Permit III CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT
P ermit #: MST2013 -00079
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/23/2013
Parcel: 2S109DA16800
Jurisdiction: Tigard
Site address: 15453 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 97
Project: Arlington Heights, Lot 97
Project Description: New SF
BUILDING
Floor Areas Reauired Setbacks Reauired
Stories: 2 Bedrooms: 4 First: 1050 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1815 sf Garage: 470 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors. Yes
Total: 2865 sf Value: $332,679.45 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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add/ 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 +ampNolt: 0
ELECTRICAL • RESTRICTED ENERGY
SF Residential
Audio S 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 2865
Owner: Contractor:
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST, STE 100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503 - 639 - 4175
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report rrequired
prior to footing
PHONE: 503- 387 -7577 PHONE: 503- 387 -7577
FAX: 503- 387 -7615
Total Fees: $20,709.92
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 a • - -- i approved plans. This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more the 180
days. AT TION: Oregon =w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 '010 i rough OAR 952 - , - r .0 may obtain a copy of the rules or direct questions to OUNC by calling 503.23287 0 800.332.2344.
Issu = . By: _ /„ (/ d = = � ' 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.
Building` Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard P { 0 R eceived 2013 t-Z'i + j Permit No.. ( '
■ 13125 SW W Hall Blvd., Tigard, OR 97223 Plan Review t l ( r
• a Phone: 503.639.4171 Fax: 503.598.196Q.,..� OP TIGARD Date/By: �p f � �j otter Permit:
T t G A R D Inspection Line: 503.639.4175 L�.,ll �1 �i ll Date Ready/By: 1 y 1uris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDINGDNISION No[ified/Method: I �� -it co Supplemental Information
!AA 1 4 1
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: nz f
f
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: ? .5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: ,1 493 sw <AA m azylEw Ila . New dwelling area: 2efd7 square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: 410 square feet
Suite/bldgJapt. no.: Project name: Arlington Heights Covered porch area: square feet IsC 5
Cross street/directions to job site: Deck area: � square feet
Other structure area: ? square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: 91 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@stonehridgehomesnw.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: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 173318
Authorized signature
Total fees due upon application:
Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J ) BR ITT Date: O 'Lfb .13 * 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)
Plumbinj Permit Application
Building Fixtures RECEIVED
Rved r City of Ti Date/B // Permit No.0 & apt 3 - 000 7
+ 13125 SW Hall Blvd., Tigard, OR 97223 aR 0 1 2013
Plan Review
S
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit NV � / 3 -00074,
Inspection Line: 503.639.4175 D Read 1B Ju ris: ®Se Page 2 for
T I G R D Internet: www.ti and -or. ov CITY OF TIGARD Ready /By: !_ g
g g Notified/Method: �v Supplemental Information
TYPE OF WOIW ILDING DIVISION FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description J 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 (1) bath 312.70
® 1- and 2- family dwelling ID Commercial/industrial SFR (2) bath 437.78
SFR (3) bath 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: , 5453 SW MM I 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 I Lot no.: on 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
Fjectors/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 (?a stonebridgehomesnw.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Max Plumbing Water piping/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
CCB Lie.: 194644 Plumbing Lic. no.: PB1083 Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: ( t l/ , , L,,d2. ---s- TOTAL PERMIT FEE
/ This permit application expires if a permit is not obtained within 180 days
Print name: Jason rner Date:
after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
1:\ Building \Permits \PLMU - PermitApp.doc 10 /01 /09 440- 4616T(10/02 /COM/WEB)
Mechanical Permit Applicati ip13 ENED FY)l( oF1- -it 1-. t tit,. ()NI.)
Received
City of Tigard Date/By: 4 ( Perm No. v a . . . 0 0 0 '�9
li . 13125 SW Hall Blvd., Tigard, OR 97223 APR 0 2013 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 960 Date/By: Other Permit e _ 4013 „ • ....
T I G A R U Inspection Line: 503.639 CITY OF TIGARD Date Read /B Juris:
Internet: www.ti and -or. ov 11 11 11 Vl Ready /By: Supplemental See Page for
g g Notified/Method: Supplemental l Information
BUILDING DIVISION
TYPE OF WORK 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 p Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® I 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: 15+53 ca SVM IVI 'R1 ew pp. 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
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
7 Flue /vent for any of above 23.32
Subdivision: Arlington Heights Lot no.: Q
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ( 23.32
Gas fireplace t 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 , Chimney/liner /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) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: same as above
Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E - mail: dbritt @stonebridgehomesnw.com Range
CONTRACTOR Barbecue i
Clothes dryer (gas)
Business name: Comfort Zone -
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 lic.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT tobt
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 Date: * Fee methodology set by Tri -County Building Industry Service Board
1:\ Building 1 Permits \MEC- PermitApp.doc 10 /01/09 440 -4617T (11 /02 /COM!WEB)
RECEIVED -
Electrical Permit Application �� 201 ;received FOR oFrlci: 1.SE ONLY
City of Tigard Datelny: 4 1 / • ' ' Rani' No.:MSr t �3 —o00 7
v 13125 SW Ball Blvd., Tigard,OR 97223 �v��+
Phone 503.718.2439 Fax: 503.S&19 1 d g OF l iG• "" ` nn lbe.iety Sv. Rennin 3 ..
Inspection Line: 503.639.4175 BUILDING I)NISIC ad ! See Paee7 for
7'1�;.tiFd7 Internet: www,tigllrtk)rgnv i IA/Method: I LP Svppkrueotal Won= dem
TYPE OF WORK PLAN REVIEW
irni. l2cemcnl Please check. all tar apply (submit l sets of tiOnt w/0ems cbeoted below):
,0 New eoact'ltetiolt ❑ A dditionlalixrat ❑ Service of feeder 401) amps or more ❑ Baadiosever Lira. aeries.
❑ Demolition ❑ Other: ...here the ava>7able fault currant ❑ seine and boatyards.
CATEGORY OP CONSTRUCTION commis 10,000 zaps at 150 volts or 0 Fkeior barldmps.
l to ground, orezoneds 11,000 ❑ t_ommaciel -use nigiculloral
(n. and 2- fatuity dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other iostaihtions. Voiding&
❑ Master r. O
builder ❑ Other. ❑ e pump. la- kaOoioz of 75 KVA or
❑ - Multi ❑Lorraenoy . forger sepwai&y.loivedsystem.
JOB SITE INFORMATION AND LOCATION °Addition of new motor toad of ❑ "A" "d "1 - "1-3";
b 10OHP mmore. mammy. Yob no.: ' Job site addres a W MGI� ! 1 P4 ti Sit M
mate rtside lrlal Ogilt. D nnernsf coal ve6idc parks.
[Weak-ewe facilities. ❑ Supply voltage for more dam
CicyfStateIZ P: ❑_irardous locations. 400 volts nominal.
ID Service or Feeder 61Y) amps or more.
Suitr/bldg /apt no.: Project notice: — - FEE SCHEDULE
- Cross sine/directions to job site: • not toe I Qtr. d tve. I r «
New residential single- or mu1li- tataliy dwelling unit.
ti It chides attached garage.
L ot no.: � 1 n.1• fr or lea 168.54 4
Subdivision: ' gum 0I4 H E �H? Ea. ....WI 503 sq. ft ar pardon 5392 1
Tax map/parcel no.: I ini led ! . r ni ` 75.00 2
• DESCRIPTION OF WORK (with abovesq. F.) i
Limbed energy, multi -cosy 75 2
essdattial with ahoy* ..0.1
.00,... �� • ' I I Services or feeders installation, alteration, and /or relocation ,
200 amps or less l 100.70 2
I 201 amps to 41k7 apps 133.56 '2
1 • ' ROPERTY OWNER ��) � T / ENNANT 2
J 1_� V W k.0! pops 60 6W amps 200.34
Name: S�p� 1612irAp , • 601 stops to 1,000 amps 301.04 2
Ovc 1 , 000 amps or volts 55 - s.26 I 2
i Address 9 Gg1,�WODD ST, • 00
Temporary sps or vs or feeders iwtauatlo5 alteration, and/or
City/State/ZiP: , _ • i 9 9 ' relocation
T ) �� J 200 amps or lots 59.36 1
Phone: / • S Fax: ( ) 200 amps to 400 amps 125 06 2
r Owner Installation: This installation is being made on property that I own which is not 401 amps w 599 mops ( 168.34 j 2
intended for sale, lease rent, oc exchange, according to ORS 447, 449, 670, and 701. Bmacb circaita - new, alteration. or extension, panel
Owner signature:. Date: A. Fee for branch circuits wilt
❑ APPLICANT
l g CONFACT PERSON circuit
n 4 7.42 2
i ( �, Ap 9,s/ ie, B. Fee for March dorm(: t1Fdrar
1 Bus n � 1r f t ik t /'1 service or r feeder er fee. i69t 56.18 2
branch circuit
Contact name: ' �i r.. r ► III ~ Ea win h ad btanell cireek 7.42 2
v. I Address: t
hlltKel ancO ds (service or feeder not in clatkd) •
Etch marwfacCaed or modular 6724 2
dwell g,...seise and/or feeder
i Rcconcea
67,x4 z
I Phone: ( ) Fes:: ( ) I puma: in�tan circle 6714 - 2
E-mail: r i i �.r. :I !C ■ Sinn er outline 67.84 2
CONTRACTOR Sigral chcuit(s) or limited-energy
. . el alteration o- extension. _ Pnpo2 2
Business name 1 -� c;e. • • e.t.'�i CJ elS ^ ham
Each addltW na1 insPae6on over all nabIC in any of the about
_ �1 Rdcoionrl In (1 iu lout) I 6025i br
Address: j ��f S3 5� ,2, -3 s� ` �`�t Y L - 66251 hr
Jtrnstigailoa (1 k min)
CityJStafe/ZiP:I74WLG1$C(.1 () ` 9702,..„ lodustnel broom) 75.181 hr
' Ph '— L' " Fax: ( ) t�Af Inspections rot wbiCh tic r= IS , 50.00i br
3 spo:ttitally listed (Ye hr loin)
I CCB Lie-6 Z, electxtcal Lis � Suprv. l.ic.3321 ELECTRICAL P1 RMTT WES
Subtotal
• .
Suprv. Elecn c an signature, required: .C- ,. 7 ��� phut review C25% of peunit. fee):
I - ' Date: State surehorge (12% of permit fez);
Print name: ,e,.44,,, t TOTAL PERMIT PEE:
t
I Authorized signature This parade application aspires if a permit is not obtained within 100
daps alter iron been ncccrled us cotoplcla
Print name: `Date: • - Number ofineatiom snowed. pa permit
.. I 1:11101foritinnit FL4?coitAsadoc a7pttrtn 490-424.17(1 t/o!rO seiW}J .. ._ I. -' - --
_, .
i
■
A
Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: i& S a-o(3- e00 19
Project /Subdivision Name: Li LJ t 77)4 A , Lot #: 97
Site Address: / 5� S� u( // L) 1 e � AP
CWS Service Provider Letter:
Required: Yes ❑ No D
Received: Yes ❑ No ❑
Plans Routed:
ST
Original Plan Submittal Date: 13 Routed By:
1St Revision Submittal Date: '/ SJ' 3 @slytT Site Plan Only Routed By:
2 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 i approved.
Planning Review (contact ( at (503) 718 -2 Y or @tigard-
or.gov)
Land Use Case No. 551 J
Zoning / n 2 -7
if (Setbacks: 5 / �r j .
y Front / 5 Rear Side_ Street Side Garage
I aximum Building Height: ` 3 S Actual Building Height
E Visual Clearance
Easements
❑ ensitive Lands Type: 6‘ - S Lei;
l eet Trees
F Protected Trees IS
e
Notes .4„
Pd b eW ' / f PIZSIF � ,r A/1 -PI
Original Plan: Approved ❑ Not Approved CB Date: -13
Revision 1: Approved Not Approved ❑ Date: t i — 13
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
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov)
.-1 Actual Slope: Z 7
Notes:
Original Plan: Approved . -0' Not Approved ❑ Date: 4
Revision 1: Approved Er Not Approved ❑ Date: i t /I
/I s
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 4 o ❑
Date Routed to Building:
Page 2 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
.... .. ___....
1 OBE:1468
,� STONE BRIDGE f . �.
? H O M ES 1\1W UM W& - LOT: 97
DATE: 3/25/13
4230 GALEWOOD ST. SUITE loo PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 REC ' V �` / a CITY: TIG ARD HEIGHTS
(5 387
°)
APR O S 2013 SCALE: 1 =20
J PLAN No.: 269B
It_ 17 OF TIGARD
STANDARD ELEVATION
i gIG DIVISION
AI kof S
4
i j lo
r 4 1
2 0 1 411 fr
d Y ill hasdk
.. , 4 ..: .*: -*.-. '';:.' ;'.. .... e 414 . , .:', d.k. P
314
312 = ' ''.:;?.."-<::..4.
; .• •
310 / ",. /
30- a ' ,
P.F.E. a, ii in - � � 4*....
' , � - , 303
0•
304 0 � I I�
h �. / 298
2,865 SQFT. —� 296
302 0 0 2 , 294
_, FFE 31220
3
300 ~ � i ir i fiV
lei 1111 I I I IP/ 2 92
Olt a-
290
r 2
r 6 8 3 . � ,� - I � 4
_ .i 28a
C7
LOT COVERAGE LEGEND
LOT AREA: 5,046 SQ. FT. t
BUILDING AREA: 2,340 SQ. FT. — STREET TREES:
PERCENTAGE: 4 " RAYWOOD ASH
- 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.
THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT 41 91
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,046 sq. Ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
_ 1o?0)3 -006
1 5 2 953 5 i,_/ 9-..b,&2 / 04-
FOUNDATION CERTIFICATION
LOT 97 OF "ARLINGTON HEIGHTS"
CITY OF TIGARD, WASHINGTON COUNTY, OREGON
PREPARED FOR � � � \
STONE BRIDGE HOMES NW
16869 SW 65TH AVE #505
LAKE OSWEGO, OR 97086 tS�,y
/ `
am` 'rl
O ... %.1/
S6o9F 60 9 'c`
0 0•
LOT 98 SO•
;" x •0 0 "
iv
cb ti
NS
LOT 97 ��
SCALE 1" = 20 ; FEET �k
am
1 •h
0 ?
N m�m� p " 2.00' o
,� 1g ho I¢ Op• `, ~' LOT 96
PUE = PUBLIC UTILITY EASEMENT 00• '`
Sp.
I, ROBERT RETTIG, A REGISTERED 4/66.
PROFESSIONAL LAND SURVEYOR IN THE 3 21,
STATE OF OREGON, HEREBY CERTIFY 6 03 j ,
THAT I HAVE ACCURATELY STAKED THE
FOUNDATION FOR LOT 97 OF ° ARLINGTON TRACT ° M °
HEIGHTS" WITH HUBS AND TACKS AS
SHOWN.
05 - 0 - t3
REGISTERED 1 ENGINEERING • PLANNING • LANDSCAPE ARCHITECTURE
PROFESSIONAL JOB NAME: ARLINGTON HEIGHTS FORESTRY • SURVEY
AK LAND SURV YOR
l JOB NUMBER: 2643 LICENSED IN OR & WA
13910 DRIVE SW GALBREATH 100
DRAWN BY: BDT SUITE
ZREG N SHERWOOD, OR 97140
L
JANUARY 11, 2005 PHONE (503) 925 -8799
ROBERT D. RETTIG CHECKED BY: RDR
ENO/AWING tt fYJJi'A.STRY
60124LS FAX: (503) 925 -8969
RENEWS: 12/31/14 DWG NO.: 2643CSTK OFFICES LOCATED IN SALEM, OR & VANCOUVER, WA
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
610 Gas Line
06/13/2013 00:00
MST2013-00079
PASS
10psi/15min. 799386
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
340 Storm drain
05/14/2013 00:00
MST2013-00079
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
240 Exterior sheathing
06/11/2013 00:00
MST2013-00079
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
235 Shear walls/anchors
06/11/2013 00:00
MST2013-00079
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
605 Post/beam mechanical
06/13/2013 00:00
MST2013-00079
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
225 Post/beam structural
05/22/2013 00:00
MST2013-00079
PART
Upper post and beam to come.
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
310 Crawl drain
05/14/2013 00:00
MST2013-00079
FAIL
1. Provide 3" rip rap, 4X4 area at pipe discharge location.
2. Uncover crawl drain pipe and install tracer wire. 718.4
3. Raise grade below back water valve !
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
210 Foundation walls
05/09/2013 09:00
MST2013-00079
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
320 Plumbing rough-in
06/13/2013 00:00
MST2013-00079
FAIL
1. Provide test on sanitary drain (DWV) 712.1 thru 712.3
2. rat proofing, metal collar or ¼” screen, with ½” space max, needed at: lower level
bath tub m 313.12.4
3. Complete water service inspection.
4. Provide midstory guides on A/W vent in wall and in truss area and master bath 2"
vents. Table 3-2
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
320 Plumbing rough-in
06/21/2013 00:00
MST2013-00079
FAIL
1. Plumbing rough not approved, no work done, correction #4 dated 6/17/13
2. 3rd inspection, re-inspect fee due prior to next inspection. 301.5.6
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
330 Water service
06/18/2013 00:00
MST2013-00079
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
225 Post/beam structural
06/18/2013 00:00
MST2013-00079
FAIL
1. Provide post as show on pg 7 stamped plans initialed and dated. All else ok. Recall
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
15453 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
330 Water service
06/18/2013 00:00
MST2013-00079
PASS
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: Pi $T oZ 0/3 bU b? r, Jurisdiction: 7
Site Address: / C/ ('
/ % J ? J SvJ vn ✓ t 0i./
Subdivision /Lot #:
66/-- 5
�-
and/or
Map and Tax Lot #:
•
By my signature below. I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature:
Date: 711-1 3
Owner /General Contractor /Authorized Agent
Print Name: 8f&/c 4i .
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 : \Buildin6FormsU ZES- i IighEfficiencyLi2hting.doc 07/01/08
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This mark certifies that this home was built in strict accordance with .:'•
. Earth Advantage® green building guidelines and has passed .
• :.:k. performance tests and two onsite building inspections.
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This home contains the follo features: 3
Energy Efficiency I water' Conservation I Healthier Indoor Environment
. Land Stewardship I Envlroomentally 'Preferable'Materlals :
e l earthadvantage
• ...„,
home certification
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 - r:,
homes but they also include a comprehensive package of energy efficiency .;
and environmental features you will not find anywhere else.
• • Since this house was performance tested for quality, you can be assured it
has passed the rigorous design and construction criteria of the Earth
Advantage program - a recognized regional leader in green building science
and implementation.
Your Earth Advantage certified home was built with sustainable materials, a y
techniques and systems that reduce pollutant sources and improve your
indoor air quality, ensuring a healthier home. It was designed to be energy
efficient, cutting your energy consumption and utility costs. The Earth
Advantage New Homes program also guarantees superior environmental
responsibility and resource efficiency in home construction through the I
use of recycled and /or renewable materials that decrease waste and
increase the durability of your home. 4
e eartl-i
odvantogeinstitute
www.earthadvantage.org
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Oregon Residential Specialty Code R318.2
MOISTURE CONTENT A.CK OWLEDGEMENT FORM
I
&At , am the general contractor or the owner- builder
at the following address:
Site Address: 4 5 - y 5- 3 5,) ci„, Op-
City: 19
Permit #: ,M Joi _ 00 n7
Subdivision/Lot #: / - /4,:54 , is ST 6/ g 7
and /or
Map and Tax Lot #:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R31 8.2 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: 3/ 3
General Contractor or Owner- Builder
!:\Building\ Form \RES- MoistureSensitiveWood.doc 0925/08
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tearIES
TI
I, g /9-k , owner / agent for St oR 410 . I -
(PLEASE PRINT) (P ` RMIT HOLDER)
do hereby centih 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.: jM 5 r a 013 - 0 00 �J
SITE ADDRESS: l S ti 3 S 5 14, vv., m ✓; r✓L., °✓✓,
SUBDIVISION: / 9. /,`,, • L., e ; , 0 LOT #: 1
SIGNATURE: -- DATE: -7 --?/ 43
(Ol ER /AGENT)
RE CEI UED & /
VERIFIED BY: DATE: —
--
TY OF TIGARD)
Tree location verified per pproved site plan.
A /
I: \Building \Forms \Streetl'reeCertificate 05/30/2012
II