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Permit n 11, ,. CITY OF TIGARD MASTER PERMIT '' COMMUNITY DEVELOPMENT Permit#: MST2015-00059 T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , Date Issued: 10/06/2015 Parcel: 2S110CB11500 •`'; A /Y' Jurisdiction: TIGARD Site address: 15180 SW HARVEYS VIEW AVE ^ 4 l� 0/T Subdivision: SOUTH VIEW HEIGHTS 0ot: 3 Project: Southview Heights, Lot 3 Project Description: New SF. 2/9/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1810 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 9 Bathrooms: 2 Second: 0 sf Garage: 432 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1810 sf Value: $227,144.09 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 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'l 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 1810 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 inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $21,229.79 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 C ter. Those ules are et forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a rules or direct questions to OUNC by calling 503.2 987 or 1.80 . .2344. i Issued By: �� - .. .. Ti. �_�,. Permittee Signature: ? .. Call r .• 9.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on,the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,, CITY OF TIGARD MASTER PERMIT II 1 ' COMMUNITY DEVELOPMENT Permit#: MST2015-00059 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2015 Parcel: 2S110CB11500 Jurisdiction: TIGARD Site address: 15180 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 3 Project: Southview Heights, Lot 3 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1810 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 9 Bathrooms: 2 Second: 0 sf Garage: 432 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1810 sf Value: $227,144.09 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fu rn>=100 K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 1810 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 inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $21,132.43 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 Notifica -•ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. •1 - ,�in a copy of the .es or direct questions to OUNC by calli • 13.232.19:7 or 1.80'.332. •44. / Issued By: — jta" •- ' •• Signature: ' ∎', 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. t Building Permit Application Residential ii iC E l V\� E D FOR OFFICE USE ONLY Received Cl of Tigard Permit No.:) j `J g SPR 2 9 2015 Date/By: '7 �/ it/ /5-Zf II e 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review � tt��51 Phone: 503.718.2439 Fax: 503.5 Date/By: 'CIV D Other Permit:,1,02de)(S C,c'C/}�s TIGARD Inspection Line: 503.639.4175 tJ OFTIG4RD Date Ready/By: / do loris: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:/�`A.5 1l Ir Supplemental Information II''M /2, ,„„:„4...,,,.,,,,,,:,,,, ,,,,,, a94 W, ' TYPE OF WORK �r 'QUIRED DA i II" t 'i LUNG ®New construction ❑Demolition Permit tees"are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the _. CATEGORY O 1 , �t t work indicated on this application. , '°r y -2 ® 1-and 2-family dwelling ❑ Valuation: Z7 flCommercial/industrral "C�y�S t��1 t v � ElAccessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 2 , .��e ga r ,„;:p.-„-33/16t4 Sly "1'.:,.•.'"..7,•;:,-,',' .. ..M t /X,i4 /0:&;-',/;g4:.,,.,... Total number of floors: Job site address: ; ' t4l'to , V e Ll Ave_ New dwelling area: 12)10 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 432. square feet Suite/bldg./apt.no.: 1 Project name:Southview Heights Covered porch area: 1 square feet Cross street/directions to job site:SW 122"d Ave&SW Beef Bend Rd Deck area: 110 square feet Other structure area: ' square feet 9 REQI IRl ,PATA:COMA /r, Subdivision:Southview Heights I Lot no.: 3 Permit tees*are based on the value of the work performed. ,e Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the D SCRIPTION c;;F, aRi . • •,i'% 'wry` ` i work indicated on this application. new,single family residence Valuation: $ Existing building area: square feet New building area: square feet ' ° ' ,s''� 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: Pit,i;KW o ':�� 0 CONT �p r y BUI 1 N. „ ',icor//i%i cera dr.. a \. ...,,, //�;.'E.,> ' (� eesc `�, ?, �" A 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:( ) Nay: :( ) Amount received: 75� c5c l PHOTOVOLTAIC SO E-mail:dbritt@stonebridgehomesnw.eom Vii• r:,__rk< crroR V sA„7, G' / % ' ii Commercial and residential prescriptive installation of ax�� ,�„s,. ,,,, 'gyp „ ,r, „,v Qy.� ;.. I roof-top .-• •d Photovoltaic Solar Panel System. Business name:same as above Submit two(2)set : oof plan with connection de •s and fire department acce .long with the 20 t vregon Address: Solar Installation Specialty •:• check]• . City/State/ZIP: Permit Fee(includes plan r- '-w $180.00 and administr, • e fees): Phone:( ) Fax:( ) State surcharge(1 '0 of permit fee): $21.60 CCB lie.:173318 Tot;_,..-e due upon application: $201.60 • Authorized signature:1= ......c: 44,00ist., This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Te1R,V ;31z.41 Date: 1120/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 'RECEIVED Electrical Permit_ApplicatiooR 2 9 2015 FOR OFFICE USE ONLY Cityof Tigard Received f r � / _��,.:,...,,4,,,,:, Perintt No,.. T, lS� ,x5. g spF TIGARD D,te713y_ F . 13125 SW Hall Blvd. Tigard < c tO Plan Review �w�aols �4�5 l Phone: 503:718.2439 Fax: i lG DIVISION N Dateir3v, otheePei,nir. , Inspection I.inc: 503.639.4175 Dare Ready/By: iris EI See l'age 2 fru- :" or : rr11Ly Notified/Method Supplemental elemental Information Internet: wrvwaigard-or.gov � i I 1 l�a, n i $1E11 ®New construction ❑Addition/alteration/replacement t I e e dxek alai rhat apply(sul It 2 sets of plans winches checked below). 0 Service or feeder 400 amps or store ❑l3uilding over three stories, 1 D Demolition ❑Other: where the available fault canent ❑Marinas and boatyards.: " #�, , ,D pry„ :.,2.4,1,:,... exceeds 10,000 amps at 150 volts or ❑Floating buildings. ', `• ',. .p 6 :` ' i. •to ground or exceeds 14000 ❑Commercml-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps feral!other installations, buildings. ❑ Multi family 111Master builder ❑Other: D Fire pemtps ❑Installation of 150 KVA or D Emergency system. larger separately derived system; i#)13 y i I I+I)/5l ;p;-, z"ti 7. • -,.,> .. .� ❑Additionofnewmotoi-loadbf ❑occu `nc 12""1-3" Job no.: ',',,•-. .` Job site address:;i ) VO 3W 4A i''- '1 S Vila'llar';, 1 Six or or more,, ecreation, « a El or more residential mots.: Recreational❑ vehicle parks. City/State/ZIP:Tigard,OR 97224 ❑ltcalth-care facilities. ❑Supply voltage for more than ❑I lazardous locations,, 600 volts nominal. Suite/bldg./apt.no.: Project name:Southview Heights ❑Service orfeeder 600amps ormore, _ �r _ , Cross street/directions to job site:SW 122"`I Ave&SW Beef Bend Rd tie vetoit,>n ors. Fre rftmt ii Ness,residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights Lot no.: .000 sq ft,or less 168-54 4 Ea.add'I 500 sq-it or portion c. 33.92 1 Tax map/parcel no.: Limited energy,residential 1 75.00 2 "-' r - :- ,"r s n with above sc,fl) Limited energy,multi-Iamily 75.00 2 new,single family residence residential(with above sq.IL) Renewable Energy T, l Q See Page 2, Services or feeders installation,alteration,and/or relocation Spa'-l.• ,e' ,5". -i , '.: '4,:',11-:"•,:i1,;;;;;;.;► 200 amps or less 100,70 2 Iiil �< 20I•turps to 460 amps 133,16 2 Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 20034 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 30104 2 Over 1,000 amps or volts 552.26 2 Cit /State/ZIP:Lake Oswego,OR 97035 y g Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 I Fax:(503)387.7615 relocation • W..,�.. 200 amps or less 59.36 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 amps to 599 amps 168.54 2 Owner signature: _ Date: , _ ltranch circuits—new,alteration,or extension,per panel a r ,, t a s ,,,,„ 10, W: A.Fee for branch circuits with Alp,:' above service or feeder fee, Business name:same as above each branch circuit 7.42 2 B Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56.18 2 branch circuit Address: Each add'l branch circuit 7 42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 Phone:( ) Fax::( ) dwt l ,..service and/or feeder Reconnect only 67,84 2 E-mail:dbritt tlJStonebridgelaonl esnw.com Pump or irrigation circle 67,84 '.. r; ; . .., k _. ' Sign or outline lighting 67.84 2- Business name:City Electric Sinal circuit(s)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) 6625/hr City/State/ZIP:Sherwood,OR 97140 Investigation(I hr nun) 66 251 hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr min) 78,i.S/lir ---- Inspections for which no tee is 90 CCB Lie,: 42422 Electrical 1 ie,: 26-25912 Suprv. Lie,: 35925 sp cilically listed(V2 hr nun) ,00!hr _ -. _ E LE€1 I "11 ERMIT"FE• �` _T ,Z. Suprv. Electrician signature,required t_...r"" - Subtotal Print name: Chuck I'riescn Date: Pion mcvicit (25%of permit fee): State surcharge(12%of pet mit Tee): Authorised signature: T(YfAI•P1 RMI t 117: This permit application expires of t pernui is not obtained tcithin 180 Print name: Date' day,alter it has been accepted:15 complete. _.... ......__. .._...__. _.,w,,.,,•..,. _.._.. ........_ '" W".`..""","-`""• Numherolinspcctions allno•ed pci pcnnil:. ti nu.kii_I.nnn�.t-t ':_1 .:mill tel_t l'R F:2I[,i r Rev,t�e?1i2n1} 1-int-161510llU5/0ON1A,0 Li x Mechanical Permit Applic FOR OFFICE USE ONLY City Of Tigard �E1VED R cu d </ !3�, �� i�)^ l'ennitT o.: r r " 13125 SW]fall Blvd.,'1'igard,OR 97223 Plan Rcvie - Datellly: t IN Phone 503.71&2439 Fax: 503,598,19t�pR29 I) uN3v 2015 Otto Pei nut- _ , - Inspection Line: 503.639,4175 hurls: O See Page I�i A l"k 13 Date Rea dylBy: 2 for Internet: www.ttgartl-or.gov CITY OF TIGARD Notified/Method Supplemental Information : ) DJNG DIVISION C©r, 4MFR y i�E't",S HEDULE TISK .H fl '"`' Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement perfornicd.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Valu $ i ii.,. .. .,,rte-> . c _ r �' (t' fi.--.1 c ,- - * '1/. TESIa'3t Ft' *;-**4-A,'0, ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special itrfornrallon use checklist ❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total a ra , = 1l eating/cooling: rtB 1 I Fa• b it '` •'' "b '='w` Aircondnioning 46 75 Job site address. ! . ., #,,., AVE •_ Furnace 100,000-BTIJ(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100;000+BTU(ducts/ventst 54.91 1 Ile t pump 61.06 , Suite/bldg./apt,no.: Project name:Southview Heights ' Duct work 23.32 Cross street/directions to job site:SW 122"''Ave&SW Beef Bend Rd Hydronic hot water system 23,32 li Residential boiler(radiator or r __hydronic) 23.32 ,,,,,' " Unit heaters(fuel-type,not electric), hi-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: , 23.32 Subdivision:Southview Ileights Lot no.: 3 m . — Other fuel appliances _ , , Tax mnap/parcel no.:- Water heater '[ 23,32 t = " t ''`t', (r is fireplace/insert w ! 33,39 '.*% r' -....�: , '''''"'''''''''''''"''''''4- - Flue vent for water heater or gas new,single family residence Fireplace 23.32 Lon lighter(gas) 23,32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/f)tte/vent 23.32 J Other: 23 32 , ','",---"-------'-e-"---:. =°"f Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen egwpment ....,.:,._ ,,- 1 33.39 Address:4230 Calcwood St,Suite 100 Clothes dryer exhaust - - ,33.39 City/State/ZIP:1 niceOswego,OR 97035 Single-duct exhaust(bathrooms, - toilet compartments,utility rooms) 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspa_e fans 23.32 • ►:i'r1I'PLIC AN i - � � x Other: 23.32 • Business name:same as above Fuel piping: 514.15 for first four;54.03 for each additional Contact name: Ueirch•eBritt Furnace,etc. i Address: Gas heat pump bt all/'sus ended/unit heater _ heater City/State/Zit': Water heater Phone:( ) Fax:: ( ) Fireplace /' Ran' • A E-mail:dbritt(t stoncbridgchomcsnw.com 13ancccue ` c'O,,,t1-.Rr# `EOR () Clothes dryer( as) Other: Business name:Comfort Zone c .... N1ECI1ANICAL PEIti1TF)3 Address: 1032 NW Corporate rte Dr Subtotal 1 City/Stale/ZIP:•I routdalc,OR 971)60 tilllnmoni punct fee('690 00) t —— Plan revicov(25%ot'pennit lee) i Phone:(503)667,5595 Fax:(51)3)491.8252 .....,mm Slate surcharge(12 4,of permit toe) ('CII lie.: 110(191 -f0"l Al.PE12NI11 FEE --.--;:-,m_.a -•..._.. '^^-,.,. .-----,.-- ws-.- " "('his peiSnit application expires if a permit is mat obtained within ISO dais afte'vet it Inas here accepted as complete. e. Aulhoricd siren ruuu o "' - Pic nrctlrrxh lad':<t by 1 r7-County!tinkling hulusnc Service Board I name: David I leldst tb Date: 1 It itdii: f ri.i:i'M1n( t'i .ntrt ,idol l.;kei .i ()4,171 1 1,12/(1)\1,W)13) Plumbing Permit AnpFEQEIVED Building FixturesAPR 2 9 2015 FOR OFFICE USE ONLY Recrivcil City of Tigard 6q7 /S ,• Permit No,:+--��T�C�/a`�-GLZ' j 13125 S W hall(31vd,Tigl�r IT�?lt' 3 TIGARD ee,.t,' Plan nt Review - VIP Phone: 503.718.2439 pyil5 OtherPerniit No.� ,12. jl J�--GYXSs`' Inspection Line: 503 G 31( $$-- „Y �IVISIdI� D,telf3y 1'1 GARD p Date':ica.lyilly Joris RI See Page 2 for Internet: www.tigard-or,gov Notified/Method: SupplemenlalInforination %!�''�X ^53'3" 5 "�'.: tea ' 4!"(jRk J GEL SCIEI3U2.. %/ ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) -t'i`t''.CCC31 ,i" ,, 2 f e SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ❑ Multi-family . .- Each additional hath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 PT-I• i. wi * A aND I Ol(X l'1 4 ;..~` „ site utilities' Job site address: �rJ��0 et N � �,l Catch basin ar area drain 18.76 1 1)r well,leach line,or trench drain 18.76 City/State/ZIP:l'igard,OR 97224 Y Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Soutliv'iew 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 11,:-) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no,linear 11, ) Page 2 Subdivision:Southview Heights Lot no.: 3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 z vim:, , Clothes washer 25.02 new,single family residence m.. _ __.-�__ -- --_-_ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 wrH ikJf Expansion tank 12.51 li Name:Stone Bridge Homes NW,LLC xhtrc/sewer cap 25.02 I Floor drain/floor sink/hub 25.(12 Address:4230 Calewood 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 `ta tt Y°u1 ,i1`ei t! 1 PERSON , intcrecptorlgrease trap 25,02 Business name:same as above Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Deirdre Britt Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 f mail' dhritt u''`tonebridgehomesnw.com Urinal 25.02 ,y �_ Water closet 25.02 CON : ,yy ,� , - , a,, „r,,,,, . .� .P_, Water heater 37.52 Business name: Max Plumbing Water pgtutts l)WV 56.24 Address:PO Box 5597 Other, 25,)2 (_'itv/State/ZII': Beaverton,OR 97006 Subtotal Phone:(971)275.0198Minin m pernnt ice 1;72 5(1 Plan IevleN (25',/,,of permit lac} C'CI3 Lie.:194644 l'Iumhing Lie.no.: 1'1311)83 -- ........,.__- State surcharge 1 12':n(if pci'niit fee) Authorized signature: ` C <- ... trx4,i'1' l'1)TAl.l'1121\411 1=L-f Print name:.1aS011 I ltSener Dale' nos permit application expire,if a pain t is 1)50 obnuned within ISO days alter it has been accepted as canytlele. *Fee melhodulogv sal by Tii-Cnorav liuikliii@ Indusia)SeNiee 13rlad. I lliuildinuI's nnnv'l i.Nltt-Pntn:ithpp,doe 10141i AO dd ..,)t,ILIla: i IO'VVr iii City of Tigard .111111 Il COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential 'FIC ARD Building Permit #: ` '31 (5 —6665 C/ Site Address: I 5 j GO SW }t-r ve, S v -e vv Avr. Project Name: Sov-ir1-1 vi.-v../ i czcn b Lot #: 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: it'd.-,v\ ' S E(Z 0 Verify site address/suite# exists and active in permit system. '$Fiver Terrace Plan District: ❑ Yes ❑ No Site Plan Elements: /Three(3)copies of site plan Existing structures on site a//it %Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished ilZiDrawn to scale(standard architect or engineer scale) floor elevations /Zitill locations (required for new,mayapply for North arrow �,�� ty ( q pp yadditions) Site address,project or subdivision name and lot number ,.4fril;cation of wells/septic systems Nii4- 4pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) o1ctota /Lot area,building coverage area,percentage of coverage and treet names impervious area(applicable if R-7,R-12,R-25&R-40) Street tre sizeg type and location )2Property corner elevations(2 foot contour lines if more than ( Existing trees to be retained with drip line,and tree 4 foot differential) protection measures ele.Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: /4 Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ZPublic Facilities Improvement(PFI) Permit: Required: 4 Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ,,0 Land Use Case#: Z CA- 2-0 L? -0 000 2- Zoning: V.-1 7 Setbacks: Front ,S Rear 1 S Side 5 Street Side 10 Garage 2_o ' g Landscape Requirement: 2..A % X Lot Coverage Maximum: ---q V .� Actual Height �� Building Height: Maximum Height g ❑ Visual Clearance O'fasements .SCJ Sensitive Lands: ❑ Yes ONo Type El--Urban Forestry Plan N/A conditions "Met"prior to issuance of building permit Notes: Approved By Planning: YV Ovl'Z.eA..- gal o Date: 4 /271 I I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: Cl Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 031015.docx Building Permit Submittal Original Submittal Date: 4�Q/,S Site Plans: # Building Plans: # Building Permit#: CY Enter building permit#above. Workflow Routing: E Planning -D Engineering 0-Permit Coordinator Erguilding Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: R Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original 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: ate' Date: 1/09 ' Engineering Review 0 Slope at building pad: per 4,211 7e, [Conditions "Met"prior to issuance of building permit C'Easements (encroachments)per engineering conditions of approval and plat [&Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes D'No Assess Water Quantity Fee in-lieu: ❑ Yes B' No LIDA Facility on lot: ❑ Yes CXNo ❑ NOT Approved by Engineering: Date: Notes: i4e. ,�S Atf044c4?YLte �ivc1&ATlo�) Approved by Engineering: —3-t4 Date: 4_30-is- 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: ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_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 15180 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00059 Chip Barnett 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 15180 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00059 Chip Barnett 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 15180 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00059 David Young Finish grouting main bath shower. Provide approved FPS ﬁnal inspection, and Backﬂow test report. Provide approved plans on site for deck and street tree inspection. Provide 8# 10 screws per plan on deck lateral bracing or provide engineers approval for nails used. Provide positive connection from upper deck columns thru to lower deck columns. 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 15180 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00059 David Young Corrections complete. Final erosion control approved. Street tree certiﬁcation checked. Moisture content form received. High efﬁciency lighting form received. Blower door test results checked. Insulation certiﬁcation checked. C of O left on site with contractor. 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 15180 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00059 Chip Barnett Violation Summary: Inspector Contractor