Permit CITY OF TIGARD MASTER PERMIT
3 : • COMMUNITY DEVELOPMENT Permit #: MST2012 00027
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/09/2012
Parcel: 2S109DA14600
Jurisdiction: Tigard
Site address: 15238 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 65
Project: Arlington Heights No. 3, Lot 65
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1066 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1355 sf Garage: 495 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2421 sf Value: 5270,780.39 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =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' 500 sf: 4 201 -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:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2421
Owner: Contractor:
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST, STE 100 16869 SW 65TH AVE # 505 1 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: $18,457.49
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 i - w• • : • - 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. • ENTION: Or - =•n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR • - -01!0 u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: _ , Permittee Signature: ir
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Building Permit ONLY
USE OFFICE Application
Residential \ RECEV It
FO
►2 OFFIUSE / Rece
City of Tig rd� FEB 2 3 201 Permit No.: /� n'7
• Date/B : . Mr`f j �II N
13125 SW Hall Blvd.; T igard A 2 23 Plan Revie ® � '
12 Phone: 503.639.4171 Fax: - 503.598.1960 CITY OFTIGAFD Date /B A' L A ,r. 1Z Other Permit: C /�
Inspection Line: 503.639.4175
ricnlil� BUILDING DIVISIOP Date Rea.y ty: Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notifed/Method: J r II Supplemental Informat
COL. u,iM (.,v . 6i1Al
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 applicar
Valuation: ■ Z'79 - 7(;) t ® 1 - and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: . Number of bathrooms: ..5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address: 1522,41!) sw Summ E.0.V ISW DR. New dwelling area: 24 square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: 4415 square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: ' 0 0 square feet 139s--
Cross street/directions to job site: Deck area: square feet 106:60
Other structure area: WI -I (c square feet 26
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights I Lot no.: & 5 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: 4230 Galewood St, Suite 100 Occupancy groups:
City /State /ZIP: Lake Oswego, OR 97035 Existing:
Phone: (503)387 -7577 Fax: (503)387 -7616 New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: SEE ABOVE All contractors and subcontractors are required to be
•
Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board •
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail: dbritt@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: ( ) I Fax: ( ) FLS plan review fee (if applicable):
• CCB lic.:.173318 Total fees due upon application: 0 •Q .A. - d I f k i Amount received: J�7 oC
Authorised signature This permit application expires if a permit is not obtained
Print name:
12, 4:3 I Date: 0 2• 1'a•• II within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1: \Building \Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(I 1 /02 /COM/WEB)
: r( F IVE®
Electrical Permit Application FOR OFFICE USE ONLY
FEB 2 3 2012
R eceived I��/1%�1
City of Tigard L Permit No.:
'
• 13125 SW Hall Blvd., Tigard, OR 97 33(V OF TIGARD Plan Review n �
Phone: 503.639.4171 Fax: 503.598. 6o , n Date /B Other Permit: _ d'
TIGARD
Inspection Line: 503.639.4175 .' - • - "- ? DIVISION
Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified /Method: 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 stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: 143(p Job site address SW WM M r VI EW DO. I00HP or more. occupancy.
0 Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 I S2-3 ❑ 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 I Qty• I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: G 5 1,000 sq. ft. or less 168.54 �'(..
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion I ., • 33.92 , LE I
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) ( .25L -ifiC.) 2
Limited energy, multi- family
. residential (with above sq. ft.) 67.84 2
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 ex tension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ❑ 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 2
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: ( ) • Fax: : ( ) Reconnect only 67.84 2
E -mail: dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2 •
Business name: City Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (971) 404 -1714 Fax: (503) 625 -3052 Investigation' per hour (1 hr min) 66.25
CCB Lie.: 42422 ,/.'' Electrical Lie.: 26 -289C Su ` v / prv. Lie.: 3592 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: - ?77' 22
Subtotal: ,
Print name: Chuck Friesen Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): 4J . i 1
. Authorized signature: �....... ' . TOTAL PERMIT FEE: 42 4 ,^7 a
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:\ Building \t'ermitsllit.C- PcmitApp.doc 10/01/09 410 -46151(11 /05 /COM /WEB
Mechanical'Permit Applica i �C
F �V FOR OFFICE USE ONLY"
City of Tigard FEB 2 3 2012 Received ffs I�
Date /By: 47.....„ / Permit No.: ' !7
11 q 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598 • Date/By: Other Permit: §a (�', p / 2—
Inspection Line: 503.639.4175 ' O F I !GARD
'1 I G \ R D p G DIVISION Date Ready/By: S : Juris: See Page 2 for
Internet: www.tigard- or.gov BUILDING Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
0 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*
® I - 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
IS 2-35 JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: -1 SW NAM EAO BW PR . Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 1 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite /bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Arlington Heights I Lot no.:
5 Flue/vent for any of above 23.32
Other: _ 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
• New, Single Family Residential Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER I TENANT Chimney/liner/flue/vent
Other: 23.32
23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Address: 16869 SW 65 Avenue #505 Range hood /other kitchen
equipment C 33.39
City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust i`. 33:39
Single -duct exhaust (bathrooms, f ��
Phone: (503)387 - 7577 Fax: (503)387 - 7616 toilet compartments, utility rooms) 23.32 1 (e, WS
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: same as above
Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Furnace, etc. i 1
r'J
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace T
E -mail: dbritt@stonebridgehomesnw.com Range 1
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 300,17
Phone: (503) 667 - 5595 Fax: (503) 491 - 8252 Minimum permit fee ($90.00)
Plan review (25% of permit fee) •
CCB tic.: 110091 7/3 / !) State surcharge (12% of permit fee) Wail
TOTAL PERMIT FEE – 3'37s ( .1
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 Heldstab I Date: • Fee methodology set by Tri- County Building Industry Service Board,
1:1 Building \Permits\.iIC- 1 10/01/09 4404617T(t1/02/COM/WHB)
Plumbing 'Permit Application • Building Fixtures
FOR OFFICE USE ONLY
City of Tigard FEB 2 3 20 DateBy / P. ' S /a- . • Permit No.: /47/"7 ao�� 2 7
a 13125 SW Hall Blvd., Tigard, OR 97223
ti Plan Review C dt/ ^ a
^l - 2
Phone 503.639.4171 Fax: 503.598/ OF
Date/B
Other Permit No.:
Inspection Line: 503.639.4175 T IGA j
' T I G A I: I) BIJ ILDt�,I t D Date Ready /By: Juris: I See Page 2 for
Internet: www.tigard- or.gov G DII�SIpflj Notified/Method: Supplemental 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 ( 500.32 q ),
❑ Accessory building ❑ Multi- family
Each additional bath /kitchen 25.02
❑ Master builder ❑ � D Other:
p Fire sprinkler ( sq. ft.) Page 2
23 1 2 JOB SITE INFORMATION AND LOCATION She utilities:
Job site address SW v./tome-4v' ew pR , Catch basin or area drain 18.76
City/State/ZIP: Tigard, OR 97223 Drywcll, 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 I Lot no.: 105 Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New, Single Family Residential Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 16869 SW 65 Avenue #505
Garbage disposal 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Deirdre Britt Roof drain (commercial) 12.51
Address: Sink/basin /lavatory 25.02
City/State/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: dbritt @stonebridgehomesnw.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:. Jardine Plumbing _ Water piping/DWV 56.29
Address: PO Box 186 Other: _ 25.02
City/State /ZIP: Estacada, OR 97023 Subtotal 4 DCLA 3Z
Phone: (503)351 -8532 Fax: (503) 6302882 Minimum permit fee: $72.50
CCB Lic.: 108747 Plumbing Lic. no.: 93- 1185347 L..../1 Plan review (25% of permit fee)
State surcharge (12% of permit fee) 0 0 4 .
Authorized signature: .../..--" V TOTAL PERMIT FEE '3b
Print name: Ja y Jardine 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:\ Building \Permits \PLM1J- PermiiApp.doc 10/01 /09 440 -46161(10 /02 /COM/WEB)
I` Lil 4 4 -6
111 e ° Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: Ht,—; c 2. —000..x7
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A `a
Routed Plans:
Original Plan Submittal Date: 02 o 2'
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 at 503 - 718 - 0 2 37 or @tigard - or.gov)
Land Use Case No. 5 ,IJL) ( o ,- ' D ( Name A L JCa j Tv � s
Zoning
EKSetbacks: r
Front / I Rear / I J Street Side 1/) Garage G
❑ Maximum Building Height Actual Building Height `'1
❑ Visual Clearance
❑ Easements 5 C 5 Sae' �_5' Pa c ..
❑ Sensitive Lands Type: Gerrit., S' 3-(6 (a < -4i°n' L U S
Notes:
Original Plan: Approved Not Approved ❑ Date: ' /
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engin ering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: 16
Notes:
Original Plan: Approved Not Approved ❑ Date: Z 0 4/h—
Revision 1: Approved ❑, Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Atborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigacd - or.gov)
1 treet Trees
L7 Protected Trees II r 1 f
Notes: I GCdrr/Dn-1 r4rei4 "frre3 �.o�r.� � Too�J par cv� �►1 Pi/ L'�y trror- t"
( f) s o 1 co r,j rJ r)s ' c in 'I L cc ac
� 1 1
Original Plan: Approved Ll Not Approved ❑ Date: 3/ a-
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 N -
Date Routed to Building: • 3 '�
Page 2 of 2
STONE BRIDGE OBE:1436 1
` HO M ES NW REcE LOT: 65
4230 GALEWOOD ST. SUITE ioo LU PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97035 FEB 2 3 1012 HEIGHTS
(5 3 CITY: TIGARD
[ T1C A SCALE: 1 " =20'
- -,glC� • °' f`_., PLAN No.: 270
STANDARD ELEVATION
EL•424'
424 ■
■
elve i, j
� ! \ ■ ,,
4 22 ..... I �\ IP ••• if
ill > 111V OL $ fa' -0' 1 _'hu ` ` 4; z� est
,..ui IR
.. .. 1 420 T . A \ ,, `.
..,..4 r .....- ..,::..1,.:.:..--..::':;: f:',... r
coNcREre.,. 495 n \ ‘ 571:7-4144-
. . OC
DRIVEWAY - 2 CAR . ` ►,
' ' ' FF -4?. 4.
A i * EL 410'
I
A '4
�1 .
M I �,4218p, • I.
1 4 •13 / fi ,. ,
Oi tig FP.E. 03 .. ' 4,
.... . .. 31 , , ,,
, ,../....„,,,
, i
......... / r cE --
9 �w� '1 � ) •40 1'
i in
�.�
416 414 412 •401'
410 408 v.
N
LOT COVERAGE STREET TREES
LOT AREA: 5,656 SQ. FT. iii
BUILDING AREA: 1,191 SQ. FT.
PERCENTAGE: 31.1% — RAY WOOD ASH
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
THEY MAY VARY ARY AND BE SUBJECT N
CTT TO CANGE A ESTIMATES.
,
T LOT ' 5
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,656 eq. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
—. _ ,__ ,
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, V / , am the general contractor or the owner- builder -
at the following addre! : / ) -
Site Address: I S -L 3 �( S W ScAA,, . x--v - J AD r
City: I ev i. CJ
1� .
•
Permit #: VA -1---- Zd / -t- 00 d Z )
• Subdivision/Lot #: r S
and/or V
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 fram • members.
q
t/
Signature: Date: / /I/ )7_—
General Contractor or Owner- Builder
•
I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
L
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1/ 7.6. l — 0007- 7 Jurisdiction:
Site Address: .) g S kJ 1 nn
Subdivisio of #: S
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: - ;7 Date: b ' // -
Owner /General Contraccuthorized Agent
Print Name: -/ v
•
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 of 40 lumens per
input watt.
1:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
5,`_ad� -
STREET TREE CERTIFICATION
I, VV \c5 ( , Owner /Agent for .5t6110-e_ C
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington. County
land use and development standards for street tree installation.
ADDRESS: 15 Z3 g S Li v� -.w (o r
SUBDIVISION: #6: (/ LOT: 6
SIGNATURE: % DATE: l -//- /
' :(O r171 ENT)
RECEIVED BY: DATE: ( "/ Z
OFTIGARD)
I:\ Building \Forms \StreetTreeCertificate 01/19/07 I
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4u�e
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: C _l -4Z TIME: PAGE:
SITE ADDRESS: w Li /e LASS of WORK:
SUBDIVISION: /6---:98 S� LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: 'A^ PHONE #:
CONTRACTOR: h S 12 — C) 0 0 0 27 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
r iv A J L 60 :6,w 6..
Corrections /Comments /Instructions:
0 Aw (Q /VUm, 6-15/z5 Xloi oS1 ,4-- r JD e S i7''
/
/ 0 O / li j' ( 7 v
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
0 AIL ❑ CALL FOR INS' CTION ❑ ADDITIONAL FEES ASSESSED ____
,- 74 Inspector: Date: k Phone #: (503) 718-