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Permit a CITY OF TIGARD MASTER PERMIT "1 COMMUNITY DEVELOPMENT Permit#: MST2014-00070 t.TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2014 ® Parcel: 2S109DA17200 rV Jurisdiction: Tigard Site address: 12671 SW WILLOW POINT LN Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 101 Project: Arlington Heights, Lot 101 Project Description: New SF. 11/24/14: Reprinted permit to include NC unit. Placement of A/C unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 740 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 740 sf Garage: 460 sf Front: 15 Smoke Dwelling Units: 1 Third: 1050 sf Right: 5 Detectors: Yes Total: 2530 sf Value: $305,583.70 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 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 add'I 500 sf: 4 201-400 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 2530 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST#100 4230 GALEWOOD STREET#100 1 Geo tech report LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Ersn Cntrl 503-639-4175 PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $21,237.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co. , . - - or direct questions to OUNC b •- g 503.23 . •:77 or 11,8000.332.2344 Issued By: _ -• 'tee Signature: — _ Call .4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the c. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application, FOR OFFICE USE ONLY Received•City of Tigard Date/By: Permit No �1i.s]- Zvi y-ueX� irli• 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 REGEW ' Other Permit: Inspection Line: 503.639.4175 T I G A R I) p .re Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ,\i '2 4 •Zt,, TYPE OF WORK - - U COMMERCIAL FEE* SCHEDULE - USE CHECKLIST (!� n Mechanical permit fees*are based on the value of the work ❑New construction ❑Addition/alteration/repIhtE11 �naie1i"r' performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: CM 1�I" mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description 1 Qty. 1 Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 lb:7 5- Job site address: 1 Z LI-7 l to w , I rj `�O�,v -I- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 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 _ 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 n �1� — Flue vent for water heater or gas �C� i' "L - fireplace - 23.32 ((t Log lighter(gas) _ 23.32 Wood/pellet stove _ 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, . toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 1 23.32 Fuel piping: Business name: !.�frt.2 g r;(15e (�_. _.S (�k) $14.15 for first four;$4.03 for each additional_ Contact name: 9 CZ J� ^� Furnace,etc. _ Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(563)Zo? _t-7 6 -7 Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) _ Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal 14 0, 7S- City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) S.t,l CCB lic.: TOTAL PERMIT FEE_ 5,4., This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized si...iiiiiiiimi * Fee methodology set by Tri-County Building Industry Service Board Print nam'� _�4`Q " Date: .-1 I:ltuildingTennits m C_PnitApp_040113.doc _� 440-4617T(11/02/COM/WEB) 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. I:\Building\Permits\MEC_PermitApp_040I 13.doc 2 CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2014-00070 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2014 Parcel: 2S109DA17200 Jurisdiction: Tigard Site address: 12671 SW WILLOW POINT LN Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 101 Project: Arlington Heights, Lot 101 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 740 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 740 sf Garage: 460 sf Front: 15 Smoke Dwelling Units: 1 Third: 1050 sf Right: 5 Detectors: Yes Total: 2530 sf Value: 5305,583.70 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 Types 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 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: 4 201-400 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 2530 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST#100 4230 GALE WOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Geo tech report PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $21,185.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 41 2 Issued By: Ar�' — .vo.– Permittee Signature: Call 503 •C? by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. T Building Permit Application Residential RECEIVE]) IOR OI l'l( I I SI O\I.1 City of Tigard Dateiv d Permit ? • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re w i',IZ they Per_C, � s. Phone: 503.639.4171 Fax: 503.598.1960 MAY 8 204 Date/B : �� ye2G —eleP0 � Inspection Line: 503.639.4175 sate• .iy :y: ® See Page 2 for TIGARD Internet: www.tigard-or.gov f,rT r it TI{.^��n /Notified/Method: 4, / �sD Supplemental Information TYPE OF WORK _f REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and e profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling ❑Commercial/industrial Valuation. , , 2 d$ g ai ❑Accessory building ❑Multi-family Number of•.� .ms: ❑Master builder El Other: Number of bathrooms: Z,5 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 12,1/11 SV11 tijl UAW VO 114.7 (A§1. New dwelling area: 247)0 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 0O square feet (O5() Suite/bldg./apt.no.: name:Arlington Heights Covered porch area: qZ square feet —AO Cross street/directions to job site: Deck area: 1J�,�Cj, square feet�Q Other structure area: square feet Zel REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Arlington Heights Lot no.: 101 Permit Ices*are based on the salve ol the work Performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all ! equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New,Single Family Residential Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: I Name:Stone Bridge Homes Type of construction: Address:4230 Galewood St,Suite 100 Occupancy groups: I City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387-7577 Fax:(503)387-7616 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name:SEE ABOVE All contractors and subcontractors are required to be Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons apply: Phone:( ) Fax::( ) E-mail:dbritt@stonebridgehomesnw.com CONTRACTOR Business name:SEE ABOVE BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City/State/ZIP: Structural plan review fee(or deposit): Phone:( ) Fax:( ) FLS plan review fee(if applicable): CCB lie.: 173318 Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained h�p�� within 180 days after it has been accepted as complete. Print name: �f"1G 1�W Date: 5/40/14 * Fee methodology set by Tri-County Building Industry l Service Board. I:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 440-4613T(I 1/02/COM/WEB) . . - ` . RECEIVEP Plumbing Permit Application Building Fixtures MAY 8 2014 FOR OFFICE USE ONLY Received ,r� City of Tigard Permit No.r-f��t_DOO 7l� lig 13125 SW Hall Blvd.,Tigard,OR 97223 'ITY OF TIGARD Pan Re Review Phone: 503.639.4171 Fax: 503.598.19 Other Permit No.: p` B ILDING DIVISI( ;1e'By Inspection Line: 503.639.4175 to Ready/B tarts: 0 See Page 2 for TIGARD Internet: www.tigard-or.gov>ov } ) b Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction El Demolition For special information use checklist. Description I Qty. I Ea. I Total El Addition/alteration/replacement ❑Other: New t-2-family dwellings(includes 100 II.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ( 500.32 ❑ Accessory building El 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 2U1 I sj w)UAW Po IN7 Lig 4 Catch basin or area drain I 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 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 II.:_1 Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Arlington Heights Lot no.: ( 01 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New,Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Stone Bridge Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16869 SW 65th Avenue#505 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)387-7577 Fax:(503)387-7615 Ice maker 12.51 ❑ APPLICANT El CONTACT PERSON Interceptor/grease trap 25.02 Business name:SEE ABOVE Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Deirdre Britt Root'drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: dbritt@stonebridgehomesnw.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Jardine Plumbing Water piping/DWV 56.29 Address: p0 Box 186 Other: _ 25.02 City/State/ZIP: Estacada,OR 97023 Subtotal Phone:(503)351-8532 Fax:(503)6302882 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 108747 Plumbing Lie.no.: 93-1185347 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days Jay Jardine after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IAnuilding'\Permits\PLMU-PermitApp.doc B0/01/09 440-46I6T(IO/O2/COM/WEn) RECEIVED Mechanical Permit Application 1()ll OI I It I I 'I t),I , City of Tigard MAY 8 2014 Received Permit No/1f57' �iy—��o 7i g Date By: 13125 SW!tall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: CITY OF TIGAR I Date/By: T 1 C,A R I7 Inspection Line: 503.639.4175 �1irte Ready/13y: )uric: 66 See Page 2 for Internet: wwss.tigard-or.gov BUILD/NC fI"/ISI Notitied/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials.equipment.labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special inlimnution tic checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. _ Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 12011 UV t1/I14 7*,4,/ P O (Al • Air conditioning (requires site plan showing placement) 46.75 City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ducts/vents) i 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 10 Flue/vent for any of above 23.32 Subdivision:Arlington Heights Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater i 23.32 Gas fireplace 33.39 New,Single Family Residential Flue vent tier water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Ei Chimney/liner/flue/vent 23.32 PROPERTY OWNER I ❑ TENANT Other: 23.32 Name:Stone Bridge Homes NW,LLC Environmental exhaust and ventilation Address:16869 SW 65th Avenue#505 Range hood/other kitchen equipment 33.39 City/State/ZIP:Lake Oswego,OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, Phone:(503)387-7577 Fax:(503)387-7616 toilet compartments,utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: _ 23.32 Business name:same as above Fuel i to Pp g 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 I Phone:( ) Fax::( ) Water heater Fireplace l E-mail: dbritt(a)stonebridgehomesnw.com Range C CONTRACTOR Barbecue Clothes dryer(gas) Business name:Comfort Zone 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 tee) CCB lie.:110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE _ This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name:David Heldstab I Date: ' Fee methodology set by Tri-County Building Industry Service Board 1:'.Building''ernits'\.MlC-PerrnitApp.doc 10/01/09 440.4617r(I1/02COM/W ELI) . ,• Electrical Permit Applicatio lECE ' 1oR()EH( 1. t `F O\l.l City of Tigard Received 1111111 s r 13125 S W Hal 31vd.,Tigard,OR 9722 r Y $ �n� Phone: 503.639.4171 Fax: 503.598.1960 Date/8• Plan Rev iew Date/By: pemtit No& 2 i 441,1 Other Permit: TIGAIt D Inspection Line: 503.639.4175 1 N 4,, Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 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. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ['Addition of new motor load of ❑`A","E", I-2",`I-3", Job no.: 1472 Job site address: I"Z(j1 I SW ylitiIA,OW Pot NT IA 1xH more. occupancy. ❑Six residential or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 0 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: Ikseriptioo I Qty. I Fee. I Total 1 • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: 1 rfI 1,000 sq.ft.or less ' 168.54 4 Ea.add'I 500 sq.R.or portion AN- 33.92 I , Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK ( sq. ) I 7`�� 2 with strove ft. Limited energy,multi-family 67.84 2 residential(with above sq.H.) 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 1 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 j ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name:SEE ABOVE B.Fee for branch circuits Contact name: without service or feeder fee, 56.18 2 Deirdre Britt first branch circuit Address: Fach add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and./or feeder Phone:( ) Fax: :( ) Reconnect only 67.84 2 E-mail: dbrittca stonebridgehomesnw.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 B Signal circuit(s)or limited- Business name:City Electric 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(t hr min) 66.25 CCB Lie.: 42422 Electrical Lie.: 26-289C Suprv.Lie.: 35925 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Chuck Friesen Date: Plan review(25%ofpermit fee): State surcharge(12%o of permit fee): Authorized signature: V 0-2_,) 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. InItuilding\Permits\ELC-PermitApp.duc 10/01/09 440.46151(11/05/COM/WEB Building Permit Number: tiST,7-v/y - 1)00 70 1111 " Building Permit Review RECEIVED Residential Projects TIGARD MAY 8 2014 CITY OF TIGARD Site Address: 1267 ( SW W i( low Po i rit 1-n. BUILDING DIVISION ❑Verify site address is valid. Project Name & Lot #: Arai }On 4�el *c dot 101 Clean Water Services—Service P °eider Letter: (lot platted prior to 9/10/1995) Required: Yes ❑ No L10 Received: Yes ❑ No ❑ Sit Plan Elements: N; e plan must be on 8-1/2"x 11"or 11"x 17"paper f� ree(3)copies of site plan raven to scale(standard architect or engineer scale) orth arrow Map and tax lot number,site address,project or subdivision E Footprint of new structure(including decks)with finished ,ame,lot number,and zoning /floor elevations ar>pplicant information(name and phone number) ffiLot and building setback dimensions P• roperty corner elevations(2 foot contour lines if more than NA Lot area,building coverage area,percentage of coverage and foot differential) impervious area. MA Utility locations ' f wells/septic systems. xisting structures on site rface drainage • eet names t Street tree size,type and location [ Erosion control(including drainage-way protection,silt fence twined with drip line,and tree design,location of catch basin,etc.) protection measures Pl nning Review ��//▪ Land Use Case Number: SU B2.006—Q(x o I E ,Zoning: R---7 LvJ Setbacks: l 5 I 5 2-0 �f Front Rear Side 5 Street Side Garage [,Landscape Requirement: 2 0 ( of Coverage Maximum: s Xi/Building Height: Maximum Height 2j S' 1 1 I Actual Height 27 1 0 N/Visual Clearance E " Easements N/Sensitive Lands: Yes Type S I oyes ? 2.6°L , l aw e'r v al uA ti )I-Vdtt ® Urban Forestry Plan(Tree Plarsk-i Pan Conditions Satisfied Approved by: Tim . ) Date: 5l$f I U Notes: SI1OW parkway maple., . it +ree. sani+ ry maim Iahera6 1 wa+px nagir4 I Rtgfki Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ I:\Building\Forms\B Idg Perm itRvw_RES_123013.docx Building Permit Submittal Original Plan Submittal: Date: -.570y By: Site Plans: # Building Plans: # Create Case Record#: Er—Enter case#above for Building Permit Number. Workflow Routing: Er—Planning Lngineering [&P rrmit Coordinator Building Workflow Sign-off: I ign-off for Planning staff,including notes from planning review(page 1) Route Application Documents: 0.---Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o 'nal plan review routing form. '1 'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed By: 4d*Cf4klie-___— Date: 10-7' Notes: Engineering Review-reviewed by: Vt i-J ( S • f 2 Actual Slope: ,25% El Conditions Satisfied Notes: 5 icy f . ,c-,eis ix, rtGH f,JS 10 ff.0L b LS k3 k.% Approved by: K` Date: 5-- i Z.- j II Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved El Not Approved ❑ Revision 2 Approved ❑ Not Approved El Revision 3 Approved ❑ Not Approved El P eyfiit Coordinator Review Conditions Met-Prior to Issuance of Building Permit Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant Revision Notice 3: Dat S t too Applicant - ' Okay to Issue Permit- 71 m 1-61 rbaCl Date: 51151114 1:113uilding\Forms\BldgPermitRvw RES 123013.docx ' ESBSTONE BRIDGE OBE:14'72 HOMES NW . 101 ' DATE: 5/9/14 4230 GALEWOOD ST.SUITE 100 CITY OF TIGARD PROPERTY: ARLINGTON LAKE OSWEGO,OR 97035 HEIGHTS (503)387-7577 Approved by Planning CITY: TIGARD Date: SCALE: 1"=20' SITE PLAN r PLC N°" AH101 Initials: CONTEIIP. 0 ,,p V e. " 6 . N 4p c \iVty„--1.<14.4)4q O ��\DR EWAE,', '? P� �� *i.:10 , 4*,/'3 \� „ pry �a' -� / � , ,S: (Ilk \ , ' */ . 0. :\ SY 1 3i4' , / 7 �ry Y ..),,:) ,./ / 4 411111100 „, • N-1' _ r /I •—� �- \ / 21 O 31 . • • '. liti 1 -—7,'-' 4° 35•.•' TOW -�' 340.0' BOW �'' \ ?0' E, • \- S• _ K _ . _ —326 ' • / _ ,IlY 324 '•f•• m-..i _ ,' ---.—322 tu gm I I I ft a in --t ___/, /- LEGEND 330.0' BOW W 54.2p - 00.. 7 510 0 a 3.1. TOW ••, —STREET TREE: 9 S4.8'BOW EASTERN REDBUD 318.1' TOW 'n 3 82' BOW LOT COVERAGE LOT AREA 5,111 SQ. FT. BUILDING AREA 1,643 SQ. FT. PERCENTAGE: 29% NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT 0101 DRIVEWAY MAY, DIF FER DUE SITE LOCATION OF UTILITY BOXES, 511 eq. f^!. 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00070 George Heimos 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00070 George Heimos 1. All corrections, dated Nov. 4th, not completed except mechanical ﬁnal, which passed and Deck Details pg 12 provided and failed, initialed dated for corrections. NOTE did not take any documentation at this inspection 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00070 George Heimos 1. Provide hot water, all ﬁxtures. 601.3 2. Provide adequate water volume for hot water. 310.0 3. Re-inspection fee will be assessed if previous correction(s) are not approved on next inspection 103.5.6 Need to reinspect all hot water ﬁxtures. All else ok 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS December 2, 2014 at 11:29:05 AM MST2014-00070 Chip Barnett 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00070 Jeff Grove 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL November 4, 2014 at 1:26:49 PM MST2014-00070 David Young No Cleanout cap on sanitary sewer outside of building. cleanout plug needs approved thread sealant at: 316.1.1, all caps. No hot water at ﬁxtures. Provide rodent screening and erosion control at storm drain discharge location. Not a complete inspection. Recall when ready for ﬁnal. 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL November 4, 2014 at 1:48:08 PM MST2014-00070 David Young Provide permit for AC. Seal line set penetration at foundation vent. Cap and label dryer duct for future use per code, Dryer duct to be capped and labeled "for future use" if equipment not installed at time of occupancy. M1502.4.6. 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL November 4, 2014 at 2:51:43 PM MST2014-00070 David Young Provide approved plumbing ﬁnal. Provide approved mechanical ﬁnal. Provide approved approach and sidewalk inspection. Provide city approved plans on site for ﬁnal inspection. Provide required documents for ﬁnal inspection, street tree certiﬁcation, high efﬁciency lighting form, moisture content form,duct seal test report and insulation certiﬁcation. Provide approved geotech report for ground settling around deck piers poured without inspection. Verify depth of all sona tube piers. Not a complete inspection. 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL November 3, 2014 at 9:12:46 AM MST2014-00070 David Young No access, house locked. Provide access for inspections. Recall. 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL November 3, 2014 at 9:13:28 AM MST2014-00070 David Young No access, house locked. Provide access for inspections. Recall. 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00070 George Heimos 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 12671 SW WILLOW POINT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00070 George Heimos *Erosion Control Final approval completed *Street Tree Certiﬁcation, checked for trees. Received. signed/dated *High-Efﬁciency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval (if required). Passed by Chip as per Ray Woolf *Garage Vehicle Barrier Installed. Yes *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval. Completed *Lawn Irrigation ﬁnal with Backﬂow test results. E-mailed to David Young*Erosion Control (CWS) approval. Received *Street Tree Certiﬁcation, checked for trees. Received. signed/dated *High-Efﬁciency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval (if required). Passed *Carbon monoxide Detector. Checked. *Garage Vehicle Barrier Installed. Yes *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval *Lawn Irrigation ﬁnal with Backﬂow test results. (if required), received * Provide blower door documentation that ductwork meets ODOE duct performance standards for radon gas testing. (crawl space only, for ﬁnal inspection) Received, * Provide blower door documentation that ductwork meets ODOE duct performance standards for radon gas testing. (crawl space only, for ﬁnal inspection) Sent to David Young by e-mail Violation Summary: Inspector Contractor