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Permit CITY OF TIGARD . MASTER PERMIT is ' - COMMUNITY DEVELOPMENT r . Permit#: MST2012 -00059 T t G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/05/2012 Parcel: 2S109DA18800 Jurisdiction: Tigard Site address: 12706 SW WILLOW POINT LN Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 117 Project: Arlington Heights No. 3, Lot 117 Project Description: New SF. 4/27/12, reprint to correct owner information. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1129 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29.5 Bathrooms: 3 Second: 1596 sf Garage: 734 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2725 sf Value: $312,128.42 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 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: 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 2725 Owner: Contractor: STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 4230 GALEWOOD ST, STE 100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 681 -4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 Provide geo tech report prior to footing inspection PHONE: 503 - 387 -7577 PHONE: 503 - 387 -7577 FAX: 503- 387 -7615 Total Fees: $19,245.56 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 a . • • - nce 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. AT NTION: c egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 1010 • rough 0 • : 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or 1.800.332.2344. >//// / Issued :y: _ / PermitteeSignat 4 Call 503.639.4175 by 7:00 a.m. for the next avails le inspec ate. 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. • CITY OF TIGARD MASTER PERMIT 2 • COMMUNITY DEVELOPMENT Permit#: MST2012 -00059 T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/05/2012 Parcel: 2S109DA18800 Jurisdiction: Tigard Site address: 12706 SW WILLOW POINT LN - Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 117 Project: Arlington Heights No. 3, Lot 117 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1129 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29.5 Bathrooms: 3 Second: 1596 sf Garage: 734 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2725 sf Value: $312,128.42 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 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 • Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 8 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 2725 Owner: Contractor: COLUMBIA STATE BANK STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) BY JECK, AL 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 681 -4444 17800 SE MILL PLAIN BLVD. STE LAKE OSWEGO, OR 97035 2 Provide geo tech report prior 10 to footing inspection VANCOUVER, WA 98683 PHONE: PHONE: 503 - 387 -7577 FAX: 503 - 387 -7615 Total Fees: $19,245.56 • 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 1 • •ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR • 52- 001 -0090. You may ob ......... - questions to OUNC by calling 503.232.1 87 or 1.800.332.2344. Issued B B. /� �' _ - _� ermittee Signature: t _ Call 50 4 :00 a.m. for the next available Inspection date. This permit card shall be kep in a conspicuous place on the job she until completion of the project. Approved plans are required on the job site at the time of each Inspection. Building Permit Application Residential l R OFFICE ust: ( /N'I.) RECEIVED Received $ � 5g City of Tigard Date/By: I�� ' � P .� Permit No.: � n 1 h 1 ne S50 Hall one: 503.639 . Tigard, OR 98 1 Fax: 503.598. ' t u s 2 7 2012 DatePlan Revie • / i/C '` . G I .4 :. her Permit: 6I ola sa?.s2 Phone: . B Fit ; A i; l.> Inspection Line: 503.639.4175 Date Ready /: y: Juris: ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 3 r 0 -1 1.7a. d Supplemental Information RUILDING DIVISION fftspa 1 4 wry C"N b TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 0 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 CATEGORY OF CONSTRUCTION work indicated on this applicarin^ Valuation: $ \. 0 1- and 2- family dwelling ❑ Commercial /industrial 1 , *z ❑ Accessory building ❑ Multi - family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: (2'i O WI U671N POD N/ LAN E New dwelling area: 271 square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: , 3 square feet Suite/bldg. /apt. no.: I Project name: Arlington Heights Covered porch area: 74 square feet 154:4„ Cross street/directions to job site: Deck area: 222 square feet' Other structure area: ` i square feet 1. ? 't REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Arlington Heights I Lot no.: ill 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 0 PROPERTY OWNER I ❑ TENANT Number of stories: Name: Stone Bridge Homes Type of construction: Address: 4230 Galewood St, Suite 100 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:( ) I 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: ( ) I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: 173318 Total fees due upon application: e-D Amount received: Authorized signature: This permit application expires if a permit is not obtained n within 180 days after it has been accepted as complete. Print name: RD I Date: 0 3�' , I ` • Fee methodology set by Tri-County Building Industry Service Board. I: \Building\Permits\BUP -RES PerrnitApp.doc 10/01/09 440 -4613T(11 /02 /COM/WEB) t . Electrical Permit Application RECEIVED Folz orrlct: tis1.: ()Nix Received City of Tigard PAR 2 7 2012 • / Perm.: � �� tY $ Date : Permit No.: , A . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review L,,, Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: y // J TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: HI See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISIO Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ® New construction El Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 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 of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: 141.9,9) Job site address: MIN, &W WI WOW PO `NT IOO or or more residential occupancy. ❑ ❑ Six or moo re 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 Q4•. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: I (7 1,000 sq. ft. or less 1 168.54 (60,54_ 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 5 33.92 W U/0 I Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 1 7:a -67a) 2 Limited energy, multi - family 67.84 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 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 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 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. Fee for branch circuits Contact name: Deirdre Britt wi n crvice or feeder fee, 56.18 2 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 dwelling, service and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E -mail: dbritt®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- 052 Per inspection 66.25 Investigation per hour (I hr min) 66.25 CCB Lic.: 42422 :�I Electrical Lic.: 26 -289C Suprv. Lic.: 35925 ✓ Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 4(5.1. - Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): 4'1 . 5 S Authorized signature: la > .... �' TOTAL PERMIT FEE: A -C '2,7 2 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 \Permits\EI.C- PermitApp.doc 10/01/09 440 -4615T(II /05 /COM /WEB Mechanical Permit Application'E� FOR OFFICE list: ()NIA l �� y l �" . Lam/ Rec eived City of Tigard Perm No.: . ty g Received �jTo1 /� — DOOS • 13125 SW Hall Blvd., Tigard, OR 97223 7 2 01 ' . Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �+ Other Permit: 'W4. D ate/By: , GA r I C. n 1: I� Inspection Line: 503.639 Date Read /B : Juris: Internet: www.tigard- or.gov T1 y y Supplemental See Page 2 for C rri OF 1 otified/Method: Supplemental Information % ALDING D J TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® New construction ❑ Addition/alteration/replacement 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: $ ® 1 -.and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Accessory building ❑ Multi- family 0 Master builder El Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 114 DU tom/ PVI aOw po rr`I l LAN Air conditioning (requires site plan showing placement) 46.75 City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 1 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: I 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 I Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: 17 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater S 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 1 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 equipment 1 33.39 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) 5 23.32 l(, ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: _ Business name: same as above Fuel piping Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional _ Address: Furnace, etc. 1 / / 4. i ~j Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax :: ( ) Water heater Fireplace . E -mail: dbritt@stonebridgebomesnw.com Range 1 CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer (gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES* City/State /ZIP: Troutdale, OR 060 Subtotal O• t Minimum permit fee ($90.00) Phone: (503) 667 -5595 I Fax: (503) 491 -8252 Plan review (25 %ofpermit fee) _ CCB tic.: 110091 State surcharge (12% of permit fee) _ # 0(0. ( TOTAL PERMIT FEE j Authorized signature: V This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. I Print name: David Heldstab I Date: • Fee methodology set by Tri County Building Industry Service Board I:1 13uilding \Pennits'MEC- PermitApp.doc 10/01/09 440- 4617T(II /02/COM/WEB) Plumbin Permit A licati Building Fixtures City of Tigard X012 Receivey o! �7 /r Permit No /a . � 57 Date/By: rr �ilvv 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review n _ f � L/ ■ Phone: 503.639.4171 Fax: 503t 9 tJF TIG A� DaDate/By: Other Permit No. 96 �$T Inspection Line: 503.639.4175 g UILD1 Q DIV Date Read /B Juris: ® See Page 2 for T" I L; 1 I: I) Internet: www.tigard- or.gov ISI Ui� Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. 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 A....1732 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I 210 SW h' (AdOw JIN7 (A-N Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: . I 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 ft.: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: Arlington Heights I Lot no.: /17 Fixture or item: Tax map /parcel no.: Backflow 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 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 Primer 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 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Jardine Plumbing Water P tP in I'/D WV 56.29 Address: PO Box 186 Other: 25.02 City/State/ZIP: Estacada, OR 97023 Subtotal 5,0, 3 j 2- Phone: (503)3514532 Fax: (503) 6302882 i 4 Minimum permit fee: $72.50 CCB Lie.: 108747 Plumbing Lic. no.: 11 - Plan review (25% of permit fee) v . State surcharge (12% of permit fee) 41/0.0 Authorized signature: �� TOTAL PERMIT FEE S(600;'j10 Print name: Jay Jardine 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. I: lBuilding \ Permits \PLMU- PenniiApp.doc 10/01/09 4404616T(10/02 /COM/WEB) a. C ))/r rz 416(.1kg 1 00 . I N o Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: /0 Fb /;1‘'-°1414° 59 CWS Service Provider Letter Received: Yes ❑ No ❑ N /A, Routed Plans: Original Plan Submittal Date: c a7//2 1st Revision Submittal Date: ❑ Site Plan Only 2 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 (1) 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 / i #i 3 R e- wars_ at 503- 718 - l,YSL- or Ares re G @tigard - or.gov) Land Use Case I\12. (U-✓3 Zd6" 0000lName /- ++c _ ,`i / �' M a- Zonin -1 . % `�� , 1;,-Setbacks: . Front kr Rear /5 Side b Street Side /V Garagp Q/Maximum Building Height 3X Actual Building Height 2 9 7 Z— C1 Visual Clearance LY Easements — S ' w, 04 50 + Is' ' Sp( • • fd Sensitive Lands Type: fT.d f►4, " a. a a ( 5 Cl5 n , .4 {4- e,BiTin - Notes: Original Plan: Approved li( Not Approved ❑ Date: ,jfat/t v 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) -1f1 Actual Slope: W Notes: Original Plan: Approved Not Approved ❑ Date: 3 S/ I Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Cid ir . . rist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) • treet Trees L Protected Trees Notes: rwrc. Cr-6-. t PwL7 Pile, Original Plan: Approved if3T Not Approved 4e Date: I - a$ — ia• Revision 1: Approved ' Not Approved ❑ Date: 1 --',(6- I a 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 : _ ^ l Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applican Revision 2: Date Sent to Ap • ant , Okay to Issue Permit: Ye . No 2 "4 21( 1 y_ Date Routed to Building: 2 Page 2 of 2 STONE BRIDGES REC � �. " OBE: 1488 :3 - HOMES NW 84AR 20 12 LOT: 117 si8ilx V 423o GALEWOOD ST. SUITE goo PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 e4 CITY 'F TKj:--. HEIGHTS (5 3 0 s II ' !N(' D! ,/,. CITY: TIGARD sa SCALE: 1 ° =20' , 9 k rip PLAN No.: 225 0 .." '-''' * \\ g 00 STANDARD ELEVATION ‘,,■\\ %, Ir. .! (., :, ,,;. i 4 00 0 4 1 Q , I r 1 5' SWE / i / i i r.• GIZEE i' D- VEWAY T ' 356 8 I i 8' PLE. .3 rAI 9 _562 362 M r P r354 ' IL B 'm. j� 352 fa to 362 / n �/ 10' II 358 fie /la' a 1 356 / ® 29'8' �d .� 0 I 348 354 Al,_ 9 1 g s0-0. R • 362b' I U) 341 346 I- a .mod 3 . N 18'6' ,di r 1 A 35�� 344 20' ! 1 2 i? 1 4 15' 80E 352 ib h LEGEND — STREET TREES: J PARKWAY MAPLE .51 ' LOT COVERAGE 348 346 344 LOT AREA: 6,863 SQ. FT. BUILDING AREA: 2,151 SQ. FT. PERCENTAGE: 312% NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. HEY V ARY AND BE SUBJECT TO CHANGE,ARE ESTIMATES. LOT N11 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 6,863 sq. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. STREET TREE TIGARD CERTIFICATION b A owner/ agent for 97 it ; c6— (PLEASE PRINT) (PERMIT HOLDER) do hereby centifi 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.: GtA_ 5T ZQ C.) 0c 5 4 ) SI1 E ADDRESS: I Z " 1 c) ( C t...J ( ..� l �a L.i SUBDIVISION: A 2 L , ...,5 LOT #: / ( 7 SIGNATURE: 1// r DA1 E: 7 —6 - (i J4 NER /AGENT) RE CEIVED d� / — ( VERIFIED BY A. DA 1 E: P (CITY OF TIGARD) ❑ Tree location verified pe approved site plan. I: \Building \Forms \StreetTreeCertificate 04/01 /2011 1 1,2 70 6 s w (x/; 41 -° 4 4. A'rc✓ T Energy! Trust New Homes ►�� I . Certified Residential Air Duct System 4 EN R 45 ; r EnergyTrs ='Comp y rnformatior . � Cnnr pany � Cvf! :G.T . /// r.'.'99:17140.4$43,ri Appliance Zon (CAZ Test ": Main Zone Zone 2, if appdh C'A'L W IZ'F' Outside Pa Pa Baseline (WR"i' Outside, Fans oft) Pa — Pa N Jt i' CAZ Pressure (subUnci _____ baseline lion, CAZ WRF outside) Pa Pit Duct Leakage (1)R•Ctit, one stickerper!l•iuct ~sysliem) Dt,scripiion of Area System Serves 5 Cond. Flour Area System Serves (.11. - 7,, i — I 5 I_J ycsy.tw Air 1 in conditioned space'? a yes, no Air Handler present during test? If `yes " for either, then maximum CFM is 75 CFM@ 50 Pa or !tool' aroa x 0.06 - 16"3_. CFM(0,50 Pa, whichi ver is greater. if " for both, then nutxioaurr CF'M is 50 CFM(ci2,5( Pa or tour area x 0.04 =' - _- . CFM(050 Pa, whichever is greater. 'rust Method: ❑ Leakage to Outside or ❑ Total Leakage l'esi Result -7 (•l'61(ci),50Pa Fail Pressure J 5 Pa Gauge type: ❑ DG- t or X DC " Iti (circle one) Open I 2 Blaster Location 'nll' g 7/,� r l�rt�l1 11 e 1,--) Duct > . 0. b iv& Se . Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, v.. I — T � , am the general contractor or the owner- builder at the following address: Site Address: / 'L 7 G S c.,� ( ... � i ( 16t.J City: 1—t a rte! Permit #: IM 2d I Z 1000 S ` 7 Subdivision/Lot #: �7 � L ; 14e 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. Signa — Date: General Contractor or Owner - Builder 1:\ Building\ Forrn \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 57 20o_ Gbe S Jurisdiction: 7 Site Address: . 7 0 / (JO\J 1 Subdivision/Lot #: L . ir\-) ' T and/or Map and T Lot 14- I ( 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) Signatu 1/2 Date: 7 Owner /General Con actor /Authorized Agent Print Name: P it, A ./ 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\ Fonns \RES- HighEfficiencyLighting.doc 07/01/08