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Permit , 1 p CITY OF TIGARD IN- 14i MASTER PERMIT I a COMMUNITY DEVELOPMENT Permit#: MST2015 00156 T EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015 Parcel: 2S110CB12500 Jurisdiction: TIGARD Site address: 15020 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 13 Project: Southview Heights, Lot 13 Project Description: New SF. 3/1/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 21 Bathrooms: 3 Second: 1420 sf Garage: 472 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2565 sf Value: $311,830.69 Rear: 30 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 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: 4 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 3 201-400 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 asin Y Other: N Other Description: Ecom P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2565 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 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,566.81 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. AT • •,. •regon law requires you to follow the rules adopted by the Oregon Utilit Notif - ion Center. Those rules are set forth in OAR 952-'s -0010 through 0•- •• -00 0090. You may obtain a copy of the rules or direct questions to o .232.1987 or 1,800.332.2344. 1 /I sued By: I /l ��/ st Permittee Signa • • r' ��G� - Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate. 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 TIGARD MASTER PERMIT IN ■. COMMUNITY DEVELOPMENT Permit#: MST2015-00156 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015 Parcel: 2S110CB12500 Jurisdiction: TIGARD Site address: 15020 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 13 Project: Southview Heights, Lot 13 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1145 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 21 Bathrooms: 3 Second: 1420 sf Garage: 472 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2565 sf Value: $311,830.69 Rear: 30 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 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: 4 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 T 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: 3 201-400 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 2565 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 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,083.05 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 --•er. Those rules are set fort in OAR 952-001-00 : rough••' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 or 1.80 / Issued : : • ' Ar= Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspecti•n•at:■/ This permit card shall be kept in a conspicuous place on the job site until completio of the • .ect. Approved plans are required on the job site at the time of each inspection. `Building Permit Application t Residential r L V D FOR OFFICE USE ONLY City of Tigard Received is"' l Permit No.: II -r�/5..��1 DateBy p : 13125 SW Hall Blvd.,Tigard,OR 97A VG 2 6 2015 Plan Reviesy,I Lj�-„/1 n,,,/5 ff/_ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: yy 316_ J' Other Permit: �(JK � ((�((J Inspection Line: 503.639.4175 � -r s r` t rt.,'� Date Read /B Juris: El See Page 2 for TIGARD p , ' P i-' D t'�! D Notified/Method:v////I Supplemental Information Internet: www.tigard-or.gov !,-, 5 a/t . .�� ,_ S .� i Psi 'iV frytA P ANeLj f rf•_.:J TYPE OF WORK REQIFEIRED 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,overhe d,and the profit for the work indicated on this application, 31 1 3 f , 69 CATEGORY OF CONSTRUCTION ® 1-and 2 family dwelling ❑Commercial/industrial Valuation: $ ii) 4 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: %– 3 l JOB SITE INFORMATIO AND 1OCA ION '' s'i'.; Total number of floors: Z„ 1 Job site address: 15020 SW HA 46-4 S V IMO AVe-. New dwelling area: 25(p —square feet3 0,31 City/State/ZIP:Tigard,OR 97224 Garage/carport area: 47 square feet Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area I 4111 square feet Cross street/directions to job site:SW 122"'Ave&SW Beef Bend Rd Deck area: square feet 'l ab Other structure area: square feet ) 1 1.3` REQUIRED DATA:COiNINIERCI AL-USE CH(:CKLIS I' Subdivision:Southview Heights Lot no.: 13 Permit fees*are based on the caluc ol the vcork per formed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all , , equipment,materials,labor,overhead,and the profit for the yI DESCRII LION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER Number of stories: Name:Stone Bridge Homes NAY,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: " at ❑ CONTACT PERSON � �� „;- �� „' BUtLD1♦G PERMIT FEES* (Please refer la fee schedule) Business name:same as above Structural plan review tee(or deposit): Contact name:Deirdre Britt FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: �� Phone:( ) Fax: :( ) Amount received: 75(..) • E-mail:dbritt @stonebridgehomesnw.com PHOTOVOLTAIC SOLAR P.tNEI.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 e roof plan with corn-• on details and fire department acc. s,along with - 2010 Oregon Address: Solar Installation Specia Code co klist. Permit Fee(includes ;la -view City/State/ZIP: and administr- ve fees): $180.00 Phone:( ) Fax:( ) State surcharge(12°/ ,f pe 't fee): $21.60 CCB lie.:173318 Total fee•ie upon applic• ion: $201.60 Authorized signature This permit application a es if, permit is not obtained within 180 days after it has be. .ccepted as complete. -- *Fee methodology set by Tri-County Building Industry Print name: �� Z� l'(,' Date: if//op b Service Board. i\\ 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) 9 Electrical Permit Applicath n 2015 FOR OFFICE USE ONLY pUU 7r b Received (�,� City of Tigard g , /S od, Permit No.: ST S- / .-.P\RD llate/13y: y 13125 SW Hall BIvd.,1 lan Review IN 1 Phone: 503.718.2439 3 .8.1960 ,,,,-Ni J" Date/By: Other Permit: f I GA RD Inspection Line: 503.99 " Date Ready/By JurIs R1 Sec Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information F\I'E OF WORK. PLAN REVIEW -hlcme check all ii ii apply(submit 2 seas of plans w/items checked below): ®New construction 111 Addition/alteration/,replacement ❑Se vice or feeder 400 amps or more ❑Building over three stoics. I)enwliIIon ❑Other: where the available fault current D Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. building. ❑ Multi-family ❑ Master builder ❑Other. ❑Fire pump, ❑Installation of150KVAor .._ • ❑Emergency system. larger separately derived system ,1013 SITE INFOR'tl k l'IQIN AND l.00ATIO! ❑Addition of new motor load of ❑''A" "F" "I-2""I-3" r' C 1,' 1411Z-461 ,'` Ave. 100RP or more, occupancy.. Job no.: Job site address: '�;). J�V b / a ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 ❑llcahh-care facilities, ❑Supply voltage for more than ❑Hazardous locations, 600 volts nominal. Suite/bldg./apt.no.: Project name:Southview Heights ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd nrsrripfiu, ) qu.. I ree. I .Mat j- New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights Lot no.: 13 1,000 sq_ft,or less 168.54 14 Ea.add'I 500 sq.ft,or portion 33.92 1 Tax map/parcel 110.: I _ _ Limited energy,residential 75.00 2 ESCRIPl'ION OF WORK a r.. (with abovesg:tl.) Limited energy,multi-family ' 75.00 2 new,single family residence residential(with above sq.Ili) Renewable Energy ❑ See Page 2 ' Services or feeders installation,alteration,and/or relocation '❑ t'ROPER'l Y OWNER ❑ TENANT 200 amps or less 100.70 2 — - 201 amps to 400 amps 133.56 2 ' Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 200,34 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 55226 2 City/State/'LIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 Fax:(503)387.7615 relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Dale: Branch circuits-new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON _ , . A Fee for branch circuits with ---- --- above service or feeder fee, 7.42 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'l branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67,84 2 Phone:( ) Fax::( ) dwelling,,service and/or feeder Reconnect only 67.84 2 F-mail dbritt(nistonehridgehomesnw,com Pump or irrigation circle 67,84 2 CONTRACTOR Sign or outline lighting 67,84 2 Business Jtatltc:City Electric Signal ciicuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:55568 SW Schalten brand Ln Each additional inspection over allowable in any of the ahoye Additional inspection(I hr min) 66 25/hr 1� City/State/ZIP:Sherwood,OR 97140 Investigation(I hr min) 66.25/hr _ Phone:(971)404.1714 Pax:(503)625.3052 Industrial plant(1 hr min) 78.18/hr — — Inspections li,r which no fee is fix' 90 001 hi CCII Lie.: 42422 I.Electrical Lie,: 26-2119(' Suprv. Lie,: 35925 sp:rllicalJ■ listed('.:2 hr rah,) __. ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: Subtotal Print name: Chuck Friesen Date: _. Plan review(25%of permit feel: ._.__._._._..__....._......__.._ State surcharge(12%of permit Ice): Authorized signature: "f0'fAl.I'LRMI'F FIT: Print name: Date.: llris permit applica lion expires if a permit is not nhtaincd within M it 111 dais after it has been accepted as complete. ' Number of inspections allowed per permit l.`dluilairw1,P.r sf1..1 l„ Y;!1011Ail, Ii 1.11 1'It1 Ilk, R., 1'e21%'.513 •Ida.1010111 i'sca'osvwIn r7, i '.�' t Mechanical Permit Applckibf'--- !• FOR OFFICE USE ONLY Received 11,1 City f Tigard � � 2 015 y • �I S Pennit No l 1 �,r yc- S Y g' o cal; K1 4 13125 SW(tall Blvd.,Tigard,OR 9 ,. Plan Review i 3 Phone: 503.718.2439 Fax: 50 (f)-u-1?6 r... _- ,.ti A r free/n) Other Permit: TIGARD Inspection Line: 503.639.4175 l p ytir 1 iL=+:AriL)�� [7aleReady/E3y: Juris: ® See Page 2for Internet: www,tigard-or-govBUILDIN(; DIVISION ISION Notified/Method Supplemental Information 111'G t1(" WORK COP1MIERCIAL FEE" SCHEDULE USE(IlE(MAST -_ ___ _ ___ Mechanical permit Ices sic based on the value of the work - ®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all a ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. 1 s ., \7,1,.,c s 4. C;' CA II 010' Oh (O,NS1It1( I'IOv `d° �r µ � '€,.'1.6,(€1€.',",€€'€€..'€'•'€€i 4- RESIDENTIAL EQUIPMENT/41STE1'9A�.E4'4 ® 1-and 2-family dwelling ❑ Commercial/induslritiI LI Accessory building bar special information use checklist. _ ❑Multi-family ❑ Master builder ❑Other: Description _ T Qty. Ea. tb[al x JOB SIFE IssFORMAT10N ANf) LOCATION Ncating/cooling: Air conditioning 46.75 Job site address: 1502-0 S W H AlzV ty S V I`V1J AV?. Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/Z1P:Tigard,OR 97224 Furnace 100.000+BTIJ(ducis/venls) 54.91 _ Heat pump 61.06 Suite/bldg,/apt.no.: Project name:Southview lleights 1 Duct work 23.32 Cross streetldirections to job site:SW 122nd Ave&SW Beef Bend Rd Hydronic hot water system 23.32 1 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), I in-wall,in-duct,suspended,etc. 46.75 Flue/vent for attxof above 23.32_ Subdivision:Southview Heights Lot no.: I. other 23.32 - Other fuel appliances: Fax map/parcel no.: Water heater 4 ' 23.32 UESC't(IP-1"ION OF WORE Gas fireplace/insert 1 33.39 -_ Flue vent for water heater or gas new,single family residence fireplace 23.32 Lagg lighter(gas) 23,32 _ ___._..............._....._. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 1 y.;. �.— Other: - 23.32 /liner/flue/vent ® Pit(11'I ttI\ C)Vs;41Is , , D 'it AN''1- _.. E ' i nvironmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen . equipment _ _I_ 33.39 Address:4230 Calewood St,Suite 100 Clothes dryer exhaust 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, _ toilet compartments,utility rooms) 4 23.32 - Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 1 23.32 ® APPLICANT Other: 23.32 Business name:same as above Fuel piping: _._ _______ _..___._ k14.15 for first four;54,03 for each additional Contact name: Deirdre Britt Furnace,etc. I Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater i Phone:( ) Fax::( ) Fireplace 1 a E-mail:dbr itt9i stonebridgehomesnw-com 13,Inc�cue C ON Jac 1( 1 OR Clothes dryer(gas) Business name:Comfort Zone Other ,MECIIANICAI..PERMIT FEES* Address: 1(132 NW Corporate Dr - Subtotal City/Slate/"LII'.Trott Ida lc,OR 97(160 Minimum permit tee('690 00) . Plan review(25%of permit fee) Phone:(503)667.5595 I'as (aO3)491.8252 - of -.._.-__..______.-.-_ _. .. __ State surcharge(12",'0 of permit fee) CC B lie 1101191 DOTAL PF:RMI.1-FEE ...... .... This permit application expires if a permit is nut obtained within 180 -..� days alter it has been accepletl as complete. Aulbolvul signature: t e �'' Fee nrcdu dr logy set by To-Colony Building Industry Source Bonin I Print!mine: David IIeldslab Date: 1 j I 110;lcl0:_,,ve .,0,.\!I.t 00o0rn:i0t+00.i.i I..t... .I.:u..;..17r(I I?,_/1'(,wwr.(1} i Plumbing Permit ApplicatiRECE1VED Building Fixtures AUG 2 5 2015 FOR OFFICE USE ONLY Received g4 a l 4 r At -0 j/T/ City of Tigard �ij= tr1�(] ualett�Y: Permit No,. a 13125 SW Hall Blvd.,Tigard,Olt �� , Mill 1 I nr Review Phone: 503.718.2439 Fax: 50%j1�96i) `jiV S Oil I hI1 RC Other Permit No.: TIGARD Inspection Line: 503.639.4175 talc Ready/Hy Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notiticd/Method: Supplemental Information TYPE OF WORK 48 ,x° €fit FEE°. SCHEDULE ®New construction ❑Demolition For special infornmtion use checklist. Inscription I Qty. I Ea. l Total ❑ Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONS'TRUCTIGN SFR(I)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 -) SFR(3)bash j 500.32 ❑Accessory building ❑Multi-family - Each additional bath/kitchen 25.02 ❑ Master builder ❑Other _ Fire sprinkler( sq.f1.) Page 2 dO11 SITE INFORM HON AND l.O('A ZI ON Site utilities: _ ----- Catch basin or area drain 18.76 Job site address: ) .)r� ''y"V NAg.V�.t J i t�/ A L.,- , - Drywell,leach line,or trench drain 18.76 City/State/L11':Tigard,OR 97224 Footing drain(no.linear II.: ) Page 2 Suite/bldg./apt.no.: I Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122-,Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear II.:10°) Page 2 Storm sewer(no.linear ft.J OU) Page 2 Water service(no.linear ILI v 0) Page 2 Subdivision:Southview Heights I Lot no.: 1'3 Fixture or item: Tax map/parcel no.: Back now preventer 31.27 1)1 ('RIP'IION O[' WORN .____L. valve 12.51 Clothes washer 1 25.02 -new,single family residence Dishwasher 25.02 - Drinking tbuntain 25.02 Ejectors/sump 25.02 __ ❑ PROPERTY OWNER ❑ TENANT' Expansion tank 12.51 Name:Stone Bridge Homes NW,LLC Fixture sewer cap 25.02 Floor drain/Boor 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 i Fax:(503)387.7615 lee maker I 12.51 ® APPLICANT ❑ 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 Phone:( ) Fax::( ) Tub/shower/shower pan 3 12.51 G-mail dhritl(a's tone bridgch esnw. Urinal 25.02 -in -' Water closet 25.02 CONTRACTOR ,. � - Water healer ,1 37.52 3usi tens name: flax Plumbing ',`.. Water pipings't)WV 56.29 Address:PO Box 5597 Other: 25.02 City/Stale//II': Beaverton,OR 97006 Subtotal Phone:(971)275.0198 Fax:( ) Minimum permit lee. $72.50 __ _.._.....__...__.._._..._........_.. CC'13 Lie.: p i�c63 Plan review 125%ol permit Ice) 2� 2 Plunthiug ( ic.nn" State surcharge(12%of permit lee) Authorized sign Nuc 1:"' IOn1 lRnff Fri:___L__4 ,,,7-f....., '"•, [ Print name:.Ia�On I1 Pner 1)atc. 1 This permit application expires if a permit is not obtained nilhiu ISO days 11 after it Iris been accepted as complete. uree methodology set by Ili-Colony Budding Induiln Se;∎Ice Board I lnuadir4a'ennii1't Nit!-Kiwi;:NIT doe Iii''', ••Lo.dbie I(lop/?:(i rM!w'I'in City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: H/j-( 061 1 5 -60 /s--4 Site Address: / cQ0 SLt) / '€ c t//eet) i e Project Name: gOU u, J !° A��'s Lot #: /3 (New dwelling=subdivision nag-Addition or Alteration=last name of owner) Planning Review Proposal: ) � FiC Verify site address/suite#exists and active in permit systte . Verify fftiver Terrace Neighborhood: ❑ Yes Lot' No Sit. lan Elements: IP r ree(3)copies of site plan / y - sting structures on site I! e plan must hg on 8-1/2"x 11"or 11 x 17"paper L1!'Footprint of new structure(including decks)with finished I! b .wn to scale(standard architect or engineer scale) or elevations 11, ■ •rth arrow tility locations(required for new,may apply for additions) 'g S. address,project or subdivision name and lot number ration of wells/septic systems licant information(name and phone number) ❑Erosion control(including drainage-way protection,silt fence II • dimensions and building setback dimensions d ign,location of catch basin,etc.) 111 et area,building coverage area,percentage of coverage and We et names pervious area(applicable if R-7,R-12,R-25&R-40) et tree size,type and location 'roperty corner elevations(2 foot contour lines if more thanxisting trees to be retained with drip line,and tree 4 foot differential) protection measures M'/lean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No V Public Facili,,_t.�i Improvement(PFI) Permit: quired: l!d Yes,applicant was notified ❑ No Applied For: ®'Yes ❑ No,stop intake M and Use Case#: S'4 �C�/3 - 00007-ning: rte- backs: Front S— Rear 30 Side 5) Street Side h GarageU V Zandscape Requirement: v 'Jof Coverage Maximum: lr I .:uilding Height: Maximum Height 3S"— Actual Height a/ It Visual Clearance , ' asements �� /'.ensitive Lands: ❑ Yes [ No Type I! Jdrban Forestry Plan /Conditions "Met"prior to issuance of building permit Notes: -7 7 Approved By Planning: _ - Date: ; Revisions (after Building Submittal only) - Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Buil ding\Forms\BldgPermitRvw_RES_070915.docx Building Permit Submittal // Original Submittal Date: g 2(/S Site Plans: # Building Plans: Building Permit#: Ca'Enter building permit#above. Workflow Routing: ❑' Planning L T ngineering E-"Permit Coordinator EiBuilding Workflow Sign-off: 2'Sign-off for Planning(include notes from planning review) Route Application Documents: 0 Engineering (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,�i� i Date: 6/6---- "'nearing Review l'516..pe at building pad: /1; C,. .'dons "Met"prior to issuance of building permit P 'asements (encroachments)per engineering conditions of approval and plat 1j Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: G, Date: C.T3 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 .1E1'N/A Parks SDC: )Yes ❑ N/A pOK to Issue Permit Approved by roved b Permit Coordinator: i Date: d 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00156 David Young Add AC to permit. Provide access to furnace in garage for inspection. Not ready for inspection. 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00156 David Young Not ready for ﬁnal. Dishwasher not installed. 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00156 David Young Remove debris from garage to access outlets for inspection. 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00156 David Young Provide approved erosion control ﬁnal prior to building ﬁnal. Provide approved plumbing, electrical, mechanical and FPS ﬁnal prior to building ﬁnal. Provide required city documentation for ﬁnal inspection. Work is to be complete prior to scheduling inspections. 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00156 David Young FPS ﬁnal needed prior to building ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00156 David Young Provide approved thread sealant on clean out caps, storm and sanitary. 316.1 Provide hot water for plumbing ﬁnal, error code on tankless water heater. Tub spout not sealed to enclosure at upper ﬂoor main bath. 310.4 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00156 David Young Provide breaker lock for dishwasher. 422.30 Whip for AC not installed. Dual outlet in laundry not gfci protected. 210.8(10) 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL March 1, 2016 at 7:30:58 AM MST2015-00156 David Young AC not added to permit as noted on previous failed mechanical ﬁnal inspection. Corrections to be made prior to scheduling inspections. Re inspect fee to be charged if correction not done prior to 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00156 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00156 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00156 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test checked. Insulation certiﬁcation checked. Backﬂow test results for ﬁre suppression system received. C of O left on site in kitchen. 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 15020 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00156 David Young Corrections complete. Violation Summary: Inspector Contractor