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Permit CITY OF TIGARD MASTER PERMIT • III C ., COMMUNITY DEVELOPMENT i Permit #: MST2013 00076 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/09/2013 TIGARD 9 �m��'' Parcel: 2S109DA15800 Jurisdiction: Tigard Site address: 15410 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 77 Project: Arlington Heights, Lot 77 Project Description: New SF: 6/27/13, reprinted to add a /c. Placement of a/c unit must comply with manufacturers clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1260 of Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1415 sf Garage: 430 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2675 of Value: $301,511.96 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr. 0 Footing Drain: 0 Ice Maker. 1 Hose Bib: 2 Backwater Value: 1 Drywell -Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL • Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =100K: 0 . 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: 5 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 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 2675 Owner: Contractor: STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) • 4230 GALEWOOD ST., SUITE 100 16869 SW 65TH AVE # 505 1 geo tech report required prior LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 to footing inspection 2 Ersn Cntrl 503 - 639 -4175 PHONE: 503 - 387 -7577 PHONE: 503- 387 -7577 FAX: 503- 387 -7615 Total Fees: $20,261.94 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 ' e 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. TTENTION: Or on law • ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 01 -0010 through OAR 52 -' • 1- 0090. may obtain a copy •f the rules or direct questions to OUNC • •: .' .1987 or 1.800.332.2344. Iss ed By: / 6 MO t i Permittee Sign. Call 503.639.4175 by 7:00 a.m. for the next available • • • ••• 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. • • • 71 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2013 -00076 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/09/2013 Parcel: 2S109DA15800 Jurisdiction: Tigard Site address: 15410 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 77 Project: Arlington Heights, Lot 77 Project Description: New SF BUILDING Floor Areas Required Setbacks Reauired Stories: 2 Bedrooms: 4 First: 1260 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1415 sf Garage: 430 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2675 sf Value: $301,511.96 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell -Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn> =100K: 0 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 addl 500 sf: 5 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp -1000v 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & 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 2675 Owner: Contractor: STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 4230 GALEWOOD ST., SUITE 100 16869 SW 65TH AVE # 505 1 geo tech report required prior LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 to footing inspection 2 Ersn Cntrl 503 - 639 -4175 PHONE: 503- 387 -7577 PHONE: 503 - 387 -7577 FAX: 503 -387 -7615 Total Fees: $20,209.58 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. A • ON: • - •on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0• -0010 through OA' • -1 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue By: • /_ , iii = / • Permittee Signature: v( Call 503.639.4175 by 7:00 a.m. for the next available Inspe on date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Building Permit Application Residential RECEIVE r FOR OFFICE USE ONLY City of Tigard M 2 6 2 013 i Received 11 No Date : e-(0 1 Sr Permit � . y S i 13 - 0001 - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 D ' Date/B : 11 - ts _ IM Other Permit: 40, 3 -00c, 7„).— Inspection Line: 503.639.4175 CITY OF TIG a .te Ready :7" Ju El See Page 2 for TIGARD Internet: www.tigard- or.gov BUILDINGDIViS �� , .tip. etl)od: 7 7 i„, Supplemental Information Wig!. r TYPE OF WORI + MO DMAITA• I - AN1) 2 FAMILY DWFI I,ING ® 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 indicated on this application. ® I - and 2- family dwelling El Commercial/industrial Valuation - 1 . (i �'r $ ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ' ❑ Master builder ❑ Other: Number of bathrooms: `3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: (S4I D SW SUMMe4ZWIEW DR • New dwelling area: 2(,75 square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: 430 square feet Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: (q ( square feet (4. Cross street/directions to job site: Deck area: 2- square feet (240 Other structure area 3 I )' square feet 24 REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Arlington Heights I Lot no.: 11 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New, Single Family Residential Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge Homes Type of construction: Address: 4230 Galewood St, Suite 100 Occupancy groups: City/State /ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)387 -7577 Fax: (503)387 -7616 New: 0 APPLICANT ❑ CONTACT PERSON NOTICE Business name: SEE ABOVE All contractors and subcontractors are required to be Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: dbritt@stonebridgehomesnw.com CONTRACTOR name: SEE ABOVE BUILDING PERMIT FEES* Address: (Pleasereferla fee schedule) City /State /ZIP: Structural plan review fee (or deposit): Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: 173318 Total fees due upon application: Amount received: Authorized signature This permit application expires if a permit is not obtained , PEIRDRe R il l TT Dat 0 „ . 7 . (Q ,) within 180 days after it has been accepted as complete. Print name: v * Fee methodollogy y set by Tri- County y Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) t Piumbin2 Permit Application REE - Building Fixtures FOR OFFICE USE ONLY City of Tigard MAR 6 2013 Recei "°d g Date; 3 /fi o (/ 3 Permit No..( � „ f 0007 47 r 13125 SW Hall Blvd., Tigard, OR 97223 Pia, R ev i ew w 3 - 0007 J. - . Phone: 503.639.4171 Fax: 503.598.1960 C OF TI GAR.D P l a n Rev Other Permit No.: S�tJ TI G A RD Inspection Line: 503.639.4175 BUILDING DIVISION.. Ready/By: J I i21 See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 0 New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration /replacement ❑ Other: New l- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath t 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I SIN sum MERMEN DR . Catch basin or area drain 18.76 City/State /ZIP: Tigard, OR 97223 Drywell, 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.: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: Arlington Heights I Lot no.: 1 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 65 Avenue #505 Garbage disposal 25.02 City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02 Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: SEE ABOVE Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Deirdre Britt Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State /ZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax: : ( ) Tub/shower/shower pan 12.51 E -mail: dbritt (austonebridgehomesnw.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Jardine Plumbing Waterpiping/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 Lic.: 108747 Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature:_ TOTAL PERMIT FEE Print name: Ja Jardine Date: This permit application expires if a permit is not obtained within 180 days y after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. l:\ BuildngtPenniu \PLMU- PennitApp.doc 10/01/09 440- 16161(IO/02/CUM /WEt3) Mechanical Permit Application RECEIV FOR OFFICE USE ONLY City of Tigard eceived 3/ Permit No.: • III 131 Hall Blvd., Tigard, OR 97223 DaDate/By: y: h 3 ��T °avt3 ' �6 = Phone: 503.639.4171 Fax: 503.598.1960 l 6 20�� Date /Bview Other Permit: `7a— Inspection Line: 503.639.4175 � DateBy. o �(J(3 1 I G A I: D CITY OF TIG p� Date Ready/By: len s: I See Page 2 for Internet: www.tigard- or.gov rli�ifNotfi nrj Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ® 1- and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 15410 SW SUMtv1E W1 EM/ Da • Air conditioning (requires site plan showing placement) 46.75 City/State/ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) ( 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Arlington Heights Lot no.: 17 Other: 23.32 _ Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater ( 23.32 Single Family Residential Gas fireplace ( 33.39 New, Sin g y Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Range hood/other kitchen Address: 16869 SW 65 Avenue #505 equipment ( 33.39 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) 5 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: same as above Other: 23.32 Fuel piping Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) Water heater Fax:: ( ) Fireplace E -mail: dbritt@stonebridgehomesnw.com Range CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer (gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES* City/State /ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee ($90.00) Phone: (503) 667 -5595 Fax: (503) 491 -8252 Plan review (25% of permit fee) CCB lic.: 110091 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: —"' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab l Date: • Fee methodology set by Tri- County Building Industry Service Board 1:1Building \Pem tits +MEC- PennitApp.doc 10/01/09 440-4617T(I1/021COM/WEB) Electrical Permit Application RECEIVED FOR OFFICE USE ONLY City Tigard Received : �ac f 3 u %-...)49, 3 -006 7>'0 Ci of Ti and Date/By: Permi No.: • 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 6 2013 Plan Review = Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: at) 1 3 -00 D7.3— TIC, ,A R D Inspection Line: 503.639 CITY OF TIGARD Date ReadyBy: tuns: ®See Page 2 for Internet: www.tigard-or.gov Notifi e d/Met hod: w' Supplemental Information BUILDING DIVISION TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /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 150 volts or ❑ Floating buildings. l - and 2 dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® y g ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. C b ❑ Addition of new motor load of ❑ "A" "E" "l -2" "l -3" Job no.: 144 Job site address: 154 10 SW SUMMERV'O •, D I xHPormore. occupancy. • ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: J Description I Qh. I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: -1/ 1,000 sq. ft. or less I 168.54 4 Ea. add'I 500 sq. ft. or portion ? 33.92 1 Tax map /parcel no.: Limited energy, residential ( DESCRIPTION OF WORK (with above sq. ft.) ( - 4:(: " 2 Limited energy, multi - family 67.84 2 residential (with above sq. It) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: SEE ABOVE B. Fee for branch circuits Contact name: without service or feeder fee, S6 18 2 Deirdre Britt first branch circuit Address: Each add'l branch circuit 7.42 _ 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 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 (1 hr min) 66.25 CCB Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.: 35925 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Chuck Friesen Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: e>.....' TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1: 1Building \Permits'ELC- PermitApp.doc 10/01/09 440- 4615T(II/05/COM/WEB Building Division Development Code Provision Review . T c n n Residential Projects Building Permit No.: itA -ood (p Project /Subdivision Name: AP-Li [I(o n; t-lOGI - 5 Lot #: 7 7 Site Address: 15 I0 02-- CWS Service Provider Letter: Required: Yes ❑ No Received: Yes ❑ No L Plans Routed: Original Plan Submittal Date: 3/d-to II 3 sr Routed By: 1St Revision Submittal Date: .3( (/3 s r ❑ Site Plan Only Routed By: 2 Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) 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 Ik1c (lava ( at (503) 7182- ' Ti or a9Y1.aS ( @tigard- or.gov) 1, Land Use Case No. SI i ID) 74 0 ( P — O D ( . . Zoning 12 -1 I etbacks: r / Front IS Rear I S Side 5 Street Side / Y Garage Maximum Building Height: 3 S Actual Building Height 214 EY Visual Clearance easements I Y 1 I,� /' 'Sensitive Lands Type: bbV J \L J r al0l 0 Trees ❑ Protected Trees /.p� Notes: � PU-L / L� " 1► !a Original Plan: Approved Not Approved ❑ Date: I I � Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) J2" Actual Slope: 2 Notes: /441240 1 Ai ST7:..._ 4 ere 5 AI 3 `Tv C t ra.�+ amt Pc -1,. Original Plan: Approved ❑ Not Approved Er Date: 1 27/i 3 Revision 1: Approved Er" 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 Ap cant 2 1 Okay to Issue Permit: Yes Fh - ? Date Routed to Building: Page I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 STONE BRIDGE ; A , OBE: 1448 LOT: 77 Kai • HOMES N W 3..21- i .3 . DATE: 3/27/13 4230 GALEWOOD ST. SUITE loo PROPERTY: ARLINGTON LAKE OSWEGO, OR 97035 HEIGHTS (5 387-7577 CITY: TIGARD SCALE: 1 =20 EL •34131 PLAN No 133A 424 ••••.• STANDA�IRVATION 731 3490' r CC �1,,,, - T_ 0� N � , 2 .5/ , MAR 2 8 '�" i _�` ` TW 3430' ?- DW 3400 CITY ( s �Q I r1 W 336 . 0 1 Mk ` ■ 3 9 5I LT - �_� \ 5111 3310' 5' SWE ,� ` F ■331 - a TW 3440' �� / 41 BW 3400' , / 49, 0 5 llii: 4,0 . 4 FT. ,' ti� �1 • / 2 1/2 BATN J 4� FEE. • ■ 3395' ,/ h / TW 3403' j f ' f� � :� - f - -' go // I I / TW 3310' DW 3400' _ v� CW 321.0 333 1 . ?' -..;::.'1'....-:' ./ TW 3291x' eL. :. ; i l / ' .. -. W-C9 ' , / 0 / (I) 141 417 1.. : ...7. 4 . .. 1 ':;' :17::-:":•-'.:': , ,,, `-„ iie 5' ILIME �ro ',�'.. .� fr 8W 3283' j Iri,...., 4/t / Ali ' � .., ` 841/47Ate .3sa fy toil, 1 0 LOT COVERAGE `/ STREET TREES LOT AREA 5,031 SQ. FT. iii BUILDING AREA: 1,838 SQ. FT. — RAYWOOD As►I PERCENTAGE: 36.5% - FRAXINUS °XYCARPA NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. LOT or THEY MAY VARY AND BE SUBJECT TO CHANGE. rj f d31 6 ft. DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, G. STREETLIGHTS, AND OTHER SITE CONDITIONS. Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 07/01/2013 00:00 MST2013-00076 PASS - C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 205 Footing 04/16/2013 09:00 MST2013-00076 PASS Site Development Erosion Control City of Tigard posted Geo Tech Report 20% or greater slope, not required Ufer tag installed, yes Setbacks, front to footing on bldg and driveway (20’) Min, yes Setback, on side of bldg (5’) as per plans, yes GeoTech soils report provided Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 340 Storm drain 04/18/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 210 Foundation walls 04/16/2013 09:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 205 Footing 04/15/2013 14:00 MST2013-00076 FAIL Site Development Erosion Control City of Tigard posted Geo Tech Report 20% or greater slope, received Ufer tag installed, yes Setbacks, front to footing on bldg and driveway (20’) Min, yes Setback, on side of bldg (5’) as per plans, yes Setbacks, rear of bldg, yes 1. Complete steel and forms Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 240 Exterior sheathing 05/06/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 205 Footing 04/16/2013 09:00 MST2013-00076 PASS Site Development Erosion Control City of Tigard posted Geo Tech Report 20% or greater slope, not required Ufer tag installed, yes Setbacks, front to footing on bldg and driveway (20’) Min, yes Setback, on side of bldg (5’) as per plans, yes GeoTech soils report provided Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 225 Post/beam structural 04/24/2013 00:00 MST2013-00076 FAIL 1. Provide gussets on both sides of post and beam connections, 8' and over. 2. Provide correct post bracing on posts 8' and taller, as discussed with andy. Recall when ready. All else ok. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 280 Insulation 05/17/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 605 Post/beam mechanical 04/23/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 05/17/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 05/14/2013 00:00 MST2013-00076 FAIL 1. Provide support upper stringers, topside 2. Provide fire sprinkler rough approval. All else ok Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 115 Electrical service 05/13/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 05/14/2013 00:00 MST2013-00076 FAIL 1. Provide support upper stringers, topside 2. Provide fire sprinkler rough approval. All else ok Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 240 Exterior sheathing 05/06/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 610 Gas Line 05/13/2013 00:00 MST2013-00076 PASS NOTE. 10psi 15min 749380 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 315 Post/beam plumbing 04/23/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 242 Interior shear walls 05/13/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 210 Foundation walls 04/15/2013 14:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 615 Mechanical rough-in 05/14/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15410 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 335 Rain drain 04/18/2013 00:00 MST2013-00076 PASS Violation Summary: Inspector Contractor v v'r STREET REE " :� ,: `,.gym:,,• 11 E 'I ikkt CERTIFICATION I, Eln-,_,-, ,r7 owner/agent for q A` ) (PLEASE PRINT (PERMIT HOLDER) do hereby certiji 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.: MS f 2o/3 - D°Dii,g SITE ADDRESS: /S-VA) 5�--,/ ,Svc r»nICrLvi�(--✓ 0 J2, SUBDIVISION: 1 L ' 1., a , ;c /14. `/ LOT#: 7 7 • SIGNATURE: DATE: 4, ---27-0 fr (O in NER/AGENT) RECEIVED 6- VERIFIED BY J DATE: � Z ' ( 3 (C ' TIGARD) Tree location verified per approved site plan. I:\Building\Forms\Street CreeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 4j-E , am the general contractor or the owner-builder at the following address: Site Address: (SLI Sw Sw on net cv- OF4- city: / •1O �yJ S� Permit#: /'/ OZ 13 — 00O• 7 4 • • Subdivision/Lot #: 4t/' Lo)-- '7 and/or • Map and Tax Lot#: • To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR'91 8-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. • R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: 6-Z7/3 General Contractor or Owner-Builder • • • I:\Building\Form\RES-MoisturcSensitiveWood.doc 09/25/08 • Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: (\flSfi Zo 13,0007 Jurisdiction: Site Address: I 71 t ) s,c.v m ✓/QA) • Subdivision/Lot : //f 7 -2 and/or Map and Tax Lot n: By my signature below. I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2)1 Signature: Date: 6 .27-/3 Owner/General Contractor/Authorized Agent Print Name: g//9-/CF ORSC Section NI 107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. lABuilditia Forms\RES-I-IishEfficiencyi,ightino.doc 07/01/OS . .._, ..., .... •.• r-. r••,.,. _ _,: •" .::,' - . , ,,X , Energy TrustNew Homes CH.1'.GE FUF FFE This mark certifies that this home was built in strict accordance with -. ."_�.-mow' Earth Advantage®green building Certified Residential Air Duct System, ' - Y� g g g guidelines and has passed performance tests and two onsite building inspections. 151(o 5 W Sc.i.K•ptd� ,t w pia, q"1229 Company!n';ormation�.�= -.�; + 9C Of:'^.parry Name C a m F°R�r. �O N� /' J IW Z _ Technician Ofivt p J j g Date cm-$'13 kC - Combustion Appliance Zone(CAZ)Test.;tt J) -1, .. t\F` Main Zone Zone 2,if applies -O r _ . . CAZ WRT Outside Pa Pa Baseline(WRT Outside,fans off) . Pa _ Pa PAM*:M( W(Ps i..lL4 Date:O6)/2'7/ 13 :', NET CAZ Pressure(subtract •' baseline from CAZ WRT outside) Pa Pa This home contains the following features:`., `, - — — _ __ Energy Efficiency I Water Conservation I Healthier Indoor Environment , Duct.Leakage(fill out one sticker per duct system), , 1 Land Stewardship I Envlronmeritally Preferable Materials . Description of Area System Serves S'c]"v R )/ Cond.Floor Area System Serves(ft') 7.5" _ (earthadvantage' 0 yes®no Air Handler in conditioned space? home certification ®yes 0 no Air Handler present during test? . This home has been certified as an Earth Advantage®New Home.All Earth tf"yes"for either,then maximum CFM is 75 CFM @50 Pa or Advantage homes are built with the same attributes as other high quality floor area x 0.06 = /6 d CFM @50 Pa,whichever is greater. homes but they also include a comprehensive package of energy efficiency 4 If"no"for both,then maximum CFM is 50 CFM @50 Pa or and environmental features you will not find anywhere else. -.;! floor area x 0.04 = _CFM @50 Pa,whichever is greater. Since this house was performance tested for quality,you can be assured it ''1 Test Method: 0 Leakage to Outside or VI Total Leakage has passed the rigorous design and construction criteria of the Earth Advantage program-a recognized regional leader In green building science 1 Test Result O. CFM @50Pa and implementation. .:.1 Fan Pressure,(, e Pa Gauge type: 0 DG-3 or Xi DG-700 Your Earth Advantage certified home was built with sustainable materials, - )Ring(circle one) Open 1 2 techniques and systems that reduce pollutant sources and Improve your •• Indoor air quality,ensuring a healthier home.It was designed to be energy 1 Duct Blaster Location f ro e Ry R e7(,�II N efficient, cutting your energy consumption and utility costs. The Earth . Pressure Tap LocaftdrdWrOWTR Y S y P D)y _ Advantage New Homes program also guarantees supeiaor environmental ; F / __ responsibility and resource efficiency in home construction through the use of recycled and/or renewable materials that decrease waste and increase the durability of your home. ' -i #eaITh odvontogeinstitute www.earthadvantage.org .',,..mMc„S„d,,, 5 2„.....0 `3 — cC.Y0 .7 Ip