Permit � n CITY OF TIGARD r MASTER PERMIT
' 1 3 ' COMMUNITY DEVELOPMENT ,A, Permit#: MST2015-00166
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �=�c.� Date Issued: 11/12/2015
Parcel: 2S110CB11300
Jurisdiction: TIGARD
Site address: 15230 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 1
Project: Southview Heights, Lot 1
Project Description: New SF. 3/30/16, REPRINTED to add a/c and retaining wall to support concrete entry.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1905 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 440 sf Garage: 440 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2385 sf Value: $375,692.19 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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
Drywell-Trench Drain: 0 Other Fixtures: 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: 5
Furn>=100K: 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 addl 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 2385
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 Geo-tech report required to
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 footing inspection
2 Ersn Cntrl 503-639-4175
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $24,188.41
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTIO • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 rough OA" 952-0' •'90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ 2_______.Issued By �/ /'it.
n ;..L. Permittee 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.
City of Tigard i
ligCOMMUNITY DEVELOPMENT DEPARTMENT Wa
■
g.
T I G A R D Building Permit Review — Residential
Building Permit #: H'i off! S.-- Obi (pee
Site Address: 1 S2 3 0 &w 1-\ or•reAji v,-eniv
Project Name: u--- J €,vv ii-e i c ht—S Lot #: 2
(New dwelling=subdivision name;.ldditioi or.1Iteration=last name of owner)
Planning Review 1
Proposal: JV Deck_ M S F2-C71 S o 01 6(c,
Verify site address/suite# exists and active in permit system.
�`River Terrace Neighborhood: No E Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three (3)copies of site plan "n1 x'isting structures on site
/Site plan must be on 8-1/2"x 11"or 11 x 17"paper //Footprint of new structure(including decks)with finished
/Drawn to scale (standard architect or engineer scale) floor elevations
North arrow
Jtility locations(required for new,may apply for additions)
%site address,project or subdivision name and lot number -8.tantion of wells/septic systems
7-1pplicant 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.)
/Lot area,building coverage area,percentage of coverage and ,treet 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 ?Street
trees to be retained with drip line,and tree
4 foot differential) protection measures
ZClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified E No Received: ❑ Yes E No
4 Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes E No,stop intake
7 Land Use Case#: Ssti 320 3 - 0000S
Zoning:
A
Setbacks: Front f S Rear r S Side S Street Side 10 Garage Z
Landscape Requirement: 0,0
--B—rot Coverage Maximum:
0 Building I leight: Maximum Height .3 S Actual Height 1 k,
jai Visual Clearance
XEasements
Sensitive Lands: ❑ Yes ❑ No Type
❑ Urban Forestry Plan
❑ Conditions "Met"pripr to issuance of building permit
Notes: a 40 9 SiTA r orr/at j to 61-t Cte.-
Approved By Planning: 410 f(7GC— t I t0 e4d4.-- - Date: 3/I(o/ /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\BldgPermitRvw_RES_012116.docx
Building Permit Submittal
Original SubmittalDate:
Site Plans`'"" #
Building Plans: #
Building Permit#: ❑/Enter building permit#above.
Workflow Routing: 2"-Planning L- Pe
Enginccring 0 rmit Coordinator �Suilding
Workflow Sign-off: E{Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
�original plan review routing form.
LJ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By ( D. / l /b/�
Permit Technician: �� � Date:
Engineering Review
❑ Slope at building pad: AJ/4
❑ Conditions "Met"prior to iss ance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes j:2' No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: h LV E- t J H 1 Trz-- Date: ?j/7//C
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E 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:
‘%0SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes X N/A
Parks SDC: II Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: 40<)atgli0-'3A-AA
Building'Forms\BldgPennitRvw_RES_012116.docx
q CITY OF TIGARD MASTER PERMIT
II ■ - COMMUNITY DEVELOPMENT Permit#: MST2015-00166
T 1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718,2439 Date Issued: 11/12/2015
Parcel: 2S110CB11300
Jurisdiction: TIGARD
Site address: 15230 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 1
Project: South View Heights, Lot 1
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1905 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 440 sf Garage: 440 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2385 sf Value: $375,692.19 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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
Drywell-Trench Drain: 0 Other Fixtures: 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: 5
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 addl 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 8 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 2385
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 Geo-tech report required to
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 footing inspection
2 Ersn Cntrl 503-639-4175
PHONE: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $23,513.85
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 : work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow t - rules adopted by the Oregon Utility Notificatio enter. Those rules are set -rt p OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• • the rules• •irect questions to OUNC by calling 503 32.1987• 1.800.1. ,4. , /
Issued By: _ Permittee Signature: I �A,/
Ca •.x�175 by 7:00 a.m.for the next available inspectio" r
This permit card shall be kept in a conspicuous place on the job site until cod n of I ' •roject
Approved plans are required on the job site at the time of each spection.
l'uildinQ Permit ApplicaticRECEIVEP
* Residential FOR OFFICE USE ONLY
City of Tigard SEP 17 2015 Date/By: `)` /7 /6 .�...fb HWa9ol5 69/6(,
Permit No.:
11
• 13125 SW Hall Blvd.,Tigard,OR 97223 y
_ Phone: 503.718.2439 Fax: 503. Date/By:we Other Permit:
1TIO F'TH AR]) ` 113--.I 1s Sw,e�r S-t�)i�
Inspection Line: 503.63 8.4175 Date Ready/By: 1-24:1---1-77-1 Juris See Page 2 for T I GARD Internet www.tigard-or.gov BUILDING DIVISION Notified/Meth od: Supplemental
Information
TYPE OF WORK REQ VIRED DATA:I-AND 2-FAMILYDWELLING
®New construction ❑ Demolition Permit tees*are based on the%alue 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.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: 375 69� $q �Z74
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2, i3 g S
Job site address: t �:.. , t,,: i ii-o-.yi,-1 y , - >`.' " , New dwelling area: 5976 _ square feet lg.a_S--
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 440 `' square feet
Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: j o l square feet
Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area: f bQ square feet 4$Q
Other structure area: — square feet i i r-„."'
REQUIRED DATA:COMMERCIAL.-USE CHECKLIST
Subdivision:Southview Heights Lot no.: 1 Permit tees*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 famih residence
Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Ilomes 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 PERMIT FEES*
Business name:same as above
(Please refertofeeschedule
Structural plan review fee(or deposit):
Contact name:Deirdre Britt
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received: *79).60
Phone:( ) Fax: :( 1
E-mail:dbrittrstonebridgehomesnw.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:same as above Submit two(2)sets of roof plan with connection details
- - - and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:173318
Total fee due upon application: $201.60
Authorized signature O This permit application expires if a permit is not obtained
�\ within 180 days after it has been accepted as complete.
T 4//5/'C *Fee methodology set by Tri-County Building Industry
Print name: �� $�� T Date: -1( sJ Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
. I
RECEIVED)
Electrical Permit Application FOR OFFICE USE ONLY / /
City of Tigard SEP 1 7 2015 Received q /7 f Permit No.; y I�l S-�t fC
� Date/By. 7 J
Fri
13125 S W Hall I31vtL,Tigard,OR 977„23 Plan Review
Phone; 501718.2439 Fax: 503.59 (�c A Dale/By:
Other Per mir. gW(Z�pfS—�/(�
Inspection 1.inc: 503.639.4175 "r II�t'll Dale Ready/By: t'�ris El Sec Page 2 for
TIGARD
p jr Noiilied/M itd Supplemental llenrental Inform ttion
Internet: www ttgard-or BUILDING/Ttji]rQi/�� L__.__ -..
TYPE OF WORK" ' PLAN REVIEW
Please check ill Ih:a apply(submit 2 sets of plans w/heirs checked bctow).
®Ncw construction ❑Additiooalter tion!.cp iacemcnt
❑Service or feeder 400 amps or more ❑Building over Ihrec stories
❑Demolition ❑Othcr. where the available fault current ❑Marinas and boatyards.
C,A II t'ORY OF (()N'I1(1 Cf1ON exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to gmtnrd,or exceeds 14,000 ❑Commercial-use agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps forall other installations- buildings.
❑ Multi-Family ❑ Mastcrhuildcr ❑Other ❑Fire pump. ❑Installation of150KVAor
- --
['Emergency system. larger separately derived system
It ill SITE INFORM A tlON AND LO(' N FlO
_---___ --- ❑Addition of new motor load of ❑'`A" "F""1-2"'•I-3"
Job no.: ::)t) Job site address: I00HPorMOM. occupancy.
l V 1 l� T 1FI�``` s Y i�'��J y C• ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZiP:Tigard,OR 97224 0 Health-care facilities, ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Southview Heights El Service or feeder 600 amps or wore.
FEE SCHEDULE
Cross street/directions to job site:SW 122"Ave&SW Beef Bend Rd ucwr,iium 4•r. I Fes. 1 raa 1—'
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Southview Heights Lot no.: ' 1,000 sq.fl,or less 168.54 4
Ea,add'l 500 sq.It.or portion ,j 33.92
Tax map/parcel no.:
,' 34,"v Limited energy,residential 75 00 2
DESCRIPTION OF WORK (with above sq_Ii)
Limited energy,multi-thmily 75 00 2
new,single family residence residential(with above sq.R,)
Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
' _. . 200 amps or less 10.70 2
.»a. ! PER"1' OWNER ❑ TENANT ANT (1
�.._.. 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 I,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 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 2
Owner signature: Date: Branch circuits-new,alteration,or extension, Icr tanel
;;l ).a ;; Y 't ,r s .�, A.lee for branch circuits with
' 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'I branch circuit 7.42 _ 2
- - — Miscellaneous(service or feeder not included)
City/State/ZIP:
Each manufactured or modular 67,84
Phone:( ) Fax: :( ) dwellingscrvicc and/ur feeder _
Reconnect only 67,84 2
E-mail dbritt(7stonebridgehomesnw•C01n Pumporirrigationcircle 67.84 2
i coN-rim:l'Oil Sign or outline lighting 67,84 2
Business name:City Electric — - — Sigurd circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:55568 SW Schaltenbrand in 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(1 hr min) 66251 hr
Phone:(971)404.1714 I Fax:(503)625.3052 Industrial plant(I hr min) 78,150 hr
Inspections fix which no tee is 90 r10!h:
CCI3 Lie.: 42422 l Electrical I.ic.: 26-21190 Suprv.Lie,: 35925 specilicail■ listed(s;hr min) ._______-
ELECTRICAL PERMIT FEES
Suprv. Electrician signature;required: Subtotal
Print name: Chuck Friesen Date: Plan review(25%of permit fee):
__..__........._-...._.._-...._.._ State surcharge(12%of permit Ide):
Authorized signature: TO'l'A(.PERMI'I linty
Print Itnn1Q: Date! l Iris permit application expires ifa permit is not uht:mined,cithiu Imo
dips after it hums been accepted as complete.
' Number of inspections allowed per permit
I ntuikiirigw,irniisn t_t'Pet noiArp_Iit.R f-JU_dnc Rev:,'x21(2111.1 .i.i::.I:,I,Itit,nyt`(Mnvrn
1
, _ ..
RECEIVE. 1
- Mechanical Permit Application FOR OFFICE USE ONLY
City g SEP 17 2015 Received - 3�1
Cit of Ti and 7 /7 /2 PermitNo.. f pD iie49
Date/13y Il
is 13125 SW Hail Blvd.,Tigard,OR 97223 plan Review
ti
' Q' ' Phone: 503.718,2439 Fax:
50 3,CI1I°UFTtGAtD
Date/ny: Oilier Permit: 6()Q -06-oc 11 '
Inspection Line: 503.639.4175 T t G A R D
i(� Date Ready/By: tuns: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION
Notilied/Method;
t Supplemental Information
7l`I'E OF WORK COMMERCIAL FEE" SCHEDULE - USE(IIP:(KL1ST
-- 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:S
C. TI:GOR'I OF CONSTRUCTION ' ,t" it .::'4,'':'. 3 f t o
®
I.and 2-Ihmily dwelling ❑Commercial/industrial ❑Accessory building For special information use c/rechlisr.
❑ Multi-family II] Master builder ❑Other: Description ( Qty. I La. 1 Total
11 ST!E INFORMATION 1\D LOCATION l lea ting/coolng:
Air conditioning I L 46 75
lob site address W AVE. -
15230 flu N ARUM 4 ,G•Y!'�►�. _v_ Furnace 100,000 BTU(ducts/vents) ( 46.75
City/State//.11':Tigard,OR 97224 Furnace 100,000+BTU(ducts/venis) 54.91
Suite/bldg./apt.no.: I Project name:Southview Ileights Heat pump 61.06 Duct work 23.32
Cross streeUdirections to job site:SW 122"d 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.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 j 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 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
-- ..-� __ 2.�
0 Plitt , �# 4r'`1R ❑ "IIsNANI _ _
- — — Environmental exhaust and ventilation:
Nance:Stone Bridge Homes NW,LLC Range hood/other kitchen
M___.___. _- - - .------------- e<ui meat i 33.39 `.
Address:4230 C:alcwood St,Suite 100
Clothes dryer exhaust I 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 ❑ COVI'ACF PERSON Other: 23.32
lusiness name: saute as above Fuel piping:
514.15 for first four;£4.03 for each additional_
Contact name: Deirdre Britt Furnace,etc. 1
Address: Gas heat pump
-- Wall/suspended/unit heater
City/State/ZIP: Water heater i
Phone:
( ) I Fax::( ) Fireplace /
— Range - 1
E-mail:dbritt(iistonebridgehomcsnw.eotia) Barbecue
CONTRACTOR Clothes dryer(,as) I
Business name:Comfort Zone
— — Other
----..._-..____--- NiFCJIA,NIC'AI.PERMIT FEES"
Address: 1032 NW Corporate Dr Subtotal
City/Stine/ZIP:I unit td tic,OR 9706(1 `.',nnI'Lii.t pcnnit fee('90.00)
- i cw(25%ofpermil fee)
Phone:(503)667.5595 Fax:(503)491.8252 'permit lee)
!')iale mu-charge(12%or CUB lie.: 110091 'TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
�Y t Q' days after it has been accepted as complete.
Authorized signature:: ----" ---- ' Fee ntetbrntolo,i■'ci by I n-C.suiity Building hnbi tiv Sc,v,cc Iloatd
Print name:David Ileidstah Date:
I I
I II[uitdim\termii 5tI:t t,n,,,Art ! tI:do: I a.4a1 Tf(,tru'/('UWWkin)
t,
, Plumbing Permit ApplicIRECEIMEP
[3uilding Fixtures FOR OFFICE USE ONLY
pr City of Tigard 17 2015 Ra / d
) le Liv: Pcnnt Nn.:
14yWS eV!42 ea
13125 SW Hall Blvd.,Tigard,OR 3
Plan Review
Phone: 503.718.2439 Fax: 5 1960 Other Permit No.:p�t)QaO/S^CL��I
51 Y Ulu I'1(,ARU DatelRy:
TtC'I ARD Inspection Line 503.639.417 bale Rcady![ly: hris: a See Page 2 for -
hnernct. www.tigard-or.go Notttfed!Methoct: Supplemental Information
TYPE (7F jaiiI " DiVI io� FEE SCHEDULE
®New construction ❑ Demolition For special information use checklist.
Description I Qty. J ILa. I Total
❑Addition/alteration/replacement U Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
` , ATEC:OR'Y''OF CONSTRUCTION SFR(I)bath 312.70
® 1 Commercial/industrial
2-family dwelling ❑ i tdustrial SFR(2)bath 437.78
............
SFR(3)bath ) 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑ Mader htiilclei ❑Other:
- Fire sprinkler( sq.ft.) Page 2
.108 Serf INI OR.AiA t ION AND I.O( 11 lON Site utilities:
Job site address: 152.30 Sw HAP-4E1c v Imo/AVE. 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"Ave&SW Beef Bend Rd Manholes 18.76
Rain drain connector f 18.76
Sanitary sewer(no.linear ft.j'll ) Page 2
Storm sewer(no.linear ft.:10 G) - Page 2
Water service(no.linear 11.E 0 G) Page 2
Subdivision:Southview Heights I Lot no.: I Fixture or item:
Tax snap/parcel no.: Backtlow preventer 31.27
l's(Rh IlUN I01,' !t'OR1ti Backwater valve I 12.51
D
--- --- Clothes washer i 25,02
new,single family residence _.-______.- Dishwasher I 25.02
Drinking fountain 25.02
Ejectors/Sump 25.02
PROP nrry OWNER 1 ❑ .FEN kNI Expansion tank - _ - 12.51
Name:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02
I
Floor drain/floor sink/hub 25.02
Address:4230 Galewood St,Suite 100 '-
Garbage disposal 1 25.02
City/State/Z1P:Lake Oswego,OR 97035 Hose bib ,. 25.02
Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 1 12.51
❑-APPLIC_WI" ❑ CONTACT PERSON Interceptor/grease 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:( ) I Fax::( ) Tub/shower/shower pan t_ 12.51
L-mail-dhritt(a Stonehridgehomesnw.conn Urinal 25.02
_, Water closet 3 25.02
CONTR:1CfOR ,
_ - Water heater j 37.52
Business name Max Plumbing/( WaterpipintJDWV 56291
Address:I'O Box 5597 Other: 25.02
City/State/ZIP: Beaverton,OR 97006 Subtotal
Phone:(971)275.0198 Fax: Minimum permit Ice: $72.50
y� Plan review (25%of permit Ice)
(VII Lie.: . J 3 9t Plumbing 1 ic.no.: r5)55,3
-_�_--_--.._.. State surcharge(12%uClxrntil Ice)
Authorized signature: ( f y ` ...„.,,..t,4-- ----_ TOTAL PERMIT FEE
Print n:nttc:.lasou H�PgCr Dale: This permit application expires if a prrmil is nni obtained%villein ISO days
after it has been aca,•pled as complete.
'Fee methodology set by fii-County Budding hiduarc Service Iloard.
1 lnrohlian'l, ,,,s:Pl.All!-Howi,Altp Aoc Uvnt!r 0 4-0-10.1(I:N,_.r I)■invt[ifl
City of Tigard III . COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R I) Building Permit Review — Residential
Building Permit #: H -r-` •I'-pO 1 to40
Site Address: /5 23O S1,t' i4'vet S (/ci
I
Project Name: Ot/4 Via' //cab SU/,10/3-00 ,1c Lot #: Z
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Revie ",�
Proposal: �ej SF0 3,O7s L/1-/d c�/ eryc e, 1 6
• Verify site address/suite#exists and active in permit system.
r: ' 'ver Terrace Neighborhood: ❑ Yes Ng No
Site Plan Elements:
Three(3)copies of site plan • Existing structures on site
Site plan trust he on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
t. D rawn to scale(standard architect or engineer scale) floor elevations
orth arrow tility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number C :. on of wells/septic systems
•plicant information(name and phone number) It, rosion control(including drainage-way protection,silt fence
'4 . •t dimensions and building setback dimensions design,location of catch basin,etc.)
Iiitl-ot area,building coverage area,percentage of coverage and '.Street names f 02 f /r ,--
impervious area(applicable if R-7,R-12,R-25&R-40) 3'. r- reet tree size,type and locatio
Property corner elevations(2 foot contour linesif more than ►'•t xisting trees to be retained with drip line,and tree
4 foot differential) protection measures
XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):•Required: ❑ Yes,applicant was notified No ' Received: El Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified EJ Y+ No Applied For CI Yes ❑ No,stop intake
Land Use Case#: J C(43 09(3/3-00e63
Zoning:
R-7
Setbacks: Front ' Rear /3-% Side I Street Side /0/ Garage
'RI Landscape Requirement: Oa io /_.%-'
❑ Lot Coverage Maximum: --
13 Building Height: Maximum Height —3-S Actual Height 0
(Visual Clearance
El Easements
Sensitive Lands: ❑ Yes No Type
❑ Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: _
Approved By Planning: �� - - Date:
9:---77'7—e/3--
Revisions (after Building Sub. ttal only) Reviewer Date
Revision 1: ❑ Approvtid ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_RES 0709 1 5.docx
Building Permit Submittal
Original Submittal Date: 9 /7 /cc
Site Plans: #
Building Plans: #
Building Permit#: enter building permit#above.
Workflow Routing: Planning l;LErgineering B'lrrmit Coordinator ❑'Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: '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: Date:
Engineering Review
❑ Slope at building pad: 272
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Wate .lity/Quantity Facility:
Assess Wate ! .li Fee in-lieu: ! -s ❑ No
Assess Water Quantity Fee in-lieu: El Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
E l NOT Approved by Engineering: Date:
Notes: IL, al7•
Approved by Engineering: �� I) Date: 9Z2
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:
SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes MN/A
Tigard Trans SDC: ❑ Yes XN/A
- Parks SDC: 7.Yes ❑ N/A
to Issue Permit
Approved by Permit Coordinator: 41/ Date: "/2-2—/i5
I:\Building\Forms\BldgPermit Rvw_RES_0709 I 5.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
IIICity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
- ` Transmittal Letter
�A
i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: U--t.1--__ Rte—, DATE
Alf/EP
DEPT: BUILDING DIVISION `
r' -; 16 `,T,1
FROM: ,
COMPANY :',..,, . , 1 , 3UUILD1N1 Or 11 __
4
. _ • _ fai"_. -_.:. ' -AIL. A . Aga NM,'
RE: I5 a 30 . . , ,t. J. NI ,7105 06)166
(Site Address) .V (Permit Number
ect name or su't ivision name d I. number)
ATTACHED ARE THE I LLE WING I ' MS:
1,7),7:151„45,', ; , ' ,s , 3 ' '„''s-�'Sw :• ' l '`!'ik w,?rs ;c
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: f .--4-A1 (/
�tLiapai.f` Lica-c.L.tS e _.!%w-Hu 6
Routed o Permit Technician: rate: a .' 1g) J 4 Initials: 11
Fees Due: PA Yes ❑No �ee Description: Amount Due:
p)c r .v;>cJJ $ 9o. °o
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes o ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00166
David Young
Electrical not complete, not ready for inspection.
Stair light at back deck stairs not installed, AC whip not moved and installed.
Recall when electrical is done and 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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2015-00166
David Young
Downspout for covered deck gutter not installed, work not complete.
Provide approved thread sealant on clean out caps. 316.1
Finish insulating FPS supply lines in garage. NFPA 13D
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
FAIL
MST2015-00166
David Young
AC not hooked up at time of final inspection. Work not complete.
Seal ceiling penetration in garage at mechanical equipment. R302.5.3
Cap dryer duct and label per code. M1502.4.6
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00166
David Young
Fireplace vent encroaches into required head clearance at rear deck stairs. 311.7.2
Remove debris and fix vapor barrier in crawl space. R408.4
Provide full support for stair stringers top side per approved plans.
Stair stringers and treads not attached per approved plans.
2x8 pt blocking not installed at deck joist and beams per approved plans.
Provide approved electrical final inspection.
Provide approved mechanical 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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
FAIL
MST2015-00166
David Young
Seal line set penetration thru foundation vent. R408.2
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00166
David Young
Corrections complete.
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00166
David Young
Provide breaker lock for dishwasher. 422.31
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00166
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00166
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
15230 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00166
David Young
Final erosion control approved.
Street tree certification received.
High efficiency lighting form received.
Moisture content form received.
Insulation certification checked.
Blower door test results checked.
Guardrail at house side of rear deck stairway installed for protection of fireplace flue.
C of O left onsite at kitchen counter with approved plans.
Note: permit for hot tub required at time of installation.
Violation Summary:
Inspector Contractor