Permit •
CITY OF TIGARD MASTER PERMIT
III, ' - COMMUNITY DEVELOPMENT P ermit #: MST2011 -00104
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2011
Parcel: 2S109DA15600
Jurisdiction: Tigard
Site address: 15346 SW GREEN RIDGE PL
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 75
Project: Arlington Heights No. 3, Lot 75
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1630 sf Basement: 673 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second' 1733 sf Garage: 707 sf Front. 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 4036 sf Value: $446,363.81 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 4 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: Y 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
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'I 500 sf: 8 201 -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 4036
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 Ersn Cntrl 503 681 - 4444
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 Geo tech prior to footing
inspection
PHONE. 503- 387 -7577 PHONE: 503 -387 -7577
FAX: 503- 387 -7615
Total Fees: $21,341.62
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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50. -- .19 .1987 . or 1.800. •2.234
Issued By: � — Permittee Signature: / ��
Call-4)
all -4 4175 by 7:00 a.m. for the next available ins. •ctiiin date.
This permit card s all 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.
• > r .i. vCE
Building Permit Applicatio ED
Residential A. J U y - . . : FOR OFFICE USE O . .
City of Tigard C ' ' 4 �Ot, Date /B i /1 y I Permit No: f"'[ (Xl��
13125 SW Hall Blvd., Tigard, 4 ' ' _ � �,. : � D �` Plan Review l �,M�j'
I Ph one: 50 3.639.4171 Fax: 51 . ' i„,,. �' �, �� 10 1 f C) U� _ r�� , ( i i Other Permit
TIGARD Inspection Line: 503.639.4175 `` ' 3 l � O N Date Ready y' Juris El See Page 2 for
Internet: www.tigard �47 Notified /Method: Supplemental Information
:, , -, :.F..: ._: ,; _;�s,- .;%', .. ..,,; .as uvai,�'°: .s�� hl • + i ,i � .e;= , "` 7_<s��Yc:� => "' ..,,��� <,,: �:
:— :: ,,. ,' r, TYPE' E <,W RK "_' ° ?':> ,•a ND ;
2- FANIILY "DWELLING, -
,
_ . ,�.... ��:,:. -• °. . ; �.;,�•,. -_ ::��� -• w_.� �::.,,: E� -_, _ ., ..: <'
.:_ ,.: i w• RE [R •DATAI,�A
® 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
�° work indicated on this application.
`� C TEGORY'`OF CONSTRUCTION; bra,,; ;� k d a pl ton
t
®1 - and 2 -famil dwelling Valuation: $ 4.�-6, _,, ,e
y g ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: S
❑ Master builder ❑ Other: Number of bathrooms: 3
Total b of floors
>, ,: °
: ::.,� -:;, -_ � : , °:, . , ., �. :,... �;,. s number ' JOB?$1'I'E;•INERiVIATIONAND `LOCATION;' � II 3
Job site address: I534lp SW 612E NRl D6E F L. New dwelling area: !ware feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: - 101 square feet' —7?-:
Suite /bldg. /apt. no.: Project name: Arlington Heights Covered porch area: t l9 square feet ( 630
Cross street/directions to job site: Deck area: 2 t to square feet (e,
Other structure area: 47 4D square feet z.
REQUIRED._ )ATA:(CONIMERCIAL= USECHECKL ;
Subdivision: Arlington Heights Lot no.: 1$ 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
;:... .<.: :. overhead, and the profit for the
equipment, materials, labor, overlie d a e o
r
{-_` "`" DE OF,'WORK:_ >v %' work indicated on this application.
tee. , ,.,.. �. . �n�: , ..,
New, Single Family Residential Valuation: S
Existing building area: square feet
New building area: square feet
PROP OWNER,:' ? , '' k T "` Number of stories:
Name: Stone Bridge Homes Type of construction:
v Address: 16869 SW 65th Avenue #505 Occupancy groups:
i City /State /ZIP: Lake Oswego, OR 97035 Existing:
Phone: (503)387 -7577 Fax: (503)387 -7616 New:
l° L C NT4s: C NTAGT.�P ';:
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
s
OR
Business name: SEE ABOVE '* ;_BUILDINGPERNI[T'FEE;:�:'
Address: �' ...� ,. . ; :: °;
' • . (Pledse iefer'lo fee sche "dine
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) ' F ax: ( ) FLS plan review fee (if applicable):
CCB lie.: 173318
Total fees due upon application:
r %.:,-....5c.: Amount received: 1r 'bO
'-- TD N SZ
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: PORE BR—n-1 Date: Olp . 10 .11 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I 1 /02 /COM /WEB)
1 r II , •
.
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard � J ��� RIM
+
EI
13125 S 1- IIaII ftlsd., Huard, OR 97223 Plan Res ics�
D a t e'8y �
Phone: 503.639.4171 Fax: 503.598.1')60 I !� ��
Other Permit: ��/ 0� J
TIGARD
Inspection Line: 503.639.4175 Dare Readv;Bv: Jai Q See Page 2 for
Internet: us sysy.tigard -or. of CITY OF TIGAR Notified/Method: Supplemental Information
TYPE OF wetni DING DIVISION PLAN REVIEW
® New construction ❑ Addition /replacement Please check all that apply (submit 2 sets of plans w items checked heloss is
❑ Service or feeder 400 amps or more ❑ Building oscr three stories.
❑ Dentol loon ❑ Other: ss here 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 ❑ Conunercialfindustrial ❑ Accessory building amps for all other installations. buildings.
❑ multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency s■ stem. lar•ier separately d.rived system.
JOB SITE INFORMATION AND LOCATION
1 ❑ Addition of new motor load of ❑ -- \.. , 'ti ° ° I '" ° I- �.
Job no.: 144 (0 Job site address: k 539ii sw (,R.ENRID(�E pL. I00 or more occupant ...
or
❑ Sit or more residential units ❑ Recreational s chielc parks.
City /State /ZIP: Tigard, OR 97223 0 Health-care facilities. ❑ Suppls voltage fur more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Arlington Heights ❑ Sersice or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 90.1 Fee. I Total I f
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: is- 1.000 sq. ft. or less 168.54 14 4
Tax mapfparcel no.: La. add'I 500 sq. ft. or portion 33.92 171 .'.. , 1
Limited energy, residential 7
DESCRIPTION OF WORK (With chose sq. ft.) 75 -
Lim enemy. 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
401 a mps to 600 amps 200.34 2
Name: Stone Bridge homes
601 amps to 1,000 amps 301.04 -
Address: 16869 SW 65th Av elute #505 Ober 1,000 amps or volts 55226 ..
Cit /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 1 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 amiss 168.54 2
Ovv ncr signature:_ Branch circuits — new, alteration, or extension, per panel
Dais: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee,
7.42 5
each branch circuit
Business name: SEE ABOVF,
S. Fee for branch circuits
without service or feeder fee, 56.18 2
Contact name: Deirdre Britt first branch circuit
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67.84 2
dn'elline. service and /or feeder
Phone: ( ) Fax: :( )
Reconnect only 67.84 2
k -mail: dbritt <astonebridgehomesnw.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 it hr min) 66.25
CCB Lic.: 42422 Electrical Lie.: 26 - 289C Suprv. Lie.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 5(Bt
• Plan review (25% 01'permit tee): Q
Print
name: Chuck Friesen (� � b I I 10( 7 /
State surcharge (12;6, of permit lee):
Authorized signature: Date: TOTAL PERMIT FEE: 57 6 , 0/
Print name: This permit application expires if a permit is not obtained within ISO
DatC: days after it has been accepted as complete.
Number of inspections allowed per permit.
I:'•. Building vvPerm its4ii.0 -Perin RRApp.die 1001'l09 4411 - 16151(1 I '05'COMAVI,Ii
Mechanical Permit Application FOR OFFICE USE ONLY -
C of 50 Tigard RE cE IV
/„�� ti , No.: f7,)f �,// ......,,„4„ ......,,„4„ Y b ane n Be By'
y-- t : ic�c w i G e
I., I. S I Tall . 7.. "Tigard, OR 97223 PDla �
14
Phone: 303.639414171 Fax_ 303598.1961) JUN 1 4 201 rz<i , a 1 Datell3): Other Permit: A � � c/ /�'e i o r � _
IG�LRD Inspection Line: 503.639.4175 � nr p Sec t e 2 for
. l Date Ready -B: '
nterret: svww.ttgard or.gov D Notified Supplemental Information
CITY 0 FTIC�AR
TYPE OF wol c�1lLD li��' p1V1Si(�N
COMMERCIAL FEE* SCFIfiDtJLF. - USE CHECKLIST
[El New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the .aloe 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: S
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
® I- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building
For .,p('Crul in /u) manor use checklist.
❑ Multi- fancily ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 1534(0 CM 6RE ; (�E (requires s NfzD L. Air ste pl ite plan showing placement) 1 46.75 71
City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ductsvents) ( 46.75 4 .75
Furnace 100,000+ BTU (ducts/sents) 54.91
Suite /bldg. /apt. no.: Project name: Arlington Heights
Heat pump 61.06
Cross street /directions to job site: Duct work 23.3
_
Hvdronic 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.: 15 Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIP'T'ION OF WORK Water heater 1 23.32 2-3 jZ.-
Gas fireplace I 33.39 `
New, Single Family Residential Flue vent for s+ ater heater or gas
fireplace 23.32
log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood tireplace /insert 23.32
Chimney'liner flue /vent 23.32
® PROPERTY OWNER ❑ TENANT
Other: 23.32
Nance: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Range hood /'other kitchen
Address: 16869 SW 65` Avenue #505 equipment 'i 33.39 7 3;39
City /State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust I 33.39 . 3 . 3.1
Single -duct exhaust (bathrooms. /
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments. utility rooms) 5 23.32 Igo .tCo
❑ APPLICANT ❑ CONTACT PERSON Atticjeran'lspace tans 23.32
Other: 23.32
Business name: same as above Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Furnace, etc. I /4.1
Gas heat pump
City /StatelZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( )
Water heater
Fireplace
C -mail: dbritt @stonebridgehomesnw.com R anee I
CONTRACTOR Barbecue
Business name: Comfort Zone
Clothes deer (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
•
City /State /ZIP: Troutdale, OR 97060 Subtotal °'4
Minimum permit lee (590.00)
Phone: (503) 667 -5595 Fax: (503) 491 -8252 -
Plan review (25 of permit tee)
CCB lie.: 110091 State surcharge (12% of permit feet ' . ''
TOTAL PERMIT FEE -j 1 , 7
AuthOt'ized si(�natul e: � .. - This permit application expires if a permit is not obtained ,sithm ISO
days after it has been accepted as complete.
Print name: David Heldstah Date: b l0 . 0.I 1 Fee methodology set by - fri- County Building Industry Service Board
If: nuilding \PcrnutsVVtEC- PemtitApp.doc 10/0109 440 - 4617 r(1 10]:COM,WFIA
Plumbing Permit Application RECEIVED •
Building Fixtures FOR OFFICE
Pe rmit No.: I USE ONLY
City= of Tigard JUN 14 2011 Received �een "611.4,
Date /By: Let � D
q 13125 SW !tall Blvd.. "I igard, OR 97223
: IN Review g _ ; . Phone: 503.639.4171 Fax: 5(13.598. 1 � `I` q Y OF TIGARD Nate. B, :
Other Permit No.:AO ��� p 00 / r
TIGARD
Inspection l.ine: 503.639.4175
BUILDIN DIVISION Nate ed /Meiho Supplemental I
gri See Page 2 tor
Internet: N'U'K ' . tl g al' d-OC.30 \' tQotifiedi \te(hod: Supplemental nfornurtimt
TYPE OF WORK FEE* SCHEDULE
® New construction ❑Demolition For special ittformatinn use checklist.
Description 1 Qty. 1 La. I Total
❑ Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 R. 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 50032/
❑ Accessory building ❑ Multi - family
Each additional bath /kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page age 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 534 d (p SW 6R NR ID c9e FL. Catch basin or area drain 18.76
l)r\ leach line, or trench drain 18.76
City /State /'LIP: Tigard, OR 97223 ,
Footing drain (no. linear IL: _) 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 se\‘ er (no. linear ft.: .) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear IL ) Page 2
Subdivision: Arlington Heights 1 Lot no.: `I5 Fixture or item:
Tax map /parcel no.:
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
New, Single Family Residential
Dishwasher 25.02
Drinking fountain 25.02
Iljectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Fixtureisewer cap /5.02
Nantc: Stone Bridge Homes
Floor drain/floor sink/hub /5.0?
Address: 16869 SW 65' Avenue #505
Ciarhae disposal ?5.02
City /State /ZIP: Lake Oswego, OR 97035 Hose bib /5.02
Phone: (503)387 - 7577 Fax: (503)387 - 7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap
Business name: SEE ABOVE Page ?
Medical gas(\alue:S )
Primer
Contact name: Deirdre Britt
Roof drain (commercial)
Address:
Sink /basin /lavatory
City /State /ZIP: Solar units (potable water)
Phone: ( ) Fax: : ( ) Tub /shower /shower pan
E -mail: dbritt� %stonebridgehomesnw.com
Urinal
Water closet
CONTRACTOR
Water heater
Business name: Legacy Plumbing
Water piping/DWV
Address: 8985 Hazelvern Way Other:
City /State /ZIP: Portland, OR 97223 Subtotal 'Ti 1/
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: 572.50
Plan review (25% of permit lee)
CCB Lie.: 159281 Plumbing Lie. no.: 26 - 517PB h
, State surcharge (12% of permit fee) 0`/t I
',�� ��/ � ✓ /! ]
Authorized signature: "W •_ TOTAI, PERMIT FEE ,� t 7,
Print name: Matt Nelson This permit application expires if a permit is not obtained within IRO days
Date: O(0 4 Q.
after it has been accepted as complete.
*Fee methodology set by Tri- Count} Building Industry Set, ice Board.
I: \BuildingiPcnuits \PL\tl - Permit: \pp.doc I 0/0 1/09 440- 461(»C(lu/02/COSV\r lift)
111
Building Division
r i c, n ii n Development Code Provision Review
Residential Projects
Building Permit No: M SGT oZO/ / 60 l pc(
l� I �'t) 1 7� 3 �r 7
CWS Service Provider Letter Received: Yes ❑ No pi N/A ❑ 1 �T
Routed Plans:
Original Plan Submittal Date: LQ (I t{'il
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ 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 rrIS+1-e TQeY.nq at 503 -718- LVSZ or @tigard-or.gov)
g )
Land Use Case Nyt. 511,1'�Z�y��« -Q
' P1 Name 1-
1y Zoning
Wetbacks:
Front I Rear IS Side S Street Side 10 Garage Z'7
W Maximum Building Height 35 Actual Building Height 3 Z
EP- Visual Clearance
L? Easements
1:/ Sensitive Lands Type: • :H "V L
Notes:
•
Original Plan: Approved Er Not Approved ❑ Date: (V/ L �/ /
Revision 1: Approved ❑ Not Approved ❑ Date:
•
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope: .20
Notes:
SA-0 (Thf r 5 d`tJyLpti / 1 - �Af�
Original Plan: Approved -0 Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov)
Q'/ Street Trees
M Protected Trees
Notes:
•
Original Plan: Approved ig Not Approved ❑ Date: Op: 4
pP PP Revision 1: A roved ❑ Not A roved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ' 4 ' No , .
Date Routed to Building:
f •
•
•
• s
Page 2 of 2
STONE BRIDGE 4 ', ,_ , _,„ ,,,, RECEIVED ®B i
4
,,, ,,,, t:\ s
1 ,,: : 4:,: ‘ : ,i,, ,,,, v ,
a-xO iCE rtw g.LC JUN 14 2011 LOT: 75
1.0009 EMT e � �� - . 606 DATE: 8/7/11
LANZ OSWEGO, ORZGON 97086 ARLINGTON
ARLIN
:
(,503)387 -7677 CITY OF TIGARD P ROPERTY • ARLIN T5
BUILDING DIVISION
CITY: TIGARD
SCALE: 1"=20'
PLAN No.: 170
OPTION 11 ELEVATION
:i ss : ,,
U y 2a' -0'
emmin Ill
IL ifl
I
360 c58 ) 356 354 352 350 348 346 344 342
1
Ucti x- 636® 34P
,
s i-.55., ' :.: • j 351 23'10'
1 .•••'..-:.--,.i• •,•. ;u ' 15 8,
;::
Z al 2 4 r 1
.U:0 :3,: •a• M 134' 6
I 1 • • ' 1 '-0'
....„,-;..:.,i:-, ``•- 13 w / 2
N 4 in . • 951 t; 35l _ 0 SCit v v'
sil
5 -_.- . -. 4
m e r , 2 \.,
t 9 .o
SE R t iv iR ' i0 12'x18' 0 at r i i n u m DECK _
WAT€,R Or +
STORM St
i € � . • ", ■ 1 5 'A y 13'6, Al 1 = i 12'
f
48t EL•394 a 1' ,, .03'
■ ' X0331'
Cgl 352 an 350 348 346
344 342 340 338
l6 11'-0'
15'-0'
k'
LOT COVERAGE LEGEND
LOT AREA: 6,000 SQ. FT.
BUILDING AREA: 2,699 SQ. FT.
i '
PERCENTAGE: 45.0% — STREET TREES:
O P EAR
NOTES: - PYRUS CALLERYANA-
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.
THEY MAY VARY AND BE SUBJECT TO CHANGE.
DRIVEWAY DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 6,000 sq. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: P n 5—t- 7o /1 Co )o / / Jurisdiction:
Site Address: `�
Subdivision/Lot #: - 7 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: 2 /
Owner General Contractor>droriied Agent
Print Name: /ct
' 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 \ Building \Forms\RES- HighEfficiencyLightmg doc 07/01/08
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, TiifA 14 fit- l 562 , am the general contractor or the owner- builder
at the following address:
5 3 L ie2 6 R-e-ekA Ci r
Site Address: L
City: -r-L 9 c rd
Permit #: - I / bo ' j /
Subdivision/Lot #: 75
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: Date:
en- al Contractor or Owner -: gilder
I \ Building \Form \RES- MoisturesensitiveWood doc 09/25/08
STREET TREE CER TIFICA TION
I, h �lG , owner/ agent for -- iL cl /
(PLEASE PRINT) (PERMIT HOL1 ER)
do hereby cert j that the folluingJoition meets
City of Tigard _ land _use and development standards
for street tree installation .a is consistent
with the a] proved -site plan.
PERMIT NO.: M A Z 1j C)oLDS _
SITE ADDRESS: I 53 C] b 5 1-J G am_,,, )\ d C, -e
S UBDI VISION• '� , 6,6 k, , ` • S ` LOT #: 7
SIGNATURE: // f DATE: 9 -
1 (/ (OWNER /AGENT)
RECEIVED &
VERIFIED BY: DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I \Budding\ Forms \ StreetTreeCertificate 07/01/2010