Permit CITY OF TIGARD MASTER PERMIT
' • _ COMMUNITY DEVELOPMENT Permit#: MST2013-00180
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2013
Parcel: 2S109DA13700
Jurisdiction: Tigard
Site address: 15176 SW SUMMERVIEW DR
. Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 56
Project: Arlington Heights No. 3, Lot 56
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 952 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 34 Bathrooms: 4 Second: 1198 sf Garage: 441 sf Front: 12 Smoke
Dwelling Units: 1 Third: 1590 sf Right: 5
Detectors: Yes
Total: 3740 sf Value: $429,522.50 Rear: 12
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 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: 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
asin
Other: N Other Description: Ecom p 9�
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3740
Owner: Contractor:
STONE BRIDGE HOMES NW STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST SUITE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech report required prior
to footing inspection
•
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $23,908.42
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. ATT . •■ Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 010 through • - 952-001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: 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.
•
V
Buildink Permit Application
Residential RECEIVED FOR OFFICE r1SF-oN`L1 t9 .W.,
1WVL ;?
City of Tigard Received ® / �T9/ /G6
}y i Permit No.: �! a
`J g Date/B : 'J 7 /i
14
° 13125 SW Hall Blvd.,Tigard,OR 97223 0 2n
Plan RCV1C = �]� �� 3 ti
o,C. Phone: 503.639.4171 Fax: 503.598.1940 ``t,'' Date/B : /l• Other Permit: u�
Inspection Line: 503.639.417 Date Ready/By: lurk: el See Page 2 for
T I GA R D Internet: www.tigard-or.gov CITY OFTIGARD No'ied/Method: 0 bi f 3 - / Supplemental Information
BUILDING DIVISION � f w y ..1
TYPE OF WORK REQUIRE 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 tier the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation)( x7®l .,t • / 1'
® I-and 2-family dwelling 0 Commercial/industrial >�1
❑Accessory building ❑Multi-family Number of bedrooms: GJ
❑ Master builder ❑Other: Number of bathrooms: 'l.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
.lob site address: moan New dwelling area •4) square feet I
��1,V �� Mr✓F1/� �Q• rY�
�l
1
City/State/ZIP:Tigard,OR 97223 Garage/carport area: 44 l square feet (Sag
152..Suite/bldg./apt.no.: Project name:Arlington Heights Covered porch area: 45 square feet ((9 Gt
CJ
Cross street/directions to job site: Deck area: � X) square feet Z
Other structure area: 4Z-71 square feet -
REQUIRED DATA:COMMERCIAL-USE CHECKLIST 1
Subdivision:Arlington Heights Lot no.: Ste Permit lees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
"fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. i
1
New,Single Family Residential Valuation: $
IiIJY1/Si2 q*1SP Existing building area: square feet
MP i1.• (I�Q.� 5F UPPER: 1590 SP New building area: square feet
1V, 0 PROPERTY OWNER ❑ TENANT Number of stories: 1
Lme:Stone Bridge Homes Type of construction: 1I
Address:4230 Galewood St,Suite 100 Occupancy groups: I
City/State/ZIP:Lake Oswego,OR 97035 Existing:
Phone:(503)387-7577 Fax:(503)387-7616 Ncw:
' ❑ APPLICANT ❑ CONTACT PERSON -1
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. lithe
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply: -I
Phone:( ) Fax: :( )
E-mail:dbritt @stonebridgehomesnw.com
CONTRACTOR
Business name:SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
Phone:( ) Fax:( ) FLS plan review fee(if applicable):
CCI3 lie.: 173318 Total fees due upon application:
L
Amount received: J
Authorized signature: •�;,` '/7/�`d
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: BRITT Date: 1/741 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPernitApp.doc 10/01/09 440-46 I 3T(I I/02/COM/WEB)
Plumbin Permit A li •
Building Fixtures EIVED FOR OFFICE USE ONLY'
Received , !OtJ
City of Tigard .11 I I 3 0 2013 Date/By: 7 0 it t5 . 1 Permit No.: /TJe� �3_G� O
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,� ` n^^ ^����
0 Phone: 503.639.4171 Fax: MIGARD Other Permit No.:o'WKiu
vi i Date/By:
T-tGn R D Inspection Line: 503.639.41 Date Ready/By: 1uris: 10 See Page 2 for
Internet: www.tigard-or.g$UILDINGDNISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 II.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑ Master builder ❑Other:
Fire sprinkler( sq.fl:) Paee 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: I51V SW SU MM MVIEW PR• Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Dgwell,leach line,or trench drain 18.76
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.:_l Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:Arlington Heights I Lot no.: 1510 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: 16869 SW 65th Avenue#505
Garbage disposal 25.02
City/State/ZIP: Lake Oswego,OR 97035 lIose 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 Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/Slate/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: Estacada,OR 97023 Subtotal
Phone:(503)351-8532 Fax:(503)6302882 Minimum permit fee: $72.50
CCB Lie.: 108747 Plumbing Lic.no.: 93-1185347 Plan review (25°/n of permit fee)
State surcharge(12%of permit fee)
Authorized signature: 4l TOTAI,PERMIT FEE
Print name: Jay Jardine Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
•Fee methodology set by Tri-County Building Industry Service Board.
I:'dtuilding\Permiv.\PI.MI 1-PcnnitApp.dov 10/01/09 440-4616T(III/02/Ci)M/WEn)
Mechanical Permit Applicati E D FOR OFFICE USE ONLY
�
Cl of Tigard 1' Received
M Permit No.:,C VT: - .efe,aO
III
13125 SW Hall Blvd.,Tigard,OR 97223
Platt Review Other Permit: L'� q_ 1
Phone: 503.639.4171 Fax: 503.598.1 C=moo ✓-dt7l6
C°fYOFTIGARD Dat&Bv:
�.I Ci.n R t� Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.ti ard-or. ov ��iti:
g g BUILDINGDNISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. _
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES.'
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
For special inl trmarion use check/isr.
❑ Multi-family ❑Master builder ❑Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: )611W StA) 4UMMERVIteW DR. Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ductsvents) 46.75
Furnace 100,000+B•fU(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
Subdivision:Arlington Heights Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances 1
DESCRIPTION OF WORK Water heater 1 23.32
Gas fireplace I 33.39
New,Single Family Residential Flue vent liar water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name:Stone Bridge Homes NW,LLC Environmental exhaust and ventilation
Address: 16869 SW 65th Avenue#505 Range hood/other kitchen
equipment 1 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) t2 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspaee fans 23.32
Other: 23.32
Business name:same as above
Fuel piping
Contact name: Deirdre Britt $14.15 for first four;54.03 for each additional
Address: Furnace,etc. I
Gas heat pump _
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( )
Water heater I
Fireplace I
E-mail: dbritt@stonebridgehomesnw.com Range I
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 tee($90.00)
Phone:(503)667-5595 Fax:(503)491-8252
Plan review(25%of permit feel
CCB lie.:110091 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name:David Heldstab Date: • Fee methodology set by Tri-County Building Industry Service Board
I\UuildingtPennits'MEC-PermitApp.doc 10/01%(14 440-4517 111 1/02(COMAVI(LI)
Electrical Permit A lication FOR OFFICE USE ONLY
Received t y: 7 /3 / )7 j5 4'�
City of Tigard Dace/By: 7 Ltifvf Permit N<t.: /
to 13125 SW I tall Blvd.,Tigard,OR 97223 Plan Review
>Q Other Permit:SS--__n �y 13-a:447
Phone: 503.639.4171 Fax: 503.598.l 3, 3 0 2013 Date/By: d'o pU
1- O RD Inspection line: 503.639.4175 �v Date Ready/By: Jurist Id See Page 2 for
Internet: www.tigard-or.gov OrTif2AD11 Notitied'Meth,xl: Supplemental Information
CITY TYPE Ob NGDIVISION PLAN REVIEW
®New construction ❑Addition/aTteration/replacement Please check all that apply(submit 2 sets of plans,v!items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 15(1 volts or ❑Floating buildings.
less to ground,or exceeds 14.000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps liar 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".°Is". I-2". I-3'.
1 i 1 2`/� I WtIP or more. OCCUp3ilC.
Job no.: Job site address: I�110 SW so M MCF�II DP. ❑Recreational vehicle parks.
❑Six or more residential units. P
City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. (0(1 volts nominal.
Suite/bldg./apt.no.: Project name:Arlington Heights 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I ph. I Fee. I Tntnt I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Arlington Heights Lot no.: 510 1,000 sq.fi,or less ( 168.54 4
Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion 1 33.92 1
Limited energy,residential i -7500
2
DESCRIPTION OF WORK (with above sq.ft.)
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
CO PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
Name:Stone Bridge Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 4'n0 AlvODD CT, S1E./DO Over 1,000 amps or volts 552.26 2
City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or
relocation
Phone:(503)387-7577 Fax:(503)387-7615 200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above set-vice or feeder Ice.
7.42 2
each branch circuit
Business name:SEE ABOVE B.Fee for branch circuits
without service or feeder fee,
Contact name: Deirdre Britt first branch circuit ,56.18 2
Address: Each add'I 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
Business name:City Electric Signal circuit(s)or limited-
energy panel,alteration,or
Address:55568 SW Schaltenbrand Lane extension.Describe: Page 2 2
City/State/ZIP:Sherwood,OR 97140 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone:(971)404-1714 Fax:(503)625-3052 -
Investigation per hour(I hr mint 66.25
CCB Lie.: 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 lee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
t;\Buildingtl'emits'F.I.C-PemitApp.doc 10/01/09 440.46151111!05/COM WED
Ill Q ° Building Division
Development Code Provision Review
T 1 G A R D Residential Projects
Building Permit No.: No,/ 5-00/Rd
Project/Subdivision Name: C1 �- - kt Y3e . 3 , Lot #: S�
Site Address: 1.517 Le c D rti, ,J tLv--�
CWS Service Provider Letter:
Required:Yes ❑ No ?S--
Received:Yes ❑ No p
Plans Routed:
Original Plan Submittal Date: 7/& / 3 Routed Bc'Z-4
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd Revision Submittal Date: ❑ Site Plan Only Routed By:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review(contact Pr neg ILDotty 2 at(503) 718-2 71 or ar& P. . @tigard-
or.gov) V
Land Use C se No. J e, e �`
Zoning K.`/
0/Setbacks:21 t �► t �1
Mont Rear 1Z Side Street Side 10 + Garage
aximum Building Height: S ' Actual Building Height ±31A-
sual Clearance T--1/Pc
I ' Easements
'Sensitive Lands Type: Lower vA ue, b ib1101 t- ZS1 o SI OfkS
'Street Trees
a/Protected Trees
Notes:
Original Plan: Approved-t!, Not Approved ❑ Date: 1 13 I I l 3
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
1:\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)
.0-Actual Slope: 40
Notes:
Original Plan: Approved Not Approved ❑ Date: e !/3
Revision 1: Approved ❑ Not Approved ❑ Date:
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 o ❑
Date Routed to Building.
•
•
•
•
•
•
•
•
•
•
•
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
STONE BRIDGE RECEIVED OBE : 1427 LO
'Moll HOMES NW I. :I 3 ® 2013 DAT: 56
DATE: 6/13/13
423o GALEWOOD ST.SUITE 100 CITY OFTIGARD PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97035 BUILDING DIVISION
HEIGHTS
(503)387-7577 CITY: TIGARD
SCALE: 111=20'
SITE PLAN 41: PLAN No.: 17D—MOD
TE/AP.
Gaol �"! ,�
-^7
C' ,� EL 64121 409.6' TOW
S,Te N �``V "3 406.6' SO
. k�"�i
VIP ' '
4 N e� '-
S. ^�ti
, ` \\ N\ �a41 403.9' TOW
\ 3 403.4' BOW
eL•am6'
1
e',p / 3A'JO EGPT '
`� bib // C
pg•awaw• ` 0 N _\ * \...s.
e iii 1/41 \\V r. It
4..> , \ D
LSI, . /\, $\\ ` \.
s
G \ A
40111111i1 \ A
4. V \ F
LEGEND /,,� �/ ,
® —MEASUREMENT POINT �`/_
—EXISTING GRADE W/
—FINISHED GRADE /\
—STREET TREE: V
RAYWOOD ASH 1�
LOT COVERAGE }
LOT AREA: 4,043 SQ. FT.
BUILDING AREA: 1,925 SQ. FT.
PERCENTAGE: 41.5%
NOTES: x
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL RETAINING WALL I-IEIGI-ITS AND LOCATIONS ARE ESTIMATES. i ..;
THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT .56
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 4045 sq. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
'..•?1 +R It i»u/G>'Y3,:R =�•+'-e.•cr'L`.f-?r<.¢vn'f-.:1..�'.•y,' x.. •wY:t`..t-r,k'.Cta6n-Cdi.'P£'i'-«.r.G!a`.$fl&-'..- t'I F.L'CM9YlEFYe?Ai'Y!YHPfko^'la�. .Y±'fl.,. ,,n ss.'m.n.t..-3 c.- -'b-**t:� .+f +!r'R�n+!Aw
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
15176 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
2014-01-15 00:00:00
MST2013-00180
PASS
Violation Summary:
Inspector Contractor
STREET TREE
TIGARD
CERTIFICATION
I J z I c. 5 G ,, , owner/agent for - ) i-e S ,
(PLEASE PRINT)
(PERM HOLDEA)
do hereby certifi 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.: 2013 00 D O
SI11J ADDRESS: 5 1 7 c, S +,J 5.► ,�.. U� Y ,0 r
SUBDIVISION 4-(,' ,,1 )_J , i j s LOT#: �>
SIGNATURE: CC--1= DA l E: J
AGENT)
RECEIVED &
VERIFIED BY: DA1 E: f//4V
(CITY TIGARD)
L L_ Tree location verified per approved site plan.
1:\Building\Norms\StreetTreeCeraficate 05/30/2012
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKN OWLEDGEIVIENT FORM
L , am the general contractor or the owner-builder
at the following address: r
r
Site Address:
/51 -7 6 S w�v`V►rziz.
c
City: c-/C/
Permit#: Zv j U G e U
Subdivision/Lot #: 5/
and/or
L�
Map and Tax Lot#: /J/ ( i.i,Lc ` ii.t4 J �7-5--
■
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 1 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-sensitiV.e
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: -ryJ � Date: )
4eral Contractor or‘Per-Builder
I:1BuildineFormlRES-MolsturCSensitIVeWood.doc 0925/06
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 57- 20 3 -cc 1 CJ Jurisdiction:
Site Address:
5 26 sw s-ww,, 4r14-4d p r
Sub division/Lot #: c-6
and/or
Map and Tax Lot 4: ,/2 C 1.� iv v1/4
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: 14-1 Date:
Owner/General Contra Authorized Agent — ,
Print Name: JG 1/e s _
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 budding 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.
1:1Buil ding1FoimARCS-1-lighEfliciencyi_ishting.doc 07/01/OS
i45 i "1,'-'l3 -Cc,/4-10
r Trust New Homes trlr;rwwi
This mark certifies that this home was built in strict accordance with F+rlt4'VS1AR ire
Residential Air Duct System EnergyTrust
Earth Advantage®green building guidelines and has passed
performance tests and two onsite building inspections. "
Company Information ,,,
6- 17 , vu 5u t w iDR an N 11 t11. { rf` l t
A- r1 1 / 7
( Q O e inician L� -E'�f IJRrl'Date j( 1 IT/ 1
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Br), i $ Combustion Appliance Zone (CAZ)Test,
Main Zane Zone 2,if applies
3,Al y4k or era.``' CAZ WRT Outside _______ Pa Pa
Baseline(WRT Outside,fans oft) Pa Pa
Passed By: /V` ( I 0.z Date:( /Q / NET CAZ Pressure(subtract Pa Pa
Y baseline from CAZ WRT outside)
This home Contains the following features: Duct,Leakage(fill out one sticker per duct Systeirl)
Energy Efficiency Water Conservation(Harltthler indoor Elwlronment � r
Land Stewardship 1 Environmentally Preferable Materials Description of Area System Serves �"
C.
! . `1
Cond.Floor Area System Serves(112) Ill"` j )�
RI yes A no Air Handler in conditioned space??
earthy •7(7fv(7/f/(.7t JC 1; es no Air Handler present during test?
home certification I "yes"for either, iirr?x um CFM is 75 CFM@50 50 Pa or
This home has been certified as an Earth Advantage®New Home.All Earth floor area x 0.06
)L C� CFM@50 50 Pa,whichever is E7caler.
Advantage homes are built with the same attributes as other high quality If"no"for both,then maximum CFM is 50 CFM@50 50 Pa or
homes but they also include a comprehensive package of energy efficiency floor area x 0.04 o CFM @50 Pa,whichever is greater.
and environmental features you will not find anywhere else. Otal Leakage
Lea to Outside or,
Since this house was performance tested for quality,you can be assured It Test Method: ❑Test Result /ti FM@5OPa
has passed the rigorous design and construction criteria of the Earth �{
Advantage progra•recognized regional leader in green building science Fan Pressure 1% Pa Gauge type: ❑DG-3 t jL l DG-700
and Implementation. Ring(circle one) Open 1 2 C3)
Your Earth Advantage certified home was built with sustainable materials, Duct Blaster Location CC CIA f'l t (
techniques and systems that reduce pollutant sources and improve your pressure Tap Location f< .b\ i"11-i _)4 rpci
indoor air quality,ensuring a healthier home.It was designed to be energy
efficient, cutting your energy consumption end 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 A213 AV-09-008-1•
increase the durability of your home. w199 1-.9 oA213AV CV Wo]'AJane'MMM
6earth
institute 1
www.earthadventage.org --""*,-°—bad