Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2012 -00305
Date Issued: 02/21/2013
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Parcel: 2S109DA15300
Jurisdiction: Tigard
Site address: 15337 SW GREENRIDGE PL
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 72
Project: Arlington Heights No 3, Lot 72
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Re quired
• Stories: 2 Bedrooms 5 First. 1088 sf Basement 0 sf Left 5 Parking Spaces' 0
Height' 30 Bathrooms 3 Second 1745 sf Garage 650 sf Front 15 Smoke
Dwelling Units 1 Third' 0 sf Right: 5
Detectors Yes
Total' 2833 sf Value $323,236 00 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
Tubs /Showers. 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Drains' 0 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 5 201 -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 8 Stereo N HVAC: N Security Alarm N Vaccuum System N Garage Opener N All
Other N Other Descnption• Ecompasing Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2833
Owner: Contractor:
STONE BRIDGE HOMES NW STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST SUITE 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: $20,604.63
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 throu OAR 952 -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 23 .1987 or 1 800 332 2344
Issued By: - 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.
Biiildink Permit Applicatio
ENED USE ONLY
Residential FOR OFFICE :
r` City of Tigard DEC 1 3 2012 Date /B i9®1A✓(1/ Permit No. I7' Y °i2 -'6d •,6
s' ° 13125 SW Hall Blvd , Tigard, OR 97223 Plan R .
( r ` Phone 503 639 4171 Fax 503 598 T '^ Date/B / Other Permit 4e06/eg —DDoZg
T 1 G n R D I L 503 639 4175 TIGARD Date Ready /By �I I Ju HI See Page 2 for _
Internet. www tigard- or.gov BUILDING DIVISION Noufied/ Supplemental Information
■+ii�VV 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 r� ib r
y g ❑ Commercial /industrial Valuation � �/���'�
❑ Accessory building ❑ Multi- family Number of bedrooms: r
❑ Master builder ❑ Other: Number of bathrooms: ` �
JOB SITE INFORMATION AND LOCATION Total number of floors: 2-
Job site address: 1 533, C epReel4 !` 417 ' pi., New dwelling ar 7 ' j: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: W 50 square feet
Suite /bldg. /apt. no.: Project name: Arlington Heights Covered porch area: it?j square feet 17Jkis
Cross street/directions to job site: Deck area: neo square feet 1
Other structure area: 6 square feet '30
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Arlington Heights Lot no.: 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)
Structural plan review fee (or deposit):
. City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: 173318 G
Amount received: 7�-C J '
Authorized signature: This permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
Print name: 61. i Date: 12.12. II. * Fee methodology set by Tri- County Building Industry
Service Board.
I• \Building \Permits \BUP -RES PermitApp.doc 10/01/09 4404613T(I 1 /02 /COM /WEB)
Plumbing Permit Application
Building Fixtures RECEIVED Received
City of Tigard Date/By l2 13 /9„... J� Permit No.:' �° pia c-
V 13125 SW Hall Blvd., Tigard, OR 97223
1 Review
Date /By: Pl Revi
0 Phone: 503.639.4171 Fax: 503.598.1960 EC Y 3 2012 Other Permit No.aog A -, 023Q
J
T I G A R D Inspection Line: 503.639.4175 Date Ready /By• runs ® See Page 2 for
Internet: www.tigard or.gov CITY OFTIGARD Notified/Method: Supplemental Information
TYPE OF WOIBUILDIN11I)!VISIQN FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition /alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® 1- and 2- family dwelling El Commercial /industrial SFR (2) bath 437.78
SFR (3) bath t 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: 153.31 S 4 ) &R ZEN P O & PL. Catch basin or area drain I 18.76 I
City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: _ ) Page 2
Suite/bldg. /apt. no.: I Project name: Arlington Heights Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: Arlington Heights I Lot no.: n Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New, Single Family Residential Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 4230 Galewood Street, Suite 100
Garbage disposal 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Deirdre Britt Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax:: ( ) Tub /shower /shower pan 12.51
E - mail: dbritt @stonebridgehomesnw.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Max Plumbing Water P� tP in g/ DWV 56.29
Address: PO Box 5597 Other: 25.02
City/State /ZIP: Beaverton, OR Subtotal
Phone: (971)275 -0198 Fax: ( ) Minimum permit fee: $72.50
Plan review (25% of permit fee)
CCB Lic.: 194644 Plumbing Lic. no.: PB1083
State surcharge (12% of permit fee)
Authorized signature: ( ✓ j. / �. "` TOTAL PERMIT FEE
Print name: �'"'�� Date: This permit application expires if a permit is not obtained within 180 days
Jason rner after it has been accepted as complete.
*Fee methodology set by Tn- County Building Industry Service Board.
I\ Budding \ Perms \PLMU- PermiiAppdoc 10/01/09 410 - 46161(10 /02 /COM /WER)
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Receive
y: M Permit No 7 9 i 1 l ,, / ...elf, '
g Receiv
11111 u 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.196 ��f 'I D ate /By Other Permit / i� -ooa 3 ��
Inspection Line: 503
T I G A R D Date Ready/By: tuns ffl See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
DEC 1 3 2012
TYPE OF WO T, COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Anar,
® New construction ❑ Addition/alter 11 rr oF 11 T� Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address:
1533 5W evitsekuz.mbe pl... Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Furnace 100,000 BTU (duets/vents) 1 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Arlington Heights Lot no.: 72„
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater t 23.32
Gas fireplace I 33.39
New, Single Family Residential Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I Chimney /liner /fue /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 I 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) ' 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: Fumace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: dbritt @stonebridgehomesnw.com Range
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
Phone: (503) 667 -5595 Fax: (503) 491 - 8252 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
��� This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: David Heldstab Date: • Fee methodology set by In- County Building Industry Service Board
1\ Building \Penns \MEC- PenniAppdoe 10/01/09 440 -4617T(Ii /02 /COM /WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City
Received
of Tigard Permit
q 13125 SW Hall Blvd., Tigard, OR 9 I
g I r p.m / � - 1 . .-�lo dos
Plan Review `L/ A., 01.45, •'
li Phone: 503.639.4171 Fax: 503 5 ' .. I ° Date/B Other Permit. dw
TI G A R D Inspection Line: 503.639 DEC 1 3 2012 Date Ready /By• tuns' El See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WatizYQFTIGARD PLAN REVIEW
® New construction ❑ Addition/alt t��t I� aN Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I - "I - ",
Job no.: f 4q.7) Job site address: 153'7, &Reek 124 pie pL, I or more. occupancy.
❑
❑ Six ix or or more re 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:
J Description I Qty. l Fcc. I Total I"
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 1 2, 1,000 sq. ft. or less 1 168.54 4
Ea. add'I 500 sq. ft. or portion b 33.92 I
Tax map /parcel no.: Limited energy, residential t 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 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 ❑ 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 I Fax: (503)387 -7615 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: without service or feeder tee, 56.18 2
Deirdre Britt first branch circuit
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: ( ) I 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
Phone: (971) 404 - 1714 Fax: (503) 625 - 3052 inspection 66.25
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: e ("%2...., TOTAL PERMIT FEE:
Print name: Date: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit
\Burldmg\Permits \ELC- PermnApp dor 10/01/09 440-4615T(11 /05 /COM /WEB
V.,
'' Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: H 5 6 1 a, 0 0 )
Site Address: / 6 3 37 Q t` f,J k b Q4 Pc -
Project Project Name & Lot No.: iO. p k)Q ' t v HP Leer 7�
CWS Service Provider Letter
Required: Yes ❑ No 't
Received: Yes ❑ No
Routed Plans:
Original Plan Submittal Date: / / ?j / /
Pt Revision Submittal Date: ❑ 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 only if approved. � f
Planning Review (contact AL .1 at 503 - 718-2 '7v f B' or AI— @tigard- or.gov)
Land Use Case No. 14/3 OO/ //10
Zoning 7
19 Setbacks:
/Front /5 Rear Side 5 Street Side l 0 -+ Garage °
Q Maximum Building Height: 3 5 Actual Building Height — !�
l9' Visual Clearance
Er Easements
❑ Sensitive Lands Type:
Er Trees
❑ Protected Trees
Notes:
Original Plan: Approved Not Approved ❑ Date: /;,/(7/
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: (8
Notes:
Original Plan: Approved -EY Not Approved ❑ Date: /Z (‘7//Z-.
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
3 Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to A cant
Okay to Issue Permit: Ye No ❑
Date Routed to Building:
) 1
■
t
1
, \
t
Page 2 of 2
_ 1
1 _ I
1 gill STONE BRIDGE OBE:1443
` J HOM NW REC EIVED LOT: 72
I 4230 GALEWOOD ST. SUITE 100 DATE: 12/5/12
1
LAKE OSWEGO, OR 97035 DE /8_ 1 3 2012 PROPERTY: ARLINGTON
HEIGHTS
(5 387-7577 CITY OF TIGARD CITY: TIGARD
811 ILDtNG DIVISION
�e SCALE: 1 " -20'
PLAN: 247
4 STANDARD
=2 368 /b
EL.36''
/3) � 8 j�� �r ys 366 t� S 369- C
ycopacISr \ \' 323'
310 D621VEWAY=
�
••.� • 0 , , 364
`309' %:�
."'•; 7 ' i EL •364'
P6• • 3 69 ' .� 'i ` „ • ,i./'/F.. ' . i
41 r ! I I0-0 I!2' ��
3 Ct$R CsAR 36? VV
FFE�. =369' > / ^ ��V/'
S - / r6 I '-/64 I 13v
r
/ 8 6/ ' � ,
/ ' IF W'''' .,
1
3,83 5Q.1-7. / .. 5 /5DRM. ^
, 1
145 2i 1/2 BATH i _360 369 r eq. / ,FFE.= 369.5' /
rea I 12' -I •
EL •310' ` - j
,- - 1
/ 4' COVERED I 'S8
2/ ,
fi ✓ / DECD I ,
- t'., /
/4 . ` ‚ I —
/ 361
EI7361' I ' 356
A •
EL•358'
j
LOT COVERAGE STREET TEES
LOT AREA: 5,335 SQ. FT.
ilk
BUILDING AREA: 1,182 SQ. FT.
— PYR1J5 CALLERYANA
1 PERCENTAGE: 33% ORNAMENTAL PEAR
NOTES:
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 se12
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,339 eq. ft.
I STREETLIGHTS, AND OTHER SITE CONDITIONS.
1
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
615 Mechanical rough-in
04/09/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
05/28/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
275 Framing
04/11/2013 00:00
MST2012-00305
PASS
Complete garage H walls ok to insulate
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
275 Framing
04/09/2013 00:00
MST2012-00305
FAIL
Not ready for inspection. No inmspection made OPSC 103.5.1
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
05/28/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
322 Shower pan
05/07/2013 00:00
MST2012-00305
CNCL
Shower is fiberglass, camcelled.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
05/29/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
280 Insulation
04/15/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
322 Shower pan
05/07/2013 00:00
MST2012-00305
CNCL
Shower is fiberglass, camcelled.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
235 Shear walls/anchors
04/02/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
242 Interior shear walls
04/02/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
120 Electrical rough-in
04/09/2013 00:00
MST2012-00305
CNCL
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15337 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
242 Interior shear walls
04/02/2013 00:00
MST2012-00305
PASS
Violation Summary:
Inspector Contractor
CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Tr
2. Permit #: MST2012 -00305
COMMUNITY DEVELOPMENT Permit Issued: 02/21/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109DA15300
Jurisdiction: Tigard
Site address: 15337 SW GREENRIDGE PL
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 72
Project Description: New SF
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R -3
Occupancy Load:
Fire Sprinkler Required:
Project Name: Arlington Heights No. 3, Lot 72
Owner: STONE BRIDGE HOMES NW
4230 GALEWOOD ST SUITE 100
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7577
Contractor: STONE BRIDGE HOMES NW LLC
16869 SW 65TH AVE # 505
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7577
Fax: 503 - 387 -7615
This Certificate issued 5/29/2013 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2011 State of Oregon Specialty
Codes for the group, occupancy, and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE
STREET TREE
. ...
TIGARD TIFI A TION
CER C
I, AL. tr. Ag i-rg_ , owner/ agent for %b A P a 2 Al -e rs Ni,) w 14(
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert5 that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMITNO.: /1/1 ST�,0 /2 - 0 b 3 &.S
SITE ADDRESS: / 5337 SGJ 6r -e.. h ; D
SUBDIVISION: 1,41;x, YD A er f tj LOT #: 72
SIGNATURE: DATE: 5;29- 93
(OWN R /AGENT)
RECEIVED & a
VERIFIED BY: DATE: S- G.2 _ f
(CITY OF TIGARD) /
Tree location verified per a. 'roved site plan.
I: \ Building \Forms \Streetl'reeCertificate 05/30/2012 •
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, O(,a. /15 m '� , am the general contractor or the owner - builder
at the following address:
Site Address: /5 3 51,,) o e eh ✓ of, r 01■
City:
Permit #: 4151-a — 00 3U 5
Subdivision/Lot #: A
, //(i5A-4. VT L F '7 Z_
9 ) Gj
and /o r
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: Date: -
General Contractor or Owner- Builder
I:\Building\ Form\ RES- IvloistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: _ � � - Jurisdiction: �b5
k5r v�2 C '�'
Site Address: / C 3 ,) S (t ?/r(
Subdivision/Lot #: , (01' Z
if
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 Ni 107.2)1
Signature: —
Date:
Owner/ eneral Contractor /Authorized Agent
Print Name: g// 4 4'k
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 fmal inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
I: \ Building\ Forms \RES- HighEfficiencyLighting.doc 07 /01 /08
Energy Trust New Homes [-Rant- FIJA THE
BETTER Certified Residential Air Duct System A
ms,-,200.—
, Co � � S_ 3.�7 VA/ �,�
mpa y Information �ti�ib
Company Name t , . - --
Technician (j re 1
} 1 Date ��=
Combustion Appliance C Zone
(AZ) Test
CAZ WRT Outside Main Zone Zone 2, if applies J
Pa Pa
Baseline
(WRT Outside, fans off)
NET CAZ Pressure (subtract Pa Pa
baseline from CAZ WRT outside)
Duct Leakage (fill out one s ti per duct system a
Description of Area System Serves _
Cond. Floor Area System Serves (ft')
0 s n o Air Handler in conditioned space? '
4
yes no Air present p , Handler during
test?
If yes" for either, then maximum CFM is 75 CFM @50 Pa or
floor area x 0.06 =
If nor a r e both, then�CFM @50 Pa, whichever is
maximum CFM is 50 CFM greater.
floor area x 0.04 = @50 Pa or
CFM @50 Pa, whiche er is greater.
Test Method: ❑ Leakage
Outside or T otal Leakage
Test Result ;
Fan Pressure �� ( ❑ DG 3 or OPa
rat— Pa Gauge type:
Ring (circle one) DG -700
Open I 2
Duct Blaster Location 6
Pressure Tap Location - -� � 3
on (4- _ 1