Permit , , , - - z , 7- t i. c cc -\ d 2
CITY OF TIGARD O rL d�' MASTER PERMIT
a - CO MMUNITY DEVELOPMENT Permit #: MST2009-00130
TtGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2009
Parcel: 2S102CD05500
Jurisdiction: Tigard
Site address: 13864 SW 95TH AVE
Subdivision: FLETCHER WOODS Lot: 5
Project: Fletcher Woods
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1630 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1725 sf Garage: 647 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $369,097.95 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: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 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: 7 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! Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 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)
ROUNDSTONE DEVELOPMENT fNC STONE BRIDGE HOMES NW LLC 1 BUP Ersn Cntrl 681 -4444
9550 SW BEAV -HLSDL HWY 16869 SW 65TH AVE # 505
BEAVERTON, OR 97005 LAKE OSWEGO, OR 97035
PHONE: PHONE: 503- 387 -7577
FAX: 503 - 387 -7615 '
Total Fees: $17,301.63
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 copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: ICIC \l Q[ /
lI � 4- 2 1 .09
T' -(' c S LzJ2'6
r s
CITY OF TIGARD MASTER PERMIT
s , COMMUNITY DEVELOPMENT Permit #: MST2009 -00130
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2009
Parcel: 2S102CD05500
Jurisdiction: Tigard
Site address: 13864 SW 95TH AVE
Subdivision: FLETCHER WOODS Lot: 5
Project: Fletcher Woods
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1630 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1725 sf Garage: 647 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $369,097.95 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: 100 SF Rain Other Fixtures: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100
Drains: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 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: 7 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'l 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
asin Y
Other: N Other Description: Ecom p g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
ROUNDSTONE DEVELOPMENT INC STONE BRIDGE HOMES NW LLC 1 BUP Ersn Cntrl 681 -4444
9550 SW BEAV -HLSDL HWY 16869 SW 65TH AVE # 505
BEAVERTON, OR 97005 LAKE OSWEGO, OR 97035
PHONE: PHONE: 503- 387 -7577
FAX: 503 - 387 -7615
Total Fees: $17,116.83
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 copy of the rules or direct questions to OUNC by calling 503.24 699 or 1.800.332.2344.
Issued Byg Vl i c/...A V /k,b Permittee Signature:
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: i t, 57-- 20a _ 0 61 70 Jurisdiction:
Site Address: 1 38 if Sv c"- I A- e_ •
Subdivision/Lot #: ��e t -L e • l.�o�� � 5
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: ' Date:
/ 14/0 cr
Owner /General Contractor /Authorized Agent
Print Name: Ati
' 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 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
Buildin2 Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard RECEIVED Received Permit No.: y g DateB 0, 11 I V /� MIN / v
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review t ► �
14
Phone: 503.639.4171 Fax: 503.598.19 JUN 11 2009 PI:n Re : �y� ta19. Other P rmit: eg� C� •
TIGARD Inspection Line: 503.639.4175 Date Ready /By: • ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified Method: • ' , � �� Supplemental Information
TYPE 414,1,hpiNGDivisioN
REQUIRED DATA: 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 11 Commercial /industrial Valuation: $ 3441 J Z 4 . c'4'
❑ Accessory building ❑ Multi- family Number of bedrooms: S
❑ Master builder 1=1 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
Job site address: )36614- i.,) -T4-1 J New dwelling area: �' � square feet •
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 6 47 square feet
Suite/bldg. /apt. no.: Project name: Fletcher Woods Covered porch area: 6 Z square feet
Cross street/directions to job site: SW 95 Avenue & SW McDonald Street Deck area: , ga square feet
Other structure area: 1 square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: Fletcher Woods Lot no.: S 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:
0 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)
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB tic.: 173318 Total fees due upon application:
/f Amount received: 7�`
Authorized signature: / //
W . D ate: p This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Gayland Forsbe
Print name: Ga _
y A 111 O/ * Fee methodology set by Tn- County Building Industry
Service Board.
1: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM /WEB)
E1'ectrical Permit Application FOR OFFICE USE ONLY •
City of Tigard R ECEJVED Date/By: l 8 Q 9 Permit No : ���� �Q/
IN 't 13 125 SW Hall Blvd., Tigard, OR 97123 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: c 5 to k_faeryf....ekvi0
TIGARD inspection Line: 503.639.4175 11 i �� 7 n Date Ready /By: kris lid See Page 2 for
Internet: www.tigard- or.gov ( ?(� Notified/Method: Supplemental Information
TYPE OF k.ildi licOF T1GARD PLAN REVIEW
® New construction ❑ Addition /DIAMIRIM &MON 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
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: 8Q0� Job site address: 1 3E/ ( s + 100HP or more. occupancy.
13 W 1 tJC.(O� i �'C AVE • ❑ Six or more residential units. El 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 Avenue & SW McDonald Street Description I Qty. I Fee. J Total [ *
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Fletcher Woods Lot no.:5 1,000 sq. ft. or less $ 145.15 (46, t.- 4
Tax map /parcel no.: Ea. add') 500 sq. ft or portion 7 33.40 2:33,Qio I
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) I 75.00 •75 2
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Stone Bridge Home 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 16869 SW 65th Ave. #505 Over 1,000 amps or volts 454.65 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 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
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, 6.65 2
each branch circuit
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: Gayland Forsberg 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 90.90 2
Phone: dwelling, service and /or feeder
( ) Fax: ( ) Reconnect only 66.85 2
E -mail: gayland @stonebridgehomesnw.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: City Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City /State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (971) 404 - 1714 Fax: (503) 625 - 3052
Investigation per hour (1 hr min) 62.50
CCB Lie.: 42422 Electrical Lie.: 26 - 289C Suprv. Lic.: 35925 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 378 , cps"
Print name: Chuck Friesen Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): lic. 447
Authorized signature: '> , TOTAL PERMIT FEE: A-2A., A, 'Z
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 ' pe � rm . li'
permit. ` � T — (5 - 1:\ Building \Per tow 05/23/06 440- 4615T(I I /05 /COM /WEB t i
tom. 1
Mechanical Permit Application FOR OFFICE USE ONLY
Iii - D an Re
City of Tigard Received d Permit No.:H r 3 9_ /Jo
n 13125 SW Hall Blvd., Tigard, OR 9 ECEIt1ED Plan Re //
Phone: 503.639.4171 Fax: 503.598.1960 view !` ^ �oO9'd
Date /By: Other Permit: 0/`( �/
Inspection Line: 503.639.4175
TIGARD / r,
p I i 1 . a Date Ready /By: luris: ® See Page 2 for
Internet: www.tigard or.gov ' Notified/Method: Supplemental CITY_()F TIGARD
TYPE ( RATING pIVISIQN COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction p 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
Job site address: I `�g�/� � �IS tA'► _ Air conditioning or he pump ) 1 `
�r� „ter✓✓ �I (requires site plan showing placement) 14.00 `�'
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 1 17.90 17.9'0
Suite/bldg. /apt. no.: Project name: Fletcher Woods Gas heat pump 14.00
Cross street/directions to job site: SW 95TH Avenue & SW McDonald Street 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
Subdivision: Fletcher Woods Lot no.: G Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater I 10.00 \S
Gas fireplace i 10.00
Flue vent for water heater or gas
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: Stone Bridge Homes Environmental exhaust and ventilation
Address: 16869 SW 65th Ave. #505 Range hood /other kitchen
equipment ( 10.00 1
City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 10.00 tL
Single -duct exhaust (bathrooms, 2
Phone: (503)387 -7577 Fax: (503)387 -7615 toilet compartments, utility rooms) J 6.80 'Zak)
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Stone Bridge Homes
Fuel piping
Contact name: Gayland Forsberg $5.40 for first four; $1.00 for each additional
Furnace, etc. f
Address: 16869 SW 65th Ave. #505
rj ;�f,
Gas heat pump
City/State /ZIP: Lake Oswego, OR 97035 Wall /suspended /unit heater
Phone: (503) 387 -7577 Fax: : (503) 387 -7615 Water heater I.
Fireplace (
E -mail: gayland @stonebridgehomesnw.com Range i
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 G 7. -- 16
Phone: (503) 667 -5595 Fax: (503) 491 - 8252/`] Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 110091 State surcharge (12% of permit fee) ( 4, ■ 72 -
TOTAL PERMIT FEE (Q
Authorized signature: This permit application expires if a permit is not obtained within 180
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 \M EC- PermitApp. doe 01/19/07 440 -4617T (I 1 /02 /COM /WEB)
Pltiinbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard
Received / 0 ,
• .. C(J 7 P e r= No.:
q 13125 SW Hall Blvd., Tigard,I 21 % 1.' °1 Date/By. Q yr r ooi3a
Phone: 503.639.4171 Fax:�S��jj3. 9 598.1960 Plan Review
Date Other Permit No.:
Inspection Line: 503.639. Ready/By: Ti GARDy OF TIGARD Date Ready /By: Juris ® See Page 2 for
Internet: www.tigard -or.g DIVISION Notified/Method: Supplemental Information
TY M r
FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description 1 Qty. I Ea. I Total
❑ Addition/alteration /replacement � El Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
13 Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder El Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 1 CSC 4 61.4 . el 5T4t , A V F • Catch basin or area drain 16.60
City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Fletcher Woods Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: SW 95TH Avenue & SW McDonald Street
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: Fletcher Woods 1 Lot no.: CJ Water service (no. linear ft.: ) Page 2
Fixture or Item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER Drinking fountain 16.60
❑ T ENANT
Ejectors /sump 16.60
Name: Stone Bridge Homes Expansion tank 16.60
Address: 16869 SW 65th Ave. #505 Fixture /sewer cap 16.60
City/State/ZIP: Lake Oswego, OR 97035 Floor drain /floor sink/hub 16.60
Phone: (503)387 -7577 Fax: (503)387 -7615 Garbage disposal 16.60
� . * S AP} IC `NT El CONTACT PERSON its; Hose bib 16.60
Ice maker 16.60
Business name: SEE ABOVE
Interceptor /grease trap 16.60
Contact name: Gayland Forsberg Medical gas (value: $ ) Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) I Fax: : ( Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: gayland @stonebridgehomesnw.com
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: Legacy Plumbing Water heater 16.60
Address: 8985 Hazelwern Way Other:
City/State/ZIP: Portland, OR 97223 Subtotal
Minimum permit fee: $72.50 ate,
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Residential backflow minimum permit fee: $36.25 Z�
CCB Lic.: 159281 Plumbing Lic. no.: 26 -517PB Plan review (25% of permit fee)
-y� State surcharge (12% of permit fee) '7. 8b
Authorized signature:
-// ��" a�/ - -�.-.- TOTAL PERMIT FE 42 8B
Print name: Matt Nelson Date: 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.
(:\Building \Permits \PLMF- PermitApp.dac 12 /27/06 440- 4616T(10 /02/COM/WEB)
JUN 0 g 2009
T PWU ENGINEERING INC.
Email: pwuengineering@comcast.net
Ph /fax: (503) 941 -9221 RECEIVED
Lateral Structural Calculations: ,JUN 1 1 2009
Job #: DM9015
SBH Job #: 1380 -170 Cam' OFTIGARD
Date: 06/05/09 BUILDING DIVISION
Project: Lot 5, Fletcher Woods, Tigard, OR
Stonebridge Homes
r i,D, G INFF s% ' 194x1 PE "P
O RE ON
/ A V22 1
y /L IP `N
Expires: 06/30/2010
The following calculations are for lateral wind and seismic engineering only. Gravity loading and the design of foundations
are outside the scope of this design. The design is based on information provided by the client who is solely responsible
for its accuracy. The engineering represents the finished product. Discrepancies from information provided by the client
invalidate this design. PWU Engineering shall have no liability (expressed, or implied), with respect to the means and
methods of construction workmanship or materials.
PWU Engineering Inc. shall have no obligation of liability, whether arising in contract (including warranty), Tort (including
active, passive, or imputed negligence) or otherwise, for loss or use, revenue or profit, or for any other incidental or
consequential damage.
r- J u 1. 22. 2009 11: 36AM No. 8769 P, 2/3
5i J Fa
� .
13910 SW Galbreath Drive, Ste. 102
Sherwood, Oregon 97140
Tel (503) 625-4455 • Fax (503) 625 -4405
July 21 2009
/v157)--COCI _ 00/ 30
Project No. 01 -7216
Attention: Andy Thomas
Venture Properties
4230 SW Galewood St., Ste. 100
Lake Oswego, OR 97035 OFFICE C OPY
Fax 503 - 387 -7617
FOUNDATION EXCAVATION REVIEW
LOTS 5 AND 8 — FLETCHER WOODS
CITY OF TIGARD, OREGON
GeoPacific Engineering Inc. visited the site on the 10 to review the single family home foundation
layouts on Lots 5 and 8. We understand that the proposed buildings are two -story homes. In our
opinion, the observed subgrade is generally adequate for support to an allowable bearing pressure
of 1,500 psf. The expected maximum anticipated total and differential footing movements (generally
from soil expansion and /or settlement) are 1 inch and 3 /4 inch, respectively, over a span of 20 feet.
At the time of our site visit, soils exposed in foundation excavation on Lot 8 consisted of
predominantly medium stiff to stiff native soils that could be probed less than about 6 inches with
medium pressure using a steel "T" bar probe. Soils exposed in foundation excavation on Lot 5
consisted of predominantly compact fill soils that could be probed less than about 6 inches with
medium pressure using a steel "T" bar probe; the north end footing line was overexcavated and
recompacted with reject rock. Density tests an the reject rock achieve more than 95 percent of the
standard Proctor maximum dry density. The observed soils are considered adequate to support the
planned foundation Toads. Footing -to -slope setbacks are not an issue and foundation embedment
depths appeared adequate.
We understand that the proposed residence will be a two- story single- family home with slabs -on-
grade. Due to silty clay soils encountered throughout the site, all foundations should incorporate
appropriate drainage measures. Crawlspaces should be provided with a low -point drain and pass
through pipes should be installed through footings which would otherwise restrict water flow to the
low -point drain.
Care should be taken to avoid saturation or disturbance of footing subgrade soils during and after
excavation. If footing bearing soils become saturated or disturbed, any softened soil or slough
should be removed and replaced with crushed aggregate or additional concrete. in general, footing
excavations should be cleaned such that no more than about'% inch of loose soils are present prior
to pouring concrete.
Jul. 22. 2009 11:36AM No. 8769 P. 3/3
GeoPacific Lngineering, inc.
Job No. 01 -7216'
Lots 5;and 8 Fletcher Woods
Our work scope 'pertains to a geotechnical engineer's foundation .excavation review only and the
conditions existing and exposed at the time of our site visit. Within the limitations of scope, schedule
and budget, GeoPacific attempted to execute these services in accordance with generally accepted
professional principles and practices in the fields of geotechnical engineering and engineering
geology at the time the report was prepared. No warranty, express or implied, is made. If you have
any questions, please call,
Sincerely,
• GeoPacific Engineering, Inc.
' <VP PROPeS
`` i E� % ,
OREGON
M ss D.1
EXPIRES: 06/30/201L
James D. Imbrie, P,E.
Geotechnical Engineer
•
Cie y Lan
ARBORIST REPORT
Subject: Tree Protection Inspection
Address of the Report: 13864 SW 95 Ave.
Tigard, Oregon
Date of the Report: June 21, 2009
Report Submitted To: Jim Delmore
Stone Bridge Homes NW, LLC
16869 SW 65 Ave., #505
Lake Oswego, OR 97035
jimd(ventureorop.com
Albert Shields
City of Tigard
Permit Coordinator
albertatigard- or.gov
Todd Prager
City of Tigard
toddPtiaard- or.gov
Current Inspection
This is the first Tree Protection Inspection for this site. The building perimeter has been staked. No other
activity was taking place at the time of this inspection.
• Tree protection fencing is in place as shown in the Tree Protection Plan for this site.
• Fenced tree protection areas are free from material storage, waste material and equipement.
• All tree protection measures as stated in the plan for this site appear to be in place and being
maintained.
• All protected trees appear to be in good health at this time.
Sincerely,
Kay Kinyon
Tree Care & Landscapes Unlimited, Inc.
Certified Arborist by the International
Society of Arboriculture, #PN -0409
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•Vancouver 360 - 737- 2646•Fax 503 - 635 -1549
Visit our website at www.tclu.com•E -mail: info @tclu.com
' STONEBRIDGE OBE :1380
HOMES NW LLC LOT: 5
s. saes sw eat.b. AV.. # noes DATE: 6/18/09
L •= s o N Y E a o. OREGON 97035 PROPERTY: FLETCHER -WOODS
(503)887 -7577 CITY: TIGARD
SCALE: 1" =20'
� ...,•,,.�,.,.. ,� � PLAN No.: 170
Q � � `�'� f PRAIRIE ELEVATION
e -.47,)---5 (•E t •O.
14 ' ` °8EIIE:R EL•246 246 244 .00
was - . 240
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10'x18' T C1 4 DECK _ C y
s ^ FT. ! "° • E0A ini
14'10' S -. � d' C 0
- - s 1. -2 a
?$m'•. : j.280 4' rrt - 2150.5' 1
; 3 ; ..: : . 4 240 a
$ 1! ^ ^ . � Bn . Imo 6' Vf
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59140 I r
EL•2�' _ E!. ■2155' s4.001 '1 9
1 250
- 18.00' 6' WIDE RECIPROCAL
DRIVEWAY EASEMENT
`. i. 248
LEGEND
ilk — STREET TREES � — MITIGATION TREES
2' CALIPER TRIDENT MAPLE 111` DOUGLAS FIR, 5' -6' HIGH, 4' BASE
LOT e:OYR E - ,
LOT AREA: 1,002 SQ. FT. �V — EXISTING TREE WITH
BUILDING AREA: 2,644 SQ. FT. ^ TAG NUMBER TO BE SAVED
PERCENTAGE: 31.8%
—o-0- -TREE PROTECTION FENCING
NOTES: (PLACE FENCE AT DRIP LINE)
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. LOT 'E
TI-4EY MAY VARY AND BE SUBJECT TO CHANGE. 1,002 8C]. ft.
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES,
STREETLIGHTS, AND OTHER SITE CONDITIONS.
STREET TREE CERTIFICATION
I A-Aety ('- ---- 5 Owner /A ent for f � `fir ; d � cs /WU Z- g y
(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: 1364,4 S-- �S' , 4-�� ,A'IS7"Z z) - 00/ 3c)
SUBDIVISION: �
1 - ( <,..a _�S LOT: 3
SIGNATURE: - DATE: q /7.510 ?
(O WATER/ AGENT)
RECEIVED BY: DATE:
(CITY OF TIGARD)
I:\ Building \ Forms \Streetl'reeCertificate 01/19/07
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: ►1 • _
PLANNING DIVISION i �
Not App ►'Dyed „� 4 0 A p proved 0 .;.
Required Setb�ck .-n —,- •, a' "~: e
�-- Street, Side: �S `_
Side: <., .: i. Reat";
Garage. roved
Front. A prove Not A
Visual Clearance: �j feet
Maximum Building Height - Yes ❑ No
I CWS Service Provider Letter Rzn 0 Received
Date: 49 9-3 09
ENGINEERIN DEPARTMENT: Not Approved ■
Approved ❑ Not Approved
S C3 Site PI • n: • .∎proved Date: ,. � 4
L r Notes: 1 ' <*-
f
' • 7.
t .y,
t
ct y..
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: r() 2 00* • ca
Street Trees: R pproved ❑ Not Approved
Protected L �
�� I
By: /0 — C � Approved Not Approved iugel Date: 1);. 1
Notes: