Permit U CITY OF TIGARD MASTER PERMIT
° "11 2 • COMMUNITY DEVELOPMENT Permit #: MST2013 -00124
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013
Parcel: 2S109DA17100
Jurisdiction: Tigard
Site address: 12669 SW WILLOW POINT LN
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 100
Project: Arlington Heights No. 3, Lot 100
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 898 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 32 Bathrooms: 4 Second: 1156 sf Garage: 582 sf Front: 15 Smoke
Dwelling Units: 1 Third: 1681 sf Right: 5
Detectors: Yes
Total: 3735 sf Value: $434,775.45 Rear: 15
PLUMBING
Sinks: 2 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rein Storm Sewer: 100
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains. 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 2 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn > =100K: 1
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'I 500 sf: 7 201-400 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 3735
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 geo tech report required prior
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 to footing inspection
2 Ersn Cntrl 503 - 639 -4175
PHONE: 503 - 387 -7577 PHONE: 503 -387 -7577
FAX: 503- 387 -7615
Total Fees: $22,828.37
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 r•nrdance 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. TENTION: egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1 -0010 through OA 952 -0 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33 2344.
^ /
Issued • 1 Permittee Signature: v �
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.
B Permit Application REc .....
Residential 11. FOR OFFICE USE ONLY
City of Tigard 2 9 20 13 Received ACM, ti5 o
AY Date /B O`7 / Permit No.:
13125 SW Hall Blvd., Tigard, OR 9722 ��� � n.L 3 �"
Z Phone: 503.639.4171 Fax: 503.598.1 LTY . �
OF TIGARD ` nita Other Permit: /x
TI G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By: �� ® See Page 2 for
Internet: www.tigard- or.gov ��,thod: / a Supplemental Information
TYPE OF WORK / EQUIRED DATA: I- AND 2- FAMILY DWELLING
® New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all I
❑ Addition /alteration /replacement ❑ Other: equipment. materials, labor, overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation - -- -, Z 45
®I - and 2- family dwelling ❑ Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms: -
JOB SITE INFORMATION AND LOCATION Total number of floors: a
Job site address: NOV dwelling area: 4 5'156 square feet
City /State /ZIP: Tigard, OR 97223 i',1,(,t lg Si .i WI L.[OW ,o Garage /carport area: , square feet 168(
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: lO ( square feet l 1.5C
Cross street/directions to job site: Deck area: 450 square feet U IC.J
Other structure area: 4` j t 7 square feet 32_,
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot / , l Lot no.: lob Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 9,61 Dal- 17/06 dv Indicate the value (rounded to the nearest dollar) of all
equipment. materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New, Single Family Residential Valuation: S
Existing building area: square feet
New building area: square feet
® 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 he
Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail: dbritt @stonebridgehomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /7_IP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lie.: 173318 Total fees due upon application:
CO Amount received: 7�'
Authorized signatureQ
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1RDRE.. T r Date: „, '' * 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)
L • u
Plumbin Permit A lication
Building Fixtures CEIVED
City of Tigard R eceived J �/ / � ^ ^ ` 2 9
013 Date /By:
13125 SW Hall Blvd., Tigard, OR 972_ A �/
I y Plan Review
Permit No.: ���������
C Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No.: � /� �
�p //
T' I GA R D Inspection Line: 503.639.4175 OF TIGAR Date Ready /By: tans: 121 See Page 2 for
Internet: www.tigard or.gov BICl/DYING D Notified/ Method: Supplemental Information
DIVISION
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
® I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath I 500.32
❑ Accessory building ❑ Multi- family
Each additional bath /kitchen I 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Pace 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: Catch basin or area drain 18.76
g 1P410? e (,t,�t(,(„dbi Pelifr(" D leach line, trench drain 18.76
City /State /ZIP: Tigard, OR 97223
Fo otiolinng g drain (no. linear ar 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 IL: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
r Water service (no. linear ft.: _) Page 2
Subdivision: Arlington Heights I Lot no.: 1 00 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
0 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: 16869 SW 65'' Avenue #505
Garbage disposal 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: S ) Pace 2
Primer 12.51
Contact name: Deirdre Britt Roof drain (commercial) 12.51
Address: Sink /basin /lavatory 25.02
City /State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: dbritt @stonebridgehomesnw.com
Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Jardine Plumbing Water piping/DWV 56.29
Address: po Box 186 Other: 25.02
City/State/ZIP: Subtotal
} Estacada, OR 97023
Phone: (503)351 - 8532 Fax: (503) 6302882 Minimum permit fee: $73.50
Plan review (25% of permit fee)
CCB Lie.: 108747 Plumbing Lic. no.: 93- 1185347
State surcharge (12% of permit fee)
Authorized signature: ....-----7./ TOTAL PERMIT FEE
Print name: la J ardine Date: This permit application expires if a permit is not obtained within 180 days
y after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
I:\ Building \Pcrtnits \PLMI i- PermilApp doc 10101/09 440- 4615T( Iu /02it'nslM'Cnl
Mechanical Permit Applica RKEIVED FOR OFFICE USE ONLY
Permit No.: Received ,
City of Tigard
g {��{ Date By: ® /� L ._, f 5 dU ,
• 13125 S
Cit W Hall Blvd., Tigard, OR 97229t 2 9 2013 Plan Review
L Phone: 503.639.4171 Fax: 503.598.1960
Date/By: Other Pcrmit5 � /� 3-a.
TI GA. RD Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By; Juris: RI See Page 2 for
Internet: www.[igard -ocgov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CIIECKLIST
Mechanical permit fees* are based on the value of the work
® New construction 1=1 Addition /alteration /replacement
pertimned. 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 use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. La. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: , Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 1 Pis& 9 eleo Wectoe43 afar 1.13 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+- BTU (ducts /vents) r 54.91
Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hvdronic 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
I Flue /vent for any of above 23.32
Subdivision: Arlington Heights Lot no.: 00
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater I 23.32
Gas fireplace I 33.39
New, Single Family Residential Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ 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 1 33.39
City /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: 23.33
Business name: same as above Fuel tin
P g
Contact name: Deirdre Britt S14.15 for first four; S4.03 for each additional
Address: Furnace, etc. I
Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace I
E -mail: dbritt@stonebridgehomesnw.com Range 1
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 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 I80
days after it has been accepted as complete.
Print name: David Heldstab Date: ° Fee methodology set by Tri- County Building Industry Service Board
I:\ nuitdingTermits 'MEC- PetmitApp.doc IO /Oli09 440 - 46171 COM/w Eli)
RECEIVED ..
Electrical Permit Applicatio 'y S'" • roa (r11(I I. L orLY .-
` MAY 2 9 2013 Received �' ` -t a.,- ._ _-
City of Tigard eive 5 s14 /� 1, P itNa: 3'GYIiZ
I N
Pho 5 503.718 2 1 439 i Fm �9 o TIGAR m°�� : `7B1V 13—A0//3
Oita Paarh:
. .. , inspection Line: sm.639.41 13UILDING 0IVISION �R d, ' ° "_ $ pppkareotal l a [o r matlw
Internet: www.tigarror -gar —
TYPE OF WORK PLAN REVIEW ' '
Please cheek. all Cut apply (submit j, sets apt= will arcs clowned below):
❑ New construction ❑ Addition /alLerati0nireplacement ❑ Servia or feeder 900 amps or more ❑ Building aver throe samics.
Demolition ❑ Other. _ .e.here the ova lcble fault currant O Madam nod boetyarra.
CATEGORY OP CONSTRUCTION aaceedt 10,000 arms at 150 vales or ❑ Floamg baddmp.
l 10 pound, or exceeds 14,000 ❑ r "t -use aliwlleral
0 1- and 2- family dwelling ❑ Commereiul/indusirinl ❑ Accessory building amps for all other imtalbaioas. bnrldintm
❑ Multi- family 0 Master builder ❑ Other: Eine pump. ❑ In_mllxtioaof751rVA or
❑ Energeney rysicut larger aepxseely derived systole.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor tread of ❑ "A" "2". "I - ", `1
I OOIlP or more. occoptxS•
fob no.: ' 11 I I lob she address: ❑ she or mare m sidratiaIIJORS. U Reaextaoal vcbirlc Parlor.
City/State/ZIP: / ��� ❑ Hd rtIons o c a i l io n s. ❑ Supply voltage far more 01.22
1 4 , L 4o Pot par ❑ Neank. aaa locations. dCa yobs aeamml.
❑ St:rvirn or feeder 6M amps or Toone.
SuitrJbldgJapt. no.: Project name: - TEE SCHEDOLE
Cross street/direeLions to job site: lion Q'r. I r,.. Total L
New residential single- or multi- family dwelling emit.
Includes attached garage.
Subdivision: .no.: Lot no.: I00 1,009 sq. ft. or Imo ( 168.59 4
E,. W6'1500 sq.IL or portion - -T 4392 l
Tax map/parcel no.: ,_ Limited corny, rtmdcntial ( 75.00 2
DESCRIPTION OF WORK (with abovc IL) 1
Limbed energy, multi -fm ly 75-00 2
residonial (with above so. Rl
i Services or feeders installation. alteration, and/or relocation
i • 200 nmps or less 100.74 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 1'rs.56 2
401 amps to 600 amps 200.34 , 2
Name: 601 amps to 1,000 amps 301.04 2
• Ova 1,000 awes or volts 55226 2
• Add§ Temporary services or feeders iutanolon, alteration, and/or
City/3tatofZiP: relocation
209 amps or lag 1 I 59 26 I 1
Phone: ( ) l Fax: ( ) 17S.OB 2
_ 20l amps to 400 amps
Owner installation: This installation is being made on property than I own which is not 401 amps w 599 wnPS 16834 12
intended for sale, lease rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circoits — ncv. alteration* or extension, p=r panel
OWncr signature:. Date: A. Fcc for branch circuits sod, 1
❑ CON TACT PERSON mach above lot vi ce�eeder fee, 742 2
❑ APPLICANiC
B. Fee for brunch circuits 'Wrote
i Business name: service or feeder fcc.5a1l 56.18 2
branch circuit
Contact name:
t Err]' add'1 branch circuit 7.42 _ 2
j Ad Miscellaneous (service or feeder not lactated)
{ I
Each mtntufacoaed or modular 6714 -
2
City/State/ZIP: dwellin: snvico and/orSeeder
Reconnect only 67.04
I Phone: ( ) ,Fax. : ( ) Pump of c,igatien circle 67.$ 4 2
E -mail: Sign or outline lighting 67.84 2 2
CONTRACTOR Signal ci'cuit(s) or limited -meaty
{ . el alteration or m,lrnoloo. Prom/ Business itame fz-� dy, Jvv Jt;ti't•iU y-1S J_ K� Each Additional insPecfiotr over hr alion:l G625i1 btc in any of t above
EA:, V� wddieionrl hrsperaian n
Addr ss: jEgf53 5E. 3, Add1 gmlon (1 >R min) 6625i ter
1 City/State/ZiP: �wic 0 /�s►
industrial plant (I hr min) 75.181hr
♦ A ' inspections Tor which ire Ix is I 50.00i hr
pl r.�,l2r --3S-7- 6/ Fox: , ( } � v! �/ spq•itically (SS hr min)
i CO3 L10.66gf 1 Electrical tic.' , L, 1L Suprv. i.ie.3G2! S ELECTRICAL PERMIT FEES
Subtotal:
Suptvv. Electrician signature, requited: 2 Z Plan review (2.5% of permit fee):
— Date: State surdmrge (12% of permit fea
Print name: � t TOTAL PERMIT PFE ,
I Authorized signature This permit a pplication emir= Ira yereait is not obtained within L80
days after 3 Isis bun nece UN cumpidc.
i Print names , Date; -e 'lumbar of is eotiomn0ownlperpermit •
i [:1&IlSaceParmdrlHLCYcrsirl miss p79nrin LTr(l Wslt]7M(M7S
I
" Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: H 5 "1" .901 3 - 001 a,
Project /Subdivision Name: A (h 5 , .iz tp t ti-D4) Po/ A)7 , Lot #: '00
Site Address: 1421/ ,. CTd f3 (- E /(,/t 4. 31
CWS Service Provider Letter:
Required: Yes ❑ No 6
Received: Yes ❑ No "
Plans Routed: /
Original Plan Submittal Date: 6 /mil/ 3 Routed By:l _
1St Revision Submittal Date: ❑ 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 (1) 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 triers KoVt1 R- at (503) 718 X27 or o @tigard-
or.gov)
Land Use Case No. 911A2 — fit ISL$20) CozoZ /Cr1pv3
Zoning R -1
l2" Setbacks: i
LE' i S Rear 1 Side � Street Side � � I
Garage 2D
L►' Maximum Building Height: '5 Actual Building Height t 3
El Visual Clearance
Er Easements
Sensitive Lands Type: 2S /o ShreS, (9--R 200(t) 00002 I Ooo0
e Street Trees
BProtected Trees t / p
Notes: Nr t \J \ST -P6 L- ('.I NC'.E -nz iiCNGL€
Original Plan: Approved ❑ Not Approved ,l Date: 2- 13
Revision 1: Approved ❑ Not Approved Date: MEI
Revision 2: Approved Not Approved ❑ Date: 0 3 1 r 7/1
(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)
J;KActual Slope: 2' $ 4
otes:
• 'B t •
Original Plan: Approved Not Approve. D ate: G 1
Revision 1: Approved Not Approved Date: w' 13
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:
r Revision 1: Date Sent to Applicant •
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes y No g L
Date Routed to Building: /
/3
g' /
•
•
•
{
a
Page 2 of 2
1: \CURPLN \ Masters \ Development Code Provision Review \DCPR_RES:doc Rev. 01/16/13
_r,
• STONE BRIDGE OBE: 1471
•
' -
- HOMES NW LOT: 100
DATE: 6/6/13
4230 GALEWOOD ST. SUITE ioo PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97 HEIGHTS
(5 3 CITY: TIGARD
SCALE: 1 " =20'
PLAN No.: 17D —OPT.3
Se/
0 350 /I . Irikir \ *
CP / iee
0) ■./ p r:
.4,,, A ■„ ,
aO, .// 1 e 4 , 4 '
4, ,., . fi, . V/1
I / 4 / 340
/ * i // r. / l • . II. 4*
///// 7 -- Vp
(a ham' / `/
e- 1 4 **4P V ?j, \a'. \a'. 356 / /
354 /
/
352 . /
350 I . I 0
348 0 /
346 — li
344 ' /
342
340 /
0 /
338 ,S , APZ33° //
LEGEND 3 /
334
is
o
- STREET TREE i 0. 337 �.3�'
2. RAYUIOOD ASH `S . eo / 330
LOT COVERAGE ` � -4,5
7 4 7.
LOT AREA: 5,031 SQ. FT.
BUILDING AREA: 2,062 SQ. FT.
PERCENTAGE: 40.9%
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 •I00
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5031 sq. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
. This mark certifies that this home was built in strict accordance with
pis 1 9u-
Earth Advantage®green building guidelines and has passed
performance tests and two onsite building inspections.
,::".1,? tarn:' 51E8
1-800-G0-AVERY :,:., d. rr, I.26� 3 w wl(' -cm.•
•°"• .energy Trust vew Homes T( � a � Z7" �W�- -n �certified(esiaet;tiul Air Duct System • •
Ener•gy7rust
Corn..11l r F E.� Zi®5-G-F�C .
.; ,.s;`' ' a... )_:Irif�rrrtt(i} y, ,1
Colmpam•',s 11 ci- + 1 7.69- "`'-• AciA- - 3' 1 'Pk OF c ents\-
Tcchnician :�( iit�� Date �I_,'7
I.
'3 y
:Combustion Appliance;Zone,.(CAZ)-;i et t `° " Passed By: Date I O / ".i./
Male%^t.e Zone:,if applies
t,AZ v1'R I.Outside p;r Pa
•Baseline(1YRT Outside.hex oft) Pa Pa � }f AirlfrTil:Yit71h%'
NET CAZ Pressure(subrrnc;
baseline from CA7..WRT outside) Pa pa
. .Duct•Leaks e..fill,o t onesticker per dpct.s stem —i (earl-hoc/vantage'
Description of Area System Serves f•-,---S�j(
home certification
Cond. Floor Area System Serves(Fr) S
') .1 1 ) 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
0 yes o Air Handler in conditioned space? homes but they also include a comprehensive package of energy efficiency
vcs 0 no Air I landler present during test? • and environmental features you will not find anywhere else.
If`•yei"for either,then maximum CFM is 75 C:FM(ri•50 Pa or
floor area x 0.0(+ Since this house was performance tested for quality,you can be assured it
=Z?y'-,-_CFM( 50 Pa,whichever Jr greater. has passed the rigorous design and construction criteria of the Earth
f.f"no"for both,then maximum CFM is 50(:;FMr;50 Pa or Advantage program-a recognized regional leader in green building science
floor area x 0.04 = CFMri'50 Pa,whichever is greaser. and implementation.
Test Method: ❑Leakage to Outside or XFotal Leakage Your Earth Advantage certified home was built with sustainable materials,
Test Result Z ( l-mois0Pti techniques and systems that reduce pollutant sources and improve your
indoor air quality,ensuring a healthier home.It was designed to be energy
Fan Pressure I Pa Gauge type: ❑ DG-3 or DG-7(k efficient, cutting your energy consum lion and i'
P ul lily costs. The Earth
Rim:.(circle one) Open J Advantage New Homes program also guarantees superior environmental
responsibility and resource efficiency in home construction through the
Duct Blaster Location _ f VA C;,(.12..._ use of recycled and/or renewable materials that decrease
waste and
.Pressure Tap Location IC .S- C 1� •,��-s_ L y increase the durability of your home.
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www.earthadvantage.org czdvonlo9einsfitufe '.
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Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1 c--,. J- (._45� am the general contractor or the owner-builder
at the following address:
Site Address: ( 2- (C) + Sk) L i l 0 LJ ( .vtt
City:
•
Permit#: IA.,. H
S
I 2�,
Subdivision/Lot #: ._ C` ---5--
and/or
Map and T Lot#: Jv
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: ( L 2/.. ---- ---
Date:
General Contractor or Owner-B '
1:\Building\Form\RES-MoistureSensiliveWood.doc 09/25/08
• /
IIIN TREE III
.T
' .
., S 1��EE�"
yK API
T,IGARDt CERTIFICATION
I, h-,— V e V — ---- , owner/agent for 51-- Al-e_ .r,; (— O - -c #Ic.J
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certify 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.: G4 57' 2c, ( 3 U0 l Z Li
ME ADDRESS: kcrL 6 La( Sw La) \ Vow ( o T
SUBDIVISION: :, L,, jT�+.-‘ - i 31-,_1—s- LOT#: /0 v
SIGNATURE: -- - -----._-- DATE: /CG -z, 'l
NT)
RECEIVED &
VERIFIED BY v DATE: 112 -30 -/3
(CITY O. IGARD) (/
❑ Tree location verified per approved site plan.
I:\Budding\Forms\StreetTreeCertificate 05/30/2012
• /M/$ i3 - o' 12 `i
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
. .Permit No.: 5� 2 0+ 3 Jurisdiction: + rG
Site Address:
Sub j ivision./Lot #: 1 U (J
and/or
Map and Tax Lot 4:
� l
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 �— Late: ��
• eneral Contractor,/Authorized Agent
Print Name: J t L i t
ORSC Section NI 107.2. 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:\Buildina\Forms\RES-Jii2hr,fficiencyLi2htins;.doe 07/01/08 •
•
•
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12669 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
2013-10-30 00:00:00
MST2013-00124
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12669 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
2013-10-30 00:00:00
MST2013-00124
PASS
Violation Summary:
Inspector Contractor
FOUNDATION CERTIFICATION
/ LOT 100 OF "ARLINGTON HEIGHTS NO. 3"
N. CITY OF TIGARD, WASHINGTON COUNTY, OR
6, _______________ e ( e ..., pa,,--r; L,,,
SCALE 1" = 20 FEET
SW WILLOW POINT DR ---I
•' . N in
N co co o., m CV N I
N39'03'26 "E 46.45'
C> I
Iv - co
W W I LOT 101 N ` 25'
� i o 11.00' 25 1
"c% '
z N -- 5.0 -- 21.00' ° I o
7.00' c c;..;
CD •d: ° W 4.00' 5.00'
CC I
J Csl cD O 0
M ° W
w o W ° O LOT 100 ° 5
IC
co o "' 10.3' — w
10 c., m o O ,_ o v g
2.00' 21.00'
CO I
F �' r 13:0 ; (n l
LP I
,
PREPARED FOR L -
STONE BRIDGE HOMES NW S30•03'51"W 60.50' � i 25'
16869 SW 65TH AVE #505 g.0' PUE I
LAKE OSWEGO, OR 97086 LOT 99
I, ROBERT RETTIG, A REGISTERED PROFESSIONAL LAND SURVEYOR IN THE STATE OF OREGON,
HEREBY CERTIFY THAT I HAVE ACCURATELY STAKED THE FOUNDATION FOR LOT 100 OF
c57— (5 __ "ARLINGTON HEIGHTS NO. 3" WITH HUBS AND TACKS.
1 ' REGISTERED N ENGINEERING • PLANNING • LANDSCAPE ARCHITECTURE
PROFESSIONAL JOB NAME: ARLINGTON HEIGHTS FORESTRY • SURVEYING
LA SU YOR
i -♦ , . LICENSED IN OR & WA
, –/ ,P JOB NUMBER: 2643 •
13910 SW GALBREATH
DRAWN BY: WCB DRIVE, SUITE 100 •
L O R E G+ N SHERWOOD, OR 97140
JANUARY 11, 2005
AK `' `
ROBERT D. RETTIG CHECKED BY: RDR ANCINAA'RINC t FORESTRT PHONE: (503) 925 -8799
60124LS FAX: (503) 925 -8969
RENEWS: 12/31/14 DWG NO.: 2643CSTK OFFICES LOCATED IN SALEM, OR & VANCOUVER, WA
L