5 .A. CERTIFIED ARBORIST PLAN"
MAX 30" ABOVE
, :..i.V.J.... - ,k;„ -.) c s,;- ; .‘'...,: •.; • .. :,• • WR Y WA LK,..1 ..:.. .}:„.,:' 1-----------TREE
: .L s '• ••1.... FIN GRADE
41.- ., .,!.. .>:• :,-. ____------- PROTECTION
; i FENCE
/ 7. -OVIVEVVAY , i.; i 1 /
FENCIN
.1? EROSION--.... ,` /
I .s • / . • ` • R CONTROL •?!
...; .1
:" .i., G
../,.;, : ... ■ _„. •-- i i
- --
.:: ' . .. A f ' • ' -- ' - ---- -- -. 1 .. -- - --- ,'
/
— .: .',' ,:-,:.. :: • Y"
1
51.68
SW CAFFELL LANE STREET TREE (2" CALIPER - 20 0.C.)
:=--_-_,_, - A , '• 9 ,--. : k,, 0 - TRIDENT MAPLE
- '‘ 1' NORTHERN RED OAK
' 0 - OREGON WHITE OAK
,--
---
BULL MOUNTAIN VIEW ESTATES
DRAWN 06 SHG NW 114 SECTION 10 T. 2S., R.1W., WA.
WASHINGTON COUNTY, OREGON
Contractor is responsible to check
site plans and notify designer of any LOT 2
' errors or ornissions prior to start of
construction. Also plans and 12031 SW CAFFEI,L LANE
specifications shall be approved by
local building authorities pricir or 10288 SQ. FT.
start of construction.
TREE PROTECTION PLAN
WEST HILLS . SETBACK REQUIREMENTS:
FRONT (HOUSE): 20' (FROM SIDEWALK)
DEVELOPMENT, INC. FRONT (PORCH): 20' (FROM SIDEWALK)
FRONT (GARAGE): 20 (FROM SIDEWALK)
735 SW 158th Ave. STREET SIDE:
SIDE: 15' (FROM SIDEWALK)
5' (FROM P.L) SCALE
BEAVERTON, OR 97006 REAR YARD: 15' (FROM P.L) 1"=20'
Page 4
TREE PROTECTION NOTES;
1. CONTRACTOR SHALL PROVIDE TREE PROTECTION AND INSTRUCTION TO
ALL EMPLOYEES AND SUBCONTRACTORS PROHIBITING EQUIPMENT,
VEHICLES MACHINERY GRADING, _DUMPING, STORAGE, BURIAL OF
DEBRIS, OR ANY OTHER CONSTRUCTION- RELATED. ACTIVITIES IN ANY
TREE PROTECTION ZONE -
-� 2. ONLY THOSE TREES IDENTIFIED ON THE APPROVED TREE REMOVAL
PLAN ARE. AUTHORIZED FOR REMOVAL BY THESE' PLANS.
NOTWITHSTANDING ANY OTHER PROVISION OF THIS TITLE, ANY PARTY
FOUND TO BE IN VIOLATION OF THIS CHAPTER [18.790] PURSUANT TO
CHAPTER 1.15 OF THE TIGARD MUNICIPAL CODE SHALL BE SUBJECT TO
A CIVIL PENALTY OF UP TO 6500 AND SHALL • BE REQUIRED T0
REMEDY- ANY DAMAGE CAUSED BY THE 'VIOLATION SUCH :REMEDIATION
SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: '1)
REPLACEMENT OF UNLAWFULLY REMOVED OR DAMAGED. TREES' IN
ACCORDANCE WITH SECTION 18.790.060 (0).. DE THE TIGARD
DEVELOPMENT CODE; AND 2) PAYMENT OF AN ADDITIONAL CIVIL
1 PENALTY REPRESENTING THE ESTIMATED VALUE OF ANY UNLAWFULLY
REMOVED OR DAMAGED TREE, AS DETERMINED USING THE MOST
CURRENT INTERNATIONAL SOCIETY OF ARBORICULTURE'S GUIDE FOR
PLANT 'APPRAISAL.
3. IF -WORK IS 'REQUIRED WITHIN AN ESTABUSHED TREE PROTECTION
ZONE. 11-IE PROJECT ARBORIST :SHALL PREPARE ,A PROPOSAL
DETAILING THE CONSTRUCTION TECHNIQUES/ TO BE EMPLOYED AND THE
LIKELY - IMPACTS' TO THE TREES. THE PROPOSAL SHALL BE REVIEWED
AND APPROVED BY THE` CITY ARBORIST BEFORE. PROPOSED 'WORK CAN
PROCEED WITHIN: A TREE PROTECTION- ZONE. THE`. CITY ARBORIST MAY
REQUIRE, CHANGES` PRIOR TO APPROVAL. THE PROJECT ARBORIST
SHALL BE ON SITE WHILE WORK IS OCCURRING IMTHIN THE TREE
PROTECTION ZONE AND SUBMIT` A SUMMARY REPORT CERTIFYING THAT
THE WORK OCCURRED PER THE PROPOSAL AND Will NOT
SIGNIFICANTLY IMPACT THE HEALTH ANU /OR STABILITY OF THE TREES.
4. PRIOR TO COMMENCING ANY SITE WORK OR THE - ISSUANCE OF PERMIT.
THE APPLICANT SHALL ESTABLISH TREE PROTECTION FENCING AS
DIRECTED BY THE PROJECT ARBORIST AND CONDITIONED Err THIS
DECISION 110 PROTECT THE TREES TO BE RETAINED. THE APPLICANT
SHALL CALL FOR AN _INSPECTION AND ALLOW ACCESS BY THE CITY
ARBORIST FOR THE PURPOSE OF MONITORING THE TREE PROTECTION
TO VERIFY THAT THE TREE PROTECTION, MEASURES ARE PERFORMING
ADEQUATELY. FAILURE TO °FOLLOW , THE PLAN, OR MAINTAIN; TREE
— PROTECTION IfENCING IN THE DESIGNATED LOCATIONS SHALL BE
GROUNDS FOR IMMEDIATE SUSPENSION OF WORK' ON THE SITE UNT1L
REMEDIATION MEASURES AND /OR CIVIL 'CITATIONS CAN BE PROCESSED.
TREE PROTECTION PLAN
BULL MOUNTAIN VIEVV
CITY OF TIGARD, WASHINGTON COUNTY, OREGON
12031 SW CAFFEL L .
TREE CARE LANDSCAPES UNLIMITED, INC. e _
' 7600 Roemood Sc'
LOT 2
Ws Owego, OR 97035
0 507635 -7167,
SETBACK REQUIREMENTS:
WEST •HILLS REAR YARD: 15' (FROM P.L) SCALE
T., FRONT (HOUSE): 15' (FROM P.L) 1"=201
FRONT (PORCH): 15' (FROM P.L)
735 SW 158th Ave. FRONT (GARAGE): 20' (FROM P.L)
BEAVERTON, OR 97006 STREET SIDE: 10' (FROM P.L) Sheet 2/2
SIDE: 5' (FROM P.L)
Page 5
- SWBU(,L FITA1' �A b — - sr /,
- - d , • i - 473 1
%i EXISTING STREET TREE — —
480 SIDEWALK 141.81 SEE "STREET TREE" KEY BELOW AS
— — - -_— _ — - ^� 112010
I — CITY OF TIGARD I "
�`' • M INI MU M BUILDINGS -'ACK LINE TREE #101 BUILDING DIVISIO I
g r _
o : �5a5Q'Ft ` f; 1 a - - — - ' 50.11
I = PATIO
,.TOS 476. a
474 - ........... . .
!1/�iirri
BE PROTE
CTED:
1 ..
0
TRU 1 '
r iw
1
1 _ . I 472 7
- :' TALL • : :: 1"ASCORD PLA - '
ALLAN :;• ? } ?irrr : :::LOT 2 BULL MTN-. ::::'-.•: : : : :: :: :..:........-. A I TREEE #10159
§ : FLOWERING DOGWOOD
::LA BLOCK . :. .t MAIN`FLOOI ` '' - -- � X
; :: ,6'7,8" DBH
:•FF 477•:::::::::.;: : ::::::.:::..: ' ' TREE #10160
f TREE #10160 g',
FLOWERING DOGWOOD
:: : 2.H.:-:.:-:.::;.:.::::: ± j I 5 ",6 ", "DBH
I
�._. ,
.............................. .......
.` ZONE ATTACHED
:'.. } ::: } : ...........: ROOT PROTECTION ZO SEE
1tNTRY PORCH '. , BOUNDARY. ALL WORK ARBORIST'5
• 47 WITHIN THIS AREA "TREE
: :' - r' I PROTECTION
: } TOS 476 :: {' ' : {: `;` }:::` : ?::;:,::•:.;: _ : :;••••- REQUIRES SUPERVISION BY PROT6 • Y T , � � . I REQUIRE ARBO RIST PLAN"
I/ c = — It - PORCH SURFACE I'S.A. CERTIFIED. '4,. . 6 8; < : ENTRY WALK . MA GRADE 30" ABOVE 7R kAf
FIN PROTECTION ,-
— FENCE. ..
Dti2IVEWAN/ : • k EROSION I
CONTROL 473
FENCING
1 .. 51.68 • .o�
STREET TREE (2" CALIPER - 20' O
' 3 CAFFELL LANE
` ' - SW 0 - TRIDENT MAPLE
477 `r/, - NORTHERN RED OAK
/1
- OREGON WHITE OAK Via
BULL MOUNTAIN VI EW ESTATES
DRAWN 06 - 03 - 10 5146 NW 1/4 SECTION 10 T. 25:; . .1 W.M.
WASHINGTON COUNTY,: OREGON
"°".A yf 4
Contractor is responsible to c heck �T ..... .
site plans and notify designe" fony _�W-`f' -m
errors or omissions prior to start of -. -�- " 12 031 SW CAFFELL LANE
construction. Also plans• •and "" �
"°"�
specifications shall be approved by •� 0288 SQ. FT.
local building authorities prior or �[
start of construction.
WEST HILLS SETBACK REQUIREMENTS:
DEVELOPMENT, INC.
FRONT (HOUSE): 20' (FROM SIDEWALK) e
FRONT (PORCH): 20' (FROM SIDEWALK)
FRONT (GARAGE): 20' (FROM SIDEWALK)
735 SW 158th Ave. STREET SIDE: I5' (FROM SIDEWALK) SCALE
SIDE: 5' (FROM PL.)
BEAVERTON, OR 97006 REAR YARD: 15' (FROM P.L.) 1 " =20'
Ct Y OF TI ' k - SITE P REVIEW_
I:I J 1I IJ kJ! PERMI NO.: ,. ' t . - r . • 111
ANNING DIVISIO : Not Approved
Required Setbacks: %® Approved ❑
Side: Street Side:
G Rear:
Front. ---
Visual Clearance: VJ Not A Approved ❑ Approved
Maximum Building Height 19._ feet No
CWS Serv' rovider Letter Require d Yes ❑0 Rev 'ved igt
B
/</ . -�2tti Date: 6 it i
ENGINEERING DEPARTMENT:
Actual Slo :2.% Approved ❑ Not Approved
Site / pi Approved • of , Proved
—i► Date: - /6 TO
Notes:
CITY ° TARD
7,4 . RMI No: - SITE PLAN '' w
Street sea" WApprovai
o A id ❑ N` A PPro ed
.. P ❑ Not A
rep r c PProvad