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Permit CITY OF TIGARD MASTER PERMIT ffi ' - COMMUNITY DEVELOPMENT Permit #: MST2012 -00252 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 10/08/2012 Parcel: 2S109DA16600 Jurisdiction: Tigard Site address: 15284 SW OAKMONT PL Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 85 Project: Arlington Heights No 3, Lot 85 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 3 Bedrooms 5 First. 875 sf Basement 0 sf Left 5 Parking Spaces: 0 Height 31 Bathrooms 4 Second' 1625 sf Garage 415 sf Front: 15 Smoke Dwelling Units. 1 Third. 1850 sf Right 5 Detectors Yes Total. 4350 sf Value $484,530 84 Rear 15 PLUMBING Sinks. 1 Water Closets 4 Washing Mach 1 Laundry Trays 1 Rain Drain. 1 Urinals. 0 Lavatones 6 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100 Tubs /Showers: 4 Garbage Disp. 1 Water Heaters 1 Water Lines 100 Drams 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 6 Clothes Dryers' 1 Natural Gas Heat Pump. N Hoods 1 Other Units: 0 Fum <100K 0 Vents: 0 Woodstoves 0 Gas Outlets 4 Fum > =100K 1 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 add9 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 Descnption: Ecompasing Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 4350 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 Geo tech report required prior LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 to footing inspection 2 Ersn Cntrl 503 - 639 -4175 PHONE 503- 387 -7577 PHONE 503- 387 -7577 FAX 503 - 387 -7615 Total Fees: $24,002 89 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through R 952- -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By: Permittee Signature: Lr -- Z...__ Call 503.639.4175 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. l i3uilding Permit Application . Residential FOR OFFICE USE ONLY 2012 Date /By City of Tigard RECEIVED — �� Received 1 v pQ , yy q ,yt V / / a . � Permit No / 0 <.�/�� I N ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review' " i. FF/ /�� Phone: 503.639.4171 Fax: 5 5 (� I Date /By R 0 4_ (•I■9ther Permit ,1oQ�ag S TIGARD Inspection Line 503.639.4175 " Date Ready :y 1 5 21 See Page 2 for Internet: www.tigard -or gov CITY ®FTIG RD _5' ` Notified/Metho l --- Supplemental Information $� �.��N� / �I4N �l/14 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 0 Commercial/industrial Valua[ion:4}S r 0 + ti 't ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address:' 5 2V4 SW oAMONT P`. New dwelling area: 41750 square feet City /State/ZI P: Tigard, OR 97223 Garage /carport area: 415 square feet 1.8036 Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 151 square feet C6,Zc Cross street/directions to job site: Deck area: .t'14, square feet Other structure area: ,A7& ' square feet 1 3 ( REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Arlington Heights Lot no.: v5 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: ( ) 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): FLS plan review fee (if applicable): Phone: ( ) Fax:( ) CCB lic.: 173318 Total fees due upon application: `/ ` Amount received: Authorized signatur This permit application expires if a permit is not obtained � 'ap Ram .2 •)Z within methodology 180 days after it has been accepted as complete. Print name: Date: * Fe methodoll s b ogy set by Tri- County Building Budding Industry - Service Board I \Budding \Permits \BUP -RES PermitApp doc 10/01/09 440-4613T(1 I/02/COM/WEB) Plumbing Permit Application • Building Fixtures RECEIVE 6, City of Tigard Received r p ermit No.: F T 01 Date/By: fl �p R 97223 d �A )Aro?O /. ? 5 3 a 13125 SW Hall Blvd., Tigard, O223 2012 C Plan Review �"�� d n,,, ^J Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.�t v p�0/� d Other T I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By• Juris. 0 See Page 2 for Internet: www.tigard- or.gov Will II N( DIVISIO \'lottfed/Method: Supplemental Information III NO 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 1:1 Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 1 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I w„,924 OV v OA 0147 ?L. 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.: 85 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 piping/DWV 56.29 Address: PO Box 186 Other: 25.02 City/State /ZIP: Estacada, OR 97023 Subtotal Phone: (503)351 - 8532 Fax: (503) 6302882 Minimum permit fee: $72.50 CCB Lic.: 108747 t ?/62 1 //Y Plumbing Lic. no.: 93 1185347 7r Plan review (25% of permit fee) / �/ �/ State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Jay Jardine Date: after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1 \Bwldmg \ Permits \PLMU- PermtApp doc 10/01 /09 440- 46I6T(10 /02 /COM/WEB) , Mechanical Permit Application FOR OFFICE. USE ONLY City of Tigard R E CEIVED Date/By: I oS�� Permit No.: "Al; —p0a . q 13125 SW Hall Blvd., Tigard, OR 97223 � 11 0 Phone: 503.639.4171 Fax: 503.598.1960 nr T 0 2012 Plan Review Other Permit: /�p�(Z/a.��' QS U , Date/By: G n K D_ Inspection Line: 503.639 Date Read /B tu ns: ard -or. ov Ready /By: ® See Page 2 for Internet: www.ti g g @ crrY O ?T !GARD �� Notified/Method Supplemental Information TYPE OF 4`Rlf2��t�e� ` 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: S . RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I and 2 family dwelling ❑ CommerciaUindustrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 152.t} SW 0AlemONT PL. Air conditioning gp ) (requires site plan showin lacement 46.75 City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 46.75 Furnace 100,000+ BTU (ducts/vents) r 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 C Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: Cb5 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 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 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) k' 23.32 ❑ 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 Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace I E -mail: dbritt @stonebridgehomesnw.com Range I 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 lic.: 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 Date: * Fee methodology set by Tn -County Building industry Service Board I \Building\Pennas \MEC- PenntAppdoe 10 /01/09 440- 4617T(I1 /02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY Received City of Tigard DateB : /� Z Permit No.: / 2. ° 13125 SW Hall Blvd., Ti ard, OR 97223 i i + � i� i O a Gd�J C g C� d/ fl Plan Review Other Permit: /�..ale1 0 Phone: 503.639.4171 Fax: 503 598.19. ° °„ „ fl d DateB . I G A R D Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard- or.gov OCT 01 2 012 Noti fied/Method: Supplemental Information TYPE OF WOR y + A p�p� PLAN REVIEW Z'' TY OF 1 T" ARD Please check all that apply (submit 2 sets of plans w /items checked below): ® New construction ❑ Addition/alter;,. a II ISI ®N ❑ Servce or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Mannas 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 Z 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 ", "l -3 ", Job no.: 1 4510 Job site address: I 0N V4 SW °AVM T F• • 100HP or more. occupancy. ❑ 0 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 I Qty. I Pee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: 05 1,000 sq. ft. or less 1 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 1 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 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, each branch circuit 7.42 2 Business name: SEE ABOVE B. Fee for branch circuits . Contact name: without service or feeder fee, 56.18 2 Deirdre Britt first branch circuit Address: Each add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 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 Per Phone: (971) 404 - 1714 Fax: (503) 625 - 3052 inspection 66.25 Investigation per hour ( hr min) 66.25 CCB Lic.: 42422 Electrical Lic.: 26 - 289C Suprv. Lic.: 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: de.,... /NZ> 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. : \Buildmg\Permits \ELC PermitApp doc 10/01/09 440- 4615T(I1/05 /COM/WEB ` STONE BRIDGE OBE: 1456 LOT: 85 t H O Im E S NW RECEBTE I DATE: 9/23/12 4230 GALEWOOD ST. SUITE 100 PROPERTY: GTON 4 LAKE OSWEGO, OR 97035 OCT 01 2012 HEIGHTS (5 3 - 7577 CITY: TIGARD CITE' 4F TIGARD SCALE: 1"=20' 4. BUILDING DIVISION PLAN No.: 179 —MOD 4 OPTION 11 ELEVATION R 1 P 310 .0' TOW 300.0' BOW v m 330.0' TOW m `" 320.0' BOW 0 03 0 v i v ) N Q m m m 4 v N - . FRI m ' m ��� 1 Fca, f _s�p^j. 1 'L.ti \\ � L r- &' ®t �� —1 R' ��.' 294 BOW L. -r -1 B j ? IT _ I 1 ` 330 I , I 333 - 1 r _ , 5 31l _ I `;. i. N I 26'- e in I ai 1 CO E G ID i al I r I t t r •� N -Nit 0 oric rzE c — AI FM . 3 Y ,r .:n . �. I e 1 ILO � web •x'. 10" ^ �• - SEW ERf J _ _ STORM f . _ --II■.I. - - WATER CNI 1 20 a I ,, ' . -;II I I - 'eti ai th / '^ m �� N N N T m al ^ m m m m v I a B B ON Ili el 0 1 M m m m a 'm m m Im cp U SI W fi P-3 ~ an W N V W F W iss LOT COVERAGE STREET TREES LOT AREA: 6,509 SQ. FT. ISO BUILDING AREA: 2,195 SQ. FT. P — PYRU5 CALLERYANA PERCENTAGE: 33.1% ORNAMENTAL PEAR NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL I— IEIGNTS AND LOCATIONS ARE ESTIMATES. TI—IEY MAY VARY AND BE SUBJECT TO CHANGE. LOT VS DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, -6,509 SQ FT. STREETLIGHTS, AND OTI —IER SITE CONDITIONS. 4 t c if`1a. ,...9. E- uR : td .Rte . i' 3.Y ,, altt.Wrt . . - 4. aV S te °',4 , ,e..4 -P•k1. .R,.FaNZ ..,',S,''.:Y.%AVA,414NR1c ,`1.X..,renV ',N,ItiCX I 'a' \4`F tm`4 •h `a•Rwc a� i 114 ° Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No.: Msfao/ 2, C6a 5 Site Address: /6,21V/ `-{ a) e' * HO,Ti L Project Name & Lot No.: AeUA.47)n) i- t era Ai. 3, I-..- -K CWS Service Provider Letter Required: Yes ❑ No Received: Yes ❑ No Routed Plans: ' Original Plan Submittal Date: ,/e0 / 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 if approved. Planning Review (contact Ger h 1b 4'P.4tSl ect� ll €r at 503 - 718 - Z K 3 r or @tigard- or.gov) Land Use Case o. SAS asooG - �-Bbg(' Er Zoning K - 7 1 2( Setbacks: Front i 5 Rear J' Side 5 Street Side lt' Garage .2 O Er Maximum Building Height - 3,er Actual Building Height 3/ ,2 Visual Clearance E1 Easements Er Sensitive Lands Type: pit Notes: t r e- 1s -cA 2 ? ro d Ire€ N 1 Original Plan: Approved Not Approved ❑ Date: ( . - 3- 1 2 - Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: En ineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: : 0,0 Notes: a t)" Original Plan: Approved Not Approved ❑ Date: 1 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) ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved ❑ Not Approved ❑ Date: 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 No ❑ Date Routed to Building: 0/ 3 r i ®Y ofvt:Xitif k4.11.14 . P Page 2 of 2 ' . Di ql _ STONE BRIDGE OBE: 1456 J H LOT: 85 N DATE: 9/23/12 4230 GALEWOOD ST. SUITE 100 RECEIVED PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 HEIGHTS (5 3 - 7577 0 C T 01 2012 CITY: TIGARD SCALE: 1 " =20' CITYOFTIGARD PLAN No.: 173 —MOD BUILDING DIVISION OPTION 11 ELEVATION 310.0' TOW 300.0' BOW v ®� s 330. TOW m ® 320.0' BOW c q v r m ry !.Y v N 0 P. ro "� " / 1 1 m 1 1'1 - ' i _ ) 2 7 t � e —�, .riT nxv 3013' TOW ammil Y .b 2948' BOW T — _ j . S . 1.1- ' �c..Ce�' � a „ 5E BA kV 330 — — (� I 333 s� It 9 311 N , 26'- 9 F. _ 1 ilk { _, ,. , i ■ 4 v .Y ' : f , s . - �' �; - 4 i •33 ' I 2 _3 It '3. ''( w T n DRIVEWA'k�:;-t y. ,. t�l 1 : . r _ _ STORM SEWER „„ `° It _-■ 4) . WATER Min r4 _ on, m '° , in co S o �, 8�� ti m m rf, ry 1B 0 B I0 iii "} a 1 N U ul in m 9 w 'n cl) 2 U Ill O w ki i iN LOT COVERAGE STREET TREES LOT AREA: X0,509 SQ. FT. 0 BUILDING AREA 2,195 SQ. FT. PERCENTAGE: 33 l o — PYRU5 GALLERYANA ORNAMENTAL PEAR NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL I-4EIGI -ITS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT •SS DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 0,509 SQ, FT. STREETLIGHTS, AND OTHER SITE CONDITIONS. Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15284 SW OAKMONT PL, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 03/21/2013 00:00 MST2012-00252 PASS Violation Summary: Inspector Contractor REC EIVE D Permit A Electrical P pA licat 2 D 2012 Ree <ivrd ST-sr 9.--‘10.? s2 City of Tigard Dare omit No. a 13125 SW IHrdl Blvd., 71 /� ARD Plan Review Phone 503.718.2439 M IV Date/By Qdtrslmh: inspection Line: .. ( time netlyBy. emir Cot See PItr 2 km T i G :1 � : l ]ns L 503639417 p � Ulinki Nni1fi ,4tlhod , , 5pppkr.eoul luloruaedw Internet: www.tignrr- lr.gnv -- - — TYPE OF WORK PLAN REVIEW ❑Kew construction ❑Addiliop /alteratiOnilgllacemrnt Please check all Nit apply (sobcit 2 sets of plans vibe= thinned below): D Survi or Feud*r 400 am so socac ❑ Building over duce slates ❑ Delnnlition ❑ Other: — .where the available fault eunaat ❑ Marines and batyarrtn. Cj4T11.(ORY OF CONSTRUCTION exceeds 10,000 antis er. 150 vela or D FlortMr buildings. less to ground, or exceeds 1000 0 1.onmlercial -usc arsiwtuual ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory buiiding maw for a6 other installations, bedding!. ❑ M aster builder ❑ Other Mire pump. ❑ Installation. of 75 KVA or ❑ lVlul)i - family El Emergency syskm, terser 2,pcaidyelerived systole. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load Of ❑ 'A "11" "1 2 ^,'7 - Y', 100HP mimic. occupancy. no.: Job she address: /1$�- 5 v aoa. '.-s- !� ❑ stir ar more residential units la Recavu opal volt ink Part°• 1:11 Health- mere tae Cities. ❑Supply voltage for more than q 4 a 600 yobs nm®ul. Clty /$IetdZIP: ! I ❑Iiacartlmns l scr d iutu. Project none: O Service or feeder 6m naps aMOIL StlitrJbldgJapt no.: -- J - TEE SCHEDULE , Cross street/directions to job site: _ n�uap�.n iti,. I e rr. " fete New resldeetlal single- or =told - family dwelling unit. %eludes attached garage. Lot no.' S 1,000s korImo / l 1611.54 4 Subdivision a1`l i.,,, t ; _ Fa. add'I 500 sq.11 or portion 7 33.92 1 Tax map/parcel no.: -- Linsied energy, residential 75.00 2 DM CKIPTION OF WORK (with above sit R.) Y, A_ ��_ rr Limited energy, multi - family 75.00 2 residential (with zbove Sq. �= a "lad ■ , Sery ices or leaders instaliation, alteration, sadlor rtiieatlon 200 amps or less 100.70 2 _ I 201 romps to 400 amps 133.56 2 ❑ PRO' . '• Y OWNER ❑ TENANT 401 maps to RV amps 200.34 2 Name: 601 amps tb 1,000 amps - 301.14 2 Over 1,000 amps or volts 552.26 2 Address Temporary services or feeders iastaUadott, alteration, and/or City/State/ZiP: relocation 200 amps or less 59.36 f 1 Phgae: ( ) I Fax: ( ) 201 imps to 400 amps 1 125.06 , 2 ilulallation is being made on property that I own which is not 401 amps to 599 amps 16834 1 Owner installation This P* intended for sate, 1easc rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteration, or extension. Per panel Owner signature :, — - __ -- Date: A. Pea for trench circuits wren above service or fcede: fcc, 712 2 ❑ APPLICANT 1 0 CONTACT PERSON etch branch circuit B. Pee for breach circuits without Business name: service of feeder fee. lost 56.18 2 trench circuit Contact name: Each erdd'l branch circuit 7,42 2 . Address: il,(jKlllarreoos (service or feeder gal included) Each ram unicbaed or modular 67.54 2 City/Slate/ZIP: dvm11Mg, sarvitx and/or fender I Phone: ( ) Reconnect only ,Fax:: ( ) Purep of irrigation circle 67.$4 67.54 2 E Phone: or outline lighting 67.8 2 4 2 (CONTRACTOR Signal cbcuit(s) orlimitedalergy Dent. ahemtion, or intension. Pepo _ - _ Business unmet k,�-vet ( 1v v ,,f t ;.,^rstJ „-, 3.-, n Emb additional luspeeden aver allwaa is any of One abov • '' aJ v Additional impel (1 ht miff) 66.25i hr Address: jG�f 53 St ,2,. 3), "`SSSS����"' f/v a 7trvertigatioa ( h mm) 6625/ le City/State/ZIP: /� CL1 /+� lodustriel plant (1 hr min) 76.161 hr + — t" •I. Fax: ( ) . t7/ — inspections for which ile Ix is I SO.OSV hr Phone: 07's sp ecifIcallYhtud (IS hr min) B l ectrocal Lie.' j ELECTIi1CAL PERMIT FEES CCB Lic.rj6yl Z Subtotal' Suprv. Electrician signal.trc, required - Plan review (25% of pe sit. fee): Date: - State surcharge (122% permit fez) Print name �)/ I pewit a TOTAL PERMIT PEE: 1 Authorized si inure ills pplieadan aspires if a permit is am obtained alibi. 180 1;n days after Ulm boa seer aka us nuopkle. Print Rattle: Date: = • Number of in spectre= Mowed perpermit . .I 071/1110 .. . -. ... --- 040-0317rt1 iflu Je iWhe It18016xrPerm iligiLCPacaitAppioc _.. . STREET TREE "C CGARD. CERTIFICATION , owner/ agent for i c , c - , ,,,,4s AAA) L4L- (PLEASE PRINT) (PE HOLDER) 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.: ritc fi (Z 002-5 SITE ADDRESS: I 5 - )-13 tf sw DAt-lc yvt vN-►— fL SUBDIVISION: _ C ; N c0-1) (-4 y, - LOT #: SIGNATURE: DATE: 3— Z j — ( (I r ER/AGENT) RECEIVED & VERIFIED BY. ' DATE: - f— f (CITY OF TIGARD) Tree location verified per ipproved si plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012 Oreg ©n Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I K:e a �� ' r� , am the general contractor or the owner- builder at the following address: Site Address: t 52-B1 5w OA- Icwxbt.1T ��-- City: Permit #: NI ST LO I — -- uo LS Z Subdivision/Lot #: A `r l Vx S ' Ill L b+- c5 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: 3- 2 I - 13 General Contractor or Owner- Builder I:\ Building\ Forrn \RES- MotsturcSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 1 " ` S .r ao p_ _ 00.2_ Jurisdiction: --r te Site Address: 5 Sw Oil- /C.- Wloa, PC Subdivision/Lot #: 14\-Lt ". I A )4, (4- 3 1 1. 1 and /or l 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: ? i -2( -/ 3 • Owner /General Contractor /Authorized Agent • Print Name: IJ 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. I:\ Building \Forms\RES -H ighEfficiencyLighting.doc 07/01/08 \ , • &earth S'Jqa.' 6 i'd'rig E:r ”I .'m; 'e Stl'1"%r' R I earihdvantne vg ms 3It1 Aun Sri It 800. Pnd GP 9'1704 I .503 968 Y :16D G:; ' Inspection Date: 03 , Z1. I RECEIVED Address: 16Z EA S v■I C FL- City: -r-I LA r .. z> MAR 2 1 2013 CITY OF TIGARD Blower Door Test Results BUILDING DIVISION Maximum Allowed ACH: 5.0 (for Earth Advantage) / 4.0 (for ENERGY STAR) Actual CFM: 2089 ACH: 3,1 Verifier Signature / 1 / 1 4 ) / 1 0 2 ____ Energy Trust New Homes s CHANGE FCR THE - Certified Residential Air Duct System - EnergyTrust of Oregon. fnc. Compan Information Company Name -1 (i 7ev■ -e- Technician Pahl/ 11 - .0Feb Date /7-7.1 —r?.. ,r •,_ Combustion Appliance Zone _ ICAZ) Test Main Zone Zone 2, if applies CAZ WRT Outside Pa Pa • Baseline (WRT Outside, fans off) Pa Pa NET CAZ Pressure (subtract baseline from CAZ WRT outside) Pa Pa Duct Leakage (fill out one sticker per duct system) Description of Area System Serves -.. 54r) ry Cond. Floor Area System Serves (ft 41 6 0 0 yes no Air Handler in conditioned space? 3 ---- -fIcr no Air Handler present during test? . -- "yes" for either, then maximum CFM is 75 CFM@50 Pa or floor area x 0.06 =7G21_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 or al Leakage Test Result 1 (t; CFM@50Pa Fan Pressuilerq Pa Gauge type: 0 DG-3 or D1/4-116-700 1 Ring (circle one) Open 2 firtrI Duct Blaster Location m ( /— 1 F i p ° e V e-t Pressure Tap Location ' iii c 1 ,__ ce) ori