Permit I ' p CITY OF TIGARD MASTER PERMIT
I 3 COMMUNITY DEVELOPMENT j Permit#: MST2015-00027
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • P� Date Issued: 03/05/2015
Parcel: 2S110CB14000
Jurisdiction: TIGARD
Site address: 12071 SW TURNAGAIN DR
Subdivision: SOUTH VIEW HEIGHTS Lot: 28
Project: Southview Heights, lot 28
Project Description: New SF. 6/18/15, Reprinted to add a/c. Placement of a/c must comply with manufacturer's
clearance requirements. _-- -
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First 150 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 23.5 Bathrooms: 3 Second: 1099 sf Garage: 812 sf Front: 15 Smoke
Dwelling Units: 1 Third: 1196 sf Right: 5
Detectors: Yes
Total: 2445 sf Value: $305,660.85 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
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning. N Vent Fans: 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>=100 K: 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 2445
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: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $23,213.90
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 a • -- - ith 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 NTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0e -0010 thr ugh OAR 952 r01- 90. You may obtain a copy of the rules or direct questions to OUNC by callin 232.1987 or 1.800.332.2344.
Iss =d By: `- Permittee Signature: (. _ 4t9
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1111 v
CITY OF TIGARD MASTER PERMIT
lt , COMMUNITY DEVELOPMENT Permit#: MST2015-00027
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2015
Parcel: 25110CB14000
Jurisdiction: TIGARD
Site address: 12071 SW TURNAGAIN DR
Subdivision: SOUTH VIEW HEIGHTS Lot: 28
Project: Southview Heights, lot 28
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 150 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23.5 Bathrooms: 3 Second: 1099 sf Garage: 812 sf Front: 15 Smoke
Dwelling Units: 1 Third: 1196 sf Right: 5
Detectors: Yes
Total: 2445 sf Value: $305,660.85 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
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: 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 2445
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: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $23,116.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTIO on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 t ough OA 52-00�1-000090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332.2344.
Issued By: �-� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
RECEIVED Received
City of Tigard DateB : 5 r r Permit No.: A157-ac.)1 S—[Z 7
11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revue.
Erli
Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : 1��� C� Other Permit: C �I :Ali
TIGARD Inspection Line: 503.639.4175 FEB 2 4 2015 Date Ready-7: Joris. Ei See Page 2 for
Internet: www.tigard-or.gov Notified/Method: D/$/(s- /30- (�— Supplemental Information
'11'yU TJ(,AIW (-41 Ak
TYPE OF `iJi 1f ' Lilt i tit., RE UIRED DATA:I-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the Nsork 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.
® I-and 2-family dwelling ❑Commercial/industrial Valuation S 1
4
❑Accessory building ❑ Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: '2.5
JOB SITE INFORMATION AND-LOCATION Total number of floors: 'e3
Job site address: 1?ro 1 sw 70 ttf4MA IN b2. New dwelling area: 2.445 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: VIZ. square feet (19'6
Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: 11 square feet C0.9
Cross street/directions to job site:SW 1221'd Ave&SW Beef Bend Rd Deck area: ^ square feet r.5Q
Other structure area: -7.57 square feet ??,�
REQUIRED DATA:COMMERCIAL:USE CHECKLIST
Subdivision:Southview Heights Lot no.: Permit lees*are based on the value of 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.
ne+s,single family residence
Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Stone Bridge Ilomes NW1,IAA Type of construction:
Address:4230 Galewood St,Suite 100 Occupancy groups:
L
City/State/ZIP:Lake Oswego,OR 97035 Existing:
Phone:(503)387.7577 Fax:(503)387.7615 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:same as abuse (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Deirdre Britt
FLS plan review fee(if applicable):
Address:
Total fees due upon application: 4City/State/ZIP:
��3di
Phone:( ) per;;( ) Amount received:
E-mail:dbritt@stonebridgehomesnw.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:saute as above 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.
City/State/ZIP: Permit Fee(includes plan review $180.()0
and administrative fees):
Phone:( ) I as I ) State surcharge(12%of permit fee): 521.60
CCB lie.:173318 Total fee due upon application: 5201.60
Authorized signature�r` O. `� ,j , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
2.../23/16-
*Fee methodology set by Tri-County Building Industry
Print name: Q�' FTT Date: Service Board.
I:\Building\Perm its\B U P—RRE S Perm i tApp.dol e'02/24/2011 440-4613T(I 1/02/COM/W EB)
Electrical Permit Application Received
��u FOR OFFICE USE ONLY
City of Tigard /i,J „�By.
Penult No.:
t r 13125 SW I-(all Blvd.,Tigard.OR 97223 Plan Review
• 0 ` Phone: 503,718.2439 Fax: 503.598.1960 Date/By: Other Permit:
.1.IGA2D Inspection Line: 503.639.4175 FEB 2 4 2015 DaleReady/By' inns. Ed See rage 2for
Internet: www,tigard-or.gov Notified/Method: Supplementa 1 1 n formation
®New construction ❑Addition/ante 1 001 V 1 t ` Please cheek all that apply(submit 2 sets of plans w/items checked below):
1) ❑Service or feeder 100 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
'` t + a 1
exceeds 10,000 amps at 150 volts or ❑Floating buildings.p :v : e �� a f ��:
_.
less at ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1 and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
.aM1,..a fxa 4 E J,, ..et.avR gK..t;31vx;f �:C c,.9 ..� e t.�,•➢w. ❑Emergency r stuysw te mmo.tor load oC larger separately
deriv e
d system,Job no.: I ,:-..,,,k) .$�- 9'� ❑
-, I ( f1 a Itx111P or more, occupancy,
< -;( 1 f Job site address '7 ' '44k--A,Nl f
f ❑Six or more residential units, ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities, ❑Supply voltage for more Than
❑Hazardous locations, 600 volts nominal
Suite/bldg./apt.no.: I Project name:Southview Heights ❑Service or feeder 600 amps or more
* A3 7 4 r vdli .).!):. .
Cross street/directions to job site:SW 122"a Ave&SW Beef Bend Rd Description Qty r e. Toni'�
'
' New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Southview Heights , Lot no.: �p / 1,000 sq,ft or less j 1 168.54 1 1 4
#t
- Ea,add'(500 sq.R.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential 75.00 2
' ._ withabovese
a) ei a rf, - 1 ( I-II.)
Limited energy,multi-family 7500 2
new,single family residence residential(with above sq It.)
ReleiiwableEner ' -T.^g-''._. t ' " ,, 14..
Services or feeders installation,alteration,and/or relocation
t`r °d :4;::-.:1, ; , a i; .?�'a,,. , ',; _ ;'' 200 amps or less 100,70 2
201 amps to 400 amps 133.56 2
Name:Stone Bridge Homes NW,LLC .
401 amps m000amps 200,34 2
Address:4230 Calewood St,Suite 100 601 amps to 1,000 amps 301.04 2
Over 1 000 amps or volts 55226 2
City/State/ZIP: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 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel ,
s) •.. ' A.Fee for branch circuits with
r t;
' above service or feeder fee,
Business name:same as above each branch circuit 742 2
B.Fee for branch circuits w/thornr
Contact name:Deirdre Britt service or feeder tee,first 56.18 2
branch circuit
Address: G'Ich add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included) f
Etch manufactured or modular 67.84 12
dwell in service and/or feeder 1_
Phone:( ) I Fax::( )
Reconnect only 67.84 2
E-mail:dbritt(n?stonebridgchomesnw.com Pump or irrigation circle 67.84 2
. .t'..40a, «. , _,r. , vl.., , e . _ A , `-. ' . , ,.._� -,, ' �,_.... Sign nr outline lighting 67.84 2
Business name:City Electric Signal circuits)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(I hr min) 66,25/hr
City/State/ZIP:Sherwood,OR 97140 Investigation(I hr min) 66.25/hr
Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(I hr min) 1R,18t hr
Inspections nix which no lee is ' e
COI Lie,: 42422 Electrical Lie.: 26.2890 Suprv. Lie,: 35925 seeciiienily listed(V hr min) )0 n0/h;
— ELECTRICAL, PERMIT FEES
Supry Electrician signature. required: Subtotal
Print name: Chuck Friesen I tale: Plan review(25%of permit Iec)
— _ ____.__.___ _..__... ..____ _...,.. State surcharge(12%IA-permit Ice)
Authorized sign:Wire: TOtAI.I'I:RAtH rim:-
I his permit application expires if a permit is not"ht rinett within ISO
Prim name: t Date: dies afire it ha,been accepted as complete.
I.!Iruihliae_.,enin:.l.t.I t.eon.1+I I i ii I it:.d c Rev a+i�f:'reli .I.O;M elt( ;Oc/ll Mw1 O ' Nuuther eel inpectons allowed pen'mom
Mechanical Permit Application FOR OFFICE USE ONLY
hECEIVE Received
IhICfI3y
City of Tigard
Permit No_
"� 13125 5 SW I tall Blvd.,'1'igard,OR 97223 Plan Review
1 II Phone: 503,7182439 Fax: 503,598.1960 t7,tte/ny: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: tuns: Fd See Page 2 for
Internet: www.ligard-or_gov FEB 2 4 2015 Notified/Method- Supplemental Information
- 11'PE OF W t, O MERCt L FETE*SCNEDUI,E USL Ct1t4`t .1111`4
Mechanical permit fees"ate based on the value of the work
®New construction ❑Addition/alte` ISI performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment.labor,overhead,and profit.
Value $
('AFE[,O1tV OF (:ON51Itl`CI'ION ..- -' . ..:..- ", - RESIDENTIAL EQttIt'MEN'1`/S!'SCErMS1,RE •
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use chechlisr. ..
❑Multi-family ❑Master builder ❑Other: Description I Qty. 1 Fbi ( Total
� ",ate 1',,, Ileating/coaling:
4911,a 1t' sE< ' ,�, Ir . t <,
PP Air conditioning 46.75
Job site ldress: /./01 I sim NA&A l P4 PP• Furnace 100,000 BTU(ducts/vents) r 46.75
City/State/"ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt-no.: I Project name:Southview Heights Duct work 23.32
Cross street/directions to job site:SW 122"a Ave&SW Beef Bend Rd Hydronic hot water system 23.32 1
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric), s
in-wall,in-duct,suspended,etc. 46.75 s
Flue/vent for ally of above 23.32
Other. 23.32
Subdivision:Southview Heights I Lot no.: (
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32
Gas lireplacc/insert 1 33.39
Flue vent for water heater or gars
I
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 W
--- Other: 23-32-
® PIZOI'LR FY OWNER. 0 TENANT Environmental exhaust and ventilation:
Name:Slone Bridge pontes NW,LLC Range hood/other kitchen
Address:4230 Calewood St,Suite 100 _equipment 33.39
Clothes dryer exhaust I 33.39
City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
------- — toilet compartments,utility rooms) 5 23.32
Phone:(503)387,7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32
® APPLICANT 1 " ,>. o 1r 71` PERSON Other: 23.32
Business name:same as above Fuel piping: ,
S14.15 for first four;54,03 for each additional
Contact name:Deirdre Britt Furnace,etc.
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater I 1
Phone:( ) Fax::( )
Fireplace I. r
Range
E-mail:dbritt(oistonebridgchomcsnw.com l3anc�cue
—_ �� CONTRACTOR Clothes dryer(gas) _—
Business name.Comfort Zone
Other:
- NI ECI IANICAL PERMIT FEES*
Address: 1032 NW Corporate I)r Subtotal
City/State/ZIP:Troutdale,OR 97060 — Minimum permit fee($90.00)
Plan review(25%(Ifper»it lee)
Phone:(5113)667.5595 Fax:(5113)491.8252
__..._._.. m_ __ __-_.�_.._._. Slate surcharge(12"/"of permit fee)
CC'Il lie.: 110091 'TOTAL PERMPI'FEE
-- "" This permit application expires if a permit is not obtained within 184
days after it has been accepted as complete.
Authorised signature: C,� v' I-cc mrdntdulory set by Tn-(Trudy 13uitdin@ bullish y Service n,+arl
JPrint name:David I leldstab I Date:
I itllil<riquWtruitg}in'4 I',rmir:\try'it-lot I-t d,4 tie.46 in(l I ios('osllwt;ii
•
Plumbing Permit Application
it u i lcl i ng Fixtures RECEIVE FOR OFFICE USE ONLY a
1.
Received
City vi Tigard Pc„mt Nn.:
Ir
13125 SW Hall Blvd.,Tigard,OR 97223 ,t0t5 Date/Oy: -° _°
Phone: 503.718.2439 Fax: 503.598.1960 r L- 2 4
Plan Renew
Date/By: t)IherPermit No.:
TIGARD Inspection Line: 503,639.4175 Dale Ready/By: Jam a See Pate 2 for
Internet: www.tigard-or.gov CITY() 'I ILAK Neiiticd(Method: Supplemcnlal Information
f1'PE OF WOR 4 fl/ J !'; i FEE* SCHEDULE tit
®New construction ❑Demolition For special information use checklist.
_...______.._______ Description I. Qty, I Ea. I Total _
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings epa(includes 100 ft,for each utility connection)
('.11'{;{+1{1 O SFR(1)bath 312.70
Z 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
- ∎ SFR(3)bath ( 500.32
❑Accessory building ❑Multi-family
- Each additional bath/kitchen 25.02
❑Master builder O.Other
Fire sprinkler( sq.ft.) Page 2
.1611 SI I'}; 1NtOR\1;111():S,or ',, , Site utilities:
lob site address: A t4, r--.1:- Catch basin or area drain T 18.76
- - Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:Southvicw Heights Manufactured home utilities 50.03
Cross street/directions to job site:SW 122gi Ave&SW Beef Bend Rd 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:Southview Heights I I,ot no.: ' Fixture or item:
Tax map/parcel no.:
Backilow preventcr 31.27
4 s:i Backwater valve 12.51
Clothes washer 25.02
new,single family residence
-__ Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Expansion tank 12.51
Name:Stone Bridge Hones NW,LLC 1'ixlure/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)357.7615 Ice maker 12.51
t
0 APPLICANT 0 CONTACT PERSON lntcreeptor/grease trap 25.02
Business name:same as 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/Stale/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
F.-mail:dhritlr&stonebridgehomesnw.com Urinal 25.02
� Water closet
25..02
CONT' . ' s "1"
- Water heater 37.52
Business name: Max Plumbing Water piping/DWV 56.29.._._...
-
Acklress:PO Box 5597 other: 25.02
City/State/ZIP: Beaverton,OR 97006 Subtotal
Phone:(971)275,0198 Fax; Minimum permit tee: $72,50
Plan review (25%of permit lee)
CCIl Lie.: 194644 Plumbing Lie.Ito P111083
_. _-. -.--..._ �._ State surcharge(12;�ul permit lee)
A :.IaSOn 111tr g'1' Dale: I permit application expires if a permit is not obtained within ISO days
�•' after it has been accepted as complete.
'Tee n,elhtMluMgy<a by ri.-(..mnir nintdint,!mho.,Scnacc Iiaald
I U{nl:11/10Pc,I0 ii,t4U-Permit App.am I o(ii ' 4411.du ll,0 X1+524 Oxi.AVidf)
City of Tigard
IN N COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
Building Permit #: pisTa is---v ),)-7
Site Address: 1201 i SN T rna9a j n 1)r,
Project Name: South View (-}e1o�� .6
s Lot #: 2
(New dwelling=subdivision name; ddition or Alteration=last name of owner)
Planning Review
Proposal: Dean! SF
lrJ Verify site address/suite #exists and active in permit system.
Siye Plan Elements:
g ree(3)copies of site plan sting structures on site
�tte plan must lb on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
►o rawn to scale(standard architect or engineer scale) or elevations
• orth arrow tility locations(required for new,may apply for additions)
• e address,project or subdivision name and lot number Z1 ..cation of wells/septic systems
V pplicant information(name and phone number) P, rosion control(including drainage-way protection,silt fence
P. .t dimensions and building setback dimensions design,location of catch basin,etc.)
■•■ .t area,building coverage area,percentage of coverage and reet names
pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location
DOroperty corner elevations(2 foot contour lines if more than -existing trees to be retained with drip line,and tree
foot differential) protection measures
Clean Water Services—Service Provider�Le er(lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified [ No Received: ❑ Yes ❑ No
OQ Public Facilities Improvement(PFI) Pernyit:
Required: ❑ Yes,applicant was notified g No Applied For: ❑ Yes ❑ No,stop intake
Lid Land Use Case#: SUB 2O 13-oo0D 5
NIA oning: R- \
R Setbacks: (pc{�,tp> Front I5� (1e�t}Rear i5 (3o�) Side 5' (516`)treet Side n I a, Garage 20 (zd)
�/ Landscape Requirement: 2.0 ./c,
J 1 J
LJ t Coverage Maximum: Q d % 1
t
�//Building Height: Maximum Height 35 Actual Height 23.5
Lld isual Clearance
OQ Easements
E ensitive Lands: ❑ Yes INo Type
rban Forestry Plan
'Conditions Met
Notes:
Approved By Planning: -Tim L.ch Date: 212-1111 5
r6ru��j
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building1Forms\BldgPermitRvw_RES_020415.docx
Building Permit Submittal
Original Submittal Date: vZ/pi'i//6
Site Plans: # !f CSC_
Building Plans: # 4__(v. r). c
Building Permit#: 'Enter building permit#
above.
Workflow Routing: - Planning afrErneering
t Coordinator [Wilding
Workflow Sign-off: g"-Sign-off for Planning(include notes from planning review)
Route Application Documents: CI—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Q-- ding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: .2/)0 s�
Engineering Review
,,1r n Actual Slope: 0
•i Conditions Met
2r Easements (encroachments) N
Water Quality/Quantity Facility:
Assess Water Quality Fee: ❑ Yes
Assess Water Quantity Fee: ❑ Yes No
El NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: 2 . Z r!tog-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved,NOT Released: � Date:
Notes: 7/ r /k G.,ez� v-,107 7/A/J kfr.
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:
;KOOK to Issue Permit /
Approved by Permit Coordinator: 40 Date: 13/2' i.1—
1:\Building\Forms\B IdgPermitRvw_RES_0204I 5.docx
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
12071 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00027
David Young
Tighten loose recepticals in garage, kitchen, and laundry. Will check at building 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
12071 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2015-00027
David Young
Work not complete, not 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
12071 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00027
David Young
Recepticals fixed per previous passed 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
12071 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00027
David Young
Note: plumber on way to fix hot and cold reversed at upper level main bath/tub combo.
Will check at building 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
12071 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00027
David Young
Plumber fixing reversed hot and cold in main bath tub/shower.
Final erosion control approved.
Street tree certification received.
Moisture content form received.
High efficiency lighting form received.
Blower door test report received.
Insulation certification checked.
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
12071 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00027
David Young
Violation Summary:
Inspector Contractor