Permit CITY OF TIGARD MASTER PERMIT
�° COMMUNITY DEVELOPMENT Permit #: MST2013 00130
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/17/2013
Parcel: 2S109DA18900
Jurisdiction: Tigard
Site address: 12687 SW CANYONRIDGE CT
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 118
Project: Arlington Heights No. 3, Lot 118
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1145 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1533 sf Garage: 657 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2678 sf Value: $317,489.27 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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 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 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio ii 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 2678
Owner: Contractor:
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST, STE 100 4230 GALEWOOD STREET #100 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: $20,355.26
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 • • - • - 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. A NTION: Ore •= I= r= •uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
0. 952 -00 0010 through OAR- 001 -0091. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198.80012344.
Issue. :y: • �— Z /��� Permittee Signature: �
Call 503.639.4175 by 7:00 a.m. for the next available Inspector 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 FOR OFFICE USE ONLY
City Tigard R ECEIVED R eceived / � D ���
Ci of Ti and lP y 3 11/, Permit No.: 3 3d
- Phone: 503.639.4171 Fax: 503.598.1960 JUN - 4 2013 Dan/ey
n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rewew
t� t g. Other Pert
Date /By: ( � Gye. Go1/4ao
TI GA RD Inspection Line: 503.639 Date Ready /By: orris ® See Page 2 for
Internet: www.tigard - or.gov CITY OFTIGARD Notified /Method /3 / Supplemental Information
BUILDING DIVISION k)/6 674° A \„_ TYPE OF WORK R EQUIRED DATA: I- AND 2 -FAM LY—DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the wort: performed.
Indicate the value (rounded to the nearest dollar) of 111,
❑ 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 ❑ Commercial /industrial Valuation:1 ..2, i 'Z
4
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 2.9
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 1201 S CAN* Mhlf7t C.T. New dwelling area: 24'19 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 00 square feet
Suite /bldg. /apt. no.: Project name: Arlington Heights Covered porch aree tt:lq square feet I.S��?
Cross street/directions to job site: Deck area: - square feet ( \ 4-D
Other structure area: ''3`& - square feet 1. 2,
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: IIV 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 Calewood 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
I apply:
Phone: ( ) Fax::( )
E -mail: dbritt @stonebridgchomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
Total fees due upon application:
CCB lie.: 173318 "
Amount received:
Authorized signature - P i j
This permit application expires if a permit is not obtained
RAE- RI T Date: ;// I within 180 days after it has been accepted as complete.
Print name:
tyt/ B 1 (0 � * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440 -4613T(I I /02 /COM /WEB)
Plumbin Permit A lica CEIVED
Building Fixtures FOR OFFICE USE ONLY
City of Tigard JUN - 4 2013 Received
e
D ` `
e e Permit N s 7 /2 DD /3 o
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I - Phone: 503.639.4171 Fax: 503 Other Permit No.:
OITy°'OFTIGARD Date/By:
T I CA R D Internet: w ww.ti
Inspection Line: 503.639.4175 B U I LDING DIVISION Date Ready/By: htris: ® Sec Page 2 for
=ard ov
o -or. = b Notificd,Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special informalion use checklist
Description I Qty. I Ea. I Total
El Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I- and 2- family dwelling El 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. II.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 12(9t1 SVV COr 4 'a I Iii D(7E G7 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 It.: _) Page 2
Subdivision: Arlington Heights I Lot no.: II2 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: S ) Page 2
Primer 12.51
Contact name: Deirdre Britt
Root 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
Water closet 25.02
CONTRACTOR
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: (97I)275 -0198 Fax: ( ) Minimum permit fee: 572.50
CCB Lie.: 194644 Plumbing Lic. no.: PBI083 Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: t ✓cal/ , / ���,,,
(iS _ 'fOTAI. PERMIT FEF,
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.
t:'•BuildingtPemutu \PIN' 1.PernitApp.doc IO/01419 440 46lvr( IOr02 /CoM/wrn)
•
Mechanical Permit AppliRECEIVED FOR OFFICE USE ONLY
City of Tigard Received Dat�ly PerntitNoA/JT, _o 3 t )
13125 SW Hall Blvd., Tigard, OR 97JUN — 4 2013
C Plan Review ether Permit
Phone: 503.639.4171 Fax: 503.598.1960 Date/13y:
TIGARD Inspection Line: 503.639.4175 CITY OFTIGARD DateReady /By: luris: El See Page 2 for
Internet: www.tigard or.gov Not i lied/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® 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*
® I - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information rise checklist.
❑ Multi - famil ❑ Master builder ❑ Other: Description I Qty. La. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: ( 41 Sw p yot gIaGe G7 • (requires conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) ' 46.75
Furnace 100,000* B 1 U (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.: fit o
Other /3.3"/
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater V 23.32
Gas fireplace I 33.39
New, Single Family Residential Flue vent for ■ater heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
CI PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Range hood /other kitchen
Address: 16869 SW 65 Avenue #505
equipment 33.39
Ci /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust I 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 S14.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax::( )
Water heater i
Fireplace I
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
Minimum permit fee ($90.00)
Phone: (503) 667 - 5595 Fax: (503) 491 - 8252
Plan review (25% of permit tee)
CCB lie.: 110091 State surcharge (12% of permit fee)
Y TOTAL PERMIT FEE
\\ This permit application expires if a permit is not obtained within ISO
Authorized SlgnatUlC: ` days after it has been accepted as complete.
Print name: David Heldstab Date: " Fee methodology set by Tri- County Building Industry Service Board
I: nuilding , Pe11niis \MEC-PermitSpp.doc I0 /0 1/1)9 440 -45171 (I I/02 COMAS sin
________._ .. . . _
• ,
RECEIVED
Electrical Permit Applecaf( #!i — 4 2013 ' K " : roe nn,c 1 , „, _ c�nLi, . _
,N=.,,,,, : a Cit of Toga i lteedved Permit >s� eoi3d
Delay:
v 13125 SW Hall Blvd., 7ienr4,AA 97 TIGARD Plan Review
Phone: 503.718.2439 F Dateav: Od.erP -rah'
e ' Inspection Line: 503.639. �UISiVN Bate Ready/By: brit 13 See rage far
, ” - . -, , -.T -k Internet: wWtotigllydocgar NodlittiMeihod: , $pppkmeotrl lnformabam .
<. c �
TYPE OF WORK PLAN RRVW .
❑ A ddiliOn/8horation/replat�ment Please cheek a0 Curt apply (submit 7r sets of plan willow ebeeked beta w):
Kt vt' construction ❑ service or feeder 400 amps or more ❑ Building aver do= stairs.
o Demolition ❑gyp': Ahem the availableiaohcereal ❑Mainstadboatyasdn.
CATECORY OF CONSTRUCTION exceeds 10,000 amps ae 150 volts or ❑ Fletsinr bmld'mg
Icm to ivamd, or exceeds 11,000 ❑ rt,mocreiel -use agricultural
0 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for en other imadlatioas. botldings.
❑ Multi- family 0 Master builder ❑ Other. Prim pump. ❑ 1a_etalxtiat of 75 K•JA or
❑Emergencyspem, larger nepsately derived system.
JOB SITE or1FOAMATION AND LOCATION /�� ❑ AddititnofnewmotorloadoP ❑ "A" "66" "I - - 1 -3"
�,/� ye ., � � n a / K`e ,� f � 100113 or more Re:m
Job no.: I igil Job site address: f 2/4 SV �/I ❑ Mg Orman mtidrnlial coifs [] Reaext:anai vebidc pare.
�/ , !� ❑ H srardo we faei 0iies. ❑ Simply voltage for twm dam Clty/$taame.0 . G • _ ❑ ia,artbus loczl cuts. 400 volts aamvml.
❑ Servius or feeder 6M amps or more.
Suite/bldg./apt. no : Project name: - - -- FEE SCHEDULE
, Cross strrctldireu3oD5 to job site: De+.dynnn Qhr I r .. Zug I • -
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: .no.: Lot no I I 1,007 g1' fir or Ica Jr, 168.54 4
E3. Wk 500 sq.1L or po_rien 7 53.92 1
Tax map/parcel no.: _ Limited cony, residential i 5.00 2
LFSCRIPTION OF WORK (with above oil. IL) /
Limited energy, multi-Family 75.00 2
residential (with above so. II.I
Services or feeders installation, shat tton, andfor relocation
200 amps or less i 100.70 I 2
3"1.56 2
I ❑PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 1
401 amps to 600 amps 200.34 2
■
Name: 601 amps to 1,000 amps 30SS 1.204 -6 2 2
Qom 1,000 amps or volts
I 1 Addt 1
i Temporary services or feeders ioattuadoq elteratlon, and/or
City/State/ZiP: relocation
207 amps nr Ias 59.'-6 1
Phone: ( ) I Fes ( ) 201 amps io400 amps 125.00 2
Owner installation: This installation is bring made on property that I own which is not 401 amp, w 599 maps I 16854 j 2
iniended for sale, Rase tint or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new.. alteration, Of extension. panel
Owner signature: Date: A.7 ce far branch circuits with 1
abavese vice or feeder Ecc, 7A2 2
❑ APPLICANT I ❑ CONTACT PERSON each branch circuit
h B. Fee for berth circuit tvirhour
Business iomne: service or feeder fee. 1st 56.18 2
ernnch circuit
Coatictnnrnn.
t Each add'l branch circuit 7.42 2
I .
Address: Miseellaneoos (service or feeder aut. included) •
Etch mmwfecttaed or modular 6714 2
City/State/ZIP: dwettin: sari= and/or feeder
.
Reconnect only 67. i 2
I Phone: ( ) Fax: ( ) Pump or irrigation circle 67.84 2
E-mail: Sign or outline lighting 67.84 2
CONTRACTOR Signal chcuit(s) or limited-energy h
. cl after/Ilion or oalenoloa t PnPA2 2
Business name' -rv' ce ( 1tr� 'a.A.1 - t j tiS .LVIL Each addttloaallnspettionover allon a�•
' a blcin a of the shout
l (/v�l V` Add itional Inspertiun(1 hr 66.25i la Address; f E�S j �� IA Ttrvetti8�lat (1 hr min) 66251 hr'
I City /S�Ie/ZiP: CtW1cLSC�L ' L 'O industrial plant (Ihrmin) 76..1
�C)N --• Inspections tor which Ile fea Is 50.00x' 111
Phone: - 1 /p Fax ( ) spoeiticallylisted 05 hr min)
C CB Lie Z, , Electrical Lta -- j%9e Suprv. l.ic.:362 j S ELECTRICAL PERMIT FEES
Subtotal
• Suprv. Electrician signature, requited: ,.G� .' Plan review (25%0 of permit foe):
I - i State surduuge (12% of permit fax):
Print name: �YF/ 1 • Dale.
TOTAL PERMIT FEE:
I Authorized signature This permit application oapires a permit in not obtained within 160
dVs after it bas been acceplcd complete.
ii
Print name: Date; 'e Numbs of . codoo:allowe3perpermit.
_I eso ee
I F.t acllfasePsrinit >11I.CPrcoitAppdoc Maria
j = Building Division
Development Code Provision Review
T c n ii ° Residential Projects
Building Permit No.: /'137.20f3 - /30
Project /Subdivision Name: 1 #EYG�f)T ,Ve • .3 , Lot #: Woe
Site Address: 42A (P7 . ec' C9x/ro�1/�66� L'T_
CWS Service Provider Letter:
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Plans Routed:
Original Plan Submittal Date: 0 Routed By
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2n 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.
Planning Review (contact \ KQNGtC -? at (503) 718 -2421 or VCS . @tigard-
or.gov) vv
Land Use pse No. sASZt]Xo -DODO
Zoning 7
lam' Setbacks: _,
ront \2 Rear L Side S Street Side I 0 Garage 20
Maximum Building Height: 3S� Actual Building Height t23
IKI Clearance
v Easements
E r . Sensitive Lands Type: 2 S ° 7 o S I TeS / IOWA( VIGI lei l frt'(- VA ,te-
Cr TreesN
❑ Protected Trees0 /Pc
Notes:
Original Plan: Approved Not Approved ❑ Date: 2 /511
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
•
Engineering Review (contact Mike White at 503-718-2464 or MikeW@tigard-or.gov)
,er Actual Slope: Z c
Notes:
Original Plan: Approved Not Approved 0 Date: 6/5113
Revision 1: Approved 0 Not Approved 0 Date: • •
Revision 2: Approved 0 Not Approved 0 • Date:
Permit Coordinator Review (contact Albert Shields at (503) 718-2426 or albert@tigard-or.gov)
0 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 Ap. cant
Okay to Permit: Yes 2 No •
Date Routed to Building:
' I I
•
• ' ' • ; „ I 1
•
. •
. ,
Page 2 of 2
IACURPLN \ Masters \ Development Code Provision Review \ DCPR_RES.doc Rev. 01116/13
., „
:11 ® STONE BRIDGE OBE: 1489 1
i v LOT: 118
• ®� HOMES N W DATE: 5/22/13
4230 GALEWOOD ST. SUITE= JUN - 4 2013 PROPERTY: ARLINGTON
GT
LAKE OSWEGO, OR 97
(5 3 CITY OFTIGARD CITY: TIGARD
PLAN BUILDING DIVISION SCALE: 1 " =20'
SITE P LAN PLAN No.: 225
STANDARD ELEVATION
0
6
• ...
I e
1 J
S
j N $
I J \ fr •
rrw
3408' TA co
1110 S 3a� W 3 D P 3 30. - BO 0 0 p
4 � is;
y . $ u 1 38' TOW
3 t. , . - - 330 BO `)
7 in b►; SILT FENCE
- 338' _ - = 1
IID'I ,- 14' - --z 0
I _
I — 1 10'6'x13/ - - COVE - = D 20'2' 10'4'
I PATIO
2'
II 20 . -6 - I
10'-0' SIDE SETS' , Iro 2,618 FT. - II
m m s d4
W W 2.5 13.4114 NIA 1 FFE ■3 ' m
- I 2 '6' II'8' v Q�
I I
P 691 SD. I
r C1A1 I
5' -6• TO FACE OF • = I I I -0' n F FE'• -•'
5 SIDE SETBACK
I
b - - - --r 2'
� \�� I 331 IZ P up .. .::. �-' :." „ ,? I
g _ - DR •7 a ._ 0
ii , . , . t IP
- ' Alb._ i - ul
0
, 1 , 1 - 1 110F" 45. 1 b
3I NI NI
12691 SW CANYONRIDGE CT.
LOT COVERAGE LEGEND
LOT AREA: 5,911 SQ. FT.
0
BUILDING AREA: 2,010 SQ. FT. — STREET TREES
PERCENTAGE: 33.6°x, EASTERN REDBUD
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 *118
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,911 SCI. ft
STREETLIGHTS, AND OTHER SITE CONDITIONS.
+?a 3:iYRe��'.-Xi,.<.SryY' « *NX. -:. a+ a. �.: t*t'-1':h2'-3:-8i?YY I:tttK- .n3txfil..EtN:d- a±M£^?..M. `. a. .'v akalQ':Tak'.# "A+R."ia }y --:V- ia..TJ:4 ?: i>' L' a4' AA .2..44L:+�:'SSP'su?SiNY•t1.f. 'rii EfNaRS 1- ti:l�'t,Yls' -- +ar 4 e:Y.^'+C kP :`1L'S. r:'dM XS�Sd .Y.YYbi'S4 +.`!G':a
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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
335 Rain drain
06/27/2013 00:00
MST2013-00130
PASS
NOTE 2nd back water valve located outside foundation at left center front and picks up
footing drain that runs along side left and rear of residence and ties it to storm piping.
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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
330 Water service
06/27/2013 00:00
MST2013-00130
PART
Leave trench open from meter back 4' for inspection, to verify pipe grade of 24" and
inspect hookup to meter. 609.1 all else ok. recall when ready.
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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
505 Sanitary sewer
06/27/2013 00:00
MST2013-00130
PASS
NOTE: waste (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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
330 Water service
06/27/2013 00:00
MST2013-00130
PART
Leave trench open from meter back 4' for inspection, to verify pipe grade of 24" and
inspect hookup to meter. 609.1 all else ok. recall when ready.
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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
340 Storm drain
06/27/2013 00:00
MST2013-00130
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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
310 Crawl drain
06/27/2013 00:00
MST2013-00130
PASS
NOTE Backwater valve located on crawl near center 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
12687 SW CANYONRIDGE CT, TIGARD, OR,
97224
Residential - Master Permit
335 Rain drain
06/27/2013 00:00
MST2013-00130
PASS
NOTE 2nd back water valve located outside foundation at left center front and picks up
footing drain that runs along side left and rear of residence and ties it to storm piping.
Violation Summary:
Inspector Contractor
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: ",,s-r- 70/3 - 00/3 G Jurisdiction: _ft,
Site Address: / Z 7
2I c7
Subdivision/Lot `: e Az_ , �_ 64/f 4/ 27 J. r
and/or (
Map and Tax Lot#: /(
•
By my signature below. I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: Date:
j‘) j1,1
Owner/General Contractor/Authorize Agent
Name:
Print Dame: --
ORSC Section Ntl 1 07.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
1:\Building\FormsU tLS-1-lighEfficiencyLishtin,.doc 07/01/08
ea rtti
od.T.,--vage irn-tihite
# Sauthhubta Eitt9ctills,taxi Climate Snuion:; I earthadvantage.otR
808 sia 3cd Ayr:,Suit 600.Po,,t1r)nd OR 972,7)4 I 503 968 7260
- _ _ _
------------,-- _ _
Inspection Date: ion.is kfi,vn4 0,-) [le.1.)14; 101 II'6
Address: 12.6i3 l Cot vi yo'l KI61ey- Ci
City: TyArd , DP- rozi 4
MgrAc7(3 -6t9(3°
Blower Door Test Results. , if vir op., A be-L.-.."-C 1—
.1,i, L-
Maximum Allowed ACH: 5.0(for Earth Advantage)/401r—EAIDS-Y-STA or )
Actual CFM: €.GO Pe, 1790
ACH:6 50
Verifier Signature f":,.4 Mitt &Ili)y VeilA 10.9.13
— ttnergy Trust New Homes ,cH.,;:-.■,IF■44.,
L .11:4; E , ' ,I.
(;-ertified Residential Air Duct System rsci, tt -.1.
EnergyTrust
•!0,rgendot.
L-_,,.._.._' ..._;_.:_: cPRIP2 7 inforination-:,:-.-2,7.:.•,=-:::-,.,..: ,
Comps Nam, de LA% 4 . :••
i!chnicianISP, .....alrendri, Date rf7J
Pplyibil.StiOtiTApipiltinc7e zeiheiA:04:71.9s,C.,.,:7:::
Main Zone Zone 2,if applies
CIAZ WRT Outside Pa Pa
I
Blaseline(WRT Outside,fans off) Pa Pa
NET CAZ Pressure(subtract
blseline from CAZ WRT outside) . . , Pa Pa....,......
L7111.77_,..,12uCttealcagejfi_y_sylonl'Itibkfir.p7jduct systeml,...,-,:-;,'
Description of Area System Serves •- ,
1 1
Cond.Floor Area System Serves(ft 2)
II yes no Air Handler in conditioned space?
r
p. es no Air Handler present during test?
If,"yes"for either,theiGo_cimum CFM is 75 CFM@50 Pa or
1 ; floor area x 0.06 = CFM@50 Pa,whichever is greater.
If"no"for both,then maximum CFM is 50 CFM@50 Pa or
floor area x 0.04 = CFM@50 Pa,whi hever is greater.
I
I Test Method: 0 Leakage to Outside or • Total Leakage
.'
Test Result tOD■ CFM@50;a . .
Fan Pressuz9 GISPa Gauge type: 0 DG-3 or rll B - 00
Ring(circle one) 0 e 1 2 is
• Duct Blaster Location
Pressure Tap Location , 1 el t.
1 . Cettetyon.) abo-a- c 7—
1 — wigs LS 31V1d1A131 okianv asfl
6u!puad waled Abolompai,,„,,voigarui
ih i . .i.,.
STREET TREE
,..,,,:,,., ,,,:_:„
y71 Cy A-0. CERTIFICATION
I, 1 T °- --"' Vet SGtL,_7? , owner/agent for S-ta►ti-e 1 c c19, [-
(PLE4SE 11 PRINT) (PERMIT HOLDER) /u W
do hereby certift 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.: PA-57- Zo t 3 - 0 U 1 3 c
SITE ADDRESS: 1 Z. 6 8 -7 cam,..-.yon Z;cI Cl-
SUBDIVISION: a 2 L V ■„ ' 9 1,1,-3-1— S LOT#: ) 1 A)
SIGNATURE: j/ DAME: /o-/ z - ZS
�R/AGENT)
RECEIVED e7
VERIFIED BY: 7 DA"I E: / ,� -9 rte. /
❑ Tree location verified per approved site plan.
I:\Bull ding\Forms\StreetTreeCertificate 05/30/2012
■
Oregon Residential Specialty Code R318.2
•
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1
bon ve lc , am the general contractor or the owner-builder
at the following address:
Site Address: 17_, C��76k 2; dr L-t--
City:
Permit#:
itA3-h 2c( 3 - cc) 13 0
Subdivision/Lot #: ) /4 AL; �� i 4�• / �T S
and/or
Map and Tax Lot#: I / 1 •
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-MoistnrcSensiliveWood.doc 09/25/OS