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Permit r, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015 00133 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2eto Date Issued: 08/31/2015 Parcel: 2S110CB13300 Jurisdiction: TIGARD Site address: 12080 SW AUTUMNVIEW STSubdivision: SOUTH VIEW HEIGHTS Project: Southview Heights, Lot 21 Project Description: New SF. 2/1/16: Reprinted permit to include A/C unit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1490 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height. 18 Bathrooms: 3 Second: 1520 sf Garage: 472 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3010 sf Value: $366,506.00 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mid 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 3010 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 Geotech report required prior to footing inspection PHONE PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,621.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtarTlfi—e—rure—sor irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: nature: Cal 39 75 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Received City of Tigard ��V Q - j "J Date/By: t' �� Permit No.: — ^ • 13125 SW Hall Blvd.,Tigard,OR 97223 RE. -/ Plan Review 0 = Phone: 503.718.2439 Fax: 503.598.1960Other Permit: Inspection Line: 503.639.4175 2016 Date/By: � FEB � Date Ready/By: Juris: ® Sec Parc 2 for Internet: www.tigard-or.gov \qr Notified/Method: Supplemental information TYPE OF WOR11gl„ i ""tl " r COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit tees are based on the value of the work ❑ New constructiondition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* -and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOC Heating/cooling: Air conditioning 46.75 Job site address: / Furnace 100,000 BTU(ducts,vents) 46.75 City/State/ZIP: =14� Furnace 100,000+BTU(ducts/vents) 54.91 A4 A Heat um 61.06 Suite/bldg./apt.no.: Project name: 1 d )uct work 23.32 Cross street/directions to job site: Hydronic hot waters stem 23.32 Residential boiler(radiator or h dronic) 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/ ellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel i in : Business name: $14.15 for$ 1 . . o first four•$4.03 for each additional Contact name: , o Furnace,etc. Address: Q Gas heat um Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( 3) '� ��-- Fax: :( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: 13Q /&VC'M�� Subtotal City/State/ZIP: '� 4� Qu Plan review(25%of permit fee) Phone:( ) _ S— Fax:( ) State surcharge(12%of permit fee) CCB lic.: zy- TOTAL PERMIT FEE 9 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: Fee methodology set by Tri-County Building Industry Service Board Print name: /�KL Date: L,.Building.Permits.MEC_PermitApp_040113.doc 440-4617T(I 1!02,COM,WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 ti CITY OF TIGARD MASTER PERMIT 11111 I COMMUNITY DEVELOPMENT Permit#: MST2015-00133 T f( AR o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2015 Parcel: 2S110CB13300 Jurisdiction: TIGARD Site address: 12080 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 21 Project: Southview Heights, Lot 21 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1490 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 1520 sf Garage: 472 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3010 sf Value: $366,506.00 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'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3010 Owner: Contractor: • STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALE WOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Geotech report required prior LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 to footing inspection 2 Ersn Cntrl 503-639-4175 PHONE PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,524.61 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. Yo u may obtain a rules or direct questions to OUNC by callin . 1987 or 1 800.332.23.4. . Issued By: t!_.r...... - _ Permittee Signature: /• �i#.3.639.4175 by 7:00 a.m.for the next available inspectio This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application , Residential rOR OFFICE I�sr ONLY sr City of Tigard ��°Q Received Date : 7AN Permit No.:p1 ,r 1s"� i f:1 Ill - 14 13125 SW Hall Blvd.,Tigard,ORf'+' c ,\CS Plan Review - � [.[J Phone: 503.718.2439 Fax: 503. '8.1960 6 Q ?wig Other Permit: f� .'//QQ/��,�.,, TIGARD Inspection Line: 503.639.4175 �v �PR N Date Ready: / a,� Juris: ® See Page 2 for Internet www.tigard-or.gov OG�� \ay.- Notified/Method:�/ �r� Tt Supplemental Information G\ ,4ta`G C)\ I'll r3/b 02-154‘- TYPE OF Nye ' ' © REQUIRED DATA: I-AND 2-FAMILY DWELLING • ®New construction • Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling aluation: i C elling ❑Commercial/indu.trial �"NO)--1 S 1D ❑Accessory building ❑Multi-family Number of bedrooms: rj ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2.. Job site address: `;/'(;� ;A,j f- U j v'ty by �'it,,\,: `-*i• New dwelling area: S010 square feet City/State/ZIP:Tigar{l,OR 97224 Garage/carport area: 4/-7 square feet Suite/bldg./apt.no.: n Project name:Southview Heights Covered porch area: square feet l0 Cross street/directions to job site:SW 122'd Ave&SW Beef Bend Rd Deck area: rts0 square feet OW Other stru..ture a. 7Ap3J square feet t8 REQUIRED DATA:COMMERCIAL-USE CIIEKLIST Subdivision:Southview Heights Lot no.:7.4 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. nos,single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge 'Ionics NAM,I.1.( 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 tofee schedule) Business name:same as above Structural plan review fee(or deposit): Contact name:Deirdre Britt Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail:dbritt(a�stonebridgchomesnw.com P110"TOYOLTAIC 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: $180.00 and administrative fees): Phone: ( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:173318 - ' (� - Total fee due upon application: $201.60 Authorized signature .�',._.A.. ., This permit application expires if a permit is not obtained V within 180 days after it has been accepted as complete. Print name: th e Rev TT Date: 1/(311.6 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Fctrical Permit Applibal6n 6 1 , 015 FOR OFFICE USE ONLY d ppli. City Of 1��at a .0- Received �D Date/By. Noun No.: �J-r- CO LJ_ /yt I 3 N 13125 SW Hall Blvd.,Tigard,OR 97223n/�G-��GA ww,, Plan Review !p� i�1 Phone: 503.718.2439 Fax. 50 ." Oa+r `S1%-• Other Permit: �� o�v Date/By: i I GARD Inspection Linc: 503.639.4175 l�p•1G Date Ready/By: hots' fa See Page 2 for Internet: www.tigard-or.gov C31....11‘.- Notilicd/Method Supplemental Information N 1'E OF WORK PLAPi.. 1`IEkV„ ,,; :* ®New construction ❑/lcldiihm/,tlteratlon'replacemcnt I'I,,;c check all that apply(subunit 2 sets of plans w/items checked below) ❑Service or feeder 400 amps or mote ❑Building over three stones. ❑ Demolition ilion ❑Other: where the available fault cuncnt ❑Marinas and boatyards. CATEGORY (W CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. — less to ground,or exceeds 14,000 ❑Commercial-rice agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations, buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump, ❑Installation of 150 KVA or ' •� - : , ❑Emergency system. larger separately derived system. a a. C �.� i f . --<!��r . t ;"a 4, ;e 4 a< � fe. 42: ❑Addition ofncw motor load of ❑''A","F""I-2""I-3" Job no.: (47612) Job site address: 110V0 S%A At.J TO MN VI illp�y.� 5! 100IIP or more. Recreancy, b"�'� ❑Six or more residential units, ❑Recreational vehicle parks. City/State/"LIP:Tigard,OR 97224 ❑health-care facilities, ❑Supply voltage for more than ❑Ilazardous locations, 600 volts nominal, Suite/bldg./apt.no.: Project name:Southview Heights ❑Service or feeder 600 amps or more. Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd _Description Qty. rte. Toted • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights Lot no.: "2.' 1,000 sq.ft,or less 168.54 4 Ea.add'I 500 sq.fl,or portion 33.92 1 Tax m ,arccl no:;: Limited energy,residential (with above sq.1L) k 75.00 2 r - Limited energy,muhi-family new,single family residence residential(wills above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 Services or feeders installation alteration,and/or relocation �'i - 2lN)amps or loss 1(X).70 I 2 • X5..14:. aX 1, ,P• : :. --, N "' "' 201 amps to 4(X)amps 133.56 2 Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 200,34 2 Address:4230 Calewood 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 Fax:(503)387.7615 relocation 200 amps nr 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 . r A.Fee for branch circuits with $ e "�^ 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 fee,first 56.18 2 branch circuit Address: Each add'I branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) - Each manufactured or modular 67,84 2 dwellingscrvice and/or feeder Phone:( ) hax: :( ) Reconnect only 67,84 2 E-mail:dbritt @stonebridgehomesnw.com Pump or irrigation circle 67,84 2 4 r C rRr '011 __.-__ ��,.M,� Sign or outline lighting 67,84 2 Business name:City Electric Signal circuit(s)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 CityiState/ZIP:Sherwood,OR 97140 Investigation(1 hr min) 66,25/hr Phone:(971)404.1714 [Fax:(503)625.3052 Indusuial plant(I hr mtn) 78 18/hr Inspections lhr which no fee is CCI3 Lie.: 42422 1 Electrical Lie,: 26-2890 Suprv.Lie.: 35925 specilicafly listed('.'.•hr min 90 110/h; ) ___ ___r ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: c..J Subtotal _ .. ......___...__._._.__..- Print name: Chuck Friesen Date: _ _. Plan revicn (25g of penult lee) . _ State surcharge(12%of permit lee): Authorized signature: TOTAL PERMIT FE F. Print name: I I)al.l: This permit application expires ifa permit is not obiained within Ina a. 111 days after it has been accepted as complete. Number nl inspections allowed per permit I:ntuilriluetVennir,U dd'' 11ermiu11,p-11.R,.1.14.E der. Rev nsi21/21111 .1.1u.to 1 5'II 11MS/COMA4t n r I Mechanical Permit Application CD FOR OFFICE USE ONLY City of Tigard G��G Received Permit No �r7-•-�n 00 131 D;tcll3y_ '�1 ✓U��V J r 13125 SW I fall Blvd..Tigard,OR 9 plan Review 0 Phone: 503.718.2439 Fax: 503.598,1960 A 6 2��• Oahu Permit: 1 + rYate/13y: TIGARD Inspection Line: 503.639.4175 ,U� R� Date Ready/By: hair ® See Page 2 far Internet: www.tigard-or.gov -f,GA Notified/Method; J Supplement,)Information IyjE 012, 4� t'v'„. _ cdMM'BCIAL FEE* SCHEDULE - USE C IIECKL1ST - - - Mechanical permit Ices*ale 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 O1C1' OF ('O1hfRC'CI'1()N RESIDENTIAL EQUIPMENT/61'S'EESISFF,.S* # ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. 't ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. 1 Total _ �� ' „`" �" : a m " .. ? �ffi llcating/coulinK: „: r. v� F � D C ep.} 0', '-; .!1;r: ')rt>. d 6 aa`i1a< -. COI _ lob site address: ' Air conditioning 46.75 (�'�� CV 1 v M^1 v I�v T. Pomace 100,000 BTU(duets/vents) 1 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 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 t 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 Other: 23.32 Subdivision:Southview Heights Lot no.: 'Ll _ Other fuel appliances: Tax map/parcel nn.: Water heater I 23.32 Df:SCRIPTION OF WORK , fireplace/insert 1 33,39 Flue vent for water heater or gas new,single family residence fireplace . t 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chinuaey/liner/f)ue/vent 23.32 23.32 PROPERTY OWNER ❑ TEN%X . • - Environmental exhaust and ventilation: Name:Stone Bridge Humes NNV,LLC Range hood/other kitchen Address:4230 Calcwood St,Suite 100 equipment 33.39 Clothes dryer exhaust 1 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 l 23.32 - . v® APP1(CANT " t d ' d ,' Other: 23.32 Business name:same as above Fuel piping: -_ 514.15 for first four;54.03 for each additional Contact name: Deirdre Britt Furnace,etc. l Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater I Phone:( ) Fax::( ) Fireplace 1 Range F-mail:dbritt(iiistonebridgehornesnw.e 13ancecue (OX 1 R:1(-1(:)R Clothes dryer(gas) f Business name:Comfort Zone (Slier. -- V1ECIlANICAI.PERMIT FEES* Address: 1032 NW Corporate Dr Subtotal - III City/Stale/"/.II':Troutdale,OR 97060 Minimum permit fee(590.00) Plan review(25%of permit fee) ('hone:(5(13)667.5595 Fax:(503)491.8252 Slate surcharge(12"/001 emit fee) CUB lie.: 110091 TOTAL PERMI'l'FEE _ _... ' This permit application expires if a permit is not obtained within ISO �^'�� days after it has been accepted as complete. Authorized signature: -.�+ ' Fee mahotlutogv set by Tti-CsNtuty)3uitding Intlastty Service l).mL fPrint name:David lleltistah j Date: 1 ••.- I'Iu ii"g.'""'""Ni ._PenanApp 0401 I.:d•.• ._... � 410-46I rr tiv02/(. rmiwur , I , , Inlumbinz Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY Received City of Tigard 1 g 2015 Permit Nn.ansra0tr- 33 (� _ n 13125 SW Hall Blvd,Tigard,OR 97223 JUG Dareite, Plxn Itevicw Phone: 503.718.2439 Fax: 503.598.1960 Daldl3y, Other Permit No. TIGARD Inspection Line: 503.639.4 U5 OF TIGAR Dee Ready Ny: luris 0 See Page 2 for Internet: www.tigard-or.gov Cl ' ��Dolled/Method: Sup tlemcntal Information ®New construction ❑Demolition For special irrformutlou use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utilit connection) $ y s o rtit a ' +7.1171-71 SFR(I)bath 312.70 z r ,et ® I-and 2-family 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.R.) Page 2 I '` c.��..;a, d � 4 „s k t3 i��r e i. _Site utilities: Job site address: 17.1;/190 SW a t jT'I I WA VIVA, S�% Catch basin or area drain 1 8.76 "�.Y l Y Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear R.:_) Page 2 Suite/bldg./apt.no.: Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"a Ave&SW Beef Bend Rd Manholes 18.76 , Rain drain connector 18.76 Sanitary sewer(no.linear 11.: as Page 2 Storm sewer(no.linear tt.:Lc?) Page 2 Water service(no.linear 11.:1.. ) I Page 2 Subdivision:Southview Heights I Lot no.: ZI Fixture or item: Tax map/parcel no.: Backtlow preven.ter 31.27 7t. I ag + .. t ' ,' 4, Backwater valve 12.51 L ',. ..;.�� -..- Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e p � � ,� y+• Y � �'' Expansion lank 12 51 Name:Stone Bridge Homes\W,LLC Fixture/sewer cap 25.02 Floor drain/tloor sink/huh 25.02 Address:4230 Galewood St,Suite 100 Garbage disposal I 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib a 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker ) 12.51 tit("' 1-;,.rl'; ...R. .6'7 t, '.;. ''ix. Medical ga (value:trap Page 2 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 7 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 3 12.51 E-mail:dhritFa?stonebridgehomesnw.com - Urinal 25.02 z Water closet 25.02 ,., �: -. I t X44:t. 4.. 1 '': '. .;o ,.. Water heater I 37.52 Business name. Max Plumbing Water piping/l)WV � J 56.29 --- _ Address:PO Box 5577 Other: 25.02 City/Slate/ZIP:Beaverton,OR 97006 Subtotal Plume: Fos:( ) one:(971)275.0198 __..__.- Minimum permit Ice. 1,72 50 -- __ Plan review (25"1.,of permit ice) -all Lie.: 194644 Plumbing 1 ie.no.: I'111083 --- -- - .... . - Slate surcharge(124.uhpernot fee) Authorized signature: Pt.itlt name:Jason ll.r'aer Dale: This permit application c,pires if a permit a not nbtaincd within ISO d iys Arc it has Ihetii accepted as complicit.. *-cc melhoslol,1 'el h•Ti.5 i unlc Mukha)!Indusii Sen-ice OOwud. I�n❑:I:roo\i'c,i ,'i'i Sit i.l'.- co M1pp iM. hvi:�n^ 54:,...01011 tn:•C:i l iar•wrtii . . City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT : T 1 .7 T I G A R n Building Permit Review — Residential Building Permit #: /►-1S7-,Zt5/5--c.)0 l3) Site Address: 12 O$ 0 C vV &V tven in \rciw I -i- Project Name: S Ovtii Vi e—vv 14e-4V -rz Lot #: 21 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N&W S Eg. Verify site address/suite#exists and active in permit system. v -g-diver Terrace Neighborhood: ❑ Yes -B-No Site Plan Elements: /Three(3)copies of site plan Existing structures on site ite plan must l�on 8-1/2"/2"x 11"or 11 x 17"paper C ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations /f■lorth arrow I-4‘'(Jtility locations(required for new,may apply for additions) bite address,project or subdivision name and lot number /-5 cation 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.) ,ot area,building coverage area,percentage of coverage and 2rStreet names impervious area(applicable if R-7,R-12,R-25&R-40) .Z treet tree size,type and location /PropProperty corner elevations(2 foot contour lines if more than -B xisting trees to be retained with drip line,and tree erty foot differential) protection measures -B'rClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No Public Facilities Improvement(PEI)Permit: Required: 1:1 Yes,applicant was notified 1=1. No Applied For. yes ❑ No,stop intake Land Use Case#: SU g �v`3 - 000 0 5 Zoning. R-1 Setbacks: Front i S Rear 1 s Side 5 Street Side 10 Garage 2-0 Landscape Requirement: Lot Coverage Maximum: if()T Building Height: Maximum Height 3s Actual Height IS -O'Visual Clearance -Et-Easements -Et-Sensitive Lands: ❑ Yes ❑ No Type ---a--Urban Forestry Plan AConditions"Met"prior to issuance of building permit Notes: Approved By Planning: 11 04 i7 a_ 0 oAR otAA- Date: 0 7/ I (0/ t s Revisions (after Building Submittal only) Reviewer Date . Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved ■ I:\Buil ding\Forms\BldgPermitRvw_RES070915.docx l Building Permit Submittal Original Submittal Date: 77/(x/5 — Site Plans: # !.� Building Plans: # (7 ' Building Permit#: E nter building permit#above. ,�, � Workflow Routing. anning L - gineering L�Yermit Coordinator EB-Tilding Workflow Sign-off: 1�gn-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application,(1) site plan, (1) building plan and original plan review routing form. ding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: _ _ _ ,=` Date: -7///ts-- J Eneering Review LT Slope at building pad: 2L7 Conditions "Met"prior to issuance of building permit 124a gents (encroachments)per engineering conditions of approval and plat IET Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes F= • Assess Water Quantity Fee in-lieu: ❑ Yes is No LIDA Facility on lot: ❑ Yes LYINo ❑ NOT Approved by Engineering: Date: C/ Notes: lit, # ‘ l a�� Approved by Engineering: r Date: 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: 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: / Date: 972:--3/- --- I:\Building\Forms\BldgPermitRvw_RES_070915.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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00133 David Young Sewer clean out to be brought up to grade and have approved thread sealant. Rain drain stand pipe to be brought up to grade. Kitchen counter behind sink to be sealed at back side. 310.4, 407.2 Fix leak in main bath sink, pool of water on base of cabinet. Seal base of tub shower in upper level main bath. 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00133 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00133 David Young Provide approved plumbing ﬁnal inspection. Provide approved mechanical inspection. Provide make up air for dryer in bedroom closet. M1502.7 Provide joist hangers on stair landing at back deck. Provide full support for stair stringers at rear deck. Provide approved electrical ﬁnal. Exterior grade in front yard to slope away 6" in 10' or have approved drainage swale. R401.3 Provide approved engineering for stairway and landing approx 15' above grade. Expose base of deck columns for positive connections. 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00133 David Young Corrections not complete at main bath ﬂoor and behind kitchen sink as noted on previous failed 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00133 David Young Corrections 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00133 David Young Provide permit for AC installed without permits. 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00133 David Young Corrections 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00133 David Young Floor plug in living room not done. No box installed, wire laying on ﬂoor. 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00133 David Young Corrections not complete from previous failed 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00133 David Young Re schedule ﬁnal when engineering for deck stairs is received and any corrections done if required by engineering. No inspection made. 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 12080 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00133 David Young Corrections complete. Engineering received for rear deck stairs and landing. Final erosion control approved. Street tree certiﬁcation checked. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Blower door test results checked. C of O left on site with contractor. Violation Summary: Inspector Contractor GeoPacilic lortmammul Real-World Geotechnical Solutions Investigation • Design• Construction Support September 3, 2015 Project No. 12-2704 Stonebridge Project No. 1858 9.2 c(S 'O 13 3 Stonebridge Homes 4230 SW Galewood St., Ste. 100 Lake Oswego, OR 97035 Fax 503-387-7615 Email AndyAstonebridgehomesnw.com; JimDastonebridgehomesnw.corn RE: FOUNDATION SUBGRADE REVIEW SOUTH VIEW SUBDIVISION LOT 21 12080 AUTUMNVIEW STREET TIGARD, OREGON References: GeoPacific Engineering, Inc., Geotechnical Explorations, Knauss Property Subdivision, 12035 Southwest Beef Bend Road, Washington County, Oregon, report dated August 10, 2012 GeoPacific Engineering Inc. visited the site Wednesday to review the single family home foundation subgrade on Lot 21. We understand that the proposed building is a two-story daylight basement style home. In our opinion, the observed subgrade is generally adequate for support to an allowable bearing pressure of 2,000 psf. The expected maximum anticipated total and differential footing movements (generally from soil expansion and/or settlement) are less than 1 inch and '/4 inch, respectively, over a span of 20 feet. At the time of our site visit, the excavation was nearly complete. The excavation consisted of predominantly very stiff native silt at the rear of the home and very stiff engineered fill soil at the front half of the home that could be probed less than 1/4 inch with heavy pressure using a steel "T" bar probe. This material is considered adequate to support the planned foundation loads. Footing-to- slope setbacks were adequate at 5 feet horizontal and foundation embedment depths appeared adequate. Due to rocky and silty soils encountered throughout the site, all foundations should incorporate appropriate drainage measures. Crawispaces should be provided with a low-point drain and pass through pipes should be installed through footings which would otherwise restrict water flow to the low-point drain. A small seep is evident coming from fractures in the rock. Care should be taken to avoid saturation or disturbance of footing subgrade soils during and after excavation. If footing bearing soils become saturated or disturbed, any softened soil or slough should be removed and replaced with crushed aggregate or additional concrete. 14835 SW 72"d Avenue Tel(603)598-8445 Portland, Oregon 97224 Fax (503) 941-9281 Project No. 12-2704 South View Lot 21 Our work scope pertains to a geotechnical engineer's foundation excavation review only and the conditions existing and exposed at the time of our site visit. Within the limitations of scope, schedule and budget, GeoPacific attempted to execute these services in accordance with generally accepted professional principles and practices in the fields of geotechnical engineering and engineering geology at the time the report was prepared. No warranty, express or implied, is made. If you have any questions, please call. Sincerely, GEOPACIFIC ENGINEERING, INC. v0G N F S% F , �� 14 PE r ► ORE ON cip q94-6:4 23 S D.1N EXPIRES: 06/30/20V James D. Imbrie, G.E. Geotechnical Engineer - 2-