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Permit CITY OF TIGARD MASTER PERMIT a _ '; COMMUNITY DEVELOPMENT Permit #: MST2010 00098 AT r - Date Issued: 08/03/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104BB11800 Jurisdiction: Tigard Site address: 13924 SW WALNUT CREEK WAY Subdivision: WALNUT CREEK Lot: 35 Project: Walnut Creek Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 942 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1262 sf Garage: 435 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $233,905.33 Rear: 15 • PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add! 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 add'I Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) MATRIX DEVELOPMENT CORP MATRIX DEVELOPMENT 1 MST Ersn Cntrl 503 - 681 - 4444 12755 SW 69TH AVE #100 CORPORATION TIGARD, OR 97223 12755 SW 69TH AVE #100 TIGARD, OR 97224 PHONE: 503- 620 -8080 PHONE: 503- 620 -8080 FAX: 503 - 598 -8900 Total Fees: $9,193.84 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. At work will be done in with appr. ed 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. ENTION: 0 n -w re. ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1 -0010 through OA' • 52-001-01.1 may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Iss ed By: K...,- Permittee Signature: ) ' I 1 Building Permit Application Residential .$49 FOR OFFICE USE ONLY City of Tigard Dateiv n Permit No.: r 11111 . ° 13125 SW Hall Blvd., Tigard, OR 9 . °f � ��� Plan Rem �' ` ' Phone: 503.639.4171 Fax: 50 . .j` .1 • I Date/B : I 1 1 j1 Other Permit: et/ T I GA R D Inspection Line: 503.639.4175 A\ �9 Date Read y: See Page 2 for Internet: www.tigard gr.gov \�\�` A : iC,` O Notified/Method:0 t , � , Supplemental Information 3 . © 1 ilk./ cilikt L.)/ S- A.v-f TYPE OF WOl3,((e REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® El construction s•tiN ton Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest ❑ Addition/alteration/replacement ❑ Other: dollar) of all equipment, materials, labor. overhead, and CATEGORY OF CONSTRUCTION the profit for the work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S-13.1 3 3 ) cj[s - , ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ® Masteruilder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site adress: 13924 Sw Walnut Creek Way New dwelling area: 2,204 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 435 square feet Suite/bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 40 square feet t23oz. Cross st eet/directions to job site: Barrows &Walnut Deck area: 4' square feet 9.42.. Other structure area: 2,631 square feet O REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Walnut Creek Lot no.: 035 Permit fees* are based on the value of the work Tax map /parcel no.: 2S104BB 11800 performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and DESCRIPTION OF WORK the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑TENANT Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69' Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503) 620 -8080 Fax: (503) 598 -8900 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69' Avenue, Suite #100 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -8080 Fax: : (503) 598-8900 E -mail: slucas @legendhomes.com CONTRACTOR Business name: Legend Homes BUILDING PERMIT FEES* Address: 12755 SW 69 Avenue, Suite #100 (Please refer ro fee schedule Structural plan review fee (or deposit): • City /State /ZIP: Portland, OR 97223 Phone: (503) 620 -8080 Fax: (503) 598 -8900 FLS plan review fee (if applicable): CCB lic.: 55151 Total fees due upon application: ! / , v Amount received. '! -75 Authorized signature: This permit application expires if a p • mit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 6/3/2010 * Fee methodology set by Tri- County Building Industry Service Board. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard �t1� DateB y Received : Permit No.: II ° 13125 SW Hall Blvd., Tigard, OR 97223 �j Plan Review C ' Phone: 503.639.4171 Fax: 503.598.196 t i 010 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 ``` O Date Ready /By: lurk: ® See Page 2 for Internet: www.tigard- or.gov , I, Notified/Method: Supplemental Information TYPE OF WORK C( ` /V� Q� � 1 �v �U� PLAN REVIEW ® New construction ❑ Addition/alteratiot Please check all that apply (submit 2 sets of plans w /items checked below): 13 v 11� ❑ 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. ❑ Addition of new motor load of ❑ "A ", "E "I -2 ",' l -3 ", Job no.: Job site address: 13924 Sw Walnut Creek Way IOOHP 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: Walnut Creek ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Barrows & Walnut Description 1 Qty. I Fee. 1 Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Walnut Creek Lot no.:035 1,000 sq. ft. or Tess I 168.54 168.54 1 4 Ea. add'I 500 sq. ft. or portion ' A M.03 I Tax map /parcel no.: 2S104BB 11800 Limited energy, I gy, residential DESCRIPTION OF WORK (with above sq. ft.) 1 7'5,CXi 7.64 - 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 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: Legend Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.40 2 Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 552.26 2 City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)620 -8080 Fax: (503)598 -8900 200 amps or less 59.36 I Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 125.08 2 not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 168.54 2 701. Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits irith Owner signature: Date: above service or feeder fee, 7.42 2 ® APPLICANT ❑ CONTACT PERSON each branch circuit B. Fee for branch circuits Business name: Legend Homes without service or feeder fee, 56.18 2 first branch circuit Contact name: Steve Lucas Each add'I branch circuit 7.42 2 Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/State /ZIP: Portland, OR 97223 dwelling, service and /or feeder Reconnect only 67.84 2 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Pump or irrigation circle 67.84 2 E -mail: slucas @legendhomes.com Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy panel, alteration, or Business name: Garner Electric Page 2 2 extension. Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above Additional Inspection (I hr min) 66.25/ hr City /State /ZIP: Hillsboro, OR 97123 Investigation (1 hr min) 66.25/ hr Phone: (503) 648 -4552 Fax: (503) 642 -7925 Industrial plant (1 hr min) 78.18/ hr Inspections for which no fee is 90.00 / hr CCB Lic.: 121159 Electrical ' • Z -305C Suprv. Lic.: 3707 -S specifically listed (1/2 hr min) ELECTRICAL PERMIT FEES _ Suprv. Electrician signature, requir : Subtotal: ' , Z. Print name: Chuck Garner / / .: . , P - . /2010 Plan review (25% of permit fee): State surcharge (12% of permit fee): 67 Authorized signature: TOTAL PERMIT FEE: t. z4,7,3 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete: • Number of inspections allowed per permit. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received �� DatePlan BRevy: iew Permit No.: 1111 I . ° 13125 SW Hall Blvd., Tigard, OR 97223 �t'c1 �i �`jj Phone: 503.639.4171 Fax: 503.598.1960n�„ Date /By: Other Permit: T I GA R D Inspection Line: 503.639.4175 �]J Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard ® 4 ��t� Notified/Method: Supplemental Information TYPE OF WORK S UN 6l R � COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® New construction ❑ Addition /alteration /re 0. � SiO Mechanical permit fees* are based on the value of the work I performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: U�41�� mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRICTION Value: $ ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist. ❑ Multi - family ® Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 13924 Sw Walnut Creek Way Air conditioning (requires site plan showing placement) 46.75 City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 1 46.75 46.75 Suite/bldg. /apt. no.: Project name: Walnut Creek Furnace 100,000+ BTU (ducts /vents) 54.91 Gas heat pump 61.06 Cross street/directions to job site: Barrows & Walnut 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 Subdivision: Walnut Creek Lot no.: 035 Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: 2S104BB 11800 Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 23.32 Gas fireplace 1 33.39 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen equipment 1 33.39 33.39 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)589 -8900 toilet compartments, utility rooms) 5 23.32 116.60 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional Address: 12755 SW 69 Avenue, Suite #100 Fumace, etc. 1 Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater 1 Fireplace 1 E -mail: slucas @legendhomes.com R ange 1 14.15 CONTRACTOR Barbecue Business name: Tri County Temp Control Other: dryer (gas) Other: Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* Subtotal rlr-el City /State /ZIP: Oregon City, OR 97045 _ Minimum permit fee ($72.50) Phone: (503) 557 -2200 Fax: (503) 557 -0919 Plan review (25% of permit fee) 1 CCB lic.: 72623 State surcharge (12% of permit fee) ' { 2 1 24. TOTAL PERMIT FEE '3 4' Authorized signature: Thi perm app expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 6/3/2010 * Fee methodology set by Tri-County Building Industry Service Board Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Permit No.: . a 13125 SW Hall Blvd., Tigard, OR 97223 R ' i__PlateBy: Phone: 503.639.4171 Fax: 503.598.1960 CEN t Plan Review Other Permit No.: Date/By: T I G A R D Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard- or.gov ,JUN 0 3 2011 Notified/Method: Supplemental Information TYPE OF WORK Ty OF TIGARD, FEE* SCHEDULE ® New construction ❑Demo tbINC DWIS For special information use checklist LlJ Description 1 Qty. [ 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 1 500.32 500.32 ❑ 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: 13924 Sw Walnut Creek Way Catch basin or area drain 18.76 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: Walnut Creek Manufactured home utilities 50.03 Cross street/directions to job site: Barrows & Walnut Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 • Storm sewer (no. linear ft: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: Walnut Creek Lot no.: 035 Fixture or item Tax map /parcel no.: 2S104BB 11800 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Legend Homes Fixture /sewer cap 25.02 Address: 12755 SW 69 Avenue, Suite #100 Floor drain /floor sink/hub 25.02 Garbage disposal 25.02 City /State /ZIP: Portland, OR 97223 Hose bib 25.02 Phone: (503)620 -8080 Fax: (503)598 -8900 Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Legend Homes Medical gas (value: $ ) Page 2 Contact name: Steve Lucas Primer 12.51 Roof drain (commercial) 12.51 Address: 12755 SW 69 Avenue, Suite #100 Sink/basin/lavatory 25.02 City /State /ZIP: Portland, OR 97223 Solar units (potable water) 62.54 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Tub /shower /shower pan 12.51 E -mail: slucas @legendhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Wolcott Plumbing Water piping ?DWV 56.29 Address: 1075 W. Historic Columbia River Hwy Other: 25.02 City /State /ZIP: Troutdale, OR 97060 • Subtotal 500.32 Phone: (503) 667 -1781 Fax: (503) 667 -9891 Minimum permit fee: $72.50 CCB Lic.: 112220 Plumbing Lic. no.: 26 -824PB Plan review (25% of permit fee) State surcharge (12% of permit fee) 60.04 Authorized signature: ,72_,1Cl,a . q L1 TOTAL PERMIT FEE .5 Print name: Gloria Hawes Date: 6/3/2010 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. . Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: .R WORK ONLY: 2 1 Fee for all residential systems combined $67.84 Check Type of Work Involved: ® Audio and Stereo Systems* ® Burglar Alarm ® Garage Door Opener* ® Heating, Ventilation and Air Conditioning System* ® Vacuum Systems* ❑ Other: COMM ERCIAL_WORK ONLY: Fee for each commercial $67.84 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n A • udio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n F • ire Alarm Installation ❑ HVAC ❑ I nstrumentation ❑ Intercom and Paging Systems 0 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\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02 /COM/WEB) Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM A I, 714;t) al«a z /� , am the general contractor or the owner - builder at the following address: Site Address: / ,2 Sui Gf/ "..e, � Cite ( i City: / /e.p Permit #: 4?5-1--- /D ^ DO O 2 Subdivision/Lot #: e/vt/Nci_ and /or Map and Tax Lot #: 35-- 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: /a��� //v Gene 1 Contractor or Owner - Builder 1:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 6)/0 , QOd ?O® Jurisdiction: / ro Site Address: / 3 qJ . 7 S cc.i GCS G/✓�7' �'.� 1ti�9 �a Subdivision/Lot #: .35 t(/a tiu--T 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: 41111 , � � j Date: /- Ow er /�� :'' /Authorized Agent Print Name: /� `,� l td t Er3 OLD 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 STREET TREE CERTIFICATION W i 04-0 , owner / agent for � Xj > , (PLEASE PRINT) (PERMIT HOLDER) • do hereby certift that the folloiwing location meets City of Tigard eland use and development standards for street tree-installation anc[is consistent with the approved site plan. • 77f7 2 5 / -6 da�� SITE ADDRESS: / 3 fa c i a.l, )ct, - w _ ; SUBDIVISION: 10,a LOT #: SIGNATURE: 0 , .__ i�!1 ' :. DATE: /a, / f / ® p ` • 6Y�1\T • AGE 11 RE CEIVED & VERIFIED BY: DATE: / r 4// 0 (C GA 'D Tree location verified per approved site plan. I:\ Building \ Forms \Streetl'recCertificate 07/01/2010 / LOT PLAN N RE VISED 7 " / \ 1/29/10 LOT *03S WALNUT CREEK 13924 SW WALNUT CREEK WAY NE i SECTION 4, T.25, R.1W, W.M. . " ,"= 20'_0" CITY OF TIGARD WASI- INGTON COUNTY, OREGON LEGEND 1 (, HOMES 't._ Qi' �11f� 12766 St 69th AVE. OFFICE (609) 620 -6060 4 nWI BIlITE 100 FAX (606) 696 -6900 (` PORTLAND. OR. 97229 CCB/ 66161 W - - -- WATER LINE SS SANITARY SEWER . SD - -- -- STORM DRAIN qk. ` 0 0 EROSION FENCE . , � I , 4' , q - - OF STREET C , I S �.. iA, © WATER METER + S /p �/ % 4* `` " :474 `SD O MANHOLE . 1 ** \-.-- -� ® CATCH 6ASIN <14 . , C� / \ �� .- PROPOSED 8 r:^ _� 4 . STREET TREES Ae/$ _ �` t *.34,: ~ .;/ ' \ ✓Y E l STREET LIGHT " _‹ • . / � ' FIRE HYDRANT �'�! \ Q 4, ■ , . 8 %.<. / ;� r •Y - _ y� 4 ` S: 241.6'' :� I PROVIDE EROSION 4 e/ .. • . .5. , CONTROL FENCE q .s1 .is. `' � PER COMMUNITY 241.0' . " „ � (/ � � EROSION PLAN / �1D STREET TREE: LOT i ''— ,� / CHANTICLEER PEAR 36 ry - 2 "Caliper � /0 _. �i `i 4 //, ryv, . //� / 241."' / LOT" 3 5 `' -- / - 241.9' / ,/'' JUNIPER C'' + lv/ 2� - '' —��', FIN. FLR =242.5 "" e, 4 2 - aAR FLRi.242.0'; /e � 'r.- `�' -- • ,,..°� LOT 8 A��� r �•'' !_.� I / 34 Sip ' ` - - --� ) / 'q i . , �- 41 2' � ' \ . , ',. , ".z 3 , , .. 1 S 6 6 04, r �. _ S '/: 14/ 7 '...T OF TIGARD .1` Approved t i / n.)nditionally Approved t I . F3r only thew s des ri d i SETBACKS : See Letter to: Follow t t FRONT YARD = 15 FEET \ Qtpac , /,�_ � GARAGE = 20 FEET t.) l ob Al*: 1 _ ,/� �� E ` G:� �` °/ REAR YARD = 15 FEET - P..: Date: SIDE YARD = 4 FEET .723.4./..e.„ STREET SIDE YARD = 10 FEET __ CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: At 5 r -O / o - o66 98 PLANNING DIVISION: Required S k ' Approved ❑ Not Approved Side: Street Side: iv Front. /. G age: Rear: / Visual Clearance: [A pproved ❑ Not Approved / Maximum Buildir:: Height feet W- L CWS Service Provider Letter Required: ❑ Yes ❑ No y •'I, ,, ,�� Date: 9 31/z) ived E3) � : X4 / /// ENGINEE D EPARTMENT: Actua Slope. % tif Approved ❑ Not Approved , Site 1 n: El-Approved of Approved By. Date: 3 - , Notes: P— A'`' CITY Of TIGARD - SITE PLAN RtVIEW BUILDING PERMIT NO: Street Trees: D Zneraved ❑ Not Approved ; acted Trees LWApporrved A Not Approved By: T ,Cyr( Date: 3lry ■ntes: