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Permit
CITY OF TIGARD MASTER PERMIT `'i! 11 - COMMUNITY DEVELOPMENT Permit #: MST2010 -00004 T- IGAFt..L7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/03/2010 Parcel: 2S112CC21000 Jurisdiction: Tigard, Site address: 8129 SW LANGTREE ST Subdivision: GAGE FOREST Lot: 17 Project: Gage Forest Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 861 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1265 sf Garage: 408 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total sf Value: $250,000.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 4 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: 4 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'l 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) J TROTH CONSTRUCTION INC J TROTH CONSTRUCTION 1 MST Ersn Cntrl 503 681 - 4444 12600 SW 7ND AVE 12600 SW 72ND AVE #200 TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 639 -2639 PHONE: 503 - 639 -2639 FAX: 503 - 624 -0239 Total Fees: $15,110.31 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE •. e egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 +' 10 through OA' 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu By: 1 _fm / r� i - J l■ Permittee Signature: —, t/V -. '^� \• ,l ilding Permit Application Residential FOR OFFICE USE ONLY ��) �/T Y' City of Tigard E 7 E� Date /B : � i�� Permit No. '/ 1 ' II q 13125 SW Hall Blvd., Tigard, OR 97223 RECEIVED S , oyo J fJ i g Pla Review' Phone: 503.639.4171 Fax: 503598.'3 M 4 5 2010 Date /B : `S �to Other Pe rmi t ° D0o03 T I G A R D Inspection Line: 503.639.4175 Date Ready :: � .50.),.(€200 See Page 2 for Supplemental Information Internet: www.tigard-or.gov Notified /Method: �f CITY OF TIGARD thd: �? / -d 10 /lIP Y1 ' TYPE 417, ,.. - _ QUIRED DATA: VAN 'AND`2- FAMILY DWELLING ® New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: -$ 000:00 �e1 ID Accessory building ❑ Multi - family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 215 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 8129 SW Langtree Street. New dwelling area: 2126 square feet City /State /ZIP: Tigard OR 97224 Garage /carport area: 408 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 42.5 square feet Cross street/directions to job site: Hall Blvd. to Langtree Deck area: 0 square feet 2 Other structure area: 0 square feet .2. 4- REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Gage Forest 1 Lot no.: 17 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. Construction of new single family resisdence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: J.T. Roth Construction Inc. Type of construction: Address: 12600 SW 72 " Occupancy groups: City /State /ZIP: Tigard OR, 97223 Existing: Phone: (503)639 -2639 Fax: (503)624 -0239 New: IN APPLICANT ® CONTACT PERSON NOTICE Business name: J.T. Roth Construction Inc. All contractors and subcontractors are required to be Contact name: David Jensen licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12600 SW 72 " jurisdiction in which work is being performed. If the City/State /ZIP: Tigard OR, 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 806 -0602 Fax: : (503) 624-0239 E -mail: davidj @jtrothinc.com CONTRACTOR '• Business name: J.T. Roth Construction Inc. BUILDING PERMIT FEES* Address: 12600 SW 72 °a (Please refer to fee schedule) City /State /ZIP: Tigard OR, 97223 Structural plan review fee (or deposit): 7 0 , Phone: (503) 639 -2639 Fax: (503) 624 -0239 FLS plan review fee (if applicable): CCB lic.: 31700 Total fees due upon application: 7520 r OD Amount received: 7 5- O orb Authorized signature: - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Jensen Date: 12/21/09 * 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) 01/27/2010 16:23 5033240580 MALMEDAL ENTERPRISES PAGE 01/01 10„,,, ,bin. Pcrjt Applicoh, Building Fixtures RECEIVES , to, �. ,tl r rr I ,,,. t ..l - City of Tigard JAN 0 5 2010 IJatelB . / A Tf9; Per". ' / fd - p p r'.r 1 125 9W Hall Blvd,. Timed, OR 97223 k. . Phone: 503.639,4171 Fax: 503.598.1960 G T IO �� � ; clfllcr Permit Nn.: � Irsslr ootimr t dtee: 503.639 'CITY Date misty/ i 5ee Paget far Internet: www.tiroudirr,gov BUILDING DIVISION .Nod{Modrhtetltnd: tae. - - 1 tatbrlutr,tMrt 1YIE t9rC1R9L:� :a:,v r4 New vonshiaction Q Demolition Far - • - t,. ,/lrM= sue cker t Dose .don e . Total 0 Additioat /tlitt+rtadon/repincem nt ❑ Other New 1- 2- 0malty dwdti includes 100 ft. for each utility bounce tion CATEGORY-CIE [:RJNsnarromq; .. ,. 9FR (1) bath _ 312,70 ® I - and 2- family dwelling 0 Cowmnct t /lnduatrid SFR (2) hat 437. SPR (3) bath 1 300.32 �i ❑ Accessary building in Multi - family MIS Each additional bath/kitchen 25,02 © D Other: Fire sprinkler (. .... sq, ft.) Page 2 . JoR sin i reogralqiorc APO' tocArtotl I pn t111.tt rob site address: 8129 9W Laugher Catch limbs or area drain 16.71E Ciiy/Stater7lP: Tigtlyd OR 97224 � Suitm/bid /apl no.; Project name: MaquThc ur d home utilities 50.03 Mill Cnsc et uat /direction to job Bite: Rai! Alyd, to Longtree Manhokit 1L76 Rain drain o4I11tcetor 18.7° Sanitary sower (no. linear ft,: al) Page 2 IMO Storm sewer (no. linear tC: git) III Page 2 IMI Weser Novice (no. linear 11.: ,,,) Page 2 Subdivision: Gage Forest Frxta : , _: 1"as. rtraap/parecl no_, Disallow It inner • QEtiCIRYTION sir wet • Backwater valve ill 12.51 Clothes weals& 25.02 Plumbing installation for new single family residence Dishwasher ( MO 25.04 Drinking iluntnin MI 25 -02 Mill Ejec orateump IIIMMONIMI 1TIt'1't' • ,1 ItiosT Parttmrsion tank MIIIIIIEEtIIIIIIIIIIIII Name; J.T. Rotii Construction Inc. Rixtato/rmwt r cap 25.02 MIMI Addtos9:126i14 SW 72^', Floor drain/Door sink/hub MI 25 MEI Garbage disposal Milli 25.02 NMI City /SttP: Tigard OR 9722 Base bib 25,02 IIII Phone; (S03)639 -2639 Fax: 003)624 .0239 los maker 12.51 ' h.: aXratr , .. . coorptcr vx • itotarentoIlroo try, z .a2 Ell 1ltrsinens name: J.T. Roth Cmrstreation inc. Medical t� (value: 9_ ) Pagc 2 Primer 12.51 Coolant Mere: David Jcna a. ., Roof drain (commcreiat) 111111 Address: 126005W 72"x1. Sirasl}treain/iavmnry / E /' ( 25.02 City/State/ZIP: Tigard OR 97223_ _ _ Solar unit (potable water) 62,54 Phone: (503) 806 -06112 Fax:: ( 903) 624-4239 Tub/shower/show pal . t i 12.51 E -mail: david itrotbloceoos Urinal 25.02 Water closes 25.02 Water Meter NEB Rushes name: Malmedul Enos-prima loc. , W piping 5 � 6. Address: PO Boa 207 Other: �• 2502 - City/Stmt./1P: Banks OR 97106 Subtotal PM, • _ Phone: (503) 324-11759 P (503)324-0500 Minimum parrmit 14x: 972.50 CCB ► ic.: 102 Plumbing Lie. troy . 276113 plea review (25% of permit fro) AuthOeisad signature: • . � _ 0 State' � T 2L. of permit PERMIT fix) r,O ' Aar /. . /c; , r /" . �r� ` TOTAL FEB s'.7 4 _ Dail 1242.09 - b prra6k soonsallen ezptte+ a vomit Is net abadead Re ; + days Asir is 616 been noinnsen a caargrap, _ ° Fen mied idoiogy rd try IN :County building wholly aew B -- oustirHisoearrais'o ML-Pa®tAposs 10!01es 44o- 4616T(tet d/Wffi!) r Mechanical Permit Application 1�CEIVE 1), FOR OFFICE USE ONLY City of Tigard 1 v Received / C +;� c/ 4. 1,4 _ ` J g , JAN 0 5 Date/By: / J �Q {‘{•/ Permit N W:5 �d �V r od©i9 y 13125 SW Hall Bl vd., Tigard OR 972 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Q O Date/By: Other Permit: TIGARD Inspection Line: 503.639 Da te Ready /By: Juris: H See Page 2 for Internet: www.tigard CI OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISIO . TYPE OF WORK- : COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ®1 -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. I Ea. Total JOB SITE :INFORMATION AND LOCATION Heating/cooling . Job site address: 8129 SW Langtree St. Air conditioning (requires site plan showing placement) 46.75 City/State /ZIP: Tigard OR, 97224 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Hall Blvd. to Langtree 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 Subdivision: Gage Forest Lot no.: 17 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF. WORK Water heater 1 23.32 23.32 Gas fireplace 1 33.39 33.39 HVAC installation for new single family residence 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. , ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: J.T. Roth Construction Inc. Environmental exhaust and ventilation d Range hood/other kitchen Address: 12600 SW 72". equipment 1 33.39 33.39 City /State /ZIP: Tigard OR, 97223 Clothes dryer exhaust I 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)639 -2639 Fax: (503)624 -0239 . toilet compartments, utility rooms) 4 23.32 93.28 ❑ APPLICANT ®, CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: J.T. Roth Construction Inc. Fuel ► m P g Contact name: David Jensen $14.15 for first four; $4.03 for each additional Address: 12600 SW 72"d. Furnace, etc. Gas heat pump City/State /ZIP: Tigard OR, 97223 Wall/suspended/unit heater Phone: (503) 806 -0602 Fax: : (503) 624 -0239 Water heater Fireplace 1 E -mail: davidj @jtrothinc.com Range i 14.‘15 CONTRACTOR • - Barbecue Business name: B & M Heating Clothes dryer (gas) Other: Address: PO Box 1111 MECHANICAL PERMIT FEES* City/State /ZIP: Boring OR, 97009 Subtotal 277. t7 Phone: (503) 637 -3489 Fax: (503) 637 -5244 Minimum permit fee ($90.00) Plan review (25% of permit fee)__ _ CCB lic.: 124757 • State surcharge (12% of permit fee) '''"3 :3-z, TOTAL PERMIT FEE I O , q ..1 Authorized Slgnatllt' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Bruce White Date: 12/22/09 * Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (11 /02JCOM/WEB) RECEIVES Ekctriwcal Permit Application FOR OFFICE USE ONLY City of Tigard JAN 0 '3 'I Rece `� �© i Perm NQ ' I /O t�04 - cu D 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review y I N Phone: 503.639.4171 Fax: 503.5 � pF TIGARD Date/B Other Permit: TI GA R D Inspection Line: 503.639 BUILDING DIVISION Date Ready /By: Mris: ® See Page 2 for . Internet: www.tigard- or.gov Notified/Method: Supplemental Information ' . TYPE OF `WORK ' ' • - .PLAN R E V IE W ® 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 . ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", 100HP or more. occupancy. Job no.: Job site address: 8129 SW Langtree ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard OR, 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FE E SCHEDULE - - . . Cross street/directions to job site: Hall Blvd. to Langtree Description I Qty. 1 Fee. I Total 1 New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Gage Forest Lot no.: 17 1,000 sq. ft. or less 1 168.54 168.54 I 4 Ea. add'l 500 sq. ft. or portion 1 33.92 1`45",t 1 Tax map /parcel no.: Limited energy, residential 1 67.84 67.84 2 - DESCRIPTION OF WORK - (with above sq. ft.) Wiring of New Single Family Residence Limited energy, multi - family 67.84 2 g g Y 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: J.T. Roth Construction Inc. 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 12600 SW 72 Over 1,000 amps or volts 552.26 2 City /State /ZIP: Tigard OR, 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503 )639 -2639 Fax: (503)624 -0239 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: J.T. Roth Construction Inc. B. Fee for branch circuits Contact name: David Jensen without service or feeder fee, 56.18 2 first branch circuit Address: 12600 SW 72°d Each add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City /State /ZIP: Tigard OR, 97223 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (503) 806 -0602 Fax: : (503) 624 -0239 Reconnect only 67.84 2 E -mail: davidj @jtrothinc.com Pump or irrigation circle 67.84 2 . CONTRACTOR , . . , , , Sign or outline lighting 67.84 2 Business name: Grizzly Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 8002 NE Hwy. 99 Suite #401 extension. Describe: Page 2 2 City/State /ZIP: Vancouver WA 98665 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (360) 909 -4080 Fax: (360) 694 -8939 Investigation per hour (1 hr min) 66.25 CCB Lic.: 186218 Electrical Lic.: 37446 -C Suprv. Lic.: 2643 -S Industrial plant per hour 78.18 - . ELECTRICAL PERMIT FEES • _ ` Suprv. Electrician signature, required: /�i Subtotal: _ 72 O ( - _ - - Print name: Ron - Nelson - - Date: -12 /22/09 Plan review (25% of permit fee)_ _ J __ State surcharge (12% of permit fee): itek , L!� Authorized signature: #1r9 At7 '.- TOTAL PERMIT FEE: 4- (G, ( 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. I:iBuilding\PermitsiELC- Perm pp.doc 10/01/09 440-4615T(11 /05 /COM/WEB Oregon Residential Specialty Code 12318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, ,,me 0, -- Z' , am the general contractor or the owner- builder at the following address: Site Address: O 57'/ /71,/ 5 City: Permit #: ii�'/ _ l° ( Oa87 Subdivision/Lot #: l ' _ and /or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: 4 1. ��� - i Date: 3 .2__ 2o General Contracto Owner - Builder 1:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ��,C._ Ia _ 0000 Jurisdiction: > 7",,: Site Address: G-11 /(/7n5- Subdivision/Lot #: i: 207 /9 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 N1107.2) • Signature: .� ---- Date: ter/ it Owner /General �. Authorized Agent Print Name: � ,/ i '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 final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 ,.., .. 1. STREET TREE CERTIFICATION F,17.,,,,,,wrivr5N-:,„...,:.„-.7-st,k,,u,,,_=51„,-..-.;:r&;:6,,,,77.7,,7v-4,:e. P te ° " Z- 3 _ "r .: I > 1 -0 � a � ?! ate ' net's + 2" i �u ° } - ., a s`n .- d,, ,,} ' ,- "s ue+ f ,=: S ➢ . " fl , '' s J I $ v , O wn er/ lge f � - ��� r (PLEASE PRINT) ""— (PERMIT HOLD m.i ms's - Do hereby certify that thefollo to °cat meets • ,./ try , k �a t City of Ti gar d l and� us , e an.'d d'eve p m e nt standards for stree tree ln s • t ' - 41.44 0 Vi,n z 1 !1;'1 "3 • ; '' ' I " A\ ` 6 '. ` t Z r 1:2 p:: : ;,,, Aitii Pt ;;:.'7,,, :' ,, ,, 114 , ., /7 4 9 . f-,. L.,,95,, .,74x • � a 4n 4 a..!,a� a.g . 44,m] ADDRESS: 4/�— C / � ,(/�j - Pis ?ab -coo SUBDIVISION: A;AX.--s.i/ LOT: /7 SIGNATURE: AM .. _ DATE: /i2 . i DER /AGENT) RECEIVED BY: DATE: (CITY OF TIGARD) I:\ Building \Forms \StreetTreeCertificate 01/19/07 I •. . • RECEIVED - - - - -- - - -- -- - - - -- i�� JAN 0 5 2010 * 1-\ -- --- __�__ _ _ MARK STEWART *- - -, ; CITY OF TIARD HOME D z s r N LOT 11 I , ; BUILDING DIVISI0 „i io _l_. 3,115 3F SET ,, I - 8137 S.W. SENECA 1 1 SE Tuafotin, Oregon 97062 11:474 , _ 1 1 — I (503) 885.8377 P REVISED I CITY OF TIGARD - SITE PLAN RE . (503) 579.4132 F I MAIN BOOR • WON BUILDING PERMITNO: /1 ” p www.markstewart.com I I p .„....,=, i l' .- ■ Street Trees: pproved ■ Not Approved 1 I Q Protect' GI Approved ■ Approved 1-I 1 1 • , By: /o 0 ter/ Date:. VO. a): s I�1 Iet 1 Notes: !T It ooI I. II o I } i 1 1 I I, � I it ---m"../1114iiiifi> - % ,, 1 5r - 1 H:11 �r. � ' , r : a- SETBAC ' V 5 i 1 SET'ACK __ __ I - — CITY OF TIGARD - SITE PLAN REVIEW Stock Home Plans V ? !i ^ ' 0�"' w - .-:'17-1---"'"" • ; BUILDING PERMIT NO.: NSi - r 6000 Y Custom Design Z / D I �e r i�i/7 -wGV • - 0 p 1D1lIN■IAY " ; % I PLANNING DIVISION : : Builder Marketing � � MAPLE "' J - �� 0 `V 1 i lq Approve i 0. Not Approved Interior Design _ 0 ;, I ' Required Setb ks f , =- ,�, Since 1982 _: — I • sid _ �� ? A pp ved Not Appr. t ' � V 1Slla'� C Ie8C8!ICe: loone and Ne de��h �yq,e erein ` y b ma se p oop under Fadsof Lae Height ! 7 l _ feet e i Mark G. 9taemt and Yark f�/IaXICilUlll Building ,eft ,l; s{..an a Awoo ma x a°I , :,._ 0 No 5E CWS Service Pray.�'k:=. Letter `'.'c! !Sr�.v. €...: Important Disclosure ZRAC _ \5.4 i,ed Please Read: IVATE ST. �� I. � \ B s ; J wC . -.? ,. ( I - / m. qou 1oa kar. Pew at. Bs: for tln �notruatlon of °t@ harm onl} ENGIN - ERIN EPARTMENT: "° "'" to bold from M� emo Jr: to erl i cons: a 1mm ' I \.= �` : 7 J t A roved a• oopp ei a d It l ei. Nola tan ,�. r II Actual 'lope: % Approved P o" a�,� n Y a Nolo tan Y e ig dad : la.. Tro e. `\ • PI . A D ! ��I: d ▪ ��: ^ R � and gd., litmr.,: of aggs.r r, t IVoi�s; Y Id (� }}} ��J �r Ion �J Idm N° r• Mark Stewart ccor a a/ }h r t amt u rr"'" rtka 1 this plan to MY Dodo r My b WYq f GAGE FOREST am ' J.T. ROTH CONSTRUCTION R AI o LOT x'17 4C -GR LOT *fl 4C-C-1EE GAGE FOREST .' NEWISMIEt j_- SITE ;. II .