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Permit n CITY OF TIGARD MASTER PERMIT 11111 1 ' COMMUNITY DEVELOPMENT • Permit#: MST2014-00220 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t Date Issued: 01/06/2015 � i0 Parcel: 2S110CB13800 Jurisdiction: TIGARD Site address: 12033 SW TURNAGAIN DR Subdivision: SOUTHVIEW HEIGHTS Lot: 26 Project: Southview Heights Lot 26 Project Description: New SF. 3/23/15: Reprinted permit to include(1)A/C unit. Placement of A/C unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 4 First: 225 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1099 sf Garage: 487 sf Front: 15 Smoke Dwelling Units: 1 Third: 1196 sf Right: 5 Detectors: Yes Total: 2520 sf Value: $302,463.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 Tvpes 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: 5 201-400 amp: 0 201-400 amp: 0 W/0 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 2520 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST.,SUITE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Geo tech report required prior to footing inspection PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,241.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may ol�Wjg a copy of ules or direct questions to OUNC by callin 503.232.1987 or 1.800.332.2344. Issued By: .-- Permittee Signature: �ii .639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. — ..._ . ' ' —___ ---- • --_ __ .......... . Mechanical Permit Applicati IIECEIVEI) FOR OFFICE LSE ONLY IRCity of Tigard ' o.lao, 1121:511 ' -' 13125 SW flan 131vd„Tigard,OR 97223 Plan 11q.vicw ' ' Phone- 503,7110439 Fax. 503.590.1960 DEC „I,i A k Ofilday' Other l'ofilosi: . Inspeetion Line: 503.639A 1 75 i t.U Iff Date Ite;dy/By — rJoAno Internet: www.tigardmr.grw NotifitdffiActhrki Suppirmenial InformAtiou ,,a m I-: . T 2q...01!.!' •,,1 jr-'!,..''. lit . ,)23)- r.d)-stira,.7174....,,,ATZ:Za 1 Methortiml raurnit fees.ato based on the value of the work ...,„ New construction 0 Addition/al tern i ionirep Incense nt rwrrormett Indicate the value(rounded to the nearest dollar)of all r. 0 Demolition 0 Other: mechanical materials e dollen! labor overhead and*ma Pi.--1,-.4:, r I.and 2-family dwelling 0 Commercial/industrial III Mr2:437.SEWIZ ;-0r i; 0;;;4;1;0;ot;swg:;itrotiti't Ei Multi-family 0 Master builder 0 Other: [description Qt y. NM Total '''''''',1•''''PC'ZIXrtr'Il'-i'''.'''';'&.F4'Yltrsit.Vilfilirri"'1..tikTNIktEM Mt.:”MIliC2? ',27441V. ile$Itin- mu":; 1 46.75 MI Job sac address: 4202:3 Si) reoftV/16,1i7A/ ,6e...- Furnace 100.000 BTU(duets/vents) $ 4675 .„.., City/Stater/1P:Tigard,OR 97224 Furnace 100 ooto on)teloctx/vent*/ 54.91 -- - IIMMIIIIIIIIIIIIII11111111111111111111111111111rnT 11111111111 Suitelbldg,/apt,no.: --1.Project name:Sonthview Heights -- IMMI31111.111.111111 3.32 Mill Cross streetAlirections to job site:SW 122.,Ave&SW Beef Bend Rd H r.fre brit water: '...em 2332 M11111111111111 A • Residential boiler(radiator or 11111111 drOnie , 23.32 .1111.ii -- 1 Unit healers(fuel.type.not electric), in-Wit11 in-duct us.. rule, We. 46.75 1111 _ Flue/vent raritny of above 1J 23.32 11.1 — Other: . 23.32 1MM i Subdivision:Southview Heights Lot no.:24fg Other fuel a lax map/parcel no.: Water heater nallag5311 / 7'441*'''''''L",,C47:' .'"';'''','‘Ir Y.i‘V,rr 1 Airrt „°'i 4i''''i 4';'''',"‘6?"..V":.i,'TI';4:),.::7,Z:1-St. =.1;1•:,Akklijigt:75f, On fliC 14C0101Sert 1,11 33. 9 moom 1 :--.„...akof,tfi4.,:AW:..„444,1• 444. 4'': 4.J.4444o44, A.: .4440.:,..444k444.k..-Ez;',,, ,11.4_44.;g>musoz,...s.,‘ A,&,t'''t Noe vont for water heater or gas new,single family rmidenee fireplace 23.32 111111 —.1 1:opetlghter(gas) 11111111110711= Wood/ Ilet stow: IIIIII 3339 asollpire tasert IIIIIIIMEgllIll. Charm ilmer/Buravent _ NM 23.32 2 MI 2: , -.',:,11:r.:3'1,J.?jil,.1 :1-::.!.h'-',?..4).'''.42,'..4:....;.f.:K.,,,11":''.'. , •°,;./1.: v::-,g,t,..:.,,S14,7:14itt,...'„,..,:tt,itti, Emironni'enrat exhaust and ventilation, Name:Stone Bridge Homes NW.LLC Range hood/other kitchen al 111 33.39 Address:4230 Calewood St,Suite 100 Clothes dr r exhaust 33.39 City/State/ZIP-Lake Oswego,OR 91035 Single-duct exhaust(bathrooms, IIIINIM ....._ ,,iki corn. omits utilit rooms Phone:(503)387.257 7 Fax:(503)387.7615 ..................................................Alticienswis ace fans RE1111111111111111 :'''?j.:tt4CfifQlrNiSqT-agitt)FVU;::::.1A:')t3iifiVjia.VM4Qhsl.'=--0,:fi "(i.7-11-riiiTT Business name:same as above - 514.15 tor first four-S4.03 For each additional Contact name:Deirdre Britt Furnace,etc. res.: _. —.. 11a3 heat pump IIIIIIIIIIIIIIIII Add — Wall/sus. Med/unit beater City/StateiZIP: Writer heater , Fireplace Phoac:( / 71rix::( I RanE_ _ I-dbrittoi,stunetwidgehomesrow.eum Itarbeene RI clthe,,crYer(x.,),....___......__...... _ ' 1ist,..incss nainc,Comfort Zone Other: 04:07#0334.7.*M02.%77-: Address. 1(132 NW Corporate Dr Subtotal Cit)/Stmeit.IP 'Inundate,OR 971160 . --- , ___ —rathon_)pe5r%m—it—l ia(8 0 0 00) — Plan rev tW(2of NTIli lee) -. Phi■iti: ;503)667.5595 Fix 1511,31 491.0252 _ 'mite stirchterte(12%of penult tee), I f .., ., . (•( H lie.110091 TOTAL rcitmrt 014:1'; 1110-114,1`100 a Indira truss viiTrtt if a permit i;not ttittatrIrtt n ii hist IRO' I do s anti it hoe-hero accepted as ampler. At:ikon/CO NigiLlItiic' ,.^:3* __,-- ------. 1 I tau adim. lta%id I R-MO M) ' . ; 11a0, 1 1 : . . „ ,,“,, /6 .........------------ CITY OF TIGARD MASTER PERMIT Ns .q COMMUNITY DEVELOPMENT Permit MST2014-00220 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/06/2015 Parcel: 2S110CB13800 Jurisdiction: TIGARD Site address: 12033 SW TURNAGAIN DR Subdivision: SOUTHVIEW HEIGHTS Lot: 26 Project: Southview Heights Lot 26 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 225 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1099 sf Garage: 487 sf Front: 15 Smoke Dwelling Units: 1 Third: 1196 sf Right: 5 Detectors: Yes Total: 2520 sf Value: $302,463.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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: N 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: 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 2520 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST.,SUITE 100 4230 GALEWOOD STREET#100 1 Geo tech report required prior LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 to footing inspection 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,189.49 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a••• I •r direct questions to OUNC by calling 503.232.198 or 1.800.332.2344. Issued By:! rmi 'gnature: Call y 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . • . - Mechanical Permit A"licat FOR OFFICE USE ONLY City of Tigard ECEIVEP •••••" 13125 SW Ilall Blvd..Tigard,OR 97223 Plan Review rip . Phone: 503,718 2439 Fax: 503,598.1960 Received Dole/By Dale/By: Permit No Other Perim'. Inspection Line: 503.639A175 DEC 4 2014 TIGARD Bate Ready/By. birir Ea See Page 2 for t Internet: WWW,I igard-or.gov Notified/Method: Supplemental Information I YIIIEIrtiimantvisiON COMMERCIAL FEE* SCHEDULE,-USE CHECKLIST • , . Mechanical permit fees*are based on the value of the work E New construction 11,1 Addition/alteration/replacement perfOrmcd. Indicate the value(rounded to the nearest dollar)of all 0 Demolition 111 Other: mechanical materials,equipment,labor,overhead,and profit. ---- - Value.$ C.lTEGORY OF C ONSTRUCTION ' RESIDENTIAL EQUIPMEN'T/SYSTEMS FEES* - 7" El I-and 2-finnily dwelling [11 Commercial/industrial [11 Accessory building For special infornualon use checklist. , I CI Multi-family [11 Master builder ['Other: Description I Qty. I Ea. I Total f JOB SITE INFORMATION AN1j LOCAT Ilea Ong/cooling: ION - Air conditioning 46.75 Jot)site address: 4,202.3 _S c,,...7 77,efer■7 6-49-i A/ .6e.-.. Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/Z1P:Tigard,OR 97224 Furnace 100,000+BTU(ducts/ven1s) 54.91 Heat pump 61.06 Suite/bldg./apt,no.: Project name:Sou thview I leights Duct work , 23.32 Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd 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:Sou Other: 23.32 _thview Heights Lot no.:2 , Other fuel appliances; lax map/parcel no.: Water heater 2332 DESCRIPTION OE WORK Gas fireplace/insert , k 33,39 Flue vent for water heater or gas new,single family residence ..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 IIMIIIMIEREINIIIIIIII.4111-:NANT . - E•nvi - ronmental exhaust and ventilation: _ - • I Name:Stone Bridge Homes NW,LLC Range hood/other kitchen equipment 33.39 Address:4230 Galewood St,Suite 100 1 1 Clothes dryer exhaust 33.39 t i City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, 1 toilet compartments,utility rooms) 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32 ,.tic oN:EAET PERSON ..,,,?,,,.,;,; Other: 23.32 Fuel piping: Business name:same as above S14.15 for first four;S4.03 for each additional Contact name: Deirdre Britt Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP; Water heater Phone:( ) Fax::( ) , Fireplace . 1 _Range _ E-mail:dbrittra)stonebr m idgehomesnw.co Barbecue - I covntlrl OR Clothes dryer(gas) 13usiness mime:Comfort Zone Oilier NI ECIIANIC.A1.PERMIT E EESk Address: 1(132 NW Corporate Dr Subtotal City/State/ZIP:Troutdale,OR 97060 Minimum permit fire($90.00) Plan review(25%of permit fee) Phone:(503)667.5595 Fax:(5113)491.8252 ._ State surcharge(12%of permit fee) . , CCI3 lie.: 11(11)91 -farm,pF:nivirr FEE .... -. _____ ___ .1 his permit application expires if a permit is nut obtained within IRO days alter it has been accepted as complete. Authorized signature: cy 2___._..-s: ----- . Ice inetIoxlidort•cet by Tri-Conoty Building hollettly Service 13itiott .i I':int nainc:1)M4tTilehistab LOate: I , - • - , 14,3.1.4s1,1m-A iri is.iii;ii App.ii.iiiiii;10.: In, 1(.1/1 iii,..:.,,i,stwi m i PIHml)ill2 Permit Application Building Fixtures Dr, ��7>rTrrrnT FOR OFFICE USE ONLY City of Tigard j� 1 ViNy'1, R`e`in'"I y g Uate/t3y: Permit No,: IMI I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 fax: 503.598.19r� Other Permit No:: CC Date/By: TEGAlt17 Inspection Line: 503,639,4175 4 2014 Dale Ready/ny: Suris: EJ See Page 2 for -i Internet: www.tigard-or.gov Notified/Method Supplemental Information TYPE OF W I A* Ai1i FCE`' SCHEDULE t P�DIVISION --- ®New construction ON For special infirm atiun use checklist. _..-- Description I QIy, I Ea. I Total ❑ Addition/alteration/replacement ❑Other New I-2-family dwellings(includes 100 ft,for each utilit connection) *A ,I1..190t A11 11:6011),01 CONS! 'oN iii,c. SFR(1)bath MI 312.70 ® 1-and 2-family dwelling ❑Cbnunercial/industrial SFR(2)bath SFR(3)bath 3 00 Accessory building ❑Multi-fanily Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 - 616113511E I I OR3LA 1 lO,N AND I,O4 A I ION Site utilities: lob site addle' Catch basin or area drain 18.76 TA o_ ,Ste .. - /2A/ ✓ 23,E Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 - Footing drain(no.linear R•:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 , Sanitary sewer(no.linear 0,: ) Page 2 Storm sewer(no.linear It.: ) Page 2 n'_ Water service(no,linear R.:_) Page 2 Subdivision:Southview Heights - Lot no,: 2. Fixture or item: __ Tax maplparcel no.: Backtlow preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r4 PROPERTY OWNER �L ,„ ❑ TENANT 1' Expansion lank 12.51 Name:Stone Bridge Homes NW,El Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:4230 Galewood St,Suite 100 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 ® eWPPLICrIy'I ❑ CO?IACI` PERSON Interceptor/grease trap 25,02 Medical gas(value:$ ) Page 2 Business name:same as above _ Primer 12.51 Contact name:Deirdre Britt Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25,02 City/State/Z1P: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail:dhrittnstonebridgehomesnw.com Urinal 25.02 Water closet 25.02 1 = CONTRACTOR -- -.-_ - --- Water heater 37.52 Business Hanle: Max Plumbing Water pipimJDWV 56.29 Address:PO Box 5597 Other. 25,02 City/State/Zit':Beaverton,OR 97006 Subtotal ___•. Phone:(971)275.0198 Minimum permit Ice: $72.50 Fax:( ) _�_._._•_... _ _ _._._ _-_r.__ __ _--_,.-._.M,._.., Plan review (25°,"Uf permit lee) COI I.ie.: 194644 Plumbing Lie,no.:P111083 _....... -.._-- -_.._ _-- State surcharge(12%of permit fee) Authorized signature: ( ,,..,, s- .ar - TOi'AI.PERMIT FEE Pr1 int This permit application expires if a permil is not obtained within IRO days tint Hann:.laxou I1,4tsster Date: otter it has been accepted as r pin t .Per methodology eel byfri-Cuoniv 13uikling Inthtsbv Service nontd t?ntikrntt\Pis nniIsi'i..11U-PrmtiIAppdoc li:.'(:iAP' 't'i"..1'0,'1iI.'?"34 Al,\'IIn . r City of Tigard 71 r COMMUNITY DEVELOPMENT DEPARTMENT ■ G A R n Building Permit Review — Residential Building Permit #: frif020/Y-ooaao Site Address: 12033 Svc n .k- 00{ Project Name: S oUt4h V l OM 4-{p,i �{-IS Lot #: 26 (New dwelling=subdivision namr Addition or Alteration=last name of owner) Planning Review Proposal: ()Ev\I S Verify site address/suite #exists and active in permit system. SiV Plan Elements: F12 ree(3)copies of site plan xisting structures on site to plan must 1€on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished to scale(standard architect or engineer scale) oor elevations orth arrow Utility locations(required for new,may apply for additions) Lite address,project or subdivision name and lot number cation of wells/septic systems Igiipplicant information(name and phone number) DErosion control(including drainage-way protection,silt fence N of dimensions and building setback dimensions sign,location of catch basin,etc.) Blot area,building coverage area,percentage of coverage and ' treet names pervious area(applicable if R-7,R-12,R-25&R-40) I Street tree size,type and location LYProperty corner elevations(2 foot contour lines if more than -B-E-xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ es,applicant was notified Received: ❑ Yes g No ❑ No ELand Use Case#: SUS 2d 13— 00005 /TU?2o I q Or,'Zoning: etbacks: p�cktiq\C t,�,r. Front 2,O1(l5''j Rear 31'(t 5) Side 5-6 (S)Street Side — Garage 2d (1 5 1 Er Landscape Requirement: 20 % /Lot Coverage Maximum: SO oo rl r 1/Building Height: Maximum Height ? J Actual Height Le Clearance �asements ensitive Lands: ❑ Yes /No Type Urban Forestry Plan -AE ❑ Conditions Met — OK to accept ; canner} be 1 sutecl urr+i I PFI -F ,ne) l C Notes: ~ 0K 4-o 1 SStA - 6 i{j 5` 1J Approved By Planning: I/ •_A •l • Date: 12.(i I I i Li 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 I dgPerm i tRvw_RES_1001 l4.docx Y • Building Permit Submittal Original Submittal Date: fa,// /y Site Plans: # Building Plans: # y Building Permit#: El Enter building permit#above. Workflow Routing: Planning [ )Engineering `E'ermit Coordinator ` uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: na'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. _Z Notes: y,s A° By Permit Technician: <: Date: / //y Engineering Review Actual Slope: 3 d 4f e7 u/) El Conditions Met ❑ Easements (encroachments) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee: El Yes ❑ No Assess Water Quantity Fee: El Yes ❑ No Notes: it e 'rrG /Q e 62'13 Approved by Engineering: Date: )Z . �/ , /t�7, _Qr Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: �!�/ / t VG?,.,../j /V67'� t' 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: i///'' / /1 /� L�(OK to Issue Permit Approved by Permit Coordinator: 1 ��✓✓✓ Date: /2....., 1 ViLl 1:\Bu i I ding\Forms\BldgPermitRvw_RES_100114.docx Building Permit Application Residential RECEIVEP FOR OFFR E I sh: ONI.1 City of Tigard Received / 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 4 2014 '�� n�t N°�1oZ0 —DOa g Plan Review.. slill I Phone: 503.718.2439 Fax: 503.598.1960 / u,' DateBy: 44` '' `- ,t. other Per4-a/A7�/y_0O 7 T I GA RD Inspection Line:g503.639..4175 I:ITY UFT!(iAltU Date ReadyBy. 1uris: VI See Page 22 for Internet: www.ti ard-or. ov Notified/Method: Supplemental Information B.[IIIIDING DIVISION a TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ii" 7 ® 1-and 2-family dwelling El commercial/industrial Valuation: $ `Jail ',Z j/1.: El Accessory building 11J Multi-family Number of 1.4 4 s ms: ID Master builder ❑Other: Number of bathrooms: ?,r6 h► JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address /40,33 3 u J 1/1/_ New dwelling area: 2.5 2,0 square feet y City/State/ZIP:Tigard,OR 97224 Garage/carport area: A 10 square feet(f7 . Suite/bldg./apt.no.: Project name:Southview Heights Covered porch iF "�v.. t) square-fee(C Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd Deck area: . l square feet 2t?"—Nt\ Other structure area:' 7 square feet 2..t... REQUIRED DATA:COMMERCIAL-USE(:IIECKL ST Subdivision:Southview Heights Lot no.: 42.1a Permit tees*are based on the calve of the v,ork performed. 4 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 residence Valuation: $ Existing building area: square feet r New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: ,,�1 Name:Stone Bridge Ilomes N11,1.I.( Type of construction: v Address:4230 Galewood St,Suite 100 Occupancy groups: 31 City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* q " (Please refer to fee schedule) Business name:same as above Structural plan review tee(or deposit): Contact name:Deirdre Britt Address: FLS plan review fee(if applicable): Total fees due upon application: m City/State/ZIP: Amount received: Phone:( ) Fax::( 1 E-mail:dbrittnstonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: same as abos a Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. Permit Fee(includes plan review 1� City/State/ZIP: and administrative fees): $180.00 Phone:( ) Fax:( ) _ State surcharge(12%of permit fee): $21.60 CCB lie.: 173318 I'kW Total fee due upon application: $201.60 P Authorized signature:`n Tit.7j. T his permit application expires if a permit is not obtained v within 180 days after it has been accepted as complete. Print name: ' b Date: *Fee methodology set by Tri-County Building Industry �� /I 4 Service Board. 1:\Building\Permits 1BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) , f . Electrical Permit Application DECEIVE FOR OFFICE USE ONLY F . Rraeived City of Tigard ll:ne/nv: I'ernnt No„ • 13125 SW hall Blvd.,'Tigard,OR 97223 Plan Review — Phone: 503.718.2439 Fax: 503.598.1960 DEC Date/13y: Other Permit: Inspection Line: 503.639.4175 E 4 2014 Date Ready/13y: E] See Page 2 for TIGARD Internet: www Tigard Ur gUV Notified/Method:thod: Su pplcm ntal Information _ ®New construction ❑Addition/ahera�grl, f 1. Y 'h is s' ' Please check all That apply(submit 2 sets of plans whims checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault cunent ❑Marinas and boatyards, : .,ti,` 5 'xs �' ,:w • exceeds 10,000 amps at 150 volts or ❑Floating buildings. '04— ' ".f ,c�. 9 .- ' less to oitmd,or exceeds 14,000 g ❑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 150 KVA or c z� ..r, t .:., ,� ,� ,••..,.._ - ❑Emergency system. larger separntely derived system. a .1 a9 •". ,4 s ± . v ;A •1 R u8 ,Ot 5 1. .. ❑Addition of new motor load of ❑ 'A ,.F„ ..1 2., ..l 3„ IQOl1P or mart, occupancy, Job no.: I 3 Job site address �p2 ' 3 S -- 1.-rA/ Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 ❑health-care facilities, ❑Supply voltage for more than ❑1 lazaidous locations. 601 volts nominal. Suite/bldg./apt.no.: Project name:Southview Heights ❑Service or feeder 600 amps or more, Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd s I'Qi� 't I*tt� t Dtsrriylion Qty. itr, 't'ntal New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights ' Lot no.: 210 1,00(1 sq,ft,or less ( 168.54 4 Ea.add'!500 sq.ft,or portion " 33.92 1 Tax map/parcel no _Limited energy,residential " a j4 La Y I 75.00 2 1" &. .__AP t a e im t 1. )a, t' (with above sq-n.) Limited energy,multi-family 75.00 2 new,single family residence residential(with above sq.ft.) Renewable Energy 0 See Page 2 • Services or feeders installation,alteration.and/or relocation ;"� 1(x,70(r t t v 0 d n ' 200 amps or less ( 2 201 amps to 400 amps 133,56 2 Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 2(x134 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301,04 2 Over 1,00(1 amps or volts 552.26 2 City/State/-LIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 I Fax:(503)387.7615 relocation - 200 amps or less 5936 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: ._ Branch circuits—new,alteration,or extension,Per panel * ) `"t r :;.4,11,V# A.Fee for branch circuits with dki• r ' -6 ttP1Y1:1( >. .L/' ? ,r" ' a .+.s.y ^^•-- " a.° �" r above service or feeler fee, 7,42 2 Business name:same as above each branch circuit B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder fee,first 56,18 2 branch circuit Address: Lath add'I branch circuit 7 42 _ 2 — Yliscellancous(service or feeder not included) City/State/LIP: _� Each manulactured or modular 67.84 2 dwcliinlLscrvice and/or feeder Y •Phone:( ) Fax::( ) Reconnect only 67.84 2 E-mail:dhritt(ri)stonebridgchomesnw.com Pump ur irrigation circle 67,84 2 `,'' < „ ,•. ,. aC- .... " 0.a P,Nt ,. t,, ,<..,.,'.«. ,.i`. Sign or outline lighting 67.84 2 Business name:City Electric Signal circuit(s)or limited-energy See . panel,alteration,or extension Page 2 2 Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in any of the above Additional inspection(1 hr in in) 06 25/hr City/State/ZIP:Sherwood,OR 97140 Invesucation 11 hr mm) 66 25/hr .i- Phone:(971)404.1714 Fax:(503)625.3052 lndusuial plant(1 hr min) 78 I R/hr . -- — Inspections lit which no fee is CC!)t c. 42422 j faectrical Lie,: 26-289C Suprv. Lie.: 35925 �) cilicalty-listed('. br min) 12 00/hl ELECTRICAL PERMIT FEES Suprv. I Leiria In signature, required: ..„) Subtotal Plan review(25%of permit Ice): Print name: Chuck Friesen Date: State surcharge surcharge(12%of permit feet Authorircd signature: fOTAI.l'ERIS'11`I I'I_i Print 11.1I11C' Date: I his primal application espires if a per mil is not ubtaincd w,lhiu IRI) Jars alter it bns Incn ns rcplyd as cnngdcre. ......_.."'" Number nit Insl)ccuons allowed in-1 permit .I.1,, lit,11 1,ON(bAt:wl-n 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00220 George Heimos *Final Erosion Control approval. Received *Street Tree Certiﬁcation, checked for tree(s). Received, signed/dated *High-Efﬁciency Interior Lighting Systems Document Received *Moisture Content Acknowledgement Form. Received *Insulation Certiﬁcation checked. Checked NOTE: extend porch right side rain drain riser to above grade at top of porch column and seal around wood trim. 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2014-00220 Herb Stabenow No disconnect at the furnace 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL March 19, 2015 at 10:06:00 AM MST2014-00220 David Young No access for inspection. 10:00 am. Provide ﬁnal electrical approval prior to ﬁnal building inspection. No inspection done. 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL March 19, 2015 at 10:08:40 AM MST2014-00220 David Young No access for inspection 10:00 am, road construction in progress. Recall with access. 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS March 20, 2015 at 9:12:57 AM MST2014-00220 David Young Front downspouts to be installed by building ﬁnal. Provide approved thread sealant on threaded caps. 316.1.1 Will check at 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL March 20, 2015 at 9:26:40 AM MST2014-00220 David Young Provide 5/8 type x drywall on sofﬁt in garage ceiling where missing. Provide AC permit and approved mechanical ﬁnal. Provide downspouts on front of house. Provide railing to code around front porch where ground level exceeds 30" @ 3' horizontal distance away or raise ground grade. 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL March 20, 2015 at 9:17:34 AM MST2014-00220 David Young Provide permit for AC, not on original permit. Seal line set penetration through foundation vent. 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL March 19, 2015 at 10:09:48 AM MST2014-00220 David Young No access for inspection 10:00 am, road construction in progress. Recall with access. 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00220 Herb Stabenow 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 12033 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00220 George Heimos AC Unit locking access port caps installed. Violation Summary: Inspector Contractor