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Permit INq CITY OF TIGARD MASTER PERMIT r COMMUNITY DEVELOPMENT Permit#: MST2015 00295 To,AFt 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 IE' i, Date Issued: 03/14/2016 Parcel: 2S110CB14400 Jurisdiction: TIGARD Site address: 12052 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 32 Project: Southview Heights, Lot 32 Project Description: New SF. 7/20/16: REPRINTED permit to include A/C. Placement of A/C unit must comply with manufacturer's installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 5 First: 2255 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 0 sf Garage: 510 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 2 Detectors: Yes Total: 2255 sf Value: $282,256.66 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: 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 2255 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 Geo-tech report required LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 before footing inspection 30% 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $22,938.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through -001-0090. You may obtain a cop oft -rules or direst questions to OUNC by calling 503.232.1987 or 1.800.332.234 Issued By: __- --rmi -- ••-ture: l Call 503.639.4175 b.rea.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , ...,.. - — Mechanical Permit Application .1SP FOR OFFICE USE ONLY ,i , Received City of Tiga rd 0°Nil1 c\ Dnie/By. I'ennit No.:texin1 iv 5-..noa15-•• 14 4 13125 SW I lal1 Blvd..Tigtud,0 lit!,V91 a 1 s:\55 Plan Review Phone: 503.718.2439 Fax: 503. :. 60c0010 Bale/By: Other rental: 1 WARD Inspection Line: 503.639.4175 ''c ..-‘-' 1 Of3's%\00 nate Ready/BY' Jortv VI See Page 2 for nt Internet: www.ttgard-or,et Cfr ' St4\9` Notified/Method Supplemental Information ili'ik 0:---,,, ,/,,,. , •'II ',• :::‘'..;,.'•-•t'k •l, .';A:-.' :', COM*HBYCIA L'EE4,SOIEDUIX 7 USE tii 101,5$C,S," 1 Mechanical permit fees*ore based on the value or the work El New construction EI Addition/811e,tion/replacemcnt perlbrmed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 0,7,4 .,,II.;, .4.77t;, .r''''';777,121:7777'M.7.,-,4,! P..,, ..tIfikt171,47.it,,'ao-rri";111V5:.,`4j: , N I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 1 ID Multi-family 0 Master builder 0 Other: Description I Qty. I Ea I Total •-• Air conditioning /. 46.75 irG.'7,3".- 1 Job site address: 1-2,05-1. SW-RJE-14 AGAIN P . Furnace 100,000 BTU(duets/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+mu(duds/vents) , 54.91 Heat pump 61.06 Suite/bldg./apt.,no.: I Project name:Southview heights Duct work 23.32 .... Cross street/directions to job site:SW 122"d Ave& . ' . -, .,•• :1 Hydronic hot water system 23.32 I • Residential boiler(radiator or II 'N'T INI '4 42 ij'i hydronic) Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 23.32 46.75 .. I 1 Flue/vent for any_of above 23.32 Other: • 23.32 Subdivision:South view Heights Lot no.: 32,,,, . t Other fuel appli — ances: — Tax map/parcel no.: Water heater 1 23.32 -.N".?..S?!:;. .1r•••Aifjr.t.,:-,:.;;;;VA llt,si•;•,,111.4,4;11.11, OX12:,,,,:yrte:4 rt,"ttattX,,,,,,,46,4_,,,..1.;,,,...4..4.4.4,4 Gas I rt.placchnsert j 33.39 . heater or gas new,single family residence fireplace 23.32 * C4-441 : /617c_ ---?,/,-eit4; d:7: Log lighter(gas) : Wood/pellet stove 23.32 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23,32 .:11Jitt:',''''' ,..4i.:.,°,2:7:24.1-..,i1.•:10V.lf?;:r4;;; :',';';:-IMIV!:74t147-it*C4r#4141*.i' thher. I 23.32 , -...---.. Environmental exhaust and ventilation: .,, Name:Stone Bridge Homes NW,LLC Range hood/other kitchen —........... ,equipment I 33.39 t Address:4230 Calewood St,Suite 100 t Clothes dryer exhaust .1 33,39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, 1--- 1 — — toilet comportments,utility rooms) ..... 23.32 Phone:(503)387,7577 Fax:(503)387.7615 Attic/crawlspace fans i 23,32 :,...-4901:1, -li-'',.'i ::''taili Other.' 23.32 Fuel piping: Business name:sante as above _ SI4.15 for first four:S4.03 for each additional Contact name:Deirdre Britt Furnace,etc. ) Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater / I I Phone:( ) Fax::( ) Fireplace . % — ' 12;111E_ ___..—{1. I.-rnail:clbritt(restonebridgehomesnw.com .„, 13arhecue I :•'",.7 ':•_Cwi0.00: ____iclothes di yer(ttas) --- I Business name:Comfort Zone Oilier: ------------,--, ' ' ' '10 ECI IANICAL italIT FEE '' Address: 1(132 NM'Corporate 13r Subtotal 1 C'ity/Skile/ZIP:Trokiftla lc,OR 971161) Minimum permit fee($90 00) Plan review(25%of permit fee) Phone (503)667 SS95 F•us-(s113)491.82s2 Stalt:sureho aroe(12% f penult fee) CCI1 lie.: 1101191 TOTAL PERNIIT FEE 'I in;ii.,;;;TiTiOliii;iCWCTI;;;7771;;;;;iiT.7.ont obtained mithio IRO : days after it has been accepted as complete. Atillitwiied sigiviltiiv: Print aunt Btivid II eldsoh I Date: I CITY OF TIGARDII MASTER PERMIT ■ COMMUNITY DEVELOPMENT Permit#: MST2015 00295 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2016 9 TIGARD Parcel: 2S1100614400 Jurisdiction: TIGARD Site address: 12052 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 32 Project: Southview Heights, Lot 32 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 5 First: 2255 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height 35 Bathrooms: 3 Second: 0 sf Garage: 510 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 2 Detectors. Yes Total: 2255 sf Value: $282,256.66 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: 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 add9 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 2255 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 report required before footing inspection 30% PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $22,841.16 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 folio the_ rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo av obt in a copy of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:OirliliP - -L- - -..e.._�-.-: Permi'ee ignature: p..1 X 9.4175 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 Ls I I t . Residential �ev FOR OFFICE USE ONLY City of Tigard �e` ReceivedDate/By: ia/� 1 :v')$7`a0/s-�l�- Permit No.: 13125 SW Hall Blvd.,Tigard,OR 0C3 Plan Review n Phone: 503.718.2439 Fax: 503.5 8. 960 C p 2 Date/By: '/i a j j fa Other Permit:Sw/C301S•Txv3 TIGARD Inspection Line. 503.639.4175 Date Ready/By: Jur�s: ® See Page 2 for Internet: www.tigard-or.gov Oo1� %, tr``�\ONA Notified/Method 0106 /-7- 7�-0 Supplemental Information 1.4 O`V / C+ Pr ,ii i i� o. TYPE O)� taz 'u 5N a.. `' REQUIRED I 1 e ND 2 F IL I WELLIN- `, ®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 Ky r ? work indicated on this application. URS �lf°.„ N s , .a,5j5G= ez a„ :y�Y,;i,agF. .�° 4,6 ,•Yr'� „9 ,.. '%,s%, ..s # .5 r,.? - -.4:4,,,,,;.0,,,,,,-..,-,,--44k. .n........ ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: a5/ $ I J 0 Accessory building 1=1 Multi-family Number of bedrooms: 3❑Master builder ❑Other: Number of bathrooms: '� s � Total number of floors: CS C� AND 1 ,,6 I'lON I Job site address: 174S2„SW "N12t. a-tN DR , New dwelling area: '2,71j5j square feet 23 bs-- City/State/ZIP:Tigard,OR 97224 Garage/carport area: 51 0 square feet J Suite/bldg./apt.no.: I Project name:Southview Heights Covered porch area: square feet Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area:aa 3 2N/4:4, square feet Other structure area: -- square feet it . w s x=DHyE0Eac401. ' ` Subdivision:Southview Heights 1 Lot no.: 32... 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 laliiii3OtaiiMeiiiiiiiiiifttek,iAli,gi(:'j)E"W(O1 9a' work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet 1ii ^-rtPROPE O '' 0 TENN1A T 6 , .iNumber 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)387.7577r Fax:(503)387.7615 nL �v.� New: �J AiDdd a: akICANT`7 F?x CONTA r PERSb r ;" ' x d..1$ I-i t� 'l°i m ," Business name:same as above 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: Amount received: Phone:( ) Fax: :( ) µu. 7 OVOLT C SOLAR PANEL S'Y 1"EM€FEES*, E-mail:dbritt@stonebridgehomesnw.com �-h n� t�s.. r,y�s, � ;.H �,3u ,�,,, N,.-, ;„1'OIt Commercial and residential prescriptive installation of ..a. .... n,,,.,i ;_ ,7-,,,,y,,,,,, •�„,,.•a• F-.. . ; �4,i 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. Permit Fee(includes plan review City/State/ZIP: $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 Authorizedsignature: This permit application expires if a permit is not obtained �S=a,,J� within 180 days after it has been accepted as complete. Print name: D l Ze F P- rT Date: 12,172-1/ i 5 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemtitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) J Electrical Permit Application ♦IE� FOR OFFICE USE ONLY • Received City of Tigard �V Date/By: Permit No., mG�- /5-,,,�ck)�Q� n 13125 SW hall Blvd., Tigard,OR 9� D `l 015 Plan Review ✓1 tl { •'I a Phone: 501718.2439 Fax: 503.598,1 960 C�y Other Permit: OC ��I�atelReady/By- e _ 1'IC,ARCt Inspection Line: 503.639.4175 ` P y y- v� O� `S\ c Rc/d/t3 ! rs S piee Page l Int Internet: wwWngtrdorgov �,� fV!!"�„hcd/Method. Supplemental Information `t+ !w ' ?' 'F a,a 14 TYPF bE t :�. 01)' ' ': ,q i. , kak #A # .,Ei T.,. ..,...;.r a, x, . �\ Please check all that apply(submit 2 sets of plans whims checked below): ®New construction ❑Addition/aherat i+ placement 0 Service or feeder 400 amps or more 0 Building over three stories, ❑Demolition ['Other: where the available fault current ❑Marinas and boatyards. ” % vx '- exceeds 10,000 amps at 150 volts or 0 Floating buildings. x o* ti? i' " Vd ,°� , 6.0.14'",."2,41:','-'' . . . gr"` Iess to grumrd,or exceeds 14,000 0 Commercial-rise agricultural ® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations, buildings. 0 Multi-family ❑Master builder 0 Other: ❑Fire pump, 0 Installation of t 50 KVA or rx s 4,«�,.� .r f 4:. g ❑Fir epump,system. larger separately derived system, , � dal „,'.:: <�,•.. �, . ,,,�,�.,�r� .., � : ,+ ❑Addition of new motor load o}. ❑"A" "F" "I-2'-1.3-, �,Q_ p ( � •., ,t�j`' ) 4 4 I00ormoreore, occupancy, Job no.: 1 Job site address: '1,81/0 TO tam OR 0 Six or more residential units, ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 0 Health-care facilities, ❑Supply voltage for more than 0 Hazardous locations 600 volts nominal, Suite/bldg./apt.no. IProject name:Southview Heights 0 Service or feeder 600 amps or more. Cross street/directions to'ob site:SW 122nd Ave&SW Beef Bend Rd J Ducri Ilan .•I Fee. TO,tai • New residential single-or multi-amily dwelling unit. Includes attached garage. Subdivision:Southview Heights 1 Lot no.: 32. 1,000 sqn II.or less I 168.54 4 Ea,add'I 500 sq.ft,or portion 4 33.92 1 Tax map/parcel no.: Limited energy,reside tial ee , C 81• " i i t ,s 4 t ° ,� { ' 1 ;. (with above s 1-ll_) 75.40 „;, n 2 r _s .I Limited energy,multi-tainily 75.00 2 new,single family residence residential(with above sq.IL) Renewable Energy El See Page 2 , Services or feeders installation,alteration,and/or relocation , r- '" / 200 am s or less 100.70 2 201 amps to 400 maps 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 552.26 2 City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 1 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 *fig ff `a '' It#` a£ i�ktia ,6 1 ,+ 4,. 1.'4;-::;144';41 r . A.I Fee for branch circuits with s above •service or feeder fee, 7.42 2 Business name:sante as above each branch circuit B.Fee for branch circuits ivithont Contact name:Deirdre Britt service or feeder tee,first 56.18 2 branch circuit Address: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/211': Each manufactured or modular dwelland/orfeeder cc 67.84 2 Phone:( ) � Fax::( ) lli Reconnect only 67,84 2 E-maildbritt(a)stonebridgehomesnw.comPump or irrigation circle 67,84 2 ,,1 4 :, & .i :^' 4a ,. -/.51 , ll Sign or outline lighting 67.84 2 Business name:City Electric Signal circu il(s)or hooted-energy Sec �_— panel,alteration,or extension, Page 2 2 Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in atf the above — — Additional inspection(I lir min) 66,25/hr City/State/Zit':Sherwood,OR 97140 Investigation(I hr min) 66.25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industiial plant(1 hr min) 18.18/hr Inspections Ibr which no Ike is CCULic.: 42422 Electrical Lie,: 26-289C A Suprv. Lie,: 35925 specifically listed(',/:hr nun) 90 00/hr r-'2_---) ELECTRICAL ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: _ _ Subtotal: Print name: Chuck Friesen Date: Plan reviess (25%iii permit feet .-_.. State surcharge(12%of pcnnit Ice). ,Authorized sienatiire: -fO'fAl.PLRMi-i Flip'' This per mil npplirarinn rxpir`c�if a pernul is not u61 uncal,vithin IAU Print It:Inlc: Dale: Jays aner it has Irccn"r replul ac cn nyilcle. _ - .......... Number r}inspections allmattl prr pennii Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard e`� Received Permit Na: yV I, Ian; n 13125 SW hall Blvd..Tigard,O t!yt0 '\c M`f�� 1 111 ': ,, tl�� Plan Review Other Penult:1 Phone: 503,718,2439 Fax: 503, 60 (� D a 17ate/l)y: Inspection Line: 503.639.4175 Y E`� 1 Date Read/B bn'i, ® See Page 2 for TIGARD p�� G�. ter_ Ready/BY: Internet: www.h aryl-or. ov g g �OG� `��(�` Nunlied/McthncC. Supplemental Information A, TYPE �) 41.1„.,,-$ ` � COMMERCIAL FEE':"SCHEDULE— USE Otit; Kt I t t 1._ ,ee Mechanical permit fees*are based on the value of the work Y ®New construction ❑Addition/aIle;tion/replacement perforated. Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. — Value:$• r pert_ rr- y ,... a•�%-,u.0 P 4 y «'kms.,�-` .,v' , ,../ k . r, ' ® I-and 2-fancily dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total _: e A«,; (# �•` Ilcflting/cooliu&: Air conditioning 46.75 Job site address: I ZQSZ- SW U M A(2A O H 29.. Furnace 100,000 BTI((ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 t Suite/bldg./apt,no.: ( Project name:Southview Ilcights Duct work 23.32 r Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Hydropic hot water system 23.32 € Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 lie/vent for any of above 23.32 Subdivision:Southview Heights Lot no.: 32. other: 23.32 x Other fuel appliances: I lax map/parcel no.: Water heater 1 23.32 1 r� ;a r '�r , b l O) A �I< r � i ''§ � „; (3 as fimplace/nsert ' 33.39 t x 1 x - . - Flue vent for water heater or gas new,single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 1, Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 F 7,104,14-47;4T, RTY C)W�i i , ` `. Q 7 NA$t: Other: 23.32 r -' ..,- .�,a - '" Environmental exhaust and ventilation: : Name:Stone Bridge Homes NW,LLC Range hood/other kitchen s ec ui ment 1 33.39 Address:4230 Galewood St,Suite 100 1...P _... ---,__ _ .._._. t _ Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, i toilet compartments,utility rooms) ., 23.32 I Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans ) 23.32 € �� ¢ a lerg C)) A i'E � Other: 23.32 Fuel piping: Business name:same as above 514.15 for first four;S4.03 for each additional Contact name:Deirrh•c Britt Furnace,etc. Address: (las heat pump Wall/suspended/unit heater City/State/ZIP: Water heater j Phone:( ) Fax::( ) Fireplace Ran c ` s, F-mail dhritt(a)stonebridgchomcsnw.com Barbecue r CONtTRA fQR Clothes dryer(gas) Business name:Comfort Zone Oilier: 11EOIANtcALPERNI1TFEES* `� I Address: 1(132 NW Corporate 1)r Subtotal City/Stutc/l.IP:Trott OR 971)60 Mi inuun permit tee(SOO 00) — Plan review(25%of pump Ice) Phone (503)667 5595 [ Fax:(5113)491.8252 �__.-_...._ Slate wrehurge I12%or permit tee) (411 tic.: 111(1(91 TOTAL PI?RIMI I I'L.F. I his pernul application expires if a permit rs nil obtained within 1 R0 t�.._._. days after it has been accepted as complete. i\uthuru,ed signature: Cr'' -" ---- Fc::metho uluw. i he'Io dourly Itwldmr Intlu iu y Service ii.,artl Print name. 1)11 yid Ileldslab a nate. 1 , ,,it , r i':'.o r, , j'«.mbing Permit Application Building Fixtures �� FOR OFFICE USE ONLY Cit of Tigard Received th Y g 015 Dale-13y: I iYnit No,: Me'7"lwl 5 vo . 13125 SW Hall Blvd.,Tigard,‘1,1.--- 223 p% (. Plan Itcvicw r •J tI E1 l ('hone: 503.718.2439 Fax: 5113.59X fl Other Permit No., Q Date,3y: TIGARI7 Inspection Line 503.639A 175 d��o��\G��o� D;acRcadyiHy. ions: RI See Page 2for Internet www.tigard-or.gov ` ^`•VI 7 Notified/Method- S ie i s TYPE OF WO �- . l. FRE' 'S'CHE ULF.m Supplemental Information Vit; ®N w construction �] �emolitiun � For special information use checklist. Description 1 Qty: ( t?a. I Total ❑Addition/alteration/replacemcnt ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' r=.: it-- , ` �r.. Vt a , ,, ' . , _._ 7 ..- `..a,.,- �,. ,K .1; ,., ; SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building LIMulti-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ['Other: Fire sprinkler( sq.ft.) Page 2 :,.',1!;,; <,� .rc' gam. �, �` � ' ' �' f Bal t� ;t h a) oo t, a a N ,.. � .` Siff Utilities; _ Job site address: (1052 SW 1U R-N AC, 131z.. (itch basin or area drain 18,76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear 11.: ) Page 2 Suite/bldg./apt.no.: I Project name:Southvicw Heights Manufactured home utilities 50.03 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear It.: ) Page 2 Water service(no,linear It.: ) Page 2 Subdivision:Southview Heights Lot no.: 2, Fixture or,item: Tax map/parcel no.: Backflow preventer 31.27 im , a ? = - Backwater valve 12.51 ncw,single �' � I o �; �, Clothes washer 25,02 family residence Dishwasher 25.02 - Drinking fountain 25.02 I jectors/sump 25.02 g ' ` ti i "It :, rExpansion lank 12.51 Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:4230 GUlewood 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 �s �F., ' � mr�_ � r� �� :r ii � � 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:dhritF&ctonebridgehmnesnw.com (trine! 25 02 ' - Water closet -- __. 25.02 '-if"' � -rCONTRACTOR, '. Water heater 37,52 Business name:Max Plumbing/ !! IN e• Water plping/DWV 56,27 Address:PO Box 5597 Other: 25,02 City/State//I P: Beaverton,OR 97006 - Subtotal Phone (971)275.0198 fax:( ) Minimum permit lee: $72 50 2 ry +� Plan review (7 't,ul permit lee) CCII Lie.: i C 7 Plumbing I ie.no.: 1 , , >13 ---- ----- _ S1,1:esurcharge 112/nul pelnut lex) Aulltolveil signature: l� f ,,, y. ..-,e; 0 FAL 11.12Mt1 FIT I Print ILu11e:.1aSOn I I �lel' l Dale: ....... l hn permit application expires it a permit is nal obtained it lion 180 days _�________._.. alter it has been aarplcd as 011111)1M. "I 5 nrahuduh;❑w-SCI ht fri-('isols R111411 111'Indusu\Smile Hnald IIs=I:Ih;!i•.I'.i;np„Pl h.I' I' .m 9pp dnc Iia!;'; .14 ;44:r, v../ 04: i 7 U City of Tigard illCOMMUNITY DEVELOPMENT DEPARTMENT T 1 c R D Building Permit Review — Residential Building Permit #: /z1 S 7`01.0 i 5--03,024 c- Site Address: �aoca Stu -7-16,7,; :L Project Name: Sdk-A l/lv tA Lot #: 3c (New dwelling=subdivision name;Ad . .o o7j r.1iteration=last name of owner) Planning Review Proposal: AJ.e4 S7 VVerify site address/suite#exists and active in permit syst . opIRiver Terrace Neighborhood: ❑ Yes No Sit Plan Elements: li'hree (3) copies of site plan isting structures on site lith plan must be on 8-1/2"x 11"or 11 x 17"paper I Footprint of new structure (including decks)with finished ' yawn to scale (standard architect or engineer scale) elevations orth arrow U ilit} locations (required for new,may apply for additions) f{dS e address,project or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) Erosion control(including drainage way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) LLot area,building coverage area,percentage of coverage and feet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location in Property corner elevations(2 foot contour lines if more than Ogisting trees to be retained with drip line,and tree 4 foot differential) protection measures SCleati Water Services—Service Provider Letter (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified ❑ No Received: E Yes ❑ No cilt Public Faciliti(Improvement (PFI) Permit: / equired: [V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Fit Vand Use Case#: S A'X13 -- GOK0 sSoning: ' �- etbacks: Front / Rear /5— Side 5— Street Side // Garage 020 andscape Requirement: cQQ of Coverage Maximum: � Building Height: Maximum Height s / Actual Height ` 5z Eisual Clearance asements f II i•ensitive Lands: ❑ Yes INo Type itrban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: --- r, Date: y IV Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Fonns\BldgPennitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: /a fif/1 Site Plans: # e/ Building Plans: # (f Building Permit#: lal-Ear building permit#above. Workflow Routing: ming 2- nginccring ❑— mit�Coordinator ming Workflow Sign-off: n-off for Planning(include notes from planning review) Route Application Documents: C 'ngmeering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 8—$nilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ -` _ Date: r;e4/,5-- i Engineering Review 4 Slope at building pad: 3 Z, Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat XWater 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 En:ineering: N Date: Notes: .....� i • ,� tom_ Approved by Engineering: 1G. D Date: ,z 30—z..6 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: 720iSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes /07 N/A Parks SDC: r Yes ❑ N/A OK to Issue Permit /711Approved by Permit Coordinator: Date: i� /115' IP Building\Fonns\BldgPennitRvw_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 12052 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00295 Jeff Grove Breaker lock on dw will check at ﬁnal 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 12052 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00295 David Young Schedule ﬁnal inspection for landscape irrigation Backﬂow devise for approval. Wilkins model 350 serial # A539376. Final erosion control approved Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Blower door test results checked. 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 12052 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00295 David Young Corrections from previous inspection 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 12052 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00295 David Young Correction for Backﬂow ﬁnal complete. City required documents for ﬁnal inspection received at previous ﬁnal inspection. C of O left on site. Violation Summary: Inspector Contractor