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Permit Iliq q CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2014-00095 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2014 Parcel: 2S 110 B D01500 Jurisdiction: TIGARD Site address: 14680 SW 117TH PL Subdivision: SHADOW HILLS Lot: 6 Project: ANNENBERG Project Description: New SF. 9/4/14, Demo credits from BUP2014-00095 applied to this permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 3130 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26.5 Bathrooms: 5 Second: 2755 sf Garage: 1375 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 5885 sf Value: $712,649.21 Rear: 15 PLUMBING Sinks: 2 Water Closets: 5 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 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: 1 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 8 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=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!500 sf: 13 201-400 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 5885 Owner: Contractor: ANNENBERG,ROBERT F RIDGECREST CONSTRUCTION CO INC Required Items and Reports(Conditions) 11430 SW PINTAIL LOOP 6600 SW 92ND AVE SUITE 100 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97007 PORTLAND,OR 97223 PHONE: PHONE: 503-246-8808 FAX: Total Fees: $16,737.55 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Special o•-s and all other app'cabl law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days • issua e, o if work is sus n for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N• -ication Ce - ose rul re set forth in OAR 952-001-0010 through O 5 090. ou may obtain a copy of the rules or direct questions to OUNC by -ling 503. . 9 •00.332. Issued By: Permittee Signature: 114 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. gilding Permit Application Residential 11111 ()l I l( I I sl ()Nl , . Received Ci of Tl and Permit No.: City g IN Date/B �t�1�1/'Li/1«.I/� L/ 11./.i " .00.r1 S . 13125 SW Hall Blvd.,Tigard,OR 97223 SUN 1$ 2014 plan Revie �, •her Permit: 7 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Ait;� v'' , .1 T I GA K D Inspection Line: 503.639.4175 A{��RD Date Ready :y: 0 See Page 2 for Internet: www.tigazd or.gov C, TIVx/�'�,,+�h,1 Notifie• t 9 Supplemental Information •gautr R Unl , , ,M912MIJP, TYPE OF WORK REQ RED DATA:1-AND 2-FAMILY DWELLING p 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. FR-and 2-family dwelling ❑Commercial/industrial Valuation:712 1;24$ 7..1r3----0-oa3\40 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder El Other: Number of bathrooms: L f JOB SITE INFORMATION AND LOCATION Total number of floors: l-- Job site address: New dwelling area fee`-- square feet City/State/ZIP: 14(?2 ) 6w 1l 7e- PL \ Garage/carport area t 7• 1uare feet Suite/bldg./apt.no.: Project name: 0.'" t t--r Covered porch area 20 square feet 27�jJ Cross street/directions to job site: 1, SSrCJ Deck •area: �� --}}yyvv�� VI— square feet 5 t�, Iii 'I 1 Other structure area: e .� 7'' , tyJ � �[at REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot n9.: (` ' Permit fees*are based on the value of the work performed. Tax map/parcel no.: j.� Indicate the value(rounded to the nearest dollar)of all J equipment,materials,labor,overhead,and the pr for the DESCRIPTION OF WORK l 6 ll" work indicated on this application. [v `_ 1 C 1`C n Valuation: $ ✓ v W" Existing building area square feet V TIT f New building area: square feet PROPERTY OWNER ❑ TENANT Number of sto' . Name: 7-06 eN-T A-/JA)(1•)6 t1L(r Type of struction: Address: 1111 113 t) 5,AJ P/Ai-Al L 1.0c>t' Occ ancy groups: City/State/ZIP: V )T-' (, ,^ 7 7 DU 7 Existing: Phone:( ) Fax:( ) New: igl7 APPLICANT [ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to ice schedule) _ Business name: r&5 TV. Q 4L M I-7-5 Structural plan review fee(or deposit): Contact name: ? b t P1/4)v'Wt/SliNt FLS plan review fee(if applicable): Address: 1 1 3 3 K 0 t/J a f,L:a..in(} i City/State/ZIP: U c7,7,-,9 17,4 9 -7 z 2.4) Total fees due upon application: Phone: 103) 3 3 ( ) Amount received: ( .S`U O Fax: : E-mail: Tf ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* � r'I [ J.-vi Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: N IID L`A7 T O,tA 1sS Submit two(2)sets of roof plan with connection details I and fire department access,along with the 2010 Oregon Address: )3 s,,,, ( - S P v '4 bQO Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: vt�-`i () `� V and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CB lic.: ( Vt to Total fee due upon application $201.60 orized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. r *Fee methodology set by Tri-County Building Industry tame: �,�� Date: Ll (/� Service Board. g\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/C OM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONL' 1114 Received City of Tigard Permit No. ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Associated = Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TI(GARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tward-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation.historic d istrict.etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ CI CI 6 Sewer permit. _ ❑ ❑ ❑ 7 Water district approval. _ ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. 1 Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑_ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be a••licable to the •ro'ect under review. .n RlSni( I IONAI, SPECIFIC'S 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, El ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ El including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\Building1iPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) k Plumbing Permit Application Building Fixtures FOR Of VI( I.: I SI. OvI.1 City of Tigard PermitNo.: . ,` L1"tic. v 13125 SW Hall Blvd.,Tigard,OR 9722 �'s ` ,� 'Ian Review U Phone: 503.718.2439 Fax: 503.598.1 Date/By: Other Permit No.: Inspection Line: 503.639.4175 y 1 �t,,�h I P ^1 $ `10 14 Date Ready/By: Jaris: la See Page 2 for Internet: www.tigard-or.gov 0 1 Notified/Method: Supplemental Information TYPE OF WORK II I. FEE* SCHEDULE •�Iew construction ❑Demo lli l (�IV I 1 For s,ecial in ormation use checklist r [� , 1 s''" Description Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Oche New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 50 1-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 '2- 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: P Catch basin or area drain 18.76 �lir lUraMi MIVA= � . Drywell,leach line,or trench drain 18.76 City/State/ZIP: �1//n(�'/� 6y� f/? j° /L IY Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 N� FR_ Dishwasher washer 25.02 Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 yi PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: `�1ol�-r ∎PrINJ" t+-)13 ��(�_ Floordrsewercap 25.02 Address: I (-l{v) (� F (N �� L L duP Floor drain floor sirlk/tlub 25.02 I Garbage disposal 25.02 City/State/ZIP: V -N\) U, 9 7 7---LC/ Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: c01-701-. Q A I Medical gas(value:$ ) Page 2 Contact name: -1/.....f=. V ,,, y 1-1640 Primer 12.51 T / n Roof drain(commercial) 12.51 JAddress: I? Y /V W f 641,I a'J 6-T (Ai- Sink/basin/lavatory 25.02 City/State/ZIP: 10 D - 2 2-`(, Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: 1 C� 5 P r-J, e‘.4.1.-- Urinal 25.02 '•+ Water closet ■ 25.02 CONTRACTOR Water heater 37.52 Business name: -I- tt 2 Water piping/DWV 56.29 Address: j Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lie.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature:fs%-Z - - TOTAL PERMIT FEE Print name: I-773 1,_/ Date: /)7//�i This permit application expires if a permit is not obtained within 180 days ' I/ / after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COMIWEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1g 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non-food related _ -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filler increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Perm its\PLMF_PermitApp.doc 08/04/2011 2 Mechanical Permit Application FOR OFI,( I I "I O\LI City of Tigard Received Permit No.: /Ai - l OQ q 7 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.59 Other Permit: Date/By: . 1 Inspection Line: 503.639.4175 , Date Ready/By: luris: ® Page 2 for I I I.I eadyBy See age Internet: www.tigard-or.gov ``^ A% � \lic� Notified/Method: Supplemental Information �U1V ■fir' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST TYPE OF WO' . !1L�„� MM V1 Mechanical permit fees*are based on the value of the work New construction ❑Addition/alterati r'1�- .• 3 performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 6-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: -7 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /i/ b U ei.,3 1 17 A- Furnace 100,000+BTU(ducts/vents) i , 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 2-' 33.39 .^ , • c Flue vent for water heater or gas l v,c 1 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT _ — Environmental exhaust and ventilation: Name: t7 jj\--r 7-t/1/vN( j,t Llr Range hood/other kitchen r Loop equipment I 33.39 Address: LI 3 0 C/omit- Loo! Clothes dryer exhaust 'f/ 33.39 City/State/ZIP: S U T 6 9 7 01) -7 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 (APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: ;� --� Fuel piping: 1V`' V- F p iNut'I '� $14.15 for first four;$4.03 for each additional Contact name: 1 Furnace,etc. t _ Address: I /,) V Nit) D9-6-L-7:149 L 6 L' Gas heat pump Wall/suspended/unit heater City/State/ZIP: VI) )6 d 174.LS Water heater , Phone:( ) Fax::( ) Fireplace ?i r� Range I E-mail: Z,) 0 /� /n r)7-tJL P (14-64 /71, Go, ,-. Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: �II MECHANICAL PERMIT FEES* Address: Subtotal _ City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:/ * Fee methodology set by Tri-County Building Industry Service Board Print name: P Date: to / /.1 i(e I:\Building\Permits\MECPermitApp_ 01I3.doc , ` 440-46 (11/O2ICO'M/WEB) 1 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. l:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application 1 O ttII It I I I t)\I 1 City of Tigard ED Permit#: EA. i,l_f 15- 114 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503.598.l �I Date/B : Related Permit#: Inspection Line: 503.639.4175 Rea Date/By: Juris: ® See Page 2 for TCi1i11 Internet: www.tigard-or.gov 4 $ sn+14A Notified/Method: Supplemental Information \ a TYPE OF*1 'd'.... PLAN REVIEW ew construction ❑Addition/alteration/ 1A1 * N Please check all that apply(submit:i sets of plans w/items checked): Addition/alteration/01A1 ".: ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: • `, where the available fault current ❑Marinas and boatyards. CATEGORY OF CON'""J'i'!Co pl exceeds 10,000 amps at 150 volts or ❑Floating buildings. gs... 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. Multi-family ❑Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: //�� IOOHP or more. ❑"A",°E","t-z",°l-3", City/State/ZIP: [/jpur5 �W )1 7-:=1-2- P ❑Six or more residential units. occupancy. ty � t-- ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.It.or less 1 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.fl.or portion I.3 33.92 t DESCRIPTION OF WORK Limited energy,residential N S F 1nn1 (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 J-PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: tip4 r 01'I4 N 4-) b\'iL6-- 200 amps or less 1 00.70 2 Address: I 3 n S Q I/vTth(L L Q . 201 amps to 400 amps 133.56 2 City/State/ZIP: f * / /I 4f 0 U - 401 amps to 600 amps 200.34 2 ( /4/ r ( r 7 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps _ 125.08 _ 2 Owner signature: _ Date: 401 amps to 599 amps 168.54 2 51 APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel �...�� 1 "^ A.Fee for branch circuits with Business name: f y(,� t'll-4/1/1 t rl above service or feeder fee, 742 2 each branch circuit Contact name: FN 4 14w1 NA r2-1 B.Fee for branch circuits without Address: 1 I3 t1 '�(�-6-CE(t 1') I,F L.,� service or feeder fee,first (� �/I/1� branch circuit 56.18 2 City/State/ZIP: �\ () 2 Z Each add'l branch circuit 7.42 2 P�>c `� Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 p �p/� dwelling,service and/or feeder Email: .11-""b 0 7"t' '. . V `',` i (7"f • tom`_ Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 1--t D Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: 1 This permit application expires if a permit is not obtained within 180 Print name: 2 �> /� )( Date: (0/ -7 � days after it has been accepted as complete. J / ' Number of inspections allowed per permit. 1:1Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(I1/05/COM/WEB I Electrical Permit Application—City of Tigard . . Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE * Fee for all residential systems combined: $75.00 Besewan ► Qty. I Each I Total I y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(A hr min) COMMERCIAL WORK ONLY: PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t.\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 04/21/2014 Clean Water Services File Number C1eanWater\ Services 14-000679 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information (example 1 S234A801400) 3. Owner Information Tax lot ID(s): Name: Robert Annenberg 251106D01500 1 L/�o `dw 117' �L Company: 4731- P t G11 x/ I Address: 11430 SW Pintail Loop Site Address-16,A SW BULL MOUNTAIN ROAD City, State,Zip: Beaverton,OR 97007 City, State,Zip: TIGARD,OREGON Phone/Fax: 503-747-7724 Nearest Cross Street: SW BULL MOUNTAIN ROAD AND SW MCFA E-Mail: bobarb.ra @comcast.net 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: King Phelps ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Emerio Design Li Residential Condominium ❑ Commercial Condominium Address: 8285 SW Nimbus Avenue Suite 180 ❑ Residential Subdivision ❑ Commercial Subdivision Li Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: Beaverton,OR 97008 Other Phone/Fax: 503-515-6052 Replacement house E-Mail: king @emeriodesign.com 6. Will the project involve any off-site work? ❑Yes ❑No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Can an AdvanTex treatment system be used for a replacement dwelling on the property. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands andlor Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name King Phelps Print/Type Title Land Surveyor ONLINE SUBMITTAL Date 3/13/2014 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. 10 Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by Date 03/20/14 2550 Sw Hillsboro Highway • Hillsboro,Oregon 97123 • Phone.(503)681-5100 • Fax (503)681-4439 • www.cleanwaterservices.org 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 Transmittal Letter r i c A IZ 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: I >A_-,..A._ DATE RECEIVED: DEPT: BUILDING DIVISION ( RECEIVED FROM: r Y� N .. ■� ►� _� ' ' 1 JUL 28 2014 COMPANY: 4— ii A P ��1 . : Lim. .L ` /�PHONE: ( go / ?.41 RE: ClIl; it to. • " 6 7;?6//-ex)c PS ite • a•ress `�,'�� (Permit Number) (Project name or subdivisi i name and 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: > 2_ 4-11)0__..,-0 (' ) 0.6- '6:lia,) 06 0511 /-Q, / 4"" FOR 9FFWE USE ONLY Routed to Permit Technician: Date: 7(2=3? ( (4 Initialsz Fees Due: ❑ Yes (-loo 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 a r City of Tigard 'PI COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: Mt.5Tac H,000 f4/690 i i 7 �L `7 Site Address: . • ►• U, , d • - . Project Name: An e i/VI Res/4,7a Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New .co F I erify site address/suite #exists and active in permit system. Sit Ian Elements: �, ree(3)copies of site plan L�FEx�i ting structures on site �Si plan must be on 8-1/2"x 11"or 11 x 17"paper L'd'Footprint of new structure (including decks)with finished Lt13r wn to scale (standard architect or engineer scale) floelevations th arrow L t-tt1 °°cations(required for new,may apply for additions) L��'Stt ddress,project or subdivision name and lot number Leo on of wells/septic systems L`r1p.:cant information(name and phone number) rosion control(including drainage-way protection,silt fence 11 • dimensions and building setback dimensions deign,location of catch basin,etc.) L5 of area,building coverage area,percentage of coverage and & treet names A / �' imm rvious area(applicable if R-7,R-12,R-25&R-40) C- -• -- w-, T.e an. • . .. /V/4 E WProperty corner elevations(2 foot contour lines if more than a_sti gt1 eec tote retained�•ith drip line and tree 4 foot differential) protection-measures j/- ,/3. Clean Water Services , Sery a Provider Letter: (lot platted prior to 9/10/1995): Retired: ❑ Yes L7 No 91l/I-0/2 Received: ❑ Yes ❑ No and Use Case#: /�L u;----- �'' 3 ( 14. /kcal AA Si -) 22Zoning: P"- .S mf Setbacks: Front e/i'" Rear /5' Side 5 Street Side /S' Garage (72e ' `Landscape Requirement: $ of Coverage Maximum: — % e uilding Height: Maximum Height 3o Actual Height ;67-,-) EJ Visual Clearance asements Sensitive Lands: ❑ Yes '"No Type /W .142..Med e ondi�tii�ons Met L ` ) 0 Notes: 00fo -j e,cteSS /6v-, 4r�,G'tl'f /mei (v�i//7 Z Gt 1t, ♦Gen v4ak (9i l'L iL afe, if Date: t Approved By Planning: �/� N f y;//�/j� El Revisions (after Building Submittal only) � Reviewer Date Revision 1: ❑ 'pproved Not Approved ♦ / /7 Revision 2: ► Approved ❑ Not Approved *C -7— - y Revision 3: ►A Approved ❑ Not Approved NC / r, 1 I C\Building\Forms\Bldg PermitRvw_RES_0429I 4.docx . . Building Permit Submittal Original Submittal Date: 61/ /1i( Site Plans: # Building Plans: # 3 Building Permit#: ■ er building permit#above. Workflow Routing: 'Pl ning l.—:ngineering ermit Coordinator e-lrafling Workflow Sign-off: V,Si °ff for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and onal plan review routing form. Ltd'Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 67. 1 . Date: 6M/tit Engineering Review 0 Actual Slope: d ❑ Conditions Met / Notes: fn,P/f /OA CAladl f 0j P/) � �v 6e, 0lrau9h 1. sC414 dae n01. 74,2 1haGL, /S h6/ 611/ Dry, � id Approved by Engineering: Date: a y 0/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: >4)K to Issue Permit Approved by Permit Coordinator: ////7j-- Date: �/2---1/'T 1:1 B u i I d ing\Forms\B ldg Perm itRvw_RE S_0429 l4.docx 4 Albert Shields From: Albert Shields Sent: Tuesday, June 24, 2014 5:54 PM To: 'rob @fasterpermits.com' Cc: •- r:7-•; 'a 'off Subject: MST2014-000• nenberg house. Attachments: ...f Rob, in reviewing the site plan for this application Planning and Engineering had the following comments: Planning: Proposes access from private road (SW 117th Ave.) need to demonstrate right to use. [See attached plat re 117th Ave.] Also needs new address assignment. Engineering: Infiltration detail (11/A0.1) needs to be drawn to scale. Detail does not match what is being built. Please address these issues and re-submit. Thanks,Albert Shields Permit Coordinator 1 ReccRdad cs 2)0c..,MeA)*- No. 950/.2959 -7� SURVEYOR'S CERTIFICATE: PARTITION PLAT NO. /9 95-0/5 fl1982 - /I FD 2 BRASS DISH(N I.WADE G DONOVAN III.HEREBY CERTIFY THAT 1 NATO MONUMENT BOX CORRECTLY SURVEYED AND MARKED WITH PROPER MONUMENTS,_ NORTH 1/4 CORNER PARi1 T10N LOCATED IN BECTON 10 THE LAND REPRESENTED ON TIE ATTACHED PARTITION MAP.THE - SECITO. 10 3 PAGE 41. BOUNDARIES BEING DESCRIBED AS FOLLOWS N.W. 1/4 OF SECTION 10, T.2S., R.1W., W.M., \\\21!'M `'';° GEODETIC POINT N0.374 A TRACT OF LAND N THE FEW.1/4 of SECTION lo,7.25., CITY OF TIGARD, WASHINGTON COUNTY, OREGON TOW OF SURVEY GC-14 � RIM.,WAE MY of TIGARD,WASHINGTON COUNTY,ORDEN. OCTOBER 31,1994 SCALE 1"=50' FD 3/A'iP W,THw5 BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS HELD a TA1� ROAD IN MOIUMENATT BOX BEGINNING GNAT THE NOEL RED PLASTIC CAP T BONG A 5/8• N THE DIVE OF THIS SURVEY 6 TO ESTABLISH THE FD ALUMINUM CAP S W BULL M011� SCRIBED'OTAR INC' - UL NO,147 1/2 (PRpp05� --� -CENTERLINE CONCEPTS INC.'.SAN PONY BONG BOUNDARY UNES FOR THE LANG DESCRIED N FEE NO. N MONWENi BOX N g56.2D S 1439'36'w 1615.61 FEET PROM A 2 NCH BRASS 9}99967 FOR AN APPROVED PARTITION PUT 81 THE CRY OF 156 DISK N A MONUMENT BOX AT TEE NORTH 1/4 CORNER OF TGARO PLANING DEPARTMENT N CASE FILE N0.TA/P-94- 6491.0 E --------------2°.(3)) BECTON 10,T.2S,RAW,FEB.,CITY OF TGARD. OD12 3/4'IP Pg5T710N N 84'20' E' FD 1/2'P WASHINGTON CONY,OREGON,SAID POINT ALSO BONG ON THE '� 3/4•P _ 35.78' n 24'36'30'W WEST UNE SE THAT TRACT OF LAND DESCRIBED N Booty 1272 SW.BULL MOUNTAIN ROAD/CR.NO.2515) LA..... ..ny_g_______ ...WV'E 770.15'(169.60'( 1-79' 1-F 188.26'6 PAGE 72 WASMINCTOI COUNTY DEED RECORDS THENCE.ON --FOUND AND HELD A 3/4 NON PIPE N THE CENTERLINE OF SQ,25' 169. FO 5/8'R SAID WEST LINE.S 00'03'59'w 133.66 FEET TO THE SW.BULL MOUNTAIN ROAD. FOUND AND HELD ALUMINUM CAP 152'56' iA / S a579'IT E SOUTHWEST CORNER THEREOF;THENCE.ON THE SOUTH UNE OF N MONUMENT BOX N THE CENTERLINE OF SW.BULL MOUNTAIN �1 OB' N NTIIAL PONY (Y E(�)f N 0.39' SAID TRACT(BOO(1222,PAGE 72),N 89-JS'S2•E 91.05 ROAD. USING THE DISTANCE SHOWN ALONG THE CENTERLINE FEET TO TIE MOST EASTERLY NORTHEAST CORNER OF THAT PRW SAID AWWNW CAP,PLAT POSITION OF 3/4'IRON d ,Tj FD 5/8'R FD 5/6'IR ' N 8410'47"E TRACT DESCRIBED IN FEE NO.93-8996}THENCE ON THE PPE AS SHOW IN THE PUT OF ASPEN RIDGE HELD THE M 5 080524'W M EAST UNE OF SAID TRACT FEE NO 93-8996 4.27 55 w 0,18' 3' T•IR ( SOUTHEAST 20.00H FEET SOUTH OF UNE AND OF MTH CENTERLINE AS S 009548'W[293.ON FEET TO THE SOUTHEAST CORNER FD 5/8'R CALLED L FOR WEST UNE u; �.�.. NO.9389967),5 89.49•00*W 144.07 FEET TO THE (f7� POSTERS FENPONEA W/YELLOW FOE ND.91-63632 /-o BOCK 1222 SOUTHWEST CORNER THEREOF:THENCE.ON THE NEST LNE OF SOUTH UNE(FEE NO.9}89967) PLASTIC CAP PACE 72 SAID TRACT(FEE NG 93-89967).ALSO TIE EAST TUNE OF --FOUND INC HELD 5 SCRUB© p THAT TRACT DESCRIBED IN FEE NO.94-63632 /8.9RON RODS SCOW AS SET Al SURVEY S NUMBER 4274 AND HELD SAN UNE AS BASS OF BEARINGS 'OTAK HNC' • p N 00'96'21'E 442.04 FEET TO THE SOUTH RIGHT OF WAY UNE •‘• E AD CF S.W.BULL MOUNTAIN ROAD PROPOSED COUNTY ROAD NO.2515 PRIVATE ACCESS AND Y h0• ( ) WEST LINE FEE NO.93-69967) PASEIC UTILITY •�"34i -n8 THENCE ON SAID SOUTH LINE N 84�0'1r E 50.25 FEET, HENCE --COMPUTED THE SOUTHWEST CORNER OF FEE NO.93-69967 BY G LEAVNG SAD SOUTH UNE 5 oo9rs9'w 15.06 FEET TO HE 50 BENEFIT FOR THE N CIS RS1A.PONT. EASTERLY DISTANCE EA SOU N FEE NOF�94-63632 OF 1.2 k J �, 88 168.80 PEEL FOR DE NORTHWEST CORNER HELD FOUND IRON FEE NO.94-63632 7 SAID TRACT Cf LAND CCNTANS 50.102 SQUARE FEET MORE OR ROD AS CALLED IN FEE 94-63632 AND BOOK 1222 HELD N`-' (H 68'49'00'E 16$48'(4)) �' PAGE T2 FD 5/B'` / N 89'35'52'E 187.79' MEET EASTERLY UNE(FIE NO.93-89967) ry SIGNED CM 1-3-9'J- a v F • 9434'4 Nit ,'E� SELECT SITE AND 115 SOUTH LINE OF BOOK O1222PAGE 72--FOUND AND HOD IRON _ 25.06' 119.11' NEED FOR EAST UNE FAD 5/6'IR PROFESSIONAL SOUTH UNE OF BOOR 1222 PAGE 72 FEE NO.94- 25' LU 49 C.-, ' PARCEL 1 50o 5'49'W LAND SURVEYOR SOUTHEASTCOCORNEER BO)1222,PAGE 72((SSEEE SURAVEY NO. N o M? .0 n AREA 10.509 SF. 10 4 0.44' ),1 � 15069). CD y +h R. mo W �.�D'^^ g WEST LINE OF BOOK 1222 PACE 72 1.1 Q - 9-• ; m ,R'm � -FOUND AND HELD MONUMENT AT THE SOUTHWEST CORNER OF PAGE 72. FROM 114E ESTABUSHED NORTHWEST la W WADE G.DONOVAN DE CANE OF THE SUBJECTT SHE AND HELD SOUTH R11HT•i 8 U 1_0-g 2276 J OF WAY OF SW.BULL MOUNTAIN ROAD DEED CALL(FEE NO. 8's, o Q e11 N 8934'36'W 119.09' T��7 ETwIRES oN DECEMBER 31.1995 93-69967)OF 50.25 FEET. 48 a g Y�• Wg FEE NO.92-74569 /\r DECLARATION: R6ERE}RCE SURVEYS AHD REFEQICE 03305 FROR RASHNGTO+ p 1 r COUNTY SURVEY RECORDS MAO D®RECORDS RESDEC1VFIY. Q O KNOW ALL PEOPLE BY THESE PRESENTS THAT ROYAL OARS z 8 w Z a PARCEL 2 g� 3c I DEVELOPMENT CO..BEING THE OWER OF THE LAND APPROVAL%. CRY OF TIGARD PLANNING FILE MLP 94-0012 AREA 9,594 S.F. A O 8 REPRESENTED ON THE ANNETEI MAP,AND MORE PARTICULARLY LJ-I .. d • 8 m OS DESCRIBED IN DECLARE THE TO BE A CERTIFICATE. YIP �� B Z_DAY OF .�C/F0S'y 199 S 8934'36'E i ,e //, ..[� G.- p �,� 20.00' El OF NE PATIOTI N PUT BE SAID PROPERTY AND HAS CAUSED -- d $89'5436"E 8 . r 4" J 10.00' THIS PARED IN OUT C S PROFANED OTT PARTITIONED INTO AS N ACCORDANCE WITH (/) s 20.00' _ 20.00 THE PROVISOES OF CHAPTER 92 OF OREGON REVISED AY OF 199 �'5.00 79.08' STATUTES AND FURTHERMORE DOES HEREBY DEDICATE TO THE < �.}'VA2 S 89 4'36' E 104.08' • PUBUC FOREVER THE Sn6:tn AND UT9UTY EA50IENr5 AS WASHINGTON COUNTY SURVEYOR 47 i FD 5/6'IR W/YELLOW Y w' Y SHOWN OR NOTED OH SAID MAP. THE ACCESS EASEMENT SHOW SHALL BE A PRIVATE ACCESS EASEMENT FOR THE BENEFIT OF STATE OF OREGON 0 'REHTONN E G.SCRIBED N 0005'24'E : $ PARCaS 1,2 AND 3. SS 5 00'11'00'E 15.00' CO1NT OF WASHINGTON 020' s � 8 -THERE ARE NO WATER RIGHTS APPURTENANT TO THIS I DO HEREBY CERTIFY NyATWT�H�IS PARTIR¶DN PLAT WAS RECDV�D EXILIC SANITARY AND 4 S N PUBLIC SANITARY AND PROPERTY.AS Cr THIS ATE FOR RE CIA THIS DAY OF TY�.w.! 199A_, PRIVATE STORM DRAINAGE ��?s PARCEL 3. �E STORM DRUNAGE �� AT OSLDOK.&M_AND RECORDED IN TI E'COUNTY 02.86 EASEMENT ` . AREA 16,511 SF. R0 AL OAKS DEVELOPMENT CO. � � ��.�1 o � 6 FD 5/6'R SAMUEL A.COTTER 6,PRESIDENT /// 46 N 5/6'R W/YELLOW < .^ d W/YELLOW BY: PLASTIC CAP SCRIBED ,j \ i�' HELD FOR EAST UNE PLASTIC CAP DEPUTY COUNTY CLERK 'BARTON ENG.' TIP \ ?4"/ _ FD 5/8"R NOD SCRIBED ApWOWLEDGEMET1T: HELD N 0011'00'W ALL TAXES.FEES.ASSESSMENTS OR DEER CHARGES AS PROVIDED_ 0.02\ \ / r C.001x'49"W FD 5/8'N SB1415'49"E• STATE OU OREGON BY ORS 92095 HAVE BEEN PAD AS OF Fad 2 P 199 FD � 168.87 \(168.190'(5)) 1. ) N SlL 427 60' COUNTY OF WASHINGTON ��YY^r�_� ERECTOR.Ow9ON OF ASSESSMENT AND TAXATION Is. 97.76' \ 68.98' M.90' ! KNOW AL-PEOPLE BY THESE PRESENTS ON THIS.gA.DAY OF WASHINGTON .OREGON cc.lgyG�{ 144.07' 044.2.3(0) `PL STIC N WSCREEDI�. J6.l.luy 1995.BEFORE ME A NOTARY PUBLIC IN ANO '`/ •,` 5 69'49'00'W 5 89'4000' 8.57. (1))(457.38'(7)) 457.36' PLASTIC CAP SORBED 1\ FOR SAID STATE AND COUNTY.PERSONALLY APPEARED SAMUEL /Lill `PD 5/8'R W/YELLOW BASIS OF BEARINGS 'BURTON ENG.' `FD 1/Y ICI A.COTTER IL WHO BEING DULY SWORN.DID SAY THAT HE IS BO '��L PLASTIC CAP SCRIBED FD 5/8'N BENT S 00117:7 E 5 2J92'22'E THE IDENTICAL PERSON NAMED IN THE FOREGOING INSTRUMENT. DEPUTY 'WAR FEE NO.93-74027 5 435716'W BEE MO.94-51862 AND THAT HE E7(ECL"IED SAID INSTRUMENT FREELY AND __ )1 45 s amnia-W 4 5 0.29 6 70.62' FD 5ro0�W 2.05' VODUNTARILY ON BEHALF OF ROYAL OAKS DEVELOPMENT CO_ STATE WASHINGTON R E C C E DESiCRITIONS HELM H E I G H T S 0.46• a�� '^ NOTARY PUBLIC FOR THE STATE OF OREGON I DD HEREBY CERTIFY THAT THIS TRA IFG 5 A COPY PERMED TO FEE NO.93-74027 LEGEND: UAINTENANCE AND OWNERSHIP OF TRACT-A'' YE BY THE SURVEYOR of THIS PARTITION PLAT.TO BE A TRUE FEE NO.94-51862 MY COMMISSION EDPRES SA 'NQ� AND EXACT C'LpY OF TIE ORIGINAL,AND THAT IT WAS RECORDED (4)FEE N0.93-89967 0 SET 5/8%.30'IRON ROD W/RED PLASTIC --ALL BENEFITS,RIGHTS AND DUDES OF UNDIVIDED AND CM THE AL DAY OF )4kw,.w.• 199.5•AT U;i40•aoCK (5)FEE N0.94-63632 CAP SCRIBED'CENTERLINE CONCEPTS INC.' COMMON OWNERSHIP INCLUDING BUT NOT UNITED TO THE USE NOTES. �Jn.AND RECORDED IN THE CLERK RECORDS FEE N0.92-74569 ON OCTOBER 31.1994 AND MAINTENANCE OF THE COMMON AREA DE96NATED W THIS __ LIVID SNOW HEREON IS SIIB.ECT TD CONDITIONS AND r •1Bi+ . BOCK 1222 PAGE 72 • FOUND MONUMENT AS NOTED PUT AND ENTITLED TRACT A'SHALL INURE TO THE OWNER OF BY:_ N REFERENCE SURVEYS C)RECORD DISTANCES k BEARINGS EACH AND EVERY PLATTED PARCEJ.N THIS PUT AND SHALL RESTRICTIONS OF THE Ory OF TGARD PLANNING FILE MEP-D1 00 2 DEPUTY COUNTY CLERK FOREVER RUN AND REMAIN WTI THE OWNERSHIP OF SAID --TRACT'A'IS A PR'VATE ACCESS AND PUBLIC UTUTY EASEMENT (2)ASPEN RIDGE BOOK 84 PAGE 16 -SEE REFERENCES- PUTTED PARCELS IN THE EVENT OF FAILURE TO FULFILL FJ7JALLT OWNED AND MAINTAINED BY PARCELS 1,2 AND J. (7)HELM HEIGHTS BOOR 78 PAGE 47 IR=IRON ROB P-IRON PIPE ANY OR ALL DUTIES AND RESPONSIBBJ71ES OF RESPONSIBLE --508.8307 TO A ROAD MAINTENANCE AGREEMENT RECORDED (3)S.N.23997 SF.-SQUARE FEET OWNERS/4P BY TIE SAID PARCEL OWNERS AND EACH OF THEM, IN DOCUYE11 NO. 45n/096n WASHINGTON COUNTY DEED RECORDS. S.N.25046 ON.-SURVEY NUMBER OR BY TIER DELEGATED AGENT FOR SUCH,TIE BOARD OF (6)S.N.15069 COUNTY COMMISSIONERS OF WASHINGTON COUNT.OR ITS (1)S.N.4274 SUCCESSORS OR DELEGATES IS{HEREBY GRANTED THE RIGHT TO � _ _� III CURVE DATA U-S BT BOO)3 PAGE 414 ENFORCE SAID DUTES OF RESPONSIBLE OWNERSHIP,NCWDNO HEREBY CERTIFY,THIS IS A TRUE AND EXACT COPY NUT NOT LIMITED TO REASONABLE MAINTENANCE COMPATIBLE 'f .A_,�P:'E ON OF THE ORIGNAL PARTITON PUT CURVE I RADIUS I LENGTH I CHORD I BEARING DELTA W TH THE OTHER AREAS AND PARCELS N THE PUT AGAINST '`.77 DC APP PID-'r.IMGRN ^\� TIE OWNERS OF SAD LOTS,JOINTLY AND SEVERALLY BY ALL T,...-7d.......?/w 7i K0.+;d225 ( DONOVAN B P.L.S. O.A2276 centerline concepts 1n C. 20.07 31.42' 2828' N 44.54'36'W 9090'00' MEANS PROVIDED BY LAW. c:•srl4reD Yn.R.IY WADE G DONOVAN N PL.S.90.2276 2 2000' 33,42' 28.20' N 45'OS'2i E 9090'00' 640 82110 DRIVE E18 FAX 503 650-01 97027 DWG: \ROYBULL DRAWN BY: BTA CHECKED BY: WGDIII ACCOUNT#222-12 503 650-0166 FAX 503 650-G 69 ,coAlbert Shields From: Albert Shields Sent: Monday, June 30, 2014 3:02 PM To: 'Rob Humphrey' Cc: John Floyd; Dan Nelson; Mike McCarthy; Tom McGuire Subject: RE: MST2014-00095,Annenberg house. Rob, John Floyd and I have looked over the "Easement for Motor Vehicle Driveway on Adjoining Parcels, Residential Use" dated January 23, 1995, that you included with your submittal for MST2014-00095. This easement and agreement is between and for the benefit of the three parcels already accessed and addressed off of 117th Ave. It makes no reference to and grants no right of access to the parcel your plans pertain to and does not create an easement in favor of that parcel, TLN 2S110BD01500 at 11670 SW Bull Mt. Rd. If our interpretation is in error in any way, please let me know. Likewise, if there is yet another document granting a right of access to the subject lot that is executed by the owners of all of the 3 lots on 117th, please let me have a copy. Otherwise, as we said before, please demonstrate that the applicant has the right to use 117th Ave. for access. Thanks for your cooperation. Albert Shields Ms illM Albert Shields City of Tigard Permits/Projects to Coordinator am; AIbert.:bgard-or.go': (503) 718-2426 . • (503)624-3681' =• 13125 SW Hai Blvd. Tigard,OR 97223 From: Rob Humphrey [mailto:rob(afasterpermits.com] Sent: Sunday, June 29, 2014 9:22 PM To: Albert Shields Cc: John Floyd; Ray Woolf Subject: Re: MST2014-00095, Annenberg house. All, We're working on the Engineering item, but the two planning items were provided at submittal - please recheck the file for the driveway right to use and also the new address (It's 11678 SW Bull Mountain Rd FYI). Let me know if you require anything further. Kindest regards, 1 ROB HUMPHREY I Principal FASTER PERMITS rob@fasterpermits.com 503-320-5030 p 503-296-2630 f 14334 NW Eagleridge Lane Portland OR 97229 www.fasterpermits.com On Tue, Jun 24, 2014 at 5:53 PM, Albert Shields<albert@a,tigard-or.gov>wrote: Rob, in reviewing the site plan for this application Planning and Engineering had the following comments: Planning: Proposes access from private road(SW 117th Ave.)need to demonstrate right to use. [See attached plat re 117th Ave.] Also needs new address assignment. Engineering: Infiltration detail (11/A0.1)needs to be drawn to scale. Detail does not match what is being built. Please address these issues and re-submit. Thanks, Albert Shields Permit Coordinator DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 L -� /jam,/ i /4, s 1. --0o0/_s// Rec,,,e,..d S .1bL4MGIf No. 9501Q959 SURVEYOR'S CERTIFICATE: PARTITION PLAT NO. 19C15-oLS 1902 •-•FO U ENA59 019(IN I.WADE G.DONOVAA III.HEREBY CERTIFY THAT I NAPE 61A9iLOTO1 MONUMENT 80X CORRECTLY SURVEYED AND MARKED WITH PROPER MONUMENTS, mL31Y NORTH 1/4 CORNER PARTITION LOCATED IN SECTION 10 HE AND REPRESENTED ON THE ATTACHED PARnna MAP. HE =• U.S.B.T.SOCK 3 PACE 414 BOUNDARIES BEING DESCRIBED AS FOLLOWS: N.W. 1/4 OF SECTION 10, T.2S., R.1W., W.M., 10 GEODE C POINT NO.374 A TRACT OF LAND IN THE N.W.1/4 OF SECTION 10.T.2S., CITY OF TIGARD, WASHINGTON COUNTY, OREGON 12S RIW + Cr SURVEY GC-14 � R.TW.,W.4,CITY OF TIGARD,WASHINGTON COUNTY,OREGON. OCTOBER 31,1994 SCALE 1"=50' FD 3//'1P W/PWG BONG MORE PARTICULARLY DESCRIBED AS FOLLOWS NARRATIVE: FD KUM.'NW CAP W BULL M�NTA�aROAD ONUYENT BO%0.• BEGINNING RIAR00 WTHTA INITIAL PLASTIC CAP SCRIBED A 518" THE PURPOSE OF THIS SURVEY IS TO ESTABDSI THE SCRIBED 01M WC' •- SW._ NO.147 1/2, (PROPOSED �� CENTERLINE CONCEPTS INC.',SAID POINT BONG BOUNDARY LINES FOR THE LAND DESCRBED IN FEE NO. IN MONIAIENT BOX ,N 456.20 ---iii S 14-39'56'W 1815.61 FEET FROM A 2 INCH BRASS 91-89967 FOR AN APPROVED PARTITION PLAT BY THE CRY OF x36.20'(3)) �� DISK IN A MONUMENT BOX Al THE NORTH 1/4 CORNER OF TIGARD PLANMNO DEPARTMENT IN CASE FILE NO.MLP-94- (N 6021' E ._� SECTION 10.T.25,RAW..WM..CITY OF TIGARD. OC12 MI N 64.20'43"E FD 1/2'P WASWNGT 1 COUNTY,OREGON,SAID POINT ALSO BONG ON ME M 3/C/44"ICED POSITION N 24'3830'W - WEST UNE OF THAT TRACT OF LAND DESCRIBED IN BOOK 1222, SW.BULL MOUNTAIN ROAD CR.NO.2515} N 8a4Y2r E .� 170.16..006.'6°___--.12)----- TB 1.79' -.25'(6 PAGE 72,WASHINGTON COUNTY DEED RECORDS;THENCE.ON -RENO AND HELD A 3/4 IRON PIPE IN THE CENICRLJNE Of 13258'i1 $0.25' 168.1 ED 5/8'IR SAID NEST LINE.$0093'59•W 135.66 FEET TO THE S.W.BULL MOUNTAIN ROAD. FOUND AND HELD ALUMINUM CAP / "'- S 0579'LY E SOUTHWEST CORNER THEREOF;THENCE,ON THE SOUTH UNE OF W MONUMENT BOX N THE CENTERLINE OF SW.BULL YOUNTAN 1 ( N 1508' 6O11AL POINT 0.39' SAID TRACT(BOOK 1222.PAGE 72).N 8975'52"E 94.05 ROAD. URNO THE DISTANCE SHOWN ALONG THE CENTERLINE. (t1 06•40•50'F( )'Y 4•-�`[1 50.26 FEET TO THE MOST EASTERLY NORTHEAST CORNER OF THAT FROM SAID ALUMINUM CAP.COMPUTED PITON OF 3/4'IRON a i. W 5/Y IR FD 5/8'IR T 1 � TRACT DESCRIBED IN FEE NO.93-69967;THENCE,ON THE PIPE AS SHOWN IN THE PLAT OF ASPEN RIDGE HEED THE In S 0095•24'W ut N 8420'43'E EAST LINE OF SAID TRACT(FEE NO.93-89967). SOUTH RIGHT OF WAY UNE OF SW.BULL MOUNTAIN ROAD AS N 161755'W 0.19' S 0095'48'W 296.16 FEET TO THE SOUTHEAST CORNER 4.27 ✓T.^. 20.00 FEET SOUTH OF AND PARALLEL GOTH CENTERLINE HELD FOR NEST LIRE {: N . MEAEOF THENCE ON THE SOUTH UNE O SAID TRACT(FEE POSITIONS MENTONEA FD 8/6'R CALLED IN 1 p NO.9}'139967),SI 69'46•00'W 144.07 FEET TO THE W IELLOW IO SOUTHWEST CORNER THEREOF;THENCE.ON THE NEST LINE OF FEE N0.84-63632 fd SOUTH UNE(FEE N0.9}8666]} PLASTIC CAP ,P SAD TRACT(FEE N0.8}89967).ALSO 111E EAST UNE OF --FQUND MAO HELD 5/8'IRON RODS SHOMM AS SET W SURVEY SCRISED _ 7P THAT TRACT DESfABED INE FEE NO.94-63632, NUMBER 4274 MID MELD RAID UNE AS BASS OF BEARINGS ' INC. • Av3 N 00'05'21'E H2O1 FEET TO THE SQUTH RIGHT OF WAY UNE PRIVATE ACCESS AND 9�5F.Ni. ; K -- - OF SW.BULL MOUNTAIN ROAD(PROPOSED COUNTY ROAD NO.2515); NEST UNE(FEE NO.9}86861)1 PUBLIC UTILITY ACCU .5N 478 THENCE.DN SAID sQUTH UNE N B/RO'43"E 50.23 FEE,,THENCE, --COMPUTED THE SOIITHNEST COINER Cf FEE NG 63-89967 BY 50 EASEMENT FOR ME PP t? LEASING SLID SOUTH LINE•S 0093'59'W 15.08 FEET TO THE PROCFODING ON ESTABLISHED SOUTH UNE.FROM HELD IRON BENEFIT OF PARCELS ,tiJ P INITIAL POINT ROC,EASTE RL DISTANCE CANED W FEE N0.9F63L732 OF 1.2 k 3 !�' 166.80 FEET. FOR THE NCRTMAEST CORNER HEIR FOUND IRON FEE NO.9463632 3Y" •4,.� �ss TRACT Of LAND CONTAINS 50.102 SQUARE FEET MORE OR ROD AS CALLED IN FEE 94-83632 AND BOOK 1222 HELD (N 89'49'OO'E 186.46'(4)) PAGE 72 FD 5/1-.11)-1 / MOST EASTERLY UNE(FEE NO.B}6998] N 89'35'52' E 187.79' 9CNED 012 I-3-95 ( k a ""9405'(94.2474)) ` --FOUND AND HEIR IRON RODS NEAR THE K 122 UNE OF SUBJECT SITE AND THE SOUTH UNE OF BOON 1222,PAGE 72 49 3 FEE N0.9 •2 ^.. ZS'�`-2d•06 119.11' HOp FOR EAST UNE PD 5/0'IR PR O SOUTH UNE OF BOCK 1222,PAGE 72 EI.) ^ 'in FD 5/8'IR LAND SURVEYOR --FOUND AND HELD MONUMENTS AT THE SOUTHWEST AND THE 1 Ri• AREA 10.509 PARCEL`509 S.F. I• S 0 55'49'W _.`- �Q EAST CORNER OF 60CR 1222,PACE 72(SEE SURVEY NO. 0 by �r .Iro �WNLL�.l70N3�CN\� 334 T� Im - NEST UNE OF BOO)1222,PAGE 72 Q k m g A) �0 0 -FOUND AND HELD MONUMENT AT ME SOUTHWEST CORNER OF � BOOK 1222.PAGE 72. FROM THE ESTABLISHED NORTHWEST - 4 y ♦W�.. WADE G. DONOVAN I CORNER Cf TEL SUBJECT SITE AND REND THE SOUTH RIGHT 3 11FbR,F. U• ^H _ 2276 OF WAY Of SW.BULL MOUNTAIN ROAD D®CALL(FEE Na Ce i EA 0 N 89'54'36"W 119.09' O EXPIRES ON DECEMBER 31,1995 9}8996])OF 50.25 FEET. 48 13 x p_P ,., N FEZ NO.62-74569 DECLARATION: REFERENCE SURVEYS ANO REFERENCE DEEDS FROM WASHINGTON p COUNTY SURVEY RECORDS AND DEED RECORDS VLLY. Q O ; KNOW ALL PEOPLE BY THESE PRESENTS THAT ROYAL OAKS z g LT-Z psi PARCEL 2 I DEVELOPMENT CO..BONG THE DINNER OF THE LAND PI F- AREA 9,594 S.F. II.O g I REPRESENTED ON THE AHNEIIED MAP,AND MORE PARTGULARLY AP vA(IN C� TGARD PLANNING FILE MLP 94-002 LLI H N. m DESCRIBED IN THE ACCOMPANYING SURVEYOR•S CERTIFICATE APPROVED�F16 Z�AY OF .fPAMW/)Y 199 ' S 8954'36"E m Q DOES HEREBY DECLARE THE ANNEXED MAP TO BE A CORRECT NAP Q �j__® , V b OF THE PAFTTION PLAT OF SAID PROPERTY AND HAS CAUSED F Itml•-"-� CL p 20.00' I n THIS PARTITION PLAT TO BE PREPARED AND THE PROPERTY CITY OF TOARD-CITY ENGINEER S 89'5436"E g . 'w>-., N 00.05'21.'E .2- PARTTONL INTO PARCELS AS SHOWN W ACCORDANCE WITH �� ; 20.00' \; &001 20.00 -1000 IAA TINE PROVISIONS OF CHAPTER 92 OF OREGON REVISED 79.08' STATUTES AND FURTHERMORE DOES HEREBY DEDICATE TO THE A I PUBLIC FOREVER THE STREETS AND UTILITY EASEMENTS A5 wASNWGTON COUNTY SURVEYOR 47 S BSI 4'36"E 104.08' 'T SHOWN OR NOTED ON SAD MAP. TE ACCESS EASEMENT SHOWN FD 5/8'IR W/YELLO SHALL NE A PRIVATE ACCESS EASEMENT FOR THE BENEFIT OF PLASTIC CAP SCRIBE N OODS'24' E � STATE OF OREGON )ss u -BURTON ENO" p PARCELS 1,2,AND 3. COUNTY CF WASHINGTON S 00'11'00"E 15.00' ?• P 028' 4,,,++ In O --THERE ARE NO WATER RIGHTS APPURTENANT TO THIS 1 DO HEREBY CERTIFY THAT.THIS PART PLAT WAS RECDVID PUBLIC SANITARY AND l 8I N PUBLIC SANITARY AND PROPERTY,AS OF 1 FOR RECORD ON THIS .DAY OF _,t99a�i, PRIVATE STORM DRAINAGE Rr so. PARCEL 3 I PRIVATE STORM DRAINAGE Pte, w77- AT ALLQAAO'CLOCI(�"Y.,AND RECORDED W COUNTY CLERK EASEMENT `• .$�. AREA 16.511 S.F. YV' /1 45 ED 5/8"IR W OW O EASEMENT ROYAL L OAKS DEVELOPMENT CO. RECORDS J p -/1 /YELL Y \ d 6 W LOW SAMUEL.A FATTER III,PRESIDENT BY �A�I �1'J't/..+ PLASTIC CAP SCRIBED Mi h..• HELD FOR EAST LINE PLASTIC CAP 'BURTON ENO' - ,D \ eN 96 ACKNOMILEDOEM NT: DEPUTY COUNTY CLERK N 0011'00'W ? 19. - FD 5/B�IR HELD SCRIBED HELD 0.O J.• \••••"" r S 00•05'49'W FD 5/8•IN BURTON ENG." STATE OF OREGON ALL TAXES.FEES.ASSESSMENTS OR OTHER CHAR AS PROVIDED_ FD 5/8'IR 1 T /�D'3O' SN.4274 S 1415'49'E COUNT Oi WASHINGTON BY ORS 62.095 HAVE BEEN PAID AS OF F �-P 189 , S.N.4274 168.80' �(18&80'(5)) •1 _ / .BO !��' DIRECTOR ON90N OF ASSESSMENT AND TAXATIN 97.7ti 68.98' • /f 4460 KNOW ALL PEOPLE BY THESE PRESENTS,CN THIS,. f.DAY OF WA9WGTONCOUNTY,OREGON 41•,........ }}}}. 144.07' I (144.23'(4)) �FD 6/8'A WPELLOW.-. '�1+I�y 1995,BEFORE ME A NOTARY PUBLIC IN AND cY`i[t!-I/_R_ S 89'49'00"W I(S 89'49'00" 487.6 (I))(467.30'(7)) 457.36' PLASTIC CAP SOBBED FOR SAID STATE AND COUNTY.PERSONALLY APPEARED SAMUEL 771/1 E'` FO 5/8'0 INSCRIBED ` l A GOITER 91,VMG BEING DULY SWORN.DID SAY THAT HE IS BY: '//U BASIS CF BEARINGS 'BURTON ENG.' FD 1/2'IP PLASTIC CAP SCRIBED FD 5/8"N BENT THE IDENTICAL PERSON NAMED IN THE FOREGOING INSTRUMENT. DEPUTY 45 S 0037{4'W TEE NO.93-74027 0.29' 9'W FEE N0.Bh81B62 0.62'T1'OOEDE 5/8'IR 2.05'ro2'22'E VOLUNTARILY NTARILY ON BEHALF OFDROYINSTRUMENT AKS DEVELOPMENT CO.. STATE OF OREGON SS 6.16 4 5 H E L M H E I G H T S 6 7 s as9e 0r w ,, 0.-pc.> �n COUNTY Of WASHINGTON) REFERENCE DESCRIP'WWS` 0.44' NOTARY PUBLIC FOR THE STATE OF OREGON I DO HEREBY CERTIFY THAT THIS TRACING IS A COPY CERTIFIED TO FEE N0.93-74027 LEGEND: NANTENANCE AND ONNERSHIP OF TRACT•A• p� ME.BY THE SURVEYOR OF THIS PARTITION PLAT,TO BE A TRUE FEE NO.94-51862 MY COAMISSON EXPIRES: C-.e; a$14AL AND EXACT fZY OF THE OWON LAND THAT IT WAS RECORDED (4 FEE NO.93-89967 0 SET 5/8%30' RON ROO W/RED PLASTIC --ALL BENEFITS,RIGHTS MID DUDES OF UND IDED AND 0H THE Sam DAY OF Al F'.• Y 199,.5.•AT Uii)O'CLOCK (5)FEE NO.94-63632 CAP SCRIBED"CENTERUNE CONCEPTS INC' COMMON OWNERSHIP INCLUDING BUT NOT LIMITED TO THE USE NOTES A,.,.AND RECORDED IN TH2LICLERK RECORDS. FEE NO.92-74568 ON OCTOBER 31,1994 AND MAINTENANCE OF THE COMMON AREA OETCNATED IN THIS __ INNS SHOYM HEREON IS SUBJECT TO CONDITIONS AND 7n. • BOOK 1222 PAGE 72 O FOUND MONUMENT AS NOTED PUT AND ENTTYD TRACT'A'SHALL INURE TO THE OWNER a: BY: REFERENCE SURVEY& ()RECORD DISTANCES k BEARINGS EACH MID EVERY PLATTED PARCEL N THIS PLAT AND SHALL --TRACT OF THE CITY OF TGARO PLANNING FILE TY E,T3-0012 DEPUTY COUNTY CLERK -SEE REFERENCES- FOREVER RUN AND REMAIN WTN THE OWNERSHIP OF SAID --TRACT'A'IS A PRIVATE ACCESS AND PUBLIC UTILITY EASEMENT (2)ASPEN RIDGE BOOK 84 PAGE 16 PLATTED PARCELS. IN THE EVENT OF FAILURE TO FULFILL EQUALLY OWNED AND MAINTAINED BY PARCELS 1,2 AND 3. (7)HELM HEGHTS BOOK 78 PAGE 47 IR a IRON ROD IP-IRON PIPE ANT OR ALL DUTIES AND RESPONSIBILITIES OF RESPONSIBLE --SUBJECT TO A ROAD MAINTENANCE AGREEMENT RECORDED (3)SN 23997 S.F.-SQUARE FEET OWNERSHIP BY THE SAID PARCEL OMENS.AND EACH OF THEM, IN DOCUMENT NO. 45IT1.291:iI WASHINGTON COUNTY DEED RECORDS. S'N.25044 SN.-SURVEY NUMBER OR BY THEIR DELEGATED AGENT FOR SUCH,THE BOARD OF (8)S.N.15089 COUNTY COMMISSIONERS OF WASHINGTON COUNTY,OR ITS (1)SIN 4274 SUCCESSORS OR DELEGATES IS HEREBY GRANTED ME RIGHT TO CURVE DATA AS BT BOOK 3 PAGE 414 ENFORCE SAID DUTIES CF RESPON9&L OWNERSHIP,INCLUDING ?�''� I HEREBY CERTIFY,MIS IS A TRUE AND EXACT COPY III BUT NOT LIMITED TO REASONABLE LIANTFNANCE COMPATIBLE /.;%0.4. YA^.IN. oN OF THE ORIGINAL PARTITION PLAT CURVE I RADIUS LENOM I CHORD I BEARING I DELTA GOTH THE OTHER AREAS AND PARCELS IN THE Y,AT AGAINST ' T A M^^i:,,2�•_.IIF.GKW I',_ /''� J ME OWNERS OF SAID LOTS,JOINTLY MAD SEVERALLY BY ALL n`Z naM;?, +%tiyG:I,B2 1-.00. -U` ar Centerline Concepts Inc. 20.00 31.42' 26.26' N 4154'38'W 90'00'00' 2 20.00' 31.42' 28.28' N 45'05'24'E 90'00'00' MEANS PROVIDED 9Y LAW. BJ.*J.v�, WADE G DONOVAN III P.LS NO.2276 DWG: \ROYBULL DRAWN BY VA CHECKED BY: WGDIII ACCOUNT 640 8230 DRIVE 6805751E 8561-01 97027 /222-12 50.7 650-0188 FAX 503 650-0189 t _ FOR ERG i i N )� o ° + , ` .� �, ! - 1 o LOW-GSRADE STC ■ _ _ L 0 05R:sc�IEDULE 4m I "Mini as 4 f11 :\ -- —�.*'- -- 1,e) ,--- , -' =_..7„,„L KJ. ° (E) \ \ f _ // ��\, I LEGEND I / I \ u '' 1 P4Ø2F.RE I / ; _ ___St —sD ______ .,.., I c 7.0.7wa.32' 011+/- ` / �� I =-., . -;; �, V 014/ } . � � 2g2 / 0 E _..!11: . / i 0 *- 4/:1 _ _ I •I I I I 1 I I I I I 1I I I! •` L/XI y I— '• I ! t „Ira I \I 3 3 I I I y / �7 ' � 0 f '' 30 5F/5T x 2 =1 6\ _ f, I 117f ¢,2 • : 3a,osb L /IN F.••,- - L EY4� I i I I II` I�I I ' �( �srt Za II BVPb r�Pi.r. 3L3 I I � x I1.% ,,�� ;It FIN F _ L L ii � u I� l I I I lS 1TC coveA4.g 1.. /L°c II4eIWTI 4D} i a 234 0' , I i I)I T -; , I 'I I 1 — r�r: ,i z wt.--. _ ! I f I s I o 0/ °O c I n} 35., 1/ 1 1 1 CP i I' I 1 8 1 i .- g I I31 I E0,,, Cc-vq I / am\j _ - ! , KEYNOTES I I I KID 0 NOT USEC." - =-- r, - " � - - - /,. /I , --- 'z-'4,z-'4,041. ''u` Oji__:ia 'M ,0-- - — L��1 ?!N. BUILDING 5ETB -- -. ..__;•-0._' __ - - - DEYELOP"ENTC OE EXISTIN G SANITARY MANHOLE - - — 24 - - "♦- --_ -- - - - - - - - _ - - —RIM 249.96' © CEJ CURB CUT TO RE 249.00'h O CITY OF TIGARD (� �, J 7 Q © Approve. by Planning © (E) RESIDENCE TO c 1 ��0 `� ` / L'TAX MAP 2S IOBD T - I TAX LOT 8300 Date: !E� ELECTRICAL.E lr�tJ TAX MAP 25 1 LOBO Initials: 6 RICAL. PO- L ELECTRICAL SERVIC: ELECTRICAL SERVIC. AS INDICATED. H_1/431-(6---D ki0----34.ua„tyitiotareao _ _IC--.. 'rl�s l�- �'t NMI rs - S�3 32- -so3 o N --L.. �I I �� (E) ROAD. Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14680 SW 117TH PL, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00095 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14680 SW 117TH PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00095 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14680 SW 117TH PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00095 David Young Interior hand rails at stairs to return to wall, ﬂoor, post, or approved safety terminal. 311.7.7.2 Call in PLM ﬁnal for lawn irrigation back ﬂow devise. All required city documents received. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14680 SW 117TH PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00095 David Young Corrections complete. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Duct seal test report received. Insulation certiﬁcation checked. Final erosion control passed. C of O left with contractor. Violation Summary: Inspector Contractor 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 111 ■ Transmittal Letter i ,c,,\it , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE * 51 lL E V DEPT: BUILDING DIVISION (PfT 6 2014 FROM: ` O (10(- C CITY OFTIGARD BUILDI► DIVISION COMPANY: _ PHONE: BidoKsa RE: KC' ( re _ / Cr4—0G ij (Site Address) / (Permit Number) (Project name or subdivision name and of .umb- , ATTACHED ARE THE FOLLOWING IT 0. Copies: Description: I Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. ment and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OF I E USE ONLY Routed to Permit Technicin• Date: I C f(c (44- Initials:WM Fees Due: ❑ Yes 'No Fee Description: Amount sue: $ $ $ $ Special Instructions: Reprint Permit(per PE): Yes No one Ap 1p icant Notified: _I III I=1 Date: t/ /i L/ Initials: / .1. 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 1111 Transmittal Letter i <<,,'4:. i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • ww .t.:.rd-or.gov TO: �, 6 DAT ': ,evED DEPT: BUILDING DIVISION � SEP 2 3 2014 7L13 FROM: -i-kt.716 CITY OF r«D COMPANY: Eft S T F ► 1 r-J 9ULDINSTIVIIO— tRZ,<v PHONE: 5-6 3 3 Z I) 3-03 O By: (Ste ddress) ' / ( ermit umber)6 N---oco 9 S--- 0 .t,— �`�:.�/ p - L t: (Projec name or subdivision name .1 4 of numb ,9/ ATTACHED ARE THE FO OWING ITE : S Copies: Description: Copies: Description: Additional set ) of plans. 3 Revisions: Cross sectio, s)and • =tails. Wall bracing and/or lateral analysis. Floor/roof %aming. Basement and retaining walls. Beam cal• lations. Engineer's calculations. Other(e ,•lain): REMARKS: L Dvi") : fl fr■J FOR O('Z'?(FICE USE ONLY Routed to Permit Technicia j Date: °l 14 Initials:t fc&L) Fees Due: ❑ Yes Ii 'o Fee Description: Amount ue: $ $ $ $ Special Instructions: _ Reprint Permit (per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: f W/y Initials: Q,-77- 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012