The URL can be used to link to this page

Permit CITY OF TIGARD MASTER PERMIT t COMMUNITY DEVELOPMENT Permit#: MST2015 00248 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2016 Parcel: 2S110CB12400 Jurisdiction: TIGARD Site address: 15038 SW HARVEYS VIEW AVE Subdivision: SOUTH VIEW HEIGHTS Lot: 12 Project: Southview Heights, Lot 12 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1015 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 20 Bathrooms: 3 Second: 1350 sf Garage: 448 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2365 sf Value: $287,671.04 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 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: 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.'500 sf: 4 201-400 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 2365 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 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $23,024.58 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 may obtaA4,3 copy of the rules.or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / Permittee Signature: .:-"et.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 Applicatio DECEIVED Ls /a � �� Residential FOR OFFICE USE ONLY .. Cityof Tigard DEC 21 2015 Received Date/By:/02/6205 /�a Permit NoyS7 /S.etn,z udp .111 w 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review 3 Phone: 503.718.2439 Fax: 503.598 Y OF TIGARD Date/By: i 2s l JC Other Perm1 / 7,46 0/79 TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: , Juris. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: ,Z,/ip A�a. 776 Supplemental Information '-4 .,.y;.: TYPE 6F WORK*, . L , ,' z' QUIfREDDDA'1`A:1-AND 2 FFAMILY DW_) „ YG ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the V « °E' O work indicated on this application. 1 t Valuation:Z fJ�j / 7 $ '" ® 1-and 2-family dwelling ElCommercial/industrial 7 '01s.-7-3-r4,7-4,2„... IDAccessory building 0 Multi-family Number of bedrooms: o Master builder 0 Other: Number of bathrooms: 3 ' 6*:ritill 1'1 f ` ND ') Alla t' „ Total number of floors: .- 3 Job site address: ',50-73(e,) i1 f.l ?t,Itk}v ', !E-41,j jt New dwelling area: y square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: "' -=f` ; square feet Suite/bldg./apt.no.: I Project name:Southview Heights Covered porch area: r-f square feet f a) Cross street/directions to job site:SW 122nd Ave&SW Beef Bend Rd Deck area: — square feet 10 L Other structure area: 1 t., square feet (D3.I .r;is y, . II t t �, Subdivision:Southview Heights 1 Lot no.: 1.2. 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 q tA'.'"- -'6,06', , work indicated on this application. of,new,single family residence Valuation: $ 1 Existing building area: square feet New building area: square feet PROPERTY'OWNElf I y-. ,:, {V' 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: Business name:same as above 1' : o' ,:ig,• 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: Amount received: Phone:( ) Fax: :( ) NQTOVOLTA,IC AR.PAIN .SY TEM 1�EES"' . E-mail:dbritt@stonebridgehomesnw.com P �:;,SO�.,•.>� F, a 1 Commercial and residential prescriptive installation of } CONTRACTOR ,b.„„ roof-top mounted PhotoVoltaic Solar Panel System. �� _.- �.. �� , � ,. .�,. om, ,«; « «,« , ,... 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 lic.: 173318 {{ Total lee due upon application: $201.60 - Authorized signature: ~} t P 4.--... I, - This permit application expires if a permit is not obtained ''" y.- within 180 days after it has been accepted as complete. Print name: f r Date: t;4 7 *Fee methodology set by Tri-County Building Industry.. ��" ��YL 4 �1"/11Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB) ti Electrical Permit ApplicatiRECEI M ED FOR OFFICE USE ONLY 21 2015 R ceived ioffj o/S• oo yam' City of Tigard pEC D do/t3y; Permit No _ . 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review Other Permit: II Phone: 501718.2439 Fax: 503.598,!' Date/Bv: Inspection Linc: 503.639.4175 �jOF IIGAH�D Date Ready/By: l ris EI See Page 2 for Tt0`,kD Internet: www•tigard-or.gov BUILDING DIVISION Noiilied/Method. Supplemental Information ,, �� '„t 9 k1T ” ' .TVP Ol W itk..-.. '-''''5'''''''' A6 iL A t I`t' %1 W `? 0k service lcor feeder 400lampsorstoe sets of❑Building®New construction ❑Addition/altcrationhcplacementl ripply(submitp eras checked below): over three stones, ❑Demolition ❑Other: where the available fault cunent 0 Marinas and boatyards. 7%--'''''''' lfit ''M } '° /,,,- exceeds 10,000 ams at 150 volts or 0 Floalin•buildings. °•v .. F�.,. a6 + 1T •... {)F .. -,. '1'] .. less p 0ictal-use cultural I . ,.-•`. ..:, ..,.,. ,• �. ,.'�` I•_:to ground,or exceeds 14,00 0 Cmnrne a ori• ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all oilier installations. buildings. 1 0 Multi family 0 Master builder 0 Other: 0 Fire pump, 0 Installation oft 50 KVA or 4 x x,,!,�, ,,,.,r p� ❑Emergency system. larger separately derived system, 'k'"s 11,..,,-74f. t t tMM TIIA,P NRA..LO ATIWl4 „ . , 0.07 „ 0 Addition of new motor load of ❑ 'A" "F" "I-2" "I 3" a. e, �i a,t° fan r'A" �,.O,. _ tx = Job no.: �t� C`,, �p� \,)1% AW. IOOI IP m more, occupancy, 19 11 Job site address:'.{ UYV kA - S ❑Six or more residential units, p• 0 Recleatirntal vehicle irks, City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities, 0 Supply voltage for more than ❑I lazardous locations, 600 volts nominal, Suite/bldg./apt.no.: I Project name:Southview Heights ❑Service or feeder 600 amps or more Cross street/directions to job site:SW 1221et Ave&SW Beef Bend Rd oescre lion •1 . Kee, Tatar New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Southview Heights I Lot no.: !"7 1,000 sq..ft,or less ' 168.54 4 t Ea,add'l 500 sq.ft,or portion 4 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 � 7s 1 �� s�i t ' Exr 1 ' (with above e sq_It) > .. I ;-' ' '' Limited energy,multi -rantl y 75 00 2 new,single family residence residential(with above sq,ft.) Renewable Energy ' Q SeePage 2 Services or feeders installation,alteration,and/or relocation , i .,..iti . 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Stone Bridge Homes NW,LLC 401 amps to 600 amps 200.34 2 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301,04 2 Over 1,00(1 amps or volts 552.26 2 City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 Fax:(503)387.7615 relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125,08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel 1 p ` "-, 1 , :� vE - .4.u. ' ,a t »" ^' A.Fie for branch circuits with above service or feeder fee, 7 42 2 Business name:same as above each branch circuit ----- 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 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67,84 2 Phone:( ) Fax: :( ) dwellinservice and/or feeder Reconnect only 67,84 2 E-mail:dbritt(iPstonebridgehomesnw.com Pump or irrigation circle 67.84 2 -e t , I . "'. ,, �� 4?* r.C(Ti+frltiTC'L't9g : a .. .: .. ,;t"' Sign or outline lighting 67,84 2 Business name:City Electric Signal circuit(s)or Iimited-energy See panel,alteration,or extension. Page 2 Address:55568 SW Schaltenbrand Ln Each additional inspection over allowable in anyy of the above Additional inspection(I hr min) on 25/hr City/State/ZIP:Sherwood,OR 97140 Investigation(I hr nun) 66 25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr into) 7g 1g/hr ___.__ '----------.._. Inspections Ibr which no fee IS 90 00/hi CCB Lie.: 42-122 1 Electrical ical tic.: 26-259(' Suprv. Lie.: 35925 `sp.cliically listed C.',hr min) I t — ELECTRICAL PERMIT FEES • Supt,. Lle:cll)u,)n signature. required: f r __- Subtotal Print mime: Chuck Friesen Date. Plan lesicw i25'!,I,of permit Ice)- State surcharge(I „Of permit feel: Autliorized signature: 101 Al..)ERINtt I I L lhi>punul apphra lion rzpite d t peruul,s not,hluinr(I within tall Pr till flume: Date_ days.,Ilei n ha.bun au'epled ac cnngdete. i.'' i::i I,:I:i,.--(,(1st:rut li 1 . • . Mechanical Permit AppMeEIVED FOR OFFICE USE ONLY City of Tigard [teemed 1)me/By: ei NooltS7V0/5_470,2v, IL 13125 SW Ilan Blvd.,Tigaid,OR 97cir 21 2015 Penni! Plant(eview *I"li 2 Phone: 503.718.2439 Fax: 503.598 Date/By. Other Perini i: Inspection Line: 503.639.4175 TIGARD CITY OF TIGARP Dale Ready/By: huts- 10 See Page 2 for Internet. wwvv.tigard-or.gov Nutt liecl/tvlethod, Supplemental Information i BUILDING DMS,ON t 'f. = TYPE OF WORK' .. , COMMERCIALIFEE* SCHEDULE- fISECHECKLIST- : Mechanical permit lees*ate based on the value of the work [S]New construction 1:f Addition/alteration/replacement perfixmcd. Indicate the value(rounded to the nearest dollar)of all .1 El Demolition I:]Other mechanical materials,equipment,labor,overhead,and profit. Value:$ , a-a,a',:a:,-PtIT9P4V9gi,CP-IMA0101:5 --;;:e450f :112,4141j- itIVIO:iti ,i,-..771,100: ., %r‘'::k f. ;;;IS::'f1'tf:" i [S] I-and 2-family dwelling D Commercial/industrial III Accessory building For special information use checklist. [1 Multi-family 0 Master builder 0 Other: Description Qty. Ea Total I leaning/cooling: 46.75 Job site address: 10503$ SVO 1.1pkrzyS' kl IDA/ MJe• Furnace 100,000 BTU(ducts/vents) 1 46.75 != City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(dacts/venis) .. 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Southview heights Duct work 23.32 il Cross street/directions to job site:SW 122°'Ave&SW Beef Bend Rd Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 1 Subdivision:Southview Heights 1 Lot no.: 12, Other: Other fuel appliances: 23.32 aa . a Tax map/parcel no.: Water heater 23.32 ' ' Gas fireplace/insert 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 a Chimney/liner/flue/vent 23.32 iioitiovoliiit's4-'; r44, 23.32 -.a,-..- -I -, ' - -- = - - - '',,, - -"-,----'-'-‘-,, Environmental exhaust and ventilation: Name:Stone Bridge Homes NW,LLC Range hood/other kitchen ,,,.„,..._....._ „ae.9t1i131.11 .,.,„, _..... _ _._ 33.39 Address:4230 Calewood St,Suite 100 Cthes lodryer exhaust 33.39 i City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, a toilet compartments,utility rooms) 23.32 Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fans 23.32 1P4f*:?;::--::ViMOI*:*YTA.O.* tiz's-: Other: 23.32 Fuel piping: piping: i Business name:same as above 1 814.15 for first four;S4.03 for each additional Contact name: Deirdre Britt Furnace,etc. ti (las heat pump Address: ------ Wall/suspended/unit heater 1 City/State/ZIP: -Water heater ....... _ _.......____, Phone:( ) Fax::( ) Fireplace Ranv E-mail:tibritt(u)stonehridgehomestiw.eom 3ar 1becue CONTRACTOR - Clothes dryer(gas) ..„ _ ...., - a I Business name:COMfOri Zone -(Alter: ,, - - -----, . ; . MECHANICAL PERMIT FEES*- - Address: 1(132 NW Corporate 1)r Subtotal ('ay/StatellIP.Troutdale,OR 97116(1 Minimum permit lee(S)O 00) , hone:(5113)667.5595 1-ax (:103)491.8252' . - ' Plan review(25%of permit fee) P State surcharge(12%of penult lee) ^: C(.1)lic. 110091 TO IAL PEIZIN11.1 FEE . ... ---- - -'1 Itis lrertirlia'ittic-a t IIIlC(1111'fS i i a Wrirci I tSat';r art tarnett ii i I II i et i86-' di])s after it has been accepted as romplete. r At:Ittortietkigit;iltii t.- :::\,. v....-'> _...-,---- ---- ' I ee itleihottitittg ,l1 bY I ('i,iiiiiy 1311.1,hilL2 liltlii,t1 S,:l VICi Print 11:inie. I)as id II eldsthb Hate. 1 . 6 ;.1,1/:i.a,:,a-oai\LI G! I Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY Rcccived f City of Tigard � C 2 1>ennit N9!LfsTo2p/s-00„2yt, a 13125 SW Hall Blvd.,Tigard.OR 9 1 2015 Daieinv. I phi,m Review �.. ig Phone: 503.718.2439 Pax: 503.598.1960 Other Permit No_ Date,By TIGARD Inspection Line: 503.639.4175 CITY OF I IGARD Daie:Ready/11y Jody P3 See Page 2 for lnlernet www b•eard or gov t 'i` 1 Nouhcd'M shod. Supplement d Infor manon DIVISION a.:..., r' 41YPE-OF WORlx.-; __.w. .y PER* SCHEDULE ... ...... .. e, a ®New construction ❑Demolition For special information use checklist DeScriVion 1 Qty, I ha. ( Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) :f fit" SPR(I)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath J 500.32 ❑Accessory building ❑Multi-family Each additional hath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 -` .,n,., .. .;; ,7117,i- 4 �•,> dt• .- Site utilities: �� Catch basin or area drain 18.76 Job site address: )?o (4siS \J!lo Akv • Drywell,leach tine,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear 11.: ) Page 2 Suite/bldg./apt.no.: Project name:Southview Heights i Manufactured home utilities 50.03 Cross street/directions to job site:SW 122"a Ave&SW Beef Bend Rd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear IL:_) Page 2 Subdivision:Southview Heights Lot no.: ,-2.... Fixture or item: Tax map/parcel no.: Backflow preventer 31.27- Backwater valve 12.51 ; 'i� ► .Nr �".lt 1. ' `p Clothes washer 25.02 new,single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Z '. o t'1 .tj fit l Expansion tank 12.51 Name:Stone Bridge Homes.NW,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:4230 Galewood St,Suite 100 ... _ _._,.- Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)387.7577 Fax:(503)387.7615 Ice maker 12.51 s c 1,9,14 1nterce p for/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) 1 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 L-mall dbrit Uu)slonebridgehmnesmv.com ------ _ 'CO- 12�1Cf012 -.� Water closet 25.02 - ,- Water healer (7,52 Rosiness name: Max Plumbing, Iki C•. ...._. Water pipimJDW V 56,29 Address:PO Box 5597 Other` 25.02 City/State/ZIP: Beaverton,OR 97006 Subtotal Phony:(971)275.0198 I dx.( Minimum permit lee' 1,72 50 Plan res less (25'tt,of permit lie ('('13 Lie.. -2e:' 31 ,, Plumb Ii iii iii .I I no.: PI? i,..);) - Slaw ti.nch tr e(12",i,o1 pit mit Ice) \,ilhotvedsl n tune: ! . ', ,.. •4/------+ f(t 11 PI RMII H l 6 , I In.per mit.rppbCalion a qn , e.if t vel nil IS not i bl uncd%,kith,ISO dans I I rent name:.lason IltLu<ner I Dale: alter it has been aur pled a.camplcb. "Pec malmilologv NCI 6e I n-(uunhnwl,linl,Inch,,a, Set,,ice 1)a:ut1 44,. .nl(I: -.r(l))i,Wi;) / 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT :11111 111 T I G A R D Building Permit Review — Residential Building Permit #: tis.CT�6/ — QQo7 yam' Site Address: / 8 A) ,SNE, /% ) //t Project Name: 2,ict 14:iv , kA Lot #: /' (New dwelling= subdivision name;.A dit.)n or.Alteration=last name of owner) Planning Review Proposal: 'Veto /Verify site address/suite# exists and active in permit syst m. iver Terrace Neighborhood: ❑ Yes No Sit Plan Elements: ree(3)copies of site plan gi , sting structures on site Velan must be on 8-1/2"x 11"or 11 x 17"paper 11�I oo rint of new structure(includingdecks)with finished P P tP awn to scale (standard architect or engineer scale) or elevations ' rth arrowIf�C,�/Utility locations (required for new,may apply for additions) jte address,project or subdivision name and lot number cation6of wells/septic systems r .licant information(name and phone number) Erosion control(including drainage-way protection, silt fence 'Pl. s dimensions and building setback dimensions �d ign,location of catch basin,etc.) Z ot area,building coverage area,percentage of coverage and E treet names pervious area (applicable if R-7,R-12,R-25&R-40) Ili reet tree size,type and location ad operty corner elevations (2 foot contour lines if more than i Existing trees to be retained with drip line,and tree 4 foot differential) protection measures re Clean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Faciliti s Improvement (PFI) Permit: 'Jequired: Yes,applicant was notified E No Applied For: Yes E No,stop intake and Use Case#: Sf,// .2C/3 ;Ljcj �oning: 00--9- etbacks: Front tc Rear 1S- Side 5- Street Side TO Garage c.,20 'gll?Landscape Requirement: cQO % ot Coverage Maximum: Building Height: Maximum Height Actual Height -,:>(0 Oppisual Clearance twrEasements ensitive Lands: ❑ Yes ❑ No Type rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: `"-°�—`�'= Date: Xa o7/ S.-- 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_070915.docx Building Permit Submittal Original Submittal Date: /a,///,(s Site Plans: # / Building Plans: # y Building Permit#: ['"Inter building permit#above. Workflow Routing: E 1'I nning ❑Y gineering [-'�'ermit Coordinator D3'Suilding Workflow Sign-off: C 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. L Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: -.9g4f-r _ Date: .A.2-/ V S- Engineering Review q 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 ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: -#4/ Date: �'Z5 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved E 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: ..f SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ NN/A Tigard Trans SDC: ❑ Yes r N/A Parks SDC: Yes ❑ N/A 73OK to Issue Permit 3-0 Approved by Permit Coordinator: WfifiDate: l� //,_ I: Building'Fonns\BldgPennitRvw 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 Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 www.tigard-or.gov TO: Vt/t :ATE RECEIVED: DEPT: BUILDING DIVISION / RECEIVED .,• MAR 2 3 2016 FROM: yC fr CITY OF TIC.WARD COMPANY: �-y�� - , i BUILDING 0 /IS1C�1� PHONE: 5-03 — 7 3 — • ( 1 I �r RE: ( SC) F-IA] • a � ,� 4 oo � ' (Site Address) (Permit Number) / - (Project name or subdivisionAame d lot number) ATTACHED ARE THE FOLLOW G ITEMS: av Additional set(s)of pl. Revisions: Cross section(s)and de ails. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: I - - i • Routed to Permit Technician: Dat=. �/ Z3 j ) 6 Initials: Fees Due: ffi Yes ❑No Fe- Description: . ..• _P vI rc.v,o $ 90 .vo $ C� L.. , $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ! o Applicant Notified: { Date: , `"- -i' u3/66t14.4 nitia : 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 15038 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00248 David Young Property line to be located leaf side of house, possible setback encroachment issue. No ﬁnal inspections prior to issue being resolved. House encroaches into 5' setback or neighbors driveway and landscaping over property line. No inspection done at this time. 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 15038 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00248 David Young Fireplace vent and roof overhang appear to be inside 3' setback from neighbors driveway. Provide property line location on left side of house to verify setbacks. Neighbors driveway and landscaping appear to be on this property. 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 15038 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS August 5, 2016 at 9:33:06 AM MST2015-00248 David Young Corrections from previous inspection 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 15038 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00248 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 15038 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL August 5, 2016 at 9:51:57 AM MST2015-00248 David Young Provide approved FPS ﬁnal inspection prior to building ﬁnal. No inspection done at this time. Note: neighboring driveway encroaches into 5' side yard setback at rear left side. 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 15038 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00248 David Young Note: neighboring property driveway poured over the left side property line approximately 2' at the rear left corner. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test results checked. Insulation certiﬁcation checked. C of O available at City of Tigard. Violation Summary: Inspector Contractor