Permit q CITY OF TIGARD MASTER PERMIT
''1 I COMMUNITY DEVELOPMENT Permit#: MST2015-00024
I Date Issued: 03/10/2015
T[C;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I parcel: 2S110CB12000
Jurisdiction: TIGARD
Site address: 15116 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 8
Project: Southview Heights, lot 8
Project Description: New SF. 9/1/15: Reprinted permit to include A/C unit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1490 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1520 sf Garage: 433 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3010 sf Value: $357,206.02 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
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: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecom asin Y
Other: N Other Description: P 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VR R-3 3010
Owner: Contractor:
STONE BRIDGE HOMES NW,LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST,SUITE 100 4230 GALEWOOD STREET#100 1 geo tech report required prior
LAKE OSWEGO,OR 97035 LAKE OSWEGO.OR 97035 to footing inspection
2 Ersn Cntrl 503-639-4175
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $24,292.13
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 - forth in OAR
952-001-0010 through OAR 952-001-0090. You m in a copy es or direct questions to OUNC by calling 50 .1987 or 1.:00.332.2344./
Issued By: C Permittee Signature: AP,/�i
Call .4175 by 7:00 a.m.for the next available inspectio ;E. / '
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Mechanical Permit Application FOR OFFICE USE ONLI'
Received
City of Tigard tk.N t. Date/By: /-J/f /S ) 7-7- Pe„ ,N" !i)�i,/t 1 ..00),2-1/
III 1 3125 SW Hall Blvd.,Tigard,O Plan Review!
= Phone: 503.718.2439 Fax: 503..'.;', Date/By: Other Permit.
T I G A R D Inspection Line: 503.639.4175 1 \5 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov ( ` Notified/Method: •�-�-� Supplemental Information
0
CoNnWRCIAL FEE* SCIifULE - USE CHECKLIST
t.L, Mechanical permit tees*are based on the value of the work
❑New construction ❑Addition/altt t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑ Other: e. mechanical materials,equipment,labor,overhead,and profit.
Value:S
i EGORY O RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75 z{(p-?j'-
Job site address: `,-1i 6, Lv e .)
v`7 Ki t-../ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: LhC.e ' 75/7:)./.. Ze-r Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Cr Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
r Flue vent for water heater or gas
4/c �f^yi�c�3 A eyf { �t�- r` fireplace 23.32
/),S7-? L S —OCrid ✓j Log lighter(gas) 23.32
d Y Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANTS' 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
X APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: -'hol ay Id. jL N $14.15 for first four;$4.03 for each additional
Contact name: Le j treflpt j y Furnace,etc.
Address: L-12,50 c-74((W Bpcf s'f- C 1 k 100 Gas heat pump
j Wall/suspended/unit heater
City/State/ZIP: Cpl�Q (lb/ or_ Cf7o"5 s- Water heater
Phone:(5) 3$37 -/577 J Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
as �bart
Address:
Subtotal i1/46--75—
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee) 3",ce
CCB lic.: TOTAL PERMIT FEE ,S-}, 3
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: /20(ti/hA fi�(�� I Date: 4`f(/ ,c-
1:`BuildingPennits/MEC_PermmitAlk 040tI3.doc 401171411/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Buil ding\Permits\MEC_PermitApp_040113.doc 2
lit. CITY OF TIGARD MASTER PERMIT
= - COMMUNITY DEVELOPMENT Permit#: MST2015-00024
Date Issued: 03/10/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1100612000
Jurisdiction: TIGARD
Site address: 15116 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 8
Project: Southview Heights, lot 8
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1490 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1520 sf Garage. 433 sf Front: 15 Smoke
Dwelling Units 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3010 sf Value: $357,206.02 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
Drywell-Trench Drain: 0
Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 3010
Owner: Contractor:
STONE BRIDGE HOMES NW,LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST,SUITE 100 4230 GALEWOOD STREET#100 1 geo tech report required prior
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 to footing inspection
2 Ersn Cntrl 503-639-4175
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $24,239.77
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 throug AR 9 -001-0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 or 1.80 . .2344.
�1�
Issued By: -e — Permittee Signature: �l 1
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.
B,9ilding Permit Application REcErvo
Residential 1 r/�. FOR OFFICE USE ONLY
City of Tigard Date/B v Ey in wit Na/ 0 p Is a•6.
- • 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 3 2015 p11'/,! 17 Other Permit:Phone: 503.718.2439 Fax: 503.598.1960 ` X`TIGARD Inspection Line: 503.639.4175 CITY UFTIVA ® See Page 2 for
Internet: www.tigard or.gov aitIL fl, . DIVId. . ts' ;Ari Supplemental Information
DviJd�/j1,U Ci,�c�TYPE OF WW'ORK REQt RED DA'T'A:1-AND 2-FAMILY DIVELLING®New construction ❑ Demolition Permit fees*arc based on the value of the work performedIndicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CQISIItU work indicated on this application.
® 1-and 2-family dwelling Valuati•' 7 r, 0� i • r a,❑Commercial/industriat� ,.�.aN I`_ I�.
❑Accessory building ❑Multi-family
Number o .edrooms: rj❑Master builder ❑Other: Number of bathrooms: .S
SI Tl ,N 1 Q.KA O Total number of floors: 2..
Job site address: 151111 SW N IV>S VIM/V ASE. New dwelling area: 3 d 1, square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 b3 square feet
Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: ‘44 Z square feet 162c
Cross street/directions to job site:SW 122°d Ave&SW Beef Bend Rd Deck area: i Wt)0 square feet
Other structure area: 3 square feet
Subdivision:Southview Heights Lot no.: v 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
DESCRIPTION OF WORK work indicated on this application.
new,single family residence Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Stone Bridge I lomes NW,LLC Type of construction:
Address:4230 Galewood St,Suite 100 Occupancy groups:
—
City/State/ZIP:Lake Oswego,OR 97035 Existing:
Phone:(503)387.7577 Fax:(503)387.7615 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:same as above
Structural plan review fee(or deposit):
Contact name:Deirdre Britt
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
E-mail:dbritt'atstonebridgehomesnw.com PHO"I'OV'OLT AIC SOLAR PANEL.SYSTEM FEES*
C omn1CrCI al 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
1 - 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:( )
1 State surcharge(12%of permit fee): $21.60
CCB lie.: 173318 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
eF� ` within 180 days after it has been accepted as complete.
I Print name: T7 IR.prf.E 1z11 Date: 2/lip/I b *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(1 I/02/COM/WEB)
•• CEIVEP
" Electrical Permit Applicatif FOR OFFICE USE ONLY
City Of 728 LO I7 Received
Tigard
Date/By:
icive Permit No,:.
13125 SW Hall Blvd.,Tigard.OR 7 Plan Review
Phone: 503.718.2439 Fax: 503,59$,1960 IAtWBY; 171hct Permit:
t t .,i 1 Inspection Line: 503.639.4175 CITY OFT1VAKD Da.Ready/t3y^ J,tris: Pi See Page 2 for
Internet: www.tigard-or.gov Not ifrcd/M lbod- j Supplemental Information
MEMBEIIIIIIIIMIMMIIIIIIII
®N �v eontini ucllon ❑Addition/alteration/replacement
Meow check aA lhal apply(submit j sets of plans w/hems checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
' less to gound,or ex,xeds 14,000 ❑Commercial-use agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps loran other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump, ❑Installation of 150 KVA or
❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","F","l-2","I-3",
Job n0.. Q Jb site address!' HP or moro- occupancy,
1 151 I V(,* (1IcJ G 7 c VIE [ism,or more residcnlinl writs, ❑Recreational vehicle parks..
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal,
Suite/bldg./apt.no.: + Project name:Southview Heights ❑Servicc orfeeder,600 mnps or more.
Cross street/directions to job site:SW 122ia Ave&SW Beef Bend Rd �a�
.
• u
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Southview Heights j Lot nog V 1,000 sq..ft,or loss . 168.54 4
Ea.add'1500 sq.ft,or portion 33.92 1
Tax map/parcel no. Limited energy,residential 1 75.00 2
(with above q.IL)
Limited energy,multi-family .. 75.00 2
new,single family residence residential(with above sq.ft.)
Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
7 1•:N:\ T' 200 amps or less 100.70 2
- `` -' ' —Ai 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
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 594 amps 168.54 2
Owner signature: Date: Branch circuits—new,alleratio,or extension,per panel
MIIMMIIIMMIIMIIIIIIIIIIIIIIMIIIIIIIIIIN A.Fee for branch circuits wfrh
above service 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 fee,first 5618 2
branch circuit
Address: Each add't branch circuit 7,42 I 2
Miscellaneous(service or feeder not included)
City/State/ZIP: -
Each manufactured or modular 67,84 2
dwelling,service and/or feeder
Phone:( ) Fax:.( ) Reconnect only 67.84 2
E-mail:dbritt®stonebridgchoinesnw_t0m Pump or irrigation circle 67.84 2
x r s,( a •: t %'. -i'-_,•-,:' Sign or outline lighting 67.84 2
Business name:City Electric Signal circuit(s)or limited-energy See
panel,alteration,or extension, Page 2s
Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP:Sherwood,OR 97140 Investieatiol(I hr min) 66,25/hr
Phone:(971)404.1714 !Fax:(503)625.3052 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
00.00/hr
CC13 Lie.: 42422 l Electrical Lie,: 26-289(' LSuprv.Lie.: 35925 speedo:ally listed(%s hr min)
,,ELEC7RICAI PERMIT TEES -
Suprv. Electrician signature,required: Subtotal
Print name: Chuck Friesen Dale:
Plait review(25n%,ohpermit feel'
Site surcharge(12%of permit Ice):
— ~�
Atli horized signature: TOTAI.1'ERM1,1 ITI-:
_.rw- .' llais pernlil applieatinn espires if a pernul is not n1;1 d wiihnr 1x11
Print name: Dale: dais after is has been accepted as cnmpleie
Nuinho nI uispccuuns allnsrml pct pxrunii
L 11t,eI,iinr i.oi,14,'i-il•Per niiAfy+ Ii1.R I Ill%doe Rev.1;f2 UN ddu.to ICI{I 1,0,/CC MitWt`n
. ....- _.
Mechanical Permit Application DECEIVE , FOR OFFICE USE ONLY •
City of Tigard Received
Dale/0;
FEB 2 3 2015 Plan Pernut No,
Er
r 13125 SW I tall Blvd.,Tigard,OR 97223 fit'
• r1Review
Phone: 503.718,2439 Fax: 503,598.1960 fYtmll3y: Other Permit
Inspection Line: 503.639.4175 '-►a
11GARB CITY OF FIGARbN.to edavietho runs Su See Supplemental for
Internet: www.tigard-or.gtly U�1 Notifcd/Mcthodt Supplcmcnlnl[nformaliog
i COMMERCIAL
i
fYl'F: �'
Mechanical permit Ices#ate based on the value of the work
®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
i
® 1-and 2-family dwelling ❑ Commercial/industrial (]Accessory building For special information use checklist
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
' ` ' l lcatingcooling:IOB SITE INFORMA CI a' " �e,T1ON
` Air conditioning 46.75
lob site address: Furnace 100,000 BTU(ducts/vents) l 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTIJ(ducts/vents) , 54.91
Heat pump 61.06
Suite/hldgJapt.no.: l Project name:Southview Heights Duet work 23.32
Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Hydronic lint 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.: Other. I 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater + 23.32
(DESCRIPTION OF WORK Gas fireplace/insert ( 33,39
Flue vent for water heater or gas
new,single family residence fireplace 23.32
Log lighter(gas) 23.32
— _ --„__., ___ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
— -__ Other: r I 23.32
® PROPERTY OWNER ~'---. .
`tT VsSa''"' Environmental exhaust and ventilation:
Name.Stone Bridge homes NW,LLC Range hood/other kitchen
equipment 1 33.39
Address:4230 Calewood St,Suite 100 Clothes dryer 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
® APPLICANT - ' ''''4-1`. PERSON Other: — A 23.32 _
Fuel piping:
Business noose:same as above
514.15 for first four;$4.03 for each additional
Contact name:Deirdre Britt Furnace,etc. `
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater ,
Phone:( )
Fax::( ) Fireplace 1
_ Rangy
1i-maiI:dbrift(a)stonebridgeholnesnw.eonl Barhecue
CONTfl..CTOR Clothes dryer(gas)
__---
Business name:Comfort Zone Other
. -.--.—. MtCI1ANlCAL PERMIT FEES .
'!' Address: 1(132 NW Corporate I)r
__ Subtotal
City/State/ZIP. hrnuIda lc,OR 97(1611 Minimum permit fee($90.00)
Plan review(25%of permit Ice)
Phone:1503)667.5595 l 1-ax:(503)491.8252 Slate surcharge{12"/"ol'perm permit fee)
C'Cll lie.: 1111(191 'I'OTA1.PERMIT I.LE
This permit application expires if a permit is not obtained within ISO
y-
days after it has been accepted as complete.
tus,y Se
Authorized signature: 4 �X^ Pee mrlh:nluluEy set by Tri-County Uuilding h,drutry Service 13oarll
[l'rint name:David Ileldstab 1 Date: I
I:asrdldu,u'd'et outh1,dt(' r,•,n,a,yy_<uo 1 I.;,t,, -1;0.4x•t Tr(r IN2/('t J,'Ww1`.(1)
• .
Plumbing Permit Application
Building Fixtures
RECEIVE FOR OFFICE USE ONLY
City of Tigard Received Permit No,:
Date/By:
'l 13125 SW Ball Blvd.,Tigard,OR 97223 c q g 1'Itm Review
Phone: 503.718,2439 Pax: 503.598.1960FEB 2 J 2015 OtherPermitNo:
oaie/ny:
TIGARD Inspection Linn. 503.639.4175 Dale Ready/Hy. Juris 13 See Page 2 for
Internet: www.ligard-or.gov Notified/Method Supplemental Information
TYPE OF .= i FEE* SCHEDULE
•• • • • • • • For special information use checklist.
®New construction ❑Demolition P r
- - Description I Qty. I Ea. I Total
❑Addition/alteration/repIacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
- ,.`-' CA;rEGoky�OF COI iJIMON S PR(1)bath 312.70
0 1-and 2-family dwelling ❑Commercial/industrial SIR(2)bath 437.78
SFR(3)bath ( 500.32
❑Accessory building ❑Multi-family
- - -- - - Each additional bath/kitchen 25.02
❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
.1011 SITE 1Ni:010tA1ION AND I O(:1TlON Site utilities:
Job site address: w N t"Ch-t( 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 ft.:_) Page 2
Suite/bldg./apt.no [ Project name:Southview Heights Manufactured home utilities 50.03
Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Manholes 18.76
Rain drain connector 18.76
' Sanitary sewer(no.linear R.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no,linear lt.: ) Page 2
Subdivision:Southview Heights I Lot no.: q Fixture or item:
Tax map/parcel no.: Backtlow preventer 31.27
Backwater valve 12.51
Clothes washer 25.02
new,single family residence Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
T ►' 1'R()PFR1`') (J1Y EIi ,"' , 1 ;'`.. ' 0 TENANT I •1ansion tank 12.51
Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:4230 Galcwood St,Suite 100 Garbage disposal 25.02
City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02
('hone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51
-
t qv : p lnterccptor/grease un 25.02 r - -"
Business name:same as above Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Deirdre Britt
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
-
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail:dbritl(rttstancbridgehomesnw.cont Urinal 25.02
_.: e.
--- . Water closet 25.02
- C:ONTRA(`fOR v,
Water healer 37.52
Business name: Max Plumbing _....... ____.____
Water pipina/DW V 56"29
Address:PO Box 5597 Other: 25.02
City/Slate/ZIP: Beaverton,OR 97006 Subtotal
Phone:(971)275.0198 Minimum permit Ice. $72.50
Plait tCv'IC± (25%ul permit fee)
CC'13 Lie.: 194644 Plumbing l tc no.:P1311183 -_
-_._---_-__ Slate surcharge(124 of permit lee)
Authorized signature: JL ,,.,c,.�� -. rc)'fAl.PFlitin r rl:r:
1 Print name:Jason I1$,'rlel' Dale' I This permit application expires if a permit is not obtained within IA0 days
11 after it has been accepted as cnmplere-
•hee nieihrnhdugv'ei he fti-Cwunr Iluddmg Indu..ay Service Ilnard
t usi.ktimu'ult. , ..,rtAttl-PconiuApp doe 110(In>, 44u-4t,to I(Ity.t2ir'oNtAvtnm
•
. City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A K D Building Permit Review — Residential
Building Permit #: !'7,5737OIS-00():34Lf Nye,Site Address: 1511 SW �Iccrve 's M em) N
Project Name: So AvieAn1 4e,.11 's Lot #: S
(New dwelling=subdivision e;Addition or Alteration=last name of owner)
Planning Review
Proposal: fQ, J � -
liVerify site address/suite #exists and active in permit system.
Sigh Plan Elements:
Myhree(3)copies of site plan sting structures on site
gSite plan must 12g on 8-1/2"x 11"or 11 x 17"paper VFootprint of new structure(including decks)with finished
i Utilawn to scale(standard architect or engineer scale) poor elevations
rth arrow
o
ityree locations (required for new,may apply for additions)
tte address,project or subdivision name and lot number vocation of wells/septic systems
n plicant information(name and phone number) Erosion control(including drainage-way protection,silt fence
sign,location of catch basin,etc.)
isir
of dimensions and building setback dimensions
Lot area,building coverage area,percentage of coverage and Gt names
,pervious area(applicable if R-7,R-12,R-25&R-40) 1,treet tree size,type and location
2Property corner elevations(2 foot contour lines if more than UdExisting trees to be retained with drip line,and tree
4 oot differential) protection measures
Clean Water Services—Service Provider tier(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
and Use Case#: S J B20� b--OOcQ
oning:
1etbacks: Front ear Side 1 Street Side — Gara e
I9I 6 1 s (2') 5 (s') g Zd (2d.)
andscape Requirement: 2.Q
[ of Coverage Maximum: g0 % y
�DV/Building Height: Maximum Height 2S Actual Height 2y
isual Clearance
asements
en itive Lands: ❑ Yes �d No Type
L1 ban Forestry Plan
Conditions Met `
Notes: thv e.e/ , era. (x., 1 � 7 p,�kOV Ol. � 6Y`oV� \3 plan
\_/
Approved By Planning: It �� -A'�1'��i Date: c
Revisions (after Building S • ittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_020415.docx
Building Permit Submittal
Original Submittal Date: x.2/13 he--
Site Plans: # _, __� grad,, )
Building Plans: # ,t me �i-q
Building Permit#: [i—E ter building permit#above. �-
Workflow Routing: ,IPlanning engineering Id�ermit Coordinator G-Bu ding
Workflow Sign-off: g'Sign-off for Planning(include notes from planning review)
Route Application Documents: [ ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
on al plan review routing form.
ME'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: A111G-■ ■■L Date: //j
r _�
Engineering
Review
'Actual Slope: N f.,470 6
B" Conditions Met
-Er Easements (encroachments) N a`'ot-
I:2 Water Quality/Quantity Facility:
Assess Water Quality Fee: ❑ Yes `grNo
Assess Water Quantity Fee: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 7-- 4"--- Date: 2 -; y, /5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: LI 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:
eN:1 OK to Issue Permit ,�
Approved by Permit Coordinator: /G%v Date: j/2/5-
I:\B u it d ing\Forms\B IdgPerm itRvw_RES_0204 l 5.docx
M T20 (5- 000ZI
lie Di STONE BRIDGE OBE : 1845 1
e
'J HOMES NW LOT: 8
4230 GALEWOOD ST.SUITE goo CITY OF TIGARD DATE: 7/22/14
LAKE OSWEGO,OR 97035 PROPERTY: SOUTH VIEW
(503)387-7577 Approved by Planning CITY: TIGARD
Date: - SCALE: 1"=20'
PLAN No.: 310
Initials: Yr 5TD. ELEVATION,
•
FEB 23 2015
•11 LOT 9 CITY OF I IGARO
20'-0' ), WADING DIVI ION
a w pw
ILI
N
M io 0
� M Nt
in•
■_ llii molc J 340
ra I I -- - -
-1 s3401
5••• 1----- 3. .*:;:t...':,:.:".:..TI,'::.....: .
it I
IL. MP EsussiNA .
5 BDRM. 'r 0 alli ,
1 it 1 21!2 BATH ' 335 MEW'
ru-
l0 STS. S I 1 �~
�^ f I I .�, .. �1% ) 0351
VJ �� �I ArAw„f/, it A p *20352
4) 4) .�42 ' ■931
19'-II 1/2'
.-� 20'-5 3/4'
LOT 1
TREE INVENTORY
*20351: 10' WILLOW
*20352: 10' WILLOW
LEGEND
LOT COVERAGE BUILDING @, STREET LIGHT
LOT AREA: 4,973 SQ. FT. MAIN: 1,490 SQ. FT.
BUILDING AREA: 2,235 SQ. FT. UPPER: 1,520 50. FT. EXIST. TREE
PERCENTAGE: 450
GARAGE: 433 SQ. FT. TO PRESERVE
PORCI-a: 142 SQ. FT.
al, STREET TREE:
TBD
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. LOT •S
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. 4,973 5Q. FT.
ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES.
THEY MAY VARY AND BE SUBJECT TO CHANGE.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00024
David Young
Provide approved mechanical final inspection.
Provide approved plans on site for final inspection, expose landing base for deck steps,
columns to have positive connection at base and rest completely on footing. Provide
engineers approval for split center support or replace.
Seal broken screens in foundation vents.
Seal hole in wall by exterior stairway.
Provide additional support for top of deck stair stringers.
Deck not constructed per approved plans.
Fix all loose handrails.
Provide approved plumbing final inspection.
Provide approved electrical final inspection.
Provide approved final erosion control inspection.
Not a complete inspection, to many corrections.
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
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2015-00024
David Young
dishwasher hose to be securely anchored to underside of cabinet top. 807.4
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
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
FAIL
MST2015-00024
David Young
Provide ac permit and approved inspection for ac installed without permit.
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
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00024
David Young
No access to outlets behind furniture in bedrooms and bonus area.
Provide access to all outlets for inspection.
Home not to be occupied prior to all final inspections.
Not a complete 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
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
August 26, 2015 at 11:25:27
AM
MST2015-00024
David Young
Correction done.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00024
David Young
Corrections done
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00024
George Heimos
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
15116 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00024
George Heimos
*Final Erosion Control approval. Received
*Street Tree Certification, checked for tree(s). Received, signed/dated
*High-Efficiency Interior Lighting Systems Document Received
*Moisture Content Acknowledgement Form. Received
*Insulation Certification checked. Checked
*Approach to Sidewalk Approval (if required). Passed
*Carbon monoxide Detector. Checked.
*Garage Vehicle Barrier Installed. Yes
*Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval.
Pass
Violation Summary:
Inspector Contractor