Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT a� Permit#: MST2015-00096
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2015
Parcel: 2S110CB14700
Jurisdiction: TIGARD
Site address: 15238 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 35
Project: Southview Heights, Lot 35
Project Description: New SF. 12/21/15, REPRINTED to add a/c.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 192 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 32.5 Bathrooms: 3 Second: 1750 sf Garage899 sf Front: 15 Smoke
Dwelling Units: 1 Third. 1274 sf Right: 5
Detectors: Yes
Total: 3216 sf Value: $402,251.62 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
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: 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: 7 201-400 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 3216
Owner: Contractor:
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Geo tech report required prior
to footing inspectiion
PHONE. PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $$24,878.73
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of OR. Specialty Codes and all other applicable law. All work will
be done ce 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: Or n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -001-0010 through OAR 9 - 090. You may obtain a copy of the rules or direct questions to OUNC by callin 503.232.1987 or 1.800.332.2344.
I ued By: Permittee Signature. �i
Call 503.639.4175 by 7:00 a.m.for the next available inspection d
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 Appliq' j JV}Vj e o e
npa
aeeet..e:i q k3 i 0
City of"Tigard /O` oil /� Petmd No; �v15 d�
't f3125 SW Ifall Btvd..'Tipid,OR 97223 PhnReview
9' phone: 503.718,2439 Pax: 503,,598:,(9(0n15 011ie],Penn l:
2 1 711pale/ny:
Juris: 0 see Pa
n Inspection line: 503.639.4175 pale aeadylBy: (,e 2 for
Internet: wwvv.li aril-or. ov
- � g Not i(icd/Method: Supplemental Information
AI
�[f CO6i1IF,RCI.�L FRE SCHEDULE iJSEr IIt; K;talSlV_
Mechanical permit fees*ale 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,e ui meat,labor,overhead,andprof-it.
$� ..'xar f�'•'�r=.;aa'"s°'tri (:r1?1.G( GJMR
G ' value:h_t?1
x S1D�h_TlC1Q1 1I$k
T:1r1-.,
51`!S . FIlEi :
® �
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building f'orspecial informrirlon use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. "Total
Ilcalin /coolin 4
r an13=$1;1;1
NNW,
Air
Air conditionin 46J5
Job site address: I V234b SW HNUMf u R W furnace 100,000.BTU(ducts/wills) 46.75
City/State/7..1P:Tigard,OR 97224 Furnace 100.000+BTIJ(ducts/vents) 54.91
f lent.pump 61.06
Suite/bldg./apt.no.: Project name:Southview heights
Duct_work 23.32
Cross street/directions to Job site:SW 122nd Ave&SW Beef Bend Rd Hydronic"hot water system 23.32
Residential boiler(radiator or
lldromic) ,- -- 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,sus ended,.etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Southview!Heights Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'�r�><<
(;as filcilace/inscrt
a ,33,39
, n., a�=rz.__. Flue vent for water hcater or gas
new,single family residence fireplace 23.32
Logjighler(gas) 23.32.
--
Wood/pellet stove 33.39
Wood fireplace/inset( 23.32
__..............._.,................
-�_.__.
Chime/lincriflue/vent 23.32
Other: 23.32
t•
Vit. 1 ROl[R Sl O\V 1 R I3f ;=�j❑xr17s'\t�V t=� Environmental exhaust and ventilation: _
Name:Stone Bridge homes NW,LLC Range hood/other kitchen
- -equipment--y- 33.39
Address:4230 Galewood St,Suite 100 - Clothes drycr exhaust, --- 33.39
City/State/ZIP: Lance Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet cum artlnents,utility rooms) 23.32
Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32
v� , , Other: 23.32
® APPI;ICrll`Ik' '': ;Q'(2(),V I11l;YE1LS(3tS f
v M W.
Fucl Piping:
Business none:same as above
514.15 for first foo;34.03 for each additional
Contact name: Deirdre Britt furnace,etc.
Address:. Gas heat um
_ Wall/sus ended/unit heater
city/Stale./"/_!P: Water hcater
Phone:( ) Fax::( ) - - _ -- �- Fireplace
-- Rank
li-mail dbrilt(iJtstonebridgehomcs°vv cOm Ilanc�cuc
C:luthcs diver(gas)
Business name:Comfort"Lone �- _ OIl1CC
'h1ECIlAVICAL'PF MIM FEES" p?_. ,">
Addicss: 1032 lNl\v Corporate 1)r Subtotal
-....__.____.._._...._....._..-.........
.--- .___--
Cit)dSUllc/LII':Trouldale,OR 9711611 Minimum Jcrntit fccti J0.00)
t
Plun review(25".ofpcnnil lee)
_..._....-...._.__-_____...__
Phumc'(5113)667.5595 Fos:(5113) 1')1.8252 Slate surcharge(l2",,,„I pennil Ice) l�
C•(Al IiC.: I I I M 9 1 TOTAL VERI\'IFF hlf.4:
l ._-__... ............_........_._.___...____-.. _......_._._.__....._-___.......-.-----_-- `I"his permit applica lion expires il'a permit is not obtained milhin 180
r d:n's ane,it has been eccepled as complete.
niilhodulu�\-.cl b\'f n-Cuuul,'13mlcltnp huht<bv Srrvice 17 o,u tl
Print 11;w1cD:rvid Ilcldslab I)atc:
-:,\.'14'1 i., i
CITY OF TIGARD MASTER PERMIT
•r1 COMMUNITY DEVELOPMENT Permit#: MST2015-00096
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2015
Parcel: 2S1100614700
Jurisdiction: TIGARD
Site address: 15238 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 35
Project: Southview Heights, Lot 35
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 192 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 32.5 Bathrooms: 3 Second: 1750 sf Garage: 899 sf Front: 15 Smoke
Dwelling Units: 1 Third: 1274 sf Right 5
Detectors: Yes
Total: 3216 sf Value: $402,251.62 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
Drywall-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
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: 7 201-400 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 3216
Owner: Contractor:
STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 Geo tech report required prior
to footing inspectiion
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $24,781.37
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will
be done '• - • •-• e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. •TTENTION: Ore.•n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 •01-0010 through OAR • :. r0•• You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.119987 or 1.800.332.2344.
Iss =d By: ' p Permittee Signature:
Call 503.839.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I • Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
114 ySCity of Tigard Received 'A r
Date/By. es 11. Permit No l
T02DiS—dD094
. 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 8 2015 Plan Revie•'► (
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. 4 o 1 1 ( 45 Other PermAikRU/sQOOe
TIGARD Inspection Line: 503.639.4175 Date Ready :y: Juris El See Page 2 for to
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ��/ j Supplemental Information
',BUILDING DIVISION
ft.
TYPE OF WORK REQUIRED DA 7 A:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
.�' Ie
® 1-and 2-family dwelling El Commercial/industrial Valuation •industrial 1
� t (
❑Accessory building El Multi-family
Number of edrooms:
❑Master builder 12 Other:
Number of bathrooms: �,$
Total number of floors: 3
Job site address: I tj238 a t-IAp.V 1.1 Y I AV e New dwelling area: 3("'I 5 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: V `—1 square feet
Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: (0 4 square feet 17,--3f-
Cross
street/directions to job site:SW 122nd Ave at SW Beef Bend Rd Deck area: CUP square feet t
Other structure area: 407A- square feet 325
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Southview Heights Lot no.: 35 Permit tees*are based on the value of the work pet Iormed.
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 Homes NW,LL(' 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 PERMI1 FEES*
Business name:same as above (Please refer to fee.schedule)
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: 75'0 L' U
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(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:( ) o
State surcharge(12%of permit fee): $21.60
CCB lie.:173318 Total fee due upon application: $201.60
Authorized signature 'J(J[� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: vatiatvja } �lr- -r Date:Ca`i4/(5 *Fee methodology set by Tri-County Building Industry
�°rre" t Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
•
Electrical Permit Application RECEIVE , FOR OFFICE USE ONLY
City of Tigard JUN 8 2015 Received Permit Noty�+%�j4s'�fdO6
L7.de/p3y:
1 ' • 13125 SW I fail Blvd., Tigard,OR 97223 Plan Review
1
Phone: 503.718.2439 Fax: 503.598.1 Daie/n : Other Permit:
N OF 71GARD y
TIGARD Inspection line: 503.639.4175 BUILDING DIVISIOI�htcReady/lays bins BI See Pe 2 For
Internet: www,tigard-or.gov outied/Method; Supplemental Information
TYPE OF WORK = 442. zt r3.. `I.. :;
®New construction ❑Addition/alteration/replacement 'lease check;nitdnm apply(submit 2setsof plans w/itnns checked below):
❑Service or feeder 400 amps or more ❑Building over three stories,
❑Detnolilion ❑Other: where the available fault content ❑Marinas and boatyards.
= ' ? v,€ '` Ali R � q exceeds 10,000 amps at 150 volts or ng buildings.
. _ r t ,„i ._ w �. a less to ground,or exceeds 14,000 ❑Comiermal-,sc
agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps forall other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump.
❑Installation of 1 50 KVA or
r y x Emergency system, larger separately derived system.
, ' g;.. d.. .,z., :...; al _ � 8S.... , z;. , : +. ❑Addition of new motor load of ❑ 'A., „r,...I 2,.,.1-3,.
Job no.: I Co,L Job site address: g1'3 '4 NAl2NI ..S V I 1&'J . 100 or more a res, Recreational I �[ ❑Six or more residential units. ❑Rectealionai vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
Di lazardoos 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 Qty. Pee. Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Southview Heights I Lot no.: '35 1,000 sq,ft,or less i 168.54 I 4
Tax map/parcel no: na ed energy,y residential n 33.92 1
Ea I portion
rere�, Lit g , n
', . .. . . _ ali z'€ 1 1 1-”6 : 8 ,'r ''''''L '", (with above sq i.) 75.00 2
� < �`� Limited energy,multi-family
75.00 2
new,single family residence residential(with above sq,ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
t °) (: v:-'..;.,. y ,' ,. . ( 2(N)amps or less 100.70 2
"` 201 amps to 40(1 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 1,00(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 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 I 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
is e xe 6, y x o s z A.Fee for branch circuits with
��° E above service or feeder fee,
Business name:same as above each branch circuit 7'42 2
13.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/ZIP' Miscellaneous(service or feeder not included)
Each manufactured or modular 67,84 2
Phone:( ) I Fax;;( ) dwellin&service and/or feeder
Reconnect only 67,84 2
E-mail:dbritt{)stonebridgehomesnw.com Pump or irrigation circle 67.84 2
_ ` 1 , * 9 / ''f,,i `.'t;i::,1, t. . .,.kl Sign or outline lighting 67.84 2
Business name:City Electric Signal circuits)or limited-energy See
panel,alteration,or extension. Page 2 2
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
Investigation(I hr nun) 66,25/hr
Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(I hr min) /8,1511
Inspections for which no fee is 90,00!hr
CCB Lie.: 42422 Electrical Lie.: 26-289(' Suprv.Lie,: 35925 specifically lislcd(':•hr min)
Ej 1 GTRICAI. PERMIT FEES
Suprv. I3lectricinn signulurc,required: Sublatal
Print name: Chuck Friesen Date: Plan-review 125%of permit lee):
State surcharge(12%of permit fee):
Authorized signature: TOTAI.l'LRMI'l FIT
Print name: f Date: This permit applic:tion expires if a permit iS nut obi:tined o ithiu tau
L days atter it has been accepted as complete.
• Number of inspections allowed per Ix/mil
Illru;Ding`.pcnni,.illi u',' iS App I].K__I CI.,kv: Rev:,?i21t?41} •I.lu.sal'lii InK/t'1>M:1vius
1
Mechanical Permit Applicaflla-CEIVED FOR OFFICE USE ONLY
Received
City of I'Itl1[l JUN Permit Na
• 13125 SW Hall Blvd Tigard,OR 97223
2015 t)atc/ny �`15�.24/S DQQ 9
l Plan Review
Phone: 503.718.2439 Fax: 503,598.1960
Other Permt
Inspection on lmc: 503.639A175 OF TIGARD Dale!'':
T 1 G AR D
Date Ready/By: Juris: ® Sec Page 2 for
Internet: www.ttgard-or.gov BUILDING DIVISION Notified/Method; Supplemental Information
t
11'}'E OF WORK - COk ME4ECiAL FEEA SCHEDULE - I bIECKLIsT
Mechanical permit fees*ate based on the value of the work
®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment.labor,overhead,and profit.
r iC !t _...___"
Value.OVIIMOOMMilitilk SYSTEMS 1,_________
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For speck!&formnlfon use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. 1 Ea. I Total
JOB SI'Z'E INFORMATION AND LOCATION Ideating/cooling:
AUG. Air conditioning 46.75
.lob site address: f ' '3 , J 14 mtveis vim) t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) j 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Southview Heights
Duct work 23.32
Cross street/directions to job site:SW 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 ( Lot no.: 35 Other: 23.32 1
. Other fuel appliances:
Tax map/parcel no Water heater t 2332
t= tt ' � s°t y., ; ¢ r qk'° 4. ,� Gas fireplace/insert i 33.39
DI�S�RI :
'" `"� ��' �` 'm " t°X' , ' Flue vent for water heater or gas
new,single family residence fireplace 23.32
1.og lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
4 Environmental exhaust and ventilation:
Name:Stone Bridge Homes NW,LLC Range hood/other kitchen
equipment 33.39
Address:4230 Galewoud St,Suite 100 Clothes dryer exhaust 1 33.39
City/State/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
z s l
Other 23.32
Business name:same as above Fuel piping:
SI4.I5 for first four;S4.03 for each additional
Contact name: Deirdre Britt Furnace,etc. 1
Address: Gas heat pump
- Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
- - Range
E-mail:dbritt(u)stonebridgehomcsnw.corrt 13arhe uie
CONTRACTOR Clothes dryer(gas)
Business name:Comfort Zone
Oilier:
-- MECHANICAL IANICAL PERMIT FEES*
Address: 1032 NW Corporate I)r Subtotal
City/State/ZIP:Troutdale,OR 97060 Minimum permit fee($90,00) .
Plan review(25%of permit fee)
Phone:(503)667 5595 Fax:(503)491.8252 State surcharge(12%of permit fee)
CCII lie.: 110091 'TOTAL PEI2MI'F FEE
'I his permit application expires if a permit is nut obtained within ISO
ac
sign e, `
days after it has been accepted as complete.
Authorized
r �1 .2______.....- ----- I ec methodology set by'Fri-Comity Budding bitingly Service nuanl
[Print mane:David lleldstnb l Dale:
I'.,,,„„,w1P¢npiusMtit'_I'ennhdpp„iitt:d.a i:In.4.l7r f I Ie:/CU,wwtin)
i
1
a
Plumbing Permit ApplieCEIVEQ
Building Fixtures FOR OFFICE USE ONLY
JUN 8 2015
City of Tigard Pcnnt N. +0/ -,/19
a 13125 SW Hall Blvd.,Tigard, TIGARD
Plan,Review
I = Phone: 503.718.2439 Fa. \ DaICIB : Other Permit No.:
Inspection Line: 503.639.4 L DI VISION
TIGARD Dale Ready/By: kids. 0 See Page 2 for
Internet' tvww.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE , ).ry §.A'
For information use checklist
special in t.
®New construction ❑Demolition P f
Description I Qty. I Fa. I Total
❑ Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
'-11.:11:...4.A4 yin a y j SFR(I)bath 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath [ 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder El Other: -
� -..�. .+ Fire sprinkler
( sq. ) Page
2
.1_:f' ��� � > k)Y J aA. s IS d" ' i a � ' j - site utilities:
fie , r . ,
'FabS%11 '-'M.v1S VImo'rA. . Catch basin or area drain 18.76
Job site address: V ry Y VIM/ YL
Dryweil,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear IL:_) Page 2
Suite/bldg./apt.no.: Project name:Southview Heights Manufactured home utilities 50.03
Cross street/directions to job site:SW 122id 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 IL:_) Page 2 _
Subdivision:Southview Heights f Lot no.: 35 Fixture or item:
Tax map/parcel no.: Back flow preventer 31.27
:1 1 e 9 m7 Backwater valve 12.51
Clothes washer 25.02
new,single family residence Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
t �� a R ilift,;:, I=xpansion tank 12.51
Name:Stone Bridge Homes NW,LLC Fixlure/sewercap 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
Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51
-°,: a.m.
a< o 25.02 t '. a e ¢ °. el Interceptor/grease trap
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
I mail:d r?stbritl' onebridgcliomesnw.com Urinal 25.02
'r,(; � ''''"7"7"----.,.,...,. "" Water closet 23.02
hti � �:X CONTRACTOR ;-
- Water heater 37.12
Business name: Max Plumbing Water pipine/I)WV 56.29
-
Address:PO Box 5597 Other: 25.02
City/State/ZIP: Beaverton,OR 97006 Subtotal
Phone:(9711275.0198 Minimum permit lee' $72 50
Pax:( )
-._ Plan review (25%of permit fee)
CC'I)Lie.: 194644 Plumbing lie no.: P1311183 -------
-.... .. ... ......_.. Suite surcharge(12%of permit fee)
Authorized signature: ( f a L / ` ., TOTAl.I'FRMft Fl:1
f.... 111 --- -..._._.�_
Print name:Jason I lkner Date: I Phis perinil applicafinn espires if a permit is inn obtainer)in ithin i 8 days
I alter it has Bern act opted as enonplNi.
"I'tr mclhndulugv set by tii t'unnly Italldint'Indust)\Serviee Brand
\IWaainr\I'.:n,i'.:Pl P.ltl-Puuui'kapdnc Iu;i:IP.^' ddu..lu[n((I)VPY2(()NI.Wlinl
l
I
City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
I R ARl)
Building Permit #: it/S/-020/.5 ° 0001'(P
Site Address: 15a 3 2 S c,J I- ,- s kf i
Project Name: 5-
u„1.,-(Aii; f,.J 1.44.Li k(-j Lot #: 35
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N.eA) SFR-
'Verify site address/suite# exists and active in permit system.
N—River Terrace Plan District: ❑ Yes 0. No
Site Plan Elements:
Three(3)copies of site plan ,xisting structures on site
Site plan mus be on 8-1/2"x 11"or 11 x 17"paper .Footprint of new structure(including decks)with finished
brawn to scale(standard architect or engineer scale) floor elevations
North arrow EVUtility locations(required for new,may apply for additions)
Jite address,project or subdivision name and lot number J2t1location of wells/septic systems
®Applicant information(name and phone number) MErosion control(including drainage-way protection,silt fence
CRiot dimensions and building setback dimensions design,location of catch basin,etc.)
I Lot area,building coverage area,percentage of coverage and al-Street names
impervious area(applicable if R-7,R-12,R-25&R-40) a treet tree size,type and location
"Property corner elevations(2 foot contour lines if more than ,ElExisting trees to be retained with drip line,and tree N/Pc
4 foot differential) protection measures
Al' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Ii" Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ,f No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: 'Lt.e, aO(3 — 000c S / SLik ao13 — 00"-
'2›
la-Zoning: R -7
"Setbacks: Front e Is Rear is Side 5 Street Side I o Garage o70
Pr Landscape Requirement: 020 %
IN' Lot Coverage Maximum: 60 % - ac h„a( I . 7 1/4,
I Building Height: Maximum Height 35 Actual Height 3,1. .5* 4
a—Visual Clearance
.14" Easements
kr-Sensitive Lands: Yes ❑ No Type Sic,,p ..51(.)9-4.1.) ` rt o (.o„d UFe. i,t d
cki Urban Forestry Plan btcauJt pcN-+- 0(' so,42, b-c u e,.-3
JConditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: £- ( j - Date: & 8 -/S'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:1Building\Forms\BldgPermitRvw_RES_031015.docx
Building Permit Submittal
Original Submittal Date: 6/09
/9
Site Plans: # /y
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Engineering JPermit Coordinator AS-Building
Workflow Sign-off: 1EP Sign-off for Planning(include notes from planning review)
Route Application Documents: in Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
rBuilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 444$
Engineering Review
l Slope at building pad: 2,S /t
Conditions"Met"prior to issuance of building permit
Easements (encroachments) per engineering conditions of approval and plat
Vi Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: ❑ Yes A No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: M Date: Vq//5—
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:
7'0K to Issue Permit ,
Approved by Permit Coordinator: Date:eo'7;?
1:\Building\Forms\BIdgPermitRvw_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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
FAIL
December 28, 2015 at
10:22:00 AM
MST2015-00096
David Young
Gutters and downspouts not complete.
Not ready for plumbing final.
No inspection made.
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00096
David Young
To many workers on site, no access to all devices to test.
Remove covers from smoke detectors to test.
Post address on site for final inspection.
No inspection made.
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
FAIL
MST2015-00096
David Young
Not ready for final inspection.
Stove installation not complete, hanging out of opening.
No inspection made.
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00096
David Young
Not ready for final inspection.
Provide approved erosion control final inspection.
Provide approved FPS final inspection.
Provide approved lawn irrigation back flow devise inspection.
Provide approved approach and sidewalk inspection.
Provide approved plumbing, mechanical and electrical final inspections.
No inspection made.
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00096
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00096
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00096
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
15238 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00096
David Young
Provide approved approach and sidewalk inspection.
Provide moisture content certification.
Finish positive connection at front porch posts.
Finish lateral braces on rear covered porch.
PLM final for landscape irrigation called for next day.
Will recheck corrections in the pm.
Street tree certification received.
Blower door test results checked.
High efficiency lighting form received.
Insulation certification checked.
Back flow for lawn irrigation, 1" Wilkins model 350, serial # A516902
Back flow for FPS, 1" watts model 007MIQT, serial# 488994
Note: corrections complete at pm re-inspect, C of O left with builder.
Violation Summary:
Inspector Contractor