Permit CITY OF TIGARD MASTER PERMIT
C • COMMUNITY DEVELOPMENT Permit #: MST2012 -00087
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2012
Parcel: 2S109DA17500
Jurisdiction: Tigard
Site address: 15333 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 104
Project: Arlington Heights No. 3, Lot 104
Project Description: New SF
•
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1092 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 29 Bathrooms: 3 Second: 1335 sf Garage: 517 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2427 sf — Value: $278,480.88 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
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'I 500 sf: 4 201 -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 2427
Owner: Contractor:
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST SUITE 100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 681 - 4444
LAKE OSWEGO. OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503- 387 -7577 PHONE: 503 - 387 -7577
FAX: 503 - 387 -7615
Total Fees: $18,537.75
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 ' • - - • • - - - 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. ' ENTION: Oreg• law quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 601 -0010 t rough OAR = 6= 6' iii 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1.800.332.2344.
Iss By: _— "� Permittee Signature: /: t -
Call 603.639.4175 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 . r 1 FOR OFFICI.: USE ONLY
City of Tigard t, �; i �J) Received IF Permit No.: i% .
?
• Date/B : _ d �
13125 SW Hall Blvd., Tigard, 0 9 223 Plan Revie ►
4 Phone: ' t / 10—
Other Permit: 2 �/,i o7s
ne: 503.639.4171 Fax: 503.598.1960, s G 2012 Date/B : � /
�. i �i D Inspection Line: 503.639.4175 HT 1Z Date Ready /:y: iws: ® See Page 2 for
GA
Internet: www.tigard- or.gov a ,� r t ,� Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® 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 application.
Valuation: $ Z jg'
® I - and 2- family dwelling ❑ Commercial /industrial r - 1 / r - -
❑ Accessory building ❑ Multi - family Number of bedrooms: 4
❑ Master builder ❑ Other: Number of bathrooms: 3
i JOB SITE INFORMATION AND LOCATION Total number of floors: Z
Job site address: ( cW edati411^0vi �� 'R . New dwelling area: 7,42,1` square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: q17 square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: —18 square feet r3 3•
Cross street/directions to job site: Deck area: square feet (0 - --
Other structure area: . 25141— square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: 104 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: 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 lo fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) f Fax: ( )
FLS plan review fee (if applicable):
CCB lic.: 173318 Total fees due upon application:
Amount received: ?0/ �—
Authorized signatureeT Qq:::2stit This permit application expires if a permits is not obtained
within 180 days after it has been accepted as complete.
Print nameleArfRe B Date: 4. ° VC . (Z • Fee methodology set by Tri -County Building Industry
� Service Board.
I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB)
Plumbing Permit Application
Building Fixtures - ,7 ,
City of Tigard L , J Received Permit No.:
Y g �S � Date/By: `!� Ole f� ���3 - e 7 ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
1 4 ■ Phone: 503.639.4171 Fax: a4SR9 %1 ;t . t Q92 DateBy: Other Permit N o.e /,490 75-"
Inspection Line: 503.639.417r Date Ready/By: lurk: I IGARI) Y Y ® See Page 2 for
Internet: www.tigard- or.goy,,.. aTr.' ° 'r A:;,'' il 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(1)bath 312.70
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
Accessory building SFR (3) bath ( 500.32 ,'
❑ ry g ❑ 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: 55333 Sw rU M M ERV I S/ DI2 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.: ( 04 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 1 ❑ 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: dbri@stonebridgehomesnw.com Urinal 25.02
tt
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Jardine Plumbing Water piping/DWV 56.29
Address: po Box 186 Other: 25.02
City/State /ZIP: Estacada, OR 97023 Subtotal 5x, 32._
Phone: (503)351 -8532 Fax: (503) 6302882 Minimum permit fee: $72.50
CCB Lic.: 108747 Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee)
State surcharge (12% of permit fee) �,�
Authorized signature: _ ���_ TOTAL PERMIT FEE • W
Print name: Jay Jardine Date: This permit application expires if a permit is not obtained within ISO days
after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
I:\Buit ding \Pennits\PLMU- I'emiitApp.doc 10 /01 /09 440 -4616T(I0 /02 /COM /WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
tr_� h ' � — n r1 Received
`J g
Date /By.
CI of Tigard i - , • ' ii .a/ • /�/`u / Permit No.: }�/, q, )oV"(��
f�
i s i l
:� o • 13125 SW Hall Blvd., Tigard, OR 7 �_. i -, ; 'J it _, % , Plan Review �p
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: IC.,,06/..2 _6a) 7
T I G A R D Inspection Line: 503.639 APR 2012 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
art OF Tr3PFD
TYPE 6 3tit (O ? G DMS ON 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: $
El Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
El- and 2- family dwelling
❑ Accessory building
12 Multi ❑ Master builder For special information use checklist.
❑ O ther: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15333 SW SUM MERV I DP . Air conditioning
v (requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) ' 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
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.: ` Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater t 23.32
New, Single Family Residential Gas fireplace ( 33.39
g y 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 /flue /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 I 33.39
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 6 23.32 1 l ff
6 C
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 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. 1 VI, (!
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone:( ) Fax::( )
Water heater 1
Fireplace
E -mail: 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 300.11
Phone: (503) 667 -5595 Fax: (503) 491 -8252 Minimum permit fee ($90.00)
Plan review (25% of permit fee) /
CCB lie.: 110091 State surcharge (12% of permit fee) . jb• 1 G
TOTAL PERMIT FEE ... ( I
V This permit application expires if a permit is not obtained d wit ithin n 180
Authorized signature: days after it has been accepted as complete.
Print name: David Heldstab I Date: ' Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \PcnniIs\MEC- PermitApp.doc 10/01/09 440 -4617T(II /02/COM/wEB)
Electrical Permit Application I OR OFFICE USE ONLY
�; Received �
City of Tigard i --e � . li I; • , i . A o /./ $ • 13125 SW Hall Blvd., Tigard, OR 97223 i1 1 �/ _ i1 � j ,Plan Review ���
'� Phone: 503.639.4171 Fa 503.598.1960 Date /B : Other Permit: �i /�_7 t
TIC A It Il Inspection Line: 503.639.4175 APR 2 6 2012 Date Ready /By: iuris: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORI^GITY OF T, /,a 1 P D PLAN REVIEW
® New construction 0 Addition/ alteratglaSlacpitie4VeS + ON
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
® 1 - 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 ", "I -2 ", "I -3 ",
Job no.: I4,-75 Job site address: I5 W Su M M i IOOo or more residential occupancy.
❑
❑ Six or moo re residemial 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 Qry. I Fee. I Total [
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 104 1,000 sq. ft. or less 168.54 1 Coae 4
Ea. add'l 500 sq. ft. or portion 33.92 1'36, I
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. f1.) 7 75■Ciln 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 I ❑ 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 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: Deirdre Britt fi branch circuit or feeder fee, 56.18 2
first branch circuit
Address: Each add'l branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: dbritt@stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuit(s) 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
Per inspection 66.25
Phone: (97I) 404 -1714 Fax: (503) 625 -3052
Investigation per hour (1 hr min) 66.25
CCB Lie.: 42422 Electrical Lie.: 26 -289C Suprv. Lie.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required:
Subtotal: 3 l� ,-'Z'Zi
Print name: Chuck Friesen Date: Plan review (25% of permit fee): �
State surcharge (12% of permit fee): -■'tt'
Authorized signature: e4 2 b TOTAL PERMIT FEE: 14. 4 ---T3
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.
1:11iuilding \Permits \EI.C- PermitApp.doc 10/01/09 440 - 46151 /05 /COM /wEII
1 33 3 `d ui w�, N ,�,,>)taur- fi r.
CL 43 � RECEIVED
a Buil � g
n Division APR 2 6 2012
r _ i (, RI) Development Code Provision Review CITY OFTIGARD
Residential Projects BUILDING DIVISION
Building Permit No: H 5 Ab /9 - eZ9D 6
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans: .
Original Plan Submittal Date: # ACe //7-
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 _y�'�' 1/2 -( at 503 - 718 -e? ( or @ tigard- or.gov)
La9d Use Case No. $( B d{)DIo utrot ( N 4R.0 IV 6T V4) s .�
Fr' Zoning g 7
La' Setbacks:
Front b9 Rear Si 4e Street Side / V G age 2(2 !'3 'Maximum Building Height 3 Actual Building Height
[1 Visual Clearance
El Easements
❑ Sensitive Lands Type: lii A
Notes:
•
Original Plan: Approved B' Not Approved ❑ Date: 4 (A:7112.--
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: te
Notes: •
Original Plan: Approved 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 fit orist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov)
L ��Jf we Trees
Protected Trees
Notes:
/ Original Plan: Approved Not Approved ❑ Date: /,/a-
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
1
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert @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 Appli t
Okay to Issue Permit:; Yes No ❑ .
Date Routed to Building: ,
iry
•
•
, )
Page 2 of 2
STONE BRIDGE OBE: 1475
•
E HOMES NW
LOT: 104
DATE: 4/18/12
4230 GALEWOOD ST. SUITE 100 R E C i • e • . p ? RTY :AR,LINGTON HEIGHTS
0 r ' ' Cr TIGARD
(5 387-7577 APP, 2 20150 1 " =20'
PLAN No.: 2
CIT' OF T;':; i:. ELEVATION
F-t 1;1 r,If,� _ -
s fi 4
, , 4 4 0, c%
390
S. / / ♦ / ^ �6' 388 v._ •
// ''-
/ / ^ . 411,, r. . 386 - ..
/ d , ,
. .
s, / / /,� GA ^ti .\♦ .- ot
's / /,-• FE. 390' �� , :" • .�
4 / /, ■•:) '
/
/ ,, S, , ♦ 3' , ♦ / /
J8.
/ / .- �, ' K j / it c`
/ / / /,, Z421 SGYFT. /j/ �m
/ / < . 4 SP$1. s/ .
3 TH '
39m c ` \ \ � p FFE. 3905' .�v / / '�"
389 A ,-„„0 P / 1 ' / U
/ 0,0 G!�
381 / / /O,� i
386 S ,
\ , /
, ., , 4 „.., ,,... /
..m. AI.
384 — /
/
,�:- / LEGEND
LOT COVERAGE ' — STREET TREES:
LOT AREA: 5,015 SQ. FT. RAYUIOOD ASN
BUILDING AREA: 1,906 SQ. FT. - FRAXINU5 OXYCARPA-
PERCENTAGE: 35.0%
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. •104
THEY MAY VARY AND BE SUBJECT TO CHAN LOT
GE. L S 4 FT.
DRIVEWAY MAY DIFrER DUE TO LOCATION OF UTILITY BOXES,
STREETLIGHTS, AND OTHER SITE CONDITIONS.
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, J am_ , am the general contractor or the owner- builder
at the following address:
Site Address: C $ 3 3
City:
p ct. r0 •
Permit #:
11A57 2o/7 000 7
Subdivision/Lot #:
Io " L�
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:
General Contractor or Owner - Builder
1:\ Building\ F orm \RES- MoistureSensitiveWood.doc 09/25/08
r' Energy Tru New Homes
Certified Residential Air Duct System
EnergyTrust
• •
Company NAn elr% r L ke
Technician k_..„, • j S-114 ka D
iiiirk4iiindezoitelcAz) Test
. • • _.. .• •
Main Zone Zone 2, if applies
CAZ W RT Outside Pa Pa -
Baseline (Wkr Outside, finis oil) Pa Pa
NET CAZ Pressure (subtract
baseline from CAZ WRT outside) Pa Pa
;.. per duct system). .
Description of Area System Serves ° Z-
Cond. Floor Area System Serves (1f)
0 yes 0 no Air Handler in conditioned space?
'es 0 no Air Handler present during test?
if "yes" for either, then maximum CFM is 75 CFM(1/.150 Pa or
Boor area x 0.06 -1.4g.;_____CFM@50 Pa, whichever is greater.
If "no" for both, then maximum CFM is 50 CFM@50 Pa or
floor area x 0.04 = __CFM@50 Pa, whichever is greater.
Test Method: 0 Leakage to Outside oriaj:Lital Leakage
Test Result CFIVW,50Pa
Fan Pressure I Pa Gauge type: 0 DG-3 ark:Xi-700
Ring (circle one) Open 1 2
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Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 9T Z01 Z - 0po V 7 Jurisdiction: ___LJ 4 fG
Site Address t 5 7 33 N —
Subdivision/Lot #: >0 c4
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" Z9 �`
caner /General Co ,v or /Authorized Agent
Print Name: JG1 „ 1/-€
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- HighEfficiencyLighting.doc 07/01/08
•
STREET TREE
TIGARD CERTIFICATION
, owner/ agent for Sre. A' 4 � � L c C ,
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certi6 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.: i&51 "Lot,- OoC g 7
HIE ADDRESS: l 5 3 3_3 5'.,.) 5„,,A ✓•Q�J r
SUBDIVISION: ,I1K �; �,.� -U,�, ;S(�� s LOT #: to V
SIGNATURE: DATE: e-2.7-- %�-
(w ' R/ • ENT)
RECEIVED &
VERIFIED BY DA1 E:
• � (� o ARD)
❑ Tree location verified per ...roved site plan.
I:\ Building \Forms \StreetTreeCertificate 05/30/2012