Permit Oregon Residential Specialty Code 8318.2
•
•
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, B kkc rte , am the general contractor or the owner- builder
at the following address:
Site Address: m
X517 ,SiA.41vn ew Ov-
— - - - - -
i
- -
City: . � ;y
Permit #: Ncrd 0/ 3 00077
Subdivision/Lot #: p G j
, n 1 ' ,� ( � .� L,D 1— 9
T � •
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: Date: 7 - 0 y . - / 3 7
General =actor or Owner- Builder
1:\ Building\ Form \RL -S- MoisturcSensitiveWood.doc 09/25/0S
i„,._ STREET TREE
,zi.:-:,.::::'
,!.,. !_,a fi r.
ma 1.`
T -t9 .R .i: CERTIFICATION
I, 016,11 i-rt,c,..)-t , owner/ agent for Ain , 6 ■ d- , . ii ' W
(PLEASE PRINT) (PERM HOLDER)
do hereby cert% 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.: fL( 1 0701 3 - 00077
SITE ADDRESS: i5yq 6 Si„i 6., w,,1 , ,o , V; it-) Dr
SUBDIVISION: Alal /13i4 1 , 7 ' , ; /.. j ] LOT #: 7 o
SIGNATURE: �\ DATE: 1 -1 ti--/ 3
( O ER/AGENT
RECEIVED & t ,
VERIFIED BY: / ! /'_ DATE: 7 -; `i — ( 3
Tree location verified per approved site plan.
•
f p pp p
I: \Building \Forms \StreetTreeCertificatc 05/30/2012
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MS1aO1') — ODp -r1 Jurisdiction: l �
� G
Site Address:
Subdivision /Lot #: n - •
and /or 1
Map and Tax Lot r:
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: Date: 1—; 3
Owner /General Contractor /Authorized Agent
Print Name: 614k Prk10
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 : \BuildinaTorms1RCS- 1-IiahEfSciencyLishting.doc 07/01/08
tnergy i rust NVew Homes
O/ 1\1fiE ; ^9
rte, r.r�r ■ �
This mark certifies that this home was built in strict accordance with Certified Residential Air Duct System ; , "
Earth Advantage® green building guidelines and has passed EnergyTrust
performance tests and two onsite building inspections. of non. lot
15446 5(A) S u 4,.v'cGut? .
Company Information
, + Company Name r/7/141-0/7 Z. ewe
Tt ,-b 9 ?Z o'' Technician p v i P JrtGtDS ?AB Date j- Z'--f3
WO'. I (5 "j e A4 Combustion Appliance Zone (CAZ) Test
ACA 9� s : Main Zone Zone 2, if applies
Z 4 ! or c a `s CAZ WRT Outside Pa Pa
Baseline (WRT Outside, fans off) Pa Pa
Passed By: 0 1 7:2> DateC 7 /Z5 / 1 5 NET CAZ Pressure (subtract
baseline from CAZ WRT outside) Pa Pa
This home contains the following features: Duct Leakage out one sticker per duct system)
Energy Efficiency I Water Conservation I Healthier indoor Environment
Land Stewardship I Environmentally Preferable Materials Description of Area System Serves A 5 y
Cond. Floor Area System Serves (&) •Z 705 v , a 6
earffiadvantage' ❑ yes, no Air Handler in conditioned space?
home certification _yes ❑ no Air Handler present during test?
If "yes" for either, then maximum CFM is 75 CFM @50 Pa or
This home has been certified as an Earth Advantage® New Home. All Earth
Advantage homes are built with the same attributes as other high quality floor area x 0.06 = ✓6 CFM @50 Pa whichever is greater.
homes but they also include a comprehensive package of energy efficiency If "no" for both, then maximum CFM is 50 CFM @50 Pa or
and environmental features you will not find anywhere else. floor area x 0.04 = CFM @50 Pa, whichever is greater.
Since this house was performance tested for quality, you can be assured it Test Method: ❑ Leakage to Outside or ® Total Leakage
has passed the rigorous design and construction criteria of the Earth
Advantage program - a recognized regional leader in green building science Test Result 9 0 CFM @50Pa
and implementation. Fan Pressure2,1 Pa Gauge type: ❑ DG -3 or E DG -700
Your Earth Advantage certified home was built with sustainable materials, Ring (circle one) Open 1 2 CP
techniques and systems that reduce pollutant sources and Improve your •
indoor air quality, ensuring a healthier home. It was designed to be energy Duct Blaster Location Qe h/ Al ST 'RS R 6
efficient, cutting your energy consumption and utility costs. The Earth Pressure Tap Location h 7r
Advantage New Homes program also guarantees superior environmental Y 51. "ply
responsibility and resource efficiency in home construction through the w189 L5 31V1dW31 okleAV a5()
use of recycled and /or renewable materials that decrease waste and
increase the durability of your home. 6ui lua;ed A6optupoj it u?Poulam1
d earth
advantage institute
www.earthadvantage.org s.sm, ono a„,, t.,..
/4 512013- acr
/S 'f i& -5 S v m e.v e v>J Dr—
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2013 -00077
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2013
T ( A R D 9 Parcel: 2S109DA16000
Jurisdiction: Tigard
Site address: 15446 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 79
Project: Arlington Heights, Lot 79
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1290 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height 24 Bathrooms: 3 Second: 1415 sf Garage: 430 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2705 sf Value: $302,775.88 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
Drywall -Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Twee Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0
Ea addl 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 & 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 2705
Owner: Contractor:
STONE BRIDGE HOMES 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 -1511 PHONE: 503- 387 -7577
FAX: 503 - 387 -7615
Total Fees: $20,257.22
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 R, 952 -00 -0090. You may obbtai / n na a copy of the rules or direct questions to OUNC by calling 503 2.1 r 800.332.23
Issued By: r 1 1/41 � ./�/1 Permittee Signature:
f 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 RECEIVED FOR Received
OFFICE USE ONLY
- City of Tigard Date /By: Ii 54.- Permit No.: M 5 /3 .. 000 17
13125 SW HaII Blvd., Tigard, OR 97223 MAR 2 6 2013 Plan Review . I I - i 3 -vUO 13
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Perm' ),— � Inspection Line: 503.639 CITY ( p� Date Ready y: Ju Ea See Page 2 for
T 1 G A RD
Internet: www.tigard - or.gov "' + OF T1GL1i�J/ Notified/Method: ( g / i)' Supplemental Information
R1111_DMNCi DIVISION ''t, _ u) I
TYPE OF WORK REQUI D DATA: I- AND 2- FAMILY DWELLING
® Nev, 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.
Valuation?�Z7
® 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 2 5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address:' 544(, ) CUM M MVO WA/ DR . New dwelling area: vies square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: 4 O square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 1 3 square feet 14_(.5-
Cross street/directions to job site: Deck area: square feet CZ
Other structure area: `.j ( 5 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: 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
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(astonebridgehomesnw.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):
CCB lic.: 173318
Total fees due upon application:
—1) ... c a .A. ,( 5 1 . Amount received:
%.
Authorized signature: This permit application expires if a permit is not obtained
Print name:
RDRe V R Date: W 03.2 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM/WEB)
1
Plumbing Permit Application EC
Building Fixtures RECEIVED 1 0 1 2 0 1 1 1 ( 1 1 , N1 ONI.1
City of Tigard Received
�' g 2 6 201 Date/By: Ja ico (V3 ST Permit No.:0 (S1 -44X)
1 1 8 ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 CM OF TIGARD D ate /B y: Other Permit No.: 0013 - Ott 73
T I C, A K D Inspection Line: 503.639 g UILDING DIVISION Date Rear l r See Page 2 for
Internet: www.tigard-or.gov
Notified/Methud: (( Supplemental information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. j Total
❑ Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (t) bath 312.70
Z 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
El Accessory building ❑ Multi - family SFR (3) bath i 500.32
Each additional bath/kitchen 25.02
❑ Master builder El Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: I V sW SUM MERVI LO #SI DR Catch basin or area drain I 18.76
Drywall, leach line, or trench drain 1836
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 I Lot no.: `C 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
Address: 16869 SW 6S Avenue #505 Floor drain/floor sink/hub 25.02
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.eom Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Jardine Plumbing Water piping/DWV 56.29
Address: PO Box 186 Other: 25.02 _
City/State /ZIP: Estacada, OR 97023 Subtotal
Phone: (503)351 -8532 Fax: (503) 6302882 - i - Minimum permit fee: $72.50
CCB Lie.: 108747 ` -(l 6A , Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature:- TOTAL PERMIT FEE
Print name: Jay Jardine Date: This permit application expires if s permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri - County Building Industry Service Board.
3: 113uilding1Pennits \PLMU-PennitApp.doc 10 /01/09 440- 4616T(10/02/COM/1VEB)
Mechanical Permit Application RECEIVE D I Olz OFFIC'L l SE ON EN
City of Tigard D ateit y: 3 /a� / I 3 Si" Permit No.� �( (_ – O )77
13125 SW Hall Blvd., Tigard, OR 97223 Received
MAR 2 6 ; � Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Pe—i64. e_aa 3 epo 73
Inspection Line: 503.639.4175 �pD
Date/By: Re
I I C, A f . D CITY TIGARD Date Ready/By: Ju ®Sec Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISI S otified/Method: ( Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
E New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family El Master builder ❑ Other: For special information use checklist.
Description . 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: to SW SUM M tRVIEW 'DR . Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR Furnace 100,000 BTU ( ducts/vents) 1 .
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
9 Flue /vent for any of above 23.32
Subdivision: Arlington Heights Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
New, Single Family Residential Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
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 k 33.39
Single -duct exhaust (bathrooms,
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawispace 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. l
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: dbritt@stonebridgehomesnw.com Range 1
CONTRACTOR Barbecue 1
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 lie.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
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:\ Building :PenniutMEC- PermitAppdoc 10/01/09 440-4617T (11/02/COM/WER)
Electrical Permit Application RECEIVE ' OR 01 1( I s1: Oy1.1
Received A STe3U 13 -Ova '7 7
City of Tigard MAR B 346 •: l3 � Permit No.:
1 14
"t 13125 SW Hall Blvd., Tigard, OR 97223 2 G 2013
8 Plan Review
_ ' Phone: 503.639.4171 Fax: 503.598.1960 cm , Date/B : Other Permit: j ��i 3 - d v� 73
1 1 t. 1 l: I� Inspection Line: 503.639.4175 C l i j �G t P Date Ready/By: ]a /f See Page 2 for
Internet www.tigard- or.gov BUILDING DNISI I 0 otified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14,000 ❑ Commercial -use agricultural
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE ' INFORMATION AND LOCATION ❑ Addition of new motor toad of ❑ "A ", "E ", "1 - ", "1 - ",
Job no.: 1450 Job site address: 1; S SUMMERV1 Bv DR. 100 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 I Qt,. I Fee. I Total I *
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 11 1,000 sq. ft. or less 1 168.54 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion rj 33.92 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 1 '"r) 2
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 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 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: SEE ABOVE B. Fee for branch circuits
Contact name: without service or feeder fee, 56.18 2
Deirdre Britt first branch circuit
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
CCB Lie.: 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: V TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\ Building \Pennits\ELC- PermitApp.duc 10/01/09 440 -4615T(II /05 /COM /WEB
• • T P
1,1 Building Division
Development Code Provision Review
T I G A R Residential Projects
Building Permit No.: A1,57 7 7
Project /Subdivision Name: 4E44 kW 1 )& Uf5 , Lot #:
Site Address: 1544 Sid uLlU��LL71N 0»
CWS Service Provider Letter:
Required: Yes ❑ No ir
Received: Yes ❑ No J
Plans Routed: �T
Original Plan Submittal Date: 3/ P I / 3 Routed By:
1St Revision Submittal Date: 31 a 013 * ❑ Site Plan Only Routed By:
2nd Revision Submittal Date: ❑ Site Plan Only Routed By:
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. n
Planning Review (contact MI/eL.S KaAia( at (503) 718 - 2-42 -7 or tl� J }L @tigard-
or.gov)
Land Use Case No. SUP)2.-00L0 — CC00 1
Zoning R — 7
Ltd' Setbacks: �
f ront IS Rear Side C J Street Side Garage
[Dr Maximum Building Height: 2 Actual Building Height Z
DVVisual Clearance
D 'Easements LL
D- Lands Type: 1 pal 171+ airG1
❑ Trees
❑ Protected Trees NJ /A
Notes: ( f U i2i 101/1 fg()VtTii.
<1 �
Original Plan: Approved M" Not Approved ❑ Date: 31
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \ DCPR_RES.doc Rev. 01/16/13
1 r • •
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
. Actual Slope: U
Notes:
5 Ft ew i b Rd A L .Y.--(., e91 ,,....e. < <f) "1 pis
Original Plan: Approved ❑ Not Approved■$ Date: 3 [ 2-7/1 3
Revision 1: Approved Not Approved ❑ Date: l3
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit Yes No i j 2 3 A
Date Routed to Building: 4 J �'/ _�, -
Page 2 of 2
1: \CURPI.N \ Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
esM.1•1■016
<
OBE : 1 45.0- 1 ,
SB STONE BRIDGE .
1 LOT: 79
, • --' HOMES NW 3 -dr- '3 DATE: 9/27/13
4230 GALEWOOD ST. SUITE 100 PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97035 HEIGHTS
CITY: TIGARD
(5 3
SCALE: 1"2-
PLAN No.: 133A
EL 8316 STANDARD ELEVATION
. _ ..
RECEIVE j
4 TIU 316.0
i aw 314 A" MAR 2 8 201
e llitil41116
TW 320 4a. f
t .
'NI .01
OW 3--ID' 41rif ' •■■ SILT FENCE
IIIIII
EL.36 /H . , 0 44. ,..... - fr EL3
0,
....// 4.1
_/, a ... 0 /:
v ,A,,...., 41 , 1 F/ 0,
TIU MOO' ■•
OW 318.0' 3 WWI
2 1/2 SA ' /, 4 .
30, .:...:.,0 /8, PPE. • , a'
- 0 „' e.
I el) - 430 - Ft Ili TW 31.15'
V ' . .. , :
5
0 .
.-H 0 :.3J1-:-. ■ 4/ S'
o A • ,
...* :' : . 0 . N .. :: ,:....•.. "/ ,
/ a 1•••. "-5' ll.ME
'4.N — .•' - • • . L71 • . _ ' '' ',. .f . _ /
/6 sc es ' ' , 11;'. -6 , _ 305 • / A / TUJ 30BuDi
IOW 30Uto
& I Ki I
„,(D Silv,, 1 ' : ', EL•301'
6"
°)
1 04/
4 0
I t/
1°..
LOT COVERAGE * STREET TREES
LOT AREA: 4,599 SQ. FT. so
BUILDING AREA: 1,956 SQ. FT.
— RAYWOOD ASH
PERCENTAGE: 42.5%
—FRAXINUS OXYCARPA—
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. LOT 0 19
THEY MAY VARY AND BE SUBJECT To CI-IANGE.
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 4,599 aq. ft.
1 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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
225 Post/beam structural
05/06/2013 00:00
MST2013-00077
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
205 Footing
04/26/2013 12:00
MST2013-00077
PASS
Site Development Erosion Control City of Tigard posted
Geo Tech Report, received
Ufer tag installed, yes
Setbacks, front to footing on bldg (15’) and driveway (20’) Min, yes
Setback, on side of bldg (5’) as per plans, yes
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
240 Exterior sheathing
05/28/2013 00:00
MST2013-00077
PASS
Previous corrections have been completed
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
240 Exterior sheathing
05/28/2013 00:00
MST2013-00077
PASS
Previous corrections have been completed
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
320 Plumbing rough-in
05/29/2013 00:00
MST2013-00077
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
310 Crawl drain
04/30/2013 00:00
MST2013-00077
PASS
Back water valve, In crawl on right side, near front.
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
615 Mechanical rough-in
05/06/2013 00:00
MST2013-00077
CNCL
Inspection called in error
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
240 Exterior sheathing
05/23/2013 00:00
MST2013-00077
FAIL
NOTE front and rear main floor shear not correct, see plans. Stopped inspecting.
Not ready for inspection. No inspection made ORSC R110.5
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
330 Water service
04/30/2013 00:00
MST2013-00077
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
275 Framing
06/03/2013 00:00
MST2013-00077
FAIL
1. Provide fire sprinkler rough approval.
2. Support 1st floor upper stringers at top.
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
235 Shear walls/anchors
05/28/2013 00:00
MST2013-00077
PASS
Previous corrections have been completed
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
242 Interior shear walls
06/03/2013 00:00
MST2013-00077
CNCL
Already passed
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
235 Shear walls/anchors
05/23/2013 00:00
MST2013-00077
FAIL
Not ready for inspection. No inspection made ORSC R110.5
Check holdown location, in front at window.
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
210 Foundation walls
04/29/2013 14:00
MST2013-00077
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
505 Sanitary sewer
04/30/2013 00:00
MST2013-00077
PASS
DWV rough/test with water 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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
115 Electrical service
05/29/2013 00:00
MST2013-00077
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
15446 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
605 Post/beam mechanical
05/06/2013 00:00
MST2013-00077
PASS
Violation Summary:
Inspector Contractor