Loading...
Permit ' MASTER PERMI ..„..1 CITY OF TIGARD 1 e COMMUNITY DEVELOPMENT /0 Permit #: MST2012 -00124 T 1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/20/2012 Parcel: 2S109DA15400 Jurisdiction: Tigard Site address: 15272 SW GREENRIDGE PL Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 73 Project: Arlington Heights No. 3, Lot 73 Project Description: New SF. 10/3/12, reprinted for additional square footage added. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 6 First: 608 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29.5 Bathrooms: 3 Second: 1375 sf Garage: 808 sf Front: 15 Smoke Dwelling Units: 1 Third: 1845 sf Right: 5 Detectors: Yes Total: 3828 sf Value: $452,071.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 7 201 -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 +emp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 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 3828 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- 639 -4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior to footing inspection PHONE: 503 - 387 -7577 PHONE: 503 - 387 -7577 FAX: 503- 387 -7615 Total Fees: $22,001.99 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 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. TENTIO Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952 -0 1 -0010 through •A !•2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80 .2344. Issu By: , . • � .gj Permittee Signature: X 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. FOR OFFICE USE ONLY — SITE ADDRESS: / A'7 /we; 6 A 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: „2)f 71 DATE RECPWED:,:_ . DEPT: BUILDING DIVISION !i LL; t ` .:J ; . ' t i OCT 0 1 20. FROM: /94 /Ls / 77/g CM( O nciiimi s� Psi u r",t4� 0 ;'- js . COMPANY: - Tfl/ /_ , (d Erb M t o ' t,! _• PHONE: 753 e/99 B RE: /5a 7:2. �GJ 6/,/i G /°L / Q 9/,2 • (Site Address) (Permit Number) i L//1/07 , J 7 ' 73_ LO % 7.3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 4 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. Y Engineer's calculations. Other (explain): / REMARKS: rte, y, / 1 g S f . / ��. - FOR OFFIcp USE ONLY Routed to Perm' echnician: Date: ((, ( Initials �,.,* Fees Due: la Yes ❑ No Fee Description: Amou' iTue: Special Instructions: Reprint Permit (per PE): Yes ❑ No ❑ Done Applicant Notified: Date: Initials: (:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 From:AKS ENGINEERING AND FORESTRY 5039258969 10/04/2012 12:56 11400 P.002/002 PREPARED FAR FOUNDATION CERTIF1CATIOaEGEIVED 4 ,z STONE BRIDGE HOMES BEING LOT 73 OF "ARLINGTON HEIGHTS N6. 11 2 4230 SW GALEWOOD STREET, LAKE os 0, 97035 LOCATED IN THE SE 1/4 OF SECTIO D Di VISIOF TOWNSHIP 2 SOUTH, RANGE 1 WEST, ., CITY OF TIGARD, WASHINGTON COUNTY, OREGON BUILDING PERMIT LOT72 t i, #MST2O12- ` ` � • 196., 1 5 0 ` 1 7 2 14/ 64 rF- 0 r a6r PL 2 c§ L s62.50 4:3., '- LOT 73 5 48 0 , P., CN/ 10.00 �o . in / F F. ci) co 16.83'0 r. ,. ••0.91' o W 14' 8' o °O — ie I i CO 3.00' 1 tslf % 2.00 ,•, I�L1 I 49.00' Z Q h/ / ,° 0 0 \ iri s 6Q' i N88'16'24" 93.13' 1 Co LOT 74 CO I I, ROBERT RETTIG, A REGISTERED PROFESSIONAL LAND SURVEYOR IN THE STATE OF OREGON, HEREBY CERTIFY THAT SCALE 1" = 20 FEET I HAVE ACCURATELY SURVEYED THE FOUNDATION FOR LOT 73 OF ° ARLINGTON HEIGHTS NO.3 AS SHOWN. N cs °D F co REGISTERED ARLINGTON HEIGHTS ENGINEERING • PLANNING • LANDSCAPE ARCHITECTURE PROFESSIONAL JOB NAME: HOME STAKING FORESTRY • SURVEYING LAND SURVEYOR *--_` JOB NUMBER: 2643 LICENSED IN OR & WA ,A#1109,- AK 13910 SW GALBREATH DRAWN BY: RDR DIN& SUITE 100 OR EG • N SHERWOOD, OR 97140 JANUARY D. 1, 2005 CHECKED BY: RDR g/Ng'RIAV , FORANTRY PHONE: (503) 925 -8799 60124LS FAX: (503) 925 -8969 RENEWS: 12/31/12 DWG NO.: 2643STK , OFFICES LOCATED IN SALEM, OR & VANCOUVER, WA p CITY OF TIGARD MASTER PERMIT 11111. a , COMMUNITY DEVELOPMENT Permit #: MST2012 00124 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/20/2012 Parcel: 2S109DA15400 Jurisdiction: Tigard Site address: 15272 SW GREENRIDGE PL Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 73 Project: Arlington Heights No. 3, Lot 73 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories. 2 Bedrooms: 6 First: 1375 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29.5 Bathrooms: 3 Second: 1845 sf Garage: 808 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3220 sf Value: $388,888.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Drains: Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Dra Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 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 Furn <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 add, 500 sf: 7 201 -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 3220 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 - 639 -4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior to footing inspection PHONE: 503- 387 -7577 PHONE. 503- 387 -7577 FAX: 503- 387 -7615 Total Fees: $20,775.73 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 do n a ice 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: Or •on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 001 -0010 th ough OAR • - 001 -0' • . ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue ) ;l4'L.-V- � � Permittee Signature: 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. Build g Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received 7 `1 g Date /B :� ��+ • ��r Permit N/57/2 — 6 o/ y q 13125 SW Hall Blvd., Tigard, OR 97223 JUN 05 2012 Plan Review Ka Phone: 503.639.4171 Fax: 503.598.1960 Date /B /A r therPenmiSti}42v 2 - 60/0 7 Inspection Line: 503.639.4175 " � n 'S� Date Ready /B): El See Page 2 for TIGARD Internet: www.tigard- or.gov CITY O p ° � . � Notified /Method Supplemental Information v DIVISION TYPE OF WORK REQUIRED DATA: I- 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. I- and 2- family dwelling ❑ Commercial /industrial Valuation: �l ', ,r . ' ❑ Accessory building ID Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: ( ID212 Gj/ Reel iDbe pc,. New dwelling area: 32 20 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 9,0D square feet Suite /bldg./ apt. no.: Project name: Arlington Heights Covered porch area: ( QZ square feet Ic Cross street/directions to job site: cj ck area: O" 4 t S square feet f V76-- (/r �O structure area:4 square feet Z REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Arlington Heights Lot no.: 13 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 ❑ 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: ( ) 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 IW� k Ol e.0 4. 12 e e methodology 180 days it has been accepted as complete. 1� Print name: 1V Da � * Fee methodollogy y set by Tri- Count Building Building Industust ry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440 -4613T(I I /02 /COM /WEB) A • Mech finical Permit Application £ FOR OFFICE USE ONLY A( .b.,,. - f Vw Received ' City of Tigard Date/By: PermitNo.:�S7ao /A MoD/ , 13125 SW Hall Blvd., Tigard, OR 97223 • Plan Review _ Phone: 503.639.4171 Fax: 503 598.1960 ! : t , 0 5 '—' U. 2 Date/By Other Permit: e Inspection Line: 503.639.4175 " "'v T I G A R D p Date Ready /By: Juns. 9 See Page 2 for Internet: www.tigard- or.gov CITY OFTIGARI) Notified/Method: • Supplemental Information NC DWIT,ON TYPE OF VPOWIP 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: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ' For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling ` , Job site address: 152.'72, A! („eE4¢1p&, pt. Air conditioning (requires site plan showing placement) 46.75 ,• City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) 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 electric), in -wall, in -duct, suspended, etc. 46.75 ,, Flue /vent for any of above . 23.32 Subdivision: Arlington Heights Lot no.: is Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 1 23.32 Gas fireplace 1 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 ' ® P ROPERTY OWNER ❑ TENANT Chimney /liner /Flue /vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC .. Environmental exhaust and ventilation i6 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 Single -duct exhaust (bathrooms, Phone: (503)387 - 7577 Fax: (503)387 - 7616 toilet compartments, utility rooms) 5 23.32 ❑ 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. - 1 Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace 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 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) : , , TOTAL PERMIT FEE i 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 1Building \Pcrmus \MEC- PermitAppdoc 10 /01/09 4404617T(11 /02 /COM/WEB) ,. 0 s Electrical Permit Applicatio FOR OF USE ON 7 City of Tigard Date /Bea Permit Nor . ° 1 3125 SW Hall Blvd., Tigard, OR 97223J 0 5 2012 p lan Review , — � �� 2 Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: T1 G A RD ' Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: turis ® See Page 2 for Internet: www.tigard - or.gov DIVISION BUILDING Notified/Method: Supplemental Information TYPE OF WORK 1 DIVISION ll 1V PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below). ® New construction ❑ Addition/alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural , ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or , JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ", Job no.: 14444 Job site address: 152a_ GA/ t 9IRtP6E P1' —100HP or- more.' occupancy ❑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.: 13 1,000 sq. ft. or less r 168.54 4 Tax map /parcel no.: Ea add'I 500 sq ft. or portion 7 33.92 I Limited energy, residential t 75Cr 2 DESCRIPTION OF WORK (with above sq. ft ) 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 C ity/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 1 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, 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 (I hr min) 66.25 CCB Lic.: 42422 Electrical Lic.: 26 - 289C Suprv. Lic.: 35925 industrial plant per hour' 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: • Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: �_ TOTAL PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within 180 ' days after it has been accepted as complete. ' Number of inspections allowed per permit ' I•\ Building \Penmts \ELC- PermnApp.doc 10/01 /09 440 -4615T(11 /05 /COM/WEB 1,e 5 Building Divisi n m d>< g D><vts Development Code Provision Review T l C A R D Residential Projects Building Permit No: /I S % cW /? 042/02Y CWS Service Provider Letter Received: Yes ❑ No ❑ N/A �+,, , y Routed Plans: 1URT— G oAcu `as Original Plan Submittal Date: 5 .2-, 1st Revision Submittal Date: f. [ 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 i approved. , Planning Review (contact t 513-71: / r /4'@tigard La Use Case No. , ,G /0 /' / / D I Name /L/ � , v // am Zoning — Er Setbacks: S� LL- 1 Front / `7 Rear ; ��`! Street Side /0 Gara e 0 m Maximum Building Height 17 Actual Building Height it ❑ Visual Clearwrce ❑ Easements — �- ❑ Sensitive Lands T e: d�w e/ Notes: r � �!, � R'� 5 i z f C9' / UM) e l / ` 1 i 1 CD rd f2®> 1 ) Original Plan: Approved ❑ Not Approved l Date: 64 /2 Revision 1: Approved Not Approved ❑ Date: ei Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) .Actual Slope: 3 0 cyo Or Notes: �J - , V1�+*- t L-4 6 - AJ L `y(_ ( d / Y & 6 )4-ie- - Y/V (,c/ 4-7, o-i-S eel.-.47 Original Plan: Approved Not Approved Date: / 6 Z Revision 1: Approved Not Approved ❑ Date: S Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City .tl Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ai Trees Protected Trees Notes: Original Plan: Approved 1 Not Approved ❑ Date: Oo lk PP PP 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 : 1 Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Ye 1 0 No G %// 1 -- Date Routed to Building: 2/ , • , i Page 2 of 2 • STONE BRIDGE 1 OBE. 1444 -:S- - HOMES NW °' LOT: 73 t N'j'r�. :i,•,.,, DATE: 6/7/12 i 4230 GALEWOOD ST. SUITE 100 ,J►' - °f ' •' t°+n PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 �� !!' .,, I ` ' ; ;;,, - HEIGHTS 97 35 1 (5 3 CTPY: TIGARD SCALE: 1 " =20' PLAN No.: 175M0D —OP11 \ -.4 k- -to 6411grAftir _ \ \ r.�� '95, 0 \ "! S, <0 �i A V �V 'e:. \;.;01140,_ a �6 . V ' v � - of �� T� � \ v\ � G Cl \ !'. . : , ' • , a0 6 s y \\ m 3' \ \ \ \ ' •: :. ' EL.342' WATER V ' . \ 1 � . 3'n 13' \ ',� . , , ., V A A I • EL. " - C -..•; 03 'Emil I 4 DR1yEwar 6'6' 3,'6 • 3,220 SQFT �IIIIIIU 0 12' -0' REAR SETBACK v,,,' � \: • ' 'N∎ . _ :� . z, e 3 BATH I .r„ J .i' �:. :'1 n\ _ OvERED I M y g - \ - DECK .: 13 -91 -- \ ,6.a \ es SEWER I 3 J i.I _� I - - STORM EL • i 1 t' . EL•344' - / 3.I3' ,/b // / -10a - . I to . 1m ,e 152 '12 SW GREENRIDGE PLACE LOT COVERAGE LEGEND LOT AREA 0039 SQ. FT BUILDING AREA: 2,23& SQ FT GE 31% — STREET TREES PERCENTA ORNAMENTAL PEAR NOTES: -PYRUS CALLERYANA- ALL GRADE AND FROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS - ALL DIMENSIONS AND SQUARE FOOTAGE ARE AP°ROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS 4ND LOCATIONS ARE ESTIMATES T —EY MAY vARY AND BE SUBJECT TO CHANGE. LOT 0 13 DRIVEWAY MAY DIFFER DUE TO LOCATION 0= UTILITY BOXES, 603s eq. ft. STREETLIGHTS, AND OT -ER SITE CONDITIONS EsB • STONE BRIDGE REC: 1 JUN o zo ►z OBE: 1444 DATE: 73 . HOMES NW DATE: 8/7/12 4230 GALEWOOD ST. SUITE io0 CITY OF TIGARD PROPERTY: ARLINGTON LAKE OSWEGO, OR 97 BUILDING DIVISION HEIGHTS (5 3 - 7577 CITY: TIGARD SCALE: 1"=20' PLAN No.: 175MOD —OP11 s, s. �\ -. MOH' At 4 _ 0 . ~ � is '94' � 3 Y �.. N T , 4.,...:,„___ rw. - •' - ` �;. _ � � ��' �t+ 'j' ..,' i.: •1 — Iii 3 ...Iii' WATER - - 0 , . ... -. , ► • ,i,,t, a.. G T \ 3 65 • �� �' } 'I D - IYEWAY ' RIIIIItl. 0 y ".•, i'• \.;:. ' '' 3,220 liali Sw 1 REAR SETBACK a o `� 3 BATH 1 1ER , Y, Y � `•' ..� :).-• - ' . : RED ai •-CK ��,- / / / % ®/i , RM �_' I� 34 4 ;+ 46 364 362 360 358 356 d1 354 352 350 348 346 15212 SW GREENRfDCE PLACE LOT COVERAGE LEGEND LOT AREA: 6,039 SQ. FT. 40i BUILDING AREA: 2,236 SQ. FT. — STREET TREES: PERCENTAGE: 3 ORNAMENTAL PEAR NOTES: -PYRUS CALLERYANA- ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT t3 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 6035 6q. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. FOR OFFICE USE ONLY — SITE ADDRESS: /5 la's S13 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G:A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: / SEP 1 7 ?O1? CITY OFTIGARD COMPANY: $ BGILDINGDIVISIQN PHONE: C) 7S 3 By (Site Address) (Permit Number) — ���f (Project nade or subdivision nafile and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 3 Additional set(s) of plans. Revisions: Cross section(s) and details. 3 Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. 3 Engineer's calculations. Other (explain): REMARKS: FOR FFIKE USE ONLY Routed to Permit Techn�i • Date: q (Z 1 j Initials Fees Due: El Yes L- No Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\ Bwlding\Forrns \TransmittalLetter- Revisions doc 05/25/2012 Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 5 �� - - Jurisdic /° .� r YYt 2� oo1 y r c Site Address: /5 L-, Z S lJ G r--e-e-w t - /5 Subdivision/Lot #: 7 3 and /or Map and Ta, Lot #: 7 3 By my signature below, 1 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: l - - Owner /General Contrac oor /Authorized Agent Print Name: ORSC Section N 1107.2. 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. 1: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, t4 S6t , am the general contractor or the owner - builder at the following address: Site Address: S Z Z p L City: I' 15 ( tl( O>_ Permit #: 1\/\---r- - l Z a i Z '-+ • Subdivisio Lot #. 3 and /or Map and Ta Lot #: 7 3 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: 1Date: --1 2 - 13 General Contractor = Builder l: \Building\ Form \RES- Moistw'eSensitiveWood.doc 09/25/08 STREET TREE TIGARD CERTIFICATION , owner/ agent for gg vie Q6:c( (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. PERMIT NO.: il"- 5- ?o/ Z 00/ a .-/ SITE ADDRESS: 1 S z- 7 Z Sw Grp v (‘\ kV L SUBDIVISION: A v.51-0 , A91■ LOT #: 7 3 SIGNATURE: (ZI % DAZE: 2 - % 2 - ( 3 (OWNER/AGENT) RECEIVED & VERIFIED BY DA1 E: (CITY OF TIGARD) I I Tree location verified per approved site plan. I:\ Building \Forms \StreetTreeCertifcate 05/30/2012 r th Scwtalnabie 8aId?rtgarj:f CS7mate Sula?(taraa 1 eanhadvantage org ra V . ���'1�y *_ inst itute A©8 SW 3rd Ave, Su ale 890, Poitian6 C R. 9720A I 603 968 7160 Inspection Date: C.Z • I I . ( 3 Address: I$Z Z 5 w aREEA)Ri E FL City: Tl C...& Blower Door Test Results Maximum Allowed ACH: 5.0 (for Earth Advantage) /4.0 (for ENERGY STAR) Actual CFM: 23 SG . ACH: 1. 4 . Verifier Signature 44J f 0 Z bL. (-r 3 & $T 1 - s 1 c 7S • 73 A 14 ! !Energy Trust New Homes x ° 1 1 cwtivicewgn;c BETTER WITH Certified Residential Air Duct System crEncvsran EnergyTrrr,I;, .. - __ COMP y I ; : ry s,�. • : r ' ! 'unr rury ( r; l 7Y - -` 7 •,�1. C t ,- )'.:c:lrnician . tSJLI_ -W.'d slob Date / . 21...Z ', -- ' Combustion :Apphaiice•Zone,(04Test lVtlnin Zone Zone 2, if rtpplir ' CA.."7. W R'I' Outside P ,, - — I a Basel Me (WR'FOutside, tuns oft) _ Pa l ['.1' CAZ Pressure (subtract — baseline Rum CAZ WWI outside) — - -° Pa Pa Leakage ( iIl..:o u t:or ie s ucker p duct . . Duct t system Description of Area System Serves .. S __M r C'und. Fluor Area Syste m Serves (ti) _ ------ 0 yes no Air Handler in conditioned space? / 675„,,t ;s no Air Handler present during test'? If "yes" for either, then maximum CFM is 75 CFM a 50 Pa or itior area x 0.06 -Z CFM(tr),50 Pa, whiche vet is greater. It' °no " for both, then maximum CFM is 50 CFM0r;5C Pa or !]our area x 0.04 _ - ___ - CFM000 Pa, whichever is greater. 'Pest Method: 0 Leakage to Outside or &Crutal Leakage Test Result ' C "F111 w,50Pa I:au Pressure WZ. Pa Gauge type: ❑ DG or T 7 pG70( Rin;; (circle one) Open I ? Duct Blaster' Location C `Tr t2.t 4 " Pressur Tali Location — Tim Aufenthie - T &R Backflow Services 1 n 2 4 (503) 318 -6313 FAX (503) 682 -4466 CCB# 116054 email: TRbackflowservices @msn.com INEW ❑ EXISTING BACKFLOW ASSEMBLY TEST REPORT ❑ REMOVED PROPERTY ��,(' >Z ; ( 9 P I ` _ 3 PHONE: ❑REPLACEMENT OWNER: (X IC MAILING ADDRESS: CITY ZIP STATE / ADD E SSY 1 S 2_ (ii " (TReeiJ 1 \ e I STREET ❑ R.P.B.A. .C.V.A. ❑ R.P.D.A. ❑ D.C.D.A. F. . ❑ P.V.B.A. ❑ S.V.B.A. ❑ A.V.B. R ❑ AIR GAP , SIZE: I I -1-' U MAKE: A �' 1 MODEL: z off" " WATER SERIAL Z v Y PURVEYOR: T LAO NUMBER: ASSEMBLY „.. ,,. �n LOCATION: ASSEMBLY , �L1 VYV LA1 L r��Ag MA Y REDUCED PRESSURE ASSEMBLY P.V.B.A. / S.V.B.A. INITIAL TEST al CHECK DOUBLE CHECK AIR CHECK PASSED k PRESS DROP (A) CHECK #I INLET FAILED ❑ INITIAL RELIEF VALVE OP 11 .4) OPENED AT: PRESS DROP OPENED AT (B) TIGHT TEST MIN 2 Pslo LEAKED ❑ PSID DATE: RESULTS BUFFER 2 /-) / f 3 A - B = CHECK #2 PSID PSID MIN 3 PSI TIGHT IYI 2- RELIEF VALVE 7 PSID DID NOT FAILED SYSTEM PASS ❑ FAIL ❑ LEAKED ❑ OPEN ❑ ❑ PSI COMMENTS REPAIRS AND / OR PARTS REDUCED PRESSURE ASSEMBLY P.V.B.A. / S.V.B.A. AFTER REPAIRS #1 CHECK D.C.V.A. TEST PRESS DROP (Al DATE: CHECK #I AFTER RELIEF OPENED AT PRESS DROP OPENED v: .,o (B) TIGHT ❑ PSID I I REPAIRS BUFFER CHECK #2 A - B , +� TIGHT PASSED ❑ ❑ PSID PSID PSID IN COMPLETING AND SUBMITTING THIS TEST REPORT. THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH All APPLICABLE RULES AND REGULATIONS OF THE WATER SYSTEM. AND STATE REGULATIONS. GAUGE CALIBRATION DATE 12/ 30 Z DE ECTOR METER READING I 3466 TESTER SIGNATURE TIM A. AUFENTHIE CERT# 20061 • TESTERS NAME PRINTED 8660 Rogue Lane, Wilsonville, OR 97070 GAUGE a (503) 318 -6313 TESTERS ADDRESS T & R Backflow Services PHONE a COMPANY NAME ( (�-�p ,�, "'\ 1 �j/ 4 'T I tOrg D4RVICE RESTORED REPORT RECEIVED BY: J (KKEPRISENTATIVE OF'TNER) WHITE - Wmer Sy stem Copy PINK - Cu,I ,mcr Copy YFLI OW - Tester Copy