Permit (34) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00249
T(G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2017
Parcel: 2S110CB12100
Jurisdiction: Tigard
Site address: 15086 SW HARVEYS VIEW AVE
Subdivision: SOUTH VIEW HEIGHTS Lot: 9
Project: Yee
Project Description: Add 252 SF deck to existing deck
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $5,624.64 Rear: 15
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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders 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:
YEE,ALAN W GREEN MOUNTAIN ENTERPRISES LLC Required Items and Reports(Conditions)
PRINZ,CHERYL MOORE 19001 NW GREEN MOUNTAIN RD
REVOCABLE TRUST BANKS,OR 97106
15086 SW HARVEYS VIEW AVE
TIGARD,OR 97224
PHONE: 360-910-7175 PHONE: 503-332-5920
FAX:
Total Fees: $426.03
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. • 1 •': ,regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-2.1-0010 through 0•-95 .01 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503. .1987 or 1.800.332.2344.
Issu=" By: v_ `La410c1 _, Permittee Signature: U 1 1
Call 503.639.4175 by 7:00 a.m.for the next available inspecti n 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
ResidentialREcEIVET)
FOR OFFICE USE ONLY
City of Tigard Received
1;125 S W Hall Blvd.,Tigard,OR 97223 Plan Re
: 027 7 I Permit No.: 1�� 7��a�y
li Phone: 503.718.2439 Fax: 5 6 Plan Revie r�
T I GA R D Inspection Line: 503.639.4175` V l' r Date/By: • .er 7 y' Other Permit:
Date Ready/By: // lir s: ® See Page 2 for
Internet: www.tigazd-or.go TIGARD Notified/Method: `
/� L // I Supplemental Information
I I SI()N REQUIRED DATA:1-ANA 2-FAMILY DWELLING
0 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 0 Other:
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION; work indicated on this application.
❑ 1-and 2-family dwelling ❑CValuation:
Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms: f _ 1•11r
❑Master builder
❑Other: Number of bathrooms: ' II
JOB SITE INFORMATION AND LOCATION Total number of floors: ,CC0
/,'
a.1-1--ti
Job site address: i 0C� ' � U vv.Q < \J\
\ @, , ) {^`fe New dwelling area: square feet
—
City/State/ZIP: `( 4 -
0� oti22.. Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:
Covered porch area: square feet
Cross street/directions to job site:
Deck area: a. S e square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: J 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
DESCRIPTION OF WORK work indicated on this application.
Cid dei,� .�-D e X.V-i.f3 ace 1`_'J . Valuation: $
—
Existing building area: square feet
New building area: square feet
(
®"PROPERTY OWNER I 0 TENANT Number of stories:
Name: 1 u In. )/„e..,e.,u_.. ' Type of construction:
Address: l'D ....iq( 0 S_ ` ,&iveu S VA e t J AVe , Occupancy groups: --
City/State/ZIP: G a,. W
Phone:( ) a Existing:
Fax:( )
New:
V'APPLICANT ( 'CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name: l�A \/. _e_,, Structural plan review fee(or deposit):
Address: i / W e /l e� i�y f„ FLS plan review fee(if applicable):
City/State/ZIP: 1 (-0, ) � iV t� Total fees due upon application:
,
Phone:(?3&0) 01 9 -> 17 5 Fax::( ) Amount received: kg6.77
E-mail: a T.e__
I'1- a (.ow,,(,L c4-J v\� PHOTOVOLTAIC'SOL'AR PANEL SYSTEM FEES*
CONTRA(:COR Commercial and residential prescriptive installation of(+� �(�- roof-top mounted Photo Voltaic Solar Panel System.
Business name: C.7 reR' 1 1 , [.,„,,,lD,,�, ` i',?S )L C , Submit two(2)sets of roof plan with connection details
Address: /g�'/ /� R/ r�ti�� C tN ` and fire department access,along with the 2010 Oregon
l—�6 4 ---L � �/ZILI �E1 , � Solar Installation Specialty Code checklist.
City/State/ZIP: op" Permit Fee(includes plan review
Phone:(x,'03) 317.2_ sot L 0 Fax:( )
and administrative fees): $180.00
CCB lic.: 1 7'-1 c '-) •Z
State surcharge(12%of permit fee): $21.60
_ Total fee due upon application:1 $201.60
Authorized signature: .`
/Z.)
� 6 --�eo -7-7 This permit application expires if a permit is not obtained
J within 180 days after it has been accepted as complete.
int name: I Date: I *Fee methodology set by Tri-County Building Industry
J Service Board.
'ing\Permits\BUP-RESPermitA doc 02/24/2011
pP• 440-4613T(11/02/COM/WEB)
City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: "•‘2-I 2.01 7800 2 4I
Site Address: / e6 ��� ) U S V4� e
Project Name: Y �x� Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: AJC,) l4g
Verify site address/suite# exists and acti
in permit system.
ctrOtiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Siy Plan Elements:
three(3)copies of site plan �xisting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(includingdecks)with
yawn to scale(standard architect finished
or engineer scale) oor elevations
V
arrow
tility locations&easements(required for new and additions)
POite address,project or subdivision name and lot number Sidewalk/driveway approach
pplicant information(name and phone number) 11 :*cation of wells/septic systems
r1 •t dimensions and buildingsetback dimensions p y
�� sting trees to be retained with drip line,and tree
I . 'uare footage of buildings to be demolished rotection measures
Lot area,building coverage area,percentage of coverage andVtreet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40)
Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes t1L1No
H4 foot differential) If yes,is a storm water quality facility shown?N ❑Yes ❑No
PClean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required:
El
Yes,applicant was notified NReceived:
` ❑ Yes ❑ No
' { ublic Facilities Improvement(PFI) Permit
i:7(
❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: (,4.6,00 f 3— CYX---
oning: yy��
rC--.4"
/0:: Required Setbacks: Front Oa Rear I C Side C Street Side AGarage 0
tandscape Requirement: 02C) %
ot Coverage Maximum: 00 0/0
/ Building Height: Maximum Height S..-- Actual Height
7isual Clearance
pit i.ensitive Lands: ❑ Yes ❑ No Type
1A rban Forestry Plan
04 Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: M 0A-A - Date:
/ fC*1fll
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved El Not Approved Date
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernutRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: ( l al?/
o/7
Site Plans: # 3
Building Plans: # 3
Building Permit#: ErEnter building permit#above. �� ^ � g
Workflow Routing: LI-Planning .engineering 2 Permit Coordinator L ti
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 12'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
/original plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: �_, o Q.ti T`'` eD--vim - ._.X - 6�o9-7�l7
�� ()
By Permit Technici'ai�: �v l -e` r� _4,,,..,...,L,�� Date: 6219-747
Engineering Review q b
,C�Slope at building pad: 510 /
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
„Er-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes J No
Assess Water Quantity Fee in-lieu: ❑ Yes t5--No
LIDA Facility on lot: ❑ Yes _2-No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering:
Al(G<K— L.J , Date: b(-24 9i 1,7
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 N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes N/A
49-OK to Issue Permit / ,r/l 7
Approved by Permit Coordinator: friDate: 6 !ted �f'/
IABuildingWorms\BldgPermitRvw_RES_061417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15086 SW HARVEYS VIEW AVE, TIGARD, OR, August 14, 2017 at 10:23:29
97224 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00249
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed
Violation Summary:
Inspector Contractor