Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015 00138
TIGARD, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2015
Parcel: 2S110CB11600
Jurisdiction: TIGARD
Site address: 15172 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 4
Project: Southview Heights, Lot 4
Project Description: Add stairs off existing deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $1,500.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywall-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 0 201-400 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions)
4230 GALEWOOD ST,STE 100
LAKE OSWEGO,OR 97035
PHONE: PHONE:
FAX:
Total Fees: $346.09
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through R 9 r -0r•r. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80 332.2344.
•
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I f
Building Permit Application
Residential R CEI1'`T
EP �7 I t,it t,i i It i i ',i (1\i 1
`J g Dat ee/Bea 7 !J Magi r 16
City of Tigard Permit No.:
III
i 13125 SW Hall Blvd.,Tigard,OR LL 23 Plan Revie f�►
Phone: 503.718.2439 Fax: 503. . 960 9 2''5 DateBy: ar/ wt vs Other Permit:
1 :,, , 1 Inspection Line: 503.639.4175 Date Ready :y: i '� ia. ® See Page 2 far
` Internet: www.tigard-or.gov CITY OFTIGAkU Notified/Method: 7/ lS �fo' Supplemental Information
As
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
Ir
` work indicated on this application.
Y ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: .$ 11 O
1:1 Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
Total number of floors
Job site address: /5/ 72 9IN 1-1A/'✓e I is C.6_ Av.,. New dwelling area: N square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: 5',,44—,r,'c Ile. L.l-f Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
A REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.:4 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the 1
DESCRIPTION OF WORK work indicated on this application.
'��` SYc..'r; /94., ex s t c-i-(.,� , cc Valuation: $
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: r.i.g,na g,,e,15z I ,,.4 f /')t-- 22 G Type of construction:
Address: '�Z 3rj 4j n..-k s.,e..A S F- S• •f e /D 0 Occupancy groups:
City/State/ZIP: l a,k c 6 c ‘..-,,,,,! 61 77 15 Existing:
Phone:( 03) 3$7- 757 7 Fax:( )
New:
❑ CONTACT PERSON AllIMIMIIIIIIIII
Business name:
Contact name: f (J
Il )6 �-. Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address:
p Total fees due upon application:
City/State/ZIP: ,�4 C�jC 3)75?-0 /�j r
Phone:(V. ) F ( ) Amount received: o
E-mail: atVt a 54-9Ar_korsl9`k..-e. ,. c.0 Ma
r.CONTRALTO' Commercial and residential prescriptive installation of
CONTRACT() roof-top mounted Photo Voltaic Solar Panel Syst= .
Business name: Submit two(2)se . roof plan with connecti. details
and fire department a ss,along with the 1 0 Oregon
Address: Solar Installation Specia ode the .1st.
City/State/ZIP: Permit Fee(includes p :. - ew
$180.00
and administra: • .
Phone:( ) Fax:( ) State surcharge(12%o rmit fee): $21.60
CCB lic.: / 33 Total fee due ..n appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
/�/ within 180 days after it has been accepted as complete.
' Print name: ,,,/„ ` 7_ ,..11 Date: Gj *Fee methodology set by Tri-County Building Industry
. 7 N� Service Board.
I:\Building\Permits\BUP-RESPermitApg4oc 02/24/2011 440-4613T(11/02/COM/WEB)
• 1
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONE)
Received
City of Tigard Re Date/By:ive Permit No
III .
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
II(iAI:D
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: _ ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ _
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofmg,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑ -
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be ••licable to the i ro'ect under review.
It RISOR I ION V. SI'FC'IFI('S
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ -
25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
_ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval. -30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9,1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
V.
t
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
s
T► n Building Permit Review — Residential
Building Permit #: f/ /2-r-a-6/5 Od /3C/
Site Address: 15112 SW Harvp, "5 \lift) Ave,.
Project Name: SOU- 1Vtc 6 OiVrt Lot #:
(New dwelling= subdivision narrld,Addition or Alteration=last name of owner)
Planning Review 1 r r
Proposal: r:i rfl'1 . :I'. add s}afs o4 exis-r1n) Aeci,e
if Verify site address/suite# exists and active in permit syst .
LEI River Terrace Neighborhood: ❑ Yes No
Sit: lan Elements: '' •" ,
I•! ' ree (3)copies of site plan -r• sting structures on site ' •
h'' .te plan must be on 8-1/2"x 11"or 11 x 17"paper g Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) frloor elevations
emu( •
orth arrow Utility locations(required for new,may apply for additions)
,ate address,project or subdivision name and lot number . -Bt cation of wells/septic systems
pplicant information (name and phone number) --81`rosion control(including drainage-way protection,silt fence
t dimensions and building setback dimensions 0. ,l
of area,building coverage area,percentage of coverage and Sesreet ign names ocation of catch basin,etc.)
ppervious area (applicable if R;7,R-12,'R-25&R-40) * p4Stfeet tree size,type and location .
MProperty corner elevations (2 foottorftottr llrre*if mort,lhnn•'...Brii nJlrees to liVretained witlfd_f p Lid atidiktee
4 foot differential) .protection measures
u_f/ • r
*tt'leari Wiser crvices—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 'No Received: ❑ Yes ❑ No
Public Facili�: Improvement (PFI) Permit:
/Required: V Yes,applicant was notified N No Applied For: e P 1 Yes ❑ No,stop intake
L1/ Land Use Case #:
Zoning: R
gr Setbacks: rc, it 60.4a c) Front IS'C15')ear j S'(37r)Side S/' (5''�treetSide — Garage 20 C2 y')
/Landscape Requirement: 2 b
'Oil Lot Coverage Maximum: 0 0 OA
'8Building Height: no 'Increa laximum Height Actual Height
0/Easements
Clearance
LYJ asements INo I Sensitive Lands: ❑ Yes Type
rban Forestry Plan
I Conditions "Met"prior to issuance of building permit '
Notes: EC not re/Ai r�c9 no edxpans■oi o ToofP6,ec or enc root chr'rg,i---
1 rt- o SefJ `c"/ .
Approved By Planning: Date:
PP y g� I ��... �,�c _ 1 ,29 1
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\BldgPennitRvw_RES_0709I 5.docx
L
s >
Building Permit Submittal
Original Submittal Date: 7/9// 5/
Site Plans: #
Building Plans: #
Building Permit#: E building permit#above.
Workflow Routing: Planning Engineering ermit Coordinator Building
Workflow Sign-off: C! off for Planning(include notes from planning review)
Route Application Documents: E5i nngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Air_ , ,_ Date: 7/9-9/6--
Engineering Review
[ Slope at building pad: .0.�
er-Conditions "Met"prior to issuance of building permit
G Easements (encroachments)per engineering conditions of approval and plat
Ia'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: ❑ Yes 2V No
❑ NOT Approved by Engineering: Date:
Notes: ��s - .:!.. v VIA" r.
Approved by Engineering: dz D Date: 7-3 .-25
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: Cl 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:
El SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: [17] Yes N/A
. OK to Issue Permit
Approved by Permit Coordinator: r i Date: /-S
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