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Permit (7) CITY OF TIGARD MASTER PERMIT S 2 COMMUNITY DEVELOPMENT Permit#: MST2016-00118 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , ' j+ Date Issued: 04/04/2016 TECTA 9 s -' Parcel: 2S110CB12100 -7��h �` A. 0 Jurisdiction: Tigard Site address: 15086 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 9 Project: Southview Heights, Lot 9 Project Description: New SF. 7/20/16: REPRINTED permit to include A/C. Placement of NC unit must comply with manufacturer's installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1280 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1440 sf Garage: 488 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2720 sf Value: $337,564.58 Rear: 15 PLUMBING Sinks: 2 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: 1 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 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&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 2720 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 A Geotechnical report is required before the footing PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $29,736.55 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 obtain a c of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.j �� ' / Issued By: /' � Permittee-Signature: Cal 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 ApplicatRECEIVED FOR OFFICE USE ONLY Received Cityof Tigard q �" 1 hermit Nn: III • 13125 SWI tall Blvd.,Tigard,OR 97223 MAR 3 2016 I)atc/13y: �3 !(y MSr I�'C.r�i70 Plan Review Q' Phone: 503.718.2439 Fax: 503.598,1900 fYmeA3>•: Other Permit:60),.. 016—t�14+0F3 fIC;ARD Inspection Line: 503.639.4175 CITY OF I IGAR 1, lura: R g g l 0 VISION Gate Read/tho S See Page 2 for Internet: www.ti and-or. ov 6`IILDING Nutil"•,ihl th,., Supplemental Information ��JJ ./ t. C'Oh11IERCIAL FEE SCHlbp'ITCE, z J8, GII0.1�1' I" , v°' ''"' O1c lYC R-- �� =`t Mechanical permit fees`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. .--a r— Value:SS" �{ '''.0''''':'as „ j7 : . a31 `I,r..a 4.g-.5«',i A `tl, t, r< . � � .i: bras yr^(l.{ `mix�;`... " s a,'!°» 4. ):t°'. 3 t�•'I .t ,k ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For specioIJnformatlonuse checklist ❑Multi-family ❑Master builder ❑Other: Description 1 Qty. Ea, 1 Total A$i, x M �:' s i ks °;417k s �3;°i a a , a s , '"" :. . Heatina/cooling: *t' -: ^� e -'r, .,� - .c .fiz,-. '` t _�;° s <., r< .:-a,�fi .,t,'!%-9, - ._..� - A,� Air conditioning 7 ;.46.75 �i„I lob site address: IrOplv 'bV NAR- SvW/ (4 , Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54,91 Heat pump 61.06 Suite/bldg./apt,no.: I Project name:Southview Heights Duct work 2332 Cross street/directions to job site:SW 122n'Ave&SW Beef Bend Rds XHydronic hot water system 2332 Residential boiler(radiator or A - ."- ‘0061 hydronic) 2332 dt Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. '46.75 Flue/vent for alb of above 23.32 Subdivision:Southview Heights I Lot no.: Other. 23.32 Other fuel appliances; Tax map/parcel no.: Water heater 23,32 : s ,` 7p rex;... 4.-it -4efi��acs,"°; 3l 'i.V r'I"Ef c` , I 4,4;-....• Gas fireplacc/inscrl 33,39 ( '' '"-" Flue vent for water heater or gas new,single family residence fireplace 23,32 1^� Log lighter(gas) 23,32 k /� 7/,70//(4, f Wnai/pellet stove 33,39 Wood fireplace/insert 23.32 Chinuleey/liner/tlue/vent 23.32 (.)Ther. 23.32 ' r-�d •I Environmental exhaust and ventilation; Name:Stone Bridge Homes NW,LLC Range hood/other kitchen .............—— equipment 33.39 I Address:4230 Calewood St,Suite 100 t --w4 Clothes tlrit exhaust 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 , n. �1 i ° r ` i io7, :< r, " 7..,A a ,,y lix. g� s c _ r: 23,32 _a .�'srt.v .4 _Other:_ . Furl piping: Business name:same as above 514,15 fur first four;54.03 for each additional Contuet name:I)eirclre Britt Furnace,etc. Address: (;as heat pump Wall/sussded/unit heater City/Stale/ZIP: Water heater Phone:( ) Fax::( ) Pir�lac - -- Rlnsc I mai I:ribrilt(idstonebridgehomeanw.com Barbecue C'ON''RtA1 QR . . Clothe;dryer(gas) Business name:Comfort ZoneOther' Address: 1(132 NW Corporate Dr Subtotal City/Suds/ZII'.•I-ronIda le.012 9711611 Ma Int mit puma fie(690:00) -----.�_.. -- Plan review(25%of permit fee) Phone (503)667.5595 Fax:(5(13)491,8252 State err h u c(12" of permit tee) (.(13 lie.. 1111(191 11)1mPI R in.FE: _........... -. _._. ..._. .............. . ._..__._......--' ---'-----'--- '1 his primp application expires it n permit is not obtained is Won IAO ' � _,_./['----2----. -,, > days alter it has been accepted as complete. Atdliori/cil`:I'V'nllln7 ,_l"C: ( --•--- Ire quahtdnluc�t,l hr fli-Cuuuly ter tiling huhiaiy Srrotcc n.',atl flintname Bas idIleldslathDatt 1 1 _ I 741 -. n CITY OF TIGARD MASTER PERMIT II - COMMUNITY DEVELOPMENT Permit#: MST2016-00118 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2016 Parcel: 2S110CB12100 Jurisdiction: Tigard Site address: 15086 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 9 Project: Southview Heights, Lot 9 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1280 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1440 sf Garage: 488 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2720 sf Value: $337,564.58 Rear: 15 PLUMBING Sinks: 2 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: 1 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<10OK: 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 2720 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 A Geotechnical report is required before the footing PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $29,639.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a .. of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ? Issued By: �+......_ ' Permittee Signature: Cal i.• 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 aro required on the job site at the time of each inspection. Building Permit Application 3 z3 ry Residential FOR OFFICE USE ONLY City of Tigard RECEIVED Received Date/By g3 /� • I Permit No.: !)��—�I f'� III - • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r Phone: 503.718.2439 Fax: 503.598/OR 2 3 2016 Date/By. �2jh z Other Permit: ae�►�Q�oti aoo l3 TIGARD Inspection Line: 503.639.4175 DateReady/By: I turfs; 61 See Page2for Internet: www.tt and-or. ov CrIT F- TIGARD Notified/Method�-) d /w '"/' SupplementalInformation g g CITY� �L'" �!l�1`ifl L! /� Lj'�Ci -- ;'-'16-7-g --,7,,.,Pf/LES BUILDING DIVISION -' -. .`' -, "-Tyr', . F WORK..M REQUIRED DATA 1-ANDeVE 1MTILDWELLING ®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 :i t, a ;f6-;`,10.-6.4461a-Mg. �- work indicated on this a lication. �.® 1-and 2-family dwell ��.�� ° . e_:;� -E:. „••-.Y.414`,,''''� :-.�� Aa. i , _ - f� Valuation:337,sG $ ?i 1 , �l y ing ❑Commercial/industrial II ❑Accessory building 0 Multi-family Number of bedrooms: 9' ❑Master builder ❑Other: Number of bathrooms: 3 iii!'-'34,.'14,.:Aittr,,,T,'.',1:::41141 �:3,t li i;'!4 tTO1 !xttz Total number of floors: 2.- Job Job site address: I 57:9.*SV 1-iAzlelJ VIEW A • New dwelling area: .2,12,0 square feet ❑ • City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4V9) square feet Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: square feet' 990 Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area: 4 ca ?J)Oi square feet 1a. e Other structure area: square feet REQUI:R�D DA Ai•CO I , _ s ai illef Subdivision:Southview Heights Lot no.: 1 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the i r + ., ,*,' t work indicated on this application. Valuation: $ new,single family residence I Existing building area: square feet New building area: square feet i a PROPERTY OWNER ” lulr- V 0 NANT 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: I",,.,::pvet.,<„,, r l., PlU . ,:'I, . 0 ?� � PERSON , BUILDING P;.','g 1 . _ {-Please rgitir-,- z . �;' t` _ t 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: :( ) PHOTOVOLTAIC SOLAR.PAN F SYSTEMS*,` E-mail:dbritt@stonebridgehomesnw.comF ;_ .kta 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 $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 173318 "Total tee due upon application: $201.60 Authorized signature ,`� This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. IPrint name: �''T'r Date: 3/24/110 Ice methodology set by Tri-County Building Industry , Service Board. `Building\Permits\BIJP-R1:SPermitApp.doc 02/24/201 1 440-4613T(I 1/02/COM/WEB) Electrical Permit ApplicaFECEIVEDFOR OFFICE USE ONLY City of Tigard at/ ed 5.p,3 /0 0,4 Permit No,: e�— rug DeBy. 1,1 " 13125 SW Hall Blvd.,Tigard,OR 9//1rtiR 2 3 2016 Plan Review 6c�,e�vt(o �ooQ3 C Phone: 503,718.2439 Fax: 503.598.1960 Date/By Other Permit: i TIGARD Inspection l.inc: 503.639.4175 CITY OF PGARr) Date Ready/13y: tuns RI See Paget for Internet www tigtrd-or.gov Supplemental Information NnufieJ/M Ih�d flea;c rh all that apply(submit 2 sets of plans wincros checked below): ®New construction ❑Addition/alteration/replacement 0 Sei vice or feeder 400 amps or more 0 Building over duce stories, ❑Demolition ❑Other: whcie the available fault current ❑Marinas and boatyards. 1..":"t,- --9' � w till, a togSPRiJt` ION exceeds 10,0(1(1 amps at 150 volts or 0 Floating buildings. � u-, •�-. '�. � .. ,...? ....-3:1.',: ::-•:F' .... � , . ,... -', '. lea to pound,or exceeds 14,000 ❑Commercial-use agrmuhural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations, buildings. 0 Multi family 0 Master builder 0 Other ❑Fire pump, 0 Installation of 1501..VA or ' * xa ' + - v �'r s � �, ❑Emergency system. larger separately derived system, 1' i tt , 4 ' . f ! t.r,,,. ❑Addition of new motor load of s ❑ Job no.: ` (p Job site address:'I1;exp 1U I4Ma '? or occupancy.. (Tl "IJ 0 Six more residential units, ❑Recreational vehicle parks,. City/State/LIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than _. . _ ❑Hazardous locations, 600 volts nominal,.. Suite/bldg./apt.no.: Project name:Southview Heights 0 Service or feeder 600 amps or more e s ° ft1t 't,' , Cross street/directions to job site:SW 122m1 Ave&SW Beef Bend Rd Descriptio„ (Qty• Ftc• 'notal New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights I I,ot no.:1 I,ouo sq ft or less / 168.54 4 Ba.add'1500 sq.ft,or portion 4 33.92 I Tax map/parcel no . Limited energy,residential 75.00 2 ? 1) 1�w ` 6 < 4.. (villi above sq J 1•41. :!".f.::;';, '. _ a_ :' ' Limited energy,multi-family 75.00 2 new,single family residence residential(with above sq•ft.) Renewable Energy Q See Page 2 " Services or feeders installation,alteration,and/or relocation 4 "" a c 200 amps ar less 100.20 2 m 1 p,.,# q d at' m � ) f `t� Al--,:on -•�" 'a s $:'. `�f"' '�� 201 mps l0 400 amps 133 56 2� Name:Stone Bridge Homes NW,LLCant 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 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 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel w , A Pee for branch circuits with r.:`l ':A Ct . ,,5 .+Ent i'1' 1? RS1 , above service or feeder fee, 2 �� . each branch circuit Business name:same as above 7,42 B.Fee for branch circuits Ivithout I Contact name:Deirdre Britt service or feeder tee,first 56,18 2 branch circuit Address: Lads add'I branch circuit 7,42 2 Miscellaneous(service or feeder not included) City/State/LIP: Each manufactured or modular .. -- 67,84 2 Phone:( ) Fax::( ) dwell in service and/or feeder Reconnect only — 67,84 2 E-mail:dbritt(iistonebritigehomesnw.com Pump or irrigation circle 67,84 2 ' s , Rr ' 't r '. Sign or outline lighting „x » Y . _ . . . 67,84 2 Business Hume:City Electric Signal cirruit(s)of limned-energy See mel,alteration,or extension, Page 2 r__ Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in nn if the above Additional inspection(I hr into) 66.25/hr City/State/ZIP:Sherwood,OR 97140 Investir,tion(1 hr mnl) 66.25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr min) 78,18/hr .._ Inspections ler which no fee is CCI3 I,ic 42422 I Electrical I ie.: 26-2890 Suprs l.ic.: 35925 tip cilic;lh listed(Yrhr nun) 10001 hi ELECTRICAL PERMIT FEES ln Suv I_I,:cUit.ian sign.tture; required: ` e2Subtotal Plan icvie,v(25';;,of permit lee): Print Hanle: Chuck I'rtescn DLL ate: _ —_-__ stale surcharge(12%of permit Ice): Authorized signature: 'IOTA!.PI:R6111 11'1: -- — — -_-_ lhia prrnul ygdir taro ezpire�if a Dei nal is nnl ubt tined wiUtiu IAII Print ILImC' l)atl; ho',aflU ii his bct'n.IcrcplcJ:i crmplcic. .. Vumha til ittmpccuons alln,erd I?rr pcnnii '.Itip::,'i niii;tl iI_k I-L. I:,. It.•.._:.�t:�';i.� .. I' ..((I'd l+:Ili Mechanical Permit ApplicatIEC IVSD FOR OFFICE USE ONLY ,r Receival _- Cit Of AFI a rd Permit No; ,,��y 1312'SW Iiall�Blvd.,'1'igard,OR 97223 MAR 2 3 2016 Date/13y a l� MS �rL'C O I Plan Review C Phone: 503,718,2439 Fax: 503.598,19E0 Permit:t Qw!lo�G+03 TIGARD Inspection Line: 503.639.417$ TIGARD t Date Ready/t3y: lura: Pi See Page 2 for Internet: www.tigard-or.gnv BUILDING 0tV 1.I' Notilied/Method Supplemental Information TYPE OF WORK :` COMMERCIAL FEE"SCHEDULE USE CiiLC1i'tis ; , Mechanical permit Ices"ate based on the value of the work a. ®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:$ ` ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. 1 Total r ,r., 0y -° , k ,., Ilea tilig/cooling: ` Air conditioning 46.75 Job site address: 'Mt&SV1l 14AgNelS VISA! Ittlit. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) 54.91 Heat pump_ 61.06 Suite/bldg./apt.no.: J Project name:Southview Ileights 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 ° 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 q Other. 23.32 Subdivision:Southview Heights I Lot no.: 1 .mm Other fuel appliances;, fax map/parcel no.: Water heater 23.32 ,t� n t r A 5 4 a . f Pk s< - - fireplacelinscrt 33,34 > n • '` ` ` ``�` a 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 tneptace/insert 23.32 Chimney/lineritlue/vent 23.32 ' ()trier: ..._..._.,..... 23.32 1 ua � 'RCiPRy s xt�, t'� II+fA (,l` •„x 1 ,; Environmental exhaust and ventilation Name:Stone Bridge Homes NW,LLC Range hood/other kitchen ..----- equipment 33.39 r Address:4230 Galcwood St,Suite 100 . —_..... t Clothes e s dri exhaust 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 li.T: .'. e e� r rt�7+ , .. Other: 23,32 _ ril{ PEi1 01+t . Fuel piping: _ Business name:same as above 514.15 fur first four;54.03 for each additional Contact name:Deirdre Britt Furnace,etc. Address: Gas heat pump Wall/sus ended/unit heater City/Stale/ZIP: Water heater Phone:( ) Fax::( ) Fireplace _ Rang I -mail dbritt(u)stonehridgehoniesnw,eom 13 ncecuc I 4 CON'T'RACTOR- Clothes diver(gas) t Other Business name:('omfm•t'Lone -m_.._ - Pw1ECItANIC:AL PER1411TVEFS* qi- .:• Address: 1(132 N\V Corporate Dr Subtotal C itt/St ire"LII':Troutdale,outtlalc OR 97060 Mnnnuutt punul Fee('690:00) _ Pln review(25%of pcnnit tae) Phone.(503)667 5595 fax.(503)491.8252 .. ',Lite,tirh Tr c(1'% ,I penult tee) ('(.'I3 lie.: 1111091 TO7 AL['ERlNIIT FEF. ____. ......_..._. _..._..._.-- ----- __.------ 'lilts pm mit apphcaluur expires d a permit is not obtained within IAO ',, (a),;at it has hero accepted as complete. Attlhoriicil,,Timlurc: �`--�C -- -,__/"�..} " Pre n:ilho•In'i,e�set hv'rr Couult Building Indu>Uv Service li„•ud Pt int n:nmte. I)at id I leltIstab I pate, 4:I'i I I i-i i':win, ►1 Plumbing Permit ApplicaEI ' Building FixturesVED ill' FOR OFFICE USE ONLY Receive l /� 13125 of Tigard WR 2 3 2016 Dalell3v: 4 a 0- Pen»it No.:J-�001 x01& lig En 13125 SW Hall Blvd.,Tigard,OR 97 23 Plan Review ✓��n „,/� O u�� C. Phone: 503.718.2439 Pax: 50 a r'y Other Permit No,; �Yo'C/ Inspection Line: 503,63).4175�py`` gg �y / Date Readv/13v Juris: 0 See Page 2 for T1CiAltty Internet: www-tigard-or,gov 04�� ii DIVISION a tON Noi licWMcthod: Supplemental Information TYPE OF yORh * C'HED13L * - '� . FEE a , oE;F ®New construction ❑Demolition Forsperin/infurmrrrlon use checklist. Description_.._ I Qty. 1 l:a. ( Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i Y e 44 { � f'. 4 i SFR(I)bath 312.70 '>9cO � ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath J 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.f,) Page 2 ",' n): ✓: ��' „ r -,.. -. lie •N. ,- Site utilities:..... Job site address, SW J#A,v1S V I w Catch basin or area drain 18.76 Diywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear Il.; ) Page 2 Suite/bldg./apt.no.: 1 I'roject name:Southview 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 ft.: ) Page 2 - Water service(no,linear It:_) Page 2 Subdivision:Southview Heights Lot no.: 01 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 �; :, i a x�m‘,' err Backwater valve 12.51 Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking tbuntain 25.02 I;Icctors/sump 25.02 o I x ansion tank 12.51 Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02 Moor drain/floor sink/huh 25.02 Address:4230 Galewood St,Suite 100 Garbage disposal 25.02 City/State/Z.1P:Lake Oswego,OR 97035 1-lose bib 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51 ►< € r " ge, ( PERSON lnterceptorlgrease 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 L-mail ('a dhrit 'stonebridgehomesnw.com Urinal 25.02 - .. . - - Water closet 25.02 CONTRACTOR a �� Water heater 37.'2 Business name: Nlax Plumbing Water Alpin<.dl)\1 V_.__ 56.29 Address:PO Box 5597 Other, 25.02 Ciiy/Stale'''/.I I': Beaverton,OR 97006 Subtotal Phone:1971)275.0198 ax: ) Mammal)permit lee- 'f.72 50 Plan rcviest (25%c ul permit lie) (( 11 Lie.:. 194644 Plumbing 1 ic.no.: I'111083 -..-- - State surcharge(12 i l pernut feel \ulhui✓cd sit n elute: ( .JL..r,�'Y[,,� 1` �,r,rr•G/ -••". e 1 'I PI IZMlI I I.I - t , _. __.... ...._...., .. _.- I -I hi>pi wit.Ipplii Ihon expires it a penin is nit obtained nithio 180 days r I rent name Jason lkt i,er I Dale: ; J _-_ -_-__ alter it ha.been accepted as complete -_-_ I,,nr;lhod.:lug,s.a by 1114:mm1v IilaIdint'Indu;lry Sento noald City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: H5-9 i(o-Gtr/l e Site Address: ( 5 0 6(o Svv (-4 a,-v .j i VreAw Av-e- Project Name: Soo-Kik/my," N e ly 1i+J . Lot #: 1 (New dwelling=subdivision name;.Addition or Alteration=last name of owner) Planning Review Proposal: cS r R. ❑ Verify site address/suite# exists and active in permit system. ❑ River Terrace Neighborhood: ❑ No ❑ Yes,See River Tei ace Review_Addendum Attached Site Plan Elements: Three(3) copies of site plan -PE-risting structures on site ,Site plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations ?North arrow Utility locations (required for new,may apply for additions) ?Site address,project or subdivision name and lot number Location of wells/septic systems applicant information (name and phone number) j2Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) of area,building coverage area ercentage of coverage and Street names Impervious area (applicable iR-12,R-25&R-40) AStreet tree size,type and location ;21-Property corner elevations (2 foot contour lines if more than B-Existing trees to be retained with drip line,and tree 4 foot differential) protection measures ,Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No P/ Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified E No Applied For: ❑ Yes ❑ No,stop intake ilZi Land Use Case#: SU61013 - 00005- Zoning: Q -1 Z Setbacks: Front 1 S Rear IS Side S Street Side / 0 Garage '7."- 2:f 2:f Landscape Requirement: ZQ °% Lot Coverage Maximum: 0 X Building Height: Maximum Height 3 S Actual Height 2,5 Visual Clearance ,i Easements ySensitive Lands: ❑ Yes ❑ No Type 21 Urban Forestry Plan gr Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: 471 on,--2,(4_ g i1, Date: 2/2 '/ / 62 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\B IdgPennitRvw_R ES_O 12116.docx Building Permit Submittal Original Submittal Date: c$43//eP Site Plans: # 4 1/ Building Plans: # 9 Building Permit#: nter building permit# above. Workflow Routing: P. -Planning Engineering a Permit Coordinator wilding 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 riginal 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: i, 40 I Date: 3/ea Engineering Review Slope at building pad: lALZ 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 I No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: IL L Date: ----...2/1/—/A 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: Yes ❑ N/A (( Tigard Trans SDC: ` ►Yes ❑ N/A Parks SDC: Yes ❑ N/A irOK to Issue Permit Approved by Permit Coordinator: 740.- --- / ' Date: 3/?-4 1:\Building Twins\BldgPennitRvw_RES_0121 16.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 15086 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00118 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 15086 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2016-00118 David Young Provide PRV on interior house supply over 80 psi. All else ok. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Blower door test report 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 15086 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00118 David Young Corrections complete. All city required paper work received at previous inspection. C of O left on site with builder. Violation Summary: Inspector Contractor