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Permit CITY OF TIGARD MASTER PERMIT il 11111 1' COMMUNITY DEVELOPMENT Permit#: MST2015-00278 /2016 T[G.A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 W Date Issued: 2S1 10CB1 � Parcel: 2S 1100612600 Jurisdiction: TIGARD Site address: 12007 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 14 Project: Southview Heights, Lot 14 Project Description: New SF. 3/14/16:Added additional square footage to permit for covered patio addition. 5/11/16: REPRINTED permit to include NC unit. Placement of A/C unit must comply with manufacturer's BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 240 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1135 sf Garage: 726 sf Front: 20 Smoke Dwelling Units: 1 Third: 1405 sf Right: 5 Detectors: Yes Total: 2780 sf Value: $355,134.53 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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''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 2780 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: $24,495.78 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma tain a copy of the rules or direct questions to OUNC by calling 503".232.1987.or r1 1.800.332.2344. Issued By: Permittee Signature: /r �� l� C . 39.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR 014 1: i.sI: ()NIA ved City Of 1'1g and Recei � ins-r-,Pennit No.: or • Date/By: �� 111 a 13125 SW Hall Blvd.,Tigard,O t 6( VED Plan Review I Phone: 503.718.2439 Fax: 517 ':. EN Date/By: Other Permit: I 1(i 1 It I, Inspection Line: 503.639.4175 Date Ready/By: IE See Page 2 for Internet: www.tigard-or.gov MAY 11 2016 Notified/Method: RE Supplemental Information i #__ttpp, 4 I ,4-i '#� E - In d" 0,1 o r r t.. t e� y;g r. k.�'.4`' '. �.,5 � _,r ' '.-k" 3'" , ,� �.+,x' - �# -t krLc> 'a ermA-ua,:S . ,x. .:"m, lr 1 x i ' Mechanical permit fees*are based on the value of the work }.New construction ❑ Additt', , - 7 i rep acement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ` , . •4f-'"';','- Value:$"; a . . ' 4 t6t s )rt '''.....e ,-:.,IN'' o . ri t °)"r tir t Q ,t '" ;- t. - ru'::.. ' , 4 -, .. tt ,�.� ^„i 8,7. 4 ,,$ toe r,';.w 3 r, '4h `e; ,4 I-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total '..:""r s + „, Heating/cooling: �, � kr • n��'3�W �!`. t � -,� � 371<7;r Yyy'�� ,4 '� ,l'� �T $i'�Ste.`"w:k ta.. Air conditioning 46.75 14p-7) Job site address: \' QOM 5t,,, tA A,6Vt" — \.3L W S ("- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: `_ ©0•1/-t)\ f O IZ / P,-1-12.-—2, Furnace 100,000+BTU(ducts./vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: i Projectname: csw*� /I11i 7)17 `/'Duct work 23.32 Cross street/directions to job site: � 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: v t; 4.A.,3 \..1i_ 0 L\--- ) Lot no.: 1 1.- Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 D SCRip'11fON'OF Gas fireplace/insert 33.39 "tt [ " ` ' Flue vent for water heater or gas A�� kt ex(--?Th cr-vtn i T fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 s*- vkitiiiiiir r 1 t ,ate ' Other: 23.32 - . - Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 - 11-'i'.., l * Other: 23.32 Fuel piping: Business name: S\-t,,,4., R,r i c e_ ...\-ko\A„)._h $14.15 for first four;$4.03 for each additional Contact name: V._e, v. CA), ( S y-y, Furnace,etc. Address: 14 21) p ' Q t,v` .. SV 5Q,V Z 1 O U Gas heat pump Wall/suspended/unit heater City/State/ZIP:• \� �\i t," O 6e- q 74-0-; 1. Water heater Phone:6o'7 ) Li( 2_ _ 2,\0) ( Fax::( ) Fireplace Range E-mail: e,t_`l , 5�yx.<._ tori ` . 6 s. , C U L1., Barbecue * ) xt ,:"`44.%--4-01.;'t , 'rt !.'!".- Other: Clothes s dryer(gas) a _ . . a , - , . r , =,� , ._ OtherBusiness name: e. �-p Gs <�''-M .H .sY ? � 77, '�vte� . ,---, --:—:-L.":174.4' Address: Subtotal Ilk 75- Minimum permit fee($90.00) V, -kU- Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: ` * Fee methodology set by Tri-County Building Industry Service Board Print name: 9-, -, -s v Date: / k lOlb I:Building Permits MEC PermiiApp 040113.dor 440-46171(11-02 MS WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi Family Fee Schedule: T ,;:, rs,,"'#:« r,.�. ,` a3 �r r r r' .`'. ffo�pp F �� .. � xxs4»r9.t. ,!,1"� <��"��. %' �'�: w.'� � x11. �' � .. i 31'; $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:,Building Permits\M EC_PennitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT 11111 I,• COMMUNITY DEVELOPMENT Permit#: MST2015-00278 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 01/21/2016 TIGARD g t ' Parcel: 2S110CB12600 WATIF � Jurisdiction: TIGARD Site address: 12007 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 14 Project: Southview Heights, Lot 14 Project Description: New SF. 3/14/16:Added additional square footage to permit for covered patio addition. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 240 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second 1135 sf Garage: 726 sf Front: 20 Smoke Dwelling Units: 1 Third: 1405 sf Right 5 Detectors: Yes Total: 2780 sf Value: $355,134.53 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!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 2780 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: $24,398.42 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 Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a co• • •-rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 . 44. Issued By: 1, -_ 1=0111.r� Permittee Signature: Ca .: 4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00278 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2016Parcel: 2S110CB12600 Jurisdiction: TIGARD Site address: 12007 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 14 Project: Southview Heights, Lot 14 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First. 240 at Basement: 0 sf Left. 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second'. 1135 sf Garage'. 726 sf Front. 20 Smoke Dwelling Units'. 1 Third 1405 sf RigM'. 5 Detectors'. yes Total: 2780 sf Value. $347,983.43 Rear: 15 PLUMBING Sinks: 1 Water Closets- 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains 0 Sewer Lines: 100 SF Rain Storm Sewer. 100 '. 0 Tubs6howers'. 3 Garbage Disp: 1 Water Heaters: 1 Water Lines 100 DrainsCatch Basins 0 FootingDrain'. 0 Ice Maker: 1 Hose Bib Bckflw Prevntr. 0 : 2 Backwater Value: 1 Drywell-Trench Drain'. 0 Other Fixtures 0 Other Fixture Units: MECHANICAL Fuol Tvgos Air Conditioning. N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods. 1 Other Units: 0 Furnc100K: 1 Vents: 0 Woodstoves'. 0 Gas Outlets: 4 Furn>=1001: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Foeders Branch Circuits 1000 sf or less: 1 0-200 amp0 0-200 amp: 0 W/Svc or Fur: 0 Be add'I 500 at 5 201-400 amp'. 0 201-400 amp'. 0 W/O Svc/Fdr 0 Mid Home/Feeder/Svc: 0 401-600 amp 0 401-600 amp'. 0 601-1000 amp: 0 601*amp-1000x. 0 1000+amp/volt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 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 2780 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 Cnld 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE'. PHONE: 503-387-7577 FAX 503-387-7615 Total Fees: $24,235.03 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 AT7E Oregon law requires you to fallow the rules adopted It the Oregon Utility Notification ter. Those rules are set fo in OAR 952-001-0 0 through R 952-001-0090. you may obtain a copy of the rules or d rect questions to CUNC by calling 50 . 32.19 7 or 1.800.3 2 4. 40 Issue By: Permittee Signature: Call 503.639.4175 by 700 a.m.for the next available ins Pachon no This permit card shall be kept in a conspicuous place on the job site until temple ton of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application REC Residential S V C,, FOR OFFICE USE ONLY City of Tigard DEC 2 2 2C15 Dale/Bea 12 1731i 5 Permit yysr -;:?76P • 13125 SW Ifall Blvd.,Tigard,OR 97223��^^ Plan Review' ' Phone: 503.718.2439 Fax 503.598.19(GITY a: I it hr'7 WIC/B : Other Permyr�(J oC Inspection Line: 503.639.4175 E3U1LDi)jG C`, �f^s� Date Ready/By: j..is: ® See Page 2 for t Internet www.ligard-or.gov Nonfied/Method'. / (p Supplemental Information TYPE OF WORK s = REt�IRE QD DATA:1-AND 2-FAMILY DWELL[N i :. _ w _. . . ., _. ®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/alteratiolr/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CAT£GORX�OF�€„QNSTRt(4TIQly - ."- a work indicated on this application. .._._ . .-ear t = . '=. p y dwelling 1 and 2-famtl Valuation: , ® g ❑Commercial/industrial t ❑Accessory building ❑ Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 ORr` CE•INFOCIMA'EYO1t7!AND1-LSff`A'fION',paa;0 � rs a Total number of floors:: 3 Job site address: 17061 SW ATTO MN VMM 4T• New dwelling area: ?,-j 1bn square lcctUQ.0 City/State/ZIP:Tigard,OR 97224 Garage/carport area: -72.j square feet Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: I;rk square feet S Cross street/directions tojob site: SW 122n°Ave&SW Beef Bend Rd —Beckaka:I S -,- t5 square feel aq-0 Other structure area: square feet ZA DATAA:COMMERCIAL-USE CHECKLTST. Subdivision: Southview heights Lot no.: I YPermit fees'are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square Ice( ®"PROPERTY OWNER ' 3.-E-TENANT'Y= "* "- `.v-- 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: STIN d I " i' , ` tlM s � : '' CI"'U004k P F0E� 0;I'NN, 1EDBB PE Business name:same as above Structural plan review fee(or deposit): Contact name: Deirdre Britt ELS plan review fee(if applicable): Address: City/Slate/ZIP: Total fees due upon application: Amount received: Phone:( ) Fax: :( ) E-mail:d brittLstonebridgehomesnw.com PHQ 'OYOLTpIC SOLAR PANE1 SYSTEM FEES" Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access.along with the 2010 Oregon Address-: Solar Installation S recialn,Code checklist. City/State/Z.IP: Permit Pee(includes plan review SWIM() and administrative fees): Phone:( ) Fax:( ) Slate surcharge(12%of pemtit fee): $21.611 CCB he.: 173318 Total fee due upon application: $201.60 �T 7 "�'-,,i.(,__ J'his permit application expires Wit permit is not obtained Authorized signature: ¢- '`'\ within 180 days after it has been accepted as complete. al'rint name'T�.�f2„p�J� �R�7 pale: (� 121 `Pee methodology set by Tri-Counlc Building IndustB ✓`-'1 T )s Service Board. I:ABuildingAPermitsVBUP-RI(SPemiitApp.doc 02/24/2011 440-46131(11/02/(OM/WEB) J J a sic Electrical Permit Application FOR OFFICE City of Tigard LEC2 205 R°°ei,.ed PcrmilNefr,20/5-00.2 D:ncmv 13125 SW l lall Div d.,'I quird.OR 7j23. _ ).; flan Review Other Pennil: Phone: 503.718.2439 Fax. 50AC�.1044. ' � � U:nduz Inspection Line: 503.6.39.4175 r, - -`" 1 D,( Ready/Oy' -- nods 0 Sec Page 2 for Nord /Mnhod'. Sot 1 rental Information Internet: wxvwligao&m,gov °— -..'_, ..-._... 1 n cr k6Fr'PLV ,. . Ncw construction E]AJdilion/allerobon/replacement I- i-cR all d I;Ll)o)(srbmil 2 sees of plans whocias checked below): ® ❑ti v.ac or Imtcr 400anrys or more ❑Building over Ibne stories- Demolition ❑Other: wherethea,ailable fault cm*enl ❑M:ninnsnail boatyards. ii r e �f V.'• ';_' -' "ccds 10,0Wry,x1150 volts or [I Hear[i ginildrnys Y to g .....d,or cx,cc b;14,000 ❑Cornme n'al ase agriadhual _i�,�.. _ .. -. ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building onairs for all other installations, buildings. ❑Multi-family El Master builder ❑Other ❑fhe ro.iop. ❑lnslallalimt of 50 KVA or .. t ... ❑iloc,,eovysyslcn larger scp:natelyden,ed system. ? :- it � �-�,' . .: ❑AJJiro oCncry nmot]oad of 0"A" '1' ••12••.•13,• Johan.: Ia�I Job site address: I'7QDI S W AUTO MNV IE-W (T, O or more. oerpaney. ❑S. x or nuue revdcntial urns. ❑Reerealimral vehicle parks. City/Slate/ZIP:Tigard,OR 97224 ❑l lcAhh-care Lodine, ❑Supply voltage forma.than ❑I1»andmis Locations. Gan volts ruminal. Suite/bldg./apt.no.: Project name:Southview Heights ❑Sc,,,,.or fecde,600 amps nano:,. Crass street/directions to job site:SW 122nd Ave&SW Beef Bend Rd artrdp ubrr. Q, . Fie. I rad New residential single-or multi-family dwelling unit. Includes altaehed garage. Subdivision:Southview Heights Lot no.: IAOo sq 0.nr Ic55 168.54 4 Ga.add'I 500 sq.0.or portion 3192 1 Tax map/parcel no.: Limited energy,residential 75.00 2 (wall above sq.R) -`" - Limited energy.multi-fiunily 75.00 2 new,single family residence residential with above s R.) Renewable Energy 0 See Pa e2 Services or feeders installation,alteration and/or relocation ,: i 200 amps or less 10070 2 dv. 201 carps to 4W amps 133.56 2 ' Name:Stone Bridge Homes NW,LLC 401 amps to 600 maps 200-3a 2 Address:4230 Galewood St,Suite 100 601 amps to 1000 amps 701.04 2 Ova I p00 atnps or volts 55216 2 City/State/LIP:Lake Oswego,OR 97035 Temporary set vires or feeders installation,alteration,and/or Phone:(503)387.7577 Fax:(503)387.7615 relocation 210 maps or less 5936 1 Owner installation:This installation is being made on property that I own which is not ,m maps to 400 amps 125.08 2 intended for sale,(case,rent,or exchange,according to ORS 447,449,670,and 701. Jnl amps rn 599 amps 168.54 2 Owner signature: _ _ _ Dale: Ilraneh circnils—nr,v,alliin Pian,or extension,PCr jould A Ire for branch urwib rrirh above service or feeder fee, 7.42 n Business name:sante as above each branch cIucotl - 11,1 e for branch circnils molpoo Contact name.Deirdre Britt scrvtr:e nr feeder lec,first 5618 2 branch circuit Address: Lich add'I branch circun 7.42 2 city;smte/LIP: Miscellaneous(service or feeder not included) Tach mmnd'aclumd onnodular 67,84 2 Phone:( ) 1ax� �( ) dwcllinyixervice and/or lcedrer __— Recoonecl only 67,84 2 E-mail:dbrittaastonebridgehomesnw�..cponto Prnnp or irrigation circle f67,84f 2 ,- .t'a'4 IC"�4•++�• d '- i �,E Sign nrout6ne lTshling 2 Business name:City Electric &;pl:Il,hauls).,:hlnaal-eoerGv uld,uhcrauon.orcvuu.mn 2 Address:55568 SW Schaltenbrand LnP:ach additional iusJlrathnr nvrr allowable in arty uf the above Aldi coral ,,,T ',tinn(I h r nr Lr) or,25/hr Cil)'/SifudLlP:Sherwood,OR 97140 Invcnuuauon(I hr nun) 66251 hr Phone-(971)404.1714 111,:(503)625.3052 Intlabll Fel plant l lhr min) 7R.1 s/hr —. .. - ---- - Irp bons lbn,hahnr:cc is 90 fent hi CUl Lc : 42422 Ilcclricall lc.. 26-28'1( Supls IIc: 3_5925 dl ally lisid hr min) - --- - _ --- ELECTRICAL PERMIT FEES Supra I Iectral m vgnatw e. IngnireJ: � �� Subtotal I slu, Qv Iii nHl Ic I I :tool:nm: ('hurl. frica•n I Uale Ec(lTi.af ponnl lac) Aullioriicd a1gnahllc'. 101AI HRicilI 1'1f PI D:nc I I ,punrn-111 I Ire f l I I I _.I nein IVII 11,11.11111ha,l a,uplul as,;mPlJs r - V ,rho,Jin!ar, .cllm,nd pe pu or rIn 1 1,i N:• Iai, r nal A,le Mechanical Permit AnPlicatiDk- ' FOR OFFICE USE ONLY r� City ofTigard D7.0 n 2015 Rrrrivc,l m1iIN �,�/7n �d 2 W :m/nY �� 75f � 13125 SW I all Dlyd„"fignrJ,OR 91223 Plan Itc„irw - 0 Phone: 503.718 2439 Fax. 503,5984%1 1}IlelBy. Onwrlbnnlr. Inspection Line: 503.639.4175 r•: _ tI I)e1e heady/By ® See P.,2 for Internet: www.ligard-oreov - - Nmilicd/Method Sunplemenlal lofornuuion TYPE OF NQRk* ”" COMMERCIAL FEE` SCHEDULE-USE CHECKLIS'W I Mechanical p non Ices'are based on the value of the work ®New consh'uclion ❑Additimt/alteration/replacement perlormed, hWi, le the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and refit. Value $ ® I-and 2-Family dwelling ❑Commercial/industrial ❑Accessory building For special latfornmflon use checAlisr. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Fa, Total Ilcalin coolin : ,I-"{1"`y,' - Airconditioning M1(..75 lob site address: IUDI SW AV MP VIEW ll�;T, furnace 100,000 BI (dims/vents) 46.75 City/Stake//11":Tigard,OR 97224 Fumnce 100,000+RTO N,tctJvean 54.91 Hemiunlp_ 61.06 Suite/blJg./apt.110.; Projcet name:Southview heights Duct_work 23.32 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd "Flydronic lint water system 23.32 Residential boiler(radiator or 1 h ydronic) 23"32 Unit heaters(backiype,not electric), in-wall,in-duct,suspended,etc. 46.75 I:Ine/vent for any of ahnve 23.32 Subdivision:Southview heights I of no: 1-4 Other: 23.72 �T Other fuel appliances: lax map/parcel no.' Water heater J 23,32 Gus firclolacchnsco 33,39 Flue vent for water heater or gas new,.single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3339 Wend fire lace/inserl 23.32 Chinutc /Iincri0ue/vent 23.32 Otho 2332 EnVlYnnnellu l exhaust and ventilation: Name:Slone Bridge(tomes NW,LLC 1iaage hood/other kitchen egmpnlent1 Address:4230(;alcwond St,Suite 100 ( Intl es dryer c�hau♦1 --------- _--) 33,39 1 City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility tilit rooms) 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawls ace fans 23.32 "_: BE a", h ,' .�., r ,"";, rr: i};i Other: 23.32 Business none:same as above Fuel i in : SIJ.IS fur fin(tour;S4,03 for each add itim101 Contact nave: Deirdre Britt Furnace,ctc. Address: (ins heal punrlpt ______�_— Wn1I/sus endeA/unit heater City/Slam/ZIP: Water healer Phone( ) Fax::( ) Pirephme _ ) I mail J1)ri(16Aslonebridgehumes°w.cum Ilalhelae $ CO3VM%C9'6R (lIhc,drxr(eusl Business nuns:(0.111011 Zone 011ier'. NIECHANIGCL PE05T FEES— Address, 1032 NW Corpmale Dr Subtotal Uty/Sl.uc'!II':Troutdale,OR 9711611 MoumOm puled Lc(590,011) j Phone (513)661.559, (503)(503)491.8252 - ll u♦ uuhar,�c(12%of pcnnu ice) CC Ill li,: 11(1191 - _ f04ALPPRi5111 Fh:H - I p6nils al11r:I iupirr dal Puaid.......t 10w."l a"inun 180 J tut - Ilia.beat c 1plcdxr II I . At.IhuliicJ si0n;nulr. _� — Aa :IhoJ h . 1cud-r. Il Id 6I d -I"S......56,.011 1'6111 nitro,. D:'id lick Mab [ Dal¢ I'lumbing Permit Applicatifii ni", Building Fixtures D_C 9 2u 5FOR ' ° ONLY City of Tigardoa.....I PcmmNa��r,2611� 0.27tf + 13125 SW'(Hall Blvd,Tigard.OR 903-il Y :11ini licv.. Phone: 503.7182449 Fax 503D811901, t' Other l'unnil No.. .., Ualclny. Inspection Line: 503,639A05 Dam R,,".1"Hy --- r,�,i. 0 S«Vaee 2 far Internet- wwwtigard-or gov N.I,Ikl'Mahod. .Supplemental Information .. E;UF-tV(1RIa:," FEE":SCHEDUX,E _. . .. :r ®New constmclinn ❑Demolition Fors viol in ormnrion use checklist.. _Dcscnnnon ___ 1?a. Total ❑Addition/alteratioNreplacement ❑Other. New 1-2-family dwellings(includes 100 It for each utility connection) SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Cmnmercial/indusb'iul SPIZ(2)b:uh 437.78 .SFR(3)hall 500.32 ❑Accessory building ❑Multi-family Lich additional bath/kit<hen 25.02 ❑ Master builder ❑Other: Fire sprinkler(_sq.R.) Page 2 4T t site utilities: Job site address: Mol SW M % S?• Duch bnsiu or area drain 18.76 Drywell,leach line,ur trench drain 18.76 City/Smte/LIP:Tigard,OR 97224 Potting drain(no.linear B.:_) Page 2 Suitc/bldg./apt no.: Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions lojob site:SW 1220°Ave&SW Reef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(net,linear Ill_) Page 2 Storm sewer(no_linear Ii.'. ) Page 2 _ Water service(no,linear It.__) Page 2 Subdivision:Southvicw Heights lot no.: ! Rixlnre mitem: Tax map/parcel no.: Hacknow prevcnter 31.27 p. Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking liwntain 25,02 Ejectors/sump 25.02 QI'.xpansion lank 12.51 Blame Stone Bridge domes NW,LLC Fixlarc/sewer cap 25.02 Floor dram/floor sink/hub 25.02 Address.4230 Galewood Sl,Suite 100 '--_-- (wrhage drsla, aA 25.02 City/Slate/ZIP:Lake Oswego,012 97035 Hose bib 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51 Interceptor/grease Ifni) 25.02 Business nae:same as above Medical gas(valor$ m _) Page 2 Printer 12.51 Contact name:Deirdre Britt Roofdmin(cunmiarcial) 12.51 Address: Sink/basin/lavatory 25.02 Cily/State/ZIP: Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:( ) Fax: ( ) 25.02 I mal: dbritbn slnnebridgchomesmv.cam .__ _. . ___ _..__._ Water clusci 25.02 ?tti1V721CT�h' -- -- Water hcatcr 37.52 Meanness name Max Plumbing I N C' Water pipit IDwv _.. 96.29 Address: PO Bo%5597 Other: 25,02 City/Stale/LII': Beavcrlun,OR 97006 _ _ _. Subtotal I h,nc (9711 27 ,11198 � tx:( ) \7 nine m punct le.c '672 50 ( ( Il Ire fti5�� - Plnnth inf I to n,: j�� Lin nevi I d penny Ice) . _ AIi rihv fl ,IP tint lc ) AulhoDrat si nulwc •�, �.�./Z- $(II AI,IIIIZMIIIII r- I' intunu. .laannHill,ler ( Date _n tu,uiyPli, t f tli , lath',a0da" _. au, ' tl-a bun'I Ck ilavda.,,nlite lr. ,cgn•,Air, .i M1. lir-t'.. 1, tildr.:r lnJ 1u,mo lln:nd ".-I Al 1,tl. 11, J rll ni�+':L�)\r\Vrzfl V/.1 City of Tigard COMMUNITY DEVI:LOPMI?N'1'DI?PAR'I'MEN'I' ■ Building Permit Review — Residential Building Permit #: /LIS r-;W-5�- (X0a 7dfo Site Address: j2OCI SUS �l,iyfnIjVIeyj St. Project Name: Sau hV I etiw e,in Lot #: (New dwelling—subdivisionsVddition or.AIteration=last name of own(r) Planning Review Proposal: nPW SP Verify site address/suite # exists and active in permit systetn. River Terrace Neighborhood: ❑ Yes 'M No Sq6 Plan Elements: �ree (3) copies of site plan '--isfing structures on site ,..,/yrte plan must�f on 8-1/2"s 11"or 11 x 1"'paper Footprint of new structure (including decks)with finished � 11 rawn to scale (standard architect or engineer scale) Qoox elevations ,1--I/ Orth arrow �NJ/Cti r locations(required for new,mac apple for additions) me address,project or subdivision name and lot number cation of wells/septic systems plicant information (name and phone number) rosion control(including drainage-wac protection, silt fence Z�t dimensions and building setback dimensions sign,location of catch basin,etc.) tot arca,building coverage area,percentage of coverage and MStreet names imperious area (applicable if R R-12,R-25 R R-40) -4r�$treet tree size,type and location &Propene corner elevations(2 foot contour lines if more than -EVxisting trees to be retained with drip line,and tree 4 foot differentialprotection measures Clean Water Services—Service Provider Lette Oot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified ®/No Received: Yes ❑ No Public Facilities Improvement (PFI) Permit: ,/Required: ❑ Yes,applicant was notified ElNoApplied ForSes El No,stop intake Land Use Case #: SU6201$-6OL17S Zoning: R--7 �fSetbacks- - Front J Rear I Side �j Street Side — Garage 2 ;/Landscape Requirement-. �' n C4 Lot Coverage Maximum: 160 °� EI/Building I leight Maximum I leight �� Actual I leight �Z I Lb Visual Clearance (Easements D/Sensitive bands: ❑ Yes 1K No 1'vpe t.1-,�/ Urban Forestrn-Plan Conditions "Met" prior to issuance of building pennit Notes: Approved By Planning: Alf Date: IZ '2 Revisions (after Building Sub ittal only) Reviewer Date. Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Ir Building Fomis'BldgPertnitRvw-_RES_070915.dcex Building Permit Submittal Original Submittal Date: /o2/aa/jr Site Plans: # Building Plans: # y Building Permit #: 19-1?nter building permit# above. Workflow Routing: 8-Planning engineering 4a'Permit Coordinator ♦wilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details, if applicable, etc. Notes: By Permit Technician: _ Date: /�1_23 /S Engineering Review Slope at building pad: Conditions "Met"prior to issuance of building permit Easements (encroachments) per enldneering conditions of approval and plat Water Quality./Quantity'Facility: Assess Cater Quality Pec 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: 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 Re view ❑ 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 Pecs Entered: Wish Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ YesN/A Parks SDC: I cs �❑ N/A OK to Issue Permit Approved by Permit Coordinator: lllh"L��Date: 3:1� j> 1: Building FonusBldgPennilRcw_RES 070915-dn<x 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00278 David Young Provide permit for AC installed without permit or inspection. All else ok. 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00278 David Young GFCI in garage by overhead door for outdoor receptacle not working, automatically trips. Also not on 20 amp circuit cannot be served from garage outlets. 210.52G1 Remove smoke detector covers for testing. 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00278 David Young Shower door installer working in master, no access for inspection. Provide approved plumbing ﬁnal for lawn irrigation Backﬂow devise. Seal base of tub/shower upper level bath, back of kitchen sink, and holes in kitchen counter top.310.4 407.2 Not ready for plumbing ﬁnal, 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00278 Chip Barnett Previous corrections have been completed 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00278 Chip Barnett Previous corrections have been completed 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00278 Chip Barnett Previous corrections have been completed 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 12007 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00278 Chip Barnett Violation Summary: Inspector Contractor