Permit Support Document TIGARD.
City of Tigard
August 1, 2013
Stone Bridge Homes NW LLC
4230 Galewood St., Ste. 100
Lake Oswego, OR 97035
Re: Permit No. MST2011 -00151
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 15394 SW Oakmont PI
Project Name: Arlington Heights No. 3, Lot 81
Job No.: N/A
Refund Method: ® Check #211041 in the amount of $525.00.
❑ Credit card "return" receipt in the amount of $.00.
Note: Please allow 2 -5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account "deposit" receipt in the amount of $
Comment(s): Per applicant's request as new plans submitted under MST2013- 00154.
Refund 80% of plan review deposit, less development code revision review completed.
If you have any questions please contact me at 503.718.2430.
Sincerely,
/(
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov
I : . City of Tigard
TIGARD Accela Refund Request
®
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Stone Bridge Homes NW LLC DATE: 7/25/2013
4230 Galewood St., Ste 100
Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt #: 183793 Case #: MST2011 -00151
Date: 8/31/2011 Address /Parcel: 15394 SW Oakmont P1
Pay Method: Check Project Name: Arlington Heights No. 3, Lot 81
EXPLANATION: Per applicant's request as change house plan and re- submitted under MST2013- 00154.
Refund 80% of plan review that was not completed.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000 -43104 $ Amount
Plan Review Deposit 230 - 0000 -43106 $525.00
TOTAL REFUND: $525.00
APPROVALS: SIGNATURES /DATE:
If under $5,000 Professional Staff I l A �
If under $12,500 Division Manager li i)A l� .� _ &
If under $25,500 Department Manager v
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM AD INISTRATION USE ONLY
Case Refund Processed: I Date: ,� /j /3 cBy: 1 4 2 74 7---
I: \Building \Refunds \RefundRequest.doc x 09/01/2010
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1-)P
Request Permit Action V 0
r'r(_i';nita). 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.t - gov
TO: CITY OF TIGARD
Building Division Services Supervisor
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor ❑ City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual)� �N(! (�
Mailing Address: ����1'��� 7O Cif (.6cieb too
City /State /Zip: Lick-1e-4_ CS ) -c c Ca- 9 3 T
Phone No.: 5E55 " ?j 7 — 7 S7 7
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
E . CANCEL /VOID PERMIT APPLICATION.
REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑ REMOVE /REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit #: 1 57 c 9-0 l — DC) 1 S /
Site Address or Parcel #: 1 `5 3 9 L U NT
Project Name: A 2_ L, rJ 6 7'd n) '14-ft 6/44 /W 3 L r W
i
Subdivision Name: p t,f (o n, N A-4 3 Lot #:
EXPLANATION: P-JousfC PIA t..) T E?) 5-EE.
) 1`)Tao( CO ( 54 . (1•o — 6u t IJC. PLA tf Jl f_w - Do/3 e)
Signature: I Date: (.e /.c/ /5
Print Name: P - & SL )
Refund Policy
1. The Director or Building Official may authorize the refund of:
a) any fee which was erroneously paid or collected.
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use application fee for issued permits.
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
• e) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds.
F OR OFFICE USE ONLY
Rte to S s Admin: Date Rte to B1d: Admin: Date B te.. M
Refund Processed: Date 42/4finli B 4 Invoice Processed: Date B
Permit Canceled: Date 4 E471, - ffff B 41- Parcel Ta: Added: Date B
Recei.t # , Date Method Amount $
I: \Building \Forms \RegPermitAction.doc Rev 05/25/2012
Building Permit Applicati n
Residential 0 1 0 rt►It tlrF ILl: I:sr: c►Ni.y
Received . N `3
City of Tigard �� Date/B : / ®ga �/r j� Permit No.: /" T _ _ ! , —
1 3125 SW Hall Blvd., Tigard, OR 97223 �` 1`t P R ev i ew '
Phone: 503.639.4171 Fax: 503.598 `I C D : other Permit: I I , n I; I Inspection line: 503.639.4175 �0�1 Date ReadyBy: ® See Page 2 for
Internet: www.tigard -or.gov ,. Notified/Method: r Supplemental Information
` 0�� �X O
TYPE OF WORK )
�l REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ D ifi0 Perm it fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ OOer: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. p
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 24
1 5
❑ Accessory building ❑ Multi- family Number of bedrooms: S
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 15394 9A/ OAKM GMT PL. New dwelling area: 414 0 square feet
City / State/ZIP: Tigard, OR 97223 Garage/carport area: 99 6 square feet
Suite/bldg. /apt. no.: I Project name: Arlington Heights Covered porch area: I LID square feet
Cross street/directions to job site: Deck area: 4 square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: VI Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New, Single Family Residential Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes Type of construction:
Address: 16869 SW 65th Avenue #505 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 w fee schedulee)
Structural plan review fee (or deposit):
City / State/ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 173318 Total fees due upon application:
Authorized signature!- Amount received:
This permit application expires if a permit is not obtained
I Print name: PIR.E TT I Date: �, j ,.,11 * within 180 days after it has been accepted as complete.
Fee methodology set by Tri -County Building Industry
Service Board.
I: \BuildingTertnits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(I1 /02/COM/WEB)
. •
Plumbing Permit Application *, 1 11
Building Fixtures - FOR OFFICE I'til? (►NI.1"
City of Tigard 6 Receiv Permit No.: 0- ( awl
1,1 Date/By:
• 13125 SW Hall Blvd., Tigard, OR
Plan Review
■ Phone: 503.639.4171 Fax: 503.598.1960 \c.) Date/By: Other Permit No.:
Inspection Line: 503.639.4175 P`' �G ,I (. Date Rd e 2 for
T I U A R I) InternInternet: www.ti rd -or. ov l l Ready/ By Ju ris: S5 See Pa U
ga g ` Vt() w %\` Notified/Method: Supplemental Information
TYPE OF WORK C,l,` FEE' SCHEDULE
® * New construction ❑ Ilion For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 R. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
building SFR (3) bath 500.32
❑ Accessory 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: 5344 SW D A*CMONT PL. 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.: el 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: ( ) I 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: Legacy Plumbing
Water piping/DWV 56.29
Address: 8985 Hazelvern Way Other: 25.02
City /State/ZIP: Portland, OR 97223 Subtotal
Phone: (503) 816 -8887 Fax: (503) 297 -4587 Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: 159281 Plumbing Lic. no.: 26 -517PB
State surcharge (12% of permit fee)
Authorized signature: '7/Li .-,`, I TOTAL PERMIT FEE
Print name: Matt Nelson I Date: Ci . 22,.. II I 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.
1:\ Building \ Permits \PI,MU- PcrmitApp.doc 10 /01/09 440.4616T(I0 /02/COM/WEB)
Mechanical Permit Application V rOR r►rrlr r t SI:. ONLY
City of Tigard ��� n(� DateeB� Permit No.: s r • , _ 60 I
:� 13125 SW Hall Blvd., Tigard, OR 97223 J
Phone: 503.639.4171 Fax: 503.598.1960 `:.�
g `, rm
F Other i
Ins Line: 503.639.a175 G �
T I G n R II ) ft � �` Juri ® See Page 2 far
Internet: www.tigard -or.g 4 p' / � A � Supplemental Information
A v
C' \
TYPE OF WORK � �� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ 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: 155394 SW OAKMONT PL, 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.: el
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 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 33.39
Single-duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: same as above Fnel i rn
PP g
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address:
Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
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
Phone: (503) 667 -5595 I Fax: (503) 491 -8252 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (12% of permit fee)
...,...C.--._. TOTAL PEmMsT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days ys after r it has been accepted as complete.
Print name: David Heldstab I Date: O.2.2.. II • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Pcnnirs\MtiC•Pemi.App.doc 10/01/09 440 - 46171'(11102 /COM/W1(13)
Electrical Permit Application f� FOR (I FF1( - F I'SF ON1.1'
‘k. � 1` Received
City of Tigard 1 �� Date/B :
Ii
GO Permit No.: II v6 (
13125 SW Hall Blvd., Tigard, OR 97223 1
B Phone: 503.639.4171 Fax: 503.598.1960 p��� r IMMII'a II
1 i c' A It l) I Line: 503.639.4175 4 .. „*„. Date Ready' : Juris: ® See Page 2 for
Internet: www.tigard- or.gov G S 03" Notified/Method: Supplemental Information
TYPE OF WORIe i v "" PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 1452.. I Job site address: 15344 $ W OAS' 1 O NT P(, I00HP 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.: I Project name: Arlington Heights ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description J P I Qtv. ( Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: VI 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.: Ea. add'i 500 sq. R. or portion 33.92 1
Limited energy, residential 67.84 2
DESCRIPTION OF WORK (with above sq. ft.)
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
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,
7.42 2
each branch circuit
Business name: SEE ABOVE B. Fee for branch circuits
without service or feeder fee,
Contact name: Deirdre Brio first branch circuit 56.18 2
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
per hour (1 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: Of;t,L1•II Plan review (25% of permit fee):
State surcharge (12% of permit fee):
Authorized signature: 2 TOTAL PERMIT FEE:
Print name: Date: This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\ Building \Pemtits \I:LC- PermiIApp.doe 10/01/09 440-46157(11 /05 /COM /WIB
'PI o Building Division
Development Code Provision Review
T ► c n R Residential Projects
Building Permit No: / C) J/ c r) /S (
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: '2 3/ /
15t Revision Submittal Date: 'II ' 1 %/ 07Y ❑ 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 at 503- 718 -� O or ' I _y"'v r J @tigard- or.gov)
Land se Case no. 5/ (0" UC� N Q�,11�6 0 f ol!C`� /
Zoning 1
❑ Setbacks: / f
Front ! S Rear � 5 Side 6 . Street Side /d Garage
l2l Maximum Building Height Actual Building Height'
Er Clearance
l asements p �
9 Sensitive Lands Type: l�- S S' ? / , . 6041 l b
Notes: -. -
Original Plan: Approved I' Not Approved ❑ Date: 9/1
Revision 1: Approved ltP' • Not Approved ❑ Date: 9 1 // jl/
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Ef Actual Slope: 2 7
Notes:
Original Plan: Approved.. Not Approved ❑ Date: q /
Revision 1: Approve Not Approved ❑ Date: /t
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
•
Page 1 of 2
rist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov)
,creet Trees
'Protected Trees
Notes: sic ,-e1( r)
Original Plan: Approved ❑ / Not Approved C" Date: y�
Revision 1: Approved ® Not Approved ❑ Date: Fp/
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 q11111
r1
Date Routed to Building.
4 • // ur
Page 2 of 2
w v
STONEBRIDGE Awscabilif Ili 1 1 1 OBE: 1452
HOME NW L.7...0 0/6 LOT: 81
1.013051 SW 1515th AVE., * 1500 DATE: 0/1/11
L♦zE OBYIGO, OREGON 07055
( 1503)007 -7677 PROPERTY: ARLINGTON
HEIGHTS
o itu REcEIvED
CITY TIGARD
SCALE: 1' =20'
' j SEP 0 1 2011 PLAN No.: 170
air CITY OF TIGARD oPT. 11 EL1gVATION
Rai 20'-0' PLANNI NG/ENGINEERING ii i* .a
IL 9' BUJE
g i fts I
6 I 340 MD
M■ ' 900 I I�
_ ii i - •
31- 1 � . Q� GR EiE I c O itiffilillaNNISMIMai;$ N
DRIVEW4 j
/ 321 :19 j i
b I rill lij , �� I pk
I
a c If i if
dy, EL. „
jr ,
1
�v
5. _ 1 % 4 !0_ 2 / tilk "4
i P ZCE
6
,.....
.... ,..., ... ft,
lb,` s
5' w1E \ 77
S
LOT COVERAGE STREET TREES
LOT AREA: 6,596 SQ. FT.
BUILDING AREA: 2 ,205 SQ. FT.
— PARKWAY MAPLE
PERCENTAGE: 34%
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL THEY MMRETAINING
YVRY AND BE HEIGHTS
UBJECTT LOCATIONS O CI- I ARE ESTIMATES.
LOT led
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 6 q. ft
STREETLIGHTS, AND OTHER SITE CONDITIONS.
abA