Permit N a CITY OF TIGARD MASTER PERMIT
I 2 COMMUNITY DEVELOPMENT Permit #: MST2012 -00228
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/25/2012
Parcel: 2S 114BA 17800
Jurisdiction: TIGARD
Site address: 9646 SW FERN HOLLOW CT
Subdivision: FERN HOLLOW Lot: 4
Project: Fern Hollow, Lot 4
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1122 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1446 sf Garage: 400 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2568 sf Value: $283,786.32 Rear: 2
PLUMBING
Sinks: 1 Water Closets: 3 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: 3 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'I 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
Ecom asin Y
Other: N Other Description: p 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2568
Owner: Contractor:
RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports (Conditions)
17933 NW EVERGREEN PKWY, 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503 - 639 - 4175
SUITE 370 BEAVERTON, OR 97006
BEAVERTON, OR 97006
PHONE: 503 - 645 -0986 PHONE: 503- 645 -0986
FAX: 503- 690 -2942
Total Fees: $19,355.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done '• -.n-• • - - - with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. • ENTION: Oreg• • la . requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 -0010 through OAR 9 -00 -• :10. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�' �
Issue By: _e•;. i Permittee Signature: -/' Y Cw ee_
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
.47A- 1- 7
Building Permit Applicalt.L1c
Residential �L�l. FOR OFFICE USE ONLY
City of Tigard ti U 4 2012 Recc;,ed �� I�� j/9( .0 66��$
71
- Date By. Permit \u •
• I .i 1 25 SW Ball Blvd . 'Tigard. OR 9722 ± Plan Rc� is c i6
Phone 503 IS 3439 fax. Dat , �� � Other Permit ���
°ny GPTIGARD
Inspection Line: 503,639 '� Iry i� S
1 I G A RI) r Date Ready, .6 /. / him ® Sc* Rase ? for
Internet mm�m�m Tigard-or e JUILDINGDIVISION . otifedAlethod- d Supplemental Informal on
f
qq 4 4- 1 /
TYPE OF WORK , ''I " , REQ UIREDDATA:•I AND2 -PA Y 'DWELLING,
X] New constniction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition /alteration /replacement ❑ Other: equipment, materials. labor. overhead. arid the profit for the
CATEGORY OT CONSTRUCTION -: work indicated on this application.
Valuation: $ 2-
]g] I- and 2- family dwelling ❑ Commercial /industrial �-� /� 784
❑ Accessory building ❑ Multi- family
Number or bedrooms: 5
❑ Master builder ❑ Other: Number of bathrooms: 3
=, JOB .SITE INFOR?yIATION AND.LO,CATION .,, , - ; _ Total number of floors: 2
Joh site address: 9646 SW Fern Hollow Ct New dwelling area: 2568 square feet
City/State /ZIP: Tigard, OR 97224 Garage/carport area: 400 square feet
Suite/tilde. /apt. no: Project name: Fern Hollow Covered porch area: 58 square feet r1-4,/
Cross street /directions to job site: Deck area: NA sq feet (( • ZZ
Other structure area: 2'? ( square feet 227
-RE UIRED`DATA_'',C*:MERGIAL•L S E<CFTE,CKL1Sf—Q
Subdivision: Fern Hollow Lot no: 4 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
,, , DE SCRIP TION " . _ . RK . '„ ^..`',"`?37' work indicated on this application.
OF WO
Valuation: $
Existing building area: square feet
New building area: square feet
f "]',ROPER'fV. O IlERR~ I„ 0 ?TEt7AI T :=; ... Number of stories:
Name: Riverside Homes, LLC Type of construction:
Address: 17933 NW Evergreen Pkwy, Suite 370 Occupancy groups:
City/State/ZIP: Beaverton, OR 97006 Existing:
Phone: ( 503)645 -0986 Fax: (503)690-2942 New:
`. PP.1 NT CI: CDNTiA :;.4.-,_,',..1,: 1£t 7 t; -:;x.=•
`�' , ..�.,�� u. , . N�;s;• r ° IL;DINGP R :1=1r S.r. -
::.., : S name: Riverside H . " LLC "- ;�a . ;' i,--A :.r.. , :. :';
Homes, is m' fro( eescfitdii7e} ". ^- . -
<:.,. - -, ;
Business
Structural plan review fee (or deposit):
Contact name: Lindsay Adams hLS plan review fee (if applicable):
Address: 17933 NW Evergreen Pkwy, Suite 370
Total fees due upon application:
City /State/ZIP: Beaverton, OR 97006
Phone: ( 503)645 -0986 I Fax: (503)690-2942 Amount received:
E-mail: LAdams @Riversidehome.com :pi0oro +ae >►fc ,cfAR.=r ivq,systigii , ,ES!:v, ,
z�.u.: u, ::, -�, Commercial and residential prescriptive installation of
k. - ,C , O NTRAC. O - .!r . "- �� -�.,,
,. .. , ., � ., - . ._ � , - �: roof -t mountc V oltaic Solar Panel Syst
r . . , , ._ ..._ z'�' -- _, 2 - .: . ,.. , .:_ - .,, ,_ - - -:;; , �; , %; d Photo
Business name: Riverside Homes, LLC Submit tw sets of roof plan with coon on details
and fire departn t access, alone w' me 2010 Oregon
Address: 17933 NW Evergreen Pkwy, Suite 370 Solar installation r> Mkt, checklist.
City/State/ZIP: Beaverton, OR 97006 Permit Fee (inclu: •tan review $180.00
and r r dnistrt -.' fees):
Phone: ( 503)645 -0986 Fax: ( 503)690 -2942 State sur , .rge (12% ofpenmit fee . $21.60
CCB tic.: 189148 'ii fee due upon application: $201.60
') This permit a lication expires tfa permit is not obtained
Authorized signature�' ry i -�, all / A i� within 180 days after it has been accepted as complete.
• Fee methodology set by'1'ri- County Building Industry
Print name: Lindsay ' � /`J Adams Date: 08/16/ Service Board.
1.1 Budding \Perm RESPermitApp doc 02/24/2011 440 - 461371 I I /02 /COM /WEB)
RECEIVED
Electrical Permit Application i )►i (EFl(r (SE` . �
U 4 2012
City of Tigard ' No.: a4 /a -l0,2.14
13125 SW Hall Blvd.,1'igard, p
'. Phone_ 503.718.2439 Fax: F TIGARD Plan Review Other Permit: A��/a X40/ U A
' r ` Inspection Line: 503.639.41, U IL D IN G DIVISION Ready/By: l 1 V A �y/By ® See Page 2 for
Internet: wwn¢tigard - or.go NaificcVMethod: Supplemental Information
TYPE OF WORK PLAN REVIEW
® Ncw construction war ms ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans warms 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 exams 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 ❑ En P1ry system. larger separately derived system.
❑ Addition of new motor load of ❑ `A" 'E" `I - - I -3"
Job no.: Job site address: 9646 SW Fern Hollow Ct 1001.1P or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97224 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Haanions locations. 600 volts nominal.
Suite/bldgJapLIto.: Project name: Fern Hollow 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Dexrription I Qtr. I Fm I Tonal 1 •
New residential single- or multi - family dwelling unit
Includes attached garage.
Subdivision: Fern Hollow I Lot no.: 4 1,000 sq. A. or less t 168.54 4
Ea. add'I 500 sq. Ii. or portion 4- 33.92 I
Tax map/parcel no.: Limited energy, residential
( 75.00 2
DESCRIPTION OF WORK (with above sq. R)
Limited energy, multi- fimily 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
RI PROPERTY OWNER I ❑ TENANT 201 amps to400 amps 133.56 2
Name: Riverside Homes, LLC 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
-
Address: NW Evergreen Pkwy, Suite 370 Over 1,000 amps or volts 552.26 2
Temporary services or feeders Installation, alteration, and /or
City/State/ZI P: Beaverton, OR 97006
relocation
Phone: ( 503)645 -0986 Fax: (503)690 -2942 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
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
Fa APPLICANT I CI CONTACT PERSON above service or feeder fee, 7.42 2
each branch circuit
Business name: Riverside Homes, LLC B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Lindsay Adams branch circuit
Each add'I branch circuit 7.42 2
Address: 17933 NW Evergreen Pkwy, Suite 370 Miscellaneous (service or feeder not included)
City/State/ZIP: Beaverton, OR 97006 Each manufactured or modular 67 84 2
t dwelling, service and/or feeder
Phone: ( 503)645 -0986 Fax: : ( 503)690 -2942 Reconnect only 67.84 2
E -mail: LAdams(Riversidehome.com Pump or irrigation circle 67.84 2
CONTRACTOR Sigh or outline lighting 67.84 2
• Signal circuit(s) or limited-energy
Business name: Western Cascade Electric panel, alteration, or extension. Paget 2
Each additional inspection over allowable in any of the above
Address: 8900 SW Bumham St. G18 Additional inspection() hr min) 66.25/hr
City /State/ZIP: ligard, OR 97223 Investigation (1 hr min) 66.25 /hr
Industrial plant (I hr min) 78.18/ hr
Phone: ( 503) 521 -0000 Fax: (503 )521 -8876 Inspections for which no fee is 90.00/ hr
specifically listed ('A hr min)
CCB t Lie.: 15341 Electrical Lie.: 34 -616 Suprv. Lic.: ' . . ' • .ELECTRICAL PERMIT. FEES .
Strprv. Electrician signature, required: Subtotal:
Plan review (25% of permit fee):
Print name: Jeff Evens Date: • , /i • - Slate surcharge (1 of permit fee):
TOTAL PERMIT FEE:
Authorized signature: 411. �.
This permit application expires if a permit is not obtained within ISO
r � 1 days atter it has been accepted as complete.
Print name: Jeff Evens / Date: 7 J,KII � r Number of inspections allowed per penult.
I lbuldmg1Prrni{stELC- PemuiApp doe 07/01 /10 440 46157(11/05 /COMMWEII
. .
RECEI
Mechanical Permit Applicati VED on i-olz Olin( 1... (S1 0 \ 1.1
City of Tigard S T? 04 2012 1)1%%7! gsglirepn Parnil Nu dt g'X
1 4 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
' . Phone; 503.718.2439 Fax: 503.598.1.941%,.. ()titer Permit:
GAM.)
Inspection Line: 503.639.4175 car OF TIGARD R 1321c16r j.:,.
II
Jam. Id See Page 2 for
Internet: vAm.tigard BUILDING DIVISION Nulifi:141;'1Ylefat"''' Supplemental Information
Mechanical permit fees* arc based on the value of the work
ria New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
1:1 Demolition 111 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
P 7 — --- .---. , - t . —
. .1, EQUIPMENT 1:SYSTP ...fEES!..-7L::::::
[Zi
I- and 2-family dwelling CI CommercialfindusUial 0 Accessory building For special infontstillon use ckecklist.
CI Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
lle
*#. Air aticl '
conditioning :
Job site address: 9646 SW Fern Hollow Ct (requites cite plan showing place:nem) 46.75
Furnace 100.000 BTU (duos/vents) ( 46,75
City/State/ZIP: Tigard, OR 97224
Furnace 100.000+ BTU (dueithents) 54.91
Suite/bldg./apt. no.: I Project name: Fern Hollow Heat pump
(requires she plan glowing inbeemeen) 61.06
Cross street/directions to job site:
Duct work 23.32
Hydronic hot *miter 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: Fern Hollow I Lot no.: 4 Flue/vent for any of above 23.32
Other: _ _ 23.32 _
Tax map/parcel no.:
Other fuel appliances:
1:)E .$ - .0 . 0 4il * . ;t i l'*0_4 1 .(kie : :- I N,..2 .. '‘.. : 1;i'...:;;'.? . .,;V: : g::: : . Water heater 2132
Gas fireploce/inscrt 33.39
Flue vent for water heater or gas
fireplace 23.32
-
Lon lighter (itas) 23.32
Wood/Pellet stove .3139
WoodlirePlace/insen 23.32 .
. ChimneYnin erifluelvent 2132
Other: 23.32
Name: Riverside Homes, LLC
Environmental exhaust and ventibilon:
Address: 17933 NW Evergreen Pkwy, Suite 370 Range hood/other kitchen
equipmem i 33.39
City/State/ZIP: Beaverton, OR 97006 Cibthes dryer oduttat I 33.39
Phone; ( 503) 645-0986 Fax: ( 503) 690-2942 Single-duet exhaust (bathrooms, —
toilet compartments, utility rooms) '; i 23.32
431,-..4,pPLICAINT ;.' (3.2,60NT:itcelpER.5 Attieferawlspace fans 2132
BusineSs inane: IRivel'aide LLC Other: _ 23.32
Fuel piping:
Contact name:
- • 514.15 for first four, $4.03 for each 'additional
Address: 17933 NW:Evergreen Pkwy, Suite 370 Furnace, etc, 1
Gas heat pu:mp
City/State/ZIP: Beaverton, OR 97006 Wall/suspended/unit heater
Phone: ( 503)t45 I Fax: : (503)690-2942 Water heater I
E-mail: LAdams@Riversidehome.com . Fireplace
Range .
P;ONlitii:Oi?....':::: _Barbecue
Business name: Arideraen'Heating, Inc - Clothes dryer (p,as)
, Other. -
Address: 6463 Dawn Ave ',.- 4$141M11000EfSt.....vs.Ag.4,-.T4
City/State/ZIP: Lake Oswego, OR 97035 inimum Subtotal _
M permit fee (590.00)
Phone: ( 503)841-O74?' I Fax: (503)536-6615
Plan review (25% of pennit fee)
CCB lic.: 168214 .,),,,L,„ - , State surcharge (12% ofperm it fee)
TOTAL PERMIT FEE
Authorized signature: A TIAN permit a n within ISO
I Print name: Art Andersen I D ate: 5.- ft, I ' Fe methodology set by Tri•Cettmly Building Industry Service Board
1:113n0dingthrinkalEIC-PenniiApp.doe 03/07/12 MO 1/02/CONWER)
Plumbing Permit Application
Building Fixtures , 1 1 lei Ic I i i ti l o
City of Tigard Reeei\sd � � . , w^ ,.
O lli�s/I Permit No.. N , ..00 Pg
a 13125 SW Hell Blvd., Tigard, OR 97223 U 4 912 Plan Re\ iew
.1 , a Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Permit No.: ���r�. or gl
.. y /0 y cu 121 See Page 2 for 11
1l Inspection Line: 5036394175
CITY Nate e
�laethd
Internet: wawugerd -orgov Supplemental
s v r Information
. - �.,�___.. a =.., ' - " - 4 1 i 1 4:1‘;•) - 46 - ;.' .t ` .' ` ,: r " . .4 e9 1 ililH Jis H
® New construction ❑ Demolition For speck! information use checklist
Description I Qty. I Ea I Total
O Addition/alteration/replacement ❑ Other: New t.2•fnmlly dwellings (includes 100 ft. for each utility connection)
s r til (cue Ta i t e 1 rkm_rt } _... a - SPR(1)bath J 312.70
® 1- and 2- family dwelling ❑ Commercial/indtuu SPR (2) bath 437.78
❑ Accessory building ❑ Multi - family SFR(3)bath 500.32
Each additional tath kitchen 25.02
0 Master builder ❑ Olhcr Fire sprinkler ( eq. ft) Paget
'- -a (e) li-iiW -)Ili e) , M e �- t i
i v 17 . c <:
_�,�- _-- ---�-�- , t qi) r �T� __, Site utilities:
Job site address: 9646 SW Fern Hollow Ct Catch basin orarcadrain 18.76
City /Slate/ZIP: Tigard, OR 97224
Drywell, leach line, or trench draIn 18.76
Footing drain (no. linear ft: ) Page 2
Suite/bldg./apt. no.: I Project name: Fern Hollow Manufactured home utilities 50.03
Cross street/directions to job site Manholes 18.76
Rain drain connector 18.76
Sanitary sower (no. linear R.: ) Page 2
Storm sewer (no. linear ft: _ j Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Fern Hollow I Lotno.: 4 Fixtareorllem:
Tax map/parcel no.: Backflow preventer 31.27
JI) {SI.I t14(t) t[e) - ( 1 000kwatcr valve 12.51
^.. ..:. ..,r . .... -.._ ._. -.._.. : ,. ('.h,thea washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejeclors/sump 25.02
vi. 7 __ t) t � ) 2`!,�` _.� , x ,i� . - z - . . Expansion tank 12.51
Name: Riverside Homes, LLC Fi xture/sewercap 25,02
Address: 17933 NW Evergreen Pkwy, Suite 370 Floor ifrainploorsink/ltub 25.02
Garbage disposal 25,02
City/staterL/P: Beaverton, OR 97006 Hose bib 25.02
Phone: (503)645 -0986 Fax: (503)690 -2942 Ice maker 12.51
1: 1 i t Fri
l r\ r i ' - ' hie r GS`, j j-, T±3 T r T` ,7;:l7:-, Intcreptor /grease trap 25.02
Business name: Riverside Homes, LLC Medical gas (value:$_) Page2
Contact name: Lindsay Adams Primer 12.51
Evergreen Pkwy, Roof deem (commercial) 12.51
Address: 17933 NW Ever
g kwy, Suite 370 Sink/basin/lavatory 25.02
CityISlate/Z1P: Beaverton, OR 97006 Solar units (potable water) 62.54
Pte: (503)645 -0986 I Fax: : (503)690-2942 Tub/shower/shower pan 12.51
E -mail: LAdams@Riversidehome.com Urinal 25.02
c= 7 t
tl ' 4 w t T i Water closet 25.02
Water heater 37.52
Business name: H &H Mechanical water plpinglIAw 56.29
Address: 5757 SW Willow Lane Other: 25.02
City/State/ZIP: Millwaukie, OR 97267 Subtotal
Phone: (503) 975 -9787 Fax: ( 503) 659 -2979 Minimum permit fee: 572.50
CCB Lie.: 178122 Plumbing Lie. no.: PB414 Plan review (25%ofpermlt fee)
State surcharge (12% of permit fee)
Authorized signature:
4 . TOTAL PERMIT FEE I
Print n _� / Date: �i Thb permit application expires tf a permit b not oblatned within 150 daya
anar It has been accepted as complete.
'Fee methodology set by Tr•County Building Industry Semite Board.
i:1erriidingVPe mittlPtMU•PermitApp.doo 1001/09 440- 4616T(Ie ll/COIVWPB)
P 7 / Z _ d0 2.. e, VpV �; a 1 a . '" STREE rgi 9646 SW Fern Hollow Ct I ' , , I z , � �71,--�,/
2568 A Right �r ` ss @,�
8/22/2012 RECEIVED ,r , ,, � f,`" < t : \\
1 st floor= 1,122 SEP 2012 GAS RISER o I A \ \\ \
Garage = 414 CITY OF t'IGARD . \
Porch = 58 PLANNING/ENGINEERING I 7 ^ k \
Patio = 100 7 •
lP ° o \
Driveway = 1,760 rounded to 2,000 1 V 6 . v, ` \ _ \
±L'178 /z \\ \\
/
V \ \
13 v \ \ 1 300
3 � ,
J '
\
v / / 20.0'
\ SORM
�
\ 5,740 SF // r / 440
`' t �) \ / GAS '' SER f I 7 � , �
\\ FF= 20,3.50 `% �\ / /'1\\
0 G 7
/ �O
\moo \ ./' / 5' 32'
\/
I vs, 5.00' 48' g cs 8 ' 1 Or
7 \
/
j
lt, 10' \ /
\ /
LA
\ \ / to
20' 10' 0 20' �% \ \ l I ;el
\ j
SCALE: " = 20' \� 18.00'
8 /
MINIMUM FRONT YARD:20 FEET FROM
WEST LINE OF FLAG (SW) `• \
' '' 8.00'
MINIMUM REAR YARD:8 FEET (SW) �-.
MINIMUM SIDE YARD:8 FEET (SE) 2.29
MINIMUM SIDE YARD:5 FEET NW)
. , 0,0 ROfe FERN HOLLOW
4 �S TIGARD OREGON
d 19180
DESIGN GROUP INC. ORECON LOT 4
14025 SW FARMINGTON RD G' a 13 1 \ �G
Suite 270 4RY r. op� Project No. RVR001 Date: 05/17/12
BEAVERTON. OR 97005 46 1 of e
„
(503) 644 EXPIRES 12 -31.13 I Scale: 1 = 20 , Drawn By KRF
I _ ° Building Division
Development Code Provision Review
Ti c, n ii Residential Projects
Building Permit No: H 5T s c) 1 2.-c a a 8
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ' J
Routed Plans: G►�
Original Plan Submittal Date: r y /Z
7
1st Revision Submittal Date: f ".i I Z' V1 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 eitUlkti c CAAe S at 503 - 718 -62437 or eildelli ( C' @tigard - or.gov)
Land Use Case No. ?I) PI 02 '' 000 D a Name fe r�r► Poll oU
W1 Zonin R - 1 no
9 r Setbacks: /L
Front 020 T o Rear I - a Side "i.Z Street Side — Garage 470
Maximum Building Height 35 Actual Building Height oZ - 2
Er Visual Clearance
Iii Easements
tK Sensitive Lands T e: 'tV t•4t i. W. - c5LBao - 0 aot
Notes: / ppl∎ - w.u.s PwQ s /�c. Co ve'cx n
e_ ► o rrei a 'i;�
CAA-
tS ;fit SiZe irvper'V;O a.•to- :s�∎AA fro Acts c. anti C,OVtr v
f .I C r►�a 9 t) P e / C . o ri rl. k; An *. 3 5 o -41•t s a b d . v1 s . rte .. Ma‘c i pAK.+, s: -Ie -
(`.nvtraq.e i5 SO %. Se 4. aka ocked cordi .et .
Original Plan: Approved 2 Not Approved Date: 9 - q . /.0A
Revision 1: Approved Not Approved Date: -5 ---- /0-- dey - 1
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard- or.gov)
.,OrActual Slope: TF3 cyo
Notes:
Original Plan: Approved-2' Not Approved ❑ Date: ¶/ 4/ 12-
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
,� illi L Ce) 1 C
of 5 1 FL-7 ,Z,004-4il
Page 1 of 2
,ttQ'' l t C-(4?'te s
Ci Arborist Review �,c...�.��uia:��.:,. :. - :: • O.. n�"Cr G.,
$ Street Trees
Protected Trees
Notes: No -fi -e.Ls d" -�1�iI S; {Q. (arc j e ". c.Lr i nJ4 i(t
17-lark c PN pee I1l1e r s (Le v-(d pa i J'kuVi3.
Original Plan: Approved l)TO Not Approved ❑ Date: - `-I
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 Applic
Okay to Issue Permit: Ye No
Date Routed to Building:
•
•
•
•
Page 2 of 2
i FiS 7 — �o - i2_ - de
9646 SW Fern Hollow Ct �� r` v' =F
2568 A Right I � :3 ° ;SS�Y r r � / �
8/22/2012 RECEIVED ' (1'. '-',- :- '' \
1
SEP ; \t ‘ 2012, w I '2. \ \\ C -AS RSE 7 \
1st floor_ 1,122
Garage 414 CITY OF i IGARD 7 / , .. \
` \
\ `
Porch = 58 PLANNING/ENGINEERING / , \\ ��
\ \ \s`
Patio = 100 / o
Driveway = 1,760 rounded to 2,000 �j6�" / \ 2 \ \
Total SF = 3,674 / / \ f . • 4 x 2 0 F \
Total Lot SF = 6,178 / �C ' \
= 59% // \ f \ ,\
138.06 N \ \ \ i 300'
J \
\ / \ \ 3 ,/ / 14t
\ /' 20.0' / / ;
\ \ 5,740 SF / / r ' f 440 S rORM
¢ j \ / GAS SER I
\ FF= 203.50 ei / �a do
\ , i G , G
\ / / y. '. c l 1 SANITAR
5' 32'
''.o •9 \ \/ \/ / /
4 a '
\ S.Odi 48' 8 ' \\/�
j / 10' - I
\ 1
N \\ I
L.,. I
20' 10' 0 20' ` "5",, \ \ I O
\
\ �j8
\ .,. I .0'
SCALSCALE: 1 " = 20'
8.00 \ 1
MINIMUM FRONT YARD: 20 FEET FROM N \ ��
WEST LINE OF FLAG (SW) - �� 8 00'
MINIMUM REAR YARD: 8 FEET (SW)
MINIMUM SIDE YARD:8 FEET (SE) 2 2.2 9
MINIMUM SIDE YARD:5 FEET NW)
D L . c o PROT FERN HOLLOW
�.' +GINgd TIGARD, OREGON
4 4 19180 'p r
DESIGN GROUP INC. . OREGON LOT 4
14025 SW FARMINGTON RD G' a / 1441
sufle 270 4 ' Q �' I. 0A Project No. RVR001 Date: 05/17/12 A g
BEAVERTON, OR 97005 At
(503) 644 -4628 EXPIRES 12-31-13 I Scale: 1" = 20' Drawn By KRF
E. NOTE: Washington County will not begin their review of the final plat until they
receive notice from the Engineering Department indicating that the City has reviewed
the final plat and submitted comments to the applicant's surveyor.
F. After the City and County have reviewed the final plat, submit two mylar copies of the
final plat for City Engineer signature (for partitions), or City Engineer and Community
Development Director signatures (for subdivisions).
THE FOLLOWING CONDITIONS SHALL BE SATISFIED
PRIOR TO ISSUANCE OF BUILDING PERMITS:
The applicant shall prepare a cover letter and submit it, along with any supporting
documents and /or plans that address the following requirements to the CURRENT
PLANNING DIVISION, ATTN: Gary Pagenstecher 503 -639 -4171, EXT 2434. The cover
letter shall clearly identify where in the submittal the required information is found:
38. Prior to issuance of building permits, the visual clearance areas for driveways intersecting the
proposed private shall be shown on the site plan.
39. Prior to issuance of building permits, the applicant shall demonstrate that all impervious
surfaces on lots created by this subdivision shall not exceed 80% coverage.
40 Prior to issuance of building permits, the applicant or developer shall demonstrate with
elevation drawings and construction documents that the proposed dwellings will not exceed
the height allowed in the base zone unless otherwise allowed by the Planning Commission.
(('7 , 41. Prior to issuance of building permits, front yard and garage setbacks for proposed Lot 3 shall
be a minimum of 20 feet.
42. Prior to the issuance of building permits, the applicant shall submit a revised street tree plan
specifying street trees that are included on the City of Tigard Street Tree List.
cry J 43. Prior to the issuance of building permits, the applicant shall submit a revised site plan showing
the required 10 -foot buffer on those lots abutting SW Durham.
44. Prior to issuance of building permits, the developer shall sign a copy of the City's sign
compliance agreement.
45. Prior to issuance of building permits, the Project Arborist shall submit a final certification
indicating the elements of the Tree Protection Plan were followed and that all remaining
trees on the site'are healthy, stable and viable in their modified growing environment.
46. Prior to issuance of building permits, the applicant shall submit site plan drawings indicating
the location of the trees that were preserved on the adjacent lots, location of tree protection
fencing, and a signature of approval from the project arborist regarding the placement and
construction techniques to be employed in building the houses. All proposed protection
fencing shall be installed and inspected prior to commencing construction, and shall remain
in place through the duration of home building. After approval from the Planning Staff, the
tree protection measures may be removed.
The applicant shall prepare a cover letter and submit it, along with any supporting
documents and /or plans that address the following requirements to the ENGINEERING
DEPARTMENT, ATTN: KIM MCMILLAN 503 - 639 -41.71, EXT 2642. The cover letter shall
clearly identify where in the submittal the required information is found:
47. Prior to issuance of building permits, the applicant shall provide the Engineering Department
with a "photomylar" copy of the recorded final plat.
FERN HOLLOW SUBDIVISION (SUB2006- 00011) PAGE 7 OF 39
NOTICE OF FINAL ORDER NO. 2007-03 BY THE PLANNING COMMISSION
Albert Shields
From: Albert Shields
Sent: Tuesday, September 04, 2012 4:32 PM
To: 'LAdams @Riversidehome.com'
Subject: MST2012 -00228
Attachments: Albert Shields.vcf; MST2012 -00228 - 09- 04- 2012.pdf
Lindsay, please see Cheryl Caines' comments on the attached routing review sheet and Condition #39 of the subdivision
approval SUB2006- 00011. Please revise your site plans and documentation accordingly and resubmit them. Thanks,
Albert Shields.
Albert Shields
City of Tigard
Program
Development
Specialist
Albert @tigard- or.gov
(503) 713 - 2426'. = c rl;
(503) 624 -3681 Fa
1
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST 2,012-- O o 228 Jurisdiction: Gt .,j 0T '�I qq a r&
�.J
Site Address: 9(4-6 SW F e- h 44t 1 1 0 j C-t,
Subdivision/Lot#: n14-0106) L)-1--- 4-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)1
Signature: �� Date: L*-- (3
Owner/General Contractor/Authorized Agent
Print Name: .3n W-4 L a_S
K�VecSic(e 1-k--o wi es Ll.c_,
ORSC Section N1107.2.High-efficiency interior lighting systems. A m m of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or lint r 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.
IABuilding\Forms\RES-HighEfficiencyLighting.doc 07/01/08
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, F1 v-ors�Ae--. e-5 LU C- , am the general contractor or the owner-builder
at the following address:
Site Address: 96410 SW Fe\ 4D11019
City:
Tijorci
Permit#:
MST-2012 -- 00 2 2
Subdivision/Lot#: Fah 1A 0110 w L.c+
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: `�- if Date: ( r 77
General Contractor or Owner-Builder
I2
4-5f-de, t4owe's L
09/25/08