Permit RE VISE fl
CITY OF TIGARD �; $ �3 MASTER PERMIT
N. a COMMUNITY DEVELOPMENT Permit #: MST2012 -00310
TIGARD" 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/16/2013
Parcel: 2S104BB09700
Jurisdiction: Tigard
Site address: 14133 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 14
Project: Walnut Creek, Lot 14
• Project Description: New SF Add A/C 5/8/13 REPRINT adding A/C Placement of A/C unit must comply with
manufacturer's clearance requirements
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 861 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1084 sf Garage: 378 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 4
Detectors: Yes
Total: 1945 sf Value: $218,511.72 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
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: 4
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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: 3 201 -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 1945
, Owner: Contractor:
LEGEND HOMES LEGEND HOMES Required Items and Reports (Conditions)
, 12755 SW 69TH AVENUE, STE. 100 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 639 - 4175
PORTLAND, OR 97223 TIGARD, OR 97224 ,
PHONE: 503 -620 -8080 PHONE: 503- 620 -8080
FAX: 503 -598 -8900
' Total Fees: $18,148.65
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 952-001-0090. You may
/ f obtain a copy of the rules or direct questions to OUNC by calling 503 .232.1987
Is sued By: J.1./ wl Permittee Si g nature: 4-*C/�
Call 503.639.4175 by 7:00 a.m. for the next available Inspectio
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.
•
•
71 .q CITY OF TIGARD MASTER PERMIT
a .' . COMMUNITY DEVELOPMENT Permit #: MST2012 -00310
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/16/2013
Parcel: 2S104BB09700
Jurisdiction: Tigard
Site address: 14133 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 14
Project: Walnut Creek, Lot 14
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 861 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1084 sf Garage: 378 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 4
Detectors: Yes
Total: 1945 sf Value: $218,511.72 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
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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 -
Ea addl 500 sf: 3 201 -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 +ampNolt: 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 1945
Owner: Contractor:
LEGEND HOMES LEGEND HOMES Required Items and Reports (Conditions) •
12755 SW 69TH AVENUE, STE. 100 12755 SW 69TH AVE #100 1 Ersn Cntrl 503- 639 -4175
PORTLAND, OR 97223 TIGARD, OR 97224
PHONE: 503 -620 -8080 PHONE: 503 -620 -8080
FAX: 503 -598 -8900
Total Fees: $18,148.65
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 52 -001 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: (WLC G ( Permittee Signature: IL LA
i
Call 503.639.4175 by 7:00 a.m. for the next available Inspection • .
This permit card shall be kept in a conspicuous place on the job site until complee f the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application R ECEIV E
Residential - FOR OFFICE USE ONLY '
. City of Tigard DEC 19 2012 Received J ^ I
C
Date /By: .__. Ia I "1 I/� � 1 Penni! No.: V S T w J a- 00 U 3/ 0
. ° 13125 SW Hall Blvd., Tigard, OR 97223 �� Plan Review.
Phone: 503.639.4171 Fax: 503.598.1960my OFTIGARD Date /By: 1 I I
'�� (3 Other Permit: � �j • (�()( �/)
Inspection Line: 503.639.4175 Dat Read / luris: IZI See Page 2 for
T I GARD
p KB LNG Notif etho J /� Su lemental Information
I nternet: www.tigard- or.gov pp
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest
❑ Addition/alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead. and
CATEGORY OF CONSTRUCTION the profit for the work indicated on this application.
Valuation: $ 218,511.72
® I- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
®' Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 14133 SW Walnut Creek Way New dwelling area: 1,945 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 378 square feet
Suite/bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 'l.- square feet 1A_
Cross street/directions to job site: Barrows & Walnut Deck area: square feet e)(O (
Other structure area: .z'52'✓ square feet
' REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Walnut Creek I Lot no.: 014 Permit fees* are based on the value of the work
Tax map /parcel no.: 2S104BB 09700 performed. Indicate the value (rounded to the nearest
dollar) of all equipment, materials, labor, overhead, and
DESCRIPTION OF WORK the profit for the work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Legend Homes Type of construction:
Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing:
Phone: (503) 620 -8080 Fax: (503) 598 -8900 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Legend Homes
Structural plan review fee (or deposit):
Contact name: Steve Lucas
FLS plan review fee (if applicable):
Address: 12755 SW 69 Avenue, Suite #100
Total fees due upon application:
City /State /ZIP: Portland, OR 97223
Amount received:
Phone: (503) 620 -8080 Fax: : (503) 598-8900
PHOTOVOLTAIC SOLAR PANEL' SYSTEM FEES*
E -mail: slucas @legendhomes.com
Commercial and residential prescriptive installation of
. CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Legend Homes Submit two (2) sets of roof plan with connection details
and fire department access, along with 2010 Oregon Solar
Address: 12755 SW 69' Avenue, Suite #100 Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP: Portland, OR 97223 $180.00
and administrative fees):
Phone: (503) 620 -8080 Fax: (503) 598 -8900 State surcharge (12% of permit fee): $21.60
CCB lie.: 55151 Total due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature
/r!!� — " - " - . within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 12/17/2012 * Fee methodology set by Tri- County Building Industry
Service Board.
Plumbing Permit Applicati CE BED
V ,
Building Fixtures FOR OFFICE USE ONLY
City of Tigard D EC 19 2012 Received / £ ."1- P ermit N
ill
V 13125 SW Hall Blvd., Tigard, OR 9722 Date/By: � / a i Qi 1 s a900 - CO3 / 0
.
Phone: 503.639.4171 Fax: 503.598. ,df, Plan Review
11 `` �� ( T Date/By: Other Permit No.:
T I GARD Inspection Line: 503.639.4175 v' 1 Date Ready /By 'hi s ® See Page 2 (or
Internet: www.tigard- or.gov B 1ILDINGDIVISION Notified/Method: o Su pplemental Information
TYPE OF WORK FEE* SCHEDULE
Eg New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath I 500.32 500.32
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
® Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 14133 SW Walnut Creek Way Catch basin or area drain 18.76
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: Walnut Creek Manufactured home utilities 50.03
Cross street/directions to job site: Barrows & Walnut Manholes 1 8.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Walnut Creek Lot no.: 014 Fixture or item
Tax map /parcel no.: 2S104BB 09700 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Legend Homes Fixture /sewer cap 25.02
Address: 12755 SW 69 Avenue, Suite #100 Floor drain /floor sink/hub 25.02
Garbage disposal 25.02
City /State /ZIP: Portland, OR 97223
Hose bib 25.02
Phone: (503)620 -8080 Fax: (503)598 -8900 Ice maker 12.51
Z APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: Legend Homes Medical gas (value: $ ) Page 2
Contact name: Steve Lucas Primer 12.51
Roof drain (commercial) 12.51
Address: 12755 SW 69 Avenue, Suite #100
Sink/basin/lavatory 25.02
City /State /ZIP: Portland, OR 97223 Solar units (potable water) 62.54
•
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Tub /shower /shower pan 12.51
E - mail: slucas @legendhomes.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Wolcott Plumbing
Water piping ?DWV 56.29
Address: 1075 W. Historic Columbia River Hwy Other 25.02
City /State /ZIP: Troutdale, OR 97060 Subtotal 500.32
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Minimum permit fee: $72.50
CCB Lic.: 112220 Plumbing Lic. no.: 26 - 824PB Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature. �/i i /� a /_ q TOTAL PERMIT FEE I
Print name: Gloria Hawes Date: 12/17/2012 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
°Fee methodology set by Tri- County Building Industry Service Board.
•
Mechanical Permit Applicat iA;. G FOR OFFICE USE ONLY
City of Tigard Received S j Permit N //\\
111 q 13125 SW Hall Blvd., Tigard, OR 97223 DEC 19 2012 Date/By: I I 1 �I �- e rm o S / Ud 3 � u
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD
Ins Line: 503.639.4175 CITY Date ea OF TIGARD D Ready/By: _Tu ® See Page 2 for
Internet: www.tigard-or.gov , ' 1 WING DIVISION Notified/Method: -n6 Supplemental Information
TYPE OF W e COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® New construction ❑ Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information.use checklist.
❑ Multi- family ® Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 14133 SW Walnut Creek Way Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) I 46,75 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Walnut Creek
Gas heat pump 61.06
Cross street/directions to job site: Barrows & Walnut Duct work 23.32
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
Subdivision: Walnut Creek Lot no.: 014 Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: 2S104BB 09700 Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32 23.32
Gas fireplace 1 33.39 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen
equipment 1 33.39 33.39
City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust I 33.39 33.39
Single -duct exhaust (bathrooms,
Phone: (503)620 - 8080 Fax: (503)589 - 8900 toilet compartments, utility rooms) 5 23.32 116.60
® APPLICANT ' ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Legend Homes
Fuel piping
Contact name: Steve Lucas $14.15 for first four; S4.03 for each additional
Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. I
Gas heat pump
City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Water heater I
Fireplace I
E - mail: slucas @legendhomes.com Range 1 14.15
CONTRACTOR Barbecue
Business name: Tri County Temp Control O Ott r: r: dryer (gas)
Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* _
City /State /ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($72.50) _
Phone: (503) 557 - 2200 Fax: (503) 557 - 0919 . Plan review (25% of permit fee)
CCB lic.: 72623 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: C i 4 This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: Steve Lucas Date: 12/17/2012 • Fee methodology set by Tri - County Building Industry Service Board
Electrical Permit Application Fort OFFICE USE ONLY
CI of Ti and RECEVEJ .eC e I\.ed Permit No. h
II - `J g Date/By: /Z I - /; l ,, V 00 3
° 13125 SW Hall Blvd., Tigard, OR 97223 DEC 19 2012 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 '(„ Apr Date Ready /By: Jurw ® See Page 2 for
Internet: www.ligard- or.gov CITY O a FF � 1 ItIAI Notified/Method: � Supplemental Information
TYPE OF WO����R ►ILDING DIVI PLAN REVIEW
® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards,
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ® Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION
0 Emergency system. larger separately derived system.
['Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
100HP or more. occupancy
Job no.: Job site address: 14133 SW Walnut Creek Way ❑Recreational vehicle parks.
12 Six or more residential units.
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Walnut Creek ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Barrows & Walnut Description I Otv I Fee. I Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:014 1,000 sq. ft. or less I 168.54 168.54 4
Ea. add] 500 sq. ft. or portion _ *3 33.92 [6(.1( 1
Tax map /parcel no.: 2S104BB 09700 Limited energy, residential 1 75.00 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
® PROPERTY OWNER ❑ TENANT ' 201 amps to 400 amps 133.56 2
Name: Legend Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.40 2
Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 552.26 2
City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)620 -8080 Fax: (503)598 -8900 200 amps or less 59.36 I
Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 125.08 2
not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 168.54 2
701 Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
Owner signature: Date: above service or feeder fee, 7.42 2
® APPLICANT ❑ CONTACT PERSON each branch circuit
B. Fee for branch circuits
Business name: Legend Homes without service or feeder fee, 56.18 2
first branch circuit
Contact name: Steve Lucas Each add'I branch circuit 7.42 2
Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
City /State /ZIP: Portland, OR 97223 dwelling, service and /or feeder
Reconnect only 67.84 2
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Pump or irrigation circle 67.84 2
E -mail: slucas @Iegendhomes.com Sign or outline lighting 67.84 2
. • CONTRACTOR Signal circuit(s) or limited -
Business name: Garner Electric energy panel, alteration, or Page 2 2
extension.
Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above
Additional Inspection (I hr min) 66.25/ hr
City /State /ZIP: Hillsboro, OR 97123 Investigation (I hr min) 66.25/ hr
Phone: (503) 648 -4552 Fax: (503) 642 -7925 Industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is 90.00 / hr
CCB Lic.: 121159 Electrical' 1 . -305C Suprv. Lic.: 3707 -S specifically listed (1/2 hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requir 4: Subtotal:
Print name: Chuck Garner , • d Z . l .. r /17/201 Pl rev iew (25% of p ermit fee):
State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1 .
I III ° Building Division
Development Code Provision Review
T i G A;eD Residential Projects
Building Permit No.: 05 ( o 2 U 1 d - DD 3 /6
Site Address: 14l 33 ) Lt)ALJL U ( ' /
Project Name & Lot No.: (��4C -(.l LO Cif 2_ LJ 1 /Y' /
CWS Service Provider Letter
Required: Yes ❑ No 13, , � /�
Received: Yes ❑ No ❑ c deL ti J Htd
Routed Plans: '�' Y /'
Original Plan Submittal Date: (a- I q �l.- //70-4 •
1st Revision Submittal Date: 1 ❑ Site Plan Only
2 °d Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked ( items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if ap ved.
Planning Review (contact / A ro � at 503 - 718 -41k or °' __ @tigard- or.gov)
Land Use Case No. ' G436 2 P5' D0‘1,2 G S
Zoning - �5
Er Setbacks:
Front L 4 Rear / L Side "1 Street Side At 4- 4 . Garage d
(E M aximum Building Height: L Actual Building Height ? (�
M' Visual Clearance
V Easements
❑ S ensitive Lands Type:
E Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved U1" Not Approved ❑ Date: / � O l 2
Revision 1: Approved fj Y Not Approved ❑ Date: l
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov)
❑ Actual Slope: 4-
Notes:
Original Plan: Approved Not Approved ❑ Date: / Z 171 /
Revision 1: Approved �" Not Approved ❑ Date: `� //
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact 'Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
' ❑ Conditions of, Approval Prior to Issuance of Building Permit
Notes : �'
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Appli ant
Okay to Issue Permit: Yes No ❑
Date Routed to Building:
4
Page 2 of 2
PLOT PLAN 12/13/12
LOT *014 WALNUT CREEK RECEIVED
14133 SW WALNUT CREEK WAY DEC 19 2012
NE 1/4 SECTION 4, 7.2S, R. 1W, W.M. 1 zm' -m"
CITY OF T IGARD CITY OF TIGARD
WASHINGTON COUNTY, OREGON BUILDING DIVISION
rte^'',_
*= LEGEND �/
M € °- ; r,� •°'"'1= H0MFS
ip. -� A. y
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g ��l l ®0�8�' 12766 EF 69th AYE. OFFICE (503) 620 -0090 4
� ` .011 SUITE 100 FAX (609) 690 -6900
0,,,,r6 ; r, ,.-.. ."._. PORTLAND. OR. 07229 CCO/ 66161
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. l
5 /0 5/0�` —
'� 1 33.3'
4.50' `�� DECK,
4.50'
23S /;
236 / % % / y,-•, I 233 \ :/;,
I\
/; w
0 1 0 ' %� � j � //3,14 i / i Nt_ ,z
0 m //,\ % LAUREL ,4 i^ 1�
LOT 13 .:1-1,,, i FIN. PLR •,231.0' m
9 r j / GAR R=' % / 1 - LOT 1
Z / j �% �/ FL %23 i 5 ;�i, Z
/ /I I / / i , / ' /. .''' /?
i
2365 2 / j /,1 / , ,i . / ... / 4 /J / /,' 1 4.50'
4.50' . ! % - 235.51 . —
e ` 234.5'
W — - - — WATER LINE I / t
_ e
55 SANITARY SEWER - - t - ® ^ ' 1 - -I --
SD - - -- STORM DRAIN 8' PUE - / 23 5.0 ' / 234
N
0 O EROSION FENCE _. _ . 88' 1,9 '26 ", _ � '
. 6 �� • ii Uiw/ - -. /
� - � oF STREET SIDEWALK
® WATER METER I v /
O MANI4OLE 1 /i f e.
GATCI4 BASIN STREET TREE: \ MIFF \ CURB
CHANTICLEER PEAR � 1 1
2" Caliper \\ , i \ ' 1
�\ STREET E \
ET TES - 55 i 1 I- \I
It�� STREET LIGHT _ \ I ' \'
Vr. 5W- v7 GREE /,
FIE HYDRANT
4-yo - L SD -r' —� I
i ---
PROVIDE EROSION - /— __.___ - \ i T � /
..c) CONTROL FENCE
PER COMMUNITY N cc) N
EROSION PLAN
SETBACKS :
FRONT YARD = 15 FEET
CaARAC$E = 20 FEET
REAR YARD = 15 FEET
SIDE YARD = 4 FEET
STREET SIDE YARD = 10 FEET
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.
I N BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
TO: Dan Nelson DATE RECEIVED:
DEPT: BUILDING DIVISION RECEVED
JAN 16 2013
FROM: Steve Lucas CITY TIGARD
COMPANY: Legend Homes SD G DIVISION
PHONE: 503- 620 -8080 x211 By:
RE: 14133 SW Walnut Creek Way Y MS 12 -0310
(Site Address) (P mit/Case Number)
Walnut Creek, Lot #14
(Project name or subdivision name ano of n ber)
ATTACHED ARE THE FOLLOWIN IT ' S:
Copies: Description: Copies: Description:
3 Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
3 Other (explain): Plot Plans
REMARKS: Plans and details for the deck as shown on the attached Plot Plan.
FOR OFFICE USE ONLY
• Routed to Permit Technicia : Date: (i Wj1 1 Initials: E )
Fees Due: ❑ Yes [ o Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ['Done
Applicant Notified: Date: / 30// 3 0.54 Initials(
I: \Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 /
RID7) t770d
Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No.: 14 S( 0 / — 0 03/ b
Site Address: 141 3.3 St..) OA (-1t 12 Tr C{2C;G Q
Project Name & Lot No.: (f) u-A etc. , LOr
CWS Service Provider Letter
Required: Yes ❑ No
Received: Yes ❑ No ❑
Routed Plans:
Original Plan Submittal Date: l ( ( — fiXib.3
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact o1V`!'S ' <DA)t2 (2 at 503 - 718 -2421 or G! @tigard- or.gov)
Land Use Case No. ,1 B 2- c J -00025
Zoning ?- -25
letbacks:
ront 1 4 F ont !S Rear , S Sid `T Street Side "1 Pr Garage 2-D
L>� Maximum Building Height: 4 Actual Building Height
0"Visual Clearance
0' Easements
[/Sensitive Lands Type: ' k
El Street Trees
❑ Protected Trees
Notes: r D e c i e A41, D ✓1 l LJ 6 ppr D 1 p ! N?" .
Original Plan: Approved fl Not Approved ❑ Date: DI 1 2.9 f 13
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White. at 503 - 718 -2464 or MikeW @ tigard - or.gov)
,O -- Actual Slope: 5
Notes:
Original Plan: Approved .0' Not Approved ❑ Date: 4 . 3
• Revision 1: Approved ❑ Not Approved 0 Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes : n.
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ► / No ❑
Date Routed to Building:
/ a 3
Page 2 of 2
PLOT PLAN 12/13/12
LOT *014 WALNUT CREEK RECEIVED
14133 SW WALNUT CREEK WAY JAN 16 2013
NE 1/4 SECTION 4, T. 25, R. 1W, W.M. 1" • 20' -0"
CITY OF TIGARD CITYOFTIGARD
WASI-IINGTON COUNTY, OREGON BUILDING DIVISION
LEGEND
G i, HOMES
�i I li g 12766 s<0 FAX (606) 6 ' AVE. all Orr10s (608) Q
imni SC076 16 98 -6000 w
_w, l� PORTLAND, OB. 97223 OW 55151 W /
W Q
Z
I- _0
F-
1 V
fR i- fn
N O 1,
I -A- _ S 8 406 , E \ — t _
-E
234.0' I 0 /
233.3'
\I5/0 5/0 7-- \ —
' EC
4.50 � DECK \ 4.50'
235 - , / / j 233
236 —
w LOT /1•/ y \
0I2 LAUR A / //� n 234
LOT 13 - r- � 231 � '1-100
0 r" / FIN FLR •
G AR FLR•235.5 0 r LOT 15
z l / � % z
1 /Gi/ I
1 4.50'
4.50' ' ' . 53-' / _ 411 234.5'
I • - . e
W - - -- WATER LINE I -
/
SS - -- - -- — — SANITARY SEWER --1--8 • `' :.___1_ -
8 ' PUE ! Li / 235.0' . • 1-n
SD - - — STORM DRAIN N a
0 O EROSION FENCE __•_ _ _ • 'awl- .26., z , ,234
-
OF STREET SIDEWALK 4 4111111111A `
0 WATER METER I M i l lO MANHOLE • •-
® STREET TREE: CURB
CATCH BASIN CHANTICLEER FEAR 1 11111W\ 1 \ I
i PROPOSED 2 " Caliper \\ - — 55 j - - -
I
STREET TREES I
FIA STREET LIGH s w \ C f
Illr FIRE HYD EE , krAY
RA vr/ - - PD -I - i -
Y
PROVIDE EROSION --- - ____ �- Tr/ I.
CONTROL FENCE m in
(.1 m
PER COMMUNITY [.1 , r 1
EROSION PLAN
SETBACKS :
FRONT YARD • 15 FEET
GARAGE • 20 FEET
REAR YARD • 15 FEET
SIDE YARD • 4 FEET
STREET SIDE YARD • 10 FEET
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
03/21/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
05/15/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
610 Gas Line
03/15/2013 00:00
MST2012-00310
FAIL
1.sleeve cost where entering fireplace housing
2. No pressure on gauge
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
05/15/2013 00:00
MST2012-00310
FAIL
expansion tank needed, on the closed loop water piping. properly size the tank 608.3
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
05/16/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
03/25/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
199 Electrical final
05/15/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
320 Plumbing rough-in
03/06/2013 00:00
MST2012-00310
PART
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
03/25/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
135 Low voltage
03/19/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
120 Electrical rough-in
03/19/2013 00:00
MST2012-00310
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
610 Gas Line
03/19/2013 00:00
MST2012-00310
PASS
Standard pressure verified 10 lbs 15 min
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
Inspection Report
2633 Camino Ramon Dr
San Ramon, CA, 94583 Tel: 999-999-9999
14133 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
205 Footing
01/31/2013 14:00
MST2012-00310
PASS
Side setbacks as per Approved plans
Ufer Tagged
Erosion control approved by Mike White
Violation Summary:
Inspector Contractor
/4 zoi7-- - X310
IN .
Ix
STREET TREE
.:;:,., ::- :.„
TIGm :w A TI N
��RTIFIC
I, AA"i Il o owner agent or & ,
l v � � f
g
(PLEASE PREN1) j(PERMIT HOLDER)
do hereby certiO that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: *01 2-- - O 2 3 / O
Sri E ADDRESS: 3 Lid Wai SUBDIVISION:
LOT#: -
SIGNATURE: t7 J , .Al....,. id,/ DATE: 5-/i 13
' (OR/AGE ')
RECEIVED &
VERIFIED BY• DATE: , I cl ' 1 3
(CITY 0--0:i RD)
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetfreeCertificate 05/30/2012
•
/14 S IZ- cro3 1 0
•
Oregon Residential Specialty Code R318.2
•
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, G G , am the general contractor or the owner-builder
at the following address:
Site Address:
City:
Permit#: /
Subdivision/Lot#:
n7) ,-/--
r1
v'�.
� L
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918-480-0140,.I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture-sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: AeLAA,4 _ Date: l
Genera on ,•ctor o Own f° ilder
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
•
,M570‘2- - o33lD
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 4 00 3 JO Jurisdiction: T.
Site Address: /
h141)(01- ��` �J� vitti
Subdivision/Lot#: 6tee/1(
�A V l I--l `
and/or
Map and Tax Lot #:
By my signature below, I certify that a minimum of fifty (50)percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)1
Signature: , ! "11°'` Date: 1 VI 3
Ow ,-'r/General Contra el Authorized Agent
Print Name: Alta Y < , Vet
ORSC Section N1107.2.High-efficiency interior lighting systems. A minimum of fifty(50)percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per
input watt.
I:\BuildingWorms VIES-HighEfficiencyLighting.doc 07/01/08
A4;72_012-- ao3 r
Mark Sullivan
From: GLENN C WAER [gbopwaer @msn.com]
Sent: Thursday, May 16, 2013 1:32 PM
To: Mark Sullivan; Mike Goodrich; Carol Eisenlohr
Subject: Final Inspection WC L-16
Inspection Date: 5/16/13
Project Address: 14133 SW Walnut Creek Way
Energy Path: ETO
Path measures: Fail
Duct test: Pass
Maximum CFM allowed: 117
Test results: 95
Thermal Enclosure Check list: Pass /Fail
Blower Door test: Pass
Maximum ACH allowed: 5
Test results: ACH = 3.2 ELA = 45.5 sq inches (aprox. 7 3/4" round hole)
Re-inspection required: YES
Action required: Check the following: Attic not insulated, fresh air damper not working when engaged.
Thanks for the opportunity to work with your company,
•
Glenn
Glenn Waer Energy Consulting
dba Willowaer, LLC
16266 Hiram Ave
Oregon City, OR 97045
503-701-3165
•