Permit II CITY OF TIGARD MASTER PERMIT
II $ COMMUNITY DEVELOPMENT Permit#: MST2015-00046
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2015
Parcel: 2S110CB11700
Jurisdiction: TIGARD
Site address: 15166 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 5
Project: Southview Heights, Lot 5
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1075 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1860 sf Garage: 470 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2935 sf Value: $353,904.43 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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Tema Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 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 2935
Owner: Contractor:
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST,STE 100 4230 GALE WOOD STREET#100 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech report required prior
to footing inspection
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $23,708.90
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 0 R 952-001-0090. You may obtain a co• • e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ - n ittee Signature:
"'a 3.839.4175 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.
• 7
Buiklin , Permit Applica CEIVE®
Residential n FOR OFFICE USE ONLY
IN City of Tigard MAR 31 2015 DatReceived. _ al/LIMO Permit No.: . ---c-326 --ow
#/
13125 SW Hall Blvd.,Tigard,O ��3 Plan Review 1. '
_ Phone: 503.718.2439 Fax: o j 96.19QF TIGARD Plan Re: r '' '► 13 ( Other Permit: pigt91 —cicc .
TIGARD a
Inspection Line: 503.639.41 ILDING DIVISION Date Ready/By: lens: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: -I �it t 5� Supplemental Information
eta1 b I i I
TYPE OF WORK REQUIR . DATA:1-AND 2-FAMILY DWELLING
®New construction
❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
i
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation k3 $ .3„ O75----1 }pI 1
ID Accessory building ❑Multi-family Number of bedrooms: 3 W�—
❑Master builder El Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
t New dwelling r Job site address: 1 w, ? SW H 2,, g area: ?jtj square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4410 square feet
Suite/bldg./apt.no.: I Project name:Southview Heights Covered porch area: 1 d square feet tew
Cross street/directions to job site:SW 122*d Ave&SW Beef Bend Rd Dec -?../8 square feet 15--
Others cture area: ?)40•7'square feet Z(:j
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
-
Subdivision:Southview Heights Lot no.: 5- Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
nets,single family■ residence Valuation: $
Existing building area: square feet
New building area: square feet
14_PROPERTY OWNER ❑ TENANT Number of stories:
Name:Stone Bridge Homes NW,LLC Type of construction:
Address:4230 Galewood St,Suite 100 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing:
Phone:(503)387.7577 Fax:(503)387.7615 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(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:
Total fees due upon application:
City/State/ZIP: �� CO
il Amount received: 4-
Phone:( ) Fax::( )
E-mail:dbritt @stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: same as above Submit two sets of roof plan with connecti6• . ails
and fire departm- access,along with t • 110 Oregon
Address: Solar Installation Si ialty Code c.- list.
City/State/ZIP: Permit Fee(inclu.-s pl.• eview 5180.00
and admin. . •tive fees):
Phone:( ) Fax:( )
State surcharge %of pe 't fee): 521.60
CCB lie.: 173318 To ee due upon applicati• • 5201.60
Authorized . This ' rmit application expires if a perm' •of obtained
within 180 days after it has been accepted as complete.
��+�. 'BR ITT 3 pit 5 —7 *Fee methodology set by Tri-County Building Industry
Print name: Date: 3 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
Electrical Permit ApplicEtEcEIVED FOR OFFICE USE ONLY
City of Tigard M 3 1 2015 Received 4 .set
y MI D;nem : A I ��L)f. Permit No.: 6. `•
r 13125 SW I-Tali Blvd.,Tigard,OR Plan Review
III g Phone: 503.718.2439 Fax: I Date/B : Other Permit: ► s( �� »
TIGARI) Inspection Line: 503.639.417 TIGARD Date Ready/By!. inns: 0 See Page 2 for°
Internet: www.tigard-or.go$UILDING DIVISION Notilied/Mcaliod: Supplensenn'lInformation
'fi ^3 011 �.7,T 7 ,sir 1fL !-r:4.':,"4,1:1; ''•
®New construction ❑Addition/alteration/replacement Please check all That apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
t s: s. 'e . ` ® ;" ..747C-i..^r •' exceeds 10,000 amps at 150 volts or ❑Floating buildings.
- less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® i-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for aft other installations, buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump, ❑installation of 150 KVA or
'- - ❑Emergency system. larger separately derived system.
Vi '.e. ❑Addition of new motor load of ❑"A","E""1-2"°I-3"
Job no.: I 'I 2. Job site address: l Si�(c cw HAI211 V! A1rtve• 1°°11P or awn. occupancy.
❑Six or more residential units. ❑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 ❑Service or feeder 600 amps or more.
±:3 ,1 (1 s i
Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd � '") IMMI
1 Desrri lion ��{� _ "
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Southview Heights I Lot no.: 5 1,000 sq.ft.or less 168.54 4
Tax map/parcel no.: Fa,add''500 sq.ft.or portion rj - 33.92
Limited energy,residential
-,9 e 1.;i r(c 3) ro.4. . ., (with above sq.ft.) 75.00 2
v :� .. L.imitedenergy,multi-family 75,00 2
new,single family residence residential(with above sq,ft.)
Renewable Energy ,0,See�'g �� ��' t
,
Services or feeders installation,alteration,and/or relocation
) s ;.?�' 1'1'` ,11 ,'-p;`'- N:Nf... ;_t .. 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 200.34 2
Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or
Phone:(503)387.7577 i Fax:(503)387.7615 relocation
. 200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 z
Owner signature: Date: Branch circuits—new,alteration,or extension, cr panel _
z s��r% „ A.Pee for branch circuits irfiib
''tea7 , ,e��-^ � �'� �'�� above service or feeder fee,
T42
1usiness name:same as above each branch circuit 2
B.Fee for branch circuits without
Contact name:Deirdre Britt service or feeder tee,first
56.18 2
branch circuit
Address: Each add''branch circuit 7,42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or'nodular 67,84 2
Phone:( ) I Fax':( ) dwell ing_scrviceand/or Seeder•
. Reconnect only 67.84 2
E-mail:dbritt{a)stonebrldgehomesnw com Pump or irrigation circle 67.84 2
'- ?t. rsi ''• .. C:' ^' Greg '`'` b s i ;
a rte,, ,' _ �;T._ ... ��� ..�� ,. � � .�. '.�,�. Sign or outline lighting 67.84 2
Business name:City Electric Signal circuit(s)or limited-energy Sec [(
panel,alteration,or extension. Page 2 j 2
Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in any of the above
'° "' Additional inspection(I lir min) 66,25/hr
City/State/ZIP:Sherwood,OR 97140 Investigation(I hr mm) 66,25/hr
Phone:(971)404.1714 Fax:(503)625.3052 Indust'i it plant(I hr min) 78;18/hr
--°—•-• Inspections for which no fee is a
CUB I.ic,: 42422 Electrical Lie.: 26-2119(' Suprv. Lie.: 35925 specifically listed(s,hr mum) 90.00/hr
�-___ a. _ M:1.�CfRICAL PERM
Suprv. LIcetrician signature, required: r ) Subtotal:
Print name: Chuck Friesen Date: flan review(25%or permit fee):
.. ..... _ ...____.... —_ Stale surcharge(12%of'permit lee):
Authorized signature: TO'lM.PIiRMMCF FEN:
P11111 name- Dille Ohs I Intl s pet 15ua . witlmi 1811
� n• I ggdir•Ilinn r►pires if permit is n tl ht'iined '
d tss alter it has Item)accepted: complete.
. ..._._ ' Nunihsi n1 iispccumrs allosi cd pet Ixunii
.rir•�!'::•u4.:.l l.i !'.mii,11,1, I:I.H I.It;:.1'. R.•,.:'521r>iil; .I.:,,. t:1%1ii ilsrqH'()A1:Wi li
. . , ......._
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
1,1 13125 SW I Iall Blvd.,Tigard,B ECEIVED ,,,,,,a, ..011111:111:11127?-ti,-- 141
Plan Review
a'' Phone: 503.718,2439 Fax: 503,598.1960 Date/ay: Other Permilf v4 i .. 9003 41
Inspection Line: 503.639.4175
TI CARD MAR 3 1. 2015 Date Ready/13y: Juris: 0 See Page 2 for
Internet: wwvv.tigard-or.gov Notified/Method: Supplemental Information
& ilk
,,, . 7,;:!,t,,,,,,, , °r4-1 -
.
'n... ''.' %,i''4•iiiiiiiiialeitij' ' '' •:'
`
- Mechanical permit fees*are based on the value of the work
Ei New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
'-' IIIM1111111111111111.11
El I-and 2-family dwelling El Commereialrindustrial 0 Accessory building For special Information use checklist.
0 Multi-family 0 Master builder 0 Other: Description i Qty. I Ea. 1 Total
I lea ting/cooling:
–
Air conditioning 46.75
Job site address: 1610(1 StAj Hmaveu ki im Ai I D. Furnace 100,000 BTU(duets/vents) j 46.75
City/State/Z1P:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heal pump 61.06
Suite/bldg./apt.no.; I Project name:Southview Heights
Duet work - 23.32
. z
Cross street/directions to job site:SW 122"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
Other 23.32
Subdivision:Smithy iew Heights -.I Lot no.:s-
Other fuel appliances:
Tax map/parcel no.: Water heater –2332
(Ins fireplace/insert 3339 ;
Flue vent for water heater or gas
new,single family residence fireplace 23,32
•
.,Log lighter(gas) I 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/lincr/flue/vent 23.32
it, - -, , •.,-,,,,,,,,,, ::-A54 Other: 23.32
-
, ..•.._-, -. 4,,,,,, / 1',,,) ',- . -'
- - ' IT:La Environmental exhaust and ventilation:
Name:Stone Bridge Homes NW,LLC Range hood/other kitchen T
.,equipment c 33.39
Address:4230 Calewood St,Suite 100
Clothes dryer exhaust 33.39 ..
City/Stale/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _5 23.32
Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32
:•, ° Other.' 23.32
Vi-4;=--.:`,04.--PA.!. . i "(- '-%' - ' ' '''-' '..1.:':•'-':':..- .
Fuel_plping:
Business name:same as above
514.15 for first four;54.03 for each additional
Contact name:Deirdre Britt Furnace,etc. 1
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water healer (
Phone:( ) Fax::( ) Fireplace
Range
E-mail:dbritt@stonebridgehornesnw.com 13arbccue
Clothes drer(gas)
Other:
Business name:Comfort Zone Ot •
NI ECI IA N1CAL PERMIT FEES*
.......
Address: 1(132 NW Corporate Dr
Subtotal €
. ..
City/ShitetZ 1 I':Troutdale,OR 97060 Minimum permit fee($90,00)
Man review(25%of permit fee)
Phone:1503)667.5595 ...I Fax:(503)491.82 S
52 .
imi:surcharge(12%of permit fcc)
........... .. ....... —....._...... _„..........,_ , . .. ..........................„*
('('It lie.: 110091 ToTAI.PERMIT FEE
•------•• - • '''l his in:tinita Piliciintespires if a permit in not obtained within ISO ' 1
days miter it has been accepted as complete.
Anthori/o I,:igimture: (.1,7" ____.--C .---- ' I c e 1)1,11,0640w, el by TI i-Colinly Iheilding bullion y Service 13nant 1
[ l'rint name Dm id Ileldstab [Date: 1
I"11.1thiryP.,....Is\ti( l'on.Arr.4,41;a, .1:11-1■b171(11,+ .1.11NONI II!
i
1
Plumbing Permit Ap
Building Fixtures FOR OFFICE USE ONLY
City f Tigard MAR 31 2015 Retxiv�gl
y �' iI . li Permit No.. Af 4 l#J Apr a
i'. 13125 SW flail Blvd.,Ti,arc,Olt 97223 Date/l3
Plan Review vW2.9to1 c.- .a
Phone: 503.718.2439 6k fob ITIGARD Reivi a Other Permit No,
TtGARD
Inspection Line: 503,,x1 l bING DIVISION Dale Rcmly1H torts: EJ See Page 2 for
Internet: www.tigard-or. o Notified/Method. Supplemenla l Information
TYPE OF WORK FEE SCHEDULE
®New construction 0 Demolition For special information use checklist.
Description I Qv, I N.i. Total
❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft for each utility connection)
(: .Ji CORY OF CONVSr,P R(C17O' SIR(I)bath 31170
-and 2-family dwelling SFR(2)bath 437.78
® y g ❑Commercial/industrial
SFR(3)bath I 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
t . '. . .t ) t ( i t ,,j Site utilities:
1 Si toe. S&) H 1/615 V 1 J AU E.• Catch basin or area drain 18.76
Job site address: ,
Drywell,leach line,or trench drain 18.76
City/state/L1P:'I igard,OR 97224 Footing drain(no.linear II.:_) Page 2
Suite/bldg./apt.no.: j 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 ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision:Southvlew Heights I Lot no.: 5 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
,a t .. 1 ,e z
ri � Ixpansion tank 1251 3g _ . •
Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:4230 Galewood St,Suite 100 -Garbage disposal 25.02
City/State/Z.IP:Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51
A '� f x < ` . ' ii' t t Interceptor/grease trap 25.02" 2"- 4' i > R b*
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
r
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail:dbritta?stoncbridgehomcsnw.com Urinal 25.02
, ,. �i a i :vim �- � , s , Water closet 25.02
° -- � ' water healer 37.52
Business name: Max Plumbing
Water piping/WV 56.29
Address:PO Box 5597 Other, 25,02
(•itv/State%71P: Beaverton,OR 97006 Subtotal
Phone. (9711 275.0198 Fay:( ) Minimum permit i.e I X72.50
...
Plan review (25%of omit lee
CUll I Ic 194644 Plumbing I.ie.no.:P111083 P )
state surcharge(12;n of permit lee)
Authoriled si nature: L�
1-+v't-� l`O'I'A1.PERMIT FEE
--__l this p•rout application expire,if a permit is not obtained within ISO clays
1 Pt name.Jason 1114�oer ! Date:
after it has been ae ccplyd as complete.
'I c:ntdhnd;d•gs....:1 h■ f n-('ounh'131nld1ov Iodu;u■Scntcc ltoiud.
!\I t::l:li i,�.t'=.r:ii.lI M1n Y.i tiri,�ItI,IIx Ii+:'rr .iI'•'Iuln it titto^r(miAvl.lfl
City of Tigard
III ■ COMMUNITY DEVELOPMENT DEPARTMENT
T l G A R I7 Building Permit Review — Residential
Building Permit #: LJ% `5--,p0044,
Site Address: 15 l(.6 SW Harvey's View !Vie -
Project Name: So.,-th \(i eJ H e-j p, s Lot #: rj
(New dwelling=subdivision n c;Addition or Alteration=last name of owner)
Planning Review J
Proposal: i12W sv
rx Verify site address/suite#exists and active in permit system.
River Terrace Plan District: ❑ Yes Ig No
Site Plan Elements:
igiThree(3)copies of site plan —B fisting structures on site
XiSite plan m s be on 8-1/2"x 11"or 11 x 17"paper MFootprint of new structure(including decks)with finished
0-Drawn to scale(standard architect or engineer scale) floor elevations
.North arrow iSUtility 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) 12f.Erosion control(including drainage-way protection,silt fence
Lot dimensions and building setback dimensions design,location of catch basin,etc.)
gLot area,building coverage area,percentage of coverage and MStreet 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 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 ,No Received: ❑ Yes ❑ No
Tit Public Facilities Improvement (PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: 'St Yes ❑ No,stop intake
Land Use Case#: Su Q 2O\3- cnJ3 5
Zoning: R-1
EL Setbacks: reolu 1 red (ac-h. ) Front 15 (2p' ear ‘5, (�s) Side 5' (5)Street Side -- Garage 20' (20')
lg Landscape Requirement: 10
Lot Coverage Maximum: ' O
i i
❑ Building Height: Maximum Height 3'5 Actual Height N 16
`4. Visual Clearance
EL Easements
' Sensitive Lands: ❑ Yes No Type
Et Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: I —T IA -A OSA , Date: 3 31 k 5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
\:\Building\Forms\BldgPermitRvw_RES_031015.docx
Building Permit Submittal _
Original Submittal Date: S /h
Site Plans: #
Building Plans: #
Building Permit#: -1 1 Enter building permit#above.
Workflow Routing Er Planning Engineering ❑-ITermit Coordinator ❑-Bi3i1ding
Workflow Sign-off: 0/Sign-off for Planning(include notes from planning review)
Route Application Documents: J ngineering. (1)copy of permit application, (1) site plan, (1) building plan and
al 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: fa, Date: .1//4S
Eneering Review
LB'S ape at building pad: _ �' .�� ' -tar
I� nditions "Met"prior to issuance of building p-.
t
easements (encroachments)per engineering conditions of approval and plat
D Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes
Assess Water Quantity Fee in-lieu: ❑ Yes Lid"No
LIDA Facility on lot: ❑ Yes IC.- lc o
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering:��
.1_2,z- rK.4/(2) Date:
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
ditions"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:
to Issue Permit — / /'/c
Approved by Permit Coordinator: Date: '7`
1:\B ui I d ing\Forms\B I d g Perm itRv w_RES_031015.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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00046
David Young
Lower level hall, bonus room and storage room lights and outlets not on AFCI. 210.12A
Low voltage not done by fireplace.
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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2015-00046
David Young
Provide approved plumbing final for lawn irrigation back flow devise.
cleanout plug needs approved thread sealant at: 316.1.1l,,
Fix leaks in both master lavs, water under both lavs.
Tile guy working in shower and other baths, unable to test water.
Recall when ready for 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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
FAIL
MST2015-00046
David Young
Lower level bath exhaust fan unhooked in crawl. Provide support for duct work.
Note: no AC installed at time of final inspection, provide permit and approved inspection
at time of installation.
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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00046
David Young
Provide approved plans on site for final inspection. Deck lateral bracing doesn't appear
to be done correctly.
Fix broken screen(s) in foundation vents.
No inspection made.
Provide approved plumbing and mechanical final inspections prior to building final.
Provide approved lawn irrigation PLM 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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00046
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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00046
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
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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00046
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
15166 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00046
George Heimos
Violation Summary:
Inspector Contractor