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Permit
4 4 1' CITY OF TIGARD j MASTER PERMIT 3 ' COMMUNITY DEVELOPMENT lirla3. 111 Permit#: MST2015 00043 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2015 Parcel: 2S110CB11800 Jurisdiction: TIGARD Site address: 15152 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 6 Project: Southview Heights, Lot 6 Project Description: New SF. 7/21/15: Reprinted permit to show change of contractor from City Electric&Supply Co. to Electrical Innovations. 9/23/15 REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Reauired Stories: 21 Bedrooms: 4 First: 1060 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1400 sf Garage: 420 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2460 sf Value: $296,058.00 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 F urn>=100 K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 2460 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 report required prior to footing inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $22,711.02 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. ATT ■ - . •egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0' -.010 through OA' 952- - 090. You may obtain a copy of the rules or direct questions to OUNC by calli 3.232.1987 or 1.800.332.2344. Iss ed By: 4114.4 1 Permittee Signat e aA.J Call 503.639.4175 by 7:00 a.m.for the next available inspection te. 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. m, CITY OF TIGARD MASTER PERMIT 1111111 1 COMMUNITY DEVELOPMENT Permit#: MST2015-00043 II' ' Date Issued: 06/04/2015 T I G AIA,LI 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Plain Parcel: 2S110CB11800 Jurisdiction: TIGARD Site address: 15152 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 6 Project: Southview Heights, Lot 6 Project Description: New SF. 7/21/15: Reprinted permit to show change of contractor from City Electric&Supply Co. to Electrical Innovations. BUILDING Floor Areas Required Setbacks Required Stories: 21 Bedrooms: 4 First: 1060 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1400 sf Garage: 420 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2460 sf Value: $296,058.00 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 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!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 2460 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 report required prior to footing inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $22,613.66 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 copy of fec pr direct questions to OUNC by calling 50 . 32.198 r . 00.332.2344. Issued By: Permittee Signature: --- Cal 75 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. f�C Electrical Permit Application Project# s"..4 Washington County,155 N.1"AV,Suite 350,MS 12,Hillsboro,OR 97124, i Phone:503-846-3470,Fax:503-846-3993/lutbldg(4co.washington.or.us Permit# f )s7 - o 1.�`UCh73 �AFGON Inspection Requests:503-846-3699/www.co.washington.or.us/giro TYPE OF WORK PLAN REVIEW © New construction 0 Addition/alteration/replacement ❑Other: Please check all that apply: ❑ Service or feeder 400 amps❑ Hazardous locations or more where the available Service or feeder 600 amps or more CATEGORY OF CONSTRUCTION fault current exceeds ❑ Building over three stories 13 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building 10,000 amps at 150 volts or❑ Marinas and boatyards less to ground,or exceeds ❑ Floating buildings ❑Multi-family ❑Master builder ❑Other. 14,000 amps for all other •—__ ---�- ❑ Commercial-use agricultural ' JOB SITE.INFORMATION AND'LOCATION' installations. ❑ Fire pump buildings Job no.: I 3 Job address: 15152 SW HAPV1 S VIEW AVB ❑ Emergency system ❑ Installation of 150 KVAorlarger separately derived system ❑ had toio 0o0f H P ne w o r m mootore r ❑ ..�...E,"`•i-2,""I-3"occupancy Ci t /State/ZIP: E C E I V E D❑ Six or more residential units ❑ Recreational vehicle parks Suite/bldgiapt.no.: Project name: _ ❑ Supply voltage for more than ❑ Health-care facilities 600 volts nominal Cross street/directions to job site: JUL 2 1 2015 FEE'`SCHEDULE BUILDING OF TIIGARD .ascription Qty. Fee Total I * Subdivision: S0014 VI�-w Lot no: 49 BUILDING D IVIS I© esidential single-or multi-family dwelling unit.'_ ncludes attached garage. Tax map/parcel no.: 1,000 sq.ft.or less 167.00 4 DESCRIPTION OF WORK • '" '' Ea.add'1500 sq.ft.or portion 47.00 Limited energy,residential 107.00 2 new, single family residence (with above sq.ft.) - r• — — Limited energy,multi-family.� y 107.00 2 no 1�, of a.� , C ) n el _ -b residential(with above sq.ft) 0*ROPERTY OWNER r - ❑`TENANT''' erviees or feeders installation,alteration,and/or relocation, ,;7- ' 200 amps or less 107.00 2 Name:Stone Bridge Homes NW, LLC 201 amps to 400 amps 161.00 I 2 Address:4230 Galewood St, Suite 100 401 amps to 600 amps 214.00 2 ! 601 amps to 1,000 amps 32100 2 City/State/ZIP:Lake Oswego, OR 97035 A Over 1,000 amps or volts 642.00 2 Phone:(503)387-7577 _ f Fax:(503)387-7615 Temporary services or.feeders installation alteration,and/or relocation .. Owner installation:This installation is being made on residential or farm property owned by me or a member of 200 amps or less 107.00 2 my immediate family. This property is not intended for sale,exchange or rent.(ORS 479.540(1)and 479.560(1). 201 amps to 400 amps 161.00 2 Owner signature: Date: _ 401 amps to 599 amps 214.00 2 -- ——'" ;:Branch circuits new,alteration,or extension,-per.panel ' © APPLICANT . O CONTACT PERSON '.- - - A.Fee for branch circuits with Business name: Same aS abOVe above service or feeder fee, 9.50 each branch circuit 2 Contact name: B.Fee for branch circuits without service or feeder 107.00 Address: fee,first branch circuit 2 City/State/ZIP: Each add'l branch circuit 9.50 I -- Miscellaneous(service or feeder'not included) - Phone:( ) I Fax:( ) Each manufactured or modular 113.50 2 —— — dwelling,service,and/or feeder E-mail:dbritt ston_ebrid g ehomesnw.corn _ _ ____ Reconnect only 107.00 1 CONTRACTOR Pump or irrigation circle 107.00 2 Business name: Electrical Innovations Sign or outline lighting 107.00 2 — Signal circuits)or limited- Address:16453 SE 232nd Dr. energy panel,alteration,or 107.00 extension.Describe: City/State/ZIP:Damascus, OR 97089 2 _ Phone:(503)358-6989 Fax:( ) Each additional inspection over allowable in:any-ofthe above Per inspection 107.00 E-mail: CCB Iic.no.:66412 11/4//) Investigation fee(see compliance) Electrical tic.no.:26699L City or metro lic.: Other: -- --- ELECTRICAL'.PERMIT FEES , Supervising electrician signature,required: ,.��.�'�-- Subtotal Print name:Terry Thomas ( Date: Plan review(25%of permit fee) State surcharge(12%of permit fee) Authorized TOTAL PERMIT FEE signature: This permit application expires if a permit is not obtained Print name: Date: within 180 days after it has been accepted as complete "Number of inspections allowed per permit. Revision 6/13 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Request for Permit Action i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits @tigard-or.gov FROM: ❑ Owner ❑ Applicant ontractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ I CE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: I/`17-20(S— 0604.3 Site Address or Parcel #: / s l 5 2 S t-- 1-4�,�..e c ;-- Project Name: C 444—CJ't ,_•3 �• < Subdivision Name: ` / Lot #: EXPLANATION: a^-7e_ e �� c t�� -:�. �,v,� ��t Elc y y� [e e_ . , e ".. ( Signature: Date: 7��5 Print Name: l , Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_092314.doc ,� CITY OF TIGARD MASTER PERMIT III = COMMUNITY DEVELOPMENT Permit#: MST2015-00043 T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2015 Parcel: 2S1100811800 Jurisdiction: TIGARD Site address: 15152 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 6 Project: Southview Heights, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 21 Bedrooms: 4 First: 1060 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1400 sf Garage: 420 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2460 sf Value: $296,058.00 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 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 Drywall-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 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/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 V 8 R-3 2460 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 report required prior to footing inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $22,568.66 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 c•- • e • -.or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l Issued By: 1�� — —.. �— Permittee Signature: . . .'j Ca -A •'.4175 by 7:00 a.m.for the next available inspection .a :. i 4,-, This permit card shall be kept in a conspicuous place on the job site until corn• ion of the project. Approved plans are required on the job site at the time of each inspection. . s Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received � Permit No.: T S/%4 DateB � v4 13125 SW Hall Blvd.,Tigard,OR 972236VAR 18 2015 Plan Revte�rhis t, � n^N s_ I Phone: 503.718.2439 Fax: 503.598.19 DateB : Other Permit �V TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReady o ? J / tuns ® See Page 2for Internet: www.tigard-or.gov Notified/Method: a a,`p//5 - Supplemental Information BUILDING DIVISION 696e,nod TYPE OF VtORK 'EQUIRED DATA:l-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 CONK!RUCTION work indicated on this application. Valuation .52 N .....2010 7 p 1 ® 1-and 2-family dwelling ❑Commercial/industrial t `�� 4❑Accessory building ❑Multi-family Number of b drooms: ❑ Master builder ❑Other: Number of bathrooms: 2•tj Total number of floors: Job site address: 15152 % 4-th1 a.V61.4 V 1J Ave . New dwelling area: 2 up square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 110 square feet Suite/bldg./apt.no.: Project name:Southview Heights Covered orch area: Z square feet !, Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Deck are - square feet 1000 C Other structure area: .j)' square feet 'ZS ,:R C1QU1RED DATA.COMMERCIAL-USE CHECKLIST Subdivision:Southview Heights Lot no.: (e, 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. nest,single famils residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge homes NW',I.I.0 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 ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:same as abo'e (Please refer to fee schedule) 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: Amount received: ,75C.)' Phone:( ) Fax::( ) I PHOTOVOLTAIC SOLAR PANEL SYSTE t. E-mail:dbrittnstonebridgehomesnw.com r, ommercial and residential prescriptive installation of CONTRACTOR re. -top mounted PhotoVoltaic Solar Panel System. Business name:same as above Subm o(2)sets of roof plan with connectio •-tails and fire dep. gent access,along with •• r I Oregon Address: Solar Installation . 1 C.• ecklist. City/State/ZIP: Permit Fee(in .-s . -' review $180.00 .•• administrative - Phone:( ) Fax:( ) S • urcharge(12%of permit fee): $21.60 CCB tic.: 173318 Total fee due upon application: $201.60 Authorized signature: o �� This permit application expires if a permit is not obtained CJ 1„'t within 180 days after it has been accepted as complete. �1 r *Fee methodology set by Tri-County Building Industry Print name: R� nt�+TT Date: l�{�'j,� Service Board. !:\Building\Permits\BUP-RESPerntitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Electrical Permit Applicati FOR OFFICE USE ONLY . DECEIVED Received /, City of Tigard Date/By: f ' ,< • Permit No.: �(�CS�C/G'O) "' 13125 SW hall Blvd.,Tigard.OR 97223WIIHR 1 8 2015 plan Review "1 I 0 Phone: 503.718.2439 Fax: 503.598.19 Date/By; Other Permit: " , /0 —1,001)(,) TWA RD Inspection Linc: 503.639.4175 Date Ready/By: hiris; El SccPage2for Internet: www.ligard-or.gov CITY OF TIGARD Nnlified/Method: Supplemental In formation 1,, .,, <,,zg z , sift t ' "":;414' e 5 r .� g t axs`, ,o '°`.:$ ss •qtr :%:£- ..*_ «t'" ,^: ,� ..,oa '? t »° , :.'"v � ®New construction �❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whims checked below): ❑Service or feeder 400 amps or more ❑Building over three stories, D Demolition ❑Other: where the available fault cutsent ❑Marinas and boatyards. a "' �' c saj �•i .i exceeds 10,000 amps at 150 volts or ❑Floating buildings. 4:7°'i°° A "; fi" t'' less to ground,or exceeds 14,000 ® I-and 2-family dwelling ❑Commercial-ace agricultural y g ❑Commercial/industrial 0 building amps far all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump, ❑Installation of 150 KVA or r ❑Emergency system, larger separately derived system, � e M �� s � �z�Il r( 4 z ,,«_ ID Addition of new motor load of ❑"A", > l r { occupancy. Job no.: I 543 Job site address: <S I --..�V."J H ) 1 L V I By A W• ❑Six or more residential wits. 0 Recreational vehicle parks.. City/Stale/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than ❑I lazardous locations 600 volts nominal" Suite/bldg./apt.no.: I Project name:Southview Heights ❑Service or feeder 600 amps or more. Cross street/directions to job site:SW 122" Ave&SW Beef Bend Rd Description Qty. Per. Tool New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights , Lot no.: . +v 1,000 sq-R,or less 168.54 4 Ea.add'I 500 sq.It,or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 (with above set.lt.) Limited energy,multi-family 75,00 2 new,single family residence residential(wills above sq.IL) Renewable Energy Q See Paget Services or feeders installation,alteration,and/or relocation s 0 e ,, i< 1 ,4 I >�(, 2W amps or less 100.70 2 4 7 201 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 I,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 [ 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. d01 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits–new,alteration,or extension,p_er panel _ sx ,— rr'*r ,, ( a � .',, ;" A.Fee for branch circuits with .c . . _, ,, `, t,„ ,,t t ;'-',...°t`r_ ...r above service or feeder fee, Business name:same as above each branch circuit 7.42 2 B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56,18 2 branch circuit Address: Each add'I branch circuit 742 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67,84 2 dwell ink service and/or feeder Phone:( ) Fax::( ) Reconnect only 67.84 2 E-mail:dbritt istonebridgehomesnw.com Pump or irrigation circle 67.84 2 ` `f ,494-"„ .°9 " .a �'":fx';.Mtf.tL,,,:?::' &1A 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 Schaltenhrand Ln Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66,251 hr City/State/ZIP:Sherwood,OR 97140 Investigation(I hr nun) 66,251 hr Phone:(97])404.1714 Fax:(503)625.3052 industrial plant(1 hr min) 78,18/hr inspections tow which no fee is Cell 1.1c. 42422 I Electrical I.ie.: 26-2ROC Suprv. Lie.: 35925 specifically listed(i hr min) 9o,ut71 hr 1..—..�____.�.__.____ ELECTRICAL-1'F)#bubt o FEES',..:', „„''''' .' ; Suprv. E ctrtcian signature; required Subtotal Print Hanle: Chuck Friesen Date: Plan review(25%ofpermit lee): _.______.. ...._.__.._. _.._ _ _ State surcharge(12%ofpctmitfee). Authorized signature: T -fO)fAl.PERMI"t FIT _.. _--- This permit applicatmn expires ifa permit is not nht d within 1tnl Prim name: l Date: dais after it has hero accepted IS complete .___._._. _ _ . ___.....„ __.... ._ v.w_ W.--111_—... —" ' Nmnber<it insp.:I:toms allowed pm permit ddu.too f1..1I 110/COMA Fn Mechanical Permit Application- OR OFFICE USE ONLY City of Tigard DECEIVE , Received ,�(/ E! 'ernnilNo. � �—rI 3 Dntc/Oy 3 13125 SW Ball Blvd.,'I Tigard,OR 97223 1 t Phn Review 0` Phone: 503.718.2439 Fax: 503,598.1960 MAR 18 2015 Dale/Ily Oilier Permit: Inspection Line: 503.639.4175 y. See Page 2 for TIGARD Date Read/B hurls: 1a Internet: www.11 and-°` "" CITY OF TIGARD g g Notified/MethoeC Supplemental Information BilkniNG I iVISi3ON fY)'E OF WORK COAIdIFRCIAL FEE' SCHEDULE — USE(iii: Mechanical permit fees'me based on the value of the work ®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials.equipment,labor,overhead,and profit. Value 4 ' 3b : -:'' rla#:' is-'11 9F, t.tk 11 tC.,"C.I 12P.'SIDEr\1I>1I:EQUIPMENT/SYSf Wi PFF ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: i Description I Qty. I Ea. I 'total Ilcatin JOB coolie t •, A 4 '1 D LO(•�TION Air conditioning l 46.75 t lob site addrus. Furnace 100,000 BTU(duets/vents) 46.75 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 Ileights 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 healers(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.: Other: 2332 Other furl appliances: Tax map/parcel nn.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 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 14NI It _, I ... 0 T N 1N I --- --- Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen t — _-_ equipment 33.39 r Address:4230 Calewood St,Suite 100 r Clothes dryer exhaust 33.39 City/State/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 y f .i Aif� ,- : e 4.- ,, Other 23.32 :„ _ .�:....t.,,,,„,,...„. e . _z,-, Fuel piping: Business name:same as above . tii14.15 for first four;54.03 for each additional Contact name:Deirdre Britt Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/Slate/ZIP: Water healer Phone:( ) Fax::( ) Fireplace Range li-mail:dbrill(u)sionebridgehomcsnw.conr 13arbecuc COYTTL,CTOR Clothes dryer(gas) Business name:(oinfort Zone Oilier MECHANICAL PERIHT FEES* Address: 1032 NW Corporate Dr Subtotal City/Stine/ZIP. I imildalc,OR 971160 — Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)667.5595 I Fax:(503)491.8252 ' State surcharge(12%of permit fcc) CCB lie.: 1101)91 _ TOTAL 11:1211111'IEE. This permit application _._ ..__....______—__....._._._......,__.—.—_....._.._ - - - expires if a permit is not obtained within ISO days after it has been accepted as complete. AltlhorVld signature: ••�+ Fee methodology sal by Tti-t',audy Iluikling Wanly Service Iioanl [ Print name: David Ileldstah _ __ I Date; I'•lA,ildn,,:ptonasVi lIC_l'.nnilApp OW II.i,k. •40..461 Tr ii i/a2aarsvwtal) I'lumbini Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY Roccival �J'/ City of Tigard Dale/By: 1�6 i 1 PermitNo,:t1918 �rj �,)p �j a 13125 SW Hall Blvd.,Til;ard,OR 97224A^D 1 8 2015 Phut Review 1!1111 i I Phone: 503.718.2439 Fax: 503.598.1 t Other Permit No.: &p 1�000SO Date/By. TIGARD Inspection Line: 503.639.4175 �-�/ TIGARD Dal:Really/Ity: iris: 0 See Paget for Internet: www.tigard-or,gov CITY 1 �F a , Notiticd/Method: Sup ilementnl Information 'a te. w & (r.' i` r pt. E ''mot ,"� . in a: g New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacemcnt ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) :'a a . fit..."= , ,•'• SFR(1)bath I 312.70 ® I-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 ❑Other: sprinkler sq. ) ag 2 '' r . s a i .,a. a Site utilities: s .fi. P e Job site address: [51 F�"j,. SW H A��\4,c v 16 'All - e Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 booting 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 122t'd Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 11.: ) Page 2 Storm scwcr(no.linear ft.:_) Page 2 Water service(no.linear ft:_) [ Page 2 Subdivision:Southview Heights I Lot no.: . Fixture or item: Tax preventer 31.27 ax map/parcel no.: =a) ,;ii.:,:! t ??,1 ?,',,,;a,.' Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r •A', , , k z .� ., ;€ - 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 l? I J. a°� .egr ..- `. '` Interceptor/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/State/ZIP: Solar units(potable water) 62.54 Fax::( ) Tub/shower/shower pan 12.51 E-mail:dbritt(&sloncbridgchomesnw.com Urinal 25.02 Water er closet 25.02 ti xa ' 4.' Water heater 37.52 Business name: Max Plumbing Water piping/1)W V 56.29 Address:PO Box 5597 Other: 25.02 City/State/ZIP: Beaverton,OR 97006 Subtotal - Phone:(9711 275.0198 Pax:( ) Minimum permit tee. $72 50 �........_-.d___.,_ ._.... .._..__ __...._,..._-.. ..._� CCI3 Iie-: 194644 Plumbing lie.no.:P81083 Plan review (25%of permit fee) . __. _ _ _ _._ _ State surcharge(12%of permit lee) Authorized slum iturc i c,.+'ti T�-.rr^C.-e't--'`---�-- 1 O fnl.P1:Rh'n t rl.e -4- �•�'_- �.... .,._.._�....1 This permit application expire,if a pee nut is not obtained nilh n ISO days Ii mt name:.1»son I le,'ner Date: after it has Fern accepted as complete. "Fee nkih,HIologc.et h 716(',nml\Bmldinr hldu:u■Sea m•Roaed I tliu:I,I \i' ioa',I'l AtiI i',, i�.4lrp doe uinittr, 44..4911.1(norm otww1U3l . • 71 City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: H.�raDt 5---60°V 5 Site Address: /5153. 4r4- J \/3 JI Project Name: ' ou.Tt f Lit fie,,, 4€, «7--S Lot #: 4, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: C)PN`e l.o er .. t 4-• o G Si n9 IL c-et r►-1■1•.x- n r i di-4,v'cg. ct-4- to- (o o G+ go u i t..v,e w ►tie- c5 k 11 ❑ Verify site address/suite#exists and active in permit system. —giver Terrace Plan District: ❑ Yes ❑ No Site Plan Elements: Three(3)copies of site plan j2xisting structures on site . Site plan mu stbe on 8-1/2"x 11"or 11 x 17"paper ?footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow ltility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number °cation of wells/septic systems %Applicant information(name and phone number) piErosion control(including drainage-way protection,silt fence )2iLot dimensions and building setback dimensions design,location of catch basin,etc.) grLot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location 21 roperty corner elevations(2 foot contour lines if more than $Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: I=1 12 Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 7 Land Use Case#: S V 3 4-o 13 -O 0 DO S XI Zoning: g-1 Setbacks: Front `S Rear ` S. Side S Street Side ( 0 Garage LO 2Zr Landscape Requirement: 2_0 Lot Coverage Maximum: 9 0 /2 Building Height: Maximum Height g 5r—4- Actual Height Z3 ❑ Visual Clearance ❑ Easements NJ(Ac Sensitive Lands: ❑ Yes ,2-No Type -iUrban Forestry Plan conditions Met Notes: Approved By Planning: On misc.-c/L el.(nee o cw.. Date: -3 /1 B / ( c Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_020415.docx Building Permit Submittal Original Submittal Date: • /9//< Site Plans: # Building Plans: # Building Permit#: 'Enter building permit#above. Workflow Routing: Ef Planningneering emit Coordinator -$Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: a-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and on nal plan review routing form. 1�Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician ■ Date: ../,W _____ Engineering Review Actual Slope: �V CIA, 20 7C) ❑ Conditions Met ❑ Easements (encroachments) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes .12. No Assess Water Quantity Fee: ❑ Yes ,„12.."No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 3 Ii ell 5-- 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: /fli! K,41--ef-4,-L-e_ � v h A b . 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 f A PP by roved b Permit Coordinator: r Date: 3 r r J 1:\Building\Forms\B1dgPermitRvw_RES 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 135 Low voltage rough-in PASS MST2015-00043 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 120 Electrical rough-in PASS MST2015-00043 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 115 Electrical service PASS MST2015-00043 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 120 Electrical rough-in PASS July 23, 2015 at 9:17:41 AM MST2015-00043 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00043 David Young Correction complete. C of O available at City of Tigard Permit Center. 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL MST2015-00043 David Young Provide permit for AC not on original permit. 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS MST2015-00043 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2015-00043 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2015-00043 David Young Correction complete. 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 15152 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00043 David Young Provide permit for AC and approved mechanical final inspection. Recall MEC and MST final inspections. All else ok. Received required documents. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Duct seal test report checked. Violation Summary: Inspector Contractor