Permit CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit #: MST2011 -00035
Ti G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2011
Parcel: 2S110CB10200
Jurisdiction: TIGARD
Site address: 15408 SW ARLINGTON TER
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 90
Project: Arlington Heights No. 3, Lot 90
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 1054 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 34 Bathrooms: 4 Second: 1094 sf Garage: 630 sf Front: 15 Smoke
Dwelling Units: 0 Third: 867 sf Right: 5
Detectors: Yes
Total: 3015 sf Value: $305,606.88 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell- Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 500 sf: 6 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 3015
Owner: Contractor:
TIMBERLAND HOMES INC TIMBERLAND HOMES INC Required Items and Reports (Conditions)
12670 SW 68TH AVE #300 12670 SW 68TH AVE STE 300 1 Engineered Soils
TIGARD, OR 97223 TIGARD, OR 97223 2 Ersn Cntrl 503 - 681 - 4444
PHONE: 503 - 620 -8860 PHONE: 503 - 620 -8860
FAX: 503 - 598 -9081
Total Fees: $18,435.78
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speck ty Cod. s and all ether ape icable law. All work will
bed '
in actor•- with approved plans. This permit will expire if work is not started within 180 days • issuan•-, • if w•rk is s .pended for more the 180
d s. ATTENTION: Oree•n law requires you to follow the rules adopted by the Oregon Utility Not cation - n , - r. T •se r es are set forth in OAR
9 2- 001 -0010 through OAR • -0 -r $90. You may obtain a copy of the rules or direct questions to OUNC by callin• 503.23 ..19 7 or .80. 344. •
Is ed By: � � .. � �� — A / Permittee Signature: • ■
Call 503.639.4175 by 7:00 a.m. for the next available inspection dat _ gel
permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,
Building Permit Application
Lc' � ' /7/ E *-
Residential .RECEIVED Re FOR OFFICE USE ONLY
IN City of Tigard Date/B: 5 Eardum
j Permit No.: ! /ndOa3s
" 13125 SW Hall Blvd., Tigard, OR 97 223 ^A !
Phone: 503.639.4171 Fax: 503.598.1964 " Q R 1 2 011 Date/By: able /1 Oth Permit: O Q,O�,p!-1 ...449X �.(p J[/
T I G A RD Inspection Line: 503.639 Date ReadyBy: Q Jars: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIG Notifie /M : pR / tJ // Supplemental Information
i .
B UILL?I14'C; I�IULSIz?;� M
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms: 4
- ❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 15408 SW Arlington Terrace New dwelling area square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: 630 square feet 1 V,
Suite/bldg. /apt. no.: Project name: Arlington Heights 3 Covered porch area: 108 square feet
Cross street/directions to job site: Beef Bend to Arlington Deck area: 315 square feet 27
Other structure area 3 care feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: 90 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New single family residence Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Timberland Homes, Inc. Type of construction:
Address: 12670 SW 68 Ave, Suite 300 Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing: •
Phone: (503)620 -8860 Fax: (503)598 -9081 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Timberland Homes, Inc. All contractors and subcontractors are required to be
Contact name Steve Brown licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12670 SW 68 Ave, Suite 300 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) 887 -5903 Fax: : (503) 598-9081
E -mail: steve@timberlandhomes.net
CONTRACTOR
Business name: Timberland Homes, Inc. BUILDING PERMIT FEES*
Address: 12670 SW 68th Ave, Suite 300 (Please refer to fee schedule)
City/State/ZIP: Tigard, OR 97223 Structural plan review fee (or deposit):
Phone: (503) 620 -8860 Fax: (503) 598 -9081 FLS plan review fee (if applicable):
CCB lic.:141715 Total fees due upon application: 7
Authorized sigu" Amount received: / •O,
This permit application expires if a permit is not obtained
Print name: Steve Brown Date: \ * within 180 days after it has been accepted as complete.
''7 `� t Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1 /02/COM/WEB)
613;`' 1l/2L111 13 : 15 5035351950 ' 1 CITY OF TIGARD PAGE F02/02
Electrical i? A,plpiication
C 1"�' t.L'm(n- I( I.: 151" (1•I.1'
City of Tigard — 1 Received 1111111M ,4 Pe rmit No,: Q .c7UU
N;? �, I '.' bal v' '" • 13125 SW Hall Blvd„ •l'igard, OR 97223 NI Pion Review
. �
I • ' Phone: 11OS,&39.41.7I Fax: S0z.398- 19f+r1 �'�D race ,• • Oilier Permit: • �! f"1�a
) 4 % ' I o n ; ® SetPage2 ibr
InspceaonLinc: 503.630,4175 ?c"„�[ 5,e'11 prow Rc,d±/?Yy, gap,lemtNlta)lnfnrmnnnn
Tnt
1 r t. i n 1: c> lLprl�a �74 ntnt ;rgcll[Wlrtl,nd: ,
t tn+ t, tvtnnv,tistari3 -or, ov .
— 1 Plcm+a 0/141 MI -her at4lly ( mi of W
plan, w /lrem elicelead below).
I i New con.�tructivn Additional #era #iotl(t laccttnettt p S or fbeder 400 nmpt Or mum El Bttitd ;ng over three atorie,
M Dcmol ition 0 Other: whet+: the available fault current (I Mariner. And boatyards.
C+/fi t P{: 11C1C CCIQVSTEfiU N exceed 10,000 mum At 150 volts or ❑ Floating braidings, _ .. _ less to Found. or =Oak 14.000 t J Commcttinl.i,C atrric
1 land 2-family dwell 0 CammcrC (] Accessory building arm; for on other insinuations. buildfnh:.-
a Multi- fatnily 0 Master builder 0 Other: 173 Aire pimp, Ci innlellntto++ of 75;KVA or
0 Emergency system, targ -_r M
s arately derived totem,
JOB SITE 'INFORMATION AND LOCATION • ❑ Addition of new motor land of C] +'A . "14'; "1
w 100HP ar more. accapallcy.
,tab no.: Job Site address; 1.5.408 SW Arlington Terrace nag or more I Iderltli+l unto,
El Rccrcnlitmat veldcte prim.
[]Weans+ ^gmn fticilitia, ❑ "limply votr,lga form!n• ehn)
City/State/ZIP: Tigard, OR 97224 — p Ha?erdmis locations.
WO vnlm e++rninal.
Suite/bldg, /apt.. no.; Project name: Arlington Terrace 3 a mps or more.
_ - �. ,�._,�„ � , grvrce or O:a 0 a t: ttE 5CBiP1y ,
Cross street/dir1)ctions to job site: lett( Bend to Arlington rkn an o - rte_ Tams L
---"1 - New reaidenttnl single. or multi- ran dvrellinit nn;t,
Including At ticked garage. _
Subdivision: Arlington Heights 3 Lot no.: 90 1,000 sq, fl„ or less (CFA -
- Ea. add'l 500 so, 0. ar yortidrl . . fi-' 1
Tao;, rrlatp(parccl no.; Limited enci .y, residential
DESCRIPTION. OF WOORR, (with above acs,, n. ( 75,011 7s 2
Limited energy. multi-family 75.00 2
New Single Family residence re. side:mini (with aheye :t n -) L
Services or alteration, nlifl(9 relocation
2® am s or less 80.30 2
1(Or) i>ry .OWNER I {_' TENANT 201 amts to 400 nmpn 106.8t1 — 2
Name: Timberland Homes, Int. 401 turps to 600 cones 160.60 2
601 temps TO 1.000 amng 240,60 2
Address: 12670 SW 68 Ave m(I5! Over 1,000 amps or volts 454.65 2
City /State/TIP: Tigard, OR 97241 Temporary service, Oh' feeders inatallnri0n, Attention. and/or
illocution
Phtme: (;5t13)620 -4860 Fax; (503)598 -9081 200 amps or less 66.85 1
Owner installation: This inv(Mlntion is toeing made on property —
that 1 own which is not - amps to d00 maps 100,30 2
intended for sale, it�,ase. rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps tr, S99 amps J 133.75 2 W
Owner signature; Date: - Brnnett circuits -- new alteration. or extension, per panel
A, late for hrsneh circuit'A+rirlf
'►.+' Oft P AOr. T 0 togrAcr P'us& above service or trcdcr fee, G.65 2
c toh branch circuit _
Business name; Timberland Homes, lac. B. Fee for branch circuits
Onntact name: Steve Brown sctvico or fender fee, 4(.R5 2
;first branch circuit
Address: 1.2670 SW 68 Ave, Suite 300 Each add'l brunch circuit .--- ,,, &,05 2
--- Miscellaneous (service or feeder not lnehnall
Ci4y/Stnte /75.1': Tigard, OR 97223 Facb manufactured or modular 90.90 2
ollin ,ervke and /or'l,edar
Phone; ;403 887 -590 a x: ; _1ZR00
) 3 P 503 598 -9081 Rennt rSt only 6ti
_ ` RS _ .. .._ -
E.mar1: steve@tirnherlttndhoraes.net Pump or irrigation circle: 53.40 2
' .CONTRACTOR sign or nutitnC lrglltitlg 53.40 2
Business name: Lighthouse Electric
Signal circtrltfs) or limited -
$ _ energy panel, alteration. or
Addreaa; 27750 SW 95th Ave, Suite 109 mansion, l7escn'bc: Page 2 2
City/State /ZIP: Wilsonville, OR 97070 Ea rh additional inspection over xlletoable in any of the above
Phone: (503) 882 -9600 Fax: ,$03' 552 -8484 Per inspection
ti ga io n al 62.50
( t Invcsitgatioll�cr hour n to min) 62,50
Cal Lia.: 754997 I?Iccirlcrtl i ire : 3 -56 - Suprv.l re indltstrialplantperltuur 73.75
. lyi.ECTRTCAL ,P EE
$rises, Electrician signature. required ; l / subtotal: ? '7 U ,�
Print name: Milce Neel pate: Plan review (25% orpermit fee):
!blare NurellAlge (12% of permit Pee): 53. J
A,uthori7cti signature_ TOTAL Pl,'RM1T FE13; lj ( •'[ I
, -
Print name; Date: This permit 3ipllcntlgn mitres if a permit is net 01/tAinad r4ltbin Igo
days nitnr it hoc peen accepted as complcf
' NumrMT of inspections showed per permit,
rign deinoserm ;+n\nLi psrza 6 . eft 11/P f I owWlifi
Mechanical Permit Application
� j FOR OFFICE USE ONLY
K j'!
City of Tigard �'+CEIVED �te/By: ° � Permit " °. 4 /ta j��
• 13125 SW Hall Blvd., Tigard, OR 97223 i u Plan Review -iC/
✓
' - Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: klaol I — L?29 o
T I GARD Inspection Line: 503.639 MAR -1 20 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
CITY OF TICI
TYPE OF WO B[ ll DING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction El 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: $
® 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 I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15408 SW Arlington Terrace 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: Arlington Heights Heat pump 61.06
Cross street/directions to job site: Beef Bend 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: Arlington Heights 3 Lot no.: 90 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 I '7.-S-32--
Gas fireplace
New single family residence - 33.39 ?�
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: Timberland Homes, Inc. Environmental exhaust and ventilation
Address: 12670 SW 68th Ave #300 Range hood/other kitchen I 33.39 f. ent
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust ( 33.39 ....3.'4;t-
Fax: (503)598-9081 Single -duct exhaust (bathrooms,
Phone:
(503)620-8860 ( toilet compartments, utility moms) 23.32 L 31' Rz -
® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: Timberland Homes, Inc.
Fuel piping
Contact name: Steve Brown $14.15 for first four; $4.03 for each additional
Address: 12670 SW 68 Ave #300 Furnace, etc. I I IA-(
Gas heat pump 4 .0
City/State/ZIP: Tigard, OR 97223 Wallsuspended/unit heater
Phone: (503) 887 -5903 Fax: : (503) 598 -9081 Water heater
Fireplace •
E -mail: steve @timberlandhomes.net Range 1
CONTRACTOR Barbecue
Business name: Central Air, Inc Clothes dryer (gas)
Other:
Address: PO Box 433 MECHANICAL PERMIT FEES*
City/State/ZIP: Clackamas, I ' 97015 Subtotal ,A8
Phone: ( I s. . 1908 Fax: (503) 650 -3898 Minimum permit fee ($90.00)
I " Plan review (25% of permit fee)
CCB li ! 178624 101- 41 I Stale surcharge (12% of permit fee) q, 02. _
TOTAL PERMIT FEE 7, 5b
Authorized signature' This permit application expires if a permit is not obtained within 180
d ays after it has bee accepted as complete.
Print name: Andrew Sch& I Date: e54--1 — 7 fo (r * Fee methodology set by Tri Building Industry Service Board
\
I:Building \Pemuts\MEC- PermitApp.doc 10/01/09 4404617T(1t /02/CCOMM/WEB)
Masi 01 1 Gb Plumbing Sons 5036338378 p,1
03/01/2011 13:26 5035'381960 CITY OF TIGAKU
P[amb Per n 1 c �h ut ali r. 1.51. t 1
Building Fixtures RECEIVE' �t,.c., •:n 1 i `—Ul I
... _ ._ .. � J� 1 4' K..ta.-w .._ � x..14 I .71
R r r ,a•- ' - .. r
C ITY O TSGA 1 ...,;
T1 cA r t? - _�,jJjj.U]D1C�DLIS " r7Es' cr�l7u} • L �•- r. r cric:crs nc ��
F --- • . 'fYY.1�417F WORK u,'!L'V1:=.'1.'jlr. ^trtJJL " aY I TMx�
r� New a <,n�- ,c' ^ ~ � .. • - mc(c _ :110 B. inr enw� u141i{y t onf,Cei.iwi�
(1thCr. New 1 y(amifr ■ b
Add +ri rmlaltcraticn�Irrl,l,apmrnt ❑ 149.7.0
FR(t)
CATEGORY OT CONSTRUCTION 350.00
SFR (2) bath
El 1- and 2- family dwelling
[] Commercial/industrial
' SP R (3'; bath 60(-3.•'•25...-
Q Accessory building
Multi-family Each additional bath/kitchen
0 blaster buitdcr ❑ Oder: Fire sprinkler (,___sq. R) immprn
• - 30B' X17$ load RmAxto " i •Ato t kiTTop4 16.b0 NM Catch basin nr area drain
Job site address: 15403 SW Arlington Terrace 16 .60
prywell, leach line, or trench drain IIIIII
City/State/ZIP; Tigard. OR 972Zd Tooting drain (no. linear IL: ___) 11.1. Page ailill
Suite/bldg./apt. no.: Project matte: A rlington Heights Manufactured home utilities Wil l 10
16 60
Cross gtrccUdirecNana to job s tC. Beef Arad Manholes 16 .6o
Raiff drain connector
Sanitary sewer (no. linear it: 1 Page 2
Storm senior (no. linear it: !_. palm 2
Water service (no. linear fl.: _.) Milli Page 2
Subdiv ainn: ArliArlington !!eights } Lot no.: 99 Fixture or item
Absorption valve l6, 60
Tan maplparcel no.: I
¢ 2
. DESCRIPTION OF soli Haekftow prcrenla IG4t� •
e family residence Backwater valve
New single 16.60
Clothes wtasher
pislnvesliC 16.60
Drinking fountain 16.(+(1
1�' l)PEIITY tTWh'ER' (: town. • E'jectors/sump ! 16.60
Name: Timhcrhtnd Ritmo, lac Favor Sion tank 16.60
Fixture/sewer cap }.6,60
Addrtss: 12670 SW GS''' Ave i I 6.60
drainfflrtar Sinklhub
CltyISt WfZ,TP: Tigard. OR 97223 t;afirge disposal 16 60
Phone: (103)629 -8864 Fax: {503119 &9(181 16.60
• Hoac hilt ' ¢13; al•.PPLICANi' ' cwrAct B.i;[t.9oN ice maker 3r1.60
Business namo Timberland Bnn+es, tnc Intcrcepterigreesc I 6
Contact name: Steve Brown Medical Fps (value: 9 _ ) rage 2
Printer 1(s60
Ackirestr 12670 SW 68`" Ave. Snits 300 Rouedrain(totrrrncrcitd) 16.60
CityfStalc1ZlT': Tirxrd. OR 97223 Roof 16.611
Phenol (5031387-S9113 1 - Frur:: (503) S98-9031 TuMshowerishowcr pan 16.60
— Emma: ateve®Timherlandhommect Urinal 16.60 • • CONTRACTOR OK water cloaca I6 '
Business nirnet G & N Plumbing Waiter healer 16.64
Other:
Address! 1P0 Box 92 blot�l INI
City/Staterl_1P: St Pool. OR 97137 Minitnvry perrrait fee Su : 5 eotal
Phone: (4711563 32l,A Fax: (503) 6334373 Re.vitita31111 badcftw in nimtEn permit fcc: 53625
Plan tevic - (25% of pemmit Fee)
CCR I .ic :184372 ` Plumbing, Lie. nc+- 1'liti3l S tick surds ', (12% ofpetrnil fctl �. • '
J\dtitpri7ad ei gtanluni: �# 11?"� TM TFaHrr tart I ; • ii
Print none: S towe Fmvlcr I pate: i This permit urppliratinn empires i a permit is not nhtalicd within
1311 Clays after it has brc�t occt:ptcd es Comidetc.
*Fix =diode nsy set. by Tri- County :Suildinp1ndustrc Service 1fotnt
I3.aa4,d nalrvgmEl:IPtMF- Pc+n,irAoo.nx f 112714 +40 WWER)
S.
IN ' Building Division
Development Code Provision Review
T i G n Et Residential Projects
Building Permit No: H6- Ao I I -60035
600 3 (,
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A f_D I ` p .
Routed Plans: bi ( � Original Plan Submittal Date: r
1st Revision Submittal Date: ❑ Site Plan Only
2 ^d 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 � t-t-L at 503 -718- )( 1"C 1 or M 2 - @tigard- or.gov)
Iir Use Case No. A (a - 40 - 07) I I Name �QL I kJ 4 170 1 l4Ts 4)0 3
Zoning K
0 Setbacks:
Front l5 Rear 15
Si e t Street Side / 0 Gara e .9"(-) ❑ aximum Building Height 3 5 Actual Building Height 3
L'! Visual Clearance
❑ Easements
0 Sensitive Lands Type:
Notes:
Original Plan: Approved l Not Approved ❑ Date: 1/ 3/ ( I
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: cyo
Notes:
Original Plan: Approved Not Approved ❑ Date: .. / l 1
Revision 1: Approved Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov)
Pi/Street Trees
CJ Protected Trees
Notes: 2" 44r ,.4.., trf p/i[ rer
Original Plan: Approved Not Approved ❑ Date: riaei7
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 o ❑
Date Routed to Building:
Page 2 of 2
• ■
RECEIVED II
MAR -1 2011
CITY OF TIGARD
BUILDING DIVISION MARK HOME STEWART DESIGN
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/ I I j / / CONSTRUCTION ENTRANCE N ` � "' � w"
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/ I I / Its Disclosure
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N.M. COVER ALL AREAS OF BARE HOMES
SOIL UNTIL PERMANENT LAND SOAPING K.�1 •ARIJNGTON HEIGHTS 18 IN PLACE LOT / 90
/ /.A05 % / / / //A 111101000 FEB. 14, 2011
MOSS MARCH 01, 2011
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Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, .C1 a(tot,..N , am the general contractor or the owner- builder
at the following address:
Site Address: — 0 ` SW ,y i0 Tc
City: T■ red
Permit #: MST 2011- 0001S
Subdivision/Lot #: ft r; lt% 90
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 . ry weight t • framing members.
Signature: Date: 5.1.1
G16Contra• or o :wner- Builder
I:\Buil ding\ Form \RES- MoistureSensitiveWood.doc 09/25108
Oregon Residential Specialty Code N1107.2
.f
HIGH - ;EFFICIENCY INTERIOR LIGHTING SYSTEMS `'
•
Permit No.: Jurisdiction:
POST2o l t- o0 0 3 S
Site Address:
I�uo Su ✓lIi TLw.
Subdivision/Lot #: A
M1'1111 141 -
and/or Ip'�-
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 Resident': Specialty Code N1107.2)
Signature: Date: g
O .*tic- neral c .tor /Authorized Agent
Print Name: S1E VDJ A. 6e
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\ Fonns \RES- HighEfficiencyLighting.doc 07/01/08
.11 STREET TREE
. .
TIGARD TI I A TI
CER F C ON
I, s-r- v A. 3 , ow ner/ agent for �I ►� C D 1
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certi that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMITNO.: PASfi'2o1I n35
511E ADDRESS: 015 SW II 1, ►-.-O) -o+-, 1 c,,,,,0„( e
SUBDIVISION: I', , , C i LOT #: 90
SIGNATURE: DA"l E: ) 1
_ : A ER /AGENT)
RECEIVED &
VERIFIED BY DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
I: \ Building \ Forms \Streetl'reeCertificate 04/01/2011