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Permit y CITY OF TIGARD MASTER PERMIT '° I 1 COMMUNITY DEVELOPMENT 1Permit#: MST2015-00041 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2015 Parcel: 2S110CB12900 Jurisdiction: TIGARD Site address: 12053 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 17 Project: Southview Heights, Lot 17 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First 150 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1101 sf Garage: 791 sf Front: 15 Smoke Dwelling Units: 1 Third: 1194 sf Right: 5 Detectors: Yes Total: 2445 sf Value: $307,721.13 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 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: 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: 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 2445 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALE WOOD ST,STE 100 4230 GALE WOOD 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: $23,134.67 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 may oltres..1 a copy o th rules or direct questions to OUNC by callin. I •:7 or 1.800.332.2344. • Issued By: Permittee Signatur • _ i 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 Received permit No.: DateB ,V 7.-..... /15 a ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revue it Phone: 503.718.2439 Fax: 503.5 $I9 01 Date/B : AIR �ZEC, Other Permit: / / .–f ,_, Inspection Line: 503.639.4175 �1►IHR 2015 Date Ready"? — turfs: ® See Page 2 for www.tigard-or.gov Notified/Method: ,/ �9 .- p� `�6 Supplemental Inf ormation ormation 'ITV OFTWA� -- tL•J•ci "FVPET REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling ❑CommerciaUindustrial Valuatio • 0 .7 1X5$ �fIZt� . ❑Accessory building 1:1 Multi-family Number of Bedrooms: El Master builder El Other: Number of bathrooms: 2 .5 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 245 >St ) AVTOMN V l Ell cf.. New dwelling area: -2.44S square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 19 t square feet (194- Suite/bldg./apt.no.: Project name:Southview Heights 1)010eald porch area: _/ Z1U square feet ((0 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area: square feet (t'jC� Other structure area: 2•3� square feet 2�, REQUIRED DATA:COMMERCIAL:USE CHECKLIST a• Subdivision:Southview Heights I Lot no.: Permit Ices*are based on the value of the work performed. Jex map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ 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: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:same as above (Please refer lo fee schedule) Structural plan review fee(or deposit): Contact name:Deirdre Britt FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fes;;( ) Amount received: E-mail:dbritt(a?stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SI STEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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 S180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12/0 of permit fee): $21.60 CCB lie.: 173318 �� (� Total fee due upon application: $201.60 Authorized signature: I�J� C This permit application expires if a permit is not obtained Qr� ' w' ' within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: R ,�! ' " Date: �j!r ' d Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . r CEIV1P Electrical Permit Applicat !j FOR OFFICE USE ONLY Received City f Tigard Pemn;t Nn.; Y g Hate/13y. torn 7_ OI S�f} v t/ , 4 13125 SW!-fall Blvd.,'Tigard.OR 97223 15 plan Review 1 li Phone: 503,718.2439 Fax: 503.598. 2� p,,le/Oy: Other Permit: •t`I G A k t) Inspection Line: 503.639.4175 k•, Date Ready/13y: brit: ® Sec Page 2 for Internet: www,tigard or gov ,,s of II(;M�la Notified/Method Supplemental Information 0, t q'i;;L @ `�. , '<� I, :� o R.R X41��,.� S�1�L n k_ #. t b,r 4::'',4!;;;;:*?,,,::taz .3"1 % '�,�' 2,� e 1'Ica,e cluck all Mai apply(suhmil 2 sets of plans w/items checked below): ®New construction �❑Addition!" ton/n;placcment ❑Service or feeder 400 amps or more ❑Building over three stories, ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. r 1 ' n ' exceeds 10,000 amps at 150 volts or ❑Floating buildings. ' less to ground,Or exceeds 14,000 ❑Commercial-rise agricultural El I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps thrall other installations, buildintp. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump, ❑Installation of 150 KVA or • . ;. r 5 ❑Emergency system. larger separately derived system,is;�. ay,, :4 ,V ;', ❑Addition of new motor load of ❑"A","E' "1-2""I-3" Job 110.. ¢rte +, r'• t 1 l t' 1 1[�,,1' ,; 1001IP or more, occupancy. 1 Job site address: F) �5 t,)T , ❑Six or more residential units. ❑Recreational vehicle parks.. City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations, 400 volts nominal, Suite/bldg./apt.no.: I Project name:Southview Heights ❑Service or feeder 600 snips or more. Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd orscripnnn Qtr, to Twit • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights I Lot no.: 1,000 sq,ft.Or less ` 168.54 4 : �� 1 a add'I 500 sq,ft.or portion .46. 33.92 , 1 Tax map/parcel no.: Limited energy,residential I 75.)0 2 r t 11 » ,`P 6 tie, 1 , :'. ,.::: t .' (with above ml IL) 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_ } 4?J a is ul}'i'9 4$ , i.f,.. , .,` 200 amps or less 100.70 2 201 amps to 400 amps 133,56 2 Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 200,34 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 I Fax:(503)387.7615 relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 16$.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel a r r 'W 1 ; i , .,,,. A.Fee for branch circuits with above service or feeder fee, Business name:same as above each branch circuit 7,42 2 B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56.18 2 branch circuit _ Address: Each add''branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/lift Each manufactured or modular 67.84 2 Phone:( ) I Fax: :( ) dwellin} service and/or feeder Reconnect only 67,84 2 E-mail:dbritt(nstonebridgehomesnw.com Pump ur irrigation circle 67.84 2 -: i1":"— -,.:. `s.� Sign or outline lighting 67.84 2 Business name:City Electric Signal circuit(s)orlimited-energy Sec panel,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) 66.25/hr City/State/ZIP:Sherwood,OR 97140 Investigation(I lir nun) 66.25/hr Phone:(971)404.1714 Fax:(503)625.3052 Indusu;al plant(I hr min) 78.18/In _._.... Inspections for which no fee is _ CC13 Lie.: 42422 _ Electrical Lie.: 26-289(_ I Suprv. Lie.: 35925 _ specifically listed(s,hr min) 90.00/hr ELEL I ACt"!E4i#41ES Stiprv" I Lctrician signature; requited: Subtotal: Print mane: Clutch Friesen Date: review(25%ol'permit ice): ___. ..._._._._.__.._....______.__._..____. ... Stale surcharge(12%of permit Ice): Authorized signature: ToT AI.PFRh111 Hi: : - PPrins name Dille' 'Ibis permit applircumn expires if a permit is nut nbt nnetl within tall ool—__.,,,.._._.__._...._._"""__._.._.. .-_..........,,_._ ..___. �__ cats.filer it has been accepted as enmpkLL Number rat inspections allowed per permit 1'.tts,i,_iuc:Purmts\I i_t V;nail;\pp Iiis -Etii eke,: Kev:'i21CtrI: 'I-I'+.to I'111 i-uu-t1AV11111 Mechanical Permit Alic ` 1 ll FOR OFFICE USE ONLY Received City of Tigard Pernik No.:/fin' Yf,�f��f�)�/ Dale/By S2/ 941 cl -I! a 13125 SW hall Blvd.,Tigard,OR 97223 + Plan Review 0 Phone: 503.718.2439 Fax: 503,598.19 AR 6 Z0 1 O dler Penult: Inspection Line: 503.639,4175 TIGARD Dale Ready/fay: tuna: ® See Page 2 for Internet: www.Igard-or.gov r1TV(*TIGARD Nutilied/Methodt Supplemental Information .- .y 1YPF: O f N , � �'' Mechanical permit Ices'ate 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:$ r>R a .. M iii(°1:Z1,A.al iii:m f. C`>°W`. - Z,:: RESIDENTIAL EQVIPM i\"1/SYS1'p'\1S FFF.S* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description I Qty. 1 Ea. I Total . ;C9B `� 1 ..., 'C A ME ,LOC A IO Ilcalinglcouling: `' Air conditioning 46.75 lob site address: 12053 SW N Y ON VI BA) Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:'Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: ( Project name:Southview Heights Duct work 23.32 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 1-flue/vent for any of above 23.32 Subdivision:Southview h 1 eights Lot no.: t Other. I 23.32 Other fuel appliances: _ _ Tax map/parcel no.: Water heater 23,32 DESCRIPTION OF WOUI< Gas fireplace/insert _ 33,39 DESCRIPTION Flue vent for water heater or gas new,single family residence fireplace 23.32 . Log lighter(gas) , 23.32 — — Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �.�._ —__" Other: _ 23.32 0 PROPERTY O c`,' ., 4 _ ❑ 7 EN'AN f__-- Environmental exhaust and ventilation: Nwne.Stone Bridge Moores NW,1.1,0 Range hood/other kitchen Address:4230 Calewood St,Suite 100 Clothes dryer 33.39 Clothes dryer exhaust I 33.39 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 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:same as above Fuel piping: st4.15 for first four;54.03 for each additional Contact name:Deirdre Britt Furnace,etc. 1 Address: Gas heat pump Wall/suspended/unit heater r' Cit /State./ZIP: Y Water heater Phone:( ) Fax::( ) Fireplace __. _Range I:-maiI:dbritt(u)stonebridgehomcsnw.conr 13anceeuc CONTRACTOR Clothes dryer(gas) I Business name: 'l ('nmfort one Oilier — --- ----,-- �.-.— WCt IA NICAL PER MIT FE ES Address: 1032 NW Corporate pr Subtotal City/State/ZIP:Troutdale,OR 97060 pe rmit fie(590.00) ----..___._......._.._....___.._. Plan review(25%of permit lie) Phone:(503)667,5595 Fax:(5113)491.8252 --State surcharge(12%of permit fee) CUB lie.: 110091 TOTAL PF:RMIT FEE .. I his permit application expires if a permit is not nbtnined •within 180 t days alter if has been accepted as complete. Authorized signature: `) ' Pee mcihrx idon Sc!by 1'ri-Gwmly Budding Industry Service!board —_... I Print name:David IIeldstab I Date: 1 a I.,.1 h00_o•r,mtsV,11ir.r.nni,Aiii 0401 as(kw ._.,� .140-46171 n 11c/c4Rttwtnl Pllinlbing Pci-mit ApplicatiatlyrIVEl` • Building Fixtures FOR OFFICE USE ONLY C 20+C Received City of Tigard {� V IJ Pon it No.: �� AR Date113y: iliSt-+�06� 't 13!25 SW Flail Blvd.,Tigard,OR 9722 flan Rcvicw Phone: 503.718,2439 Pax: 503.598_1960 �� - gt y Other Permit No.: - �] 1i��L Daic•'r3 Inspection Line: 503.639.4175 CITY pale Ready/11y lurk 0 See Page 2 for TIGARD �11Y�F Internet: www.tigard-or.gov ; s itl �i(�ld erg Supplemental Information ----- y� le 1t•J TYPE OF R'OItK FEE" SCHEDULE Ness construction ❑Demolition special inJornmriun use checklist -- --- Description I Qty, I Ea. 1 Total ❑ Additionlaltcration/replacement ❑Other - New I-2-family dwellings(includes 100 ft.for each utility connection) y"'CYlFCORY OF ( NS[RLCfo SFR(1)bath 312.70 O ® 1-and 2-family dwelling ED Conunercial/industrial SIR(2)bath 437.78 --N SFR(3)bath ( 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.fL) Page 2 1TE INFORMATION AND I.00ATH)N Site utilities: Job site address: - .• Catch basin or area drain 18.76 ' Drywelt,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 . 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 122"d Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no,linear ft.:_) f Page 2 i Subdivision:Southview Heights [ Lot no.: .1 Fixture or item: Tax map/parcel no. Backtlow preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 -- Ejceiors/sump 25.02 El PROPERLY OWNER ❑ TENANT 1 xpansion tank 12-51 R< Fixture/sewer cap 25.02 Name:Stone Bridge Homes NW,LLC 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 Icc maker 12.51 0 APPLIC°.1N'I' 0 C'OM AC"1' PERSON 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 E-mail:dbritl(a)stonchridgelromesnw.cnm Urinal 25.02 Water closet 25.02 " C:ONI'R5C'COR --� Water heater 37.52 Business name:Max Plumbing Water pipingll)WV 56,29 Address:PO Box 5597 Other: 25.02 City/State/Zit':Beaverton,OR 97006 Subtotal Phone:(971)275.0198 F Minimum pemil lee: $72.50 ax:( ) .___ _......___._...__._. _..._....._, Plan review (25%of permit lie) CC!)I.ie.:194644 Plumbing Lie.no.:P131083 - -...._ State surch tr ge(12'3 of permit fee) Authorised signature: (' r; x ,�,au.t, -•-- 10'1AI.P1RMI'i`FEE This permit application expires if a permit is not obtaitwd within 180 days 1 t Inl n:unc:.lstson 11/Zr Date: J after it has been am:ruled as c plot. "Per nkthmlolo i set by t i i-County nodding hutnstry Service Board I tnhalingil'amin'PI_Alil-Pe,ma.App dose In/01,K' 44a.dottirt itp•»r('UA5AVtttt r r City of Tigard 'PI COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Residential Building Permit #: f7157 —cxx>ii Site Address: I aZ 05 3 S k) mnu t''c.J 54 • Project Name: ,�t,a_+h tie,,,.‘ h{S Lot #: J 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: K)e_i,J Sr 12• I. Verify site address/suite #exists and active in permit system. (i River Terrace Plan District: ❑ Yes No Site Plan Elements: ,ll Three(3)copies of site plan Existing structures on site NSite plan must bt on 8-1/2"x 11"or 11 x 17"paper NIFootprint of new structure(including decks)with finished *Drawn to scale(standard architect or engineer scale) floor elevations forth arrow {IUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number iA Location of wells/septic systems ( pplicant information(name and phone number) rosion control(including drainage-way protection,silt fence tot dimensions and building setback dimensions design,location of catch basin,etc.) kiLot area,building coverage area,percentage of coverage and .2 Street names impervious area(applicable if R-7,R-12,R-25&R-40) ,Street tree size,type and location ('Property corner elevations(2 foot contour lines if more than .ErExisting trees to be retained with drip line,and tree 4 foot differential) protection measures ci Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified l No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: (,1I Yes ❑ No,stop intake iia Land Use Case#: 6k413 ao 13 • 00o0 p- Zoning: R -7 p'Setbacks: Front 15 Rear (S Side 6 Street Side I 0 Garage D O Landscape Requirement: ago Rt Lot Coverage Maximum: $0 ❑ Building Height: Maximum Height 3S Actual Height ,L7 40 Er Visual Clearance S(Sr asements ensitive Lands: CI (�l No Type /Ilt- Urban Forestry Plan Conditions Met Notes: Approved By Planning: CA u,,1(...,, ('( (CG;, ,(� Date: 3 I h •6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 020415.docx Building Permit Submittal Original Submittal Date: 3/1 //3- Site Plans: # 3 Building Plans: # '� y Building Permit#: n�te building permit#above. Workflow Routing: i�•}�Pla�nning L'�'1~ngineering L�'I'ermit Coordinator n Bulging Workflow Sign-off: I , �gn-off for Planning(include notes from planning review) Route Application Documents: L4�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and __O 11 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: / Engineering Review Actual Slope: ©ve.7 Jo /d Ihr Conditions Met Easements (encroachments) WYWater Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes g No Assess Water Quantity Fee: ❑ Yes 34 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: .l / 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 El Approved,NOT Released: p� Date: Notes: L4'/ri 1 At Q� t�r�!! 9-G ,p.e.e /V6 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: OK to Issue Permit ' Approved by Permit Coordinator: d" Date: 8' ,c 1:\Building\Forms\BldgPerm itRvw_RES_0204I 5.docx Di STONE BRIDGE OBE . 1854 `J HOMES NW LOT: 17 423o GALEWOOD ST. SUITE ioo DATE: 2/18/15 LAKE OSWEGO,OR 97035 40.9 PROPERTY: SOUTH VIEW (503)387-7577 . 40■399' ' 395 EL.3 6 ' CITY: TIGARD 400 ' SCALE: 1"=20' PLAN No.: 384A 395 STANDARD ELEVATION r 390 RECEIVED J1 • ED 9 7- MAR 16 2015 I- ---- --n � CITY OFTIGARD 391 t .::•_._z_.' Y:.:.'., : BUILDING DIVISION .'19'x1•-. -. 10•.... --- LOT 390 ® LOI 1 - - r.. 385 LOT 16 385 1®- -�00 380 '191 8Q I a, -- -0' 1 I 19'6' 391 .: 381 - P1- I -....+.�_�•:T. • 96 U Ai GONG-:TE _`- B DRIVEW T' -, N __ r - .,PUE 9 N ill .-` - ,.1 4 i-- STE illniaMei CITY TIGARD Approved©F by Planning — _ _ 5T'•EET CEN ERLINE - - - - Date: -l �L I S- 12053 $W AUTUMN Initials: CA-c- VIEW ST. LOT COVERAGE BUILDING LEGEND LOT AREA: 4,423 SQ. FT. LOWER: 150 SQ. FT. BUILDING AREA: 1,435 SQ. FT. MAIN: 1,101 SQ. FT. 41) STREET TREE: PERCENTAGE: 32.4% UPPER: 1,194 SQ, FT. GREEN ASH GARAGE: 191 SQ. FT. NOTES: PORCH: 11 SQ. FT. ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. LOT •Ii ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. 4,423 SQ. FT. ALL RETAINING WALL HEIGHT5 AND LOCATIONS ARE ESTIMATES. THEY MAY VARY AND BE SUBJECT TO CHANGE. 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00041 David Young Provide approved electrical and plumbing ﬁnal inspections prior to building ﬁnal. No inspection made. 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00041 David Young No AC installed at this time, not part of this inspection. Cap dryer duct 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00041 David Young cleanout plug needs approved thread sealant at: 316.1.1l,,storm and sewer. 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00041 David Young Corrections 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00041 David Young FPS system is shut off. Finish sealing around mechanical chase in garage ceiling. Provide city required documentation for ﬁnal inspections. 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00041 David Young Corrections 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 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00041 George Heimos 1. Provide Jobsite address. R321.1, 501.2, R110.3 2. Recall inspection when correction has been completed. NOTE did not take documentation on jobsite. *Final Erosion Control approval. Passed *Street Tree Certiﬁcation, checked for tree(s). Not Received *High-Efﬁciency Interior Lighting Systems Document Not Received *Moisture Content Acknowledgement Form. Not Received *Insulation Certiﬁcation checked. Not Checked *Approach to Sidewalk Approval. Passed *Carbon monoxide Detector. Not Checked. *Garage Vehicle Barrier Installed. Not required *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval. Completed Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12053 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00041 David Young Correction for address done. Street tree certiﬁcation received. Moisture content ﬁrm received. High efﬁciency lighting form received. Insulation certiﬁcation checked. FPS system on. C of O left on site. Violation Summary: Inspector Contractor