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Permit CITY OF TIGARD MASTER PERMIT 8.IIII ' COMMUNITY DEVELOPMENT Permit#: MST2015 00191 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 (F4 1j TWARD g Date Issued: 11/19/2015Parcel: 2S110CB13200 Jurisdiction: TIGARD Site address: 12087 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 20 Project: Southview Heights, Lot 20 Project Description: New SF. 2/17/16, REPRINTED to add(1)laundry tray.6/14/16, REPRINTED to add 200 sf deck • BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 225 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1099 sf Garage: 487 sf Front: 20 Smoke Dwelling Units: 1 Third: 1196 sf Right: 5 Detectors: Yes Total: 2520 sf Value: $304,486.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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'l 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 Y 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 2520 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: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,561.13 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 N. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 rough/ ,..0.1 95 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i' \ „„.._.....-4 . .....-04-4-4/X ' Issued By. Permittee Signature: �� %'��'i/ �' Call 503.639.4175 by 7:00 a.m.for the next available Inspection ., •. 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. illi MASTER OF TIGARD MASTER PERMIT 111! I COMMUNITY DEVELOPMENT -'- Permit#: MST2015-00191 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243• / Parcel:Date Issued: 2S1110CB100613200 Jurisdiction: TIGARD Site address: 12087 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 20 Project: Southview Heights, Lot 20 Project Description: New SF. 2/17/16, REPRINTED to add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 225 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1099 sf Garage: 487 sf Front: 20 Smoke Dwelling Units: 1 Third: 1196 sf Right: 5 Detectors: Yes Total: 2520 sf Value: $300,152.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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 addl 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 2520 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. 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,529.83 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 TION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 010 through AR 9 01-000990.'You may obtaaiin�a copy of the rules or direct questions to OUNC by calling 503.232.198732.1or 1.800.332.2344. Issued y: ��Y�i/LQ�i Permittee Signature: — �'t: . .."(1-1-44-- Call `rC �`-44-- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V 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. ,I CITY OF TIGARD MASTER PERMIT Iii - 1 t COMMUNITY DEVELOPMENT Permit#: MST2015-00191 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2015 Parcel: 2S110CB13200 Jurisdiction: TIGARD Site address: 12087 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 20 Project: Southview Heights, Lot 20 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First. 225 sf Basement 0 sf Left 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1099 sf Garage: 487 sf Front: 20 Smoke Dwelling Units'. 1 Third. 1196 sf Right: 5 Detectors: Yes Total 2520 sf Value: $300,152.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 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: 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: 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 Ecompasin . Y Other: N Other Description: 9' BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V B R-3 2520 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: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,070.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati•n Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m tam- -- .-rules or direct questions to OUNC by calling 50. - •:7 or 1.::1.33 2344. Issued By: — -- — ___ Permittee gnature: /� Call8 �441 03.63 by 7:00 a.m.for the next available inspecti. , e. This permit card shall be kept in a conspicuous place on the job site until c. •letion o the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application -i,li 18 Residential o `utiv01.1�0 A110 FOR OFFICE USE ONLY L t 100 Received if 1 - City of Tigard i�Z �+ nly�s PermitNo.:M ,16/s 00 fg/ Date/By: �O � ns- � v w • 13125 SW Hall Blvd.,Tigard, R 97223 Plan Review'Phone: 503.718.2439 F 9�1 ^�� Date/By: i. 1�9 I� Other Permit: Q�De S-oo�3s T I G A R D Inspection Line: 503.639. 7 l e tJ Date Ready/By: / / Juris H See Page 2 for Internet: www.tigard-or.gov Notified/Method: 1/ 3///5_, Supplemental Information TYPE OF WORK (EQU1RED DATA 1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation. 'L"$ �T-and 2-family dwelling ❑Commercial/industrial ,�� )S ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms:---7.:5.- JOB SITE INFORMATION AND LOCATION Total number of floors: ) a, Job site address: I -ce1 Syk1}, r 1)i N V I W t'p• New dwelling areal:y 1-quare feet 1 C�"1 City/State/ZIP:Tigard,OR 97224 Garage/carport ate! I Qjj square feet�J 19°G` Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: = square feet 1 fl�V ., Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area- t Qs.6 1.., c �.Y I Other structure area: ^ .,9uare feet REQUIRED DAT...COMMERCIAL;USE CHECKLIST Subdivision:Southview Heights Lot no.: mil/ Permit tees`are based on the value of the work perfirrmed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet 0 ® PROPERTY OWNER ❑ TENANT _ Number of stories: Name:Stone Bridge llomes NW,L1•(' Type of construction: Address:4230 Galewood St,Suite 100 Occupancy groups: , City/State/ZIP:Lake Oswego,OR 97035 Existing: 1 Phone:(503)387.7577 Fax:(503)387.7615 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: same as above (Please refer to feeschedulee) Structural plan review fee(or deposit): Contact name:Deirdre Britt Address: FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP: vim/ Phone:( ) Fax: :( ) Amount received: ‘75(...) ' E-mail:dbrittnstonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 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 Specially Code checklist. City/Slate/ZIP: Permit Fee(includes plan review S180.00 and administrative fees): i Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 1 CCB lic.: 173318 Total fee due upon application: $201.60 Authorized signature This permit application expires if a permit is not obtai �—�1/� .YV within 180 days after it has been accepted a Print name: '1)51 $art Date:10/2.3/15 *Fee methodology set by Tri-County Building I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) NOISIAIp ONla7�n� Electrical Permit ApplicatPtiVOLL do Alio FOR OFFICE USE ONLY City of Tigard gale L g j in A� Penult No.:; Jr/.�- h_r wic, ,, 4 13125 SW Hall Blvd., I gard,OR 97223 Plan Review Phone: 501718.2439 Fax. 5 9 1 Date/0 : Other Permit:.��y��, x/35/ TI G Amp Inspection Line: 503.639.4175 / I Date Ready/By: ions PJ See Page 2 for v Internet: www,ligard-or.goy Notified/Method. Supplemental Information ill'PE OF VORs Sty ‘97-4;:`:. ate., ! , - _ --� I'Ic,i c check all that apply(submit 2 sets of plans ss/i!ci is,-pecked bcl)tv). ®Ness cons('uction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over thtec stones ❑ Demolition ❑Outer: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSFI[I'fl ON exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations.. buildings. ❑Multi-family ❑Master builder ❑Other: ❑fire pump, ❑Installation of 150 KVA Cr __._.. ._._ .. -. __ ___ ''.'.4 ,;$ ,e.-, &—,,, �& ❑Emergency system. larger separately derived system ,10B SITE INFOR\l\lION AN I, _x,11"+) ;i »II^ �F b Y•y s P y y� ❑Addition of new motor load of ❑"A" "F" "I-2""I-3" Job no.: 4 VS-' Job site address L i�r U I1 VIEW 1001Wormore, occupancy. i ; -,_i._ 1 J lC• ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than ❑llazsrdous 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"'t Ave&SW Beef Bend Rd Desert lion Millearinlig ' Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights I.nt no.: 1,000 sq 0.or less j 168.54 4 Ea.add'!500 sq.it or portion 1 33.92 I Tax map/parcel no.: Limited energy,residential > (with above sq: 75.00 2 DESCRIPTION OF WORK ( 1-IF) I Limited energy,muhi-family 75 00 2 new,single family residence residential(with above sq It) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ® l OWNER ❑ 1EN 200 amps or less 100.70 2 PROPER.] SI' T _ _ — 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 1,00(1 amps or volts 55226 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 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: f)atc: Branch circuits-new,alteration,or extension,per panel a0 AI'PLICAN F I ❑ C'Oi4-1',1C`P PF:ri',Olti �� f A Fee for branch circuits with - - —_— --__.-- above service or feeder fee, Business name:same as above each branch circuit 7'42 2 B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56.18 2 branch circuit Address: Each add'!branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67,84 2 dwell iniservice and/or feeder Phone:( ) Fax: ( ) Reconnect only 67.84 2 F-mail-dbritt 0n�stanehridgehoniesnw.com Pump or irrigation circle 67.84 2 CoN'FRACI'OR Sign or outline lighting 67.84 2 Business name:City Electric Signalcircuit(s)orlintited-energy See panel,alteration,or extension. Page 2 2 Address:55568 SW Schaltenbrand Lit Each additional inspection over allowable in any of the above Additional inspection O hr min) 66.25/hr City/State/ZIP:Sherwood,OR 97140 Investigation(I hr nun) 66.25/hr Phone:(971)404.1714 I Fax:(503)625.3052 Industrial plant(1 hr min) 78;18/hr Inspections lie which no fee is 90 00!hr CCI3 Lie.: 42422 Electrical Lie,: 26-289(' Suprv. Lie.: 35925 ,pecilically listed(t':hr min) ELECTRICAL PERMIT Subtotal Suprv. Electrician signature,required: -- - -- tiublulal. Print name: Chuck Friesen Date: flan review(25%mitprrmit Ice): ___- Stag surcharge(12%of permit lee): Authorized signature: TOTAL P[RMB FIT:^ 'this permit application expires if s permit is noirtilZinetl within tail Print name: Date_ days after it has hems accepted as complete. — - ._.... ____ .._,..._ _....__._. y ................._ Number"r'w.p.m.'s allowed per permit I`Ituilciu_•er:nnil.\PLC 1':nnivlpp I7.K I-1t{doe Rev +�r'_I!_'4I3 •Ian totcli ti,o itbseWin t Mechanical Permit ApplicalRECEIVED FOR OFFICE USE ONLY • • Received City of Tigard n tuBC- /p �7 / 00 1 Permit No il9/�a/S—CI0/ / 1 13125 SW Mall Blvd.,Tigard,OR 97223 OCT 2 7 2015 s Fite/1cvlc o�?c�iL�o<�ur_Y3s- 0 Phone: 503.718.,2439 Fax: 503,598.1960 Other Pennie p [late/By: TIGARD Inspection Line: 503.639A175 CITY OF TIGARD Date Ready/By: curls: ( t31 See Page 2 for Internet: www.tigard-or.gov 1 1 ,„ Not fl Supplemental elemental Information �GI��II`!;.� �'1!1liirnR 11 1 1\�14- all' \V"k1 COMMERCIAL FEE* SCHEDULE . USE(11111 KUUSi", �._ �.__ Mechanical permit fees'sic based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other mechanical materials,e ui.ment,labor,overhead and .rofit. un _ _ ,„...., 4.a- , (1.5 1 ,GGII ()1 1 O `vIRt:CI1O\ — - MIERDitr.nk _ 4 ►1 1-and 2-family dwelling ❑Commercial/industrial L i Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. WEI Total - ' a , ,, �P IlcatingJcoulin':k 1 ,O, 3 ° i ► : ' ; ,,, <<, el, E _ ,,, « � t - - Air condrtionin_ ESIIIIIMIN lob site address: I ifOCC1 SW AvToNAN VI N• Furnace 100,000 BTU(ducts/vents) MON 46.75 MIIIIIIM City/State1ZIP:Tigard,OR 97224 Furnace 100 000+BTU(ducts/vents ® 54.91 1111.11 I le at pump 61 06 MIMMI 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 H dronic hot water s stem 23.32 1 Residential boiler(radiator or h dronic 23.32 Unit heaters(fuel-type,not electric), i in wall,in-duct sus.ended,etc. 46,75 Flue/vent for any of above_ 23.32 MI I Subdivision:Southview Heights 1 Lot no.: 7/) Other: 23.32 — Other fuel a ilia nets. 1 ax map/parcel no.; 111211111111=11=11111111111 i A ; — --- IIIIMIIIIIIimIllffill11111111111 1)►'=5t l(11'T li)i, OF 1\'C?I{It _ — — Flue vent for water heater or gas MIMI new,single family residence fire,lace Log lighter(gas) — Wood/ ellet stove Wood fire lace/insert Chinme /liner/flue/vent En__ ?�=.,,� 4 . Z.V 0 N ,' "€ '', OIC T _.. _._.__ { ......__ —= Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen equipment 33.39 _= Address:4230 Calewood St,Suite 100 g Clothes dr er exhaust 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, .' toilet compartments,utility rooms) 23.32 MI I Phone:(503)387 7577 Fax:(503)387 7615 Attic/crawls ace fans 23.32 F 1 tx®'APPI; NT r v at lrera s Other: �t Business name:same as above Furl i in ; 5;14.15 for first four;54.03 for each additional Contact name: Deirdre Britt Furnace,etc: ,�� 1 IIHMEIMIIIIIIIIIIIIIII Address: City/State/ZIP; Water heater IUIIIIIIININIIIII , EMI Phone:( ) Fax::( ) Fire lace I _ W_ ..— Range __M .111111 i 11—mail: dbritt@stonehridgehomesnw.com 13ancecue Erl 1 137-'' g'S',7-7. --':!,!,,"''''''''-g g.''''''''''.!':,7e6iit `I`{)11 Clothes dryer(,as} Business n.unc.Comfort/.one Oilier 1 NlEfLIIANIC.iLPER111' FEES* Address: 1032 NW Corporate Dr t Subtotal C'lty/Slide/'l.IP."1 Troutdale,OR 97060 Minimum permit fee($90.00) IIIIIIIIIII Plan review(25%of pernnt Ice) I phone:(503)667.5595 Pax:(5113)491 8252 _. _ ____ .. .�. - „. „-___.__..... ._..-___., Slate surcharge(t2".'o of perm!!Iec) CCI3 lie.:1101)91 'TOTAL PER1■ I'F FEE This permit application expires if a permit is not obtained within 180 4 ;, days after it has been accepted as comp/etc. I Authorized signature: ' fee mclhodulogy sal by ri-County Building industry Service Ilo:ad Print name: David I Ieldstab Date: Alit;Slin l ,i:ti:U\ll.( 1'u ow..11'p f 41,11 3 J.: 1• .•III( 1 C,iAi,1V1.13) i Plumbing Permit Applicati0RECEIVED Building Fixtures FOR OFFICE USE ONLY OCT 2 7 2015 Received UGFr City of Tigard /, Permit No.: parr/0v: �I /� � �GJ/p90! q 13125 SW Flail Blvd.,Tigard,OR 't[til:OF TIG Plan Review Q�s 3S Phone: 503.718.2439 Fax: 50 Q,i AR� pate/13 : Other Permit No.; TIG:lRD Inspection Line: 503,639.4175 • iNG DIVISION DaleReady/11y: Jurist RI See Page 2for Internet: www.tigard-or.gov Notdicd.!Method Supplemental Information 'TYPE OF WORK FEE" SCHEDULE ® ❑Demolition For special inlurntatJan use checklist. New construction Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 3: ..x C,%`rk:CORI''OF CONSTRUCTION SIR(I)bath 312.70 ® I-and 2-family dwelling CI C olnmercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑ Master builder El Other: -- Fire sprinkler( sq.ft.) Page 2 �;.'T, s�', e;,- ,IOI3.'fl INFORMATION.AND LOCATION Site utilities: Il`7t1 !^.fin Job site address: 1 Sw /INTU M N Y I LW 1/(Z_ Catch basin or area drain 18.76 Diyweil,leach line,or trench drain 18.76 City/State/ZiP:Tigard,OR 97224 Footing drain(no.linear 11.:_) L Page 2 Suite/bldg./apt.no.: l Project name:Southvicw Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"t Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear f1.:j ) Page 2 Storm sewer(no.linear ft.J) ) Page 2 Water service(no,linear IL:1C1��) Page 2 Subdivision:Southvicw Heights ( Lot no.: 70 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 Backwater valve ; 12.51 Clothes washer ) 25.02 new,single family residence Dishwasher y 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 E PROPF.Bfl ()%5 •+ Expansion tank 12.51 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 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker J 12.51 ® APPLICANT r y _ 0,COisiTACi PERSON Interceptor/grease trap 25.02 ra. Business name:same as above Medical gas(value:$ ) Page 2 Contact name:Deirdre Britt -_ - Primer 12.51 Root drain(commercial) 12.51 Address Sink/basin/lavatory 4 25.02 City/State/Z1P: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 . L:-mail d brit li"rlst one hridgchomesmv.coin Urinal 25.02 _...-__ Water closet 3 25.02 CONTftACCOR Water heater J 37.52 Rosiness name: Max Phnl�nbing� i Water piping/DWV 56.29 Address:PO Box 5597 Other: 25.02 City/SIate/ZiP:Beaverton,OR 97006 Subtotal Phone:(971)275.0198 (25%Minimum permit lee: '672.50 Plan n review (2S ul permit Ice) CUR Lie.: '20559 Plumbing Lie.nn: 1 1 ?. _ . _. • State surcharge(12';n of permit lee) Authorized signature: ) ( Print name:Jason I I inner D;ttc. this permit application expires if a permit is not obtained s,iihio ISO days SSS after it has been accepted as complete. *Fee methodology set hr Ii-Cutav 13unldiur Industry SCIviue 13■11rd. I HSuddi"mli'etimitsW1 Al(l-pcuniuApp toe h)M ISI^ -I.Iu-.iulrir(1 too>2 i i)AVwIih) City of Tigard 'Pir COMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: H 67-316/5"--op—o l'1 Site Address: 120`61 SW A1+um1 vjeAkl Dr. Project Name: SMAIVIPApl Nein4 Lot #: 20 (New dwelling=subdivisionume;Addition or Alteration=last name of owner) Planning Review Proposal: new s . 1a Verify site address/suite# exists and active in permit system. LZ River Terrace Neighborhood: ❑ Yes ' No Mite Plan Elements: Three(3)copies of site plan Existing structures on site tSite plan must be on 8-1/2"x 11"or 11 x 17"paper ZFootprint of new structure(including decks)with finished 'Drawn to scale(standard architect or engineer scale) floor elevations f North arrow XUtility locations(required for new,may apply for additions) Mite address,project or subdivision name and lot number Location of wells/septic systems [ -Applicant information(name and phone number) [Erosion control(including drainage-way protection,silt fence [SLot dimensions and building setback dimensions design,location of catch basin,etc.) 1 Lot area,building coverage area,percentage of coverage and TZCStreet names impervious area(applicable if R-7,R-12,R-25&R-40) gStreet tree size,type and location [gProperty corner elevations (2 foot contour lines if more than 'Hxisting trees to be retained with drip line,and tree 4 foot differential) protection measures IX Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No L. Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: 'gl Yes ❑ No,stop intake Land Use Case#: SUB201 -00005 I Zoning: R-1 ® Setbacks: Front I s' Rear 3D1 Side 5 Street Side -- ,0 Garage 2 t ® Landscape Requirement: 20 l Lot Coverage Maximum: SD °A) Building Height: Maximum Height 35 t Actual Height 2.3 l X, Visual Clearance 2f Easements (WatteX 11th) '14 Sensitive Lands: ❑ Yes No Type Urban Forestry Plan IX Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Y/6 i fn L rbae h Date: t 0`2`T I) 5 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /1;71..t/5 Site Plans: # Building Plans: # ti Building Permit#: Enter building permit#above. � Workflow Routing: a-Planning atngineering �mit Coordinator l�'Building Workflow Sign-off: aSign-off for Planning(include notes from planning review) Route Application Documents: ["Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal 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: Cts Date: foo 7/is— Engineering Review LSl e at building pad: I C nditions "Met"prior to issuance of building permit ments (encroachments)per engineering conditions of approval and plat 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: a,/ Date: �2y.�72�/ 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 /A Tigard Trans SDC: ❑ Yes N/A Parks SDC: "Yes ❑ N/A (IZCOK to Issue Permit P Approved by Permit Coordinator: Al / Date: /U/ Y5- 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00191 David Young Provide approved sanitary sewer clean out access. 707.9 No water/hot water at main 1/2 bath. Not ready for inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00191 David Young Seal foundation vent penetration for condensate drain. Seal penetration in wall for tankless condensate drain. Note: no AC installed at time of ﬁnal inspection, permit and inspection required at time of installation. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00191 David Young Seal penetration holes in garage crawl access doors for required ﬁre separation. R302.5.3 Remove construction debris from crawl space, not ready for ﬁnal inspection. R408.4 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00191 David Young Lower GFCI in mechanical room does not reset after tripping. Dining room plug not on kitchen GFCI, will check if on arc fault at re inspect. No access to plug in bedroom behind night stand. 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00191 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00191 David Young Note: AC whip to be connected for 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00191 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00191 David Young Provide approved electrical ﬁnal inspection. Provide knee bracing on deck posts per approved plans, see sheet 11. 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00191 David Young Whip for AC not installed, work not 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 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00191 David Young Corrections complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Duct seal test report checked. Insulation certiﬁcation checked. C of O left on site at kitchen counter with approved plans. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12087 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00191 David Young Correction complete. Violation Summary: Inspector Contractor