Permit .� CITY OF TIGARD MASTER PERMIT
''�! COMMUNITY DEVELOPMENT Permit MST2015-00082
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2015
Parcel: 2S110CB13900
Jurisdiction: TIGARD
Site address: 12055 SW TURNAGAIN DR
Subdivision: SOUTH VIEW HEIGHTS Lot: 27
Project: Southview Heights, Lot 27
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: 29 Bathrooms: 3 Second: 1101 sf Garage: 820 sf Front: 15 Smoke
Dwelling Units: 1 Third: 1194 sf Right: 5
Detectors: Yes
Total: 2445 sf Value: $315,380.53 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 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,STE 100 4230 GALEWOOD STREET#100 1 Geo tech report required prior
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 to footing inspection
2 Ersn Cntrl 503-639-4175
3 Engineered Soils
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $22,936.44
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will
be done - ccor an ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. TTENTION: Orego law re you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 01-0010 through OAR 95 001 090. Y�o/y may obtain a copy of e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss By: /N., 1/ '/� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVE])
• Residential FOR OFFICE USE ONLY
Cl of Ti and MAY 21 2015 Received A Permit No.
•J g DateB 0,-,: _ �r+I. l/J/: /45"--(00efoZ
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie ►7i�
' = Phone: 503.718.2439 Fax: 503.598.)x, V OF TIGARD DateB : '4` �I� ECM Other Peru J ors efreface
TIGARD Inspection Line: 503.639.4175 Date Ready :y: luris: 61 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: e$ // // Supplemental Information
IP • . , u :7).1-,11hA__,
TYPE OF WORK /� REQUIRED DATA:l-AND 2-FAMILY DWELLING
® Nev.c construction El Demolition Permit Ices* are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuatio13k5;, J3$ t Tk
® I-and 2-family dwelling ❑Commercial/industrial
4 El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder CI Other:
Number of bathrooms: 7...5
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:e I2056 '"• V I V Yk.l_+t-r--=A i i., ., New dwelling area: 1445 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: V2,0 square feet ( 194.
Suite/bldg./apt.no.: Project name:Southview Ileights Covered por6fi 0 ‘0 1 square feet Reg(
Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd Deck area: -- square feet (iJc)
Other structure area: '32C/5— square feet 7.1
REQUIRED DATA:COMMERC1A .,
Subdivision:Southview Heights I Lot no.: 17 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIP7 ■x ! WORK work indicated on this application.
new,single family residence Valuation: $
Existing building area: square feet ,
New building area: square feet
® PROPERTY OWN „; ❑ 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 ❑ CONTACT 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:dbrittnstonebridgehomesmc.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.
Permit Fee(includes plan review
City/State/ZIP: and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12°/"of permit fee): $21.60
CCB lie.: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: 1V4 t,E $42.(' ' Date: t/14/15 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
' Electrical Permit Application.RE C EIVEP FOR OFFICE USE ONLY
iiew eceived /�
City of Tigard ��ee q 1>r 13125 SW 1-lall Blvd.,Tigard,OR 97MAY 2 1 2015
114 a Phone: 503.718.2439 Fax: 503.59&1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 '-' Date Ready/13y: ®y: Luis See Page 2 for
Internet: www.tigard-or.gov OF ['it�Akll Notilied/Meihod: Supplemental Information
r r • * 1
®New construction ❑Addition/alterationfreplaeement
Please ise check all That apply(submit 2 sets of plans whims checked below) s
❑Service or feeder 100 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 750 KVA or
¢g -'" ;,x ❑Emergency system. larger separately derived system,
::" . ' .. '' 1411 '4�i9'4 a tta,ant$ €"n' ;t�-4 F'.i41°A • a ' r, {.a^ic
❑Addition of new motor load of ❑"A""C" "1-2"°1-3"
Job no.: I e(pet Job site address:-1?,0% ew 1Vt.Npt„dtla pp,,. 1 irmore. occupancy.
❑Six x or more residential units, ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑l lcallh-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: f Project name:Southview Heights ❑Service or feeder 600 amps or more. „;
Cross street/directions to job site:SW 122"rl Ave&SW Beef Bend Rd Description Qtr. fa. Teal
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Southview Heights f Lot no.: '277 1,000 sq.ft.or less 168.54 4
Ea,add'I 500 sq.ft.or portion '7 33.92 I
Tax map/parcel no.: Limited energy,residential
. x 75.00 2
'. .1. x..• ,. _ :l l? i ,,,i t f fs,%-4.' .'' i.., ''.k v �. >l _ i (with above sq-�.
Limited energy,multi-family 75,00 2
new,single family residence residential(with above sq.ft.
Renewable Energy l See Page 2
Services or feeders installation,alteration,and/or relocation
Y ; :i)'7ttf2 �:'°" sr, > 200 amps or less 100.70 2
` 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 55126 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, cr panel
.17, . r , A Fee for branch circuits with
. m -�> '4.; . �” 4,_t, . e`fit ', 4 't ,
• _ • above service or feeder fee,
7,42 2
Business name:same as above each branch circuit
B.Fee for branch circuits without
Contact name:Deirdre Britt service or feeder tee,first
branch circuit 56.18 2
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous set-vice or feeder not included
Each manulhctured or modular ■ 67.84 L�
1 2
dwellingsservicc and/or feeder
Phone:( ) I Fax::( ) Reconnect only 67.84 2
E-mail dbrittigistonebridgehomesnw.com Pump or irrigation circle 67,84 2
4 !, ', ro irk,._ ',,-,5,-,..,-,-,-..-•:.
Q5 "' s . ..mow* 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) 66,25/hr
City/State/ZIP:Sherwood,OR 97140 Investigation(I hr min) 66.25/hr
Phone:(9-77)--,11W.17/14 Fax:(503)625.3052 Industrial plant(1 hr min) 18,15/hr
Inspections for which no fee is c
CCU Lie.: 42422 [ Electrical Lie.: 26-289(' Suprv. Lie,: 35925 rp cilically listed(':hr min) 90 OW h
ELECTRICAL PERMIT I:EESr,.
Stiln•v. F:Ic ctt'ician signature. required: Subtotal
Plan review(25';'.,of permit feel:
Print name: Chuck 17ricsen i Date: ,_
__ State surcharge(12%of permit lee).
Authorized signature: TOTAI.I'l:l Ml'l 11(1:
This permit application espire s if a pulunt is not uhtaincd within 1a1)
Print name: Dale: days anti it has been asccplul ac complete.
......__.._..._..._._.-...,,,,,_,..._.__ _.,........... - - Nmnba n(inslxcuuns allo4rrd pri mom
t.`,Itui du�_1;'.rn u.:.i II I':'vvi.ilai F,LH_I.R1 due Rev'2flDili •i-I Ili slit ln,4!Iti5t44t li
ItElogive....__ .......____ ____.
Mechanical Permit Application FOR OFFICE USE ONLY
Cit y of Tigard MAY 21 2015 Received
eIC/Ilp Permit Nn/1j.v.„,/S—Ov2--
�� • 13125 SW Mall Blvd.,Tigard,OR 97223 plan Review
t= ' Phone: 503,718.2439 Fax: 503.598 1+J�aQ Dale/By: Oilier Permit:
Inspection Line: 503.639.4175 �d l I ���� �
TIGARD *� Date Ready/lay: Juts: El See Page 2 for -
Internet: www.tigard-or.gov BUILDIN( i1!VJS!ON Notified/Method Supplemental Information
i u'F. Or tVOItk' R7 COMMERCIAL FETE' SCHEDULE U5L G111 KII I` ,-
--- Mechanical permit lees*ate based on the value of the work
®New construction ❑Addition/alteration/replacement perlimned.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
�t te; ai N ,
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
lob site address: r2O 5 so/IvitNlltGIAIN P . 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.: ( Project name:Southview Ilcights Duel work _ 23.32
Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Hydronic hot water system I 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.: 'L I Other: 23.32
_ __.__._._. Other fuel appliances: ,,r _
'I:1\!mar/Parcel no.: Water heater % 2332
,..y .... ,.a
"` Itl..,,( Nil,lltl,, O1- 1vORK -fi ' ..%<° Gas fireplace/insert I 33.39
' t' Flue vent for water heater or gas
new,single fancily 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
s .4-4";.::7-Vs.i' _ F Other. :' 23.32
- Environmental exhaust and ventilation:
Name:Stone Bridge Homes NW,LLC Range hood/other kitchen
_equipment I 33.39
Address:4230 Calcwood St,Suite 100
Clothes dryer exhaust -mar 33.39
City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, C
toilet compartments,utility rooms) ✓ 23.32
Phone:(503)387.7577 Fax:(503)387.7615 Atticicrawlspace fans 23.32
® X f"1' PERSON Others_ _ 23.32
Fuel piping:
Business name:same as above
514.15 for first four;54.03 for each additional
Contact name: Deirdre Britt Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
t.
Phone:( ) Fax::( ) Fireplace
- Range ._.(
F-mail:dbrittln/stonebridgehomesnw.com !Barbecue
('ONT1tACl OR Clothes dryer(gas)
Business name:Comfort Zone__._____. Other:
.. MECHANICAL PERMIT FEES'
Address: 1032 NW Corporate 1)r Subtotal
City/Stale/ZIP:Troutdale,OR 97060 Minimum permit fee(590.00)
Plait review(25%o of permit lee)
Plume:(503)667.5595 Fax:(1113)491.8252 ......__ State „ell Iree 112^oofpermit fce) 1•
' CCI)lie.: 1101)91 I O FAl.PERYI1T FEE }#
`.a.__.�......�._ ._ _____-.-__ ._._.._— - -------- This permit application expires if a permit is not obtained within 180 }
��--'�� days after it has been accepted as complete. }}I
Ai lhnriretl signature: t\ z"j ._...--C' ' Pee methodology set by Ili-County HuiIdiny Industry Service nnarsi
I t int tame D:n td Dekko!)rb I Date:
I'It,,idux,'.PtmmsNliit i4...,App a4tll IS tit.: .141.401 VT(I It 1(11MAViin)
a
' Plumbing Permit Application
ECEIVEP
Building Fixtures FOR OFFICE USE ONLY
City of Tigard MAY 21 201 Received
p »,;t N •• J�
Dale/By: �Ys-20/S-.Of7 `
Eril
H 13125 SW Hall Blvd.,Tigard,OR 97223 m Review
Phone: 503.718.2439 Fax: 503.598.196(1 ' My Other Permit No.:
Inspection Line: 503,639.4175 CITTY OF 116,A vdy My: orris 0 See Page 2 for
TIGARD Internet: www.tigard-or,gov
BUTT f�Nt F�IVI' rl/Method: Su i emcntal Information
TYPE OF WOa
:;
®
New w construction ❑Demolition For special lnforraillon use checklist.
_Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
CA1T.CORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-funnily dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq. ft) Page 2
'.,1OI3.SCTI' NihOiniknO; cr1�T'ION Site utilities:
Job site address: Zos5 SW TNIzN p.LT'A1 N ,L°YC• Catch basin or area drain 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:Southview Heights Manufactured home utilities 50.03
Cross street/directions to job site:SW 122nd 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 1 I.ot no.: 2.1 Fixture or item:
I<,x map/parcel no.: Back flow preventer 31.27
Backwater valve 12.51
Clothes washer 25.02
new,single family residence
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PRO1'FH1-S"_OWNER Expansion tank 12.51
Namo:Stone Bridge Hones.N\1,ITC
Fixture/sewer cap 25.02
Floor drain/floor sink/huh 25.02
Address:4230 Galewood St,Suite 1011
Garbage disposal 25.02
City/State/Z.1P:Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51
ID APPLICANT ❑ CON'1'AC."1 PERSON 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
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
I:-mail:dbritt!ia)stonehridgehomesnw.com Urinal 25.02
Walcr closet 25.02
CONTRACTOR' 1- .°'
Water healer 37.52
Business name:Max Plumbing
Water piping/DW V 56,29
Address:PO Box 5597 Other: 25.02
City/State/ZIP: Beaverton,OR 97006 Subtotal
Phone:(971)275.0198 Fax:( ) Minimum permit lee: $72.5(
Plan review (25%ofpermit Ice)
CCI3 1.ic.: 194644 Plumbing I.ic.no.:1'131083 -----
State surcharge 112%ol'permit lee)
Authorized signaIure: rc * �, .4= •LOYAL.PE:RMff FITT
1 Print n:utle:.laSUn 11�Pner Dale: The.permit application expires it a permit is not obtained within I90 days
1111 after it has been accepted as c plate.
'Ice methodutugy set by Tti-County Mudding Industry Sen•ice Mead<
I Utwldioga'.nnasU't_Mll-PcnniiApp clot 100101pr^ 44,..4u11,1(II v'r?r((Intiwr.13)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
l(.:\ K 1)
Building Permit #: /ff7Zo
Site Address: (2 055 5w rn G1O'G i 0 r
Project Name: SO u-linti W tie i 13 Lot #: 2-1
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: i\J.ems/ S i j o.. Co t t i■ r 2e Si &Lain Lc
Verify site address/suite#exists and active in permit system.
$liver Terrace Plan District: ❑ Yes No
Site Plan Elements:
,Ihree(3)copies of site plan Xxisting structures on site
Site plan trust be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
/Drawn to scale(standard architect or engineer scale) floor elevations
orth arrow Utility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number ,$ cation of wells/septic systems
AppliApplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence
cant
t 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) pltreet tree size,type and location
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: [ 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
A Land Use Case#: S V 4 Zn 13 - 0 0 0-0,3
Zoning: —,
J2' Setbacks: Front S Rear 1. 5 Side s Street Side O Garage Lo
/�Landscape Requirement: 2.„.0 %
Lot Coverage Maximum: 90 cyo
"Building Height: Maximum Height T3 5 Actual Height
_ i ual Clearance N/A
Easements
Sensitive Lands: ❑ Yes ,2(No Type
B—Urban Forestry Plan lj A
yiConditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: A10(n i e-v. 81 l o of e ti Date: S/21 / J 3
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_031015.docx
Building Permit Submittal
Original Submittal Date: .91.2,5#
Site Plans: #
Building Plans: # 1/
Building Permit#: EYEnter building permit#above.
Workflow Routing: ,-Planning engineering E Permit Coordinator 43—Building
Workflow Sign-off: EYSign-off for Planning(include notes from planning review)
Route Application Documents: 0'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
er-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: <06 j-/L_ Date: -47�-d//.-
Engineering Review �J
Er Slope at building pad: 2 fro
12'Conditions "Met"prior to issuance of building permit
B Easements (encroachments)per engineering conditions of approval and plat
Er Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes in-No
Assess Water Quantity Fee in-lieu: ❑ Yes in No
LIDA Facility on lot: ❑ Yes -ErNo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: /til Vk1- tic) . Date: 5 /2_6/!Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
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:
cri) OK to Issue Permit
Approved by Permit Coordinator: / Date: A-5---
I:\Buil ding\Forms\BldgPermitRvw_RES_031015.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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00082
David Young
Provide breaker lock for dishwasher. 422.31
Outlet in laundry not gfci protected. 210.8
Smoke detector hanging from wires with cover on in main floor bedroom.
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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00082
David Young
No AC installed at time of final inspection.
Provide permit and inspection at time of installation.
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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00082
David Young
Remove covers from smoke detectors. Main floor back bedroom.
Smoke detector hanging from wires in main floor back bedroom.
Outlet in laundry not gfci protected. 210.8
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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00082
David Young
Provide approved plumbing final inspection.
Provide approved FPS final inspection.
Provide approved electrical final inspection.
Provide approved fire door at back of garage for fire separation.
Not ready for final, no inspection done.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00082
David Young
Passed at previous mechanical final, see corrections on building final 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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00082
David Young
No AC installed at time of final inspection.
Provide permit and inspection at time of installation.
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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00082
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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00082
David Young
Correction at rear porch not done.
Violation Summary:
Inspector Contractor
Location:
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Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00082
David Young
Correction complete.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
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Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2015-00082
David Young
Seal foundation vent penetration around sump pump pipe at right front.
R408.2
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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00082
David Young
Seal foundation vent around plumbing pipe penetration fight front. R408.2
Seal ceiling penetration in garage back side of furnace. R302.12, R302.5.3
Cap and label dryer duct " for future use" per code. M1502.4.6
Provide railing to code at back porch over 30" above grade measured 3' horizontally
from surface. R312.1
Grade to slope away from building 6" in 10' per code. R401.3 right rear.
Provide approved plumbing final 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
12055 SW TURNAGAIN DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00082
David Young
Correction complete. Landscape rock used to bring ground grade to less than 30" each
side of rear porch.
Final erosion control approved.
Moisture content form received.
High efficiency lighting form received.
Blower door test results checked.
Insulation certification checked.
C of O left on site with approved plans.
Violation Summary:
Inspector Contractor