Permit ,, CITY OF TIGARD MASTER PERMIT
Iii . COMMUNITY DEVELOPMENT Permit #: MST2011 -00037
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/19/2011
Parcel: 2S109DA17900
Jurisdiction: TIGARD
Site address: 15271 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 108
Project: Arlington Heights No. 3, lot 108
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 6 First: 1567.2 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24.5 Bathrooms: 3 Second: 1872.8 sf Garage: 613 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3440 sf Value: $362,203.39 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: 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
Drywell- Trench Drain: 0 Other Fixtures: 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
Furn> =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders 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: 7 201 -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:
ALT COM VB R -3 3440
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, 97035 LAKE OSWEGO, OR 97035
PHONE: 503 - 387 -7577 PHONE: 503- 387 -7577
FAX: 503- 387 -7615
Total Fees: $19,810.21
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 c e 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. A ENTION: 0 gon law - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 t rough OA 952 %r1 -' u 0. .0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 r 500332.2344.
- Issued y�. Permittee Signature: A / ' -� '.. %/
Call 503.639.4175 by 7:00 a.m. for the next available inspectio'te - �.,
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 �� Date/By: Received �' Permit No. i1 .
31 4 111 ' ° 13125 SW Hall Blvd., Tigard, OR 9 ; i P l an R ev i ew
Phone: 503.639.4171 Fax: 503. i!1; ' :1 `i.% DateB
Other Permit , I 9, d j `. of
TI G A R D Inspection Line: 503.639 - \ Q Q � Date Ready/ByT j ®See Page 2 for
Internet: www.tigard- or.gov ` np � cp, ,0, Notified/Method: 3 i t =, � M Supplemental Information
TYPE OF WOt ° REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑alition 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: ✓ I $ Z24 . "S i
El Accessory building ❑ Multi - family Number of bedrooms: (
❑ Master builder CI Other:
Number of bathrooms: 2 • S
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
N dwelling area: square d
Job site address: j� S�/ SVY►lYll2 ✓VIEW Dr; Vl g 3 , 4� }o quare feet ��Z 0
City /State /ZIP: Tigard, OR 97223 Garage /carport area: (p j 3 square feet ,
J•
Z
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: j 22- square feet
Cross street/directions to job site: Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: /O 6 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: ( ) Fax::( )
E -mail: jimd @stonebridgehomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: 173318
Total fees due upon application:
I/� _ Amount received:
Authorized signature: ��J►1Alt7j _ 114 4.9L.,
This permit application expires if a permit is not obtained
, within 180 days after it has been accepted as complete.
Print name: (Ly l l /r OVA. v- ✓1 lY .) Date: * Fee methodology set by Tri- County Building Industry
' Service Board.
L \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(l 1 /02 /COM /WEB)
Electrical Permit Application FOR OFFICE USF ONLY
Received 1-6577:90//-0e037
7 Cit Y of Tigard
6 -.1c4,,A Permit No.:
Date/By:
° 1 3125 SW Hall Blvd., Tigard, OR 97223 �'� Plan Review
C ' ' Phone: 503.639.4171 Fax: 503.598.196 ,, � Date /By: Other Permit: . �� /! — ecio 3 g
TI GAR D Inspection Line: 503.639.4175 i , Jre R ady /Bv: Junk: EI See Page 2 for
Internet: ww'w.tigard- or.gov \\\\\ � •C1� _• g Method: Supplemented Information
TYPE OF WORK x �O ` � �V1 11 PLAN REVIEW
® New construction ❑ Addition /alteration /replac `` Please check all that apply (submit 2 sets of plans tv /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
El Demolition ❑ Other: SO 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 14,00(1 ❑ 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 01 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ". ' l - I
Job no.: 14.7C1 Job site address: 1521 I SW I OO P or e re s. occupancy.
I ►1IYt l�tiV(f �! iJt' ❑ 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.
job site: FEE SCHEDULE
Cross street /directions to
.1 Description I Qty. I Fee. I Total
New residential single - or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 14 iis 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 1
Limited energy, residential 67.84 2
DESCRIPTION OF WORK (with above sq. ti.)
Limited energy, multi - family
residential (with above sq. ft.) 67.84 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stone Bridge Homes 401 amps to 600 amp 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
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT _PERSON above service or feeder fee, 7 4 2
each branch circuit
Business name: SEE ABOVE B. Fee for branch circuits
without service or feeder tee, 56.18 2
Contact name: Gayland Forsberg
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
dwelling, service and /or feeder
Phone: ( ) Fax: : ( )
Reconnect only 67.84 2
E -mail: jimd @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuits) or limited -
Business name: City Electric
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 Suprv. Lie.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Chuck Friesen Date:
Plan review (25% of permit fee):
State surcharge (12% of permit fee):
- Authorized signature: f > , TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\ Building \Permits\0LC1- PermitApp.doc l0 /01/09 440 4615'1(11 /05 /COM /Wlllt
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard � � 1 'eceived Permit No.: rlr apt�
_
Date /By:
g 13125 SW Hall Blvd., Tigard, OR 97223 evicw
0 ` Phone: 503.639.4171 Fax: 503.598.1960 ` Other Permit:
bate/By: Jw Q9011_0003 ,
T I GARD Inspection Line: 503.639 i` p Oat t ./ turns: 8 See Page 2 for
Internet: www.tigard or.gov 0'\ ' bd Supplemental Information
TYPE OF WORK C1 ��V COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition /alteration /replacement �l�'� Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: —
Description Qty. Ea. Total _
JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning
Job site address:
152.11 5 IN SI/ wneriiic) t r) Y[, (requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ductsrvents) 46.75
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
hvdronic) 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.: I D 8
Other: 23.32
Tax map /parcel no.: Other fuel appliances _
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
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 ❑ TENANT Chimney /liner /true /vent 23.32
Other: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Address: 16869 SW 65 Avenue #505 Range hood /other kitchen
equipment 33.39
City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: same as above Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax::( )
Water heater
Fireplace
E - mail: jimd @stonebridgehomesnw.com Ranee
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
Phone: (503) 667 -5595 Fax: (503) 491 -8252 Minimum permit fee ($90.00)
Plan review (25%ofpermit fee)
CCB lie.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: David Heldstab Date: * Fee methodology set by Tr - County Building Industry Service Board
l:\ Building \Penniu\MI;C- t'enniiApp.doc 16/01 /09 440-461 Tr (11 /U2 /COM /WGR)
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City 7
y of Tigard i
Date/By: �"P r'-OO 6 3
Y 13125 SW Hall Blvd., Tigard, OR 97223
Permit No.:
= Phone: 503.639.4171 Fax: 503.598. "1e t � \ Plan R gate Review
1 ti Other Permit No.: „. ( pa -eve; p
/B y: 0
T I G A R D Inspection Line: 503.639.4175 t` to Ready /By: Juris: RI See Page 2 for
Internet: www.tigard- or.gov \\p,P ` �� � , fled /Method: Supplemental Information
New construction
TYPE OF WORK ®n1 FEE* SCHEDULE
® ❑ Demoli rB
..,, F or special information use checklist.
4 �ti Description Qty. Ea. Total
El Addition /alteration /replacement ❑ Other: y New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I- and 2- family dwelling III Commercial /industrial SFR (2) bash 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi family
Each additional bath /kitchen 25.02
ID Master builder ❑ Other: -
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 - 71 Sw SVY Ih1A(V1 C Dr1 VL Catch basin or line, drain 18.76
lllvwelh leach line, or trench drain 18.76
City /State /ZIP: Tigard, OR 97223
Footing drain (no. linear ft.: ) Page 2
Suite /bldg. /apt. no.: I Project name: Arlington Heights Manufactured hone utilities 50.03
Cross street /directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear fl.: _ ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: Arlington Heights I Lot no.: ` 0 8 Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve I2.51
Clothes washer 25.02
New, Single Family Residential Dishwasher 25.02
Drinking fountain 25.03
Ejectors /sump 25.02
® PROPERTY OWNER I ❑ 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: Gayland Forsberg
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: jimd @stonebridgehomesnw.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Legacy Plumbing Water piping /DWV 56.29
Address: 8985 Hazelvern Way Other: 25.02
City /State /ZIP: Portland, OR 97223 Subtotal
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: $72.50
CCs Lie.: 159281 Plumbing Lic. no.: 26-517P13 Plan review (25`%, of permit fee)
State surcharge (12% of permit fee)
Authorized signature: '77',r0,ff7 / / -t._.. TOTAL PERMIT FEE
Print name: Matt Nelson Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
h\ Buildi \t'ermits1Pt,MIJ- PerntitApp.doc 10/01 /09 440 - 46161( 111102 /COM/WI58)
1 q Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: 7/1 ��f/ (�CX53 7
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: 3 / /// et
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 at 50371825{r/ or ( L _C @tigard-or.gov)
Land Use Case No. SO -taCIl (0 I Name 4 eL.f tiIGT1 /). (4fS •./.10...3
❑ Zoning l-.-
❑ Setbacks: /
Front e) Rear I b Side Street Side i 0 Garage 00
❑ Maximum Building Height as Actual Building Height ,:?4 - S
❑'Visual Clearance
J cements S f M toL: Si bE3
1:1`Sensitive Lands Type:
Notes:
Original Plan: Approved Not Approved ❑ Date: 9/3 / 7 I
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: _ i .7 %
Notes:
Original Plan: Approved V Not Approved ❑ Date: , /3// I
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @ tigard - or.gov)
El Street Trees
E ' Protected Trees 1� A ^ } .( I
Notes: 2 ��.1• I w b JP{ +. rt�2VV'/Lt
Original Plan: Approved Not Approved ❑ Date: 54;4.
Revision 1: Approved ❑ Not Approved ❑ 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 '! o ,
Date Routed to Building: / _44/
Page 2 of 2
1
i
STONE BRIDGE OBE:1479
". 3E1Q E S 1■W t tiTa4 El , LOT: 108
i El 4515t1 AVE.. OM0 & DATE: 02/19/2011
LAZE OSWEGO, OREGON 7'0
(503)887 -7677 ARLINGTON HEIGHTS P ROPERTY:
MAR 2011 TIGARD
,
CITY °F TIGARD COUNTY: WASHINGTON— COUNTY
BUILDING DIVISION SCALE: 1 " =20°
PLAN No.: 170 1
OPTION 2 -24" . j-
DRAWN BY: DS - J
(1) S
H
W 4N M V N N
1
.i \� _ _ 4200
, >:: '
IY ,
�„�� — - -- _ ®���' - - K%
- -- -- 418 N
zto ', 1 _ rill 11
; 1. ,I scorn,
3
in r - -_
water
N I I I 3 'w
1 I 416
j Q'' , 41 ( ' 616 sq. 416_ { 1 � i 6,�1
:1: '‘ , s : ' ,
tj iiit _ 2 ear gar. . .• : - : -
t 416' r a PPE 416' ,,.•� a if
Lli
� �' 4 � a 6' . 41'6 '''',r. _ / 414
!al sq. ft. 5 . ! 3 . :- ,4 1 4 • .
o I :n �f • ,. •y
eIII . j =��pa ..„ PPE. 41'1' � __
v �1�C :p w •
416' I , g- I
12' 412 9
'
. I
- ' I II
■., � ! A! EL 0 41
c c 1 O
N
t v �rv •4 ■ v � - v V 410 la
m
-kAc_P
•
k
LEGEND
LOT COVERAGE __ - RETAINING WALL :,
LOT AREA: 6,029 SQ. FT. I' I ,11
BUILDING AREA: 2,441 SQ. FT.
PERCENTAGE: 40.5%
BUILDING HEIGHT: 32' -2'
20% MIN. LANDSCAPE: 1,206 SQ. FT.
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. FIGURES.
ALL SQUA FOOTAGE ALL RETAINING WALL IGl -ITS AND LOCATIONS ARE ESTIMATES. LOT M®S
THEY MAY VARY AND BE SUBJECT TO CHANGE. ; 602S eq. ft.
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, , si,
STREETLIGHTS, AND OTHER SITE CONDITIONS.
STREET TREE
CERTIFICATION
�TSI��GA
I, A Vt I c Z- , owner/ agent forte r) hr, 6-e- /-i- - ---e.S 4;4)
(PLEASE PRINT) (PERMIT HOLDER)
L,L --
do hereby certify 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.: 1 5T Z-) I / 006 3
SIT ADDRESS: ) 5 'Z I S c,J Sv, w w�o.� �✓
SUBDIVISION: A (Z VI I vl J iZNI) LOT #: / a
SIGNATURE: DATE: 1/ -
• .4. ER/AGENT)
RECEIVED &
VERIFIED BY Af0 DATE: (7- r /'
(CITY OF TIGARD)
Tree location verified ter approved site plan.
I \ Building \Forms \StreetTrecCertificate 04 /01/2011
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: J
2•0 i ODO 3 / ya r
Site Address: / S �7
Subdivisi n/Lot ) ) 0
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: (2-1 k/ Date: )
Owner /General Con cto uthorized Agent
Print Name: -. / 2 11 - \ V-)2, ScL\A- Z _
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
a
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Jin v , am the general contractor or the owner - builder
at the following address:
Site Address: 5 Z7
- / s S(-. ‘A or
City: i �
Permit #: 2-U i 000
Subdivisio Lot #: ) 0 F
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: / 17 / / 1
General Contractor or Owne uilder
I \ Building \Form\RES- MoistureSensitiveWood doc 09/25/08
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.
II
City of Tigard
= Building Division
TI GARD
TRANSMITTAL LETTER
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECETV ^ D
SEP 0 2011
FROM: /
OF TIGARD
COMPANY: ; 1 ri-d ILDING DIVISION
PHONE: O 767 By_
RE: / 5 < mgr 4 0 . Sri OP 0003
(Site Ad ress) (Permit Numb r
AY hJ -7[ r 0s / 'He I •
rotect name or su. . tvision n - ano of nuttier
ATTACHED ARE THE FOLLOWING ITEM .
Copies: Description: Copies: Description:
Additional set(s) of a . * Revisions:
Cross section(s) and eta s Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain): f ff
REMARKS: 4 ,Jr/ 2- t-4-o l 4 c o S 77) .�rcv -1 O
/
FOR FFICE USE ONLY `�.,
n
Routed to Permit Te icia : Date: i 0 1 3 ( ( Initials'
Fees Due: ❑ Yes/ P
o Fee Description: Amoun
. / $
/ $
Special (tot (rc- pm CS frzAry paifq v 4) cu\I 1 44 4
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I- \Buildin Forms \TransmlttalLetter - Revisions.doc 02/08/2011
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.
City of Tigard
Building Division
TIGARD'
TRANSMITTAL LETTER
TO: 6 DATE 1 r n ' ` E yED
DEPT: BUILDING DIVISION ��
SE'P Z011
O F TIQ
(7-----
BUTYL D IN GDIVI$ION
FROM:
COMPANY: \ 0
PHONE: 5e-3 -L 7. J - 2 - g7 1' ' `
( Site Address) / (PL erI
(Project name of subdivision n. e . d 1. number)
ATTACHED ARE THE 0 1 LOW Iy TEMS:
Copies: Description: Copies: Description:
Additional set(s) of is' .. . Revisions:
Cross section(s) el d- ails. Wall bracing and /or lateral analysis.
Floor /roof framin .. Basement and retaining walls.
Beam calculation Engineer's calculations.
Other (explain): •
REMARKS: ./ GU_, . II . - - _.. 2 - _ 1! _-: .
1
/
FOR OFFICE USE ONLY
Routed to Permit echnician: Date: Q•Io , ( Initials
Fees Due: es ❑ No Fee Description: Amount Due:
/ !NF(?) l � � $ � cc
-U t 7( $ 90 ,
$
$q,.e)
Special
Instructions:
Reprint Permit (per PE): ❑ Yes 'No 111 Don
Applicant Notified: Date: ,e- - ! //t( a y/ j eft Initials:(
I \ Budding \Forms \TransmittalLetter - Revisions doc 02/08/2011