Permit q CITY OF TIGARD MASTER PERMIT
11 11 g. • COMMUNITY DEVELOPMENT Permit #: MST2012 -00113
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012
Parcel: 2S109DA17300
Jurisdiction: Tigard
Site address: 15367 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 102
Project: Arlington Heights No. 3, Lot 102
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1468 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1692 sf Garage: 570 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3160 sf Value: $355,837.44 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
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
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 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: 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 3160
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 - 639 -4175
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior
to footing inspection
PHONE: 503 - 387 -7577 PHONE: 503- 387 -7577
FAX: 503- 387 -7615
Total Fees: $20,171.36
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 - -- • - . - 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 NTION: Oreg• • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR 95 001 -• •90. Y. ay obtain a c opy of the rules or direct questions to OUNC by calling 503.232.1987 or .8 8 , 000.332.2344.
Issu • By: 1, / ` i ' ta �� // �`. / Permittee Signature: 7� /
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
I
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.
Buildin'g Permit Application . .
Residential FOR OFFICE USE ONLY
■' / '�V % � `f n ' r
City of Tigard f Date/By: 4� Permit No.: ,5/ 1/yar era/5 /
I II • 13125 SW Hall Blvd., Tigard, OR 97223-, , _ Plan Revi i!L[
C . Phone: 503.639.4171 Fax: 503.598 :1960 . .. Wit,, y Date /By: :� 1 r Other Permit: ,A011
TI it l� Inspection Line: 503.639.4175 . .. / _ `l Date Ready /By: kris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 7 r� L Supplemental Information
40( .0-444124..i .0-444124..i / 4 �
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
® 1- and 2- family dwelling Valuation: 3 ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: C
❑ Master builder ❑ Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 153(1 SW 5 UMM52VIE,v DR • New dwelling area:.( (Q) square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: j, 0 square feet
Suite/bldg. /apt. no.: I Project name: Arlington Heights Covered porch area: 4 (, square feet I (., z.
Cross street/directions to job site: Deck area: 20(0 square feet /445
Other structure area: .3730 square feet ZQ
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: I 0 Z Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 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 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:
T _ n Amount received: 75 4v
Authorized signature: I J
v This permit application expires if a permit is not obtained
I � � O ` GJ .��• 12.. within 180 days after it has been accepted as complete.
Print name: Date: * 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 ; . • ;7
Building Fixtures
��'� �`�
City of Tigard MAY 29 2012 Received ^^ Permit No.: y�
:� • 13125 SW Hall Blvd., Tigard, OR 97223 Date /By: 5 0`� ly � � 1 IS�a 0�`�' �d IS
Plan Re 0 Phone: 503.639.4171 Fax: 50.59.�N,t)� Date /Bvie.v
�a3 rn ;f 4� Date/By: Other Permit No.:�l� r1 (a 0 9g
Inspection Line: 503.639.4175 �.. T'''''; / „y Date Ready /By: )uric: ® See Page 2 for
T I C'. n K D Internet: www.ti and -or. o ��' °.k...- `-, �r' =�
g g 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 I- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® 1- and 2- family dwelling 12 Commercial/industrial SFR (2) bath 437.78
SFR (3) bath ' 500.32 32_
❑ Accessory building ❑ Multi- family
Each additional bath /kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB ^ SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 5%19' Sw CV M maL I E VI'' ' Catch basin or area drain 18.76
Drywell, 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 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.: l 0/. Fixture or item:
Tax map /parcel no.: Backtlow 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
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Jardine Plumbing Water piping/DWV 56.29
Address: p0 Box 186 Other: 25.02
City/State /ZIP: Estacada, OR 97023 Subtotal
Phone: (503)351 - 8532 Fax: (503) 6302882
Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: 108747 Plumbing Lic. no.: 93 1185347
State surcharge (12% of permit fee)
Authorized signature: /? TOTAL PERMIT FEE
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:1BuildingtPemiits \PI MU- PcrmilApp.doc 10/01/09 440- 46161(I0r02 /COM /WIEB)
Mechanical Permit Application loll of i lcr: USE ONLY
Ipi City of Tigard �j `' a f` Date /By: S� t9- Permit No.: �� a Cdr, 3
• 13125 SW Hall Blvd., Tigard, OR 97223 �e�1,-!l11 -21 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: ab� ,s .. COO 9
T I G A R n Inspection Line: 503.639 MAY 2 9 2012 Date /B Read : tuns:
Internet: www.ti and -or. ov Ready /By: S See Pen l for
g S Notified/Method: Supplemental Information
r F 7121
TYPE OF W0gtilLDINcl DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
I -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: I 301 SW Air conditioning
5 CV M MTV I �R (requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 1 46.75
Fumace 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
Subdivision: Arlington Heights Lot no.: l oz.. Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater l 23.32
Gas fireplace J 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 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 I 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 1 1G' lob
❑ 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. I 14-, t •5
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace 1
E -mail: dbritt@stonebridgehomesnw.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 97060 Subtotal
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)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
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' Permits TALC- PcnnilApp.dnc 10/01/09 44046171(1 I /02 /COM /WIin)
Electrical Permit Application 7 c LiV; , FOR OFFICE USE ONLY
e / ,/' 0 ,y VV ( LS
City of Tigard 2 9 2 012 Date d - : 6 � A !1 Permit No.: l s
° 13125 SW Hall Blvd., Tigard, OR 97223 MAY Plan Review
' C . Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: r g (r , 0 0
T I G A R 11 Inspection Line: 503.639 � 11��'�'�`( c ' ' 'G,, GF11 � Date Ready /By: hats: H See Page 2 for
V Y L -,
Internet: www.tigard or.gov � :1\1510 T Notified/Method: Supplemental Information
��� l�l � ab TYPE OF 1'VORK PLAN REVIEW
® New construction ❑ Addition /alteration/replacem 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.: 1 �.. `,' I OOHP or more. occupancy.
G},'l Job site address: SVMM GW l I � v ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ['Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description p I Qr,•. I Fee. I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 102, 1,000 sq. ft. or less 1 168.54 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 5 33.92 "2 I
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) l 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
without service or feeder fee,
Contact name: Deirdre Britt first branch circuit 56.18 2
Address: Each add'l 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: 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
Per inspection 66.25
Phone: (971) 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:
Print name: Chuck Friesen Date:
Plan review (25% of permit fee):
State surcharge (12% of permit fee):
Authorized signature: e TOTAL PERMIT FEE:
Print name: This permit application expires if a permit is not obtained within ISO
Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:' 1 uitding 4'emrits0:LC•1'crmitApp.doc 10 /01 /09 44046151 (11
5 A1143 4 5 ) 407'49- ■
14 q Building Division 15367 ' fyf4Ilielk)
C.
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: 1 -1 °J 1 * t 2--a) I f 3
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A X
Routed Plans: '
Original Plan Submittal Date: 0 1/4 - 91/ 2
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 i approved. �
Planning Review (contact at 503 -718- , � d or �'� a @tigard- or.gov)
Ll�J Zo Case olifj2 ��W / ame j �i /q G ( a l
— / g K •
12 Setbacks: . _ I '
Front 15 Rear / S Side / 7 Street Side. /t 4 Garage Z O
Maximum Building Height 3' Actual Building Height — 2$ r
'Visual Clearance
le Easements '
❑ Sensitive Lands Type:
Notes:
Original Plan: Approved (B Not Approved ❑ Date: lam' 30/ / 1 f
Revision 1: Approved LB' Not Approved ❑ Date: 543/ ll -
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: _7-0 %
Notes:
Original Plan: Approved „Er Not Approved ❑ Date: 7 134? 12
Revision 1: Approved Not Approved ❑ Date: 6 4/ (Z
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)
IJ Street Trees •
Protected Trees , L ( r
Notes: ^. d' 3 Sdnw� � 1 G�� L, /1''^ f,4 Fro /�C dtn N,
Original Plan: Approved ❑ Not Approved / Date: 5 -30 —Rota_
Revision 1: Approved l 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 =/ No /
Date Routed to Building:
_ . /i / /
•
Page 2 of 2
• STONE BRIDGE OBE: 1473 1
• - HOMES ly E �. / DATE: 102
4230 GALEWOOD ST. SUITE loo
PROPERTY:
w ARLINGTON
LAKE OSWEGO, OR 97035 S .9 HEIGHTS
(5 3 - 7577 Mr1Y 3 0 2012 � �L! € CITY: TIGARD
SCALE: 1 " =20'
CITY Of i IG' ; ,a P��� e� PI AN No.: 170 —MOD
BUI! DING DIVI N ,,
A
F. 310 F
5' WME 4 ` �,, 368 �/
321:. � Ain
316' TW .:-C.• ` J + ,., /Q' 366
312' BW / c 4, c...),,
� . ' 33P , • '`r F .. ` 364 /
/ /�.� � 0 ,� . ' � . ,` *1111k 362 I— x � `
ei,„,,., S '.S'
.0j/ ' 4 •'e W •
a ^, - �.�, .I ,� 360
.m a' 5' WME
i, fi
if /
316' TW / ` i , /
/'-' °' / 361' TW
312' BUJ / / S '? �/ / •
. - 3 1 1 s / / 360' BUJ
t� lap
/• / / \ ` ^ 4I 4'3/ ms 's :,. :, 1(
Nir .
' '3 61 OVERED
� DECK 3 A . 3 / i'
i� / ', .'s: ;,' 17)
sit \\ \ , i ' / / 362 TW
, 358' BUJ \,/
O
��
C SILT -i ~ ` \V
FENCE �� _V
_ ` / 361' TW 1 .0 4 '7'.
351' BW w J
LOT COVERAGE LEGEND
LOT AREA: 5,311 SQ. FT. lei
BUILDING AREA: 2,014 SQ. FT.
PERCENTAGE: 31% — STREET TREES:
ORNAMENTAL PEAR
NOTES. -PYRUS GALLERYANA-
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL
HEY MAY RETAINING VARY AND BE SUBJECT TO CHANGE.ARE ESTIMATES. LOT 40 102
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5 ,311 8q. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
q CITY OF TIGARD MASTER PERMIT
11 11 g. • COMMUNITY DEVELOPMENT Permit #: MST2012 -00113
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012
Parcel: 2S109DA17300
Jurisdiction: Tigard
Site address: 15367 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 102
Project: Arlington Heights No. 3, Lot 102
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1468 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1692 sf Garage: 570 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3160 sf Value: $355,837.44 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
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
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 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: 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 3160
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 - 639 -4175
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior
to footing inspection
PHONE: 503 - 387 -7577 PHONE: 503- 387 -7577
FAX: 503- 387 -7615
Total Fees: $20,171.36
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 - -- • - . - 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 NTION: Oreg• • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR 95 001 -• •90. Y. ay obtain a c opy of the rules or direct questions to OUNC by calling 503.232.1987 or .8 8 , 000.332.2344.
Issu • By: 1, / ` i ' ta �� // �`. / Permittee Signature: 7� /
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
I
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.
STREET TREE
TIGARD CERTIFICATION
I,
DA-‘, -/ s c -'z__ , owner/ agent for S *, ' 4,
(PLEASE PRINT) (PE , HOLDER)
do hereby certift that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: m5-r 2,0 l Z— - 0 1 /3
SITE ADDRESS: J 5 3 7 511/4.1 5 jj j
SUBDIVISION: /4 P L 1 - ' LOT #: // ) `L
SIGNATURE: — 1/. DATE: /L / L /
(OWNER/AGENT)
RE CEIVED &
VERIFIED BY DA 1 E:
(CITY OF TIGARD)
Tree location verified per approved site plan.
-
. I. \Building \Forms \StreetTreeCertificate 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 4A57 zo` - 001/3 Jurisdiction:
Site Address: ls
67 S &J t//
Subdivisi Lot . (0 -2
14-2_
L /i
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-
•wner /General Contractor .rtzed Agent
Print Name: ,b h �.L
ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
1:\ Building\ Forms \RES- HighEfficiencyLightmg.doc 07/01/08
Oregon Residential Specialty Code 12318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, `Ld 12.1-k- 4 _ , am the general contractor or the owner - builder
at the following address:
Site Address: /536 7 � „ I �' -' ► , , . . , v r
City: 2 '5 OK
Permit #:
Subdivisio of #: .
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: 1 G � Date: ./ ?, /
General Contractor o - Ow =Builder
I \ Budding \Form\RES- MoistureSensdiveWood doc 09/25/08
,STZcc` C a i 1 3
•
V iii v r `- "'13:IVIPL.4fr 5158"
Energy Trust New Homes 1;4"Ea;+uml
Certified Residential Air Duct System mamba ENERGY SW
eu =}- misiairr #iqn.;�_ Y :: •
Company Name (S
Tech nicra L/,;,, -
Yx. Con .Pti3O€io P0-9 ce,Zone;,(�C_AZ), Test
., Ribin Zone Zone 2, if ajJl,lre::
CA7_ WRT Outside Pa ;'.
Baseline (WR'I' Outside, tans ell) Pa
NET CAZ Pressure (subtract
baseline front CAZ WRT outside) — Pa I'e'
r, "'.DWCf; (,fill °clu 'o a sticCcer per duet systerrr�
Description of Area System Serves 2 51 r#
Conti. Floor Area System Serves (ft`) 3 60 __
❑ yes Air Handler in conditioned space'?
Q,yes ❑ no Air Handler present dut iug test'
If "yes" Fur either, then maximum CFM is 75 CFM(n150 Pa of
flour area x 0.06 = _ U
_ CFM(;r),50 Pa, wtuchevel n gieatet
If "no" tor both, then maximum CFM is 50 CFM(450 Pa or
floor area x 0 04 = _CF M(050 Pa, whichevet is greater
rest Method. ❑ Leakage to Outside or rota' Leakage
Test Result . S I _ — — t F' D50Pa
Fan Pressure _ Pa Gauge type: ❑ DG -3 or X DC- "(I "(IL
Ring (cit etc one) Open
Duct Blaster Location 871 / ✓/ ___ —_ -___
ea r ' 5 st.r :.rblr, Eu d :g �r � x.. , crs l earthafi,an�ge org
808 SW 3x;1 a,e Se Ie 800 Fc •and CP 97204 1 503 968 7160
c�.cY . =:rstitutC
Inspection Date: 12.1
Address: 15361 cwt •dl c?») Dr .
City: 'I iry
Blower Door Test Results
Maximum Allowed ACH: 5.0 (for Earth Advantage) / 4.0 (for ENERGY STAR)
Actual CFM: I N '
ACH: 3, Z
V e r i f i e r Signature V ¢1L ' 1 1 . I L . I L