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Permit CITY OF TIGARD MASTER PERMIT : ' COMMUNITY DEVELOPMENT Permit #: MST2012 -00287 T f G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2012 Parcel: 2S1100810700 Jurisdiction: Tigard Site address: 15498 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 95 Project: Arlington Heights No. 3, Lot 95 Project Description: New SF BUILDING Floor Areas Reaulred Setbacks Required Stories: 2 Bedrooms: 4 First: 1087 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1415 sf Garage: 483 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 of Right: 5 Detectors: Yes Total: 2502 sf Value: $284,458.36 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: 2 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 Tvoes Air Conditioning: N Vent Fans: 4 Clothes Dryers 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf 4 201 -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 g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2502 Owner: Contractor: STONE BRIDGE HOMES NW 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 PHONE: 503- 387 -7577 PHONE 503- 387 -7577 FAX: 503- 387 -7615 Total Fees: $19,728.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through 0 952 -001 -0090. You ► m a obtain a py of the rules or direct questions to OUNC by calling 503.232.1$87 or 1.800.332.2344. Issued By: 1�I /, C,/ in Permittee Signature: 2----- 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 Application Residential D E C E I V E D 1 012 01 I l ( I 1 ` (1\ 11 IN • City of Tigard Received /f ado /� Jt i Pennit )/ / gl� 13125 SW Hall Blvd., Tigard, OR 97223 f ) 6 21312 Plan Review �` = Phone: 503.639.4171 Fax: 503.598.1960 Date/By: 9 I I �l (. Other Permit: e.Plp /1'- —4:Z3;2 ` T I C; n IL D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/ " / `mi Supplemental Juns: gee Page 2 for , Internet: www.tigard -or.gov Dj �lISION N / 1 3 ,� I +t S lnforroatioo BUILDING Sec kl &A, dire, 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 4. ," 7, 1i,' ❑ Accessory building ❑ Multi - family Number of bedrooms: 12 Master builder ❑ Other: Number of bathrooms: ?j JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: I t t' �V GUM M l EW 1)k New dwelling area: ZsvZ square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: itri square feet Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 120 square feet Cross street/directions to job site: Deck area: 10 0 square feet /08) Other structure area: 2`�� j square feet 3� r REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Arlington Heights Lot no.: q6 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: S Existing building area: square feet New building area: square feet El PROPERTY OWNER j ❑ 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: 0 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: fPteatef fer16 hieJtel sassing) City/State /ZIP: Structural plan review fee (or deposit): Phone: FLS plan review fee (if applicable): ( ) Fax: ( ) CCB lic.: 173318 Total fees due upon ap Amount received: 2 Authorized signature This permit application expires if a permit is not obtained b � Q within 180 days after it has been accepted as complete. Print name: R1��''r'� Date: (! . l 1 . �y * Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(I I /02 /COM/WEB) Electrical Permit Applicatio 1.01( ()I lc Olt I l l t , ..1 t► l \►., !NI D ECEIVED 9 6 2012 Received p l� City of Tigard Permit No.: �� , �� g 7 Datem 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Date/B : �" 'Q�ia i Phone: 503.639.4171 Fax: 503.598.1960 ' Other Permit: -DO I i , \ 1: 1, Inspection Line: 503.639.4175 Date Ready/By: Jens: H See Page 2 for Internet: www.tigard- or.gov CITY OFTIGARn Notified/Method: Supplemental Information TYPE MIMING (3 DIVISION 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 ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION A �h ❑ Addition of new motor load of ❑ "A ", "E ", "t - 2", "1 - ". Job no.: 14 (D (Q Job site address: I r � 1 V SW SoM MER EW DP. 100HP or more ❑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 l Qn•. I Fee.. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: 1`'j 1,000 sq. ft. or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: � Limited energy, residential � ra� . 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family I 67.84 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER I ❑ 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 l Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 _ 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with r■ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit 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'l 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 4. 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: 2' 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. 1: 1Bullding \Pennits\ELC- PermitApp.doe 10/01/09 440.4615T(II/05/COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED Date Received // Permit No.:I�/sr� /� _Qda 7 ill 13125 SW Hall Blvd., Tigard, OR 97 Flan Review ■ Phone: 503.639.4171 Fax: 503.598.1960 Date /Av: Other Permit: A�a ,o /?--60aa T t G A R D Inspection Line: 503.639 (l ; / 9 6 2012 Date Ready /By: Juuris E1 See Page 2 for Internet: www.tigard or.gov 1 Y V Notified/Method: Supplemental Information OF TIGARD TYPE OF 1NGDNISIGN 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* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION LO CATION Heating/cooling Job site address: I.hq V SW SU MMU�V( vt- 1)R . 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 I lvdronic 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 cis Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: Other: 1 3.32 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 23.3_' Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ® PROPERTY OWNER C'himneyrliner /flue /vent 23.32 ❑ TENANT Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Address: 16869 SW 65 Avenue #505 Range hood/other kitchen 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) .4__ 23.32 ❑ APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans 23.32 Other: 23.32 Business name: same as above Fuel piping Contact name: Deirdre Britt 514.15 for first four: S4.03 for each additional Address: Furnace, etc. Gas heat pump City / State /ZIP: Wall /suspended unit heater Phone: ( ) Fax ::( ) Water heater Fireplace k E -mail: dbritt (a).stonebridgehomesnw.com Range ( , CONTRACTOR Barbecue Clothes dryer (gas) Business name: Comfort Zone • 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 lee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO Authorized signature: days after it has been accepted as complete. Print name: David Heldstab Date: " Fee methodology set by Tri- County Building Industry Service Board 1:', Building •,Pennits PemtitApp.doc 10 /09 440- 4617T(II /02 /COM!WE8) Plumbing Permit Application Building Fixtures RECEIVED of Ti Received City P ermit No.: DatelBy: // J(!v /� �� - od it g7 III • 131 SW Hall and Blvd., Tigard, OR 97223 Plan Review ■ Phone: 503.639.4171 Fax: 503.598.1960. 2, 6 2012 Date/By: Other Permit No.: �I.OQ .20/1 _ p if Inspection Line: 503.639.4175 `i` t, Date Ready/By: Juris: la See Page 2 for CITY OF TIGARD Supplemental www.tigard-or.gov Notified/Method: Su lemental lnformatioo TYPE OF vic1511,D1NG DIVISION FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration /replacement ❑ Other: New l- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 049 7 QA1 S UM M E✓R.VI EA pp • Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: Tigard, OR 97223 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 Lot no.: elq 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 J ❑ 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)367 -7615 Ice maker 12.51 ❑ APPLICANT I ❑ 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(aistonebridgehomesnw.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Jardine Plumbing Water pipingfDWV 56.29 Address: po Box 186 Other: 25.02 Ci /State /ZIP: Subtotal tY Estacada, OR 97023 Phone: (503)351 -8532 Fax: (503) 6302882 3 --3A, pt Minimum permit fee: $72.50 CCB Lie.: 108747 Plumbing Lic. no.: 93- 347 Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: V _ TOTAL PERMIT FEE Print name: Ja J ardine Date: This permit application expires if a permit is not obtained within 180 days Y after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1:\ Building \Pennits1PI.MU- PennitApp.doc 10 /01/09 440- 4616T(10/02/COM/W£;B) II _ a Building Division Development Code Provision Review r t c R Residential Projects Building Permit No.: H51 H5 of Site Address: / cliq $ 6uJ '6.u. 0.-t 1 4 _0 4. ;W 73Q • Project Name & Lot No.: L}Qi i6'r n) Hors o. 3 1 L6+' ('s CWS Service Provider Letter Required: Yes ❑ No Received: Yes ❑ No Routed Plans: Original Plan Submittal Date: 1/ / ? - 1si Revision Submittal Date: i lA9 /7" ❑ Site Plan Only 2nd 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 my if approved. ,, //�� //�� fj Planning Review (contact at 503- 717L/7U or @tigard- or.gov) Land Use e No. Jut i'�/f0'0�4 Zoning 74 — 7 X Setbacks: Front / ` � Rear / S Side -.5 Street Side / 0 Garage (, 4 Maximum Building Height: 3 Actual Building Height a?-•-- Eir Visual Clearance kl Easements E Sensitive Lands Type: ❑ Street Trees R-649411e,‘- ,r Protected Trees N 9 1 Note .'ma i ti � 11•IP.� .r. / / ifr�i.:�w�.r /wiz_ - - �J f A f u I v 1 // 41 i / /d i _ i/ Ii. /Jr/ "ii/ . 641 5 / c A 1M,, Original Plan: Approved � ❑ v Not Approved ICJ Date: // .40 / Revision 1: Approved IPEr Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: _—J (Review Continues on Page 2) Page 1 of 2 . v . S Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) .3 Actual Slope: I Z. ° /o Notes: $7 SkwJl 1 - 44 `M /41 -' S S -*J i tj Wj tt ti - D 1144 0 N re..,' c 4E . Original Plan: Approved ❑ Not Approved .-Er Date: 11 /i Z. Revision 1: Approved Not Approved ❑ Date: / 3 f IL Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant � / � Okay to Issue Permit: Ye• ! Ns 1 � Date Routed to Building: iv r Page 2 of 2 . 1 t FEW/1M . _ ► i • s B STONE BRIDGE s • 2012 OBE: 1466 HOMES NW 2 LOT: 95 DATE: 11/27/12 4230 GALEWOOD ST. SUITE 100 CITY � n qs pN N PROPERTY: AR N LAKE OSWEGO, OR 97 BIJILDI N TS (5 ' CITY TIGARD SITE PLAN _ ., ,e. � 0 SCALE: 1 - =20' � }� a PLAN No.: 249 >.; 0 LEGEND :• ' ` 7 -.1:1 — STREET TREES: ,� 0' ,t. :. :, c. -' _1 ., I ~ � RAY UJ001O ASH .'' i • I - FRAXINUS OXYGARPA W4TE6 ' r - „ .--1,,...... ,y . bb III , ,'..: • �6 PUE TE 0 Z 66 2645' TOW 0 ,,,mot 264ID' BOW 121 illi na 2,. i 264” �c III '!r 6' 4433 eo r a 2 CAR 262 FFF.266' 5a i'� 1 f, a rte/ �' . 0 i 26- 4 DORM 25> 2.8 DATId Pe Z56 _ `� � I:� 1 9 Im'xl®' : • I DECK 256 U Ili 401 1 Y b m, 1 oil 1 lilt - Ali b' -m 8ETDAm . :.' Td. Mme soli ).4. 1 '' o T• + 254 ®` 611 t O 254 m' • , Nt 2505' Iki i i i yp . O \ • / I- ® 252 1 ,3 1 :\ - '� 4 ' . ; Qom$ oa Tom' LOT COI/ERAGE � - - \ LOT AREA: 6,931 SQ. FT. 250 .4a , BUILDING AREA 1,184 SQ. FT. 2522 Tow Mt PERCENTAGE: 25.1% 245.2' 'Ow 4 NOTES: 1 y a � .s44' 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 •913 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 6,931 eq. Pt. STREETLIGHTS, AND OTHER SITE CONDITIONS. CITY OF TIGARD MASTER PERMIT : ' COMMUNITY DEVELOPMENT Permit #: MST2012 -00287 T f G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2012 Parcel: 2S1100810700 Jurisdiction: Tigard Site address: 15498 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 95 Project: Arlington Heights No. 3, Lot 95 Project Description: New SF BUILDING Floor Areas Reaulred Setbacks Required Stories: 2 Bedrooms: 4 First: 1087 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1415 sf Garage: 483 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 of Right: 5 Detectors: Yes Total: 2502 sf Value: $284,458.36 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: 2 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 Tvoes Air Conditioning: N Vent Fans: 4 Clothes Dryers 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf 4 201 -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 g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2502 Owner: Contractor: STONE BRIDGE HOMES NW 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 PHONE: 503- 387 -7577 PHONE 503- 387 -7577 FAX: 503- 387 -7615 Total Fees: $19,728.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through 0 952 -001 -0090. You ► m a obtain a py of the rules or direct questions to OUNC by calling 503.232.1$87 or 1.800.332.2344. Issued By: 1�I /, C,/ in Permittee Signature: 2----- 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. Oregon Residential Specialty Code N1107.2 HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: �� � ti y M ST Zvi oc-z `.� Site Address: S LI 9 4 . S',, 5� �1/�`�,✓ �f Subdivision/Lot #: C and /or l Map and Tax Lot #: q 4 LLt&-- (_ - ti v' 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: U Date: Owner /General Co actor /Authorized Agent Print Name: • 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. 1:\Building\ Forms \RES -H ighEfficiencyLighting.doc 07/01/08 : . STREET TREE . • , TIGARD. ER TIFI A TIO C C N , owner/ agent for 51 f ' l S / U L J (PLEASE PRINT) (PERMIT HOLDER) do hereby certiji 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.: Zvl z ©v -2- 7 SITE ADDRESS: / Sc..) r SUBDIVISION: Aft LOT #: SIGNATURE: DATE: 3 . Zo - /_5 _._ /AGENT RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) Tree location verified per approved site plan. I:\ Building \Forms \Streeti'reeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, (4 N/-e 1c:5c, . , am the general contractor or the owner - builder at the following address: Site Address: 5 e A c 51.....) S tee,( v` U') V w City: 1 l S C‘.r 4 Permit #: U"t 5 Z o t Z 0 O Z 4 7 Subdivision/Lot #: C( S and/or Map and Tax Lot #: P-it- L t 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 8318.2 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 L Date: �� 13 �� General Contractor or G ilder I: \Building\ Form \RES- MoisturcSensitiveWood.doc 09/25/08 Tim Aufenthie - T &R Backflow Services 10 5 4 6 (503) 318 -6313 FAX (503) 682 -4466 CCB# 116054 email: TRbackflowservices @msn.com EW XXISTING BACKFLOW ASSEMBLY TEST REPORT ❑ REMOVED PROPERTY ❑ REPLACEMENT LT) [ � OWNER: �' � VIVI PHONE: MAILING ADDRESS: CITY STATE ZIP ASSEMBLY I 1 g Gi 0 AA v k P /` v e t i--; ADDRESS: / � STREET ❑ R.P.B.A. 4D.C.V.A. ❑ R.P.D.A. ❑ D.C.D.A. ❑ P.V.B.A. ❑ S.V.B.A. ❑ A.V.B. ❑ AIR GAP SIZE: I I I I-10i() MAKE: 01 RIP MODEL: ZC- WATER ( I \ SERIAL z, 2 /_ g PURVEYOR: , I ro J NUMBER C� ASSEMBLY LOCATION J _ t G A Q tt l P G N 0 A L�-- REDUCED PRESSURE ASSEMBLY P.V.B.A. / S.V.B.A. INITIAL TEST #I CHECK DOUBLE CHECK AIR CHECK PASSED PRESS DROP (A) CHECK #, b INLET FAILED El RELIEF VALVE Y la�{ OPENED A '1: PRESS DROP OPENED AT (B) TIGHT DATE: TEST MIN 2 PSID LEAKED 11 PSI!) RESULTS BUFFER // 9 1 A - B = CHECK #2 i PSID PSID ■ MIN 3 PSI TIGHT A 2 • RELIEF VALVE PSID DID NOT FAILED SYSTEM PASS ❑ FAIL ❑ LEAKED ❑ OPEN ❑ ❑ PSI i COMMENTS REPAIRS AND / OR PARTS REDUCED PRESSURE ASSEMBLY V.B.A. / S.V.B.A. AFTER REPAIRS NI CHECK D.C.V.A. DATE: TEST PRESS DROP Al CHECK #1 AFTER RELIEF OPENED AT PRESS DROP / / OPENED (B) TIGHT ❑ PSI!) REPAIRS BUFFER 'a :P,a) CHECK #2 A - B= PASSED ❑ ,11 i IN TIGHT ❑ 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' HE WATER SYSTEM. AND STATE REGULATIONS. GAUGE CALIBRATION DATE it - I /' L DETECTOR METER READING $ 3466 TESTER SIGNATURE TIM A. AUFENTHIE CERT # 20061 E N )'ESTERS NAME PRINTED 8660 Rogue Lane, Wilsonville, OR 97070 (503) 3 G 18 - PHONE # TESTERS ADDRESS T & R Backflow Services Cr"... COMPANY NAME �•k 'Pk 7 y , SERVICE R TORED REPORT RECEIVED BY. (REPRESENTATIVE OF OWNER) WHITE - Water System Copy PINK - Customer Copy YELLOW - Tester Copy &earth „.,,7_,irtslitute StAstalne ibte fiding a nd it me Solutio Wns I earthadvantage,org 808 SW 3rd Ave, Suite 800, Pool and OR. 97204 I 503 968 7260 Inspection Date: S.-1,0•‘3 1)( • , Address: It, Li c li % c vl S■kvn 111.2.4A1 Lvv.4 City: II cvo A, 0 Blower Door Test Results . Maximum Allowed ACH: 5.0 (for Earth Advantage)/ 4.0 (for ENERGY STAR) Actual CFM: 1 ACH: CS ,4) . Verifier Signature s-,\UIL 3.7. i • , 1 g rust 'New Iriennez., Certified Residential Air Duct System I E ERG EnergyTrust ' C thil FW! .41lilf0ir atil0 t* ( . 1.,,,i,niciau . 61,,..td .1--LELA=21) Dui,: 2- -I/ -/3 . , ..,_ . .,• rr, n` .' - • ' r, , ' • . ' "" , • • ',.. , • ,. • . • Cpiripu Zortelp, Offest,',: Main Zone Zone 2, if applies ( 'AY. W}ZT Out,ziriu .._... _.. _.. Pa -- l':: - Baseline (WRT Outside, fans off) Pa Pa N IF.T (AZ Pressure (sabtraci baseline front CAZ WRT outside) _. Pa Pa. Duct Leakage (ti1 r ou1 ne stick '04 Description of Area System Serves Cond. Floor Area System Serves (ft Li yes 21 no Air Handler in conditioned space'? 7 ,yes 0 no Air Handler present during lest'? If "yes" for either, then maximum CFM is 75 CFM(ip) Pa or floor area x 0.06 -' . , . _____CFM@50 Pa, whichever is greater. 11"no" for both, then maximum ChM is 50 CFM@50 Pa or floor area x 0.0d u . _ CFM(i_i150 Pa, whichever is greater. I 'lest iVleiliod: D Leakage to Outside or 0 Total Leakage 'fest Result 6' --- CFM50Pit Fail Pressure I 13_ Pa Gauge type: D DG-3 or KDG-700 ,. — I Ring (circle one) een ( 3 \ 4. _ I ai .. Duct Blaster Location _-_ I' ... 1 / y_i 1 Pressure 'rap Location ___■....T1 ALI-- :.,,,N9'. t,AN..-,...,,,, i. • •