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Permit CITY OF TIGARDII MASTER PERMIT I COMMUNITY DEVELOPMENT ;bYi Permit#: MST2015-00134 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015 Parcel: 2S110CB12800 Jurisdiction: TIGARD Site address: 12037 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 16 Project: Southview Heights, Lot 16 Project Description: New SF. 1/13/16, changed elc contractor to PI Electric LLC. 3/30/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 206 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1243 sf Garage: 430 sf Front: 15 Smoke Dwelling Units: 1 Third: 1341 sf Right: 5 Detectors: Yes Total: 2790 sf Value: $335,699.50 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 Drywell-Trench Drain: 0 Other Fixtures: 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 addl 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 2790 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: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,122.96 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 • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 -0010 through AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue By: ! 14- 4Q4'Pj/ Permittee Signature: &( Call 503.639.4175 by 7:00 a.m.for the next available inspecti n 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 TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00134 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015Parcel: 2S110CB12800 Jurisdiction: TIGARD Site address: 12037 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 16 Project: Southview Heights, Lot 16 Project Description: New SF. 1/13/16, changed etc contractor to PI Electric LLC BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms'. 3 First: 206 sf Basement: 0 sf Left. 5 Parking Spaces: 0 Height. 29 Bathrooms: 3 Second: 1243 sf Garage: 430 sf Front. 15 Smoke Dwelling Units: 1 Third: 1341 sf ftigM: 5 Detectors: Yes Total: 2790 sf Value: $335,699.50 Rear: 15 PLUMBING Sinks: i Water Closets'. 3 Washing Mach 1 Laundry Trays: 1 Rain Drain 1 Unnas. 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines'. 100 SF Rain Storm Sewer. 100 0: Tubs/Showers. 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 DrainsCatch Basins'. 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr 0 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 PumpN Hoods'. 1 Other Units'. 0 Furn<1001<: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furry=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 Por. 0 Ea add'I 500 at 5 201-400 amp: 0 201400 amp: 0 W/O Svc/Fdr. 0 Mid Home/FeededSvC 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp' 0 601-ani 000v: 0 1000+amp/volt. 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 Stereo' N HVAC. N Security Alarm: N Vamuum 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 2790 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 Crit 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Geo tech report required prior to footing inspection PHONE: PHONE'. 503-387-7577 FAX 503-387-7615 Total Fees: $24,025.60 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 rdne in a rdance with approved plans. This permit will expire if work is not startad within 180 days of issus e, or if work is suspended for more the 180dTENTION: egon law�9uires youtofollowthe rules atloptetl by the Oregon ion Center. Those rulesare seforth in OAR 9010 through OA 52 661-0090. You may obtain a copyofthe rulesord rectquestions UNCto .1987 or 1.800.332.2344.1y: Permittee tures Call 603.639.4175 by 7:00 a.m.for the next available Inspection d This permit card shall be kept in a conspicuous place on the job site unit pletion of the project Approved plans are required on the job site at the time of each inspection. Electrical Permit Armlicatilan ECEIVED at NO] 7771 y, _City of Tigard Permit a �S /s'� Q13125 SW'Hall Blvd.,I igard,OR 97223 p Phone: 503.718.2439 Fax: 503598.19AN 13 ZO16 Related Permit d:Inspection Line: 503 639 4175 Duns 0 See Page 2 forIntemeL www.tigard-or.gov CITY 01- TIGAAD d'. Supplemenld information TYPE PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked)'. ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSI7[UCfION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ I-and 24amily dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 ❑Commencial-use agricultural amps for all other Installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately denved ❑Addition of new motor load of system. Job 9: Job site address: Ioo HP or more. ❑ A'l"e",'9-2",'9d", CI[ /SIBIe/ZIP: ❑Six or more residential units. occupancy. y ❑Health-care facilities. ❑Recreational vehicle parks. SUlle7bldg./apt. : Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions tojob site: FEE SCINEDULE D ri tion 1 00. 1 Each I Toul New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.It or less 168.54 4 Tax map/parcel 9, Ea.addt 500 sq.It or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential with above s It. 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq-III Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 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 59.36 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 1 1 168.54 1 2 ❑ APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension, r panel A.Fee for branch circuits with Business name: above service or feeder fee, 742 2 each branch circuit Contact name: B. Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add']branch circuit 742 2 Miscellaneous service or feeder not included Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67 84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: C GEC r A I� L L C� Sign or outline lighting 67.84 2 _ Signal circuits)or limited-energy Address: Z O 5 CF I anel,alteration,or extension. See Page 2 2 p Each additional inspection over allowable in an of the above City/State/ZIP: O L A.) 02 Z Additional inspection(I In min) 66.25/hr Phone:( 3) Fax:( ) Investigation(I hr min) 90.00/hr mail: ` (l /\\ Industrial plant(I hr min) 78.18/hr t- g� � 0. m o Cm/`-1 Inspections for which no fee is 90 00/hr P CCB Lic.: I � F:Ieetrica Lic.:C 8 Suprv.Lic.: ("�(.�.� s s •cificalb,listed 'v hr min ^ ' ELECTRICAL PERMIT FEES Suprv. Electrician signature,required:, - p,La.. Subtotal: Print name: K21 C � ,�^ Date: Q t ❑Plan Review Required(25%ofpermit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: this permit application expires if a permit is not obtained within 180 Print name: Dale: days after it has been accepted as complete. • Number of inspections allowed per permit. I IBuildinglPmmnzlELC Permit App F.I R FRE d,z Reu 00:17'201, 440.1615Tf11'05]CONVw FB ~Electrical Permit Application—City of Tigard Page 2—Supplemental Information I Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE ne Fee for all residential systems combined: $75.00 Deo He, E,en TOWy Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 10070 2 5 01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 1501 to 25 kva 20034 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 2501 to 50 kva 30104 2 50 01 to 100 kva 552.26 2 ❑ Garage Door Opener* 1100 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 ❑ Vacuum Systems* 1100 kva—no additional charge 0.0 3 Each additional inspection over allowabl4hr the above: ❑ Other: Each additional inspection is 6I charged at an hour) (I hr min) Inspections for which no fee is 9 specifically listed '/:hr min) COMMERCIAL WORK ONLY: ELECTRICAL PEJRMrr FEES Fee for each commercial system: $75.00 Subtotal(Enter t Page l): • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I,HuildinyWermasELC Permit App EIA ERE due Rev06,17101< CITY OF TIGARD MASTER PERMIT I"1! I.'" COMMUNITY DEVELOPMENT Permit#: MST2015-00134 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015 Parcel: 2S110CB12800 Jurisdiction: TIGARD Site address: 12037 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 16 Project: Southview Heights, Lot 16 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 206 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 1243 sf Garage: 430 sf Front: 15 Smoke Dwelling Units: 1 Third: 1341 sf Right: 5 Detectors: Yes Total: 2790 sf Value: $335,699.50 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 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 Sorvice 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 2790 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 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,980.60 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ENTION: egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are et forth in OAR 952-0 1-0010 through OA •. -••1-O••0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 f or 1.800.3.2. 44. / lss ed By: _ •, • Permittee Signature: / ,,� Call 503.639.4175 by 7:00 a.m.for the next available inspection•at This permit card shall be kept in a conspicuous place on the job site until comple . of th project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard `v�.� Received eB 7 i>fi Permit No.: 1 •/5 1 13125 S W Hall Blvd.,Tigard,OR 97�j �G Plan Revie.maim , Phone: 503.718.2439 Fax: 503.598. ^015 DateB :,S,ytt Other Permit: u„ Ste' , in T t GARD Inspection Line: 503.639.4175 �` % (• Date Rea. :y: ® See Page 2 for Internet: www.tigard-or.gov J �pc) Notified/Method: / Supplemental information _ S �! t• .. Ir•A GAr T/5-1/5- ((t.�. ..,t ) TYPE OF WO ) 1 y�% REQlt1RED DATA: I-AND 2-1Ay11L1'DVS'ELLING ,> ®New construction L)emolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION -. "".„�. work indicated on this application. Valuation Vi-,t$ , ® 1-and 2-family dwelling ❑Commercial/industrial '✓�� ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: ,Gf J Total number of floors:OB S17"E INFORIIATIOV AND LbCATION 3 1. Job site address: `.'1(I SW AUTUMN V I EW ST• New dwelling area: Z—1 jp square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 ao square feet l t Suite/bldg./apt.no.: I Project name:Southview Heights Covered pore r 1' square feet X43 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area: q° square feet 4 Other structure area: ?2'ef) square fe -29 REQI`IRED DATA:('O\1\ILRCIAL-USE CHECKLIST Subdivision:Southview Heights 1 Lot no.: ((p Permit tees*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 rr DESCRIPTION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet iY"7/ 1 n yMu ❑ $. 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: . ' L ,N ° y ❑ CONTACT PERSON s BUILDING PERMIT FEES* Business name:same as above (Please refer to fee sehedale) 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 recciv ed: Phone:( ) Fax::( ) E-mail dbritt�stonebridgehomesnw.com PHOTOVOI,1 I('SOLAR 1'1NEL Sl STI\i FEES*" I";- CONTRACTOR � Commercial and residential prescriptive installation of 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%of permit fee): $21.60 CCB lie.: 173318 Total fee due upon application: $201.60 Authorized signature:�T\� �,� This permit application expires if a permit is not obtained e -re�-/t within 180 days after it has been accepted as complete. Print name: w Date: y *Fee methodology set by Tri-County Building Industry �EI1ZE ITT 1/I�l/�� Service Board. 1:\Building\Permits(JP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Electrical Permit Application V FOR OFFICE USE ONLY Received City of Tigard v I'umit No., g �O v:rle/t3y i''� dpl S—cwt 314 '� 13125 SW I tall Blvd.,'Tigard,QQI�► plan Review O. Phone: 503.718.2439 Fax: 50.. 5 , 960 rl 15 Other Permit: l.Q Due/I3y TIGARU Inspection Line: 503.639.4175 `\`1 6 Date Ready/By inns E1 See Paget for Internet: www,tigard-or.gov w ,,t!,p,D ` Notified/Method: Supplemental Information ty 1,d _ TYPE OF W1 ° V'''`Ay11;- 1 P1''AN REVIEW _ ❑Ncuv cnnsli action ❑Additinivitli„,,j t��\ vyµ.pt.ic'ement Het.cli ti all that apply(submit 2 sets of plans whims checked l lui.) — �,,1 ❑Service or feeder 400 amps or more ❑Building over Mice stor ies ❑ Demolition ❑ Other: where the available fuIt cuffent D Marinas and boatyards. CATEGORY OF CONSTRLCI ION exceeds 10,000 amps at ISO volts or ❑Floating buildings. • —____—.—__ less to ground,or exceeds 14,000 ❑Commercial-rise agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps(orall other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA en �r Emergency system. larger separately derived system. 31)11 S11-F INE°IFN . f1O# :%. , 'g ,, -`. 0 Additionof new motor load of ❑"A" "E”,"l-2""I-3" Job no.: I ►/� OOhIP or more, occupancy.. 4653 Job site address: 170.6-1 �MN V' Si. 0 vehicle arks,. pry ❑Six or more residential units. p City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities, ❑Supply voltage for more than ❑llazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name:Southview Heights ❑Service or feeder 600 amps or more. Cross street/directions to job site:SW 122"'I Ave&SW Beef Bend Rd Desrri lion , ' '�Teritt --_.. New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights Lot no.: lip 1,000 sq ft.or less 168.54 4 Ea.add'l 500 sq.ft,or portion y 33.92 I Tax map/parcel no.: Limited energy,residential ` DESCRIPTION OF WORK (with above sq.ft.) 75.00 2 Limited energy,multi-tinnily 75.00 2 new,single family residence residential(wills above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation 200 amps or less I(X1,70 2 � `` ' Ft : 'l`� l$t�` C))4rA71R cI.< ❑ 71'1'>f1'ti`T'' �� w .. .. .T,x Name:Stone Bridge Flomesi --- -- -�---- ,,„„....% 201 amps to 400 amps 133.56 2 NW,LLC 401 amps to600 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 552.26 2 City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 Fax:(503)387.7615 relocation 200 amps or less I 59.36 1 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps r 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps I 168.54 2 Owner signature: ___ Date: , ... . .. __.-- Branch circuits—new,alteration,or extension,per panel A Fee for branch circuits with ,`a .‘1'19.1('A, 1' ❑ CON'FACT PERSON• ;. above service or feeder fee, 7,42 2 Business name:same as above each branch circuit 13.Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56.18 2 branch circuit Address: Lacs add'I branch circuit 7 42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each maimthclured or modular 67.84 2 dwcliing,scrviec and/or feeder Phone:( ) Fax::( ) — Reconnect only 67,84 2 F,-nt tie- dbrittf ilstonebrielgehomesnw.coo Pomp or irrigation circle 67,84 2_. (ON F RA(°TOtt Sign or outline lighting 67,84 2 Business name:City Electric Signal circuits)or limited-energy See panel,alteration,or extension. Page 2 2 Address:55568 SW Schaltenhrand Ln Each additional inspection over allowable in any of the above Additional inspection(I lir min) I:6 25/lir City/State/ZIP:Sherwood,OR 97140 Investigation(I hr min) 66,25/hr Phone:(971)404.1714 Fax:(503)625.3052 Indrlsu ml plant(1 hr min) 78.15/hr Inspections for which no lee is CCI3 Lie.: 42422 ,Electrical lie.: 26-289C Suprv. Lie.,: 35925 sp:cilicall\ listed(s_.hr min) >0.00/h; _�._.___.______ ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: L_,,.-�' __ Subtotal Print name: Chuck Friesen Date: Nan Iwicw 125%of permit Ice): — — ._— State surcharge(12%of permit Ice). Authorized signature: TOTAL PIiRM'I HT' Print name: Date: 1 his permit application expires if permit is not ubtaincd ii x lhiu In Jars alter it has been accepted as complete. . Number of inspections allowed per permit I`.ISUil,iuc:Y:n,,,rnl:LI'l'..”1,11:\IT I:LK 4.141:do,: K.v !421%'i1i1 •411i.101%1 i 1110,71"i11t:Wt-ti Mechanical Permit Application FOR OFFICE USE ONLY Irri Received City of Tigard � Permit No_: Mr S _ if �\\ Plan R y �� e 13125 550 Mall,2 39 Fax: OR 972a Plan Review Phone: 503.718 2439 Fax: 503,59 4% Dale/By: Other Permit: inspection Line: 503.6394175 `0 Ready/By. fa See Page 2 for TIGARD 1 t Dale Read y/B inns: Internet: www.tigard-or.gov \\\- t\� diced/Method j Supplemental Information --C:.0/4.1-1-ER-C1-AL FFE'' S EDI.1LE-- USE C IIPCKt iSf TYPE OF ty C 1 Mechanical permit Ices'"ate based on the value of the work ®New construction ❑Ad(IiNan/alterat • r acemenl performed.Indicate the value(rounded to the nearest dollar)of all to ❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. Value:$ ('All.( C>RV Ot (a)\S'TRl`C1'1(}V' RES1DEN-'1BALE QUIPMEN"I'/SI'STN::NISYC.Es* ® I-and 2-family duelling ❑ Commercial/industrial ❑Accessory building For special information use c lrec,list. It Multi-family ❑Master builder ❑Other: Description Qty. 1 Ea. 1 Total - - Ileating/cooling: .1013 SITE INFORM- T(0N AND 1,0( Al ION Air conditioning 46.75 t lob site address: 12p .-1 Sy J afUTVM N V I t'W "T• Furnace 100,000 BTU(ducts/vents) 1' 46.75 City/State/Z1P:Tigard,OR 97224 - �- Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt,no.: Project name:Southview heights Duct work 23.32 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), _ in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Sonthview Heights Lot no.: Other: 23.32 -.I 19 m Other furl appliances: lax map/parcel no.: Water heater r 23.32 t DEN(Hit'"LION OF 1V'Oftl( Gas fireplace/insert t 33,39 .._ -___ Flue vent for water heater or gas new,single fancily residence fireplace 23.32 y Lour lighter(gas) 23.32 _. _. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other. 23.32 . Li� �__ Li I t 5:1.�t Environmental exhaust and ventilation: Name:Stone Bridge Ilomes NW,LLC Range hood/other kitchen equipment s 33.39 Address:4230 Calcwood St,Suite 100 Clothes dryer exhaust I, 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, ' __ toilet compartments,utility rooms) i� 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawls ace fans r 23.32 P ' �+ �� '-1. ' ❑ ( (tN i',1( 1 Pi'RS().l' ,Other: 23.32 _. -- Furl i in : Business name:same as above P P g' 814.15 for first four;53.03 for each additional Contact name: Deirdre Britt Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater r -. • 11u Phone:( ) Fax::( ) Fireplace P l _ - Range .1 I'.-mail dbritt(a)stonebridgehomesnw.cam 13arhecuc CON TRACTOR Clothes dryer ya ) Business name.Comfort Zone OI her: - - T- $1FC11ANIC:1I.PERMIT FEES* Address: 1032 NW Corporate Dr - Subtotal City/State/ZIP:Troutdale,OR 971160 Minimum permit fee($90.00) --- - Plan review(25%of permit lee) Phunc:(503)667.5595 Fax:(5113)491 8252 (__ w__________ ,._.. Slat( surcharge(]2%ul permit Ice) t CCI3 lie.: 110091 TO'i'AI.['ERINIIT FEE This permit application expires if a permit is not obtained within 180 �---�� days after it has been accepted as complete. Aulhoriiet1•,Irlt dtire: �.T �l ' Pct ii Inxiulopv eel by Tut-('nutty Building bullish Service 130atd Print name: David Ileldsl ib I)ate: 1 I''Iu11dige`d'ei,,i,,•\Itl I'enniv\j,,c,I01 I1 di:; .I.11.an 71-(I1/a2FI'(LM/wai13) 77 3 r Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY Received _ 312 of Tigard , 015 Date/t)y: PennitNo �C7`Z n��I3Ll 13125 SW f lail Blvd Tigard,OR 7_23 - - V vw 1 C r Plan m Review r'`: Phone: 503.718.2439 Fax: 503.598,19(11\` , Other Permit No.: �JVv p,tc,lly. TIGARD Inspection Line: 503,639,4175 taVN ),I,,Rea iv/fy� auris. El See Page 2 for Internet: www.ttgard-or,gov �1 v O ) '� C 1`.4ollhcd/Method. Supplemental Information j TYPE OF WOR . \Vie0‘\11._)% FEE° SCHEDULE ®New construction ( emolition special I Foriuurrrxuiutrusec/teckJisr. Devcrpiron L Qty, j Fa. ( Total ❑Addition/alteration/replacement ❑Other: New f 2-family dwellings{includes 100 ft.for each utility connection) ! l) Off. SFR(1)bath 312.70 Eg I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath _ 437.78 SFR(3)bath II 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 13'1°ION t i„r Site utilities: Job site address. ( 2m s ) 1w-rump.' Vl s4 S'r. Catch basin or area drain 18,76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear ft.: ) Page 2 Suite/bldg./apt.no.: , Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 11.:-) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no,linear ft,: ) Page 2 Subdivision:Southvicw Heights Lot no.: 110 Fixture or item: fax map/parcel no.: Backtlow preventer 31.27 6" 4'13111 Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 ,w Ejectors/sump 25.02 P71OPFt1 _� �� '. TEN 11"(" I xpansion tank 12.51 Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:4230 Galcwood St,Suite 100 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)387.7577 I Fax:(503)387.7615 lee maker 12.51 f e ❑ C°ON JAC!' PERSON Interceptor/grease trap 25.02 - r ' Business name:same as above Medical gas(value.$ ) Page 2 Primer 12,51 Contact name:Deirdre Britt Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 -mail dbritt!a)stonebridgehmnesnw.com Urinal 25.02 F. � ._._ -)0 , .. .,---_ Water close) 25.02 CONTRACTOR ' '"' " Water heater 37.52 Business toile Alas Plumbing Water pipinJl)WV 5029 Address:1'O Box 5597 Other: 25.02 City/State/ZIP: Beaverton,OR 97006 Subtotal Phone:(971)275.0198 Fax:( ) Minimum permit Ice $72 50 _ flan ICSic\v (25'/, (itpermit Ice) C CI1 Lic.: 194644 Plumbing I ie no.:1'111083 - Sidte surcharge(1246 of permit lee) Authorized signature: ' ../4.M-*..�. - - "� a..-�* IUI4t.1IRfv11'I'II.ti This permit application expires ir a permit and is not nblained wilhiu IRO days I tint name. Jason I1At'ocr Dante: after it has been accepted as complete. ice methodology set M'Tri-Caunly 1Suilding'whism)Service Board, I\aulcimv\Psi i,n'.:I'I.AIt1-Pon;ii App.dnc I,vl.il r. 41'!.=10 11,1(1:".-r';((.>:\1%\VI,Ii) r 14 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential 7 Building Permit #: /15-7-A0/r'-00/37 Site Address: ( 2 03/ SW fi tUN mr% veN'l Project Name: S OUV1 ViVAN He(D(l i-; Lot #: 1 to (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NON S c"-g. Ziti• Verify site address/suite# exists and active in permit system. ver Terrace Neighborhood: ❑ Yes ❑ No Site Plan Elements: /Three(3)copies of site plan ,Existing structures on site f�,Site plan must 12c on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations �fr/� ZNorth arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ration of wells/septic systems /Applicant information(name and phone number) "Erosion control(including drainage-way protection,silt fence /f�Lot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) ,treet 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 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified /Z-No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: / Required: ❑ Yes,applicant was notified ❑ No Applied For: C es ❑ No,stop intake Land Use Case#: SV$ iO 13 'Od d d S ,_,/Zoning: !1 ■n`� 1 ,LEI Setbacks: Front I s Rear ` S Side 5 Street Side )Z Garage 24,9 Landscape Requirement: Lot Coverage Maximum: D 0 % Building Height: Maximum Height S Actual Height ZO( Visual Clearance —B—Easements D Sensitive Lands: ❑ Yes ❑ No Type — Trban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By,Planning: Al 0ta i7%& (3,10 411-CA -4 . Date: -7/ I (o ) 1 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_070915.docx J f Building Permit Submittal Original Submittal Date: 7A/5 Site Plans: # / Building Plans: # if Building Permit#: Dyer building permit#above. Workflow Routing: i i--"nning [gineering Ca t Coordinator wilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: LEng1'neering: (1) copy of permit application, (1) site plan, (1)building plan and on 'al plan review routing form. L�Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ` _ Date: 77,2//5"--Ar Engineering Review e at building pad: /gig kr Cynditions "Met"prior to issuance of building permit �F ectnents (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes P-'1Clo Assess Water Quantity Fee in-lieu: ❑ Yes Iig""g-o LIDA Facility on lot: ❑ Yes �� ❑ NOT Approved by Engineering: Date: Notes: fiew,_44cve,e, Approved by Engineering: Date: _____ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: El SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A 21 =e0 K to Issue Permit Approved by Permit Coordinator: ..../ oordinator: /L// Date: 273 l S I:\Building\Fonns\B1dgPermitRvw_RES_070915.docx 1 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00134 David Young Front down spout not installed, not ready for plumbing ﬁnal. 103.5.4.1 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00134 David Young Gfci in garage not to supply circuits outside the garage.( entry ) 210.52 Provide breaker lock for dishwasher. 422.30 Smoke detector to close to forced air heat supply register vent in upper level back right bedroom. R314.3 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00134 David Young Seal penetrations in garage ceiling at mechanical equipment. 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00134 David Young Correction complete. Front gfci ok per oesc exception for 20 amp circuit, future exceptions for grade level only with 20 amp circuit. 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00134 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00134 David Young Finish ﬁlling penetration at ceiling right side of furnace in garage, spray foam on site for correction. 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 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00134 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 report checked. C of O left onsite with approved plans in kitchen. Note: Flooring at interior landings to be ﬁnished after material is received. Violation Summary: Inspector Contractor