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Permit r ,, CITY OF TIGARD MASTER PERMIT II 1 - Ili' - COMMUNITY DEVELOPMENT Permit #: MST2010 -00213 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/18/2011 Parcel: 2S109DA14100 Jurisdiction: TIGARD Site address: 12651 SW MOUNT VISTA CT Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 60 Project: Arlington Heights No. 3, Lot 60 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First 1123 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height 22 Bathrooms: 3 Second: 1596 sf Garage: 421 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2719 sf Value: $286,898.36 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals' 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain' 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fu rn> =100 K: 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: 5 201 -400 amp' 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -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: NEW SF VB R -3 2719 Owner: Contractor: STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 16869 SW 65TH AVE #505 16869 SW 65TH AVE # 505 1 geotech report prior to footing LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 inspection 2 Ersn Cntrl 503 - 681 - 4444 PHONE. 503- 387 -7577 PHONE: 503 - 387 -7577 FAX: 503- 387 -7615 Total Fees: $18,179.14 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 throw, • • •' 952- 001 -0090. You _ • -'n a copy es or direct questions to OUNC by calling 51 -- or 1.800.332.4. r Issued / �_ - � — :� Permittee Signat - / --- • a I +•x.63 • , 175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the pr•_'.' Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard _ Received Permit No.: y 2010 Date/By: 1" �6, 0 I l-/yra0/o-Dt�a13 1 e 13125 SW Hall Blvd., Tigard, OR 97223 DE 1 6 Plan Review U Phone: 503.639.4171 Fax: 503.598.1960 Date/By: t ' . l (k l \ Other Permit: 49i 9. /6 y T 1 G A R D Inspection Line: 503.639.4175 CITY OF TI Date Ready/By: / rQ� 7urvs: : Page 2 for Internet: www.tigard or.gov DUILDING DIVISI NNotified/Method/ /� �� �iLyT � emental Information P TYPE OF WORK REQUIRED DAT I � A: 1- AND 2- FAMILY DWELLING ® New construction El 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. dwelling Valuation ,' ® 1- and 2-family y g ❑ Commercial /industrial - v ❑ Accessory building 1=1 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: " JOB SITE INFORMATION AND LOCATION Total number of floors: Z Job site address: 11( I S W Mail - iii-64-4 ma New dwelling area z719 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 4-2 k square feet Suite/bldg. /apt. no.: Project name: Arlington Heights N Covered porch area: 15(, square feet I SIC . Cross street/directions to job site: Deck area: .0 square feet l t 2 Other structure area: 3 l square feet ZZ REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Arlington Heights 1 Lot no.: LD 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. New, Single Family Residential 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 65th Avenue #505 Occupancy groups: City /State /ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)387 -7577 Fax: (503)387 -7616 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: SEE ABOVE 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: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: ._ Phone: ( ) I Fax::( ) E - mail: 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: ( ) I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: 173318 Total fees due upon application: Amount received: I'7 .0:5 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ai J A64i✓\ Date: * Fee methodology set by Tri- County Building Industry • Service Board. I:\Building\Pennits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) Electrical Permit Application) 'I # F._ '3, FOR OFFICE USE ONLY n om 1 . y§ t j �/ City of Tigard J Date/B f "G �0 j Permit No.: / (�f' r4�� /3 II SW Hall Blvd., Tigard, OR 97223 DEC 1 6 2010 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: ,c5440/2- 0-QD �t 2 - T I G A R D Inspection Line: 503.639.4175 OF r (� /t p �j Date Ready /By: laris: El See Page 2 for Internet: www.tigard - or.gov CITY OF 1 IGARD Notified/Method: Supplemental Information TYPE OF WO1+ -D�l�� �II`� �p 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 El 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 El Master builder ❑ Other: El Fire pump. ❑ Installation of 75 KVA or JOB SITE 'INFORMATION AND LOCATION El Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ", Job no.: 14-5 Job site address: IM(a AA IA 4a Six or or more. occupancy. W J� { ❑ 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: Arlington Heights W D , /5 ❑ Service or feeder 600 amps or more. FEE. SCHEDULE Cross street/directions to job site: Description I qty. I Fee. I Total I * New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: LO 1,000 sq. ft. or less 1 168.54 ( .f 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 5 33.92 ( & 1 Limited energy, residential _ 2 DESCRIPTION OF WORK (with above sq. ft.) I 75-.60 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: 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 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ® APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: SEE ABOVE B. Fec for branch circuits Contact name: Gayland Forsberg without service or feeder fee 56.18 2 first branch circuit Address: Each add'l 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 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 Phone: (971) 404 - 1714 Fax: (503) 625 - 3052 Per inspection 66.25 Investigation per hour (1 hr min) 66.25 CCB Lie.: 42422 Electrical Lie.: 26 -289C Suprv. Lie.: 35925 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: ( , /4- Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): AC? , Authorized signature: / -'. TOTAL PERMIT FEE: t\--b 2_7 Z Print name: Date: This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permils\ELC- PermatApp.doc 10/01/09 440- 46t5T(I1/05 /COM/WEB Mechanical Permit Applicair i V FOR OFFICE USE ONLY City Rece ived of Tigard / P ermi t No.: g Date/By: /.� / d • -410?/ - q 13125 SW Hall Blvd., Tigard, OR 97223DEC 1 6 2010 Plan Review ' C . Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: y r /D -4/ O 6 Inspection Line: 503.639.4175 T t GA K D TIGARD Ready /By: ® y. See Page 2 for f Internet: www.tigard- or.gov CITY OF l Notified/Method: BUILDING DIVISION Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE _ USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction CI Addition /alteration /replacement 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 ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 12105 ( S 1111 Air conditioning 1'llloul. 1 V p 164 CO(n/ (requires site plan showing placement) 46.75 1J City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 1 46.75 4I Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Arlington Heights • Heat pump 61.06 Cross street/directions to job site: 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 23.32 Subdivision: Arlington Heights Lot no.: (O Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 ,3Z Gas fireplace I 33.39 - 53•'" 7 New, Single Family Residential 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 l Chimney/liner /flue /vent 23.32 ❑ TENANT Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Address: 16869 SW 65' Avenue #505 Range hood/other kitchen 2 equipment 33.39 33.. City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust I 33.39 .'31 Single -duct exhaust (bathrooms, , Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 4 0 23.32 I I I l ct(GO ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: same as above Fuel tin P g Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. 1 t r, rD Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax:: ( ) Water heater + I ( Fireplace E - mail: Range 1 CON TRACTOR _ 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 ($90.00) Phone: (503) 667 -5595 Fax: (503) 491 -8252 Plan review (25% of permit fee) CCB lie.: 110091 State surcharge (12% of permit fee) * (2. TOTAL PERMIT FEE '], ( ( Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: * Fee methodology set by Tri -County Building Industry Service Board 1:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (11/02 /COM/WEB) e - „l Plumbing Permit Application ' ,,. Building Fixtures �' ' E ' `� 4. p . FOR Or FICKUSE °N_IA' Cih' of'Tigard 01° Received ttin><;t,[o_, 13125 sa I lmll Ci1vd. igard Oft 97223 O E C 6 2 I).nelliy: /A- �* �o (35 l ono -ec f3 : Plan Review .t ,) •• �/ Phone: 543 171 1'4x: 5(13,5 59819f >U D Other Perini! t+n. ^r Owe/By: TI G A It D Inspection Line: 503.639.4175 /+'-rN/ O 11GA� 15�e Resd�: +l3)- l�rn ® See Page 2 for Internet: + +'+?N',h ftrd -orguv BULL 1 �,G pIV151 ® v,�;nee!Me h�:d: r So pplemcn*uI Inrormntion TYPE OF WORK FEE*: SCHEI)ULE 1N• New construction ❑ Demolition For special h,fornrarirm use check list Description I Clr'. I lie I Total ❑ Addition /alteration /replacement ❑ Other: Nov I- 2- family dwelling's (inclines 1 ft_ for each utility connection) ,CA rl GORY OF GON$'i t(l'CTION SFR (I) bath 312.70 ® I. and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437,78 ❑ Accessory building SFR (3) bath I 51)0.32 , - ry b ❑ Multi - family Each additional bathlkitcher 25.02 ❑ Master builder ❑ Outer: Fire sprinkler L___ sy. fL► Page 2 3013 SITE INFORMATION ;'AND LOCATION Site utilities: Job site ad dress - 12(DGj SW lV 1 pin V I S fr� k- Catch basin or area drain I $.7b brvwedl, leach line, br trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain (no. linear R.: ) Page 2 Suite/bldg./apt. no,: 1 Project name: Arlington Weights 1�()• Manufactured home utilities 50.03 Cross street/directions to job site: Manholes IS 76 Rain drain connector 18.76 Sanitary sender (no. linear IL: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 water service (no. linear II.: 1 Page 2 Subdivision: Arlington Weights I Lot no.: too Fixture or item: Tax map/parcel no.; Nacktlow preventer 31.27 .©F.SGRIPTION''7r iYO1i: Backwater valve 12.51 Clothes washer 25.02 New Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 t...: 1!!tt)1 , Y OWNl I TF,NApN;1' Expansion tank 12.51 Name: Slone Bridge Homes Fixturrlsewer cap 25.02 Floor drain /flour Sink /hub 25,02 Address: 16869 SW 65' Avenue # Caubage disposal 25.02 City/State/ZIP: Lake Oswego, OR 97035 I-lose.bib 25.02 Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12,51 ❑ APPLICANT 0 CONTACT PERSON. Interceptor /gle+setrap 25,02 Business name: SEE ABOVE Medical gas (value; S ) Page Primer 12,51 Contact name: Gayland Forsberg Rtaofdrain (commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units (potable water) 62.54 Phone: ( ) l Fax :: ( ) Tubrshowerlshower pan 12.51 E -mail: gavlond@stonebridgehomesnw.com Urinal 25.02 CON] RAG I 1t Water closet 25.02 Water heater 37.52 Bitsiness name; Legacy Plumbing Water pipiltg/DWV 56.29 Address: 8985 Ifazeh'ern Way Other: 25,02 City /State/ZIP: Portland, OR 97223 Subtotal `✓ . Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: 572.50 Plan review (25%of ermit fee) CCB Lie.: 159281 I Plumbing Lie. no.: 26 -517PB p State surcharge (12% of permit fee) • (, Authorised signature; ---L—....- TOTAL P1iRMrr FEE MCI Print name: Matt Nelson I Date: This permit apptication expires Ka permit is nun obtained uilhIn 180 days after It has been accepted as eanaplere. For n ctlrodolugy set by Tri -Coumy Building Industry Service Board. INnutIdir P enlwri mu- P'crnrilApp.dor liir) .1.44- tt,I in( IIM/ CONI WEII1 • Oregon Residential Specialty Code R318.2 • MOISTURE CONTENT ACKNOWLEDGEMENT FORM V , am the general contractor or the owner- builder at the following address: Site Address: 2 ( c\--) ). 5 h c City: 1 r Permit #: ,1— 2 v 1 UZ Subdivision/Lot #: 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: 41 1110_, 1/ : S �'C Date. General Contractor or Oar- wilder Ir • I:\Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 T • - Moisture Content Acknowledeement Form - , am the general contractor or the owncz builder at the following address: Street Address ot-ic/ • City 91— oo z 3 Pe nitf If applicable: " (� o Subdivisio s ►; and/or Map and Tax Lot To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section 83182, I am notifying the bulling official that I am aware of the moisture content requirement of ORSC Section 83182 and have tarn. steps to meet this code • requirement [Section P3182 is provided for reference.] • Section 8318-2 Moisture content Prior to issuance of the insnlationivapor barrier approval required by RI09.1S2 of this code: (A) All e ye wood flaming members used in construction shall have a moisture content of not more than 19 pent of the . weight of dry wood framing members. - (g) The general contractor or the owner who was issued the structural permit shall notify the building official on a division approved farm that the contractor or . the owner who was issued the structural permit is aware of and has taken steps to . meet the requirement in paragraph (A). S - ? » -1 ) � r Date • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: /0 51— Z© /U - coo 2 % 3 Jurisdiction: f G � Site Address: / 2 G �-- Subdivision/Lot #: L� � 2 j /vim /./.? � s 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: Owner /Ge al ontractor /Authorized Agent Print Name: -1-)4 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. I: \Buil ding\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION \b/I-k• agent for 9 Fr (PLEASE PRINT) (PERMIT HOLDER) - , do hereby certift thatihe cation meets City of Tigardjkanit,nse ',a and :deoldpript standards for street tree installation �14, is casistent 4h - the - a_p_pro_ve_d--Site plan. PERMIT NO.: N4 -r-- 2_0 io a) ) 3 SITE ADDRESS: )715 I ;\.-J (' ‘7 v SUBDIVISION: 4Q._13-+G 1 ANT5 3 LOT #: 6 6 SIGNATURE: DATE: 5 / WNER/AGENT) RE CEIVED VERIFIED BY DATE: (CITY OF TIGARD) X Tree location verified per approved site plan. I: \ Building \ Forms \ StreetTreeCertificate 07/01/2010 gT0NEBRIDGE OBE: 1431 ` HO ME t9 NW LL tD LO T: 60 ) 1 asd9 !NW aortas .*vIC .. Ai MOB DATE: 12/8/1 L• s s O B• s G o. 0 B 3 G O 9 9 7 0 a d (503)387 -7577 t r '�! �r, �E CO NI __._w_. _.__.!..__.,._._ : PROPERTY: ARLINGTON HEIGHTS _. CITY: TIGARD -'� T( QF ? � i SCALE: 1"=20' , r ` `. " : g�ispi PLAN No 241 (51.010 - 13 ..... ' " " COTTAGE ELEVATION ..... _. . , . 394 l ' , .. 392 EL •394' '•` 390 388 I 386 � j / \ '9 \'' -'-_-. /< 84 I i b `7 C X / 382 -. . 396 - e \` \ N 398 04) / ■ . 400 i / •• • . ' , / `\ 402 • se. ' 41) ) 406 i ♦ � \� , � �•3� 84 ) * , 4k O / / 10:;: - : ) ‘*;:a)P. ‘'.4. / 04.1k. /7/ i t' M8401' ('‘,., .* A■ / Z-c, \N"."'.:.. ' 4 441 _ if LIP % .� ,98 8 ♦� ; _....„....... .............................. A7 €411%*ALIIRE' . '-' , ■ _� 'p / . , .'"".........� . - ' 1, etilik , \\* ' "� ' a+ '"• tJ °TYsi`. t9 / N •V A Arfl , e GP, .,_ L ' EL L all ■ LOT COVERAGE STREET TREES LOT AREA: 5,155 SQ. FT. BUILDING AREA: 2,010 SQ. FT. PERCENTAGE: 360 — PYRUS CALLERYANA ORsIAMENTAL PEAR NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL I- (EIGHTS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT .160 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,155 obi. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. __ CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: M �T iD 10 — 1 3 ciiio PLANNING DIVISION: Required Setbac s: GrApproved /v El Not Approved Side: Street Side: Front. Gar `e: Rear: 16-1 Visual Clearance: Op rived 0 Not Approved Maximum Building. Height feet CWS Service Provider Letter Required: ❑ Yes 7SNo 121 ❑ Received BN : �lJ Date: !a / /!o // ENGINEERING D ARTMENT: Actual Slope: 2 - 5- % b- Approved ❑ Not Approved Site Plrt Approved ❑ No App ved By: d W- t Date: ) /T /0 , Notes: fe.l— aQt /,vyu - --� CITY 0 TIGARD- SITE PLAN • VIEW BUILDING PERMIT NO: Street Trees: Protected 1 66 1( PProvid ❑ Not Approved B : ctr n Approv CD Not Approved f � Notes: Date: h. f