Permit CITY OF TIGARD MASTER PERMIT
1111 a' COMMUNITY DEVELOPMENT , Permit#: MST2015-00230
T[ A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 s Date Issued: 12/21/2015
•
Parcel: 2S110CB11900
•
gA' Jurisdiction: TIGARD
Site address: 15138 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 7
Project: Southview Heights, Lot 7
Project Description: New SF. 5/26/16: REPRINTED permit to include A/C unit. Placement of A/C unit must comply
with manufacturer's installation requirements.
BUILDING
Floor Areas Reguired Setbacks Required
Stories: 2 Bedrooms: 5 First: 1055 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1705 sf Garage: 700 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2760 sf Value: $347,312.60 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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 0 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: Y Vent Fans: 5 Clothes Dryers: 1
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 Temo 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 2760
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: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $24,256.10
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You m obtain a copy of the rules or direct questions to OUNC by calling 503.232. or 1.800 33y29y4.
Issued By: C— Permittee Signature:
Call 5 . 5 by 7:00 a.m.for the next available inspection da .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application r •
FOR 0111( 1: I. ,I ON 1,1
City of Tigard ��EQ
Date/By:Received
/[(p — Permit No.:
� Phone:S50 Hall Blvd.,Tigard, =�Af�
S Plan Review
503.718.2439 Fax: 5iipi3 960 016 Other Permit:
Date/By:
1 I(i n R I) Inspection Line: 503.639.4175 MAY Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.govNotified/Method:Notified/Method: Supplemental Information
O Te f� N
„..,,,,,,,t,,,,,,-,.,' y -,,,.,;,-„,,,,,,,.,:v4..,:„, __,. a -•.-A ,f t . , ia_: 0)t E$e.i I' ,� l'i Y 4 `.. z;c r 9
9 � 1 �,FH
Mechanical permit fees*are based on the value of the work
ew construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
{�y3 y��►' Value $
�;p,: . yi °` .-x #g KA. 4w ; r 4 p ., r-, v+ .a'sur 9";i'u
t s 4 . .-rk',,,r .> m. dot r. F) k r te` .�. _<i,.1,"-°v' - 40,' ik� fE vex@', .., `i � •‘4; ,e '"a ,u�.h�:,A
/fil-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
V'',T ro```'an�t27T 7""s v K" " .. `r r ",,,,. 61e.:-,,,i, ' '�. Heating/cooling:
l ,, a f x ` Mtn ! ,.,1 4 l� Tt"1" ll :. ,,! ?or f
+_.r 4. J:t.. .3 M,�. � w .... ., t
" Air conditioning 46.75
Job site address: 1S k fq, 15(A/ HOW Q Ut'-Lei' Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: re.-1 O 1x-'2- Furnace 100,000+BTU(ducts'vents) 54.91
Suite/bldg./apt.no.: V I Project name: S V�-�J ,��J LI y� ��S Heat pump 61.06
0 1 x Duct work 23.32
Cross street/directions to job site: 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
Other: 23.32
Subdivision: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTiON'OF`WORK Gas fireplace/insert 33.39
A G 47) t 4 Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
9(r5--, ileirrn -)- /f57 ?,1I5—co.3- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
. PROPERTY O� NRR I C� x— - Environmental exhaust and ventilation:
Name: , -bri Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
I2..,; . .I. . r""A . . .. _ .coN T31 ', s . . < Other: 23.32
Fuel piping:
Business name:
ryY�, A.S Glpl-J $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: . Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: Barbecue
k
'; 0< ' r4--_-_3,,-,::,,,,4,,,,-, ., •;, ,..-.:-5,, „,,,,..x.,,,0-„,„,-,,,,,,:-.,..--44. Clothes dryer(gas)
(�,�_ ,� ! / Other
Business name: 61_4,1.4_
TO ilk 11f-, 9� 1 I%' - / V IN �n�”' , r y�, j,,� ,_
1 L WeiAV .,t' fir ; 2;). .6,. a -
Address: ✓.{ Z 3 0 !' S,(I,L IOC) Subtotal -
City/State/ZiP: Lev(c 65\-1 ) . 1-10`—?s'
- S Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE Q7 3
This permit application expires if a permit is not obtainedwithin 8
days after it has been accepted as complete.
Authorized sig
n�at7ure: Fee methodology set by Tri-County Building Industry Service Board
Print name: jZ9_v CAJ 1 tsc y� Date: r 6
is Building Permits MEC_PermitApp_040113.doe 440-46!7T(I 102' M WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
mak . . x � �.
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I: Building Permits MEC_PermitApp_0401 13.doc 2
CITY OF TIGARD MASTER PERMIT
�t COMMUNITY DEVELOPMENT Permit#: MST2015-00230
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2015
Parcel: 2S110CB11900
Jurisdiction: TIGARD
Site address: 15138 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 7
Project: Southview Heights, Lot 7
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1055 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 35 Bathrooms: 3 Second: 1705 sf Garage: 700 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2760 sf Value: $347,312.60 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 RainStorm Sewer: 100
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 0 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
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'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 WIO 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 2760
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: 503-387-7577 PHONE: 503-387-7577
FAX: 503-387-7615
Total Fees: $23,772.34
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 throw AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin .232.19 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect e.
This permit card shall be kept in a conspicuous place on the job site until completion of the p Oct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
`a tq=
FOR OFFICE USE ONLV
Residential
>�� � Received
City of Tigard G Date/By %j Permit No.: S
n 13125 SW Hall Blvd.,Tigard,OR;C97223J 3 201 t Plan Rede
Phone: 503.718.2439 Fax: 503.598.1960 Date/B': ).,Jr Other PermitQ�p��.6D 113
Inspection Line: 503.639.4175 '' I-)'r T,l i tyles Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.00v (� Notified/Method: / 1 ] Supplemental Information
www.tigard-or.govd1t`sfu��id � _
U �
F,.. F.s-":t :;,: RE a UIREDb�TA I --AND.t"FX 9ILY D�VELUIN
,T"11'E OE:VIOKIC'<.,,,a . Q, �-
r'GYv<, .,1 '-�.: SPS. ,�,,,,,•„wx:::�L;.�''.a..�, `".2..e.�«�a�h,u:�,s»ta:- ,:�•tso,.:,.: a ' ;- -;���; �:..
®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
- work indicated on this application.
llkpd;Cn1:l<ECOR,, .'OF,-:CON TR' TION ' , PP
+' ,k4.M'.^:e•: R�"!./r:^A'"'>e'�, �, ,4.'.',. «3='.xa�`,>I-. ..,
ex'Z I-and 2-f< y dwelling dValuation 36i7 I.')—
$ 6 ^
g ❑Commercial/industrial .
❑Accessory building ❑Multi-family Number ol'bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
�IOQSITINFpKij1AT101Y-AND °Q,Gr17IONTotal number of doors:
'fop
amu Siko'rcr,',> ___ 'i,�,
Job site address: 115 1 1. 1�a SW H AMILM S � ” MR
New dwelling area: ',-1 Lj® square feet
City/State/7111:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Southview Heights Covered porch area: square feet-7
OJr
Cross street/directions to job site:SW 122n'Ave&SW Beef Bend Rd Deck area: square feet
Other structure area: o square feet
"REQUIRED DA`tA•col, IERC[l`L=[JSE%CHEC"FCI IST=,:
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
,a DE•,;r :. .: ;.. .>;.<:: ..:, <,��z,b, ,,..r,.. .i,,"-;G" 'v equipment,materials,
labor,overhead and theprofitoft for the
work indicated n this application.
: z."yz INOW .
r ;;
new,single family residence
Valuation: $
Existing building area: square feet
New building area: square feet
�®'�PROPERT1";30WNER - ❑`
Number of stories:
�, ak
Name:Stone Bridge Homes NW,LLC Type of construction:
Address:4230 Galewood St,Suite 100 Occupancy groups:
City/State/7111: Lake Oswego,012 97035 Existing:
Phone: (5)03)387.7577 Fax:(503)387.7615 New:
A
"Ki'A 41' _ r CON ACf E SON% = `M"`
"BUILD.ING'PLRMIT.FEGSM;;,.-_-
��/ �i• ',9 v:` std« `u'�.. :>.-,^yam O,.e .»�.' 5,
X,r"` g %'F P,lease.re er`""tv'ee'sclteituTe r:-'` ',.<..,..
Business name:same as above
Structural plan review fee(or deposit):
Contact name: Deirdre Britt
FLS plan review fec(if applicable):
Address:
City/State/ZIP: Total lets due upon application:
Amount received:
Phone:( ) Fax..
PHOTOVOLTAIC SOLARkI' NEL SI'STENi.TEES S "
E-mail: clbritt a stonebrtdgehomesnw.com , v "-.> ; ^,r ,,«v :.z - .:•.; i,
Commercial and r sidential prescriptive installation of
�GONTRriCTOR �__-_ �s' roof-top mounted I otoVoltaic Solar Panel System.
Business name:same as above Submit two(2)sets roof plan with connection details
and fire department ace ss,along with tl Oregon
Address: ,Solar histallation S ec•ia Cod' c list.
Citv/State/7113: Permit Fee(inclu i review $180.00
an ministrativ N es):
Phone:( ) Pax:( ) Slate sit ar-c(12%of permit lee $21.60
CCB lic.: 173318
fec due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
77 \\\\ within 180 days after it has been accepted as complete.
Print name: Date: yy,� Fee methodology set by'fri-County Building Industry
�� ���l� d� Service l3oard.
1:\13uildin_\Permits\BUI'-R[SPcrmiiApp.doc 02/24/2011 4404613T(II/02/COM/W1713)
REC> IN'D
Electrical Permit Applicallho' n- _-"`Z =MOE
Nr R� i" I
City of Tigard 0 V 3 0 2015 0;1 11CC/13CV,
13125 SW Hall Blvd.,Tigard,OR 97223 Plant Review Other Permit: t1w
Fax: 50- Dale/B
503,718.2439 TiGARD
:'011soplection Line: 503.639.417- Date Rendyffly: 0 See Page 2 fril.
8 U I LD I N�f 3 DITS-iON Not i I!ed/M 0.1 llod Supplemental Information
tntmict: www,tigard-or.gov 1 7
A k M"
New COIISIRIC60171 F-1 A(idiLioll/aitCl-atioll/1-Cpl',ICClflcllt I,jc;l.jc cite;111 111;11 (slibmil 2 sets of plans w/Oclas checked below):
El Service or leedcr•100 amps or more El Building over three stoiics,
El Demolition F-1 Other: Where the available fatill millent E]Marinas and boatyards,
01M exceeds 10,000 amps at 150 votes or E]Floating buildings.
M
less to gi timid,or exceeds 14,000 0 colonlercial-use agricultural
I-and 2-family dwelling E]Commercial/industrial [I Accessory building amps for all other installations. buildings.
❑multi-flinily El Master builder ❑Other: El File pump, C]Installation of 150 KVA or
El I-mergeocy sysical. larger separately derived system,
El Addiiioo ofne%v rootor load of ❑"A",'T 1-2","I-3"
1001.11,or more, occopancy.
Job no.: Job site address". 19513t)SW Rte V 161W IMP- 0 six ❑or rnore residential units. Recreational vehicle parks..
city/statcam,rigard,OR 97224 ❑
I Icrilth-care facilities, El 600
voltage for more than
0 1 lazardous locations, 600 volts nominal.
Suite/bldg./apt.no:. Project name:Southview Heights El Service or,feeder 600 amps or more.
Cross street/directions to job site:SW 122n`Ave&SW Beef Bend Rd Oil. I I.W... TOW
New residential single-or multi-[amity dwelling unit.
Includes attached garage.
Subdivision:Southview Heights Lot no.: 1,000 sq-ft,or less 168.54 4
Ea,addl 5,90 sq;fl,or portion
Tax map/parcel no Limited energy,residential
75.00 2
(with above sq.I't,)
t,w A—
Limited energy,1111.11li-fiantily 75,00 2
new,single family residence residential(with above sq,ft,) S I eeiP 'ke,,2jq'1k
Services or feeders installation,alteration,and/or relocation
200 amps or less 100,70- 2
Off,T1_01'FN`kT5_K1'q8
201 amps to 460 amps 133.56 2
Name:Stone Bridge 11-lomes NW,LLC 401 arrips to 600arrips 10034
Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301,04 2
Over 1000 amps or volts 552,26 2
City/State/LIP:Lake Oswego,Olt 97035 TcOuporary services or feeders ifistallrifion,alteration,and/or
Phone:(503)387.7577 F,,:(503)387.7615 relocation
200 amps or Im 59.136 1
Owner installation:This installation is being made on property that I own which is not I —
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 0 1 Imps to amps 125.08 2
401 amps to 599 amps E=18-511 2
0\,wicr signature: Date: Branch circuits—new,alteration,or extension,p r panel
A.Fee for branch cirCLI
W �t
bove service or feellicsripfee,h
13LISitICSS name:same as above each branch circuit 7.42 2
13.Fee for branch circuits ivithout
Contact name:Deirdre Britt service or fbeder fee,first 56.18 2
branch circuit
Address: Each add'I branch circuit 7,42 2
City/state/zIll IN,liscellincotis(service or Feeder not included)
Fath 111,111til"'UtUrCd O1'1n0dU1,1r 67.84 2
Hin I and/or C-cdcr
Fax: �vc .scrvice� ...-
Phone: Reconnect only 67.84 2
E-mail:db.ritt@,stonebridgehornesinw.com Pimip or irrigation circle 67,84 2
Wet Sign OF OLItlille ligllling 67.84 2
"0 Ir ATO
...........
Business name:City Electric Slt,11;d CiMlit(S)IM 1i1l)itCk1-Cl1CrgY See
X111c),alteration,or extension, Page 2 2
Address:55568 SW Schaltenbrand Ln E'ach Additional inspection over allowable ill any Ifthe above—
Adthoonal iospccuon(I lo min) 66,251 hr
CityiState/7.111:Sherwood,OR 97140 Investigation(I lir min) 66,25!Ill
Phone:(971)404.1714 Fax:(503)625.3052 11"IdLISIAN11 PkIllt(I Ill'min) hr
M3 L;c�: 42422 Inspections for which 110 fee is 90,00/111
F"Iectrical Lic.: 20-289C Suprv. Lic.: 3592.5 sl).,:Cihcal ly hstcd h(Owl)
FLECTRICM" PFRNllT,TLE.S
Sllprv. Electrician signature; required: SLIN01:11:
171-jeSCII Plan I c%,ic\N,(2 ol,permit[cc):
Print name: Chuck D�Ilc: . ...............___ ,
Suite sitrchmge(1211,,."ofpcouli I lec):
Authorized sigmi(tirc: TO l"AL 1.1:f
permit opplicolion 0\pi.eN it-;,permit is fill[..bl:6nVd"'ifilin ISO
Print willic: Datc. da" I Im, ;ls
.......... Numlici t4maj"Itons;i1lowc(I llri moul
i1tu:i,nlj',1',1 1,( ko 101 I I
Mechanical Permit Applica,.ti0n ' a
Cit of Tigard n 'k-1 Itccaivcd Q
City g Dalctnp: * �s I'ennil No 119r5-�o�30
_ 13125 SW Hall Blvd.,Tigard,OR 97223 Pl.-III Review •s
Phone: 503,718,2439 Pax: 503,598,1, v 3 0 2015 OlherPennil (S-O(, 16.3'
Dale/13y: _
e Inspection Line: iO3.639;4175 Dave Rcady/t3y. loris: 0 Sec Page 2 for
Internet www.li and-or. ov
g g CITY 0' TIGAR Nutilied/victhnd: Supplemental Information
P-I m Iiw; DIG' SiON
CO\t�[F,RCIA`L FEE° SC hEUL1LE,=,>USE;talh:<§KGlS;Ii-'r
Mechanical permit fees'me based on the value of the work
®
New construction ❑Addition/alteration/replacement perlormcd. Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,a ui item•labor,overhead,and profit.
Value:$
r,>-':,;$^.' •y/�f?, it�d\.l?Ef,G1.R=1 i?i~1'e?�T4•� e y
.°3*,#,,. :.co"o; r;,J,'�„ ^�.„ �i,,, °•M'>te,:aP.�'e,?,�'-µa,,,�s,`.nkE'd I'aY;'fi';
•: _.a �., c�k, '�r�,`' <,Ra� a,.., A$ 12F`✓`IT)Eat'T'T:\Lha{�11t.A1h; �C°I��S;i'N.,19:�.Irl`!r ra; '"r�«
® I-and 2-11amily dwelling ❑Conlmerciallindustrial ❑Accessory building /oispecirrlinformation use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea.
) 11 <
� Ib
tll
. llt♦ 'I'lealing/ Wing:
�TGCTAir conditioning 46J5
lob site address: MMb N F t S V1Wj_A,&• Furnace 100,000 BTU(dims/vents) 46.75.
i Furnace 100.000+T3TU(ductvlvenis) 54.91 4
C'itylSta[e/"!_II:Ttgard,OR 972_4
Heal,pomp 6 L 06
Suite/bldg./apt.no.: Project name:Southview heights Duct work 23.32
Gross street/directions tojob site:SW 122"'Ave&SW Beef Bend Rd Hydronic hot water system 23.32
Residential boiler(radiator or
h•dromic), 23.32
Unit heaters(fuel-type,riot electric),, '
in-w:all.in-duct,s�jsended,etc. 46.75
Flue/vent for anv of above 23.32
Subdivision:Southview Heights Lot no.: Other:
Oilier fuel appliances:
Tax map/parcel no.: Water heater 23.32
�a.,-
a `:` €: '` )'3:* _: `-' Gas fire lace/inser( 33.39
0,
Flue
� 121P1IIl�i'�f��+. iC532K - s
t),C�SC .. or water heater or g
Flue vent f as
new,single family residence fireplace 23.32
Los li liter `gas) 23.32 "
-•-- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chinmley/liner/Ihle/vent 23.32
m Other: 23.32
, ate' r �
itis. }'4111 $g 11'1t11?(tl m<.
Environmental exhaust and ventilation:
Name:Stale Bridge Homes NW,LLC Range hood/other kitchen
- -
_..__1...ec t,.Pnncnt ___..
1 I 33.39
Address:423(1 Galew•ood St,Suite 100 ...— -�_
Clothes dr cr exhaust 33.39
City/State/711): Lake Oswego,OR 97035 Single-duct exhaust(bathrooms;
toilet cuailments,utility rooms) �l 23.32
nt
Phone:(503)387.7577 Fax:(503)387.7615 Attic/crawlspace fns 23.32
xz«".<,.:,,=n.» =::-:,.,_.,�.r�:. t• :_:;. : 23.32
Other:
—
'"
Fuel piping:
Business name:same as ahove
R14.15 for first four;S4.03 for each additional
Contact pante: Deirdre Britt Furnace,etc. )
Address: Gas heat Punip
WalllsuS ended/unit heater
City/Slate/711': Water healer
t ire tlacc
Phone:( ) Fax:: -
------------ _.�--
If-mail:dbritt(ulslonebridgchontcsnw•cum Barhmic
OT )R� Clothes dryer(gas)
Business name: Comfort Zone (lthcr:
� .. .
'IMEC11ANICAL PER<11TFEFS -`C -,-•:;a�%
Address: 1032 NW Corporate 1)r Subtotal
_...-.__.__......______......._.............._.._---
City/Stale/%II':Troutdale,OR 97116(1Minimum.).elinit fcc(S90.00)
.................._..._. _ ... .........
_ -.....-............._-___—'-- ---........--_--_-. .............. ._.__ Pion review(253,ni tcrmil lec)
Mimic:(503)667.5595 I Fax:(5113)49L8252 _ _.___ SlaIL:smcharge 02'',,ofpcnnit Ice)
C•(•B lic-: 110091 TOTA1.PERIIN'lH 1,1:F.
........... . _._._ ---..._.__.._...'- ...----
'rhiy permit:,pplica lion c.y,ires it a permit is nut obtained ycilbin 18
dans ally,it has beet,accepled as complele.
!\lahol I/ld tiltll;Il lire: ` L --- I`cc nli lh,ntuinc� ycl b}•'In-C„unh Iludtbng Indnsup Se,vu'c G•uod
Print name: D:Ivid Ileldslab Date: l
a,oid,,,,,,,,,;,,;��lr-1' r.,,,,:,:;la,.;.I,n i;;I•: :.:,.;,rn,u:,;ru�::wa;l
ll'lumbin� Permit Applicaliap-,�,2VCn
Building Fixtures Li
City of Tigard 5 Rcceived Pet hiii N.,:
a 0 201
13125 SW Hall Blvd.,Tigard,OR 2-3 IlIall Review
Ilhoric: 503.718.2439 Fax: 5d 5�1�11?6�,)t:
,j., 01hertletmit N
uspection Line: 503,639.4175 TIGARD W(03y. &
Daic Readvilly. See Page 2 7for
Internet wwxv.ti,.,,,ird-or.gov[-,�UILDING DIVISION Supplememal Inforinalion
Nonfied! Icthod
Ail'
Nov constructionDem I olition For yeeltilit!Lormation use checklist.
_126�cr r Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings-(includes 100 R.for e',ICII Utili
iy connection),,
4
I-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78
o Accessory building ❑Multi-family SFR(3)bash 500.32
Eich additional bath/kitchen 25M
0 Mister builder El Other; Fire sprinkler sq.ft.) Page 2
10; IT
m
VNI
Catch basin orarea drain 18.76
Job site address: 151 S'0e-OW AA)t'.
Drywell,leach line,or Dench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear IL Page 2
Suitc/bldg./apt.no.: Project name:Soutliview Heights Manufactured home utilities 50.03
Cross street/directions to job site:SW 122"Ave&SW Beef Read Rd IN'lanholes
Rain drain connector 18.76
Sanitary sewer(no.linear ILLI-31-1.3) Page 2
Storm sewer(no.linear I't.: Page 2
Water service(no-linear It.: 1111ge 2
Subdivision:Southview Heightsilitem:Lot no.,: I Fixture o
Tax map/parcel no.: Backtlow preventer 31.27
tcr valve
LMCKW,,i _T7-
12.51
Clothes wisher 25,02
new,single family residence . ............
Dishwasher 25.02
Drinking Ibuntain 25.02
Ejectors/sump 25.02
Expansinn tank 12.51
$A MR
M
WAIP M
'K - " - ifft, NMI,g
"A'i
Nzine:Stone Bridge Homes NW,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address,4230 Galewood St,Suite 100 G,,irbIC disposal 25.02
City/State/7.11':Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)387.7577 :==03)387.7615 Ice maker 12.51
N Intereeptor/grease tra25.02QMTE
Business narne:same as above Medical gas(Value: Page 2
Primer 12.51
Contact name:Deirdre Britt Roof dr<iin(coniniercial) 12.51
Address: Sink/basin/lavatory 2i.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( Fax:: I'Lib/shomr/shower pan 12.51
F-mail:(ibi-iti(k)stonel)t-idgeliojiiesniv.coni Urinal 25.02
Water closet 25.02
"V� RA A 'M
's CO,'T �4 41F " I
6fi!'x"',f -',- 11�' -heatcr
j W`4,
...... Water 37.52
Business m-1111c: iNlax Plumbing Water pipmd� DWV 56.29
Address: P0 Bus 5597 Other: 25.02
City/Slate/'71P: Beaverton,OR 97006Subtotal
........................................
Nfinnimin permit Ice: S72.50
Thune:(971)27i.0198 Fax:
-------- Plan ic%,ic%v ol Iminii Fcc)
t�F)2
('Ck I.ic.: Illumbitiv JAC.110 I B
............ ............. ........... tit atcsnrcImr,_,c(I 2",n ol'perink Ice)
Atilhorized si�niaiure: 1,01AL 1,1110011,FIT
Print liallie.-hison I leff'Hel Date:
t alter it ha,been accrplyd as cunydrrr.
Nit
fMl�\Vf 1)
City of Tigard
i
COMMUNI l-Y D]?VELOPMFN l'DBPAR'1 MEN"I"
C
Building Permit Review — Residential
Building Permit #: H,,�cqO! S—GYM 02 30
Site Address: �S `NK SW HaYV eM 5 V I el)
Project Name: (South View � elQki Lot #:
(Ncw dwelling=subdivision m Addition or Alteration= Inst name of owner)
Planning Review
Proposal: f)eA� SF
NVerify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Sine Plan LI"lements:
Yhree (3) copies of site plan x•1-1 isting structures on site
s� e plan must be on 8-1/2"x 11"or 11 x 17"paper L`�l�ootprint of new structure (including decks) unth finished
, r?];*)iaxx'n to scale (standard architect or engineer scale) � n
or elevations
r"' LJ orth arroxv Utility locations (required for e\vmay ay apply for additions)
Vte address,project or subdivision name and lot number ocation of wells/septic systems
pplicant information (name and phone number) r sion control (including drainage-way protection, silt fence
t dimensions and building setback dimensions sign,location of catch basin,etc.)
o area,building coverage area,percentage of coverage and s eet names
pervious arca (applicable if R-7,R-12,R-23&R-40) trcet tree size,type and location
Property corner elevations (2 foot contour lines if more than 6ZE-xisting trees to be retained atith drip line,and tree
4 foot differentialprotection measures
Clean Water Services—Service Provider LeYIN
(lot platted prior to 9/10/1990:
Required: 11Yes,applicant\vas notified o Received: ❑ Yes ❑ No
Public Facih Improvement(PFI) Permit: /
Vequired: NJ Yes,applicant was notified ❑ No Applied For: NJ Yes ❑ No,stop intake
Land Use Case #: 3U5Z003- 0000
oning:
Ld Setbacks: front 5 Rear S Side S Street Side — Garage 2(3
Landscape Requirement: 20
Vof Coverage Maximum: 1— %
BUildina Height: Maximum 1-Leight 3�J Actual Height 35
isual Clearance
asements
�VKesitive Lands: ❑ Yes No T}'pe
an Foresay Plan
ditions "Met" prior to issuance of building permit
Notes:
Approved By Planning: z Tim Date: Q
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_RES_070915.doex
Building Permit Submittal
Original Submittal Date:
Site Plans: # 144
BuildingPlans: # -j
Building Permit#: RT-F—titerrbbuilding permit#above.
Workflow Routing: Q Planning �'_ngineering 'n--Permit Coordinator iT:J_Building
Workflow Sign-off: [;?'Sign-off for Planning(include notes from planning review)
Route Application Documents: [,2-1?ngineering: (1) cope of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2'-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: g�
/ Conditions "1\1et"prior to issuance of building permit
Easements (encroachments) per engineering conditions of approval and plat
\\/ater Qualit\,/Quantity,Faciht}-:
Assess Water Quaht- Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
I-IDA 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
❑ 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:
DC Fees Entered: Wash Co Trans Dev Tax: (,r_,7 es ❑ N/A
T igard T raps SDC: ❑ Yes X)N/A
Parks SDC: Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
• 3 � �
1:\Building\Forms\BldgPennitRvw RES_070915.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00230
David Young
Not ready for final inspection.
Provide approved plumbing, mechanical and FPS final inspections prior to building 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
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00230
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
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2015-00230
David Young
Provide PRV for water supply system over 80 psi, 87 psi at FPS gauge. 608.2
Provide approved mechanical final inspection.
Not ready for 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
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2015-00230
David Young
Correction for rain drain at back deck not done as noted on previous inspection.
Correction for laundry tray not done. 310.4
Correction for washing machine knock out not done.
Re inspect fee to be charged if corrections not complete at next inspection.
103.5.6
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
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2015-00230
Chip Barnett
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2015-00230
Chip Barnett
Previous corrections have been completed
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
15138 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00230
Chip Barnett
Previous corrections have been completed
Violation Summary:
Inspector Contractor