Permit RECEIVED
'' Community Development JAN 0 4 2012
Request for Permit Action CITY OF TIGARD
TIGARD BUILDING DIVISION
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: t
INVOICE TO: (Business or Individual) 5 fio N .e_ c-,C\ 1 ,.....---e_5 �)
Mailing Address: ) IS) 1 s Ej S''-► /I-- v-e — 5° 5
City/State/Zip: C),514-)--e-,-0 U °f 7 0 3 5
Phone No.: 5c-)3 —3 1( 7 — 7 $ 3
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt).
❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: 1-(`a1 a o 1( -660 77
Site Address or Parcel #: 15. t? 66c) r-t N Q2 the w
/
Project Name: AK.l_l 0&rb A) At/611-7:5 No. 3
Subdivision Name: It rf Lot #: AD S
EXPLANATION: a Lt......7 c 1O c., cl a r- 1 i- -
, f_._ 5 i o`to -cam.
Signature: �, Date: / - 4/ ( Z
Print Name: l4 frt. ✓t aS(dv-j
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b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.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.
Rte to Sys Admin: Date/ y /' Rte to Bldg Admin: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
Receipt# Date Method Amount$
I:\Building\Forms\RegPem itAction.doc Rev 04/26/2011
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 182426 - 05/10/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2011-00077 Plan Review 2300000-43106 $750.00
Total: $750.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 32828 DADAMSKI 05/10/2011 $750.00
Payor: Stone Bridge Homes NW LLC
Total Payments: $750.00
Balance Due: $17,405.73
Page 1 of 1
Building Permit Application �1
Residential RECEIVE , FOR OFFICE USE ONLY
City of Tigard Date/B d .7 f/�en Permit No.. �y r2o,I-io0 7 �i• 13125 SW Hall Blvd.,Tigard,OR 97223
MAY 0 2011
_ a
8 Plan Review i ra�� 10 0// 70
II
s Phone: 503.639.4171 Fax: 503.598.1960 Date/B : ♦`. Other Permit:OYL+s"7
Inspection Line: 503.639.4175 BUILDING OF TIGARD Date Ready a tuns: Vi See Page 2 for
T I G A R D
BUILDING DIVISION Notified/Method: Supplemental Information
Internet: www.tigard-or.gov L7 � 1'7 /f� pp
spate t,Jr11A „)
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction El Demolition- - Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 'Z9,t� 69'2
i eC
® I-and 2-family dwelling ID Commercial/industrial 1 T J
❑Accessory building ❑Multi-family Number of bedrooms: 9-
❑Master builder ❑Other: Number of bathrooms:
JOB 2..
B SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I 53I9 Sw SV MmERN IFAA,przAvE. New dwelling area:2_14 l.92 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: 1 V D square feet
Suite/bldg./apt.no.: Project name:Arlington Heights Covered porch area: "73 square feet 707
Cross street/directions to job site: Deck area: c2c square feet I7
_Other structure area:,4-Z square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Arlington Heights Lot no.: ItS 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 I ❑ 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 111-4-?043 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: — (Meese refer So fee eelsei
Structural plan review fee(or deposit):
City/State/ZIP:
FLS plan review fee(if applicable):
Phone:( ) Fax:( ) _ —
CCB lic.:173318 Total fees due upon application:
Amount received: K?,Q,O a
Authorized signature: — laedi) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: PEI RE BRA-1 1'T Date: OF • Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 4404613T(11/02/COM/WEB)
Electrical Permit Application ra FOR OFFICE USE ONLY
II City of Tigard RFJLi R:ci4ed - \ k1 ao« -60077
13125 SW Hall Blvd.,Tigard,OR 97223 uatellr !� 11 RE !az.
$
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
MAY 1 0 20 1DatelBy: Other Permit: Q (..000-70
Inspection Line: 503.639.4175 Date Ready/By: inns: ® See Page 2 for
Internet: www.tigard-or.gov f+l-nt r,r re-•.1,..Notilied/Method: Supplemental Information
TYPE OF WORK Pali PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below I.
❑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
El Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","I-2","1-3",
Job no.: 14'1 Job site address:(5 2)11 SW ' M MEIZVI EM/ 1)12. 1 more. occupancy.
❑Six Six or or more 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 SC
Cross street/directions to job site: Description I Qh. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Arlington Heights I Lot no.: 1o5 1,000 sq.ft.or less ) 168.54 t,(,e. .--4
Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion rj 33.92 i Wr.i,C, I
Limited energy,residential 2
DESCRIPTION OF WORK (with above sq.ft.) I 7•5— •�
Limited energy,multi-family 67.84
residential(with above sq.R.)
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
0 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 ❑ 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 _
Address: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling,service and/or feeder 67.84 2-
Phone:( ) Fax::( ) Reconnect only 67.84 2
E-mail: dbrift@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 Investigation inspection 66.25
Investigation per hour(I hr min) G6._�
CCB Lic.: 42422 I Electrical Lic.: 26-289C Suprv.Lic.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 413.4_
Print name: Chuck Friesen Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee): 4-1,
Authorized signature: �j TOTAL PERMIT FEE: 4472,"7Z
Print name: Date: This permit application expires ifa permit is not obtained within 180
days after it has been accepted as complete.
" Number of inspections allowed per permit.
1:\Building\Permits\EI.C-PennitApp.doc 10/01/09 440-4615111 1 x05/COMM'EB
Mechanical Permit Application t°i+ r F - FOR OFFICE USE ONLY
City of Tigard L a _ l c"`m l ,
II bate/By: • i / Ir
• 13125 SW W Hall Blvd., I igard,OR 97223
Date
MAY 1 0 2011
Plan,BReview y:
I Phone: 503.639.4171 Fax: 503.598.1960
Inspection Line: 503.639.4175
T I G A R 17 g g CITY OF TIGARD Date ed/Met Ready/By: lark Supplemental See Page 2 for
Internet: %%Am.fi and-or. ov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
®New construction ID 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:$
1-and2-famil dwelling R�IENTIALEQUIPMENT/SSIEirlllr SYSTEMS
® 2-family g ❑Commercial/industrial ❑Accessory building
For special information use checklist.
❑Multi-family ❑Master builder ❑Other: -
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
' Air conditioning
Job site address: 15'311 SW SUM MEI'ZV 1 EW DIU V E (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ducts/vents) I 46.75 4(0,7.e—
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.: I O5 Other: 23.32 _
Tax map/parcel no.: Other fuel appliances •
DESCRIPTION OF WORK Water heater 23.32 13.'
Gas fireplace 33.39j.
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 0 TENA T Chimney/liner/flue%vent 23.32
t Other: 23.32
Name:Stone Bridge Homes NW,LLC Environmental exhaust and ventilation
Address: 16869 SW 65'a Avenue#505 Range hood/other kitchen
equipment ( 33.39
City/State/ZIP:Lake Oswego,OR 97035 Clothes dryer exhaust I 33.39 3,-•
Single-duct exhaust(bathrooms,
Phone:(503)387-7577 Fax:(503)387-7616 toilet compartments,utility rooms) 23.32 I l 1,•On 45-
APpuCANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: _
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 lei P_
Gas heat pump _
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax: :( I Water heater r -
Fireplace J
E-mail: dbritt®stonebridgehomesnw.com Range I
CONTRACTOR Barbecue
Business name:Comfort Zone Clothes doer(gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
City/State/ZIP:Troutdale,OR 97060 Subtotal ,‘n
Minimum permit fee($90.00)
Phone:(503)667-5595 Fax:(503)491-8252
. Plan review(25%of permit fee)
CCB tic.: 110091 State surcharge(12%of permit fee) S(0.1(2
` TOTAL PERMIT FEE ...- --7,.(
Authorized signature: V This permit application expires if a permit is not obtained within ISO I
days after it has been accepted as complete.
Print name:David Heldstab Date: • Fee methodology set by Tri-County Building Industry Service Board
I:\Building'd'crniiteNCC-I'ennitApp.dox 10,11/09 440-46171(11%02COM,WhB1
M f
Plumbing Permit Applicatio
Building Fixtures ECEIVED FOR OFFICE USE ONLY
City of Tigard Received 7
IN l � P� Penult Nu.. 00
13125 SW Hall Blvd.,Tigard,OR 97223
MAY 1 0 2011 Date/By: O 0 /1 C(L�.Jr�/ ��ptp/�<QW7
: Plan Review
Phone: 503.639.4171 Fax: 503.598. Other Permit No.: 90! (/w�
Q
Inspection Line: 503.639.4175 C�CF TIGARD Date/By:
T I G A R I
Date Ready/By: luis:
See Page for
Internet: www.tigard-or.gov R1_111I I NC DIVISION Notified/Method: S upplement al 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
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath f 500.32 sI5.0,13L❑Accessory ry buildin g ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: I S 31 9 S W S U M M E12V 1 EW T)17-4 V E
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 Lot no.: I 05 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
0 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 65a 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
Contact name: Primer 12.51
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 tstonebridgehomesnw.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 ' .e..l 3
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 /^
,,q.,� State surcharge(12%of permit fee) 610
Authorized signature: ' . i-,`___ TOTAL PERMIT FEE t ab
Print name:Matt Nelson I 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:ttuildrng,PermitstPLMU-PennitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Water Heater 2300000-43102 $23.32 $23.32 $23.32
Gas Fireplace 2300000-43102 $33.39 $33.39 $33.39
Range Hood/Other Kitchen 2300000-43102 $33.39 $33.39 $33.39
Clothes Dryer Exhaust 2300000-43102 $33.39 $33.39 $33.39
Single Duct Exhaust(Bathrooms,Toilet, 2300000-43102 $116.60 $116.60 $116.60
Utility Rooms)
Fuel Piping 2300000-43102 $14.15 $14.15 $14.15
12%State Surcharge-Mechanical 1003100-24001 $36.12 $36.12 $36.12
Totals for Fees $18,155.73 $18,155.73 $750.00 $17,405.73
Receipt# Payment Method Check# Pavor: Receipt Date Receipt Amount
182426 Check 32828 Stone Bridge Homes 05/10/2011 $750.00
NW LLC
Total Payments: $750.00
Balance Due: $17,405.73
CITY OF TIGARD
I FEE AND PAYMENT HISTORY
4
a 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGA11D
MST2011-00077 - 15319 SW SUMMERVIEW DR, TIGARD, OR 97224
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Building Permit-New Construction 2300000-43104 $1,729.44 $1,729.44 $1,729.44
Plan Review 2300000-43106 $751.34 $751.34 $750.00 5/10/11 Check 182426 $1.34
Plan Review 2300000-43106 $372.80 $372.80 $372.80
DC Provision Review, SF-Ping 1003100-43112 $64.00 $64.00 $64.00
DC Provision Review, SF-LRP 1003100-43117 $9.00 $9.00 $9.00
Info Process/Archiving-Lg Sheet(over 2300000-43135 $26.00 $26.00 $26.00
11x17)
Info Process/Archiving-Sm Sheet(up to 2300000-43135 $28.50 $28.50 $28.50
11x17)
12%State Surcharge-Building 1003100-24001 $207.53 $207.53 $207.53
Metro Const. Excise Tax-Residential 2300000-24010 $353.63 $353.63 $353.63
Use
Tig-Tual School CET-Residential 2300000-24102 $2,795.10 $2,795.10 $2,795.10
Park-Single Family Unit 4250000-43300 $4,811.00 $4,811.00 $4,811.00
TDT-Transportation Development Tax 4050000-43320 $5,227.00 $5,227.00 $5,227.00
Erosion Control 1003100-22002 $88.00 $88.00 $88.00
Erosion Plan Review CWS 1003100-22003 $28.60 $28.60 $28.60
Erosion Plan Review COT 2300000-43107 $28.60 $28.60 $28.60
Water Quantity-Res 5110000-43122 $275.00 $275.00 $275.00
Permit Fee-Elect(per dwelling unit) 2200000-43103 $338.14 $338.14 $338.14
Limited Energy 2200000-43103 $75.00 $75.00 $75.00
12%State Surcharge-Electrical 1003100-24001 $49.58 $49.58 $49.58
SFR-Baths 2300000-43101 $500.32 $500.32 $500.32
12%State Surcharge-Plumbing 1003100-24001 $60.04 $60.04 $60.04
Furnaces< 100K BTU 2300000-43102 $46.75 $46.75 $46.75
I.I'I HOMES NW
August 9, 2011
Tigard Permit Center
Attn: Dan Nelson
Permit Center Building
13125 SW Hall Blvd
Tigard, OR 97223
Subject: Building Permit for Lot 105 at Arlington Heights
Mr. Dan Nelson,
With this letter you will find the following items for re-submittal which correspond to your call to
Gayland Forsberg regarding the review of this property: Lot 105; 15319 SW Summerview Dr.; Arlington
Heights
Attached are three copies each of Sheets 3,4, 5, 6, 7,8 which address the following issues:
1. Roof structure: Addition of bearing wall per Truss design & additional beams required
2. Section: Revised section &addition of section cut lines
If you have any questions or need anything else, let me know. I can be reached at 503.387.7577
•
Deirdre Britt
Stone Bridge Homes NW, LLC
dbritt @stonebridgehomesnw.com
503.387.7577 I 4230 Galewood St.,Suite 100 I Lake Oswego,OR 97035 I StoneBridgeHomesNW.com CCB#173318
t 1
P . ' Building Division
Development Code Provision Review
RECPIVE®
TIGARD Residential Projects MAY 1 o 2011
CITY OF Ti
Building Permit ��� r �O — BUILDIyG D
$IVIp CWS Service Provider Letter Received: Yes No N A ❑
Routed Plans: _
Original Plan Submittal Date: 5 i(4)/q
Pt Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review(contact K s 541 ) PAR-ne O /t at 503-718-L`�S Lor�r4s h U @tigard or.gov)
Land Use Case No. 54.L 'Loa"'000c j Name Pit.(u..,-tori ae.t5f is M.3
l Zoning Q^"]
ISetbacks:
Front (6 Rear / 5 Side 5 Street Side !'o Gara 2-0
l Maximum Building Height 3 5 Actual Building Height 2.
CeVisual Clearance
C"Easements SL/21.001.v000t S LA tuoc,.43o6a3
( Sensitive Lands Type:5fS/Q'4 5 , 4a1$ 57,,,4C-444 14(AZ tINr D ro 1"1 e
Notes:
Original Plan: Approved C: Not Approved ❑ Date: 51141!
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov)
Actual Slope: /3
Notes:
Original Plan: Approved,Er Not Approved ❑ Date: S le l
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
r 1.
City %rborist Review(contact Todd Prager at 503-718-2700 or todd @ tigard-or.gov)
L.7t Street Trees
al Protected Trees
Notes:
Original Plan: Approved / Not Approved ❑ Date: pre?v/l
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)d No ❑
Date Routed to Building:
Page 2 of 2
1
1
R
STONEBRIDGE 1 �. 1476
...COMICS zvw =.=.c 4LI�CROBE :LOT: 105
s saoQ EIW 4515t12. AVE., gig 15015 DATE: 4/18/11
5 = s 011111100, 0 1 3 9 0 3 970311 MAY 1 0 2011 PROPERTY:ARLINGTON HEIGHTS
(505)387-7577
CITY OF TIGARD TIGARD
COUNTY: WASHINGTON-COUNTY
BUILDING DIVISION SCALE: 1"=20'
PLAN No.: 246
STANDARD ELEVATION
4023 nu EL, -!'• 398
3983 5W \':
/915 ::
ict�` . 396
,� 8Q Ft. �� .',.:•1 :. , ,` 392•
e, ,_ 10 /- C.�AR GAR '• S, 1
o - '�■/...-' FF3:.395' �, 6�. \ �
4023TW --- ��
3983 BW \
/.�7 b ,65; vv--''€-:\ BLOW'
EL satir ,•Y 0 :,, \ '395
s Alt
391 2,402 8Q.F1. `L
398 ��v / 4 e' •„'1�
••n<� FRE.3943!' ,/_,�,
�— 3952 TW
':.•'4Q+pO` \ Fgto / �=/ 3912 BW
y.
396 \ — ,
0
•394 3951P ;AC
413 ,\ /f�
392 �-'
��94
:' 3952 TW
5l\
7� 8, 3912 BW LEGEND
9,
LOT COVERAGE m
LOT AREA: 5,551 SQ. FT. aj —STREET TREES:
RAYWOOD 431.4
BUILDING AREA: 2,466 SQ. FT. -PRAX!NUS OXYGARPA-
PERCENTAGE: 44.4% _��}”
�.�/ —RETAINING WALL.
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.
THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT *105 i
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 54551 SQ. FT.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
I K. Brown, S.E. RFCFIVED
Michael o , S
5346 E. Branchwood Dr., Boise, ID 83716 MAY 1 0 2011
208-850-7542
Mikebrown.se @gmail.com CITY TI;GA RD
BUILDING DIVISION
LATERAL STRUCTURAL DESIGN
CALCULATIONS
FOR
LOT 105, ARLINGTON HEIGHTS
TIGARD, OR
ENGR. JOB # DM11-045
(RU'jV 4
•
efe
Prepared for:
StoneBridge Homes, NW, LLC
Plan #: 246
OTE: 1476
Date: 04-19-2011
The following calculations are for lateral wind and seismic engineering only. Gravity loading and the design of foundations
are outside the scope of this design. The design is based on information provided by the client who is solely responsible
for its accuracy. The engineering represents the finished product. Discrepancies from information provided by the client
invalidate this design. Michael K. Brown, S.E. shall have no liability (expressed, or implied), with respect to the means
and methods of construction workmanship or materials.
Michael K. Brown,S.E.shall have no obligation of liability,whether arising in contract(including warranty),Tort(including
active, passive, or imputed negligence) or otherwise, for loss or use, revenue or profit, or for any other incidental or
consequential damage