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Permit CITY OF TIGARD i I MASTER PERMIT -11111 COMMUNITY DEVELOPMENT Permit#: MST2015-00132 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2015 Parcel: 2S110CB13000 Jurisdiction: TIGARD Site address: 12065 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 18 Project: Southview Heights, Lot 18 Project Description: New SF. 1/28/16, change electrical contractor to P1 Electric. 3/30/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 246 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1243 sf Garage: 703 sf Front: 15 Smoke Dwelling Units: 1 Third: 1341 sf Right: 5 Detectors: Yes Total: 2830 sf Value: $353,962.88 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2830 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 required prior to footing inspection PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,585.71 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. ATTENTIOkOregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 rough•AR • :01-1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / �/I ' / 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. CITY OF TIGARDMASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00132 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I a� Date Issued: 10/21/2015 Parcel: 2S110CB13000 Jurisdiction: TIGARD Site address: 12065 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 18 Project: Southview Heights, Lot 18 Project Description: New SF. 1/28/16,change electrical contractor to PI Electric. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 246 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height. 29 Bathrooms: 3 Second: 1243 sf Garage: 703 sf Front: 15 Smoke Dwelling Units: 1 Third: 1341 sf Right: 5 Detectors: Yes Total: 2830 sf Value: $353,962.88 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 DraCatch 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 For: 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 2830 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 required prior to footing inspection PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,387.55 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 b(2-001-0010 7By: a 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 dr on law quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9OAR -001-0 9 You may obtain a copy of the rules or direct questions to OUNC by calling 5 2.1987 or 1.800.332.2344. Is ' Permittee Signa re: Call 503.639.4175 by 7:00 a.m.for the next available ins This permit card shall be kept in a conspicuous place on the job site until com ion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application FOR OFFICE USE ONE, Ci of Tigard }yReceived { Date/a. Permit#. III -a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' Phone: 503.718,2439 Fax: 503,598,1960Date/Bv: Related Permit it: Inspection Line: 503.639,4175 Ready Date/By: See Page 2 for TIGARL Internet: www.tigard-or.gov Notified/Method: N Supplemental Information —5''''';-• TYPE OF WORK W wy .. ", ,, ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked): CIService or feeder 400 amps or more 0 Building over three stories. ❑Demolition [I Other: where the available fault current 0 Marinas and boatyards. ,, CATEGORY OF CONSTRUC TIO1!( .�„ , "...-1/,1," "y"I'''''''''''.1�a exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 I-and 2-familydwelling Commercial industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ ❑Accessory budding amps for all other installations, buildings. El Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ; ;;_ _• } AI .; ie-A-----'' 0 Emergency system. larger separately derived `` ❑Addition of new motor load'of' system, Job#: E Job site address: il• � \. looHP or more; ❑"n" ..E" l-2""t-3" 0 Six or more residential units. occupancy. City/State/ZIP: ❑Recreational vehicle parks, 0 Health-care facilities Suite/bldg./apt.#: Project name: 0 Hazardous locations. ❑Supply voltage for more than 600 volts nominal, ----" ❑Service or feeder 600 amps or more, ; Cross street/directions to job site: FEE;SeifiDf)L 7, ; Description Qty. Each Total " s New residential single-or multi-family dwelling unit. Subdivision: Lot 4: Includes attached garage. - 1,1;00 sq tt or less 1 168 54 4 ' ------- Tax map/parcel#; Ea.acro 500 sq ft or portion 3392 1 ,.,DRSCRIP `ION OF WO Limited energy,residential —.-.. 7x.00 2 (with above sq..ft.)_ Limited energy,multi-family 7500 2 residential(with above sq.ft) ' Renewable Energy 0 See Page 2 _ PROPERTY OWNER Q TENS= Serviecs or feeders Installation,alteration,and/or relocation Name: i 200 amps or less 100.70 2 —� 201 amps to 400 amps _133 56 2 Address: 401 amps to 600 snips 200 34 2 City/State/ZIP: 601 amps to 1,000 amps 301,04 2 Phone:( ) ' Fax:(.. . .) Over 1,000 amps or volts 552.26 2 " . ' ___...""` """"''"`" Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 I • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125,08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 '❑ s1P 1<iCA l', -„•. orpanel 1 ear> Acr-•- r Branch circuits new,alteration, extension,per , u A.Fee for branch circuits with 13usiness name: { ° '' above service or feeder tee, 7.42 2 each branch circuit _. Contact name: 13,Fee for branch circuits without service or feeder fee,first Address: branch circuit 56,18 2 City/State/ZIP: Each add'1 branch circuit 7,42 2 Miscellaneous(service or feeder not included) Phone: ( ) Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email. Reconnect only 67:84 2 CONTRACTOR >e: .. 22,..� - ` •> �ai. e-, - Pump or irrigation circle 67.84 2 Business name: -- - �r. �t z___ _-.� ( . , - Sign or outline lighting 67,84 2 * Signal circuit(s)or limited-energy " Address: 2_ S, 5 4,,� panel,alteration.or.extension. ❑ See Page 2 2 City/State/ZIP: Lath additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.251 hr Phone:(fa. ) C./J-3 9`.1—&G Fax:( ) Investigation(1 hr min) 90,00/hr — Email / Industrial plant(i hr min) 78 l8!hr �e C �C Y`�LI a' c' Inspections for which no fee is 4.e 90 00/hr CCB Lic.: 490 ElectricalLic.:C./'g (.- Suprv.Lic.: m(f./ j specifically listed(/i hr min) Suprv. Electrician signature,required: 1J � +!. ELECTRICAL PERMIT SuFbtotal:Subtotal: Print name: TET S,2 t ^ Date: 0 Plan Review Required(25%of permit tee): State surcharge(12%of permit fee): Authorized Signature: TOTAL,PERM1 I FEE: •"� : ---_- -- This permit application expires if a permit is not obtained within ISO Print name: Date; days after it has been accepted as complete. * Number of inspections allowed per permit is'•.8t;iidiag?Per,uits`•E.t,C,Pc;mitApg_Et_it t'RB.doc ktev i)tu t7;"Li)IS 44C-?hi t.( I;Os'COMtiwE1 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: t E» SCItEDt7rLE .. Desumilon ._._ �._...__�.,.j_Qty, t EArb Total 1 "•-: Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 2 501 to 15 kva 133 56 2 Ej A• udio and Stereo Systems* 15,01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: El Burglar Alarm 25 01 to 50 kva 301.04 2 50.01 to 100 kva 552 26 2 Garage Door Opener* >100 kva(fee in accordance 552,26 2 with OAR 918-309-0040) Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ElVacuum Systems* >100 kva-no additional charge 0 0 3 Each additional inspection over allowable in any of the above: 1-1 O• ther: Each additional inspection is 5625/hr charged at an hour(l hr min) Inspections for which no fee is 90 00/hr specifically listed 06 hrmin) ELECTRICAL PES f COMMERCIAL WORK ONLY: Fee for each commercial system: $75.00 Subtotal(Enter on Page 1),A0 * Number of inspections allowed per petrtttt. (SEE OAR 918-309-0000) Check Type of Work Involved: F7 A• udio and Stereo Systems E Boiler Controls O Clock Systems ❑ Data Telecommunication Installation n F• ire Alarm Installation n H• VAC 1 1 Instrumentation • Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical LI Nurse Calls C Outdoor Landscape Lighting* L' Protective Signaling 11 Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I,nuilcingPeanitsr.<. ' Pt wit App ELR EitE.:doe Rev t;nii y ,t CITY OF TIGARD MASTER PERMIT ". 8 ' COMMUNITY DEVELOPMENT Permit#: MST2015-00132 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2015 Parcel: 2S110C1313000 Jurisdiction: TIGARD Site address: 12065 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 18 Project: Southview Heights, Lot 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 246 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1243 sf Garage: 703 sf Front: 15 Smoke Dwelling Units: 1 Third: 1341 sf Right: 5 Detectors: Yes Total: 2830 sf Value: $353,962.88 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 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.'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 2830 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 required prior to footing inspection PHONE, PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,241.75 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. ATTENTI•,. law requires you to follow the rules adopted by the Oregon Utility Notification Cent- Those rules are set forth in OAR 952-001-001• ro gh OAR 9 •-001 90. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232 • 1.800.332.23.4. ' Issued :y: Permittee Signature: / Call 503.639.4175 by 7:00 a.m.for the next available inspectio dal P t This permit card shall be kept in a conspicuous place on the job site until compl: ion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY Received J City of Tigard R�C�� Date/By: 7 a /'y RD-- Permit No.:M57 is cY i3 • - ° 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review Q��, r� III Phone: 503.718.2439 Fax: 503.598.1960 c 2015 Date/By: .122(157 Other Permit:��edc)( t(1)( TIGARD Inspection Line: 503.639.4175 JUL V Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: t r / r►` Supplemental Information•CITY OF T►t» „PIL , TYPE Ofalli 419 1 2 111 REQUIRE DATA:1-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 ❑Commercial/industrial Valuation: $ as-19 1 C.1•Sts ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑ Master builder ❑Other: Number of bathrooms: 7,ej JOB SITE INFORJIATION AND LOCATION Total number of floors: 3 Job site address: 12.06:Cj SW AArrV MN V l E' / STS New dwelling area: 2,gb30 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 03 square feet 134.1 Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: 1434 7 square feet Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Deck area: -. square feet 1 . j ^ Other structure area: 36-3•-2,36-3•-2,square f Z"( 10 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Southview Heights Lot no.: 19, Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Stone Bridge Homes NW,LLC Type of construction: Address:4230 Galewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* r Business name:same as above (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Deirdre Britt / AvtdV howtc.S (5ct5) - 53" B/99' Address: i \ FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail__ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of "' CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%o of permit fee): $21.60 CCB lic.:173318 Total fee due upon application: $201.60 Authorized signature: 'r — This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 'y,� t� Date: *Fee methodology set by Tri-County Building Industry t/GLL��RE 1321.1-1 7 �� 5 Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(1 1/02/COM/WEB) Electrical Permit Application, FOR OFFICE USE ONLY City of Tigard cen•d 7)37 /s—,. 1301 R r `/ n cive Pet No„ 't 13125 SW Hall Blvd Tigard,OR 97223 1 l��.S�) Y � ,t Riview 7,4 " ' Phone: 501718.2439 Fax: 503.598.1960 Other Permit: TI GARD Inspection Line: 503,639.4175 JUL 16 2115 Date/Bv:n°tc Readyl1yt tuns RI Sc e Page 2 for Internet: twvw.tigard-or.gov Noliiied/Mclhod' Supplemental Information t $ `4- 1'1 PI OF WO..RIQ��TY O!�,,��__ I A j'�j�� -0 I'+v1 W� ®New construction ❑Addition/ahcratM]7KW 11"MRt6 DIVISION - Please check all that apply(submit 2 sets of plans wliteins checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 111 Other: where the available fault current ❑Marinas.and boatyards. f1RY t 1111 / exceeds 10,000 amps at 150 volts or ❑Floating buildings less U,guxnid,orexeeeds 14,000 ❑Commercial use agricuhuml ® 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,. ,t 00 t l t.t.u b 4,t' ,i;N1.1 I,Ot;,VCIF)r to ❑Addition of new motor load of ❑ `A•''•F•' "1-2" "1-3", Jobno.: IQb56 Job site address: ZO(,p5 SWV/� VMel V A/ S'1. ball' orerrsi Recreational .._ `� l ❑Six or more residential units. ❑Recrealimraf vehicle parks City/State/LIP:'Tigard,OR 97224 ❑Health-care facilities, ❑Supply voltage for more than ❑I lazardous locations, 600 volts nominal, Suite/bldg./apt.no.: 1 Project name:Southview Heights ❑Service or feeder 600 amps or more, u. Cross street/directions to job site:SW 122ni1 Ave&SW Beef Bend Rd Description l real New residential single-or multi-family dwelling unit. [[ Includes attached garage. Subdivision:Southview Heights 1 Lot no.: IT 1,000 sq.ft,or less 168:54 ( 14 1 Ea add'l 500 sq,ft.or portion c" 33.92 I Tax map/parcel no.: Limited energy,residential 6 �- ,:rla, Y 0 no, t r ,, ,,,„ (with above sq.1))n i1 75.00 2 ' L Limited energy,mutts-family 75,00 2 new,single family residence residential(with above sq.ft.) _. Renewable Energy , .,fl See Fuse 2 Services or feeders installation.alteration,and/or relocation �(r F 200 amps or less 1(10.70 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 snips to 1,000 amps 301 04 2 Over 1,000 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 1 Fax:(503)387.7615 relocation 200 amps or less 59.36 Owner installation:This installation is being made on property that 1 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 u , A Fee for branch circuits with a A - 13usiness name:same as above �� above service or feeder fee, 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: Lath add'I branch circuit 7.42 2 a Miscellaneous(service or feeder not included) City/State/LIP: Each manufactured or modular --- 67„84 2 dwell in service and/or feeder Phone:( ) lax: :( ) -. [ Reconnect only 67,84 2 E-mail:dbrittvtilstenebridgehomesnw com Pump or irrigation circle 67,84 Sign or outline lighting 67.84 2 Business naiie:City Electric Signal circuit(s)or IUnited-energy See `__ 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 loin) 66;25/he CityiState/ZLP:Sherwood,OR 97140 Investigation(I hr mm) 66,25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr min) 78.1 8/In --- --- Inspections for which no fee is CCI3 Lie,: 42422 Electrical Lie.: 26-21(9(' Suprv. Lie,: 35925 sp cilicalh listed(',5 hr min) 90 00/In., ELECTRICAL PERMIT FEES (._/ Suprv. Electrician signature,required: Subtotal Print name: Chuck Friesen Date: Plan review(25%of permit lee): --� -----_- __._ ,. State surcharge(12%of net r mil lee). Authorized signature:` TOTAL PI RM1'I PEI:: Print(lame; Date; This permit application expires if a permit is nol obtained within 180 1) ul i%s after it has been accepted as complete. ' Number or inspections allowed per permit. I:.11°310m:4 mnii.U'I_L-:t n,iiApp_{LR 1-121:'_clot- Rev ,s/2 i,25t 1 •i-ia 1st CIA it I IA)F/(`liM'Wi di i Mechanical Permit Applicati n FOR OFFICE USE ONLY DECEIVED R cc, l _ j City of Z Igi1 C(� Permit Nn;Iy,-1��S '�U/ 3,,Z 7 13125 SW Flail Blvd,.Tigard,012 97223 Phone. 503.718.2439 'ax. 503,598,196 0 JUL 1 c 2015 I) IdRy Plan Rev iew Date/13y ()be I creec Inspection Line: 503.639,4175 TIGARD Date Read)/fay. - , H See Page 2 for Internet; www;tigard-or.gov Nonled/Method.' S ______I. f 1`;rt'E ill'1'#RR ■ 111 - 1:f714111F,RCIAL FEE SG f ] 5 II I1Lt # Mechanical permit fees*arc based on the value of the work ®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all 0 mechanical materials,equipment,labor,overhead,and profit.Demolition ❑Other: Value.S i , x . a l! J1U C TION RESIDENT tQl.1 1 1 kSTEMS ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checF hst. ❑ Multi-family ❑Master builder ❑Other: Description -----T Qty. Ea. Total i - ' Ileating/cooling: 'ORAIATION AND LO(Al` IO ' ` - ` r Air conditioning 46 75 5 lob site address: 11005 S J A' TUM N V J Elk/ S1• t Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/venls) 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 122"''Ave&SW Beef Bend Rd l Hydronic hot water system 23 32 Residential boiler(radiator or iit 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.: , - - --_ .• --•- Other fuel appliances Tax map/parcel no.: Water heater f 23.32 ' 0 ; - -. r ' xq Chas lire lacc/insert 33,39 IrrioN Off'WORN 4 p - °°'t` Flue vent for water heater or gas new,single family residence fireplace 23.32 Log lighter(gas) 23,32 ;f , Wood/pellet stove 33.39 I Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Cady 1� Other: 23.32 rid,; t �r- : '� `' ''' Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen _ Address:4230 Galewood St,Suite 100 equipment { 33.39 Clothes dryer exhaust _ I� 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 1 23.32 6&APPLICk , r i; 'Eits61.., ' Other: 23.32 Business name:saute as above Fuel piping: S14.15 14.15 for first fool-;54.03 for each additional Contact name: Deirdre Britt Furnace,etc. I Address: Gas heat pump Wall/suspended/unit heater City/Slate/ZIP: Water heater Phone:( ) Fax::( ) Fireplace J — 12a e - _j 1,-mail dbriltrrr stonebridgchomcsnw.cool l3ancccuc C t t`,i t st 1 on Clothes dtycr(gas) Business name:Comfort Zone (Flier: 1 �_, ,%1 Fel IA NICAL PERMIT FEES" Address: 1(132 NW Corporate Dr Subtotal W City/State/ZIP:'I iuultl,le,OR 97060 \1mimunt permit fee($90.01)) .._— -- Plan review(25%of permit fee) Phone:(51)3)667.5595 Fax:(503)491.8252 State surcharge(12".4,of permit fee) \ CC11lie.: 110091 "TOTAI.I'l'RtMI.1 FEE -`---'—'-"" '"' "'" '-- "fibs permit application expires if a permit is not obtained within 180 ��t days after a has been accepted as complete Authorized Urn;ilure °4 ,r.-- ,--d-.-..- ' Fee mrlhoilolot*sit by Tri-County 13mIdinu Industry Service humid [-Print int name David II eldsl ii Date: I,1t lei,,re 1 n o.s.'vel:t 1 neire\Ip iiI I-;k. ,t 45`171 I11[_C'1)Ni./Wtim) P1tlmbinz Permit ApplicatCEIVED Building Fixtures FOR OFFICE USE ONLY City of Tigard JUL 16 2015 Rrcrived y € t)'ife,•'l3i Pern ni No,: fr s-7- 0'5.-::0‘4,3a w 13125 SW Hall Blvd Tigard,O12A7,2,2 L�f YJ t ., �jjlt�I 1 lan Review Phone: 503.718.2439 Fax: 503.' .It61fOFTIGARD OtherPermit No.; p' BUILDING DIVISION Date T!GARD Inspection Line: 503 639.4175 t)n Ready/By Ririe 0 See Page t for Internet: www.tigard-or.gov Notified/Method- Supplemental Information 'TYPE OF WORK FEE" SC11EDt1LE ®New construction ID Demolition For special inforsnariou use checklist. Description I Qty. I Ea. I I UI,i1 ❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 R,for each utility connection) , ,7:; - a ' . SFR(I)bath 312.70 y ( q o t � ® I-and 2-family dwelling ❑Commee / SIR(2)bath rcial.industrial SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen ❑Master builder ❑Other: Fire sprinkler( sq,IL) Page 2 t 0ItifA' ION AND I,L)CA11ON Site utilities: „� - !';-talc 12.005 5 W AA/To M N y�I Catch basin or area drain 18:76 Job site address: �'I . 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 122id Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no,linear 11.:IJ0 ) Page 2 Storm sewer(no.linear ft.:34 ) Page 2 Water service(no.linear 114(.10) Page 2 Subdivision:Southview Heights Lot no.: IV Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 r "% -,,` ii Backwater valve 12.51 . z o._ _ :• "_ _ . ,,, , Clothes washer )� 25.02 new,single family residence -'- Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ,' ►d ' , @ ' � tr ' `,' Xp ..lank __- _. 12.51 Iti .„', C neon 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 i 25.02 City/State/ZIP:Lake Oswego,OR 97035 ,'"" Hose bib 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker I 12,51 j4'.► , ` CONTACT 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 6 25.02 City/State/ZIP: Solar units(potable water) 62.54 Ph Tub/shower/shower( ) Fax:.( ) ub/shower/shower pan 3 12.51 E-mail:dbritlfir stonebridgehornesnw.com Urinal 25,02 ° •. _- Water closet ---3-__._. 25.02 , NTR,ACTOR Water heater 37..52 Rosiness name: Max Plumbing Water pipinfJDt\'V 56,29 Address:PO Box 5597 Other: 25,02 City/Slate/ZIl': Ileaverton,OR 97006 Subtotal Phone:(971)275.0198 Minimum permit lee- $72 50 Fax:( ) _. Plan review (25%(il permit Ice) C'C'II Lie.:194644 Plwnbing I,ie.no.:P111(183 --- --- - State surcharge(12%of permit Ice) Authorized signature: ( , 8 'i,,. ..-�*' ."--"...---- - 'I"O'fAt.P}iRlv41[FEE Print nume:.lasoo Hf�rnt ' Dale: This permit application espires if a permit is not obtained aithiu ISO days oiler it has been accepted as complete. *Fee meihudutugv set by I iI-C1,unly Building Induairy Serviec 13nartl;. i\Rua;line,P nni''.:P1.Mt1-Permit App-,toc n'iistf,r, 'i4o.'tuii,it 1'"'2111.MAViiltl • City of Tigard • ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: /-75,-,26/.5--00/30 Site Address: ( 2 O0 Sw 6v wort vie S+. Project Name: SOu-WIV'MAN 4e- rl h LO+ I g Lot #: ( 3 (New dwelling= subdivision name;Ad ition or Alteration=last name of owner) Planning Review Proposal: S P-(2.. new Verify site address/suite# exists and active in permit system. •ver Terrace Neighborhood: ❑ Yes X No Site Plan Elements: /Three(3)copies of site plan 'Existing structures on site Site plan must hg on 8-1/2"x 11"or 11 x 17"paper 9t ootprint of new structure(including decks)with finished /prawn to scale(standard architect or engineer scale) floor elevations Of North arrow ,Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number -Btocation of wells/septic systems ,Z pplicant information(name and phone number) /Erosion control(including drainage-way protection,silt fence Zot dimensions and building setback dimensions design,location of catch basin,etc.) 1'Lot area,building coverage area,percentage of coverage and ,f 'Street names impervious area(applicable if R-7,R-12,R-25&R-40) Xtreet tree size,type and location /Property corner elevations(2 foot contour lines if more than ` •Existing trees to be retained with drip line,and tree 4 foot differential) protection measures $C'lean 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 Land Use Case#: S62O I 3 - 00005- Zoning: g -1 Setbacks: Front I S Rear 1 S Side S Street Side i 0 Garage ix) )21 Landscape Requirement: Z 0 % Lot Coverage Maximum: e0 % Q Building Height: Maximum Height 3 S Actual Height 2 1 Visual Clearance -B-Easements -P-Sensitive Lands: ❑ Yes / No Type ,i2"Urban Forestry Plan 4 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /11 011 07t 01 (0 61‘-e-et&, Date: "7 / ( 12 1 (3 Revisions (after Building Submittal only) Reviewer lute Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Buildinorms\BldgPermitRvw_RES_070915.docx A Building Permit Submittal Original Submittal Date: —00/6— Site Plans: # If Building Plans: # L f Building Permit#: E —Efffer building permit#above. Workflow Routing. C —Planning C� nineering rmit Coordinator g Workflow Sign-off: g--Sign-off for Planning(include notes from planning review) Route Application Documents: E — rrgineering: (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: G � Date: 7/ (1/5"---- Engineering Review ,� Slope at building pad: �4 LZ'Sl ditions "Met"prior to issuance of building permit LFYEasements (encroachments)per engineering conditions of approval and plat Later Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes � N LIDA Facility on lot: El Yes .e—No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: �Z Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review El 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: El SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A to Issue Permit pproved by Permit Coordinator: / Date: I:\Building\Forms\B1dgPennitRvw 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00132 David Young Front downspout not installed, work not complete. 103.5.4.1 Not ready for 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00132 David Young Finish sealing penetrations behind mechanical equipment in garage and around line set at back garage wall. R302.5 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00132 David Young Provide breaker lock for dishwasher not plug and cord connected. 422.30 Provide missing outlet cover in dining room. 370. Outlet not secured in main 1/2 bath. 370. 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00132 David Young Provide address on site for inspections. R319.1 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00132 David Young Provide address on site for inspections. R319.1 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00132 David Young Not ready for ﬁnal inspection, second ﬂoor deck railing not done. Work not complete. No inspection done. Note: provide permanent address on site for ﬁnal. 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00132 David Young Post address on job site for inspections. R319.1 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00132 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00132 David Young Seal kitchen counter top behind sink at window. 310.4, 407.2 No water on hot side of main level 1/2 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00132 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00132 David Young Provide positive attachment at deck ledger per approved plans. Provide missing nails at joist hangers. 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00132 David Young House locked, no access for ﬁnal inspection. Unable to pick up city required documents for ﬁnal inspection. Re schedule with 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 12065 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00132 David Young Corrections for deck ledger attachment complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test results checked, posted on furnace. Insulation certiﬁcation check, posted on electrical panel. C of O left on site in kitchen with approved plans. Violation Summary: Inspector Contractor