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Permit CITY OF TIGARD MASTER PERMIT 111111 COMMUNITY DEVELOPMENT Permit #: MST2013 -00155 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/01/2013 Parcel: 2S110CB1000 Jurisdiction: TIGARD Site address: 15376 SW ARLINGTON TER Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 88 Project: Arlington Heights No. 3, Lot 88 Project Description: New SF BUILDING Floor Areas Required Setbacks Re quired Stories: 3 Bedrooms: 5 First: 800 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 1236 sf Garage: 440 sf Front: 15 Smoke Dwelling Units: 1 Third: 1812 sf Right: 5 Detectors: Yes Total: 3848 sf Value: $437,411.03 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 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 Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 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 3848 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 4230 GALEWOOD ST SUITE 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: $22,973.93 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 th�oughOAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3344. Issued By: (CQ■tA Permittee Signature: 9 �( 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 FOR OFFICE USE ONLY City of Tigard Received � ,/'1 � `.1 D Date /Bv: / ,t Permit No.: ��Cd` 114 e 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review „,���� � : Phone: 503.639.4171 Fax: 503.598.196 Date /By: Jf! �� q (� Other Permit�W2 �� 3 co 3 TIGARD Inspection Line: 503.639.4175 .� IJN 2 0 2013 DateReady/By! Juris. Ei See Page2for Internet: www.tigard or.gov Notified /Method: Supplemental Information CITYOFTIGARD TYPE oBtili2ENGDIVISION REQUIRED DATA: I- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I- and 2- family dwelling El Commercial /industrial Valuation: c e( 7 , 4t( 0 3 111 Accessory building El Multi-family Number of bedrooms: G ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 lob site address: 1537 SW A Pa4 ICU 01AEI '1 M . New dwelling area: %4 t square feet City /State /ZIP: Tigard, OR 97223 '�/� Garage /carport area: 440 square feet 11:4 Z Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 51 square feet lnF Cross street/directions to job site: Deck area: :330 square feet 8 Other structure area: 4-2,e6 square feet i3 6 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Arlington Heights Lot no.: t o Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New, Single Family Residential Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge Homes Type of construction: Address: 4230 Galewood St, Suite 100 Occupancy groups: City /State /ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)387 -7577 Fax: (503)387 -7616 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: SEE ABOVE All contractors and subcontractors are required to be Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: dbritt@stonebridgehomesnw.com CONTRACTOR Business name: SEE ABOVE BUILDING PERMIT FEES* Address: (Please refer to fee schedule Structural plan review fee (or deposit): City /State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax:( ) CCB lie.: 173318 Total fees due upon application: ` received: Amount receved: ; 756 .cc Authorized signature: This permit application expires a permit is not obtained YH 1J� (oJ142/I.s within 180 days after it has been accepted as complete. P Print name: V Date: * Fee methodology se b ogy set by Tri- County Building Building Induu stt ry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB) Plumbing Permit Application Building Fixtures - ioi of ri r I, i o'L �, ,1 r- 11114 ' City of Tigard Received Petrol' No.: �/: "� / 53 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 0 ' Phone: 503.639.4171 Fax: 503.598.1960 Da /A Other Pcrmit No.: Inspection Line: 503.639.4175 Date Read /H Jmis: I ® See Pa l'IC. \Rl� Ready /By: Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information _ - . - ,` TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition For, special brfrrramdnn use checklist. Description 1 Oty. I Ea. I 'Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwelling (includes 100 II. 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 500.32 ❑ Accessory building ❑ Multi- family • Bach additional bath/kitchen 25,02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. 0.) Page 2 . JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I531U eil �U iJ�T� 11Cb�s . • Catch basin or area drain _ 18.76 v ��F� Drywell, leach line, or trench drain 18.76 City / State/ZIP: Tigard, OR 97223 Fooling 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 0.: _ ) Page 2 Storm sewer (no. linear It.: _ ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: Arlington Heights I Lot no.: go Fixture or item: Tax map /parcel no.: Backloe• preveilier 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 :❑ TENANT Expansion lank 13.51 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 _ ' .. ❑ C ONT ACT, •PERSON interceptor /grease trap 25.02 Business name: SEE ABOVE Medical gas (value: S ) 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: ( ) I Fax: : ( ) 'fuh /shower /shower pan 12.51 E- mail: dbritt(ii)stonebridgellomesnw.com Urinal 35.62 • Water closet 25.02 • CONTRACTOR Water heater 37.52 Business name: Jardine Plumbing Water piping/DWV 56.29 Address: PO B 186 Other: 7 5.02 City /State/ZIP: . Estacada, OR 97023 Subtotal 50 ermit fee: 672. Phone: (503)351 -8532 Fax: (503) 6302882 Minimum permit CCB Lie.: 108747 review (25% of permit fee) 108747 Plumbing l.ic. no.: 93- 1185347 State surcharge (12% of permit fee) Authorized signature: �; f0'1'A PERMIT FEE t Print name: Jay Jardine I Date: 1 This permit application expires if a permit is not obtained within MO days I after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I: liluilding ,t'emdus1P1.M11- PcrmitApp.doc 111)11/09 440.461 6T( 111/117 /( . h4/wr;n) Mechanical Permit Application -FOR OFFICE USE ONLY City of TigarRECEIVED Received EN 1 on lim Deceive•: UP Perm N o.: A , �i — OQ / 5--.5— IN C e 13125 SW Hall Blvd., Ti OR 972 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Chlter Permit: Aw noloi 4 � era il TIGARD Inspection Line: 503.639.4175 JUN 2 ® vim' r Internet: www.ti and - or. ov 2 13 Date e o : Juris: Supplemental See P for g g NNotified/Method: Supplemental Information OFTIGARD TYPE OF diriiiih 1 ■ , 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 ❑ 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 I Qty. I Ga. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: 153/Gv SW Al2 -7 • Air conditioning (requires site plan showing placement) 46.75 City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) 46.75 Furnace 100,000+ BTU (ductsivents) 1 54.91 Suite /bldg. /apt. no.: Project name: Arlington Heights Heat pump 6 (.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 a Flue /vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: tt 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 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 1 33.39 City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 33.39 Single -duel exhaust (bathrooms, r Phone: (503)387 - 7577 Fax: (503)387 - 7616 toilet compartments, utility rooms) V 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: same as above Fucl t [n P g Contact name: Deirdre Britt $14.15 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 1 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 Ice) CCB tic.: 110091 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: V 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 'Fri-County Building Industry Sersice Board I:•, Building :Ycunits \MEC- PennitApp.doc I11/01/09 440 -46171 (I I /02 COM/wEli) Electrical Permit Application RECEIVED FOR OFFICE USE ONLY City of Tigard Received Dale/Bv: r ® Permit No.: , _ L' t R e 13 125 SW' W' Hall Blvd., - Tigard. OR 97223 .� „ N 2 0 2013 Plan Review 1 114 Is . Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: g 1 2 „,1 3 TI G A RD Inspection line: 503.639.4175 CITY OFTIGARD Date Ready/By: Juris: El See Page 2 for Internet: www. tigard - or.gov ^�i Notified /Method: Supplemental information BUILDING DIV IS > I ON TYPE OF WORK PLAN REVIEW Z New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /i[ems checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: ,there 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 load of ❑ "A”. "F' . °I -2 ". ' I -3 ". 1 00FIP or more. occupancy:. no.: Job site address: J 31 A NbToN ❑ Rec rea tional vehic arks. ❑ Six or more residential units. p 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 (It.. I Fee. I Total I New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: e 1,000 sq. ft. or less 1 168.54 4 Ea. add' 1 500 sq. ft. or portion 1 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) � a.' 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 El 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 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ❑ CONTACT PERSON above service or feeder Ice. each branch circuit 7'42 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 67.84 2 dwelling, service and /or feeder 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 Signal circuit(s) or limited - Business name: City Electric energy p anel, 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 (I hr min) 66.25 CCB Lic.: 42422 Electrical Lie.: 26 - 289C Suprv. Lie.: 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: �, TOTA1. PERMIT FEE: Print name: Date: This permit application expires if a permit is not obtained within ISO da}s after it has been accepted as complete. Number of inspections allowed per permit. I:\ Building \PemtitsTl.C- PemtitApp.doc 10/01'09 445 -4915 Fill/OS/COMA' LB , Plumbing Permit Application Building Fixtures RECEIVED ED R eceived / � � / � / City of Tigard C o J! Permit No.: �/j �- u I Date /By: v- w 13125 SW Hall Blvd., Tigard, OR 9722t 2 ®2013 Plan Review eA0/ ,45 Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.: 7 f CITY E V TIGARD Date. By: T I GA R D Inspection Line: 503 OF Ready/By: kris: WI See Page 2 for Internet: www.tigard- or.gov � l a D Notified /Method: Supplemental Information TYPE OF FEE* SCHEDULE New construction ❑Demolition For special information use checklist. Description I Qty. ( Ea. I Total ❑ Addition/alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) 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/ tchen i 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. H.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities. I ft_ 3 7 ,h 1 l t,,1/_� 1 "VAR. . Catch bas or area drain 18.76 Job site address: JJ7 1 � - IC1/�1`1�7 VN IILIG,IL Drvw • leach line, or trench drain 18.76 City /State /ZIP: Tigard, OR 97223 F. •ling drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: Projec ame: Arlington Heights anulactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear It.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 Q Water service (no. linear tl.: _) Page 2 Subdivision: Arlington Heights I Lot t •.: V 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 ° J Ail Ejectors sump 25.02 ® PROPERTY OWNER ❑ TE : N ♦ Expansion tank 12.51 Name: Stone Bridge Homes WO • xwr e /sewer cap 25.03 _ ► 7 � r Floo •rain /floor sink/hub 25.0 _ Address: 4230 Galewood Street, Suite 100 \ ►M,& Garbage oral 25.02 City /State /ZIP: Lake Oswego, OR 97035 i \ g Hose bib 25.02 Phone: (503)387 -7577 Fax: (Si - t 87 -761'. Ice maker 12.51 ❑ APPLICANT !IL ` ONTAC ERSON Interceptor/grease trap 25.02 Business name: SEE ABOVE MIN Medical g as (value: $ Page 2 Primer ` 12.51 Contact name: Deirdre Britt Roof drain (commercial) �_ 12.51 Address: v 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: Subtotal Beaverton, O R Ott Phone: (971)275 -0198 ,, (3 `'1�6 Fax: ( ) Minimum permit fee: $72.50 CCB Lic.: Q1 1 U Plan review (25% of permit fee) 1 94644 6 , n 1. - Plumbing l.ie. no.: PB1083 U State surcharge (12% of permit fee) Authorized signature: t �,�� 4,4,....0......9 TOTAL PERMIT FEE Print name: Jason rner Date: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I: +Building \Pemtiis \ PI- 1■t11- PcnnitApp doe 10 /01/09 440- 4StST(1u. -02 /cost /wrR) /11 Building Division - Development Code Provision Review T l c n P p Residential Projects Building Permit No.: I' - ( - 1 '0. I - C G( , S 4 ' Project /Subdivision Name: I � , 14.6t., 3 , Lot #: 5s Site Address: l ! Go G i 1 ,:.,,`g - . - CWS Service Provider Letter: Required: Yes ❑ No Received: Yes ❑ No Plans Routed: Original Plan Submittal Da4: /0/;o4 3 Routed By: . _ J. 1St Revision Submittal Date: to P /! '� ❑ 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 cone cz the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact P �" h f hOVJa (3 at (503) 718- 2'1 7,1 or Ori.c @tigard- or.gov) (J i Land Use Case No. ai E.7.P — 0000 1 Zoning R-'1 EI Setbacks: i _ 1 1 1 Front I C i Rear 1 5 Side ,tea Street Side I 0 Garage ❑ Maximum Building Height: .355' Actual Building Height -` -3S ©- Visual Clearance N / Pr I2KEasements . ��Sensitive Lands Type: -2-9)/0 slopes, 06Q rat v l hoi. 61 t?1 I ')treet Trees E3 Protected Trees NJ I A- Notes: f' . _' 6 r 8g 3/f • Original Plan: Approved ❑ Not Approved A Date: Z l Il ' .% Revision 1: Approved Not Approved ❑ Date: h i / 1 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) 'Actual Slope: SO % Notes: ° ',6c.J L4 _ I N 24?, r L.-07 Original Plan: Approved ❑ Not Approved Date: 6 S 1 Revision 1: Approved 44 Not Approved ❑ Date: 3 (3 Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albeit @ 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 IX e9 '1-A/ 3 Date Routed to Building: v /, 3 Page 2 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 110 Dil STONE BRIDGE ' , � t - OBE: 1459 1 LOT: 88 HOMES N W JUN 2 7 201-) DATE: 8/28/13 423o GALEWOOD ST. SUITE 100 - PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 AI ��W�� �� � HEIGHTS (5 3 - 7577 `�; ran - ' I NC. 1 i r /I yilr, CITY: TIGARD r l /l SITE PLAN . SCALE: 1 " =20' ir~ PLAN No.: 170mod —Opp i 1 ��� W fk 20'-0' 28 ' - 0 1/4' 11.1 1 m' -0 ' O Z _ i r, EL-292' f in J 2 .03' "' I 1 WATER _ EL-2 _ SE D J r N � in 5 I I in .. . , .. „,.. I .,,,-= 1 , 4 4 9 I 41il 4 in 15 3B I I ii, J) STORM - _ . DECK , I CD f ;_ i I I T ‘VP L - r- illi , NI I eri - I I ' a' -10• EL -264' Ln m m Iin a � 9 �� ry ry N N r ,:c., r 1 n' -0' 'f WIDE 8.5E. LEGEND 2a' -0 1/4• / ® — MEA5UREMENT POINT — EXISTING GRADE — FINISHED GRADE 0 — STREET TREE: EASTERN REDBUD LOT COVERAGE BUILDING HEIGHT LOT AREA: 4,651 SQ. FT. MAX. HEIGHT: 45' -0° PER TIGARD CODE 15.120.1 BUILDING AREA: 1,590 SQ. FT. FINISHED GRADE AT MEASUREMENT POINT: 212.5' PERCENTAGE: 40h% BUILDING HEIGHT FROM MEASUREMENT POINT: 311.5' 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 VS DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 4,651 eq. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. I I, FOR OFFICE USE ONLY — SITE ADDRESS: This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses - and _revisions. - - This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 114 a Transmittal Letter T•I G A It n 1 125 S `ll Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: � DATE EI DEPT: B DING DIVISION RiCa '1 JUN 2 7 2013 FROM: 0 AA _ LLf CITY OF TIGARD COMPANY: am 6 K/- BUILDING DIVISIO PHONE: 5 3 7 - 7 577 B y: RE: I53'7 , o /[ l - 't .1 • H 5�13 — CC)/5 — S ---- rte •tress (Permit Number) OUI I (Project name o9 subdivision n �naand lot number) ATTACHED ARE THE FOLLOWING ITEMS: • Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): �- REMARKS: E. - S `Er 5, P -16--.-4-1) . • FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: $ $ $ $ Special • Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: • 1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 !Energy Trust Plc: • 1-1pies Fi'43�" 1 r � This mark certifies that this home was built in strict accordance with C ertified Residential A ir Dud System Earth Advantage® green building guidelines and has passed I Energyieust performance tests and two onsite building inspections. 153 5 (N Ag1 -ih� 1V T ER., Company Name Company Information C k , A & t 0 9 ♦ ' T e c h n i c i a n ) / ' / J) )-/ Idj�le 5 Date JO -ILA el 4 Z- ti✓ 5o Combustion, Appliance Zone (CAZ) Test Main Zone Zone 2, if applies AKC44 S 5 ti ,„ (; P ,, CAZ WRT Outside Pa Pa Baseline (WRT Outside, fans off) Pa Pa Passed By: I 1 (G Z Date: (,Z / NET CAZ Pressure (subtract ■ �� baseline from CAZ WRT outside) P Pa de) a .\/) This home contains the following features: Duct Leakage (fill out one sticker per duct system) energy Efficiency I Water Conservation I Healthier Indoor Environment Description of Area System Serves f /' Land Stewardship I Environmentally Prefefable Materials Cond. Floor Area System Serves (11 „ 3 L/ L/ `v ❑ yes gip Air Handler in conditioned space? earth( 7( A'i i't /O7.7E ' j ,yes ❑ no Air Handler present during test? M home certification if "yes" for either, then maximum CFM is 75 CFM @50 Pa or cV This home has been certified as an Earth Advantage® New Home. All Earth floor area x 0.06 _ CFM @50 Pa, whichever is greater. Advantage homes are built with the same attributes as other high quality i "no" for both, then maximum CFM is 50 CFM ,50 Pa or homes but they also include a comprehensive package of energy efficiency floor area x 0.04 — CFM @50 Pa, whichever is greater. and environmental features you will not find anywhere else. Test Method: ❑ Leakage to Outside or ATotal Leakage Since this house was performance tested for quality, you can be assured it 'Test Result 1 l CFM @50Pa has passed the rigorous design and construction criteria of the Earth Advantage program - a recognized regional leader in green building science Fan Pressure', 5 Pa Gauge type: ❑ DG -3 or XDG -700 and implementation. ]Zing (circle one) Open [ 1 A 2 3 Your Earth Advantage certified home was built with sustainable materials, Duct Blaster Location I'" tie 1.- / A C techniques and systems that reduce pollutant sources and improve your 'pressure Tap Location F A `t-D v ! L1 )L J indoor air quality, ensuring a healthier home. It was designed to be energy l 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 use of recycled and /or renewable materials that decrease waste and increase the durability of your home. earl #1. institute www.earthadvantage.org Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 111 Jurisdiction: " -/ J S IS Zci3cc�S c,rL,. Site Address: Sr? 5 Sub yivision /Lot #: .� and /or 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� "/ • er /General Contractorized Agent • c. Print Name: /c " ve 14 SGr �,�-- ' ORSC Section N1107.2. High- efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement_ The building official shall be notified in writing at the fmal inspection that a minimum of fifty percent of the permanently installed Iighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 Iumens per input watt. 1 : 1 BuildinaTorms\RES -I iighE;ficiencyLishiing.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM , am the general contractor or the owner - builder at the following address: Site Address: 5- 7 /-1 City: 5 Permit #: I ,.. �-- . Z U ( 3 - cc)/ .S S Subdivision/Lot #: k and /or Map and Tax Lot #: Z (- � 1,4 , f 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: .,r�: Date: f .�7- / General Contractor or Owner - Builder 1: \Building\ Form\ RES- MoisturcSensitiveWood.doc 09/25/05 STREET TREE TIGARD CER IFICA TIN It (� die S L � �- �'-� � sc� `,,;- z , owner /agent for S� � " � �%' (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. P E R M I T NO.: i L 7 Z c i 3 CO / SS" SITE ADDRESS: 1 5- 3 7 s w /4g t tv "r-e Y SUBDIVISION: / -/ � t-1. ( , 47 J LOT #: 5 SIGNATURE: DATE: E: / Z - 9 . (OWNER/AGENT) RECEIVED & VERIFIED BY: DA 1 E: /e /8 �3 (CI" OF TIG Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 05/30/2012