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Permit a p CITY OF TIGARD MASTER PERMIT I. 1/ .. COMMUNITY DEVELOPMENT Permit#: MST2015-00045 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2015 Parcel: 2S110CB13700 Jurisdiction: TIGARD Site address: 12025 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 25 Project: Southview Heights, Lot 25 Project Description: New SF. 7/13/15, reprinted to add a/c. Placement of a/c must comply with manufacturer's clearance require'. RiS. - BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1225 sf Garage: 785 sf Front: 15 Smoke Dwelling Units: 1 Third: 1400 sf Right: 5 Detectors: Yes Total: 2825 sf Value: $350,544.65 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 Neatens: 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: 6 201-400 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 2825 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech approval required prior to footing inspection PHONE PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,349.00 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 i - •.• e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. . TENTION: Or=:on I- requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95, r01-0010 through OAR •, 2-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calli 987 or 1.800.332.2344. r Is= ed By: A. ��•� � Permittee Si. ature: _ lo_� C -, _,, Call 503.639.4175 by 7:00 a.m.for the next available inspection•ate i 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. 1`,1eD7-0015 -oc,0-1S •SB STONE BRIDGE RECE OBE : 1862 ■ VE p HOMES NW Jt/L 3 2015 DATE: 3/11/15 4230 GALEWOOD ST.SUITE 100 5 LAKE OSIICIEGO,OR 97035 � CJ ' PROPERTY: SOUTH VIEW (503)387+75 7 11► `" f'AR. . CITY: TIGARD 355 app!'-' • 61‹,, bil 1 SCALE: 1"=20' tit. a F ^Z �, � ' ' PLAN No.. 361 1 4k" STANDARD ELEVATION I ih 1 l A r r- ----- ---1 I • i !_15!5:5 N i if I1 .1-1x10 Y 1�. .. ..PAT• -- r- *tome �, .. _ a eir, 951 '.�..�.•�:..::. 4 y - C C�...�_ . AP ,ter ,)1,iisi ..; ',es act Fr. 1 1 2-CAR+ . A l%151111 , ,e1141. II 1 I 2r '•■•8:..t:tt 4 '.tAlin ' ' s.4-..,I F: 1....2.1.-.:::.— - . ....-, - g ., . .. .. 1 _ ,... v .. ,....,.=•.-,--47v-,;,... .----- Ni. / . ;'s'`: .' 1l-S ;;4.- ti I 0 5 1• CEN' RUNE 12 02 5 6740 y k 4 LOT COVERAGE BUILD Na LEGEND A LOT AREA: 4,445 SQ. FT. LOWER: 200 SQ. FT. BUILDING AREA: 1,622 50. FT. MAIN: 1,225 SQ. FT. • STREET TREE: PERCENTAGE: 36.5% UPPER: 1,400 5Q_ FT. ZELKOVA 5ERRATA GARAGE: 185 5Q. FT. NOTES= PORCI-I 61 SQ. FT. ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. LOT 025 ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES_ 4445 50 FT. ALL RETAINING UJALL NEIGI-ITS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJEC` TO CHANGE. 1 NII - p CITY OF TIGARD MASTER PERMIT I° COMMUNITY DEVELOPMENT Permit#: MST2015 00045 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2015 Parcel: 2S110CB13700 Jurisdiction: TIGARD Site address: 12025 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 25 Project: Southview Heights, Lot 25 Project Description: New SF. BUILDING Fir Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1225 sf Garage: 785 sf Front: 15 Smoke Dwelling Units: 1 Third: 1400 sf Right: 5 Detectors: Yes Total: 2825 sf Value: $350,544.65 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 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 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 adds 500 sf: 6 201-400 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 2825 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech approval required prior to footing inspection PHONE PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,251.64 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. AT - : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0. -0010 through O'- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue. By: ie. ► Permittee Signature: Aft Call 503.639.4175 by 7:00 a.m.for the next available inspection dat=. V 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. L . . • Building Permit Application Residential FOR OFFICE USE ONLY Received /� City of Tigard \\IV DateB : / ,,.J Permit No.: f I > �. ill • 13125 SW Hall Blvd.,Tigard,O' ' : Plan Revie.s�ll I Phone: 503.718.2439 Fax: 1O: .•:. ,t ^01� DateB 4eALMM] lam" Mel'Permit: Gag. ,,y-(xt, T I G A R D Inspection Line: 503.639.417 q% !. Date R..:y: VI See Page 2 for Internet: www.tigard-or.gov Y O Notified/Met od: Supplemental Information Ma F'\BPS O .1 Cot i� Cinfr Permit are based on the D 2-FADIILY DWELLING , TYPE OF RF LlI D DATA:1-AN ®New construction $ emolition 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation jr 0 0ts 4 LI Accessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 2.S JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: I'1,025 5W —rVtu4Abficit,4 pp., New dwelling area: 2.V7.5 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 e square feet t/ n° Suite/bldg./apt.no.: Project name:Southview Heights , porch area: ��f//lIj square feet Ia_� Cross street/directions to job site:SW 122e°Ave&SW Beef Bend Rd Deck area: square feet 257 Other structure area: 51110 square feet SZ RE.t U.LRED DATA:COMMERCIAL-USE CHECKLIST 1 Subdivision:Southview Heights Lot no.:25 Permit fees*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. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Stone Bridge Homes NW,LLC Type of construction: , Address:4230 Galewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: ® APPLICANT ❑ (:ON I t(T PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:same as above Structural plan review fee(or deposit): Contact name:Deirdre Britt FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail:dbritt(astonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same 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 $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 173318 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ' �� !!Date: 3 p/ 6 *Fee methodology set by Tri-County Building Industry ,� �"�► Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) • Electrical Permit Application FOR OFFICE USE ONLY ' Received Cit of'Tigard �`■"� Permit No,;f'n 1. =at t5 City �� Date/By. '� 13125 SW Hall Blvd,.,Tigard.OR �2�3 Plan Review 11,1 R �r�I�rA Other Permit: Phone: 503.718.2439 Fax: �V"°., 15 Date/By: TIGARD Inspt.ction Line: 503.639.4175 "au q �,� DateReady/13y 1"iia° la See Page 7 for Internet: www.tigard-or.gov AR , •O Notilied/Method: , Supplemental Information '"_•> H. �-; n;,<'",- r.�a .,a`Y:.w •:�s,� -„-a . �3' �-?'�� .�� .'i°_ z y,. .fir �-...,:i e'1�1fa ...w`3 `:i .3 s.�,°�d+dn-» �'`„ ®New construction ❑Addition/alt r 1 irl. nt !lease check all that apply(submit 2 sets of plans w/items checked betow): U\�� ❑Service or lecder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. �- d �` - ,, csceeds 10,000 amps at 150 volts or ❑Floating buildings. sv ..49. x „r.'�' � _. $ rte 1 ,-, less lu ground,oi•esceerts 14,000 ❑Canmercil-use agricuhuml ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: ['File pump. ❑Installation of 150 KVA or •- -, ❑Emergency system• larger separately derived system, r ., .r '• < ..�.� '1”; W. „� no- � t9• � � 4'#i ❑Addon of new motor load o[ ❑,.A,...t„,.1_2,...1-3., Job no.: 1, 2 Job site address:' !w25 SW`1'I,� is.:N PR, 10011P m'more. occupancy. ❑Six or more residential units. 0 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. Project name:Southview Heights ❑Service or feeder 600 amps or more. ' ;'). --,,s 'i i -1 t,t':1,01,J.,. , . Cross street/directions to job site:SW 122"`t Ave&SW Beef Bend Rd owl-411ion QIy. Me. Total New residential single-or multi-family dwelling unit. Includes attached garage. _ Subdivision:Southview Heights J Lot no.: 2s 1,000 sq.ft,or less 168.54 4 Ea.add'I 500 sq.ft,or portion 33.92 1 Tax map/parcel no.: Limited energy,residential j (with above sq. 75.00 2 1 lI_ir 49) - ( ,-fL) k ,,. _ _ fit; •>{, .. .'_.,,r_ .. Limited energy,multi-family 75.00 2 new,single family residence residential(with above sq.R.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation r ,. s i 4 ,' i 't m`.X}i?..1 a�+ > ` ,, `,' #; 200 amps or less 1(X).70 2 .roc f: _. 201 amps to 400 amps 133,56 2 Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 200,34 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 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 y , , " , r¢ '", 9`s ,� A.Fee for branch circuits with a�,':,•';a. ,, , . •'::•"."''''' „ ..�.x.�«. , ,, above service or feeder fee, Business name:same as above each branch circuit 7'42 2 B.Fee for branch circuits trithoui Contact name:Deirdre Britt service or feeder tee,first 56,(8 2 branch circuit Address: Each add')branch circuit 7,42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:( ) Fax::( ) Reconnect only 67,84 2 E-mail:dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 2 t o r ;r 7T , i ? it.:.. 1;n; V T144Z R h °`i Sign or outline lighting 67.84 2 Business name:City Electric Sigurd circuits)or limited-energy Sec . 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(l hr mm) 66,25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr min) 78.18/hr Inspections for which no tee is t CCl3 Lie.: 42422 Electrical Lie.: 26-289( J Suprv. Lic.• 35925 specifically listed(' hr min) )0•(10/hr ELECTRICAL PFR1 Suprv. Electrician signature, required; V / Subtotal Print name: Chuck Friesen Date: Plan review(254 of permit tic) --- State surcharge(12%of permit tee): Authorized signature: TO•I711.PFRMI'l I:I:Ii. lhi.permit:gtpliralion espires if a pvrnul i�nil uhf anal wilhiu 1x0 Print I lame. Date dais alter it has been ncceptul ,c cnngtk Ie. 1 t'•.Iruil+?im_1P:nail',\iit i'.:nmi•'\' tiC F.CI.ek+e R,'v.m'/?/>41/ 4.1.,-lnl Slit 1,0,4 OAVWI li . . . . • Mechanical Permit Application FOR OFFICE USE ONLY Received City Of l sl r(� Permit No_ 13125 SW Mall Blvd.,'Tigard,OR 97223 1', f Plan Review( Phone: 503.718,2439 Fax: 503,598.19fiQ Oahu Permit:ilk`jv Datelliy: TIGARD Inspection Line: 503.639.4175 30 Date Ready/By; lures: ®See Page 2 fret - Internet: www.tigard-or.gov 141 L Notifed/Method: Supplemental Information NR '3k No 'f1''E OF WORK \ • .., ="COMMMF,RCIAI.`FEE" SCHEDULE - USE C llt.("KLIST • Mechanical permit tees"ate based on the value of the work ®New construction ❑Addition/alteratiot I4lerlt performed Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑ Demolition ❑Other: A� _ P Value $ C.VTLGOR%' Ol CONSTRUCTION RUC TIOti R� l t 1 1 r ® I-and 2-tamily dwelling ❑ Com r ry mercial/indiustial ❑Accesso building For special Information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description I Qty. ( Ea. [ Total JOB SITE INFORMATION LOUAl'►OV Ilcaling/cooling: Air conditioning 46.75 .lob site address: 1 402.5 ')A/ -•r)Y.'.-t`i Ne..dr1 1•I U • Furnace 100,000 BTU(ducts/vents) 46.75 . t City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt,no.: ( Project name:Southview heights Duct work 23.32 Cross street/directions to job site:SW 122nd 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:Southview Heights Lot no.: 25 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater [ 1 23.32 ; ) �� ® l s: - Gas fireplace/insert 33,39 "� t� ` '' `r ' 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 r �. .� - .. �;w Other: 23.32 o e o , `;0,'"-:,7""':',"'"7,4'® -' a ' d '- '�'' Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen r equipment 33.39 g Address:4230 Calewood St,Suite 100 P Clothes dryer exhaust 33,39 City/Stale/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32 :[C `lima o � »' C0 Other: 23.32 _ , Fuel piping: Business name:same as above SI4.15 for first four;54.03 for each additional Contact name:Deirdre Britt Furnace,etc. J Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range 1:-mail:dbritl( )stonehridgchomesnw.cum Barbecue . s CONTRACTOR Clothes dryer(gas) Business name:Comfort/one Other. M1MECI1ANICAI.PERMIT FEES" Address: 1032 NW Corporate 1)r Subtotal --T City/Stale/ZIP:Troutdale,OR 9706(1 Minimum permit lee(590,00) Plan review(25%of permit lee) Phone:(503)667.5595 Fax:(503)491.8252 State surcharge(12"/o of permit fee) CUB lie.: 110091 "fOTAI.PERMIT FEE _ This permit application expires if a permit is not obtained within 180 dms after it has been accepted as complete. Authorized Sl,naltlrt: lee tuelliodology scl by Tri-Comity Building Industry krvicc I/oanl [ I'rint name: David Iletdstab l Date: 1's l f o u l invki.rnuit,wuil'-I'.nni+A1ry•._r:.1o1 I :110-+a171(uN?Na)ntnvt:n) Plumbing Permit Application Building Fixtures I.�. ' FOR OFFICE USE ONLY City of T4 • � Received Tigard G ^ Pen""Nn.:� ToZUIT- M 13125 SW Hall Blvd.,Tigard,OR 401 Dale/tiv: 5 i q�Q 4 1 tan Review ■`' Phone: 503.718.2439 Fax: 503.59 .1 60 M�7 ©p, ut;y Other Permit No.: Inspection Line: 503.6394175 P� Re td /0v tuns: ® See Paget for TICiARD OF ` �,n Y Internet: www.ti6�rd-or.gov ,�r�[ T�}�, �!`t'�"1VaIhcJ/MvlhoJ Sup kmenml Information TYPE OF WORK \, ` 0,v _ , -,:.. ' ,4 r,i..4` �F+ '..,tl :^ ' � Al ®New construction ❑ll-,� .n special information use checklist in ---...._- -_ _ Description [ Qty I Ea. I Total ❑ Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a .fin ty^r® .; SFR(I)bath I 312.70 , .4 n G kit w?1 ZA �[°'1�,OiY ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 • SFR(3)bath 50032 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler ) 1 .I ( P ( s4 Page . Y . 32 1 d A � r l°}) a rJ . .X l .S�l�a�lliCd: <h!«� I aGA)4 Catch basin or area drain 18.76 Job site address: �Z,Q2,5 � U 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 I 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 ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 _ Subdivision:Southview Heights I Lot no.: 2.5 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 r - ' .E it Backwater valve 12.51 ., gyp'. $i'zi �X.s Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 IZI . PROPI.fl TV OWNER 0 'TIN∎N T Expansion tank 12.51 Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:4230 Galewood St,Suite 100 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 ( Hose bib 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51 t ; s e ,A i 1:: _ "cr) ', i o Interceptor/grease trap 1 25.02 Business name:same as above Medical gas(value:$ ) Page 2 --` Primer 12.51 Contact name:Deirdre Britt Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 I mail:dbritt @stoncbridgchomcsnw.com Urinal 25.02 ems, . Water chisel 25.02 • ` °�- . - ', _b , '?"r 1 Water healer 37.52 Business name: Max Plumbing ' Wafer pipimJDWV 56.29 Address:l'O Box 5597 Other: 25,02 City/State/ZIP: Beaverton,OR 97006 - Subtotal Phone:(971)275.0198 Fax: Minimum permit lee: S72S0 Plan ie.view (25%of permit lee) CC1)1 is 194644 Plumbing Lic.no.:PR1083 - Stale surcharge(12%tit permit Ice) A:iihunied signature: ( , .- It)"I'AI.I t I RMI'f`FI:F. 1 I-his permit application expires if a iwrmd is tint Iii mu ied a ilium Ia0 days !I inl naltll.•1:N ll tl Hf4r411'1' I):Itl': 1 after it has been accepted as cn ttipitte. 'Fey nm mt ominlogy.et by lli-t'uunty!Lidding buIustiy Service Inn,td +',I1.;:I:Ilrr�.i',:rrnir,l'I.AIl-t'�rrr+ir 1111;Jnc Irrul%' 44,4,14,101,/.2:(U_i-\Vi.,,) 1 • w Ilil City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential ,E. I Building Permit #: /head/5 alig5- Site Address: la oa s S tJ Ts..rn aid't n Dr. Project Name: SoreeFii V'f t...$ l-kil k4-s Lot #: cR5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Iv`e t.S Sot. x Verify site address/suite #exists and active in permit system. ❑ River Terrace Plan District: ❑ Yes ❑ No Site Plan Elements: filThree(3)copies of site plan XrExisting structures on site . gSite plan must be on 8-1/2"x 11"or 11 x 17"paper Igi Footprint of new structure(including decks)with finished I Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations(required for new,may apply for additions) ®Site address,project or subdivision name and lot number ZiLocation of wells/septic systems [ Applicant information(name and phone number) ®Erosion control(including drainage-way protection,silt fence ®Lot dimensions and building setback dimensions design,location of catch basin,etc.) [Lot area,building coverage area,percentage of coverage and []Street names impervious area(applicable if R-7,R-12,R-25&R-40) l treet tree size,type and location E Property corner elevations(2 foot contour lines if more than %Existing trees to be retained with drip line,and trge 4 foot differential) protection measures [ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 114 No Received: ❑ Yes ❑ No ® Public Facilities Improvement(PFI)Permit: Required: ® Yes,applicant was notified 0 No Applied For: ® Yes ❑ No,stop intake fXl Land Use Case#: 6143 a o 13 -'0000 5 rgi Zoning: R - 7 IX] Setbacks: Front 15 Rear t Side 5 Street Side /0 Garage ao rvi Landscape Requirement: a p % ® Lot Coverage Maximum: 0 0 cyo Eg1 Building Height: Maximum Height 35 Actual Height 3=1--Ni Visual Clearance I$ Easements Ik Sensitive Lands: ❑ Yes Er No Type tcr Urban Forestry Plan Ri Conditions Met Notes: Approved By Planning: 0.141(, a. A,: Date: 3 .23 - rS 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\BldgPermitRvw_RES_020415.docx i A � Building Permit Submittal Original Submittal Date: 3 // Site Plans: # 3 Building Plans: # if Building Permit#: g above. Workflow Routing: lannm u En i neeriingEl-- er'mit Coordinator Building Workflow Sign off: iO.-Engineering:2 i `off for Planning(include notes from planning review) Route Application Documents: (1) copy of permit application, (1) site plan, (1) building plan and onal plan review routing form. SE"tuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ..- - Date: Engineering Revie %Actual Slope: 5" N V('� izr Conditions Met Easements (encroachments) N 44 q. ❑ Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes VI No Assess Water Quantity Fee: ❑ Yes V( No f NOT Approved by Engineering: Date: 3-25-_iS Notes: G'.i6:6.1 k. um,'r M7 it_mt, LvcA-Z1� . ec(-57 /)c {O'/� / k ✓ `�S CG '- 3 Approved by Engineering: 'w , Date: .3 %.� i 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: "5-rD N 3/.?s # e ( 94 x/1,%2 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: OK to Issue Permit Approved by V-24//5-roved b Permit Coordinator: l/ ' Date: L\Building\Forms\BI dgPerm itRvw_RE S_020415.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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00045 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00045 George Heimos 1. Cleanout plug needs approved thread sealant at: right front and center front. 316.1.1 2. Protect 3/4" Pex pipe in garage between ﬁre sprinkler double check and main. 313.5 3. Recall inspection when corrections have been completed 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00045 George Heimos 1. Provide plumbing, mechanical and ﬁre sprinkler ﬁnal approvals, no inspection did not take documentation. 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00045 George Heimos 1. Provide permit for AC unit. 2. Recall inspection when completed 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00045 David Young Corrections 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00045 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00045 David Young Provide approved ﬁnal inspection for FPS 2015-00069. Provide approved ﬁnal inspection for PLM 2015-00195 Provide approved building ﬁnal for MST 2015-00045 Note: investigative fee to be paid prior to inspections for Stonebridges salesperson Erik giving keys and authorization to move per new owner prior to building ﬁnal inspections and issuance of a certiﬁcate of occupancy. Fire, life safety inspection done at building plumbing and mechanical ﬁnal. Fire suppression system on. 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00045 David Young Corrections complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation checked. Back ﬂow test reports received. C of O available at City of Tigard permit center. Violation Summary: Inspector Contractor