Permit CITY OF TIGARD , MASTER PERMIT
a•: COMMUNITY DEVELOPMENT Permit#: MST2015-00246
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , Date Issued: 02/25/2016
Parcel: 2S110CB14600
Jurisdiction: TIGARD
Site address: 15181 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 34
Project: Southview Heights, Lot 34
Project Description: New SF. 5/16/16, REPRINTED to add deck, stairs in crawl space to garage, adding square
footage to upper floor&landing stairs, a/c&utility sink.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 290 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1550 sf Garage: 768 sf Front: 20 Smoke
Dwelling Units: 1 Third: 1620 sf Right: 5
Detectors: Yes
Total: 3477 sf Value: $424,866.86 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fu rn>=100 K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 6 201-400 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 3477
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 needed before
foundation inspection
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $26,129.36
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 - 010 throng •AR 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232or 1 B9q.332.2344.
Issu By: 1 /,L'i. . " 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.
Building Permit Application
t •Residential vc{V Foo Orrt( I t SF.()NIA
�''�v ii
City of Tigard jC ✓✓ Date.'B Permit No' r.15 7 b1
/aved 7 s/>Scvv
II i 13125 SW Hall Blvd..Tigard,OR 972 Plan Review
C Other Permit 1,
Phone: 503.718.2439 Fax: 503.598.1960 1 C '�Q�J Date/By I 3) �� �/�pq,s--OO,,6
tit,.\R I\ Inspection Line: 503.639.4175 p -C 1 Date ReadyBy i tom: 0 See Page 2 for
Internet: www.tigard-or.gov U ekta) Notified/Method //y/� �f'-' Supplemental Information
kk)V 1' 1 0 E��'— _A G7/246 t6
TYPE OF woR �`�{l�G���`� REQUIRED DATA:1-AXD..*At14LY DWELLING
®New construction ❑l 'Ton Permit fees'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 OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial:industrial Val,ta4 Zi. .8 61 $�9n., ,,,OO _ jf
❑Accessory building 0 Multi-family Number of bedrooms _'/
❑Master builder 0 Other: Number of bathrooms 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 190,1 ( ,A H a'RVv1S V listV 4'J • New dwelling area: 340 0 square feet .
DO
City'State,ZIP:Tigard,OR 97224 Garage/carport area: 17,0 square feet ) 6 %,,0
Suite-bldg.,apt.no.: Project name:Southview Heights Covered porch area: fa:Z square feet f Jv(b
Cross street directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area: •-"" square feet a9 0
Other structure area: $$ square feet 0,b11/4'10
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Southview heights Lot no.: 34 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
new,single family residence Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Stone Bridge Homes NW,LLC Type of construction:
Address:4230 Galewood St,Suite 100 Occupancy groups:
City.State%ZIP: Lake Oswego,OR 97035 Existing:
Phone:(503)387.7577 Fax:(503)387.7615 New:
® APPLICANT 0 CONTACT PERSON .
Business name:same as above
Structural plan review fee(or deposit):
Contact name:Deirdre Britt
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax: :( )
E-mail:dbritba stonebridgehomesnw.com PHOTOVOLTAIC[iI "IE!*ANELItV*TEES*
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.
Permit Fee(includes plan review
City/State/ZIP: and administrative fees): $180.00
Phone:( ) Fax:( )
State surcharge(12o 0 of permit fee): 521.60
CCB lic.:173318 �. Total fee due upon application: $201.60
Authorized signature: 1'..�/—_ This permit application expires If a permit is not obtained
iV within 180 days after it has been accepted as complete.
e� Date: "Fee methodology set by Tri-County Building Industry
Print name: I� 6R17T l�/�� Service Board.
I:\Building.Permits`BI.:P-RESPermitApp.doc 02/24;2011 440-4613T(11/02,COM.'WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT 1
S
T I G A R D Building Permit Review — Residential
Building Permit #: "-Tat l5--O 21i(p
Site Address: /5j / SC.) /Actor f.j�, ,o
Project Name: c�'k ,'ec.J gyl'r/ 1-0Y- 3L/ Lot #: 3i!(New dwelling= subdivision n me;,Addition or:Alteration= last name of owner)
Planning Review
1 Proposal: 2Q,V;Setk 0 e-cAt
7 Verify site address/suite# exists and active in permit system.
dizr River Terrace Neighborhood: /No ❑ Yes,See River Terrace Review_9ddendum Attached
Site Plan Elements:
Three (3) copies of site plan ZExisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper 1�Footprint of new structure(including decks)with finished
/Drawn to scale (standard architect or engineer scale) floor elevations
North arrow ,LTJ Utility locations(required for new,may apply for additions)
tte address,project or subdivision name and lot number LlLocatioll of wells/septic systems
AZApplicant 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.)
area,building coverage area,percentage of coverage and %Street names
impervious area(applicable if R-7,R-12,R-25&R-40) ,'Street tree size,type and location
,roperty corner elevations (2 foot contour lines if more than ❑Fxjaiug trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
71 Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
7 Land Use Case#: Q- 4d7 5u 42011 . 01)00.3-
X. Zoning: f
XSetbacks: Front ` S Rear ( s Side S Street Side (�- Garage -c..i
Landscape Requirement: 2,0 0,
Lot Coverage Maximum: e0 %
uilding Height: Maximum Height 3S Actual Height
isual Clearance
easements
censitive Lands: ❑ Yes ❑ No Type N
E t-Orban Forestry Plan
.Conditions "Met"prior to issuance of building permit
Notes: I
Approved By Planning: l'1 o e l iVl^— 1 '1b 0. e_e.A".,-- Date: VC / I (,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
l:\Building\Fonns\BldgPennitRvw_RES_0121 16.docx
Building Permit Submittal
Original Submittal Date: 5/qhlo
Site Plans: #
Building Plans: # o2 (3d- L.),%1 si-
Building Permit#: ,e'�nter building permit!##above.
Workflow Routing: L� . Planning Lr✓/Engtneering ermit Coordinatoring
Workflow Sign-off: 0. -off for Planning(include notes from planning review)
Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori ' plan review routing form.
uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: l
By Permit Technician: Gi/ Date: 5/S//lci
Engineering Review
Slope at building pad:
Conditions "Met"prior to issuance of building permit
Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes i No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes ( No
❑ NOT Approved by Engineering: Date:
Notes:
4.
Approved by Engineering: IF _ _ Date: c----476/
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 -N/A
Tigard Trans SDC: ❑ Yes k N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit _
Approved by Permit Coordinator: aul_cw,-.. Date: 5— 9 - /co
I:`Building`.Fonnns\BldgPennitRvw_RES_0121 16.docx
q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00246
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2016
Parcel: 2S110CB14600
Jurisdiction: TIGARD
Site address: 15181 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 34
Project: Southview Heights, Lot 34
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 4 First: 290 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1550 sf Garage: 720 sf Front: 20 Smoke
Dwelling Units: 1 Third: 1620 sf Right: 5
Detectors: Yes
Total: 3460 sf Value: $424,866.86 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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0
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: 6 201A00 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 3460
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 needed before
foundation inspection
PHONE: PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $25,858.18
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You ma s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.6 . 175 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.
$uildina Permit Application
. • �NVO FOR OFFICE USE ONLN
City of Tigard � Received
Permit No.
13125 SW Hall Blvd.,Tigard,OR 972CPlanDateR
By S
g Plan Review 1
Phone: 503.718.2439 Fax: 503.598.1960 1 C Date/By: / 3) I Other Permit
Inspection Line: 503.639.4175 U�C 1 J Date ReadyBv: tunsH'See Page 2 for
Internet: www.tigard-or.gov V Notified/Method: y /� Supplemental Information
%k� - /gam es�—_,2A y9_45-
TYPE OF WO G REQUIRED DATA:I-AND2-FAMfLY DWELLING
®New construction ❑ t ton Permit fees*are based on the value of the work performed.
El Addition,alterationireplacement El Other:
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling El Commercial,,industrial Val,4�)1Lr .8 67 $ D6
ElAccessory building ElMulti-familyNumber of bedrooms:11
❑ Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 19V �W H ArFW 09 VIS ME. New dwelling area: p square feet O
City/State'ZIP:Tigard,OR 97224 Garage/carport area: -7X square feet 6�o
Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: square feet 1$s�
Cross street/directions to job site: SW 122nd Ave&SW Beef Bend Rd Deck area: square feet a9 0
Other structure area: square feet 6kAPAT:
RFAKTmM DATA:comes tcui_USE C.mimusT
Subdivision: Southview Heights Lot no.: ? Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
IDESCRIPTION OF WORK work indicated on this application.
new,single family residence Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ FE)YANT 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:
0 APPLICANT ❑ CONTACT 'PERSON BUILDING .. 1rEES*
Business name:same as above
Structural plan review fee(or deposit):
Contact name:Deirdre Britt
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax: :( )
Amount received:
E-mail:dbrittii).stonebridgehomesnw.com
PROI`OVOLTAIC SdtAK PANEL SYSTiji TEES-
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:( ) State surcharge(120'o of permit fee): $21.60
CCB lie.:173318 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days atter it has been accepted as complete.
Print name: �� 6R�7T Date: 141-11115 'Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building�Permits�BL P-RESPermitApp.doc 02/24'2011 440-4613T(11/021/COM'WEB)
Electrical Permit Application N FOR OFFICE USE ONLY
ccive,i
City y Ot lz 1rTi11'. ���� I l nc nlll No
B,
h l
• Ill'5ti�t IIlIlI3lotl li ard,()R 9722] - - -
1 uI
3 I'honc )Uz71k'4�9 Fat Sli; �9R 19( Other Peuuil.
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Inspccnon .inc. til)_.6-,d.41 7S - I),nr R uh lir. J..rs 0 Sce Page 2 for
Internet %"%Nv tig,ird or gov [ Nout-i al M,.dIuL Supplcrncntal Information
TYPE OF WORK PL%N REVIEW
®New C011StrnCtlon ❑Acid itionialteration!replaC,.filkt) P .:I I. dl (submit 2 cels r;l pkm,k�'�tr tn,rr.
h .ped 1,1-,)
❑i ']CC ui el&f 10) kips or inure ❑13uddmg 0VCI ihiec sones
❑Delnolidon ❑Othcr: l' ,Y11cn n.a,ai able Is_ill cunow ❑,Mamas,Ind bmt%aic6
t ATECrORY dF CON5TRl7 cs mk IO,000.:nips al I50 volts or ElIlnahng buildings.
i ® .:es lu gI uuud,o:escceds 1.1,000 ❑Commercial-n;c agnculll rat
I-and 2-Family dwelling ❑Commercial/industrial ❑ Accessory building nn1's G,I.111 other,h;l>dlaaon; bnddin,,s.
❑ Multi-family ❑ Master builder ❑ Other: ❑I lie pump ❑Insttdlntion(f I50 K VA or
❑I•:urergc.ncv system tai ver swpal ntely deuced ysl_m
JOB SITIe. § ORNuTION AND LOCATION ❑ vddition ,I nc„mo iv load Ia ❑'n . `C 2" "I 3',
Job no.. �1) Job site address: ICAy1 9W Na�S VIN mare R,,cic racy
------ ❑51X oI more restloaral mins ❑Recleelion,ll v;alicle pinks
CityiState,iZ,IP.Tigard,OR 97224 ❑Health-care laclif es ❑Supply vollagc for more than
❑i laandous Irwatioro r,00 volts nominal
Suite/hldg./alit.no.: Project name:Southview Heights ❑samtr or feeder 600 a"bps or more
Cross street/directions to job site:SW 122"'I Ave&SW Beef Bend Rd nt,,.r;1,I;,,rt ,�• FK. raid
`- - - — New residential single-or multi-tamily dwelling unit.
Includes attached garage.
Subdivision:Southview Heights Lot no: 3� 1 xx1 scl 't or less 16854 4
—- 1 a add'l 560sq if or portion 33.92 1
Fax map/Parcel no.: I imi:ed uicrgy,resldentinl
75. J
° r� LS�R.PITON"OF WORK Iwith ibmCsq 1i_) - � --
� I nnred energy,nu1111 I,nrhily 750'0 2
new,single family residence esidential(.i,di ahovc sr 11)
- -- - Renewable Energy Sec Page 2
Services or feeders installation,alteration,and/or relocation
"® ,PROPETtT1;Q1!NER ❑ TENANT 200 mops ur less I((i 70 -- Z
20 1 amps l6 400 amps 13350
Name:Stone Bridge Homes NW,LLC —'-
--- 101 :.ars to 6(X)imps 7tXl 34
Address:4230 Galewood St,Suite 100 601 ,unps to I,Oco wraps 30104
O'cl I,000v11psulvolts _5226 -_
City,'State;ZIP: Lake Oswego,OR 97035Temporary services or feeders installation,alteration,and/or
Phone:(503)387.7577 TFax:(503)387.7615 relocation _
200 anis m less 5936
Owner installation: ['his installation is being made on property that I own which is not 20 l t,mrs to,100 amps 12509 -- 2
intended For sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 101 a'Inrs ui 591)amps Ms 54
Owner signariu'e: Dalc I Branch circuits-new,alteration,or extension,per panel
® APPLICANT ❑ CONTACT PERSON AI;��for hrnn h ei«�Ilils uirh
.- I
above senate or Iweder:ee' 742
Business name.same as above ! _ encu hi-mich c rcuit
---- --------------- r 13 Pee for branch cucmils wirhour
Conlael namc:Deirdre Britt - service or feeder tee,first 56113
branch circut
Address: I.Ich add'i blanch clicllit 742
City,State%7,IP:
Niscellaucous(service or feeder not included)
--- --
F.Ich ntamdadurcd ar nnululer
6784
Phone ( ) } I�. ( d.vwl:in: c vice and/or!ceder
R•connect only 67 9.1 2
E-mail:dbritt(a)stonebri(Igehomesnw.com _ Pump or irrigation circle i 67 84 �-
gn rn outhlhC lishlm.q 1 6184
Business name:City Electric 5 final circulus)or houted onergy
----- _ palicl.iltcralion.o cstanilul Pai,!c 2
Address:55568 SW Schaltenbrand Ln Each additional inspection o�allowable in ally of(lie above
Addonm,i in(xxtiol0In nein) rel -_'•`11r
CityiStateiZ.IP:Sherwood,OR 97140 Irvatirtauon(I hr nlui)
' -- 5.305Z Industlf:I plant(I hr min)) ), ! h
lone:( 71) 104.1719 I I�.(503)62 _
Insp coons trr which no Ice is )W)0/11,
(A'13 L:c: 42422 ( I CCLfical I.i,: 26-23 9 t uprv. Lic 35925 t.-hr niil) -
ELECTRICAL PERMIT FEES
Suhrc I Icclnci ul si�naturc. rcyuircd �� C__� Suht Ital
flanIcvIeN ' ,..Ipernilllevi
rent name: ( h.Ick I'nesen I i;nc. - - --
_ _ - - - - -- --- - 1,itc,nlclimuc 12'% ul petnl lcc, -i
Auihoriicd sisnat I-C lul•\l PI ItIti11I PI I
Print II,tIl1C: 11zIlC: 1 hi.\per niil eppGl huhu expires if a perulil is not obtained within 11
18
days alts r it h.1s been accepted as en nytlete.
Vnmh•i rl ina�cions nllmccJ pri prnnit
. Mechanical Permit Application L FOR OFFICE USE ONLY
City of Z Igilrd � � 3, [lei I'm No
I_t
125S\& 11111 1Ilvd- I igard,()Jt t17
m Rzricw
� I'hcne: 5u3'ISZ,t3q Iax: 5ul59R '1���J I>>iBp Orly::I'c•iinir
htspeeluoo Linc 503.0 39 a!75 - - - ---- --- - -- — - - --
(' �� D lie Rcad� [3a. l - ® .Sec Pagc 2 far
Intcutct: w�wti.hgan.l-urgtry VI�A� N NowmI.Nlelhod Supplemcnlnl Information
71'1'E OF H'OKI �� COMMERCIAL FEE^ SCHEDULE - USE CIIECKLIST
-- Mechanical permit Ices'me based on the value of the work
❑New construction ❑Addition/allerati uOUN
meet performed htdicatc the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other' mcchunical materials,c ui mcnt,labor,overhead,and profit.
Vahe S
CATEGORY OF CONSTRUCTION RESIDEN"TIAL EQLILPMENT/Sti'$7'EMS FEES"
® I-and 2-iamily dwelling ❑Commercial/industrial ❑Accessory building For specialinjornration use checklist.
Nhtai-fancily ❑ Master builder ❑Other: Description Qty L.; "ford
JOB SITE INFORINA•I'ION AND LOCATION Ileating/cooling: _
Air conditionine .16.75
p, aN a - - -
1ob site address: (5I {/� SW HAWS' V I - ---. - I Inrn'tc.: IQO 110111 BI I i rdnctc/vcnls) 46.75
City/State/LIP:Tigard,OR 97224 I urnac: 100.00_0+11 IU lduct.Jventa 5491
-- Heat pump 61.06
Suite/bldg./apt no.: Project name:Southview Heights ( Duct evnrk 23 32
Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Fhdronic_hot water wstcm 23 32
— -- Residential boiler(radiator or
hydronic) _ _ 23.32
Unit hcatcrs(fuel-(ype,not electric),
in-wall,in-duct,suspended.etc. 36.75
Flue/vent!'or am,of above 23.32
-- - - - ---
1 t Othcr t 23.32
Subcrvision:Southview Heights 1 Lot no.: ijL� 4 -- - _._--.- ._---- _- --_
--_ —_-----_ ___-.._ --- -. -__ - .__.-- ___. _ _ t Other fuel A ppliance$
1 tv map/parcel no.: LW der heater j 23 32
DESCRIPTION OF WORK C„s tle placc insert -- -33 31)
--- Flue vent for under heater or gas
new,single family residence fireplace - -_ — 23 32
— - - — Loa Gehtcr 20 23 32
'� _ _.._ -. -------— -- - -------- Wood/pellet stove 33.39
Woad lirenitcc/illicit 23.32
C htnntcv/Imcrit t0vent 23.3
❑ 'TENANT 2
®
-- 2 PRQPERTv OWNER Other 23.3__ _..__ -.-- _--
Environmental exhaust and ventilation:
Nance:Stone Bridge Homes NW,LI.0 Range hood/other kitchen
- ---- _—. — e9ui meat I 33.39
Address:4230 Gxlcwood St,Suite 100 - --TP___----
Clutltcs dtyur exhaust 33 39
City/State/LI P: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,-- -_--- — -- _ --_ -- toilet coo artntents,utilityrooms) 2 3.3 2
Phone: (5(13)387.7577 Fax:(503)387.7615 Attic/cntwlspacc tans 23.32
® APPLICANT Q CONTACT PERSON other. - 23.32
-- -- Fuel pipinE: -
Business Mine:same as above
SI4.15 fur first four;51.03 for each additional
Contact name: Deirdre Britt F11rnocc.etc.
Address Gas heat pump
- -- Aspull/;uspcnded/111111 heater -
l'ay/SLale(/.I Water heater -
(phone' t ) Fax ( ) fireplace
I;-mail dbritt(u stonebridgehorncsnw cam B ihec..tc
CONTRAC'I'OR �CIHh dryer(zas) ---
13 uiness n un Comfort/,enc - - NIECIIANICAL PERMIT FEES"
Address: 1032 N'W Corporate Dr
Subtotal Ti--
C t;iSuttc%Y.I I' 'I rou1dale,OR 971160 Mininnu n permit tee I'VI)00) I -- -
- - - - Ion rcvic%%(2� 'o of pc rmit Icc)
- -- - - -
I'hunc 151131 667.5595 Fax:(5113)491.8212 --_
Scute ureh2uac(I'_ 4)(l pennil fcc)
CCI(lie.: 11111191 101 V, 11V1011 1 1.1lV I
!his petnul:grplicathin espues if.t permit is nut"bt,nned Ncithm ISI, i
_.--r� r,�.r� docs aflrr it Ita�Leen aceepled as cnmplerr.
A'.i l)I'll V ud iWuitIli Il)nnid
JPrint tinmc: Dal id lieldslab talc.
• e
PlurnbinE! Permit Application
Building Fixtures vx� FOR OFFICE USE ONLY
City ofTigardV,
r11_ Pcnnit Nn.
q 13121 yw I1,1N M\'J
IIwR .i•v.
Phonc 503 19�4i4 I ivy _ )981900 (tthelI'morNo
111 D ric'Bv
Inspccuon Line: 50363,)4175 j ,h P, 0 See Page 2 for
Intemcl wwvvL_trd-w i� ���C� Nonied/Mclhrd Supplementallnformalion
TYPE OF WORK FEE* SCHEDULE
®Ncw amstruction tp J' '\ ! Forspecial ittfurnuNiun use checklist.
;-N'm'r;Rl!(-nON
t)c,cnuon1Otl aTotalEl Addition/alteration/replacenacnt New [ 2 familydwellings(includes 100 fl for each utility connection)
CATEGORY OF C: SFR(1)had, 312.70
® I-and 2-family dwelling ❑Conunercial/industrial SFR(2)hath 437-78
-- - - - SFR(3)bath 500 32
❑Acc c Bury building ❑Multi-family Lach additional hath/kitchen 25 02
❑Master builder ❑Other: -
Fire sprinkler( sq fl_) Pagc 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: (5(011 SW NA RV"S V leW atch basin or ue l dram 18.76
--- - —-- ------ --- -- --------- -- -- Dmvvll.leach line.of trench drain 13.76
City Statc/!11':Tigard,OR 97224 - -- -- -----
- ---- _ _._ 1 noting(horn(nn linear 1t: ) Page 2
Suite/bldg./apt.no.: Project came Southvicw Heights Manutlrctured home utilities 50.03
Cross street�diiections to job site:SW 122"a,we X SW Beef[tend Rd Manholes 19.76
Rain drain connector 13.76
Sanitary sewer(no linear R:_) Page 2
- --- storm scwcr('no.linear H. Pagc 2
Wk itcr service(no linear(I' ) - Pagc 2
Subdivision: Southview Heights Lot no.:3L, 'iaf tuneof item:
Backllow prcventcr 3 1.27
ax ,naplparcc.l no.: � _ _--
�_.
_�.._.._....___._..—_ t3ack\vater calve 12.51 DESCRIPTION,OF WORK - ----
Oothes wushcr 25.02
-- - ----
new,single family residence 1)khNas1ier 25.02
Drinking fountain 25.02
I;jcctor,/sump 25.02
® PROP'ERTV'�MVNER ❑ TENANT Expansion tank _--
I'i.eture/sewer cap 2.5.02
dame:Stone Bridge Homes NW,LLC -- - --- -----
Floor drain/floor sink/hub 25.02 -
Address:4230 Calewood St,Suite 100
--. --- Garhnge disposal 25.02
C'it /State/LIP:Lake Oswego,Oil 97035
Y g nnsc hlh
Phony(503)387.7577 Fax:(503)387.7615 I c maker 12 51
0 APPLICANT ❑ CONTACT PERSON l uercephvr/grease trap 25 02
Medical,as(value:% ) Pagc 2
nosiness name:same as above - -
r- -_- — - - Primo 1251
Contact nanlc: Deirdre Britt --- _
—_-- _--- _-- Roof drain(connncrciul) 12.51 _
� (J2 -----
Address: Sink/basin/hvotery 2i.
City/State{/II'. ')ohn units(potable wa(er) 52.54
Phone.{ ) I ax. :( ) 'uh/showcris u,vvcr pvt 12 51
C-mail dbrittra`stoncbridgchmncsow.con) Urinal 2-502_
CONTRACTOR bb'nt r closet 25 02
----
- - — Watt healer
- -- -
Business panic: Max Plumbing
ddiess PO BOX 1597 Uthcr
City/.State//11'. Beaverton,OR 97006 Subtotal
Phonc (971 1 27_,5.0198 Ian I ) Lhnnniun 1,err111 Ice 572 ,(1
. . 9 t PlanICvICv% (',",olpermitInc)
— --- — ---
�y' 1,1111111161'. I ic. no.. i 1D3
"Ln'!;urch,rrc(12",of pemw 1',0
.L ���✓ e►-t- i I(11iAI.I I R�II'I I I S
,, Thr.permit,Ippinc niun c\pires d a per mil i,nut ubt;6nr d„iihiu 1811 days
I'riut n,tlnc .lasou IIA", ,per n h;c,been avcrprcd,,,cuu,ptcn.
'I :<iro_Ih,�lL+r ,,:I hI i-f-nury ltuiliL o li door, S.i� r fir2id
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Residential
Building Permit #:
Site Address: 1516 � y l ew NV e
Project Name: SO(AihV i ewe,j k+c Lot #: 3y
(New dwelling= subdivis+on natu ;,addition or.Alteration=last name of owner)
Planning Review
7Pr osal: new SF
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Sit Plan Elements:
ISKTree (3) copies of site planFxisting structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paper L�Footprint of new structure(including decks)with finished
Prawn to scale(standard architect or engineer scale) �oor elevations
morth arrow Cu tility locations(required for new,may apply for additions)
re address,project or subdivision name and lot number 'OLocation of wells/septic systems
A>pphcant information(name and phone number) ❑Erosion control(including drainage-way protection, silt fence
t dimensions and building setback dimensions esign,location of catch basin,etc.)
of area,building coverage area,percentage of coverage and LJS eet names
pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location
U roperty corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree
4 foot differentialprotection measures
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: Received:
2(
q ❑ Yes,applicant was notified Lett
❑ Yes ❑ No
IJ Public Faciliti s Improvement (PFI) Permit:
Required: 7Yes,applicant was notified ❑ No applied For: S Yes ❑ No,stop intake
V/Z
� and Use Case #:
oning:etbacks: Front � Rear Side 5 Street Side — Garage 201
andscape Requirement:
Z/X-
K/Buildina
of Coverage Maximum:Height: Maximum Height 5 Actual Heightisual Clearance
ksements
V,
Lands: ❑ Yes n(No Type
i rban Forestry Plan
�d Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Date: _
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPenTiitRvw_RES-070915.docx
Building Permit Submittal
Original Submittal Date: �` S—
Site Plans: 9H
Building Plans: # _
Building Permit#: enter building�permit# above.
Workflow Routing: (Manning LtYf:ngineering ermit Coordinator tng
Workflow Sign-off: L S gin--off for Planning(include notes from planning review)
Route Application Documents: 9-5nigineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori 'n lan review routing form.
utlding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 42
Engineering Review
Slope at building pad: f
Conditions "Met"prior to issuance of building permit
Easements (encroachments) per engineering conditions of approval and plat
`Fater Quality/Quantity FacilitN-:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
.R'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 � N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ll Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: Cku�,k 0,- CA�� Date:
I:\Building\Forms\BldgPertnitRvw_RES-070915.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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
R Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: rein DATE '. r .r 1, Ep
DEPT: BUILDING DIVISION
G36 ,��� ��� MAY 0 4 2016
FROM: 4'�`/ UTV Of X i1 ARt)
COMPANY: >;._� (?7.6k .... cN�. 1I , 1 DIVISION
d
PHONE: 503 357— 757 '7 By:h )"
RE: 1 S ! $( S�• 1-/�r,,.7 �r 1� �"t ✓�srzoi 5-- oo 214‘
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
2 Additional set(s) of plans. Z. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):' / /
REMARKS: /CV 7A 2$ t - p�(c c �d(o�� Si4��1 r1 c-rt w /
ey PO f r,(�(.�- s - f �� LW,/ r @ s4., ,s/
d�(; ��►,.�. 5.4,.*or 1 A-00 /4-/ / 0400 UT..L i_777 SiAft
Routed to Permit Technician: Date: I" ) Initials:
Fees Due: Yes ❑No Fee Description: Amount Due:a
$
$
//V V S 776-9-770,J /fes ,ftc-e-- $ /Co, c)
Special Tdie'L- /90 , cO
Instructions: A1-4b Nom-5 (Al /aCSCkl1677cAJ 7 E1V / P4ti%
Reprint Permit(per PE): ] Yes ❑No ❑ Done
Applicant Notified: Date: X' 3'-) ) Initials:
1/M 0.1/97•14� Sia /6
1:\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
15181 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
FAIL
MST2015-00246
David Young
Provide breaker lock on dishwasher. 422.32
GFCI not working correctly in main powder bath, trips when tester is plugged in.
Dishwasher and disposal breaker turned off.
Smoke detector covers not removed for testing.
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
15181 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00246
David Young
Correction for GFCI in main level powder bath 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
15181 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00246
David Young
Provide full bearing under entry stair stringers, lower side. R311.5
Provide continuous hand rail at garage steps, 4 or more steps. R311.7.7.2
Provide guard rail at garage steps on open side over 30" above floor. R312.1
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
15181 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00246
David Young
Correction 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
15181 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00246
David Young
Correction for Full support under lower side of entry stair stringers not complete.
Stringers to be supported full width of bottom cut.
Correction for garage stair handrail and guard rail ok.
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
15181 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00246
David Young
Entry stairs correction complete.
Final erosion control approved.
Street tree certification received.
Moisture content form received.
High efficiency lighting form received.
Blower door test results checked.
Insulation certification checked.
C of O left on site with approved plans.
Violation Summary:
Inspector Contractor