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Permit I n CITY OF TIGARD MASTER PERMIT '...• Z COMMUNITY DEVELOPMENT Permit#: MST2015-00294 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2016 Parcel: 2S110CB13500 • Jurisdiction: TIGARD Site address: 12050 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 23 Project: Southview Heights, Lot 23 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1125 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1540 sf Garage: 530 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2665 sf Value: $329,829.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit 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: 4 201-400 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 2665 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Geo Tech inspection needed before foundation can be PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,892.44 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 do - accor.a ,ith 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 day.. ATTENTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 •-001-0010 through OAR 952 r• 009'.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / r !/ ` Z Is•ued By: �� / i a '-' ' Permittee Signature: c Call 503.639.4175 by 7:00 a.m.for the next available inspection date. i 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. Building Permit Application GQ Residential e��`Y FOR OFFICE USE ONLY 4 �f Received .i T� City of Tigard $ 2.c /2 �, Permit No.: $ i�t/1 ` q DateBy / 00 AQ� • 13125 SW Hall Blvd.,Tigard,OR 97223 G� b Plan Review� t /�/� �� it Phone: 503.718.2439 Fax: 503.598.196 .. 1(3f RD N y: /* � •I i Other Permit: 5L✓y1LOV l5_z_a b261, Date/ By: Inspection Line: 503.639.4175 `'(� O v,S Date loris: El See Page 2for Internet: www.tigard-or.gov �j\� `w\�o'` Notified N1ethoc Xy�� '4 `�,�_ Supplemental Information �}]y [� �V\1-�`v .ic_ ,,�-moi/$ —,e,�v .yr,,', '�'�j : 1 F� ,. ,✓;. #a" Ittfid¢ , TA.[Eg o)..,!,91t-. 24,::4,- , fh1 ::T.';1';',,,,' e �R.;:- ,.,Ak: 3A4,,:x:��"-.Fi ' Y T[ 0,041.y�^: ,,' ®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the "'i s ,' 1 ` Q � () i , work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: 9 �' f $ ❑Accessory building 0 Multi-family Number of bedr'oms: ❑ Master builder 0 Other: Number of bathrooms - i, f A i' �'t 1 f t� itii` 0,y 0- 4. a F Total number of floors: 2. Job site address: 1 20 S° SIX AUTO MN V t JL t• New dwelling area: 24 co 5 square feet J )9 City/State/ZIP:Tigard,OR 97224 Garage/carport area: s 3 ) square feet Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: t 2,1 square feet I Soo Cross street/directions to job site:SW 122"d Ave&SW$eef Bend Rd Deck area: !iQ square feet l lca.6 Other structure area: square feet A i ! ! i i =`Tn; Subdivision:Southview Heights Lot no.: 13 Permit 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 - Cr, l i -� `ow iffiz`o4t> 1 r work indicated on this application.a ,. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet 14 Y'PROPERTY OWN CQ TENANT Number of stories: Name:Stone Bridge Homes NW,LLC Type of construction: Address:4230 Galewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: .:1 :';,, eeleANrti t ' ❑�COTA P RSON � 1 ! t i .. , , Business name:same as above Structural plan review fee(or deposit): Contact name:Deirdre Britt FLS plan review fee(if applicable): Address: City/State/ZII': Total fees due upon application: Amount received: Phone:( ) Fax::( ) HOTOVOLTAI C iLAR'P SY EM FEES*,` ;'. E-mail:dbritt'astonebridgehomesnw.com N,.;,r> : .,, " A , Aj Commercial and residential prescriptive installation of CONTRACTOR ,�. _._. ' E�€x,f-'._ _,k,�4k._ _ < ,, -, qs,,,.. __•N " :, ,.• _ ,, roof-top mounted Photovoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:173318 _ Total fee due upon application: $201.60 Authorized signature: ~ t ,"This permit application expires if a permit is not obtained ""` • t.�+,_-1` "' within 180 days after it has been accepted as complete. Print name: 'pE(R2 vz,E.7f1 P.!TTDate: Ill.Zl( *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) • Electrical Permit Application I FOR OFFICE USE ONLY ��`� City of Tigard c E- R�o Review Pert No..; �j1(,sJ—vV„�y a 13125 SW 1-tall Blvd.,*Tigard.OR 7 other Permit: 1„— g. Phone: 501718.2439 Fax: 503.598.1960 e 41,g 2015 Date/taw: Inspection Linc: 503.639 4175 oECDate Read}/By Iuris IRI See Page 2 for "1IGARU otilicd/M thod SupplementalInformttion Internet www ugrrd or gov T�UN'�� 1 '4, ,"� � ��` .-., ' TY P�:OFF � � �' � -;:;"'I';',':'-':'''''PcU1N1ti� � l „� t , ®New construction ❑Addition/alt replacement Please Ise the 6 all that apply(submit 2 sets of plans wincros checked below). 0 Service or feeder 400 amps or more D Building over three stoles, ❑Demolition ['Other: where the available fault cuinent ❑Marinas and boatyards. ; `"" �' a '� `''s"� 1�It of �, ':zr exceeds 10,000 amps at 150 volts or 0 Floating buildings. ii:j .+v'Sr!yi..'L` p +••"f .'°'•' n - Y"-„..�''^ €.^„'^'k.'^ ...? '' '. , less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps forall other installations. buildings. ❑Multi family 0 Master builder ❑Other: 0 Fire pump, 0 Installation of 150 KVA ur p ❑Emergency system. larger separately derived system; 1 4 "71,11r, ,�` ,4 ,•,�a 1 fia _. . ,t,” A., -- ❑Additionofnew motorload of ❑ `A. "F' "1-2”"1-3" OOl IP ur more. occupancy, Job no.: it(Q0 Job site address: `�t�SW A.�'TU M 4 Via) ST: 0 six or more residential units, ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 0 Health-care facilities 0 Supply voltage for more than ❑l lazardous locations, 600 volts nominal. Suite/bldg./apt.no.: I Project name:Southview Heights El Service or feeler 600 amps or more. ' Cross street/directions to job site:SW 122"rt Ave&SW Beef Bend Rd Description Qty. i Eer, I Total • New residential single-ormulti-family dwelling unit. Includes attached garage. Subdivision:Southview Heights I I.ot no.: ' 3 1,000 sq.ft.or less 168.54 4 Ea,add'1500 sq,ft,or portion 33.92 I Tax map/parcel no.: , , , , Limited energy,residential 75,00 2 �,a"i '_ t e e�t ' 9 (with above sq.0) �� s - « : xia .;m 5: & Limited energy,multi-family 75,00 2 new,single family residence residential(with above sq,ft.) Renewable Energy '_. 0 See Page 2 ;, Services or feeders installation,alteration,and/or relocation a' Sg 200 amps or less 100,70 2 r ' ....-..• aM 20T amps to 4O(I 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 I Owner installation:This installation is being made on property that 1 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: _—Date: Branch circuits—new,alteration,or extension,per Panel €7: ; �, 8A Tie for brnnch circuits hrirb s''- ;r --1,'-'4 above service or feeder fee, 7A2 2 Business name:same as above each branch circuit ---- B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder fee,first 56,18 2 branch circuit Address: Each add'I branch circuit 7,42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular dwellin service and/or feeder Phone:( ) Fax::( ) 67.84 2 Reconnect only 67.84 2 E-mail:dbritt{lstonebridgehomesnw.com Pump or irrigation circle 67,84 2 �x ass •,k ax. ) a 33✓ .+ ro ri s '..'.,- .1. .1. ,, , , �c �� s-',. � �� <F ;sx )� € � ��.r` � � Sign or outline lighting 67.84 2 Business name:City Electric Signal ctreuil(s)or limited-energy See . panel,alteration,or extension, I'age 2 Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in any of the above Additional inspection(I hr in in) 66 25/hr City/State/ZIP:Sherwood,OR 97140 Investigation(I hr min) 66 25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr min) 78.18/In Inspections Ior which nn fee is CCB lie,: 42422 J f lecirical „ie.:: 26 2x9(, i Suprv. Lie.: 35925 specifically listed(Vhr nun) 90 00/h: ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: �� _--) Subtotal Plan rwu.w(2S oI permit Ice) Print name: Chuck I'I Friesen I Date: ---- --�-- - ---- Stale surcharge(12;u or pet nut lee). Authorized signature: 'iO'IAI.PERlN11I TIT Thi.pernul.yhplica Win cs pure;if a pernul I+not ubtninctl rviihin 180.. Print none: Date: dais alter II has Irccn au'eplul ac cnnplcle. �.- Number til inspections allrnrtd prr pennn I..;:.U'i I :I ''i t}.t lili Mechanical Permit Application . fenli) FOR OFFICE USE ONLY , . City of Tigard c*Oek\i Receiveci 1)atc/Ily- Permit No de 13125 SW I fall Blvd.,Tigard,011 9 .... % Q.15 Plan Review II' Phone: 503,718.2439 Fax: 503.598,1960,..c q 2. Daten3y: other permit Inspection Line: 503.639A175 \)t- 1 4° TIGARD ra NIRO Date..Ready/By., huts: 0 See Page 2 for Internet: www.tigard-or.gov Of IkV1 it.* Nottlled/Method Supplemental Information G‘V alkS ) r .......... ' ,: :,',7t., •, ' '',",';', , TViog 0...,.4 k i. .5 A,,,,,.: '1 , '''-: -;*tiiiIMERCIAL FEE SCHEDULE USE cliee.410,-':., Mechanical permit fees*are based on the value of the work g New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition III Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ Q1 vi tl`9,1V.:'-'-'1:inAlit":iii''?,4:itir ; - "'iiiij:a4ti' f: !,,c, " :1iA, 0 I-and 2-family dwelling III Commercial/industrial 0 Accessory building For special information use checklist. El Multi-family 0 Master builder 0 Other: Description ' I Qty. Ea. I Total -.`..!c;;"..tf".`i,i,taTZ-"""4".,',,,,,`.4,•,:', '"-hn,<''''''!""'"-''''''.5P'''7 ''''' ' --t5s7.'W"77-'''''''''''''''"''E''''''''''``W'''''' '''- Air conditioning 46.75 Job site address: 17050 SA81 ArkYrk)tsAN VISA/ ST. Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) i 54.91 Heat pump 61.06 Suite/bldg./apt,no.: I Project name:Southview Ilcights Duct work 23.32 Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Hydronic hot water system 23.32 Residential boiler(radiator or , hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above , 23.32 Subdivision:Southview Heights Lot no.: 7,S Other: Other fuel appliances: ....23.32 Tax map/parcel no.: •r Water heater 1 23.32 _GM fireplace/insert i 33,39 Flue vent for water heater or gas new,single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3139 Wood fireplace/insert 23.32 : Chimney/liner/flue/vent 23.32 ' Other: Environmental exhaust and ventilation: 23.32 Name:Stone Bridge Homes NW,LLC Range hood/other kitchen - equipment I 33.39 Address:4230 Galewood St,Suite 100 Clothes dryer exhaust .4_,.. 3139 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) ----- 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans . 23.32 Other: 23.32 Fuel piping: Business name:same as above 514.15 for first four;S4.03 for each additional Contact name:1)eirdre Britt Furnace,etc, I Gas heat pump Address: Wall/suspended/unit heater City/Stale/ZIP: Water heater 1 Phone:( ) Fax: ( ) Fireplace ... Rama,. F.-mail:dbritt(p)stonebridgehornesniv.com 13arhectic - ....,...._ , .. tiNt-ntAcTeR clothes dryer(gas) Other: Business name:(:oinfort Lone - • - - ' NIECIIAN - ICALOERMITFEES''' Address: 1(132 NW Corporate 1)i- Subtotal City/State/ZIP.Troutdale,OR 97060 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)667.5595 l'ax:(5113)491.8252 ' Siate stirdiarge(12"/o til permit fee) l2(13 lie.: 110091 -11)TA I.l'EIZNI IT FEE -------- 'this prim!t application expires if a permit is not obtained within 180 2days:liter it has been accepted as complete. Attlborticil,,igimititc: t."---.\„ ,---) ----- ---"Ia---- * I ce mellahltilop pct hy Tii-Ciiiini) Itiititini hiiiii•ttiy Sex cc 1 i'l int name David Ileldstab Date: 1 .. _ "i'',,'''' i 0 it,SI M :2,,,I,\1•1[1, Cie`NIet) Plumbing Permit Applicat��_ 15 Building Fixtures O $ �O R� FOR OFFICE USE ONLY C Cit of Tigard k ix Received /� Y \ `Ot ale-t3y: Permit No..: InsTalk,45--It it. n 13125 SW Hall Blvd,,Tigard.OR 97 MN, �`� IN \ Plan Review Phrnte: 503.718.2439 Pax: 503.598. 00.. tale/By OlherPennitNo.. TIGARD Inspection Line: 503.639.4175 V V Date Ready/Hy: lura: IBJ See Page 2 for Internet: www.Iigard-or,gov Noliticd/Method: Supplemental Information _ e rVPE OF SvORI> i FEE* SCITEDULE , ®New construction ❑Demolition For special hr�ornrrrtlon use checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) " re co m - SFR ( bath 312.70 ,' . ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath i 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft,) Page 2 7 si s; i R 3 0 t y o fi 0 3 Site utilities: Job site address: 120 GO SW A Ti M N V I G1& 47• Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear R.:_) Page 2 Suite/bldg,/apt.no.: , Project name:Soutlwiew Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear tt.:J ) + Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear tt.:_) Page 2 Subdivision:Southview Heights I Lot no,: 2,3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 - - - % ,, Backwater valve ' � t • r .. i I 12.51 k. � � .,, , _ as. 4 Clothes washer l 25.02 new,single family residence Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r rr L_x ansion tank 12.51 «. . Fixture/sewer cap 25.02 Name:Stone Bridge Homes NW,LLC Floor drain/Floor sink/huh 25.02 Address:4230 Gatewood St,Suite 100 .. ' Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib Z 2.5.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker d 12.51 .;,,,-I'',.: .::i ,.. , , ®< u s = f a v. a e r`„, 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:( ) I Fax::( ) Tub/shower/shower pan 3 12.51 12.-mail:dbritt(01S((pncbridgehomesnw-com lJrinal 25.02 � s .* Water closet r W 25.02 �� ON' CIOR ' '11,'-„"",,;'BusinessI 37.52 name: Max f ambing/ 114 C.. Water pipnttJl)WV -� 56,29" Address:PO Box 5597 Other: 25,02 City/State/ IP: Beaverton,OR 97006 �. ._ _... Subtotal _m . _ Phone.(971)275.0198 ax:( ) hnnum permit Inc 1672 50 Plan lacicvi (25% of permit Ice) ('C13 Lie.: 2.0S 59 Z,,. Plwnhutt I is no.: , ?.*). -- - State s,lrch tr c(12 0l pu'nul Ice) Aulhorl,erl signature: ' ,'L f "'' Ic)tA1 1)1121‘,1 If _ - 7 7i -. I chis pt,"ut application expires if,i per 0111 is not obt.uned nithiu 180 days n I tint nniC JasonHi4.ncr J Date: ally,-it has been aiu•pted as c"niplyte. "I"nrahud:dngs-''Ii Se 1"."1"'" Itwidiiii'induius Seieiee Boat i Amilaitimv.ainlr. Mt!1,,,,,,,Apt:doe In/0i7,, City of Tigard 7 Jai COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential T 1 G A It n Building Permit #: filar-9-0 i 5-oO? -1 Site Address: ,2 ,3 from V ) eS-- Project Name: S70lt71/7 14 j /' ' h Lot #: Q3 (New dwelling=subdivision name;Additiol'or, teration=last name of owner) Planning Review Proposal: 11/69,e0 ' l Verify site address/suite# exists and active in permit syste cialiiiver Terrace Neighborhood: ❑ Yes No Sit Plan Elements: J'iree (3) copies of site plan Fisting structures on site 0 e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure (including decks)with finished rawn to scale (standard architect or engineer scale) or elevations rth arrow Utility locations(required for new,may apply for additions) Fr/1e address,project or subdivision name and lot number kation of wells/septic systems licant information(name and phone number) /Erosion control(including drainage-way protection,silt fence dimensions and building setback dimensions d sign,location of catch basin,etc.) of `'area,building coverage area,percentage of coverage and " et names tfipervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location roperty corner elevations (2 foot contour lines if more than Oisting trees to be retained with drip line,and tree 4 foot differential) protection measures Val Ilean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No (d Public Facilitie mprovement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: 'es ❑ No,stop intake and Use Case #: Su,�j Q 013- G2�L -'— V � oning: 2— - VD — v Front /S--- Rear /5— Side 5 Street Side /O Garage �Q ndscape Requirement: Q of Coverage Maximum: (7 Building Height: Maximum Height — Actual Height 028 1/- 1i Oisual Clearance �d asements 0) nsitive Lands: ❑ Yes No Type rban Forestry Plan Conditions "Met"prior to issuance of building permit Conditions Notes: Approved By Planning: — z�� ,�� ,4 Date: ' 8 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermit Rvw_RES_0709I 5.docx 1 Building Permit Submittal Original Submittal Date: f�/ /l) Sites: # Building Plans: # Building Permit#: ELE-Irhrhuilding permit#above. Workflow Routing: ning neering mit Coordinatorui uig Workflow Sign-off: ff for Planning(include notes from planning review) Route Application Documents: ring: (1) copy of permit application, (1) site plan, (1) building plan and original��plan review routing form. uilcting: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: /,Z Engineering Review reSlope at building pad: '/7 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: E Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: ,....A Approved by Engineering: ,4Z-• Date: /z_ 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: i'es ❑ N/A Tigard Trans SDC: ❑ Yes )N/A Parks SDC: Vi? Yes ❑ N/A ' /,I:ri OK to Issue Permit ((Approved by Permit Coordinator: 4///rDate: 2/3 )/S- I:\Building Torms\BIdgPennitRvw_RES_070915.docx \Building\Forms\BldgPennitRvw_RES_070915.docx City of Tigard %) J q COMMUNITY DEVELOPMENT DEPARTMENT ilig ■ r 1 c A R o Building Permit Review — Residential Building Permit #: H 6-1 acv 1 j - D O A 9`/ Site Address: t7O5D JJ 't.f n • 11,00 :ii--- Project Name: 6 Ofri V 1 \W\� Lot #: 2 (New dwelling=subdivision name;Addi' n or Alteration=last name of owner) Planning Review Proposal: COCA SiAlIS ID claveirec,1 G LLQ- Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow kttility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number 1 ation of wells/septic systems Applicant information(name and phone number) rl'/► 'sting trees to be retained with drip line,and tree .t dimensions and building setback dimensions protection measures ,U.1 of area,building coverage area,percentage of coverage and treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) treet names Xl'roperty corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: E Yes ❑ No Nr Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified A No Applied For: ❑ Yes ❑ No,stop intake .'Land Use Case#: SU320 --CIDjO a Zoning: 12-1 Setbacks: Front 15 Rear I S Side S Street Side N/A Garage Landscape Requirement: % 6 Lot Coverage Maximum: I J Building Height: Maximum Height :3S Actual Height (eV/ZSi 1;11 I S X Visual Clearance 9-711r3 (tom I xEasements .R Sensitive Lands: ❑ Yes No Type Urban Forestry Plan XConditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: Revisions (after Building Submittal only) Re iewer -Dat Revision 1: Approved ❑ Not Approved j 26 U Revision 2: ❑ Approved ❑ Not Approved pp pP Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw RES_060116.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building 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. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: gineering 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: El Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ".��, Date: API��., 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: Cl Yes t N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A OK to Issue Permit t 2'3/14 Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_060116.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 "1 Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: B111LD►9V DEPT: BUILDING DIVISIONGi . MAY 202016 FROM: "� W i s CITY C'7 rIARi DWLS;ON COMPANY: 5'h11Q ffrrotle.. 14431440—& I\/w HONE: 6o 3 ti 6 2. 31 G ( I: RE: 12056 Sw A1j ti v \“ sE /Z -ecc9,4 (Site Address) /- (Permit Number) sw U,a,,j �-t-�rS'IJ-S L9>KX3 (Project name or subdivision name and 1 t number) ATTACHED ARE THE FOLLOWING ITEM.: Additional set(s)of plan . Revisions: Cross section(s) and : -tails Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 1 J ( • „, P Routed to Permit Technician: Date: [..30- j . Initials: j Fees Due: !I Yes ❑No Fee Description: Amouh- ue: 4 1- r P) c�, ��► ✓ Q Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: JEiv Date: 710 c, Initials: /2-,2\ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00294 David Young Not ready for ﬁnal inspection. Provide approved plumbing and mechanical ﬁnals prior to building ﬁnal. Provide city approved documents for ﬁnal inspection. No inspection done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00294 David Young Downspout missing at rear covered porch. Rain drain at rear covered porch reverse graded. Provide 1/4" per foot slope per code. 708 Note: dishwasher handle not attached. Main bath stopper handle not working. Not ready for ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00294 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00294 David Young Gas line sleeve not in place protecting gas line at ﬁreplace penetration. M1308.2 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00294 David Young Seal kitchen counter top behind sink at window. 310.3, 407.2 Correction for sink stopper at main powder bath not done. 310.3 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00294 David Young Provide approved erosion control ﬁnal inspection prior to building ﬁnal inspection. Deck stair stringers not secured together and lateral bracing not per approved plans. House side stringer to be secured to structure. Provide approved plumbing 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00294 David Young Correction complete. 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00294 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00294 David Young Deck stringers not connected with sds screws per approved plans and knee braces to short per minimum dimensions as noted on approved plans and previous failed 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 12050 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00294 David Young Correction for sds screws in stair stringer being completed by builder on site. Other corrections complete. Note: no AC installed at time of ﬁnal inspection. All city required paperwork collected at previous inspection. C of O left on site with builder. Violation Summary: Inspector Contractor