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Permit s y CITY OF TIGARD MASTER PERMIT 111 I ''- COMMUNITY DEVELOPMENT Permit#: MST2015-00040 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2015 Parcel: 2S110CB13100 Jurisdiction: TIGARD Site address: 12073 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 19 Project: Southview Heights, Lot 19 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: 24 Bathrooms: 3 Second: 1099 sf Garage: 783 sf Front: 15 Smoke Dwelling Units: 1 Third: 1196 sf Right: 5 Detectors: Yes Total: 2445 sf Value: $307,253.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 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 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 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech report required prior to footing inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,132.10 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 ac . .ante with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT ' TION •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-r010 through••R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 7 or 1.80%.3 .2344. / Issued _ �- / _ /�/0 _ i�. iL�f., Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection ate. , Or This permit card shall be kept in a conspicuous place on the job site until co pletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential itt CFAVEP FOR OFFICE USE ON1.1' CI of Ti and Received Permit No.: III `J g DateB : MM. y c• S 11 13125 SW Hall Blvd.,Tigard,OR 9n 16 2015 Plan Rev;" Phone: 503.718.2439 Fax: 503.59 . DateB ta�ell) Other Permit s '41 d.o/5� c.c.. . TIGARD Inspection Line: 503.639.4175 FTI�A� ► DateReal 'y: �� ` 4n Juris: ® See Page 2for Internet: www.tigard-or.gov Y U R Notified/Method: �J r'/ Supplemental Information •�', ■ i V1S1'� if% .23 /z.6�rte' TYPE '1 R , REQUIRED DATA:1-AND 2-FAMILY DWELLING Z 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. ® I-and 2-family dwelling ❑Commercial/industrial Valuatior7 Z�j3, � ' ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: .IOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: New dwelling area: square feet f I l b City/State/ZIP:Tigard,OR 97224 Garage/carport area: '` square feet (�yen Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: square feet �' r {) Cross street/directions to job site:SW 122°"Ave&SW Beef Bend Rd Deck area: square feet <514) Other structure area: 3-2-2e5 square feet 24- REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Southview Heights I of no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all fax map/Parcel no': equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet Z PROPERTY OWNER ❑ TENANT 4 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: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Ai Business name:same as above Structural plan review fee(or deposit): Contact name:Deirdre Britt FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) E-mail:dbritt @stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB 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: Uate: *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) . Electrical Permit Applica IN FOR OFFICE USE ONLY Received . City Of'Tigard d., Date/By: Permit No,: M5r�`S_�.,r Xpl t) I • 13125 SW Hall Blvd.,Tigard,OR 97223 16 2015 Plan Review "`^�'1 Phone: 503.718.2439 Fax: 503.598' p;,te/By. Other Permit: TI GARB Inspection Line: 503.639.4175 ( (.A Date Ready/By: Joris RI See Page 2 for Internet: www.tigard-or.gov ,`r-cml O� ]tV[� �^, Notified/Method Supplemental Information TYPE OF 14). �1� J ' _ .. - .PLAN REV.1EW�,,, R I r;c ch k ill that apply(submit 2 sets of plans w/items checked below) j New eons('uetion ❑Addition/Ulf&ation/replacencnt ❑Service or feeder 400 amps or more ❑Building over Mice stories ❑ I)cnloiiliott ❑Other: where the available fault cnrrent ❑Marinas and boatyards. CATEGORY OF CONS CRC!C:`1 ION 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 fo all oilier installations, buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑File pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system, JOB SITE INEOR.I.1;'I'ION ,‘Ni) LOCATION ❑Addition of new motor load of ❑ `A" "F" "I-2"°I-3" Job no.: Job site address 1001IP or more, occupancy. ❑Six or more residential units. ❑Recreational vehicle parks, City/State/ZIP:Tigard,OR 97224 ❑Ilcalth-carc facilities, ❑Supply voltage for more than — ❑Hazardous locations, (,00 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"rl Ave&SW Beef Bend Rd ion E � � `z . .I Description Qty. Fee. TMd • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights I.ot no.: 1,000 sq.0.or less 168.54 4 Ea.add'I 500 sq,0,or portion 33.92 I Tax map/parcel no Limited energy,residential li f '' 17: )FSCIIIPTION OF WORK (with above sq.ft.) 75.00 2 Limited energy,multi-family 75,00 2 new,single family residence residential(with above sq.ft.) Renewable F.nerg ❑ See Pa e 2 _ _ Services or feeders installation,alteration,and/or relocation ® PROPERTY OWN ER N 1NT 200 amps or less 100.70 2 � T --- _Lei "I E 201 amps to 400 amps 133.56 2 Name:Stone Bridge Homes NW,1.LC 401 amps to 600 amps 200.34 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301,04 2 Over 1,00(1 amps or volts 552.26 2 City/State/L1P: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 I 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 o-4 r ; e ,.., A Fee for branch circuits with " �* ay.%, ^'a? ,a#ry. •:.. ht, f, a alt 4'8 cx � 1° ` •�� '�`' r °' above service or feeder fee, 13usiness name:same as above each branch circuit 7,42 2 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 mmmfaetured or modular 67,84 2 Phone:( ) Fax::( ) dwell in service and/or feeder Reconnect only 67. 84 2 R-mail: dbritt(ii'stonehridgelwmesnw.com Pump or irrigation circle 67,84 2 C:ONfRA TOR Sign or outline lighting 67,84 2 (Business name:City Electric Signal circuit(s)or liluriled-energy See panel,alteration,or extension. Page 2 2 Address:55568 SW Schalten brand 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 mm) 66.25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(I hr min) 78,18/hr Inspections for which no lee is CUB l.ic.: 42422 Electrical Lie,: 26-289C Suprv. Lie.: 35925 sprciliicalh listed(t5 hr min) >n 00/In —�— – ELECTRICAL PERMIT FEES Supra. Electrician signature, required: Subtotal Print name: Chuck Friesen l)ale: Plan review(25%nf permit Ice). _......--- _ __.___. _ State surcharge(12%OFpet'iutl lee). Authorized signature: TOTAI.PERMIT III: Print nand': Date: 'I-his permit application expires ifa permit is not ubt tined within 1511 days after it has been accepted as complete. • Number of inspections allowed per vomit I?Ituildirr!?P<rmiis\u.i.t'_l'trmiIAii 1:1.11 F155 doe Rev∎.O 1/NIS .1.111.I(I VIII 110/CrMi:wl'lt Mechanical Permit Application cv-ANVI)FFOROFFICE USE ONLY ., City of TI argil I'ennitNo_ g t� Ic/Bv rr 13125 SW I=)all Dlva,Tigard,OR 9722 clan Rcvicw C7a�✓�ft)Phone: 503.718.2439 Fax: 503,598,1960 + Oyer Permit. 1 Other TIGARD Inspection Line: 503.639.4175 �1 AR 1 6 ZO Date Ready/By: turn: 0 Sec Page 2 for Internet: www.tigard-or.gov pl ^� N--- to Supplements')Information IG I y Pl.. 0 1. 11`!7 ' ' > '' ' CONIIIFRCIAL FEE" SCHEDULE - USE(IIECI(LtsT _�_�_ Mechanical permit fees°ale based on the value of the work , 0 New construction ❑Addition/alteration/replacement pet-limited.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. - - Value.$ C UEs.ORS DU t ONSI RI'C"I ION _ e 1-and dwelling Commercial/industrial Accessory building _ P•ots..special ,tormatiotuec!:e lsNPPfi* r R1SIDE.NIIIL F [ information use rheckhsr. ® Y g ❑ ❑ Y g n I ❑Multi-family ❑ Master builder ❑Other: Description �� I Qty. 1..1 'Total - JOB SITE INFOICJ1ATic"AND LUC WI'ION � l lcating/cooling: Air conditioning jj 46.75 Job site address: Furnace 100,000 BTti1(duets/vents) 46.75 City/State/Z1P:Tigard,OR 97224 Furnace 100,000+BTU(ducts/venis) 54.91 Heal pump 61.06 Suite/bldg./apt.no.: Project name:Southview 11eights ()net work 23.32 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd I lydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 a Subdivision:Southview Heights Lot no.: Other: ( 23.32 _e. Other fuel appliances: _ • Tax map/parcel no.: Water heater 23.32 � ' DF.SCRIPI ION OF STORK Gas fireplace/insert 33,39 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 - m� .__ _ r, , , Other: 1 23.32 0 PROPERTY 01' NElt ❑ 11.NANf - Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen I equipment 33.39 ( Address:4230 Calewood St,Suite 100 �" j _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 0>APPLICANT 1 El COSTA('l' 111240N Other: 23.32 Business name:same as above Fuel piping: 314.15 for first four;34.03 for each additional Contact name: Deirdre Britt Furnace,etc ( Address: Gas heat pump Wall/suspended/unit heater - City/Slate/ZIP: Water heater _ Phone:( ) Fax::( ) Fireplace Range E-mail:dhr Itl(n)stoncbrid)ehomesnw con Barbecue z (ON"FR V I OR ,, Clothes dryer(gas) Business name:Comfort Zone . __._,_ --. __ .. _ -- Other . ...._F..__„„. N1EOIANICAI.PERMIT FEES" Address: 1032 NW Corporate Dr Subtotal City/Stale/ZIP:Troutdale,OR 97(1611 Minimum permit fee('69000) I Plan review(25%of permit lire) Phone:(503)667.5595 Fax:(5113)491 8252 . State sureharrc(12"/"of perunt ice) I CCI3 lie.: 110091 TOTAL PERMIT-FEE__ _._. . ...„. _ _._.__-_.._ '- � this permit application expires if a permit is not obtained within ISO • slays after it has been accepted as complete. Authorized signature: set by 71i-(.aunty Building Industry Service Board r �___ Pre nrclhlxh k } I Print nal e: David IIcids1 th [, ate:: l I'Ii hurl_! u+.iits\4n::('_I'vrnliliti 41.11 11.,, A:0'ii.171 111.. '5'IIWWI:ll) Plumbing Permit Application Building Fixtures V FOR OFFICE USE ONLY Cit of Ti and R«�i�'°�I Y g RtCt1N Pei Nn.:"WO is-Uc3J4J n 13125 SW Hall Blvd.,Tigard,Olt 97223 U,le-tax. Plan Review Phone: 503.718.2439 Fax: 503.598.19 90 16 2015 DaieIBy: Oilier Permit No.: T 1GARD Inspection Line: 503.639.4175 M� Date ite t /TIN' lurk a See Page 2 for Internet- tvww.neaid-or.gov Noliiied''viol to'l Supplemental Information TYPE OF 1VOI IY 1..� FEE SCiIEDIiLF, T►fY'T„r ®New construction � �GG77 Far special information use checklist.�LJ Description I fifty. J Ea. ( Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) SFR(I)bath 312.70 <:r. �., fi11:GO1( OF (ONS1 RI Cf10N _ O 1 Y dwelling I-and 2-famil I ® C ❑Commercial./industrial SFR(2)bath 437.78 CI Accessory building ❑ Multi-family SFR(3)bath 500.32 --- Each additional bath/kitchen 25.02 ❑Master builder ❑Other: - Fire sprinkler( sq.R) l Page 2 •; Rya''STrF. INFOR\I,111(1N ;1N1) 1.O('.Vl ION Site utilities: Job site address: 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 11.: ) Page 2 Suite/bldg./apt.no.: Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"d Ave&SW Beef Bend 12d 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 IL: ) Page 2 Subdivision:Southview Heights Lot no.: Fixture or item: Tax map/parcel no.: Back flow preventer 31.27 , P t ( u o g A Backwater valve 12,51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 - Ejectors/sump 25.02 >t t p i t f , s 0 TENANT Expansion tank 12.51 Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/huh 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 1 Fax:(503)387.7615 lee maker 12.51 ID :1PI'LIC'.1N"L' I ❑ CONTAC 1' PERSON Interceptor/grease trap 25.02 _._ - Medical gas(value:$ ) Page 2 2 Business name:same as above 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 E-mail:dbritt(a?stonebridgchornesnw.com Urinal 25.02 " 1 -° CONTRACTOR Water closet 25.02 Water healer 37.52 Business name: Max Plumbing Wader pipinrJ!)WV 56,29 Address:PO Box 5597 Other. 25,02 City/Stale/ZIP: Beaverton,OR 97006 Subtotal Phone:(971)275.0198 Fax:( ) Minimum permit lee $72 50 Plan review (25%of permit lee) CCII Lie.: 194644 Plumbing lie.no.: P111083 -- -_-- _,.,_... . State surcharge(12%ul permit Ice) Authorized signature: * r t �'��.-�*'"�^''��•"' Ig1AI.Pl'Rlv1ff`FIT Pt'ittt name:Jason!Vogler ru Dale' the permit application expires it a permit Is not obtained within ISO days ` a her it has been accepted as complete. "Pre methodology Nei her I n-(want'13uildinr Induury S iviec hoard_ I\nu,Winp\I'<nn,,Pl.M11-1'c,miuApp doe I J,,ir,^ 44:!4olsr1 I:N'21(U\.pWP.ii) . . City of Tigard IN ■ COMMUNITY DEVELOPMENT DEPARTMENT TI G A R D Building Permit Review — Residential Building Permit #: fr3s?o20/S'—OCn ti0 Site Address: I a 015 S Pr,.t. ltw..,vi e s4 - Project Name: 5 0 u-4A4 kJ't e td3 14ezzikti Lot #: I `i (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: e i,,-; SF K I$ Verify site address/suite#exists and active in permit system. River Terrace Plan District: ❑ Yes A No Site Plan Elements: @ Three(3)copies of site plan PidExisting structures on site Site plan must ha on 8-1/2"x 11"or 11 x 17"paper OFootprint of new structure(including decks)with finished IRDrawn to scale(standard architect or engineer scale) floor elevations JNorth arrow Utility locations(required for new,may apply for additions) IESite address,project or subdivision name and lot number Location of wells/septic systems IIZIApplicant information(name and phone number) eilErosion control(including drainage-way protection,silt fence ILot dimensions and building setback dimensions design,location of catch basin,etc.) bLot area,building coverage area,percentage of coverage and C$Street names impervious area(applicable if R-7,R-12,R-25&R-40) ®Street tree size,type and location Property corner elevations(2 foot contour lines if more than )xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Q 'Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified k.No Received: ❑ Yes ❑ No ❑ Public Facilities Improvement(PFI)Permit: Required: `t] Yes,applicant was notified ❑ No Applied For: ;11 Yes ❑ No,stop intake Land Use Case#: Su-sae 13—000OS ra'Zoning. R- 7 Setbacks: Front 15 Rear 15 Side 5 Street Side 1 0 Garage a.o UPI Landscape Requirement: ._o % • Lot Coverage Maximum: 8 D ❑ Building Height: Maximum Height c Actual Height glik.2 9 Er Visual Clearance Er Easements J2r Sensitive Lands: ❑ Yes Cl No Type Oir Urban Forestry Plan Conditions Met Notes: Approved By Planning: (^""'�� C . C(t-- rte— Date: 3 1 lc is" 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: /5 Site Plans: # Building Plans: # Building Permit#: 'P er building permit#above. _ Workflow Routing: Id"i nning C>L) neering 4:1-1< tt Coordinator ding Workflow Sign-off: Q�, �-off for Planning(include notes from planning review) Route Application Documents: E Engineering: (1) copy of permit application, (1) site plan, (1) building plan and origin 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: ,01.1— _ / Date: 7 Engineering Review Actual Slope: 6frw c'i 4-L'in Z 670 ›i" Conditions Met 1Z Easements (encroachments) 'r Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes 1 'No Assess Water Quantity Fee: ❑ Yes `L, No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 404 Date: 3//9//5"- Revisions 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: p q� Date: Notes: LDyr�lticc ��Y7"�-., -Q/ylt.r�, izt 1(' c r�e(Vel ,nl�( /19"` 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 :;: :ordinator:proved Date: 32/ S 1:\Bui lding\Fortes\BldgPermitRvw_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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00040 David Young Door locked, provide access for 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00040 David Young House locked, provide access for inspection. Clean out caps need approved thread sealant. 316.1 Downspouts not installed, work not complete. Not ready for 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00040 David Young Not ready for plumbing ﬁnal. Raindrain downspouts not installed as noted on previous failed inspection. Correction for approved thread sealant on clean out caps not done as noted on previous failed inspection. 316.1 Re inspect fee to be paid prior to further inspections for repeatedly calling inspections prior to work being completed. 103.5.6 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00040 David Young Provide approved electrical, plumbing and mechanical ﬁnals prior to building ﬁnal. Re inspect fee to be applied at third failed inspection without corrections being completed or inspections scheduled prior to work being 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00040 David Young Work not complete. Light in back right of garage not installed, wires not safed off. No breaker lock on dishwasher. 422.31 Smoke detector cover in main ﬂoor bedroom not removed for testing. To many corrections. Not ready for ﬁnal inspection. Re inspect fee to be charged for third failed inspection ifwork is not complete and approved at next 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00040 David Young Seal ceiling penetration in garage at mechanical equipment. R302.12, R302.5.3 Provide UL listed tape on microwave vent. M1601.4.1.4 Cap and label dryer vent per code. M1502.4.6 Note: no AC installed at time of 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00040 David Young Note: no AC installed at time of ﬁnal inspection, permit and inspections required 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00040 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00040 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Blower door test results checked. Backﬂow test report for FPS system received. C of O left on site with approved plans. 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 12073 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00040 David Young Violation Summary: Inspector Contractor