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Permit • i IN . CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT 4 Permit#: MST2013-00248 Date Issued: 12/17/2013 T t c,A R I 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DA16100 Jurisdiction: TIGARD Site address: 15468 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 80 Project: Arlington Heights No. 3, Lot 80 Project Description: New SF. 3/6/14, reprinted to add a/c. Placement of a/c must comply with manufacturer's clearance requirements. • BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1058 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1374 sf Garage: 460 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2432 sf Value: $284,181.26 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets. 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea adds 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 2432 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST#100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech report required prior to footing inspection PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $20,934.31 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done '• ---• •- = with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day •TTENTION: Or‘- on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -001-0010 through OAR.5 •11=0090.�Youu may obtain/aa copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I sued By: , - I ,�L� 4�0�-t� Permittee Signature: `'_ ��— - Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ApplicaR EjVEn ,..(),, ()F1.-R'F: I tii1 O\l.\ Received ,� I permit No.: IIII City of Tigard Date/By: © / �7� il1j—Gb��/Q 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review Phone: 503.718.2439 Fax: 503.598.1 AR -6 2014 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Solis: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE u I ORK DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning ` 46.75 Job site address: IS(,t 64 -,-(..,..) �CC MU1k,,a,l U v Pw 17,( Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: TV)Ord b11? 9,-7 L2_t\ Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 _ DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Atfireplace 23.32 -{c( Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ❑ TENANT 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 _ ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace _ Range _ E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: - MECHANICAL PERMIT FEES* Address: Subtotal (Q•7 5 City/State/ZIP: Minimum permit fee($90.00) .------ Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) !, CCB lic.: TOTAL PERMIT FEE 5-3,.36, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: DC.4.kik UQ l CT- 1/49/4- Date: 3_6, - i(.4 1:\Building\Permits\MEC_PermitApp_0401I3.doc 440-46t71(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $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. I:\Building\Pennits\MEC_PermitApp_040I 13.doc 2 CITY OF TIGARD MASTER PERMIT = COMMUNITY DEVELOPMENT Permit #: MST2013 -00248 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2013 Parcel: 2S109DA16100 Jurisdiction: TIGARD Site address: 15468 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 80 Project: Arlington Heights No. 3, Lot 80 Project Description: New SF. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 1058 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1374 sf Garage: 460 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors Yes Total: 2432 sf Value: $284,181.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Twee Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <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: 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 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 2432 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions) 4230 GALEWOOD ST #100 4230 GALEWOOD STREET #100 1 Ersn Cntrl 503 - 639 - 4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior to footing inspection PHONE: PHONE: 503 - 387 -7577 FAX: 503- 387 -7615 Total Fees: $20,881.95 This per . - • subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be • • e in accordance 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 d- s. ATTENTION: Oreg•. I- 'quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR - 52- 001 -0010 through OAR • -001-009 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. - sued By: , _ it /�' Permittee Signature: 4 A 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. Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Received `` '4' Penn i No , II - g Date/ : I� l e �� r, 1 a . , - • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review'i�ilf� • her Permit: , Phone: 503.718.2439 Fax: 503.598.1960 DateB : MAC._ Irgi 0 j I b,/Lw — O0 , / TIGARD !/ Inspection Line: 503.639.4175 Date Ready r: ®See Page 2 for Internet: www.tigard- or.gov Notified/Method. Supplementallafonmatioa S „1.4o w AZ, CAST TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work ils icat don is application. ® I- and 2- family dwelling ❑ Commercial /industrial Valuation e \ 52. 44,8913 6� let, ❑ Accessory building El Multi-family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 15468 SW Summerview Dr. New dwelling area: 2,432 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 460 square feet Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: 90 square feet b 3 Cross street/directions to job site: Deck area: 160 square feet 1 0,4 i Other structure area: 2012_ square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Arlign ton Heights Lot no.: 80 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 i equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK I work indicated on this application. New, Single Family Residential Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge Homes 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 -7616 New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: SEE ABOVE __ (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: Gayland Forsberg FLS plan review fee (if applicable): Address: r - - Total fees due upon application: City /State /ZIP: Phone: ( S,) 7 ;7 — g 191 Fax:: ( ) Amount received: E -mail: gayland @stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: SEE 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: 1 Permit Fee (includes plan review 5180.00 _ and administrative fees): _ Phone: ( 0 3 7 ; 3-- 3 /99 Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lie.: 173318 Total fee due upon application: $201. j oy Authorized signature: C/ This permit application expires if a permit is not obtaine within 180 days after it has been accepted as complete. Print name: Gayland Forsberg Date: 12/5/13 * Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 4404613T(I 1/02 /COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received •, Li ; Ili _ Permit No.: V v • 13125 125 SW Hall Blvd., Tigard, OR 9 7223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B •: Other Permit T t G AR D Inspection Line: 503.639.4175 Date Ready /By: lulls: Ei See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information • z .,""" °''" ,'S,'TYPE.to Vl!ORIt s . " , . ti .1. . P1 �I:REVIEW - r,F s t >r, etF (.A Please check all that apply (submit 2 sets of plans wlitems checked below): ® New construction ❑ Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF ONSTRU O : ft :: � ' exceeds 1 amps at 150 volts or ❑ Floating buildings. ' less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or e .. 071 , ❑ Emergency system. larger separately derived system. ?' f t ... 1;- ' $ „',0* , .. t a1 .®, s r.. r .4 . . r . ❑ Addition of new motor load of ❑ " "E. "1-2”, "1 -3, Job no.: I I 1 Job site address: ,1� -�e, st o �, 1 ( yy1yY 1 e N y� S ix or or more, occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities, ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Description Qty. Fee. Tots New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Arlington Heights Lot no.: be5 1,000 sq. ft. or less I 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map/parcel no.: Limited energy residential iJ /'Ili tit ^lam 0 (i (with above sq. R) I �� Limited energy, multi- family 67.84 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 I> 41 `to';:t! 1 •! e w', �t i+ 2 :I 1'1 201 amps to 400 amps 133.56 2 Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2 City /State/ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)387 -7577 I Fax: (503)387 -7615 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ' '' Y d i e" 0 1C' e 4 a�r_ r L d E ' above service or feeder fee, 7.42 2 each branch circuit Business name: SEE ABOVE B. Fee for branch circuits Contact name: without service or feeder fee, 56.18 2 Deirdre Britt first branch circuit Address: Each add'. branch circuit 7.42 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular dwelling, service and /or feeder 67.84 2 Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 E -mail: dbritt(a3stonebridgehomesnw.eom Pump or irrigation circle 67.84 2 ':` n or outline lighting 67.84 2 • •_ .+t....,. 1 • - ..�iv F e •. .:., t, : ,. •�� TC^¢� t .. � w . i ` t :: s ' ... Sign tli li S" ii Business name: City Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2 City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (971) 404 -1714 Fax: (503) 625 -3052 _ Investigation per hour (1 hr min) 66.25 CCB Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.:,3191r3514 S Industrial plant per hour 78.18 I? ERMIVEEES41 ' 4 1 Suprv. Electrician signature, required: 14 /1 /1 i. Subtotal: Print name: Chuck Friesen Date: Plan review (25% of permit fee): I Z i State surcharge (12% of permit fee): Authorized signature:f 1. ?„.... TOTAL PERMIT FEE: Print name: v Date: This p ermit application expires if a permit is not obtained within ISO Jays after it bas been accepted as complete. Number of inspections allowed per permit. l:\ Building \PcnnilsiELC- PermilApp.doc 10/01/09 440 -4615T(II /OS /COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Date/By: rr v 1 3125 SW Hall Blvd., "I`igard, OR 97223 Received fP 5 / dc)1 `(7Oot Li r Plan Review Permit No.: Phone: 503.639.4171 Fax 503.59$.1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Read /B orr is: Ready /By: 8 Sec Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration/ replacement performed. Indicate the value {rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. � CATEGORY OF CONSTR Value: $ x 1, Y RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total " ,- JOB SITE INFORMATION AND LOCATION Heating /cooling j Air conditioning Job site address: 1 1 7 bj — x—Lr ie* e-Ni I Pk, tom, (requires site plan showing placement) 46.75 City /State /ZIP: Tigard, OR � Furnace 100,000 BTU (ducts /vents) 1 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 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: Arlington Heights Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances ,` "' rA ` .� Ef WORT Water heater i 23.32 " Gas fireplace 1 33.39 New, Single Family Residential Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 _® PROPERTY OWNER ,.4 Chimney /liner /flue /vent 23.32 1 : fl TENAP{T: +i 'b { N Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation Address: 16869 SW 65 Avenue #505 Range hood/other kitchen equipment 1 33.39 City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑' CONTACT PERSON • Attic /crawlspace fans 2332 Other: 23.32 Business name: same as above Fuel piping Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater 1 Fireplace E - mail: dbritt@stonebridgehomesnw.com Range I =,,,c,,,-.;t;-::M.,.-',,,:i.: ' CONTRACTOR ' 1 Barbecue Business name: Comfort Zone Clothes dryer (gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT. FEES* City /State /ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee ($90.00) Phone: (503) 667 - 5595 Fax: (503) 491 - 8252 Plan review (25% of permit fee) CCB lie.: 110091 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: • Fee methodology set by Tri- County Building Industry Service Board I: U3uildingsennit sNliC- PermitApp.doc 10 /UI /09 440.46 (I I/02 /COM /WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Date /By: Permit No.: /hS? - c O � y 71 11 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit No.: TI GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: E See Page 2 for Internet: +n www.tigard- or.gov g } Notified /Method: �y +. -- Supplemental information .: . b. -., v' ,•.'j S ,x�%'.�'�` ii . ' '3 %�„4t"• > S ig' - 2/...t.; . .- - t • �' - . -, 'i'*" , ' . y ` ` 't+rT : i.+ J�� ,iri.r B• .. ' . :.'Y °{ z ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) ,W r ` s ' F ei rIb u .' ` t t s ., ` t om 't r:' SFR (1) bath 312.70 �j. ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath ( 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 -"� o A... i�. i . .e : . R i y +t el ,,t } .. Site utilities: Job site address: 15 +615 S i41Epvt c . Catch basin or area drain 18.76 " CO `G Drywell, leach line, or trench drain 18.76 City /State/ZIP: Tigard, OR 97223 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: Arlington Heights Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: Arlington Heights I Lot no.: a0 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 ay;yr. i irk I h1 >i Clothes washer 25.02 New, Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 �; .. .. , -a Expansion tank 12.51 .. a 1,(t. , '1'', •il. /.r i ._: ,- r ..t,!.. •"`Y Name: Stone Bridge Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 16869 SW 65 Avenue #505 Garbage disposal 25.02 City /State/Z1P: Lake Oswego, OR 97035 Hose bib 25.02 Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51 cr Yi i:c ql y � ` , 1 r i -, c,, c c t • ` ao1 n :', Interceptor /grease 25.02 Business name: SEE ABOVE Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Deirdre Britt Roof dram (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 12.51 E -mail: dbritt®stonebridgehomesnw.com Urinal 25.02 (£u:: Water closet 25.02 a. %'4 ,.., '1w4.. .; :t ( ' t ti S ft1 C I a . t d , y . V t, ,:C • - r-.-'°'. "u' ". =� 3r:c'z -' 14.. `., .>. ,rs.,..:-.. , . .3 ..a'z' Water heater 37.52 Business name: Jardine Plumbing Water piping/DWV 56.29 Address: PO Box 186 Other: 25.02 City/State/ZIP: Subtotal ty Estacada, OR 97023 Phone: (503)351 -8532 Fax: (503) 6302882 Minimum permit fee: $72.50 CCB Lic.: 1Q8747 Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee) �, State surcharge (12% of permit fee) Authorized signature: - -\��� I TOTAL PERMIT FEE Print name: Jay Jardine Date: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1: 111uildin ; \Penultsll'I.MU- 1'emiitApp.dot 10/01/09 440- 46161110 /02/COM/witlt) 14 _ " Building Division Development Code Provision Review T l c n x Residential Projects Building Permit No.: pi ,S (9 ()I 3 ` Project /Subdivision Name: 74rhV\)9`lviv cJ. h1S . 3 tcY) , Lot #: �lQ Site Address: 1 5 SSc.J (7c4 rNrn iv✓ ri, e, .) Or. (2 4 > CWS Service Provider Letter: / Required: Yes El No Lam' Received: Yes ❑ No ❑ Plans Routed: Original Plan Submittal Date: ) 3 Routed By: ( . 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2 Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked ( items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact Crit at (503) 718- 2`{3q or 7?- @tigard- or.gov) y ` / Land Use Case No. 3 U Q 2,0'd b - o Zoning R" 7 Setbacks: Front I Rear 1 5 Side .5 Street Side 1 6 Gara e 2 0 ,0" Maximum Building Height: 3 S Actual Building Height 2.1 .2 isual Clearance /// Easements ❑ Sensitive Lands Type: /1! f}' /0 Street Trees /(f`. -fl Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: / z- r Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ,2r Slope: -2-'2' cyo Notes: Original Plan: Approved Not Approved ❑ Date: i2 Q i Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No ❑ Date Routed to Building: Vit Page 2 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_RE3S.doc Rev. 01/16/13 • �� 1k QG OBE: 1451 STONE ' 'J HOMES N W � �� LOT: 80 DATE: 11/26/13 4230 GALEWOOD ST. SUITE 100 .; •'• • • • • •• �• . 5 2013 PROPERTY: ARLINGTON LAKE OSWEGO, OR 97 .. • • ' • (5 3 • ' . • • •' : 1=20' CITY: TIGARD "' : • 0 � TICARD �3UILI)IWC' S CALE" •„ , •, •, ,DIVI SION HEIGHTS PLAN No.: 222 —STD. • • • .• • • • • • • .� ry • O! • • • • •• m R S ' rfr ^ „) ^1 N - 4; � / ” e / r '299 �. `* . s14 ) Ai . .. , , /� £ / 2e4 , w ,' !/3 ■ / FT 6 / ! 5 � . ' 2 1/2 BA / / 4 7 • ;.,. - pi , 43.,/ . itio 0 / Zss s -- / 4.16 1 p / ,:' . .. • /7 ■'' / / 114 . 10 , el • t . w-ti , ' , ObS ogioi CP y ou /0., BUILDING SOFT. OA; MAIN FLOOR: 1,059 SQ. FT. UPPER FLOOR: 1,311 SQ. FT. �/ PORCH: 90 SOFT. �/ /1) LOT COVERAGE - STREET TREES LOT AREA: 4,553 SQ. FT. BUILDING AREA: 1,110 SQ. FT. 0 PERCENTAGE: 38.1% — EASTERN REDEil1D - CERCIS CANADENSIS- NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT •$0 DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 4,563 eq. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15468 SW SUMMERVIEW DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final 2014-03-06 00:00:00 MST2013-00248 PASS Violation Summary: Inspector Contractor .11‘ STREET TREE : . rIGARD CERTIFICATION , owner/agent for c7-0/1) �� cf y�e /.40kit-,4 s lU'-J (PLEASE PRINT) (PERMIT HOLDER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: 14t 5 20/3 - Go 2 4/,k SITE ADDRESS: / $ ' S(,) 5L, !'^ S UBDI VISION• L ' ; -4 LOT #: ?C) SIGNATURE: DA 1 E: 3 - 2--/Y C 1 _I ER/ER/AGENT) RECEIVED & VERIFIED BY DA 1 E: 3/70'OFTTG nTree location verified per approved site plan. i I:\Building\Forms\Strcctl'rrcCcrtiticatc 115/311/2U12 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ,1)( t,‘ V41 , am the general contractor or the owner-builder at the following address: Site Address: S q 61 5"1"-) sLA � v- -eu I c City: TI 5 c�,c( 0 Permit#: Sfi 2 o ( 3 - C0Z L� a Subdivision/Lot #: `--4 ,e-j 02 L 7 S` and/or Map and Tax Lot#: 0 To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. 3 6- /V Signature: Date: General Contractor or . ner-Builder TOMPRINafflilia I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 L_ Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: rvST 20/3- 002Vg ` c Site Address: /5176 j6 y 5 Su IAA,,,,tee{ V I e Subdivision/Lot #: U and/or o Map and Tax Lot w. � i1,,9"tU ,-, By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt (Oregon Residential Specialty Code N1107.2)1 Signature: Date: 3- -/ Owner/General Contractor/ orized Agent Print Name: Dc l t [G S 7 I ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed Iighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed Iighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\Buildinsz\Forms\RCS-HishElficiencvLi2hting.doc 07/01/08 800 ery.com • a AVERY®5158TM 1 . 1-800-G0-AVERY I S! ol_0/3 ' .v Homes i-_,,.•.::tMA;�: ''7`*EM1 RGY TAR r ,i Air Duct System EnergyTrust Compa y Information .,gar+.,.M.<. .ne _ t A-4 art •L .AA miko aZi, ) Date —M Combustion Appliance Zone(CAZ)Test Main Zone Zone 2,if applies CAZ WRT Outside Pa Pa aselire(WRT Outside,fans off) Pa Pa T CAZ Pressure(subtract baseline from CAZ WRT outside) Pa Pa k .Duct!Ceakage(fill rout one sticker perduct.systemi} ,rt Description of Area System Serves 9%, — (N-� Cond.Floor Area System Serves(ft 2) `.9(132._ i D yes 26O- Air Handler in conditioned space? es❑no Air Handler present during test? "yes"for either,them max' um CFM is 75 CFM @50 Pa or floor area x 0.06 =I(4 CFM @50 Pa,whichever is greater. If"no"for both,then maximum CFM is 50 CFM @50 Pa or floor area x 0.04 = CF■@50 Pa,whichever is greater. Test Method: El Leakage to Outside or �otal Leakage Test Result CFM @50Pa Fan Pressur42 Pa Gauge type: ❑DG-3 oi'G- 0 Ring(circle one) Opep-- 1 2 Duct Blaster Location t-(/'h n(..,-c a Pressure Tap Location r h --/