Permit CITY OF TIGARD MASTER PERMIT
i q I
s . CO MMUNITY DEVELOPMENT P #: MST2013 00062
T I G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2013
Parcel: 2S 109DA15900
Jurisdiction: Tigard
Site address: 15432 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 78
Project: Arlington Heights No. 3, Lot 78
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1243 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1437 sf Garage: 457 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2680 sf Value: $298,902.04 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
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'I 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 2680
Owner: Contractor:
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST, STE 100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 639 - 4175
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: PHONE: 503 - 387 -7577
FAX: 503 - 387 -7615
Total Fees: $20,117.52
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 0 952 -00 0090. Your � ay�obtain a copy of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.2344.
�/ --.?
Issued By: "` al--- Permittee Signature:
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.
' Building Permit Application
Residential REC FOR OFFICE USE ONLY
Received
City of Tigard Date /By: 3 1 $ ` k / La
Permit No. MSTaa//5�Q�'�
13125 SW Hall Blvd., Tigard, OR 97223 MAR 18 2013 Plan Rev
Phone: 503.639.4171 Fax: 503.598.19 Date /By: �;1 i„z..i l I Other Permit: twege)6 -00051
Inspection Line: 503.639.4175 Date Read ;y: See Juris ® S Page 2 for
l IC.ARD WILDING DIM t I OFTk3.,p � S
Internet: www.tigard - or.gov 1 /Is ./ Noti ed/Me od: � Supplemental Information
a ' •
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 ind on application.
® I - and 2- family dwelling ❑ Commercial /industrial Valua -i" $ -�
111 Accessory building 111 Multi-family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 2.
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
Job site address: l bilfW, S 71/ M'1>7 I v DQ. New dwelling area: 2(7o square feet
City /State/ZIP: Tigard, OR 97223 Garage /carport area: 45] square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 1 3 square feet (43`2
Cross street/directions to job site: Deck area: + square feet I -2 643
Other structure area: 27 square feet 21N
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: lb 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: S
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 r ❑ 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 /71 P: 41.6 applicant is exempt from licensing, the following reasons
apply:
Phone: ( 1 Fax:: ( )
E-mail: dbritt a 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: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 173318 Total fees due upon application:
-1)„...e Amount received: 0.75t) •ev
Authorized signature:
This permit application expires if a permit is not obtained
� 13R1 0 � •I 3 * within methodology 180 days seter it has been accepted as complete.
Print name: � Date: Fee methodology y set by Tri�our Building Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440 -46I3T(11 /02 /COM/WEB)
Plumbing Permit Application
Building Fixtures RECEIVE Cit of Ti and 3 t • P j , /5 -ea: (a 2
y g Date/By: Permit No.:
IN
• 13125 SW Hall Blvd., Tigard, OR 97223 MAR 18 2013 c _
• Phone: 503.639.4171 Fax: 503.598.1960 Da[eB Review Other Permit No.: d� le po s
Date/By:
/
Inspection Line: 503.639.4175 a pate Read /B Awls: ®Se Page 2 for
11(.,11:1)
Internet: www.tigard or.gov CITY TIG A Ready /By: R
Notified/Method: Supplemental Information
TYPE OF WORKBUILDING DIVISION 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
SFR (3) bath ' 500.32
❑ 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:, 5432
Ski St/MM tVI as Da. 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.: 799 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 /astonebridgehomesnw.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Jardine Plumbing Water p�p� P� I in 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 Lie.: 108747 Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee)
Authorized signature: - 3 3 F»
State surcharge (12% of permit fee)
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:, Building \Permits \PLMU - PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Mechanical Permit Applicatio VE FOR OFFICE USE ONLY
City of Tigard � �' p e }� Permit No.: 5i� , ����
- 13125 SW Hall Blvd., Tigard, OR 97223 e - dim ` " "
Phone: 503.639.4171 Fax: 503.598.1960 MAR 18 2013 DateBy:1ew Other Permit: S
6/.47/2_,A0/ --- �)
T I G A R D Inspection Line: 503.639 Date Ready/By: 1uris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISIOP►
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
N ew construction
® 0 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: $
t -an 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
El Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 16432 SIA) SWAN M ASN DR • Air conditioning
(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
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 I 33.39
City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust I 33.39
Single -duct exhaust (bathrooms, r
Phone: (503)387 - 7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 6/ 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. I
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone: ( ) l ax:: ( ) Water heater
1 Fireplace
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
Minimum permit fee ($90.00)
Phone: (503) 667 - 5595 Fax: (503) 491 -8252 Plan review (25% of permit fee)
CCB lie.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: David Heldstab I Date: • Fee methodology set by Tri -County Building Industry Service Board
I:1 Building \Perm its:MFC- PermitApp.doc 10/01/09 440 -4617T ( I 1 /02 /COM'WEB)
Electrical Permit Application
- E E , roR OFFlCI: I.SE ONLY
City of Tigard
MAR 1 S 2013 4 . �� 3 ,� 2c mitNa.: /`/ obi g -ac�ln 1-
13125 SW Ball Blvd., Tigard, OR 97223 plan Re.iow
Phooc Sn3 710.2439 Fes: SC1 ": { DateBv D��1'�mh: 2 a U(� -Lbos9
11 Ina co lon Lino: 503.639.4175 x , 11 1 of 1 risteR�lyBy. turix 1 l $ee Vocal for
TiC.1R p RIIILDING DMVIS ,t-�lnnhed/hddFAd
Internet: wWw,tigtrd- or.gav Suppleroeoul lafawatiau
TYPE OF WORK PLAN REVi6W •
Additionialnerationir iaeematt Please check oft�acapply( wboitj ,setsofpl=%valeascbe44edbelcw):
g1�8w' C��nsL ❑ ❑ Service or feeder 400 amyl or more
❑ Bui:dirr>s cr•ct live stories.
❑ Demolition ❑ Other: .t.bere thn available fault eunent ❑ermines and boatya.rin.
CATZGORY CONSTRUCTION exceeds 10,000 ID Flc incbu.7din . CONSTRUCTION lez to goer" td, cc exceeds 14,000 ❑ 1.nrracreir1 alziwtlnral
— 21- and 2- family dwelling ❑ Comrncrcinllindustrinl ❑ Accessory building amps fct etl other ioshdbeions, baddings.
0 1w1Ult't-farnily ❑ Master builder Ocher OFhe pump. 0 lasrallafco of 75 KVA or
❑ ❑rmerpeney system, larger sepxately derived sysecin.
JOB SITE INFORMATION AND CLOCATION M I ❑ Addition of new nocar Load of ❑ ^.A" "2 "t - 2' " - 3" 100HP remote.
Job no.: `qa l Job she address: ❑ sip or mare retiidmtial eons ❑ Rc < :tom,1irlc pare.
/� c/� 01•care F3 el line:. ❑ Supply •;ultage fur morn auen
CtNl . lat Lai : �, Cl ia. lecasuas 403 volts nerraLd.
❑ serc or :eerier 601 amps or retire.
Suite/bldg./apt. no.: Project name: vt TEE SCHEDULE
Cross sine /directions to job sits: _ o dpnan i i . i eve. Ta rs
New residential single- or multi- fatally dwelling unit.
Iadttdes attached garagc.
Subdivision: ARIA ARIA � N1'COI N emus Lot no .:1 tV 1,101 s1. ft orle>5 1 1 168.54 4
( � Ea. o,.id'1500 sq. 1L or portion 57..92 1
Tax reap /parcel no.: . --, Lim ited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. (1.)
(�� � ( � I Limited mercy, rnwti- farr,aj 75.00 2
I NI ON I O 14 r �7 ,
��/I PA A sesidential (with above sq. fl.) � Services or leedere insW on
lation, alteration. aedfor relocation
Y
' 200anpsorless
I 100.70 2I
ZPROPER OWNER ❑ TENANT 231 gimps to aooanps 133.56 2 i
_ l'ul 4'3! unps to 60?) am 34 2 1
: I Vamea1� Iv „__ RI imps to 1,000 amps 301.c4 2
I Address: ��30 G D S1( ►�/� G a W : Ova 1.000 amps or volts — __ 55226 2
(`b / o3 Temporary services or leaders iuttauatl0Q alteration. and/or
City /Stat{{a(�,Z/,�iPhn: W relocation ,
( JV ✓ 5 1 �i 3) 3 ir - 15 '_6
+ 1
Phone: Fax: ` 201 amps or less 59. 125.08 + 2
Nil amps to 400 amps
Owner installat This insixilation is being made on property that I own which is not 401 amps w caws s 16854 12
intended for sale, ]east salt or exc according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration. or exult/don, per panel
Own0i signature: Dale: A. T. c for branch circuits with I
, abotieseviccorfeederFe, 7.42 2
❑ APPLICANT }Q C j O �NT4C1 PERSON cash branch cir,uu
B. Fee for heart 1t circuits without
Business name: service or feeder fcc, filial 56.18 2
'f�0 ..DR. -ITT 'crunch circuit
Contact coot.: F-: ch adefl hooch circuit 7.42 2
l Addres Miscellaneous (service or feeder not incindcdi •
Er mmrufacaud ortnomtlsr 67.54 2
! CitytState/Z1P: dwell"ott,sari = and/orfoeder
i — Rcrnnncanoly 67.84 2
Phone: ( ) . , Fax: : ( ) I trump ne irrigation circle 67.8+1 2
E-mai :: Sign or outline lighting 67.84 7
CONTRACTOR Sisal chcuit(s) or limited-energy
- lei alteration, or extension. Pete2 1 2
Business ltame (� C t �J �Vt s ,ll •c��U fly h� Each additional inspecfion overalionabtc in any of the above
Address: l CC/53 ,.5 3 , v 0,-, 0 Addi - jos:i l inspection (1 u min) 60251 hr
- -- 'rrveetigs1I0s (1 lr min) 66.25i hi
1 City /State/ZiP: C KkciscL -t. e�` _ l ave rialpie hr mnin) 73.18/ hr
/ ♦ 4/ /l / � Inspections for which or fx is I So.00i hr I `
Phone: � � `L ? 4 � Fes( ) +" U ' v spz:itica ylis :te 04hrtnin) l
,- ` CCB Lic.el�// Eleciztcal Li 5tl(trv- l.ic. :3f,, 1 5 ELECTRICAL 14 hr tc PERMIT FEES - J
Subtotal: 1 +
Suprv. Elecaieian 9gnailse, required: �t - -- ," --------- Plan review (25% of pail fee):
— Dare: State surcharge (l? of permit fart
l
Print naive: 1_---
TOTAL PEIMITPFE
I Authorized signature Tots parole a pplication expires it a permit is cot obtained within 180
days after alma been accepted us complete.
Print name: Date' • Number cf in:aeotioa: allowed per permit. •
I c1BcilfrmrPrmibvILCVrcaeiulnpdoc 07tnnn 440 - 513T0Iro :rmMIWr2
( — — •-• - • - --
•
11 111 ■
Building Division
Development Code Provision Review
I I C ' A R D Residential Projects
Building Permit No.: T9 t) '1-D _b 00
Project /Subdivision Name: P L., T »,•J 14 CT5 1\ , Lot #: 7 'C'
Site Address: 5 MH ,2.- tl e.1) - 02-
CWS Service Provider Letter:
Required: Yes ❑ No n
Received: Yes ❑ No
Plans Routed: /�,,
Original Plan Submittal Date:. $ Routed BciD-
1st Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd Revision Submittal Date: ❑ Site Plan Only Routed By:
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 YIS �
YlOV� 2 1 C. 2- at (503) 718 -24 1 or /,'A �e,S V-- @tigard-
or.gov) `1
Land Use Case No. SI.{ E Z( — 00 001
Zoning R-7
0 Setbacks: ,
F c ont 15 Rear Side S Street Side I Garage '2.-D
irimum Building Height: 35 Actual Building Height o� �‘
isual Clearance
Easements
Q- ensitive Lands Type: LAN ViGl lQI { //l+ \IG1t1 A 6/
Q ' Street Trees
Q <Protected Trees N) IA_
.
Notes: CP/O � (i pIV1JG YPl L A t frrf
Original Plan: Approved L/ Not Approved ❑ Date: / 5 I ) C \ \
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov)
.B Slope: 2 v
Notes:
Original Plan: Approved .0r Not Approved ❑ Date: i
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
C .
Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albeit @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 0( No ❑
Date Routed to Building: ` a - 1 3
Page 2 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
1
STONE BRIDGE RECEIVPr OBE: 1449
HOMES D: 78 T: 2/27/13
MAR18201
423o GALEWOOD ST. SUITE 100 PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97 CITYOFT HEIGHTS
(5 387 -7577 BUILDING QIVigo CITY: TIGARD
SCALE: 1 " =20'
SITE PLAN PLAN No.: 714
a $, \
r \ \ \ \�9
ti I BOULDER /' 0 r° • •l
yl
WALL //i // /., .., t
/
S se. n_ / / 3. 9"
8/ � /;',/ / ) 7 5%;---
y f
' / 2,610 SO. PT. /4. I I
, i / Z 1/1 BATH / / ^7
// RRE. 83233' ,% ////
h /�: m ,�' ' / / $�
oi/ i ^° ti /1
A / a / 25.T TOW
I. / „ , "q ti / 3 dv ii c•
6 ,f . /
491 s 44411F%4. %//
4 T L 1 i / , ,, - wQ ` \ \ \ t sic •
ry � � . i 3 .8 B• 4C
a
8447‘4*I V
4 /,y ",
LOT COVERAGE /i /,, STREET TREES 1 0 LOT AREA 5,191 SQ. FT. �/
BUILDING AREA: 1,540 SQ. FT.
PERCENTAGE: 35.40 — R 4YWOOD A51
FRAXINUS OXYCARPA-
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. LOT °IS
THEY MAY VARY AND BE SUBJECT TO CI - IANGE. 5i9� �Q. I=T.
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, ,
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
15432 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
315 Post/beam plumbing
05/15/2013 00:00
MST2013-00062
PART
1. freeze protection needed at: water service pipe, from footing to stub-out in garage, to
protect all water pipes in unconditioned spaces 313.6
Violation Summary:
Inspector Contractor
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
15432 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
335 Rain drain
05/02/2013 00:00
MST2013-00062
PASS
Violation Summary:
Inspector Contractor
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
15432 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
330 Water service
05/02/2013 00:00
MST2013-00062
PASS
Violation Summary:
Inspector Contractor
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
15432 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
315 Post/beam plumbing
05/22/2013 00:00
MST2013-00062
PASS
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
•
T ��a , am the general contractor or the owner-builder
at the following address:
Site Address: 5 3 V‘'
City: ¶� c—r c►
•
Permit#: 2_0 13 - el b Z •
Subdivisio of #. 7
and/or
Map and Tax Lot#: �2l �„ ,,` � y► S
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 feference].
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: - - v Date:
General Contractor or a - -Bu' der
1:\Building\Form\RES-MoistureSensilrveWood.doe 09125/08 -
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,1 STREET TREE
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g43,G T -03= - CERTIFICATION
I, t --- ve.C 4-S G L _ , owner/a g e n t for S-�J-2- $f c / (-b iu w ,
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certib 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.
PERMITNO.: eST Zo r3 - azao6z
Sri E ADDRESS: 15-1—i 3 Z Sw ><(A)pA r-
S UBDIVISION• ;' (LC- 1z,,,, LOT#: 7
SIGNATURE: 4 DATE: 9=51-1
(O AGENT)
RECEIVED
VERIFIED BY: DATE: 7--7— 9
' CITY OF TIGARD)
❑ Tree location verified pe approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
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This mark certifies that this home was built in strict accordance with �)1. Use Avery®TEMPLATE 51 fiBTm
Earth Advantage®green building guidelines and has passed '•z, —
performance tests and two onsite building inspections. nergy Trust New Homes r\[MANGE FOR THE
GETTER WITH
Certified Residential Air Duct System „.,,.,„-,A,7 ENERGY STAR
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TI G/— o � ' `� Compan Information
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Date:Q�/057 ti� I Main Zone Zone 2,if applies
Passed By: V)(z� (,V(� CAZ WRT Outside Pa Pa
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Duct Leakage(fill out one sticker per duct system)
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eearthadvaniagE Description of Area System Serves
a home certification •
Cond.Floor Area System Serves(ft2)
This home has been certified as an Earth Advantage®New Home.All Earth
*51 s IQ no Air Handler in conditioned space?
Advantage homes are built with the same attributes as other high quality �❑�n0 Air Handler present during test?
homes but they also include a comprehensive package of energy efficiency
and environmental features you will not find anywhere else. : If"yes^for either,th um CFM is 75 CFM @50 Pa or
1 floor area x 0.06 = CFM @50 Pa,whichever is Beater.
Since this house was performance tested for quality,you can be assured it If'�nor for both,then maximum CFM is 50 CFM cheer or
Ads passed -a recognized regional leader construction criteria of the Earth science
Advantage program floor area x 0.04 = CFM @50 Pa whichever is greater.
and implementation. Test Method: ❑(/�Le�awka`ge to Outside or otal Leakage
l Your Earth Advantage certified home was built with sustainable materials, I Test Result I(J �+ CFM @SLea
-1 techniques and systems that reduce pollutant sources and improve your -
indoor air quality,ensuring a healthier home.It was designed to be energy Fan Pressure Pa Gauge type: ❑ DG-3 or CCi7C
efficient, cutting your energy consumption and utility costs. The Earth
Advantage New Homes program also guarantees superior environmental Ming(circle one) Open 1 2
{ responsibility and resource efficiency in home construction through the Blaster Location gleiafrje:O_I"X use of recycled and/or renewable materials that decrease waste an
increase the durability of your home. 7jP!ryA Pressure Tap Location
'C%` advantage institute
www.earthadvantage.org
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Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: y1 060LZ
Jurisdiction: J J
` 0,x4
Site Address: \5.-L3.-1..„
Subdivisio Lot .
and/or
Map and Tax Lot#: _ L ✓`,'--°`^
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)1
Signature: Date: r 5-/3
Owner/General Contractor/Authorized Agent
Print Name: sb _
ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
1:\Building\FOrms\RES-HighEfficiencyLighting.doc 07/01/08