Permit 1 ,.,, CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00041
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/10/2011
Parcel: 2S 109 DA14900
Jurisdiction: TIGARD
Site address: 15326 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 68
Project: Arlington Heights No. 3, Lot 68
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1090.5 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 17 Bathrooms: 3 Second: 1619.5 sf Garage: 696 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors. Yes
Total: 2710 sf Value: $297,445.46 Rear. 15
PLUMBING
Sinks: 1 Water Closets. 3 Washing Mach: 1 Laundry Trays: 0 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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 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 2710
Owner: Contractor:
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
16869 SW 65TH AVENUE #505 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 681 - 4444
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 Engineered Soils
PHONE: 503 - 387 -7577 PHONE: 503- 387 -7577
FAX: 503 - 387 -7615
Total Fees: $18,323.90
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 i - . _ - • - ce 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. . TENTION: • -.on . - requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-F11-0010 through OA'• •52-011-0/ - . . You may obtain a copy of the rules or direct questions to OUNC by calling 503. -: or 1.811.332.2344.
Issued By: .■. ' , � '.I �.A . Permittee Signature:
Call 503.639.4175 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 project.
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
Date/B : L �� ` Permit No.: AI ' '�. I `
° 13125 SW Hall Blvd., Tigard, OR 9722, ' VVV Plan Revie �� = / Z Other Permit 5C�Q,o�QfraZe,'
N1 C • Phone: 503.639.4171 Fax: 503.5',0 ,%\\ DateBy: '
Inspection Line: 503.639 l Date Ready /By: Q lur s: ® See Page 2 for
T I G A R D C. Internet: www.tigard- or.gov , - A Q {� �O Not ed/M-pod: 5 6 / : „. i I Supplemental Information
TYPE OF WORK 0 v � REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® Qk�3i New construction ❑ De 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 ❑ Commercial /industrial Valuation: $ G / � / �J , C7
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ['Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 1532(p ■ 4 f MMEV«/w P2-• New dwelling area: 2,11 0 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: (0'9 (p square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: Cal square feet /5-41
Cross street/directions to job site: Deck area: I (/ G square feet f , G
Other structure area: jikOb square feet ;l
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: ly Q 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: Deirdre Britt 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: ( ) Fax:: ( )
E -mail: dbritt@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 lit.: 173318 Total fees due upon application:
Q.---Amount received:
Authorized signature T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: P� 1zD f2-G 1312417 Date: 0 41-. 19 , t I * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB)
r
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
C4.') Date /B , Permit Nu.:
lig ° 13125 SW I -fall Blvd., Tigard, OR 97223 Plan Review
C : • Phone: 503.639.4171 Fax: 503.598.19 `� * CCl2 Date/Bv: Other Permit
T 1 GAR D Inspection Line: 503.639.4175 \` Date Ready/By: Juris: p See Page 2 for
Internet: www.tigard or.gov ` �0 Non lied /Method: Supplemental Information
TYPE OF ORK006 �P t ` PLAN REVIEW
p 46ne V \1\ Please check all that apply (submit 2 sets of plans w /items checked below):
® New construction ❑ Addition /alteration /re
'�```�� O� ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: ``,�( �\ where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRI'F31V exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
J less to ground or exceeds 14,000 ❑ Commercial -use agricultural
® I - 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 ofnen motor load of "A•, "E',"I 2 ", "I - ",
Job no.: 14991 Job site address: I r ri SUMMERVIhW Dr_ . 1 00111' 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: Arlington Heights ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qrv. I Fee. 1 'royal
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: (plb 1,000 sq. 0. or less 1 1 168.54 1 tGf3, -;- 4
Ea. add'I 500 sq. ft. or portion 33.92 16/,64 I
Tax map /parcel no.: Limited energy, residential 76 '75,L 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi-family 67.84 2
residential (with above sq. fi.)
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 snips 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 snips to 599 amps 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7'42 2
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: without service or feeder fee,
Deirdre Britt first branch circuit 56.18 2
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
67.84
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 )
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 /Z1 P: Sherwood, OR 97140 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (971) 404 -1714 Fax: (503) 625 - 3052
Investigation per hour (1 hr mint 66.25
CC:B Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 4( 3 , (4
Print name: Chuck Friesen Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): 4/
Authorized signature: !,_,.... - 1 PERMIT FEE: 4 2.57 f
Print name: Date:
0411.11 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
TM Number of inspections allowed per permit.
I: \liuitdine \Permits \td.C- Permit.App.doc 10 /01 /119 440 461 S'0II /05 /CON /WIili
IC
Mechanical Permit Application FOR OFFICE USE. ONLY
Received
Permit of Tigard < '''\ Date /By: Petrt No.:
n 13125 SW Hall Blvd., Tigard. OR 9 t' rt.4 Plan Review
Phone: 503.639.4171 Fax 503.59. 71 �� - N Other Permit:
T]GARD Inspection Line: 503.639.4175 �� Date Ready /B S : luris:
.( c � �" Date /13y: See Page 2 for
I nternet: www.tigard cov P 0 ( `\ \``
G� Notified /Method: Supplemental Information
TYPE OF WORK . p��J \jo COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees" are based on the value of the work
0 New construction 0 Addition/alteration4acement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® I- and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Accessory building
For s//ec'icd information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description Qty. La. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
153 W VMME VI r �. Air (requires Job site address: n
S S Lf� y'w � ires sie plan showing placement) 46.75
City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts' -cots) 46.75 46,Tj
Furnace 100 ,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Arlington Heights Neat pump 61.06
Cross street /directions to job site: Duct work 23.32
Hvdronic hot water system 23.32
Residential boiler (radiator or
hvdronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
0 . Flue /vent for any of above 23.32
�
Subdivision: Arlington Heights Lot no.: l /
. Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32 23 . G
Gas fireplace 33.39 ,S7
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 I 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 #SOS Range hood /other kitchen
equipment 33.39 ' S . 3:37
City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 , ;,'*
Single -duct exhaust (bathrooms, ��^
Phone: (503)387 - 7577 Fax: (503)387 - 7616 toilet compartments, utility rooms) 1 j 7 23.32 1 4 C
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: same as above Other: 23.32
Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Furnace, etc. 1 ,q":15
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace 1
E dbritt @stonebridgehomesnw.com Range
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 `- ,Tt
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 feel . 3iCr
TOTAL PERMIT FEE 637,
Authorized signat 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: 04.11 ,11 ` Fee methodology set by Tri- County Building Industry Service Board
1:\ 13uilding \fcrmitslMEC-PemitApp.doc 10 /01 /09 440- 4617'I'111/02/COM /WE3)
, , t
Plumbing Permit Application
IC ) Building Fixtures FOR OFFICE USE ONLY
'f N
n
City of Tigard e`` , \ Rece Permit No.:
13125 SW Hall Blvd., Tigard, OR 9 . lQ� Date /B
Plan Review
Phone: 503.639.4 171 Fax: 50359` 1'60 W O Other Permit No.:
D
TIGARD Inspection Line: 503.(,39.1175 PQQ i� ` ` "( \ \7:6D � ate/By:
3ate Ready /By: Ju i,: 0 See Page 2 for
Internet: o vw.tigard or.gov 1111T ` Vol Notified /Method: Supplemental Information
TYPE OF WORK G ��x� FEE* SCHEDULE
For special ormation use checklist. cial in
® New construction ❑ Dem F
'it on / f
Description I Qty. I Ea. I Total
❑ Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 It. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath 500.32 630, �Y2-
❑ 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: 1 5 32 CP SW SV M M ERV I EW PL. Catch basin or area drain 18.76
Drvwell, leach line. or trench drain 18.76
City /State /ZIP: Tigard, OR 97223
Footing drain (no. linear ft.: _) Page 2
Suite /bldg. /apt. no.: 1 Project name: Arlington Heights Manufactured home utilities 50.03
Cross street /directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear It.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear ft.: _) Page 2
Subdivision: Arlington Heights I Lot no.: V Fixture or item:
Tax map /parcel no.: Back flow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New, Single Family Residential Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
® PROPERTY OWNER J ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture /sewer cap 25.02
Floor drain /floor sink /hub 25.02
Address: 16869 SW 65 Avenue #505
Garbage disposal 25.02
City /State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Printer 12.51
Contact name: Deirdre Britt
Roof drain (commercial) 12.51
Address: Sink /basin /lavatory 25.02
City /State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax:: ( ) Tub /shower /shower pan 12.51
E-mail: dbritt @stonebridgehomesnw.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Legacy Plumbing Water Pp 1 mg1DWV 56.29
Address: 8985 Hazelvern Way Other: 2 5.02
City /State /ZIP: Portland, OR 97223 Subtotal >,32.-
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lie.: 159281 Plumbing Lie. no.: 26 -517PB
State surcharge (12% of permit fee) ,
Authorized signature: "27', „,��� 10 "I'AL PERMIT FEE 5 }-
Print name: Matt Nelson Date: CI' , 19 .1 I This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1:\ Building \ Permits \PI,MIJ- I'crmi IApp.doe Ill /01/09 440 - 4616'1(10 /02ICONI/w EH)
11 q Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: osf') I I --JC 2 `
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: 3 / /5 //i /977
1st Revision Submittal Date: 4/P9 /i/ �w�, Site Plan Only
2 °d Revision Submittal Date: I f i / n f37T Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact `Y`"'1 at 503-718-1-'f - I or S @ tigard- or.gov)
Land Use Case No. <-'- � ovL —4 Name a rl „. 003
P -"zoning 1 3
I' Setbacks:
Front 1 Rear / Side S Street Side (o Garage O
❑ Maximum Building Height . 3 Actual Building Height I I
e Clearance
Dasements LJo
�E
❑ Sensitive Lands Type: k) ( /a
Notes:
Original Plan: Approved Not Approved ❑ Date: 51 5- I l
Revision 1: Approved l - Not Approved ❑ Date: S c 9 I I
Revision 2: Approved E Not Approved ❑ Date: '4 � 1 I I
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
.l- Actual Slope: I 7
Notes:
Original Plan: Approved 2 Not Approved ❑ Date: W 1 I
Revision 1: Approved Liz' Not Approved ❑ Date:
Revision 2: Approved 12 Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I
City Aib ist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
L��1 treet Trees
Protected Trees
Notes: �� I I _
1 i: +./ a-4 « ci ws,. cl V `
Original Plan: Approved ❑ Not Approved Ind' Date: l�6 /av0
Revision 1: Approved Not Approve s Date: 3,d c)G/
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
-� ❑ Conditions Appro go Issuance / Building P rmi
Notes: / 3 Flo i
Original Plan: Date Sent to Applicant: 06
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
V Okay to Issue Permit: Yes/ No i
Page 2 of 2
ODE 143
STONE BRIDGE c LOT: 68
I0MES ivW LLC DATE: 4/9/11
I. 6869 8W 66tb. AVE.. # aod
L AZE O S W E G O, OREGON 97085 PROPERTY: ARLINGTON
(503)387 -7577 HEIGHTS
CITY: TIGARD
RECEIVED PLAN No.: 225
STANDARD ELEVATION
APR 21 2011
5 WIDE ILME i
CITY OF TIGARD
BUILDING DIVISION '392 \\
L
8 rr� `\
r t
I ' P , { \ TW =382'
�� \ ? SW.315'
� e t ` \ 4 0, I a \ S. do
.49 \
r
-` �> \
EL • st-f'
398 c . � , l\ . 3 21 1 _ , .'' 6 � '� / / \
l .�' q M1 PPE. • 394' ,- _ -- /
3
4 `~ s va TM
? • PP • 394 �' > . /
3 96 O ; �,,. )% • ? / 5' WIDE WME • 394'' !„ `. t'.:.:. \'• • `, ° / < / ROCKERY WALL •
:q 491 6 ' ' /
394 r
, `, . :: p / , / TW =386'
o , ... � // ,r'. / 8W =382'
1 111:m, lt1Willl;' ' , ' ~ '\ v , f ' � i N ii
390 381 f,, / X \
+r
j 386 / i ,, / / 2.
�/ j/ / E L`
y 4 I •
M1 t
41 100: 4„
LOT COVERAGE STREET TREES
LOT AREA: 5 ,381 SQ. FT. Tm Y1iA) c=c)i 1-\
BUILDING AREA: 1,813 SQ. FT. s CA AN /".......... PERCENTAGE: 3590 oRN PEAR ���
NOTES:
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 ervil
THEY MAY VARY AND BE SUBJECT TO CHANGE.
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,381 e.g. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, ,bA V% 3& L,‘-52_ , am the general contractor or the owner - builder
at the following address:
Site Address: /53 L _
City: // e til
Permit #:
ST 20 // O 00 /
Subdivision/Lot #:
and /or
Map and Ta Lot c j 7
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: -//
General 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.: Jurisdiction: fi
�MS/ // aoOZ .//
•
Site Address: 1 ) Z / Si,) l// 11 L
Subdivision/Lot #: z g-
and /or
Map and Ta
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 /General actor /Authorized Agent
Print Name: N L/ /
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.
1: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
STREET TREE
.,,q
TIGARD TIFI A TIO
CER C N
, owner / agent for 5 er," /
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certift that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO..- //(/t 57 20// 600z-7/
HIE ADDRESS: 4 s 3 Z (:, s k) 3-7L• wuw„,2, (1/, e ,,, C i
S UBDI VISION: 11 l / 1 S LOT #:
SIGNATURE: DATE : 2
„ %: i R /AGENT)
RE CEIVED &
VERIFIED BY DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I: \Building \Forms \StreetTreeCertificate 04/01/2011
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
1,
City of Tigard
= Buildin g Division
TIGARD
TRANSMITTAL LETTER
TO: &A/ 1\J DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 21 2011
FROM `A„J CITY OF TIGARD
BUILDING DIVISION
COMPANY: A r _
PHONE: 3 `Q -t By:
RE: 45324 c vi -rod ✓ �Y- �� � � l k/
(Site Address) erm tt m er)
r )i‘Nc x'.14 0..
• roject mint t_ sue 'vision n. • ant of num.er
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Co Description:
Additional set(s) of plans Revisions:
Cross section(s) and d= ails. Wall bracing and /or lateral analysis.
Floor /roof framing. S Basement and retaining walls.
Beam calculatio 6 1 Engineer's calculations.
Other (explain):
REMARKS: my (y 4 P,(,f cPALT-e
•
FOR OF ICE U E ONLY
Routed to Permit Technician: Date: 7/ Z.51 (/ Initials: � �
Fees Due:s ❑ No Fee Description: _ Amount Due:
b13 IC, ■ _• $ ®.0
Special
Instructions:
Reprint Permit (per PE): 111 Yes / ❑ Done
Applicant Notified: Date: Initials:
c`'(7°
1:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011