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Permit
CITY OF TIGARD MASTER PERMIT Pri 11 COMMUNITY DEVELOPMENT t ` 1 Permit#: MST2015-00280 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Wa Date Issued: 02/01/2016 ft Parcel: 2S110CB14100 Jurisdiction: TIGARD Site address: 12085 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 29 Project: Southview Heights, Lot 29 Project Description: New SF. 3/30/16, REPRINTED to add a/c and (1) utility sink. 6/14/16, REPRINT to add 210 sf deck. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1200 sf Garage: 790 sf Front: 20 Smoke Dwelling Units: 1 Third: 1525 sf Right: 5 Detectors: Yes Total: 2925 sf Value: $374,111.88 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2925 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 Geotechnical report is required before the footing PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,758.53 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. A o , •N: a -eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0, -0010 through OAR ' 1- 090. You may obtain a copy of the rules or direct questions to OUNC by i 32.1987 or 1.800.332.2344. Is- ed By: k �a I Permittee Signatu i Call 503.639.4175 by 7:00 a.m,for the next available inspection date This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • n CITY OF TIGARD MASTER PERMIT t — • B . COMMUNITY DEVELOPMENTWant' Permit#: MST201500280 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2016 Parcel: 2S110CB14100 Jurisdiction: TIGARD Site address: 12085 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 29 Project: Southview Heights, Lot 29 Project Description: New SF. 3/30/16, REPRINTED to add a/c and(1)utility sink. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1200 sf Garage: 790 sf Front: 20 Smoke Dwelling Units: 1 Third: 1525 sf Right: 5 Detectors: Yes Total: 2925 sf Value: $369,561.18 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 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 2925 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 Geotechnical report is required before the footing PHONE. PHONE: 503-387-7577 FAX: 503-387-7615 l Total Fees: $24,719.41 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. ' l•4: i egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 X01-0010 through O,• 95 401-s•90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. n 2 I-suedBy: A , Permittee Signature: `- Call 503.639.4175 by 7:00 a.m,for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. a CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00280 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2016 Parcel: 2S110CB14100 Jurisdiction: TIGARD Site address: 12085 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 29 Project: Southview Heights, Lot 29 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1200 sf Garage: 790 sf Front: 20 Smoke Dwelling Units: 1 Third: 1525 sf Right: 5 Detectors: Yes Total: 2925 sf Value: $369,561.18 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 Tubs/Showers: 3 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: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2925 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 Geotechnical report is required before the footing PHONE. PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,594.03 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. 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 the rules or direct questions to OUNC by calling 500/3.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: �" all 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buildin;; Permit Application RECEIVES-' Residential FOR OFFICE USE ONLY City of Tigard DEC 2 2 2015 Rece DateBy I2 I S ermit 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGAR DateB : I 6/1 Other Per-1_�A_2-?Q1S4Da70P a Inspection Line: 503.639.4175 BUILDING DIVISI teReadyBy: Juris: ® See Page 2for Internet: www.tigard-or.gov Notified/Method:/ Supplemental Information 4k QZAA�Z r., YPE OF 1YOR T ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all F1 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the C':1'1'EGORS' OF CO\S"I't2l'C'I'ION work indicated on this application. ® 1-and 2-familydwelling Valuation' / $ Z g ❑Commercial/industrial 6 S6 1 ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE: INFORMATION AND LOCATION Total number of floors: --------------- Job site address: I'f Gf ,J _W MNA&ArI N PR. New dwelling area: �9�,� square feetS-7 JS City/State/ZIP:Tigard,OR 97224 Garage/carport area: '19 O square feet IS Suite/bldg./apt.no.: I Project name:Southview Heights Covered porch area: a(19quare feet ' J b Cross street/directions to job site:SW 122""Ave&SW Beef Bend Rd Deck area: 7rt4;� square feeta©d Other structure area: square feet REQUIRED DATA:C'01INIERCIAL-USE CHE.CKLl`T Subdivision:Southview Heights Lot no.: 2 G Permit lees*are based on the value Of the%Mork performed.� Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all 3. equipment,materials,labor,overhead,and the profit for the f, work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Stone Bridge homes NNN',LLC Type of construction: Address:4230 Galewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: ® APPLICANT ❑ CONTACT PERSON BITILDING PERMIT FEES* Business name:same as above Pie—refer to feeschedu�e - — Structural plan review fee(or deposit): Contact name:Deirdre Britt Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone: Fax:: Amount received: ( ) ( ) E-mail:dbritt@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. BLISinCSS 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. Permit Fee(includes plan review City/State/ZIP: and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:173318 Total fee due upon application: $201.60 Authorized signature:_� �' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: DSI PJ>R.S $ ITT Date: I2` J *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB) PP Electrical Permit Application FOR OFFICE USE ONLY City of Tigard DEEC 2 2 2015 ll �i;1vd Peri,nt N`K is �s-wa�o .. .......... N 13125 SW Hall Blvd- l igard,OR 97223flan Review Phone: 503.718.2439 Fax: 503.598,@K'° OF TIUARD Date/B Other Permit: Inspection Linc: 503.639.4175 L3 til nING DIMS' nuc Ready/13y! 7 ri5` ® Sec ental infor Internet: tvww,tigard-or_gov l=Jt,liL Nmilicd/Method_ Supplemental information TYPE 06 WORKPLAN REVIEW N--cl cit.nII ILnI p,)Ip tsubniil 2.cls of flarc widens checked bclo,v): ® New construction ❑Add itiunlaherat ion/re placancnt ❑Service or lcecfer 100 amps or more C]Building over Ihrec stories, Detnol ilion ❑Other: where the available Fault current ❑Mannas and boatyards. exceeds 10,000 amps at 150 volts or ❑Floating buildings. CA less to ground,or exceeds 14,000 ❑Commercial-ttse agricrdtural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps forall other installations, buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump, ❑Installation of150KVAor —_.. _ _ _.. _____._ __—___ ❑Emergency system, larger separately derived system, .1013 SITE IN170101II]ON ANI) l C3 <,Af10,,, ❑Addition ofnew motor load of ❑"A•' "F" "1-2""1-3" Job no.: r Job site address: 10011pormore. occupancy, _ _ ❑Six or more residential units, ❑Recreation. vehicle parks, City/State/ZIP:Tigard,OR 97224 ❑ficaluh-care facilities, ❑Supply voltage for more than ❑hazardous locations,. 600 volts nominal, Suite/bldg./apt.no.' Project name:Southview Heights ❑Service or feeder 600 amps or more. Cross street/directions to job site:SW 122"`t Ave&SW Beef Bend Rd 21y. I r=t. I T.I. New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights Lot no.: 1,000 sq ft,or Icss 168-54 4 - Ea,add'1 500 sq,ft,or portion 33.92 1 Tax map/parcel no., Limited energy,residential 75.00 2 Oa '%3 NymK (with above sq,i Limned energy,multi-family 75.00 2 new,single family residence residential(with above sq,ft.) Renewable Energy See Pa 'e 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 11(0.70 2 _ 201 amps to 400 amps 133,56 ?' Name:Stone Bridge Homes NW,LLC 401 mops to 600 amps 20034 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 361,04 2 Over 1,000 Imps 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 59.36 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 1250 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70 L 401 amps to 599 amps 168.54 2 Owner ignalute: . .............. Dale: H Branch circuits-new,alteration,or extension, eranel A Fee for branch circuits,pith T . above service or feeder fee, 7,42 2 Business name:same as above each branch circuit B.fee for branch circuits,virhow Contact name:Deirdre Britt service or feeder fee,first 56.18 2 branch circuit Address: L:ach add'I branch circuit 7,42 2 City/State/ZIP: 4lisccllancous(service or feeder not included Each manufactured or modular 67,84 dwellin servicc and/or feeder Phone:( ) Fax• •( ) _ �_2 Reconnect only 67.84 E-mail: dbritt"ii,stonel)ri(il;ehnmesnw.corn Pump or irrigation circle 67,84 2 CON 1 RACTOR � � �-; Sign or outline lighting 67.84 2 Business name:City Electric Signal ci)cuil(s)or limited-energy See ane),alteration,or extension. Page 2 2 Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.251 hr City/State/ZIP:Sherwood,OR 97140 Investigation(I hr nun) 66,25/hr Phone:(971)404.1714 Fax:(503)625,3052 Industrial plant(I hr inm) 78:191 hr Inspections lbr which no fee is CCB Lic.: 42422 Electrical Lic.: 26-289C Suprv. Lic.: 35925 sp;c111rcI1 lisle i( hr Iain) )0 uo!hr El ECTRIC'A1. PERMIT FEES Suprv. Electrician signature,required: el-� Subtotal Print name: Chuck Friesen Date: Plan review(25'S.of permit fee): State surcharge(12%ofpermit I•ec): Authorized signature* TOTAI.PI RMI'h ITE: ` This pennil application expires ira permit is not obtained within tall Print name: Dale: days after it has been accepted as complete. _ Number nl°inspect ions allowed per Ixnnit. L'+Ituil.iim�\I':r,nil<V.LC V.:,uilal+p IiLR_Ii R;i due R.:v:r+i?I�ZgI� •11+1.1:.19Iil UO�H`(3A1r1N l'n ECEIV Mechanical Permit ApplicatioW FOR OFFICE USE ONLY /y City of IIgaCll �JEC 2 9, 2015 Received PennirNl x2olS.a,2, o i n 13125 SW I]all Blvd.,Tigard,OR 97223 I)ucfl3y w Plan Review Phone: 503,718,2439 Fax: 503,598.1960 f^y of 7 truer r' Other Permit: htspection Linc: 503.639:4175 � ������D��/�C*� Dile Ready/By burs: 0 Sec Page 2 for Internet. www.tigir(I-or.gov 11 J Notified/MethodSupplemental Information I NTE OF WORK COMMERCIAL FEE* SCHEDULE - USE C lIECKLIST Mechanical permit I'CeS'ate based on the vahlC of f IC work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,a ui ment,labor,overhead,and root. Value: ® I-and 2-fa nily dwelling ❑Commercial/industrial ❑Accessory building For speciallnjornmtlon use checb'list. ❑ Multi-family ❑ Master builder ❑Other. Description Qty. Ea. 'Total k1_111 I , ., lJcatin coolin �. ., Air conditioning 46.75 Job site address = ' �, ° �1• `t�r f <,I, -. Furnace 100,000 RTU(ducts/vents) J 4675 City/State/ZIP:Tigard,OR 97224 Furnoce 100,000+RTU(ducls/venls) 54.91 Heat pull P 61.06 Suite/bldg./apt,no. Project name:Southview HeightsDuct work 23.32 Cross street/directions to job site:SW 122"'Ave&SW Beef Bend Rd Hydronic hot water system 23.32 Residential boiler(radiator or h'dronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,sus ended etc. 46.75 Flue/vent for anv of above 23.32 Subdivision:Southview Heights Lot no.: 2..9 Other: 23.32 Other fuel appliances-. Tax map/parcel no.: Water heater 23.32 D SC„R1Pll0N OV WORK Gas lire lacchnsert 33.39 Flue vent for water heater or gas new,single family residence f re lace 23.32 -- - -- Log lighter(pas) 23,32 — — Wood/ ellen stove 33.39 Wood fireplace/insert 23.32 Chinmc /liner/0ue/vent 23.32 Other. 23.32 PROPLRT`r OW141;1t C};,1 >� � ?�',v ,' _ Environmental exhaust and ventilation: Name:Slone Bridge flomes NW,LLC Range hood/other kitchen ipntent Address:4230 Galctvuod St,Suite 100 u ._.....__.. _.................—___...—.__-33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, --- — toilet compartments.utility roosts) �i 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawls ace fans 23.32 Other: 23.32 Fuel piping: Business name:same as above 514.15 for first four,54.03 for each additional Contact name:Deirdre Britt Furnace,etc i Address: Gas heat pump1 Wall/susPended/unit heater City/State/ZIP: Water heater 1 —� Phone:( ) Fax::( ) Fireplace I2 an E-mail:rlbr rut(""n)>loncbridgchamCsntY Cont Barbecue C.Oti iltA("1`Ol2 "` '. Clothes dryer(gas) Business name:Comfort"Zone --- s.. ----e b1F:CHANICAL PERN11TFEFS" Address: 1032 NW Corporate Ar Subtotal City/S(ate/ZIP:Troutdale,OR 971160 nurwl 1 p 1.unlll ICC($90.00) -- _ --._ ---._._......__....__. Plan review(25%ofpcnnit lee) Phone:(503)667.5595 1'ax:(5113)4)1.8252 _... State surcharge 02%of pennil fee) C'CI3 tic.: 110091 TOTAL PERMIT lzE'E _............-_.._.-_w-__ _--- _.._._.�..._—_..._. _._ , 'this permit application expires if a permit is not obtained within 180 dais alter it has been accepled as complete. I AslhoriZed signaitire: FCCnrclhodulupy cl hp Tri-County Building Induury Service no;uJ g I'rinl n mu I)at ul 1lcldstuh Uale: 1 Uliilclri, 1 triiir.;\tl,l. I -aii;\I,r.�>ti+I l:a,r' 1-t1-46171(t f I lumbina Permit Application Building Fixtures tFOR OFFICE USE ONLY City DEC 2 20,55 acecivcd ,tyso,S--r�oa�d Cit Or Tigard , Pcnnit N 13125 SW[Lill Blvd.,Tigard,OR 97223 ratelt1v:r1� �-I'GARD flan Rcvlew(hone: 503.718.2.439 Fax 5035)8,1 60 LJ uatc!By OlherPermitNo.: M- 21 Inspection Linc. 503.639.4175�' l; ;i�G ; IViS`+ON pane Rca:ly%By Juris: 0 See Page 2 for Internet' ww•w.tigard-or,gov V tJ Nolificd!Wthod. Supplemental tnfmrmalion u TYPE OF WORT,, EEE* CITE>y13 st .`" ® For special N ormrrlfon use checklist New construction El DemolitionDescry tion Qt F.a. Total F-1 Addition/alteration/replacement E]Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-famSFR(3)hath 500.32 Each - Each additional bath/kitchen 25.02 ❑Master huilder ❑Othcr: Fire sprinkler( sq.ft.) Page 2 m� lt)II TI'E i7+)i�#)RlIA -ION'-AND 1..0<•.�1'1 ION Site utilities: Job site address. Catch basin or area drain 18.76 ��'�:� � City/State/ZIP:Tigard,OR 97224 _.._ __ - --- Drywell,leach line,or trench drain 18.76 Footing drain(no,linear It.:_) Page 2 Suite/bldg./apt.no.: Project name:Southview Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122nd Ave&SW Beef[lend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear III.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision:Southview Heights Lot no. ``~ hixhtrc or item; Tax snap/parcel no.: _ Backflow preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 lijectors/sump 25.02 I tsion tank :xpat 1151 I< Name:Stone Bridge Homes N,W,LLC L - 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 12.51 x µ Interceptor/grease trap_ 25.02 Business name:same as above Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Deirdre Britt ----•- Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 1,-mail: urinal -_ - 25.02 Water close[ 25.02 CONTRACTOR Water heater 37.52 __...._. Business name. Sax 1'lumbin; W;nerpipinc/DWV 56.29 Address:PO Box 5597 Other: 25.02 City/Stale/ZlP: Beaverton,OR 97006 Subtotal Phone:(971)275,01')8 Minimum permit Ice• '672 S(1 C 1 I.. - Crj112- . Plumhtng tc no.: �gSn3 Plan revlcv (25%ul permil Icc) - _........._ . _... . ._ St uc lurch tr c(12:�of permit Ice) Authorized signature: t *- I OTAI..VERMI T FET Print Itatne:.la1on I IA110 t' I Date: This permil application expires if a permit is rant obtained wilhiu IRO days arler it has been accepled as complete. "Fcc methodology set by Fri-(',nmh'lluildine Indu.iq Service Board t\Hua;ling:PcnnitzlPLAIU-NcrmiMpp.dcx LVr,lpr JJti,bfrft(nYt2/COMM\Vlibt City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential Building Permit #: //J7_'20/.5' -4DaAO Site Address: 1209 5 SW TuYna!� a 1 n b'r_ Project Name: SOIA+�yIeLot #: (New dwelling=sub ivisio arae;Addition or Alteration=last name of owner) Planning Review Proposal: ne,v,j sF Verify site address/suite#exists and active in permit syste . 2 River Terrace Neighborhood: ❑ Yes �No Sit Plan Elements: ;Three(3)copies of site plan ''sting structures on site Yorawn to plan mu bg on 8-1/2"x 11"or 11 x 17'paper LY ootprint of new structure(including decks)with finished to scale(standard architect or engineer scale) oor elevations Miorth arrow tility locations(required for new,may apply for additions) �Zte address,project or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) VErosion control(including drainage-way protection,silt fence im�t dimensions and building setback dimensions design,location of catch basin,etc.) C5tot area,building coverage area,percentage of coverage and �7street reet names 4. pervious area(applicable if R-7,R-12,R-25&R-40) tree size,type and location roperty corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 oot differentialprotection measures Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: 13Yes,applicant was notified tZ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: &( Required: El Yes,applicant was notified El No Applied For: 6d Yes ❑ No,stop intake /Land Use Case#: SU B ZQ`3—VOQ( 9 Voning: R--7 , etbacks: Front 1� Rear 1 Side �� Street Side — Garage 2o andscape Requirement: 2.0 % oCoverage Maximum: �Z % uilding Height: Maximum Height j Actual Height 2.-7rk isual Clearance LN'Easements B/ YXrban ensitive Lands: E] Yes B No Type Forestry Plan c�d Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: 12-12111 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BidgPermitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ©—Enter building permit#above. Workflow Routing: 0-Planning engineering La--Ifermit Coordinator ©'tuilding Workflow Sign-off: 2-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. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review Slope at building pad: Conditions "Met"prior to issuance of building permit Easements (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: Date: Lz_��,�,�` Revisions (after Building Submittal only) Reviewer bate 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: r��es ❑ N/A Tigard Trans SDC: ❑ Yes �N/A Parks SDC: Yes ❑ N/A OK to Issue Permit -- Approved by Permit Coordinator: / //e/ U Date: X� 15 _- 1:\Building\Forms\B1dgPermitRvw_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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final FAIL MST2015-00280 David Young Provide approved cover and box extension for low voltage box in garage wall with required fire separation. 341.21, 22 GFCI in kitchen by fridge tripping when tester is plugged in. Not working correctly. AC whip not installed at this time. AC breaker in panel does not match rating of unit installed. 30 amp max. 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL MST2015-00280 David Young Seal ceiling penetrations in garage by hvac equipment. R302.5.3 Provide missing registrar covers. Work not complete. Breaker in panel to large for AC unit installed, per manufacturers requirements, AC electrical not connected at this time. 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2015-00280 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final FAIL MST2015-00280 David Young Provide mixing valve for temp control upper level soak tub. 414.5 Water heater not acceptable for temp control. 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00280 David Young Provide approved plumbing final inspection. All else ok. City required paperwork to be collected at re inspect. 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2015-00280 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00280 David Young Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of O left on 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 12085 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS June 16, 2016 at 1:14:26 PM MST2015-00280 David Young Correction complete. Violation Summary: Inspector Contractor