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Permit CITY OF TIGAR� t MASTER PERMIT �. ' COMMUNITY DEVELOPMENTMirni; Permit#: MST2016-001 53 TiC R.,o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2016 Parcel: 2S110CB14300 Jurisdiction: Tigard Site address: 12066 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 31 Project: Southview Heights, Lot 31 Project Description: New SF. 9/21/16: REPRINTED permit to include A/C unit. Placement of A/C unit must comply with manufacturer's Installation requirements. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2228 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 0 sf Garage: 513 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Detectors: Yes Right: 5 Total: 2228 sf Value: $278,456.63 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 0 Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 F u rn>=100 K: 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: 3 201-400 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 2228 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 3 Fire Sprinklers are Required PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $28,713.61 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 nter. Those rules are s forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. .1987 or 0 .332.2344. Issued By: Permittee Signature: r 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 Application ` 'C FOR OFFICE USE ONLY I City of Tigard EIV D Received ', - 13125 SW I tali 131vd.,'rigard,OR 972i3 YY +Lw I)nlcJl3y: Je�/�v Penn"No.; Phone: 503,718.2439 Fax: 503,598,19 0 Plan Review /'�.ST��1/�--or�l5� Inspection Line: 503.639.4175 p 2 1 2.016 t)ale/Rea OIIR1'hCrn11C 11i;x1 iTA t� paleRea /0 Internet: www.ligard-or.gnv APReady/By: )tail ® SerenPaget fnr ' Tt��i2, NotiOed/Mahod InformationSopplementnl OF Ahl � ,x>.e a . 3 ,_:'� f 1/ •;<.. . < a .,F a 6b1►I 1)C AL FIS'E'�` r i c "475-0,:-.:r.1.."ae rf;" . 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 - % ,r . .; mechanical materials,equipment,labor,overhead,and profit. Value S Iyel 4afC1 "% x . . :"'''''''''.':.:".*i'' . k« R' a lea e_}7 t •t' 1' '1 a " ® I-and 2-family dwelling 0 Commercial/industrial i 1 •cc-.,r �!l tfAs g For edal information use checklist. ❑Multi-family ❑Master builder a �1° P l i- ❑ Description I Qty. I Ea. I Total :,. -0(n.•v-.'1,1-• ,'- ,ti•-1 :,.;: : ' '° r Heating/eoolfng: lob site address: 11361U SO �}'�1P4 /_t,,N M Air conditioning r 46.75_ City/State2lP:Tigard,OR 97224 1 v�'�RI CP , Furnace 100,000 BTU bluets/vents) 46.75 El V I Furnace 100,000+13111(den/ventsis) 54.91 Suite/bldg./apt,no,: , Project name:Southview Beige A 1t1 Heat pump 61.06 Cross street/directions to job site:SW 122"Ave&SW Beef Bend R • Duct work 23.32 FP A Y Hydropic hot water system 23.32 fi 1 2011 6 Residential boiler(radiator or CITY017.3>"� hydronic) 23.32 i II(U/i f'® Unit heaters(fuel-type,not electric), !BUILDING ot1-ii h t in-wall,in-duet,suspended,etc. 46.75 Y '�! Nue/vent for any of above 23.32 Subdivision:Suuthview Heights I Lot no.: Other: 23.32 Tax map/patcei no.: Other fuel appliances: a n t em - g Water heater 2332 ..4, .r .r r )4I z ,{'I {�' ` 'r,t ; i:,y CICS fi tplace/inSerl 3339 .: - - new,single family residence Flue vent for water heater or gas It, G `` fireplace 23,32 5 t C /Fi /`.} ! /t,- �` Log lighter(gas) 23.32 Wood/pellet stove 33.39 _ ' ?_ Wood fireplace/insert 23.32 C tmt /liner/fue/yent3 32 # *f.,41 d rd .' '' afjd .X+rr.*»e. g Other. — -. ...__. 2332 Name:Stone Bridge Homes NW,LIC '`" Environmental exhaust and ventilation: Range hood/other kitchen Address:4230(:alewuod St,Suite 100 etc uipment — _ 33.39 City/State/ZIP:Lake Oswego,OR 97035 Clothes dryer exhaust 33,39 — Single-duct exhaust(bathrooms, Phone:(503)387.7577 toilet compartments,utility rooms) Attic%rawlspacc fans 23.32 h y Fax (503)387 7615 , v ,> ) i,a it s ., , 23.32 `> ` :,, a l aLAC t: .' Other: 23.32 -� '�-,.•.:.may Business name:same as above Fuel piping: 514.15 fur first four;54.03 for each additional Contact name:Deirdre Britt ) Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) Fax::( ) Fireplace E-mail:dbrituir)stonebridgehornesnw,com Ranke...._.....___..._.._.-----_------__—.__. 13,rbeuw CON11lA t'p . . , Clothes dr)_cr(as) Other: Business names Comfort Zone Address: 11132 NW('arpurnte Dr """--'"" MECHANICAL PEi il;11'r'u total f"r. ' ,_.__..____.__ ___._. ...__ Subtotal City/State/'LIP Troutdale,tic,OR 97116(1 - _.__.......-.---_— Minimum-- Minimumpermit fee C690.00) Phone:(5113)667.5595 — Fax:(1113)4')1 8252 Plan review(25 0 of permit Ice) I State surcharge(12% rl permit Ice/ .-_. CCI3he• 11009t -} .......... . 1OIAI PMRNII•I Il l �! 17 -- -_..--" I its prrnot application expires if a permit is not nbiained within IRO Aulhae'Ired tii�n;tlurr _ dais alter it has been accepted as comlete. _....... .... - Ice mahudoloes.0 hr'lli-(:onnh'Ilmddimg hldusUv tirretl icc lie;n I'rinl name'. Da.ml Ileitis tab __ Date:- ---- _. _ — }a .3 11 ill ;,.111'1YI:It, t CITY OF TIGARD MASTER PERMIT ''`g a. COMMUNITY DEVELOPMENT Permit#: MST2016-00153 T R-,.'ARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2016 Parcel: 2S110CB14300 Jurisdiction: Tigard Site address: 12066 SW TURNAGAIN DR Subdivision: SOUTH VIEW HEIGHTS Lot: 31 Project: Southview Heights, Lot 31 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2228 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 0 sf Garage: 513 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2228 sf Value: $278,456.63 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 add'I 500 sf: 3 201-400 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 2228 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 3 Fire Sprinklers are Required PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $28,519.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day • ENTI• •. Oregon aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -001-0010 through O-; •5.0 - 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ed By: 10 —" `'� Permittee Signature: x 7---, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY Eie1 Df�p Permit NoIII • 13125 SW Hall Bd. Tigard,OR 97223 /pr L I(/ (�(J _ Phone: 503.718.2439 Fax: 503.598.196 flE***��� Date/B : . Other Permit: L y y Inspection Line: 503.639.4175 Date Read /B Juris TIGARD p p 21 2016 Ready/By: ,�,}�y ® SeePage2for Internet: www.tigard-or.gov Af Notified/Method.s 510 � '...1...� Supplemental Information IGp,RD �,� c•( :.'.,. 4 TYPE OF`-‘7'g'''"'''''., t ,.t1 Y RE 7uD p.ATA a r,i lU 2 FA)lIJLt,X IJ�L 1l1�tC` ®New construction ❑D • Mon Permit fees*are based on the value of the work performed. . Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the ¢$ 4 y Y t t o r work indicated on this appltc ® 1-and 2-family dwelling ElCommercial/industrial Valuations-I lb iejC��$ ElAccessory building El Multi-family Number of bedrooms: 4 Number of bathrooms: ❑Master builder 0 Other: 1.‘,,3 `/� 4 T .., .e rrt 0,, ,k „., t t ,,''' ,.,, Total number of floors: Job site address: riot* SW'11374.1A6A1 N PR. New dwelling area: 21,2,t) square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: �''3 square feet Suite/bldg./apt.no.: I Project name:Southview Heights1 _31 Covered porch area: (05 square feet Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Deck area: 114 square feet Other structure area: square feet Subdivision:Southview Heights 1 Lot no.: a' 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,ma erials labor,overhead, ,and the profit for the r 1 iz #' Ap work indicated on this application.z new,single family residence Valuation: $ Existing building area: square feet New building area: square feet Da PROPERTY OWNER r 0 SANT"*`! 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 yy New: a .n: .f..gid . "i-',,:i."...--'(PIi`<Yse r a.- .., 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 PANEL,SYSTEM FEES* E-mail:dbritt@stonebridgehomesnw.com �.�,,, .: 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. Permit Fee(includes plan review City/State/ZIP: and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%ofpermit fee): $21.60 CCB lie.: 173318 Total fee due upon application: $201.60 Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Te.d2p 8Fti'T Date: 4/24!ii, `` Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\Bl1P-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .i. Building Permit Application Res'.. ntial FOR OFFICE USE ONLY' City of Tigard Received 1y 14 i Permit No.:/bif Dl/�—.>^ a 13125 SW Hall Blvd.,Tigard,OR 97223 y V ! L� v/ (/(J II• g EC Ek\I Plan Review Other Permit /� �,� Phone: 503.718.2439 Fax: 503.598.196 Date/By: SW Rol,16. rq TI G A R D Inspection Line: 503.639.4175 2016 Date Ready/By: Juris VI See Page 2 for Internet: www.tigard-or.gov APR Notified/Method: Supplemental Information ► -p :.4�, -,.-:;iv)--ti+t O o ., , ,, b ,;..� 0 � f r.49pii'"DATA:.;1 AND�2..FAM+ILY DWELL( r #8h�.,„e� z ,..� - L �a = t. �1:.,,,:4'4,,,:,!;::::::-:0#4,, � , c . rt. � E *t� .. �v. .� � ,nuc. b3.,u .9,. .i n ®New construction ❑D; i ttton Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the '' * * , v=y i 3 :li iy . ,,, i; ,, 1 work indicated on this application 215/133 ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 2,6 '- ,, � i € it- •�' r f€ r .4',.'40, a s � >4c^� Total number of floors: 1 Job site address: 120(110 SW Z1320A6M N PgNew dwelling area: 27,7,10.7square feet • City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1square feet Suite/bldg./apt.no.: I Project name:Southview Heights Covered porch area: 645 square feet Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Deck area: 1i4 square feet Other structure area: square feet ., a ,=,1 . IREDt#,T Subdivision:Southview Heights I Lot no.: 31 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 0a, n ,, � -0:-.$1.', ',',i,.. ';'';',/,;')4,',i>„';,-',, t''.:';...74C"4';`;',:!!"',;' ,7', ` ' work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNF R 4;eMA 4V , , ;- 3 3,14,,V: 4° 1,.. Number of stories: Name:Stone Bridge Homes NW,LLC Type of construction: Address:4230 Calewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)387.7577 Fax:(503)387.7615 New: 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::( ) E-mail:dbritt@stonebridgehomesnw.com PHOTOVOLTAIC SOLARPANELSYSTEM F.�+ES*r Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): _ Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 173318 Total fee due upon application: $201.60 • Authorized signature Q .�J � ,!x' - This permit application expires if a permit is not obtained signature :,. " within 180 days after it has been accepted as complete. Print name: Tetprpfla8F4TT Date: 4/24 ii(0 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY cr Rece vcd City of Tigard CEV J Permit No �yNsr-go/6,,,oi/53 GV nolcrny ! lJ 13125 SW I1all Blvd..Tigard,OR 972 Plan Review i 111 Phone: 503.718,2439 Fax: 503,598,19 0 p16 Dale/By„ Other Permit: TIGARD inspection Line: 503.639.4175 p?R %1 Dale Ready/By: lues: El See Page 2 for Internet: www.tigard-or.gov r` �ni`l Notilied/Method Supplemental Information nit Hit o a vi t v. `Lon f:Oh11IERCIAL FEEA SCHEDULE USE CtW&N.`L1 1' ,- ' Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. ' ' .� d Value:$ M� x� � „g a ,� °o �.p �d '' gittf_, 6. ' .. .. tA' w�- , a , mo'= 4 4xE �* t','..,,,,E,'” qt� r RzN. :`,,Y,''' d ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description j Qty. ( Ea. j Total B ,d I(r()�� :y a .1"01)14/4,7,04 F � tv "":,ata`' a: : -4 AirIlec ng/cooli 8 ` &...,,,--4-,:-.,-- Air conditioning 46.75 lob site address: t'J'1I1 R1 r DR r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducivenls) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: l Project name:Southview HeightsDuct work 23.32 1111 _______ Cross streeUdirections 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 Subdivision:Southview Heights i Lot no.: si Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater J 23.32 '' a4 Gas life lace/insert 33,39 ' �� NOP Z a ' a � �' .�'q�.' "� 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 23.32 ,0' M,.�. -M � 4101514;'11:::.;�., --;;;"°``'7_. ��s_.._,_ _: Environmental exhaust and ventilation. Name:Stone Bridge llomes NW,LLC Range hood/other kitchen e<ui mens 33.39 r Addlc,,ti.4230 Calcwuod St,Suite 100 _._.__._._. .................._.-_.._.__. _ Clothes dryer exhaust __ 33,39 97035Single-duct exhaust(bathrooms, _ s City/State/ZIP: Lake Oswego,OR b toilet compartments,utility rooms) 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32 t ; ® .° > - � Other: _ 23.32 _ f�, � Fuel i m Business name:same as above P P 514.15 for first four;54.03 for each additional Contact name:Ueir(b•e Britt Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace --- - it Inge I;-mail(Ibrittui slnnebridgehomcsnnv'eOm i 13ancecue Covet k(1'O1t Clothes dryer(gas) I Other: I Business name:(onifort Zone ... _... N1ECIIANICALPERMITFEES° Address: 1032 NW(orpol ate l)r ' Subtotal 8 City/State/'ZIP:Troutdale,OR 97(16(1 Minimum permit fee(590.00) t. Plan review(25%of permit Iee) : _._.. Phone:(503)667 5595 Fax:(>113)491 8212 ...Slagtireh.mce (12%.it permit fee) CC13 1k.: 1111091 1.0 FAl,l'ERlN-Ill 1•l'.E _.._ _... ._.. _..... ... I his permit application expires if a permit i.0111 obtained within IRO _____ (- day,.lite!it has been accepted as complete. W Aht)rl/a1 sIgI mil tIoc: --, ' __---c--- ---'*-- I4•c mclh,Jolocs ,d by l 1-rounlUwldina Intlu<tn SiIN IC,!),,;till Pi tit milile. Da%ill II chlstah I Date - 1 ., ,f I ,,15'wi f1, 4 tectrical Permit Applicatioi t,LJ FOR OFFICE USE ONLY Cit of Tigard PR 1 �� RL'L'CI\'Cd � 1 j� Yllale/By: Petnnt No„ ` ` "t 13125 SW Hall Blvd.,Tigard,012 97223 AfiPI.1 Review 1 a Phone: 503.718.2439 Fax: 503.598.196(1 .�/ n` ,Urc; !B : Other Permit: TIGARI.D Inspection Linc: 503.639.4175 C`1 n,r D\v\•7 Date Ready/By! lures RI See Paget roe Internet: www,tiglydorgov iLO,\v Not fied/M,thod. Supplemental inform tion 1,. i TOW,oit*,®* 012:-'f'' ; it,IW tY,10.,iii i '''"-;, ®New construction ❑Addition/alteration/replacement 'lease chec6 all dcu apply(submit 2 sees of plans w/ticros checked below): ❑Service or feeder 400 amps or more ❑Building over three stories, D Demolition ❑Other: where the available fault cmrcnt ❑Marinas and boatyards. t vm 'I' '''''o i/'� r6 `�r11'f it " I "4-,-.•%-"-"--7-''', exceeds 10,000 amps at I50 volts or ❑Floating buildings. - less to gn»nld,o:exceeds Ia,000 ❑Commercial-»se agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or z y ..5 4 t r ❑Emerbet:o system. larger separately derived system, ,, : , „ .. ..,,: ,: ' ;.a<., �' 2t ❑Addition of new motor load of ❑ ,A ,.7,. ..1.2„.,1.3,,, nte n��l� IOOIIP or more, occupancy. Job no.: (T�� Job site address: (WWW SIN M DA• ❑Recreational vehicle parks, 1 �I�l��/'" � ❑Six or more residential units. City/State/ZIP:'Tigard,OR 97224 ❑Ncahh-care facilities. 0 Supply voltage for more than ❑I laz.ardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name:Southview Heights ❑Service or feeder 600 amps or more Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd Description SI FK. rata ` New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights f l.ot no.. 3 f 1,000 sq.ft,or less ) 168.54 4 Ea.add'l 500 sq.ft,or portion 3 33.92 i Tax map/parcel no.: Limited energy residentialhal 75.00 2 " . r m i" ; t� s th4 rro vg Y (with above sqfl_,) Lnntted energy,multi-tamely 75,00 2 new,single family residence residential(with above sq,IL) Renewable Energy 0 See Page 2 Services or feeders installation,alteration.and/or relocation : 200 amps or es 100.70 [ 2 max::`� � � i 0 �, {,.<:.�..,. ��;;,�k,. .�i 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 J ^ 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 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 -401 amps to 599 amps 168.54 2 Owner signature: __ _....._. Date: Branch circuits—new,alteration,or extension,p,cuancl '3! !t ,J P'- - A,Pee for branch ci«tins wr'et: above servwe or feeder fee, 7,42 2 Business name:same as above each branch circuit B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56.18 2 branch circuit Address: Each add'I branch circuit 7,42 2 City/State/Z11''- Miscellaneous(service or feeder not included) Emit manufactured or modular dwellin service and/or feeder 67,84 2 Phone:( ) Fax::( ) b '_. Reconnect only 67,84 2 F.-mail:dbritt(iPstonebridgehamesnw.com Pw„p or irrigation circle 67.84 2 . i, F b `ti i .'t. "...'1`i+ ,WI . ` 1;'e d1) 4 A rlifi1.....n' Sign or outline lighIing 67,84 2 Business name:City Electric Signal circuil(s)or limited-energy See _panel.alteration,or extension Page 2 2 Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in anyof the above Additional inspection(I Ir Iain) x:6.75/hr City/State/ZIP:Sherwood,OR 97140 Invesliealion(I hr min) 66 251 hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr min) 74 18/In f --- htspections It r which no Icc is CCE3 l:c,. 42422 f 1 lectrical I ie.: 26-2%9(' J Suprv. Lie.: 35925 sj:scilicalh listed(',5 hi mm) 1 90 OW h: —. --_ �-_-- _ ELECTRICAL PERMIT FEES Supr (.lectin Iain sign tittle:. required: f_�'l r-'2_____) Subtotal 1 rint name: Chuck Friesen I)ate: Plan lex less (25 otpermit lec'1: -_--_---__--- State surchargc(1? „ofpclnliltee). Authorizedsignature: I(IIAI :'1:125111 I I:I�' - 1 hi.permit.Ippi,cati n whin It a pernut is not ubt.lincd,vithiu IRo... Print int Irame- Dale. la ..alk•i it ha.brcn accepted as cnmplcic. N"mha nl ina-iccul+ns allo,eed pee pennil 1.. „-.51 :Io-.;i iwt iti H • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WCRII ONI;Yr FEE.SCILEDULE Fee for all residential systems combined ... $75.00 Deserlpliaa I ow. I vrt I Total I Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 C Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ® Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ® Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is charged at an hourly(I hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr A R spectf'icall Itsted !�hr min�tl . '401417 Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 • Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. n Boiler Controls n C• lock Systems n D• ata Telecommunication Installation n Fire Alarm Installation (� H• VAC n Instrumentation Intercom and Paging Systems n Landscape Irrigation Control* n Medical • Nurse Calls El Outdoor Landscape Lighting* I Protective Signaling El Other_ _ Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.'Bui Idin0\I'enni!s'ELC.5'e!n App_ELR F.RI'doe Rev 05;2112013 Plumbing Permit Application Ililding Fixtures FOR OFFICE USE ONLY City of Tigard `�� Dateiwd Permit No,:M si--` �S- .!U/53 13125 SW Hall Blvd.,Tigard 2 Y U�le-t3y: 4y -v� ! vr� V i _ GG Plan Review Phone: 503.718.2439 Fa. 960 r)o1U ()titer Permit No.. 1 1. U�te!l3y TIG 4120 Inspection Linc 503.639.41 . U me Rc,.ly I , r��rls PI See Page 2 for Internet www tig,ard-or,gov INF r (© �\ Nollticcl Method Supplemental Information '!'''''''t'''' TYPE ( F � ... E) k SCHED1t)E : � � iliii / ®New construction Fors eclat in ormatio r use checklist. - Descriptions I Qty, I Pa. I Total I=1Addition/alteration/replacement Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) # - ; , i ... ,:A �:ff i'`-t t t '�) ; ,, „ SFR(I)bath 312.70 ® 1-and 2-family dwelling D Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500-32 ❑Accessory building ❑Multi-family Each additional hath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler 5 t >, ty, 5` e 1'i iTg Q '.. Site utiliIies' ( 9 ) Page 2 s ft. 'a e lob site address: I WO /0114A,6)64,,, Catch basin or area drain 18,76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear 11.: ) Page 2 Suite/bldg./apt.no.: ( Project 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 Ii.:_) Page 2 Storm sewer(no.linear fl.: ) Page 2 Water service(no,linear ft,: ) Page 2 Subdivision:Southview Heights ILot no.: 3i Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 c ,'' -"''t 4 9 'r t ?? e. ar; Backwater valve 12.51 :,,,410-1.� ., � � ..._"rs .tea-, Clothes washer 25,02 new,single family residence Dishwasher25.02 Drinking fountain 25.02 Ejectors/sump 25.02 T : >aePIRO <d OWR. , -. 4,,, - , a - 4- spa_ t nston tank 12.51 111 Name:Stone Bridge Montes NW,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/huh 25.02 Address:4230( alewood St,Suite 1(10 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 -- Hose bib 111.1 25.02 Phone (503)387 7577 Fax:(503)387 7615 Ice maker II 12.51 t �" " `kinky $.iy P SON lnlerceptor/grease trap 25.02 .:,„4-4.---.5,;::::,,,i2:"6...,'�A..t'P�i'�•`� . ,K'>�`.e �',a :p F'a�, if��f'.����'� �Y~oa�s.^.,'��"� >..:>3 Business name:same as above Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Deirdre Britt Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/Stale/ZIP: Solar units(potable water) 62.54 ^ Phone:( ) Fax::( ) Tub/shower/shower pan �...�._ 12.51 E-mail:dba-itt(atstonebridgehomcsnw.com Urinal �� Warr�lovel25 1 CONTRACTOR '''` A '< Water heater 17 usmess name: NI ax Plumbing Water piping/1)WV Address:PO Box 5597 Other: 25 02 City/State/ZIP: Beaverton,OR 97006 - Subtotal Phone (971)275.0198Pax:( ) Minimum permit Ire $72 50 _ ...___w._ _.._.-. . . .....-_. -_.-- NMI ICvlua (25'/o of pet Ma Ire) (( Il t.ic.: 19ic9iJ I lumhiug I is no.: PIt1083 - sidie s rch r e t 12';ii nl peiIntl fee) Alnhuri/ed si n Itule- / +�..--+ 1 4 }Z�' a+-e"'L'� I0111.II12htf111 l Print nanu:.lawn IlAPnet Dote: rho.peaunl:apphcImum ymu ata pee 11111Is not nhLunuiwithin 180 dys I a-- __. __- alit,it ha,bruit aa I. :IN Cana piele. "Pc,na,Ihua!::I,•.t I>..I ha I n-(uunlc ninldinr hnluslii Sea•:Ice On.ud t\Iii.IJ -t:.iiii.tl'I h.l(I I�iii' �I{`dc,� li 41 i-'Ii , .^.1:1.-1t] Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression stems Ifs""jtllit t i.. v a -, otaC +,`,,quare"'ofGt's)gc `" i Peen it Fee' r� £r Footing drain-J" 100' 50.03 0 to 2.000 $121,90 Footing drain-each additional 100' 37.52 2,001 to 3,600 5169.69 l 3,601 to 7,200 5233,20 Sewer- 1st 100' 62,54 , 7,201 and greater $327:54 Sewer-each additional 100'' ' 37.52 Water Service-1st 100' 62,54 Medical GasS stems: Water Service-each additional 100' 37.52 ynx p,"‘ tit i"i ✓- f ", Storm&Rain Drain 1st 100' 62,54 $1.00 to$5,000;00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37,52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ri � each additional$100.00 or fraction thereof,to 1,,y t ,,,,rt , 0.„ry t f40. t fi,.. and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 5148,50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr ', each additional$100.00 or fraction thereof,to (minimum charge—1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001,00 to$50,000,00 $379.50 for the first$25,000.00 and$1.45 for hours minimum char e 2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr 1 and including$50,000.00. Additional plan review for revisions 90.00/hr I $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge—1/2 hour) * each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. , tt3" h liki t P $ l �'f�tu "l`�"he ftp„, ' ?,..4.6 � �� �� � 1 A S ��r x._! t, .. tl!!_,� ;,- c g , " �• Plan to review is required for any of the following. 'dirk Porir)rriri it x, t... ._, ft,:::!7,, ,*:49.3-* s Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial budding with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Fact'Stall engineer. Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. , • 15IIrtif't'YflrRlE'r nl !ii<Ill v 4 Car Wash Drain Garbage Domestic—non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic—food related • that meet the qualifications above. -Commercial food related -Industrial-food related lee Mach./Retng.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Using -Stall Sink/lav -Non-food related T_ -Bradley -Commercial-food related -Service �.._ Swimming Poul Filter Washer-Clothes wain Extractor Note: if the fixture work under this permit results in an increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Fossil plumbing permit can be issued. Oilier Fixtures: I':ACily Permit ApplicaliunsASouthvi na Iteights\SV-PI.;ASIF-PermitApp.doc`) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III TI G A R D Building Permit Review — Residential Building Permit #: /"155T /la-00 t 53 Site Address: 120 SA) -Turnalol n br . Project Name: SouilnvisW kAek,)h�S Lot #: 31 (New dwelling=subdivi. on name;Addition or,Uteration=last name of owner) Planning Review Proposal: c SF SLI Verify site address/suite # exists and actio in permit system. --D-River Terrace Neighborhood: gNo ❑ Yes, See River Terrace Review_Addendum Attached Sit Plan Elements: 'ree (3) copies of site plan ,xisting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper It Footprint of new structure (including decks)with finished 144 rawn to scale (standard architect or engineer scale) �oor elevations orth arrow Utility locations(required for new,may apply for additions) address,project or subdivision name and lot number ocation of wells/septic systems pplicant information (name and phone number) Erosion control(including drainage wad protection, silt fence of dimensions and building setback dimensions d sign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and eet 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 ' .xisting trees to be retained with drip line,and tree 4 foot differential) protection measures $Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified qa No Received: ❑ Yes ❑ No -E-Public Facilities Improvement(PFI) Permit: equired: E Yes,applicant was notified 5 No applied For: E Yes ❑ No,stop intake LI Land Use Case #: 51)132o13- 5 UZoning: R-1 —//Aetbacks: Front t5 ' Rear 1 5 Side 5 t Street Side Garage 2d Landscape Requirement: to O ot Coverage Maximum: � ic6.0 O f Building Height: Maximum Height 35 Actual Height 27 e Visual Clearance Vi a ensitisements ve Lands: ❑ Yes �No Type rban Forestry Plan 5/5 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: 7 m l..einYbnrAr) Date: qJ2 1 I b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved E Not Approved I:ABuilding\Fonns\BldgPennitRvw_RES_0121 16.docx Building Permit Submittal Original Submittal Date: Ai/0.7/74/ Site Plans: # if Building Plans: # Building Permit#: nter building permit above. ��---- Workflow Routing: wa2-115-lining Engineering L1'ermit Coordinator ding ,_ Workflow Sign-off: Ilgn-off for Planning(include notes from planning review) Route Application Documents: gtneering: (1) copy of permit application, (1) site plan, (1) building plan and ori ' 1 plan review routing form. wilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: . Date: 9/204, Engineering Review / Slope at building pad: i AP _ _411,i, a Conditions "Met"prior to issuance of building pe t , Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: E Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ; . Date: _g_.-2' -Z2/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: IN OIC Fees Entered: Wash Co Trans Dev Tax: WYes ❑ N/A Tigard"Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A FOK to Issue Permit Approved by Permit Coordinator: .--------- Date: "1" X�Y I:'Building\Forrns\BldgPerniitRvw_RES_O 12116.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 12066 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2016-00153 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12066 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS September 22, 2016 at 8:40:18 AM MST2016-00153 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12066 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final FAIL MST2016-00153 David Young GFCI in entry tripping with tester plugged in. Not working correctly. All other GFCI's working correctly.. 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 12066 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS MST2016-00153 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12066 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2016-00153 David Young Provide approved plans on site for inspections. Provide approved electrical 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 12066 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2016-00153 David Young Duplicate inspection scheduled, see passed inspection scheduled for same day. Violation Summary: Inspector Contractor