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Permit
NOV CITY OF TIGARD MASTER PERMIT a ' ' g t• : COMMUNITY DEVELOPMENT Permit #: MST2010 -00071 rw Date Issued: 06/23/2010 T i G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109DA13900 Jurisdiction: TIGARD Site address: 12685 SW MOUNT VISTA CT Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 58 Project: Arlington Heights Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First 835 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 33 Bathrooms: 3 Second: 1235 sf Garage: 770 sf Front: 20 Smoke Dwelling Units: 1 Third: 1451 sf Right: 5 Detectors: Yes Total: sf Value: $378,793.63 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =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: 7 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir: 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) STONR BRIDGE HOMES NW, LLC STONE BRIDGE HOMES NW LLC 1 MST Special Inspection (see plans) 16869 SW 65TH AVE. #505 16869 SW 65TH AVE # 505 2 MST Ersn Cntrl 503 - 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503- 387 -7577 PHONE: 503 - 387 -7577 FAX: 503- 387 -7615 Total Fees: $18,222.92 This permi ' ' sued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be d e 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 day . ATTENTION: O er gqn law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 001 -0010 through OA 2 -00 0 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66•9 or 1.800.332.2344. j / D Is ued By: �l t Permittee Signature: — //lg.. 2, W :i SEWER CONNECTION PERMIT ` a i r CITY OF TIGARD €' q = COMMUNITY DEVELOPMENT Permit #: SWR2010 -00061 T i G ARI? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/23/2010 Parcel: 2S109DA13900 Jurisdiction: TIGARD Site address: 12685 SW MOUNT VISTA CT Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 58 Project: Arlington Heights Project Description: Sewer connection for new SF FEES Owner: STONR BRIDGE HOMES NW, LLC Description Date Amount 16869 SW 65TH AVE. #505 Sewer Connection Fee 06/23/2010 $3,600.00 LAKE OSWEGO, OR 97035 Sewer Inspection - Residential 06/23/2010 $35.00 PHONE: 503 - 387 -7577 Contractor: PHONE: FAX: Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $3,635.00 Required Items and Reports (Conditions) 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 Notificati. • - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obta' . • copy of the rules or direct qu= tions to OU . by callin. 503. 46.6699 or 1.800,332.2344. Issued :y: 0 /. Permittee Signature: / Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. A ildi i2 Permit Application f-D " Residential REC 11. FOR OFFICE USE ONLY Received I I City of Tigard DateB : `/ . (D A Permit No.:) f 57 D ,Q c7/ q 13125 SW Hall Blvd., Tigard, OR 97223 y II I J UN 0 2 2 010 P lan Review f i r (24 10 Other Permit �/�- ",.. /a6/ Ph one: 503.639.4171 Fax: 503.598.1960 Date/By: 1 r TI G n RD Inspection Line: 503.639 CITY OF TIGARD Date Ready /By: runs: ® See Page 2 for Internet: www.tigard or.gov Notified/Method: to 5 /0 P 7T111 Supplemental Information BUILDING DIVISION. spfe_ ire TYPE OF WORK REQUIRED DATA: l- 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. '? ® Valuation: � - and 2- family dwelling ❑Commercial /industrial 01. 7+734q $ 783 ID Accessory building ❑ Multi- family Number of bedrooms:r ❑ Master builder ❑ Other: Number of bathrooms: Z JOB SITE INFORMATION AND LOCATION Total number of floors: dZ Job site address: l2kpCb5 SVV MovNt V'I Y, (,15111/- New dwelling area: Ito P square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 110 square feet Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 1 20 square feet t 1351 .2 Cross street/directions to job site: Deck area: 4 square feet CZ�S Other structure area: *et t square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Arlington Heights Lot no.: 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: Gayland Forsberg 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: gayland @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 lie.: 173318 Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I4i \‘ I MR/1)10.41 ♦An Date: * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits \BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM/WEB) w t Electrical Permit Application FOR OFFICE USE ()NIA City of Tigard Received Permit No.: , �y1 q 13125 SW Hall Blvd., Ti ard, OR 97223 I ' t5T 1O DUd7 g Pl an Review _ Phone: 503.639.4171 Fax: 503.598.1960 Date/B Other Permit: T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard or.gov NotifiediMethod: Supplemental Information TYPE OF WORK 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 stones. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ID A Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job site address: 2 100HP or more. occupancy. Job no.: 1411 x/ ' v MOtN t V� SCE L4. ❑ 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 1 Qty. 1 Fee. 1 Total 1 " New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: 62 1,000 sq. ft. or less 1 168.54 4; -4 Ea. add'l 500 sq. ft. or portion 7 33.92 . 2-. 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above . ft.) f 67.84 b7 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, 7.42 2 each branch circuit Business name: SEE ABOVE B. Fee for branch circuits Contact name: Gayland Forsberg without service or feeder fee, 56.18 2 y g 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: gayland @stonebridgehomesnw.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business Signal circuit(s) or limited - usiness name: City Electric energy panel, alteration, or 0 a 3 ' extension. Describe: Page 2 2 Address: 5 SW Schaltenbrand Lane City /State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (971) 404 -1714 Fax: (503) 625 - 3053 Investigation per hour (I hr min) 66.25 CCB Lic.: 42422 big11Y lectrical Lic.: 26 - 289C r uprv. Lic.: 35925 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 473, e Print name: Chu riesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): .5 " p 6 Authorized gna �... TOTAL PERMIT FEE: if :50 t (D j 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. 1: \Building\Permits\ELC- PermitApp.doc 10701/09 440- 4615T(11 /05 /COM/WEB Mechanical Permit Application FOR OFFICE USE ONIX City of Tigard Received . y V Permit No.: Date/By: *LO _ • -•-• 0 q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639 Date Ready/By: turis: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information 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: 1 ib ow rivkpobk /� W W 1 Air conditioning fires ste p g placement) v i (requires site plan showin lacement 46.75 City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) 46.75 L Furnace 100,000+ BTU (ducts /vents) ( 54.91 1 1 - :,gi 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 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 4 :3, Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances Water heater 23.32 �3' DESCRIPTION OF WORK 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 Chimney/liner /flue /vent 23.32 ® PROPERTY OWNER I 0 TENANT Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Range hood /other kitchen Address: 16869 SW 65 Avenue # 505 equipment ` 33.39 City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust ( 33.39 -j3• Single -duct exhaust (bathrooms, Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 5- 23.32 (I t,6t ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: same as above Fuel piping Contact name: 514.15 for first four; 54.03 for each additional _ Address: Furnace, etc. , PE Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) F ax: : ( ) Water heater Fireplace E -mail: Range k 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 307, ( 5 Minimum permit fee ($90.00) Phone: (503) 667 -5595 Fax: (503) 491 - 8252 Plan review (25% of permit fee) CCB lic.: 110091 State surcharge (12% of permit fee) ` 7 , La TOTAL PERMIT FEE` 46 '? Authorized signature: This permit application expires if a permit is not obtained within 180 g 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\Permits\MEC - PermitApp.doc 10/01/09 4404617r (1 I /02 /COMJWEB) Plumbing Permit Application Building Fixtures FOR OFFICE liSE ONLY City of Tigard Receis ed • 13125 SW Hall 131%d.. Tigard, OR 97223 III fkricav: Plaa Rcvivw Pcrma No,., fyl5rdoi 0 --- od0 . 7 1 z 2 phonc: 5413.09,4171 kis: 503,598.1 Other Permil No>, 1)..uciPp; Inspection Line: 503.639.4175 TIGARD ' 1)ale heach J. Ed Sec Page. 2 far Internet; wnw.tigard-or.uov Notified:kit:thud: Nopplementai 14:imagine, TYPE OF WORK FEE* SCHEDULE El Nem construction 0 Demolition Fur special informailion msr checklist. Description 1 01% I NI 1 Total CI Additionialtemtionereplacement 0 Other: Nen I- 24inttih duelling (includes 1(10 0, fur each utility COrmectioni CATEGORY OF CONSTRUCTION SFR (1) bath 3) 2.70 > 2) 0 1- and 2-family dwelling 0 Commerciallindustrial SFR ( bath 437.711 SFR I3) bath 1 500.32 CA' D Accessory building 0 Ntobi-family Each additional hatWki when 25.02 D Master builder I 0 Oilier Fire sprinkler I sq. �. Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or arca drain t 8.76 Job site ittidn:ss; ( ; ?" 5 .),,v Mo kri 'ALL COPY* ' ; ; Drywell, leach line. or trench drain 18.76 CityrStaterZIP: Tigard, OR 97223 Footing drain inn_ linear ft.: 0 Page 2 Suitolddg.eapt. no.: I Project name: Arlington Heights Manufactured home utilities 50.03 Cross strectidirections to job site: : Manholes Rain drain eounector 18.76 Sanitary sena t no, linear ft; 0 Page 2 Strum sewer t no, linear 0. ) Page 2 Water service Ina linear IL: ) Page 2 Subdivision: Arlington Heights Lot no.: 5 Fixture or item: : Flack Bon pro:enter 31,27 Tax maiVpanx I no.; liaeWaler Valve 12.51 DESCRIPTION OF WORK Clothes nasher 25.02 New, Single Famil, Residential Dish y, :ether 25.02 Drinking tbuntain 25.02 EjectursJsump 25.1)2 PROPERTY OWNER 0 TENANT Exransion tank 12.51 , Fixturesener cap 25.02 NUM!: Stone Bridge Homes - - . ' • Floor drain ' flue 5inkrinth 25.02 Address: 161169 SW 65 Avenue 005 Ca/baize disriosal 25,02 Ci(ylStaterilP; Lake Oswego, OR 97035 !lose bill 25.02 Phone: (503)387-7577 Fax: (503)387-7615 lee maker 12.51 0 APPLICANT 0 CONTACT PERSON Inlerceptorigrease trap 25,02 ! Medical tlati 0 0.1111:: S 0 Page 2 Business m ss nae: SEE ABOVE : Primer 12.51 Contact name: Gayland Forsberg Roof drain (commercial) 12.51 Address: : Sink'hasinlavatory 25.02 City/State(ZIP: i Solar units 'potable water) 6 . . . 54 Phone: I ) Fax: : ( 1 1 . I uhishower shun er pan 12.51 Llrina( 25.02 E-mail: gaylanditestonebridgehomesnve.com - Water closet 25.02 CONTRACTOR Water heater 37.52 Business name; Legacy Plumbing . Water piping-DWV 56,24 Address: 8985 Bazelvern Way Other: 25.02 Cit) &State:ZIP: Portland, OR 97223 Subtotal 5r3, . AA Phu. :4503) 816-8887 503) 297-4587 Minimum permit k: 572.50 Plan reVlIeW 125% of permit feel ' CB l-ic-: 159281 - lumhin I.ie. no.: 26-517PB State surcharge (12% of permit •• feel (et) O Atuflorizcd signalurc: '77/7. TO fAE. PERMH 1:1iL --,....._-- 'Mk prrmit a pplicatima es pier If le permit k um atitained a Oh in IRO da)s, Print na M me: att Nelson I Date: after it hal> bran accepted Lb., comploc. *Fey tnctl set te. Fri Building 1ChltIMf:. Sev.ioe Board, no,U . Pi VII A 141til to? 4-1 INI"al III This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project: EUILDING DIVISION = ;a G I I A D TRANSMITTAL LETTER =G---- TO : DATE RECEIVED: DEPT: BUILDING DIVISION REC JUN 0 22010 FROM / , CITY OF TIGARD BUILDING DIVISION COMPANY: PHONE: 1 (- RE: 1 ,_ .. 5-1.Lo 41 ..06 107/ ite • 4 . ress rm se m r (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Othe (explain): REMARKS: 1l✓v._. ° 4 �'u 6 �1r ,p 6 - 0 1 ■ eLt , FO OFF CE USE ONLY Routed to Permit Technici� . r . Date: �jZ( I Initial . Fees Due: El Yes L�No Fee Description: Amount Due: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes n No n Done Applicant Notified: Date: Initials: I:\ Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 ...... w) ,- • STREET TREE CERTIFICATION .� v' s 3' .::''4.-..,'-',!=,,,J' '� ° tau 5 9 � r �. � °fir � �- - a '� �?4 � ) I IA IN lie I cl, t,:SZZ : , Owner/ °fo 4 � �1 , � � c i ) L S , PLEASE PRINT " t ` (PERMIT HOLDE Do hereby c ent t that theofo meets City of Tigard la a standards 'i � ; forr stre treplIns w 11"t?-Al ,p - T �'�d " "h ' i t "' -s� t' ' ' [ 1 F 5 '2.i.',.' � ' A ' i e r -rt {y -' 93 - ,.e4�„, a� ADDRESS: �l�Si p ��_ X04 7/ Z S� S S� /ty� C/5 f,� c r — SUBDIVISION: 4 r i i i i _ , - 1 / � 7 - S LOT: -� .,..-- SIGNATURE: � ^ / / DATE: i _ 6 - /0 r•\ OIL R AG ENT ) i u / RECEIVED BY: (CITY OF TIGARD) DATE: ,J ( '� I: \Building \ Forms \StreetTreeCerti&cate 01/19/07 n ,,, Cj 'L` /b'V601' Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, - 3 ( 4 n V e(c.3Q D.Z , am the general contractor or the owner - builder at the following address: Site Address: /2 s' S s lA) ,r VI S =\ CL 1' City: . ,50cr( (19k Permit #: A Z% ©no -7 ( Subdivision/Lot #: se 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. ��1 9'--- — ` Signature: - Date: / v General Contract. or • %�,R : - :uilder I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: . , ., 7 Jurisdiction / 1 1.C1C CC 1 !;c,`�r Site Address: G y S Subdivision/Lot #: xi li fir, :1 14z.; S' < - c 2 and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N11072) i'. Signature: 7' / Date: `�'2 7 Date: 0,/ —/C) — /C) r. Owner /General Contfact6r /Authorized Agent Print Name: / A) 02/64c, uu, ?� 1 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 fmal 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- HighEfficiencyLighting.doc 07/01/08 iialignillA STONE BR i:6 1vE ) BE: 1429 HOMES ivW T.T. j 0 2 2010 LOT: 58 015t.12. 1 dddd OW 015t.12. AVE.. 66 0 DATE: 05/26/2010 • = s o s w s a o. o x s a o x ' 97036 ` ( e'r PROPERTY:ARLINGTON HEIGHTS aos)s— 'ra'r'r CITY OF TIGARD BUILDING DIVISION TIGARD i 11 4 1 0 • I 40 COUNTY: WASHINGTON— COUNTY i mil ama 3CALt;. 1"=20 ,: -� EL ■403' PLAN No.: 2S6 fit, U PRAIRIE ELEVATION 408 i `, li,; i 410 � 412 ` .....\ 414\ 404' ~ . 416 ` 418 " , 420 °\ . EL =402 422 8 4 ' � .4, �°, 424 +♦ "� ` \ 426 ' ii ` `� > i i � ' VIr111, i, 1p ti � X , ■ . ... Z ' . 4.4 \ t‘A 0,1 _� / ` � �� 402 EL • 426 , ' +' ; •..425' 404 , 4 ( .. ` -- n • ,m ♦ g• 406 e. (., EL ■425' \° � ,' 412 ♦ 410 6 \ 18 i0 - . . 42 414 46\e;I) ° ` 42 416 3 I t i ' 415 ∎7 . .7 _.,/ 420 `, - - - ,410 g t" - •mor • - 1 . 'EL !� 0' .(e(i 1 II LEGEND LOT COVERAGE 0 " STREET TREES LOT AREA: 5,810 SQ. FT. • ( 0 - CHANTICLEER PEAR BUILDING AREA: 2,121 SQ. FT. PERCENTAGE: 36.6% BUILDING HEIGHT: 34' -1' 20% MIN. LANDSCAPE: 1,162 SQ. FT. 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 +58 THEY MAY VARY AND BE SUBJECT TO CHANGE. 5,810 eq . ft. DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, STREETLIGHTS, AND OTHER SITE CONDITIONS. '9 A . _. , ,Lcf),„,' ", , . 4t, < \),!- ! J.c? 1.Q.Aexf- • 1 r v im. .�. me CITY OF TIGARD SITE PLC REVIEW B DING PERMIT NO.: lain& ! rr 11/k PLANNING DIVISION: Approved ❑Not Approved Required Setbacks: � pP � / Side: �.,�.- Street Side: 2� Rear: .�-_- >+ront. _.L.�..- G g Not Approved rovded ❑ p ` Visual Clearance: Ap S teet Maximum Building Height. fired: ❑Yes ❑ No C W S Service Provider Letter Requ ❑ Received ' J� B: , , Date: - ENGINEERING D EPART' ti1ENT: Not Approved Actual iope:s 2.°�0 gApproved ❑ of , pproved Site P1 . : Approved 0 l o B Date: 2" B eLvnix-vv 'u° � rit Notes: av CITY O" ARD • SUE PLAN • V i W BUIL , NG PER NO: �� (] Not Approved Street Trees: Ul Approved • • of APProved Protecte B — oat f Date: 9 ON 0 B. Notes: i