Permit •
p CITY OF TIGARD MASTER PERMIT
111 11 •• • COMMUNITY DEVELOPMENT Permit #: MST2013 -00020
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/21/2013
Parcel: 2S 104BB 10700
Jurisdiction: Tigard
Site address: 14032 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 24
Project: Walnut Creek, Lot 24
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 807 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1015 sf Garage: 373 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 4
Detectors: Yes
Total: 1822 sf Value: $204,743.56 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: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add! 500 sf: 3 201-400 amp: 0 201 -400 amp: 0 W/O SvcJFdr: 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 8 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 1822
Owner: Contractor:
LEGEND HOMES LEGEND HOMES Required Items and Reports (Conditions)
12755 SW 69TH AVE., STE 100 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 - 639 - 4175
PORTLAND, OR 97223 PORTLAND, OR 97224
PHONE: 503- 620 -8080 PHONE: 503 -620 -8080
FAX: 503 - 598 -8900
Total Fees: $17,893.09
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 -00 e • R 952- -009 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332.2344.
Issued = : / Permittee Signature: ti'
Call 503.639.4175 by 7:00 a.m. for the next available inspection d. e.
This permit card shall be kept In a conspicuous place on the Job site until compl tion of , e project.
Approved plans are required on the Job site at the time of each insp:. '.
Building Permit Application
RECE
Residential ; ., <F onv •
City of Tigard JAN 3 0 2013 Da1eiBy / Q 3 r jd »T 20/ 3 oob: -0
° 13125 SW Hall Blvd Tigard OR 97223
Permit No.
11 4
., g, n � �p� Plan Review (
: „"' P hone: 503.639.4171 Fax: 503.598.196(C pF TIG ARD Date /By: ' 21 (1' Other Permit:1 p -1 3 - 6 , /S'
Inspection Line: 503.639.4175 D ate Rea � � / ? Juri ® See Page 2 for
TIGARD 6 BUILDING BIVISIOP\ �/ /� Supplemental Information
Internet: www.t - or. gov Notified/Me
VA/ AYS-r Vg:
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
El Addition /alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead, and
CATEGORY OF CONSTRUCTION the profit for he work indicated on this application.
® I- and 2- family dwelling ❑ Commercial /industrial Valuation: ( � 764 ) 743,5(0 1
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
® Master builder CI Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 14032 SW Walnut Creek Way New dwelling area: 1,822 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 373 square feet
Suite /bldg. /apt. no.: Project name: Walnut Creek Covered porch area: /5" square feet Ioi 5
Cross street/directions to job site: Barrows & Walnut Deck area: square feet 87
Other structure area: 2...(1` square feet 2_7
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Walnut Creek I Lot no.: 024 Permit fees* are based on the value of the work
Tax map /parcel no.: 2S1041113 10700 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:
Z APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* .
Business name: Legend Homes (Please refer lo fee schedule)
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
Phone: (503) 620 -8080 a, / I Fax: : (503) 598 -8900 Amount received:
E - mail: slucas @legendhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
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.
City /State /ZIP: Portland, OR 97223 Permit fee (includes plan review $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
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 1/30/2013
* Fee methodology set by Tri- County Building Industry
Service Board.
-Plunibing Permit Application ,_ I
Building Fixtures
".° q :FOR OFFICE;. USE O NLY � ` °
JAN 3 0 201 - -
•
City of Tigard R eceived / /,�
Date/By: f 3 sr- Permit No 1,/c.1 e :2,013- tz,Q.f.)
13125 SW Hall Blvd., Tigard, 1OR 97223
t CI CITY OF TI /� Ll A • , Phone: 503.639.4171 Fax: 503.598.1960 I I Vr A x ; ; Other Permit No.:
Inspection Line: 503 639.4175 BUILDING DIVIS ID ,tae /B Read Juri
TIGARD Internet: www.ti�ard - or. ov Ready /By: J � / 0 See Page 2 for
g Notified/Method: ! 40 Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description Qty. Ea. Total
❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® I- and 2- family dwelling El Commercial/industrial SFR (2) bath 437.78
SFR (3) bath I 500.32 500.32
El Accessory building ❑ Multi - family
Each additional bath /kitchen 25.02
® Master builder El Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 14032 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 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: Walnut Creek Lot no.: 024 Fixture or item
Tax map /parcel no.: 2S104BB 10700 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 El 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
® 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 Lie.: 112220 Plumbing Lic. no.: 26 - 824PB Plan review (25% of permit fee)
State surcharge (12% of permit fee) 60.04
Authorized signature: c�,,,/
12_,Vt.._; _ - M i _ TOTAL PERMIT FEE
Print name: Gloria Hawes Date: 1/30/2013 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 Application JAN 3 0 201 FOR OFFICE USE ONLY
Received � '1t3 - D
- City of Tigard OF T'r Date /By: J 1 //3 - Permit No. p S t dt/ [Od(J
13125 SW Flail OF ail Blvd., Tigard, OR 97223 CITY 1 FAA' 1. lan Review 1 IR
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Ins ection Line: 503.639.4175 BUILDING DIVISl'1 1e /gy
TIGARD p • .te Ready /By: Jurist 0 See Page 2 for
Internet: www.tigard or.gov Notified/Method: (Sa
Supplemental Information
TYPE OF WORK 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: $
® 1- and 2 - family dwelling CI Commercial /industrial CI Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi- family ® Master builder ❑ Other:
Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 14032 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
Suite /bldg. /apt. no.: Project name: Walnut Creek Furnace 100,000+ BTU (ducts /vents) 54.91
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.: 024
Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: 2S104BB 10700 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 I 33.39 33.39
City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 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
Business name: Legend Homes Other: 23.32
Fuel piping
Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional
Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. 1
Gas heat pump
City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater 1
Fireplace
E -mail: slucas @legendhomes.com Range I 14.15
CONTRACTOR Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other
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 lie.: 72623 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: ` This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Steve Lucas Date: 1/30/2013 * Fee methodology set by Tri - County Building Industry Service Board
Electrical Permit Application l'ibbEIV' FOR OFFICE U ONLY
\
City of Tigard Received 3(�/ e a l l3 s1
III
JAN 3 0 2011 Permit No. T g0l3 - 000 DU
13125 SW Flail Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY 1n �ate/B : Other Permit:
Ins ection Line: 503.639.4175 CI 1 i OFTIG ' ' 11 iate Read /B Ju ris
T{ GARD p Ready /By: / /_ ® See Page 2 for
Internet: www.ligard- or.gov BUILDING DIVIS Sla tfied/Method: / f 2 Supplemental Information
TYPE OF WORK 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 stoi ics.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas 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
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ® Master builder ❑ Other: El Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emgstem. larger separately derived system.
❑ Addiert oency f ne motor load of ❑ "A ", "E "I -2 ", "1 -3 ",
Job no.: Job site address: 14032 SW Walnut Creek Way
100H or more. occupancy
❑ Six or more residential units. ❑ Recreational vehicle parks.
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 Qty. I Fee. I Total I *
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:024 1,000 sq. ft. or less 1 I 168.54 168.54 4
Ea. add'l 500 sq. ft. or portion j 33.92 1
Tax map /parcel no.: 2S104BB 10700 —
Limited energy, residential I 75.00 75.00 2
DESCRIPTION OF WORK • (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. fi.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
Z 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 1
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] 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 @legendhomes.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 (1 hr min) 66.25/ hr
Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Industrial plant (I hr min) 78.18/ hr
Inspections for which no fee is
CCB Lie.: 121159 Electrical ' ' 1 . - 305C � Suprv. Lic.: 3707 - specifically listed (1/2 hr min) 90.00 / hr
ELECTRICAL PERMIT FEES _
Suprv. Electrician signature, requir-4: Subtotal:
/ / „ �••• a
Print name: Chuck Garner 'S '• //' /';':.
.. ,,� a. 0/2013 Plan review (25% of permit 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.
Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No.: Jt I .101 3 - 0(X)
Site Address: /'/-U 3,X s wig LIl1 CL L' i2& cvAy
Project Name & Lot No.: !e) 4 - L k(14 -r - I .2 ' 1
CWS Service Provider Letter
Required: Yes ❑ No la
Received: Yes ❑ No ❑
Routed Plans: /
Original Plan Submittal Date: 1/ 30 / / -3 I'
1st Revision Submittal Date: ❑ 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 approved.
Planning Review (contact in fr I s' at 503 - 718 -or J @tigard- or.gov)
Land Use Case No. i P. - 0(.12s
Zoning p---2.5
L" Setbacks: , ( i
r ont t5 Rear I5 Side 4 Street Side IL) Garage 2,0 Maximum Building Height: 4s' Actual Building Height '21
sual Clearance
3
tri S sitive Lands Type:
L7 Street Trees
❑ Protected Trees
Notes:
•
Original Plan: Approved L1 Not Approved ❑ Date: I i 31 I l3
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)
Actual Slope:
Notes:
Original Plan: Approved Not Approved ❑ Date: _ l 1 /3..
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 App nt
Okay to Issue Permit: Ye No •
• Date Routed to Building:
•
•
Page 2 of 2
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.
BUILDING DIVISION
a_
T,IGARD TRANSMITTAL LETTER
TO: Dan Nelson DATE RECEIVED:
DEPT: BUILDING DIVISION RE C V EI!:
FEB 1 4 2013
FROM: Steve Lucas CITY OF (IGARD
ON
COMPANY: Legend Homes BUILDING DIVlS
PHONE: 503- 620 -8080 x211 By.
RE: 14032 SW Walnut Creek Way MST2013 -0020
(Site Address) (Permit/Case Number)
Walnut Creek, Lot #24
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
2 Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
2 Floor /roof framing. Basement and retaining walls.
Beam calculations. 2 Engineer's calculations.
Other (explain):
REMARKS: Replacement sets reflecting a change in the upper floor framing system. The change
removed a bearing point, post and foundation pad. Also included are engineers calculations and a revised
floor truss calculation package.
FOR O FIC USE ONLY
Routed to Permit Technician Date: `Z I Z ( Initials
Fees Due: n Yes ✓ o Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): n Yes n No ❑ Done
Applicant Notified: Date: Initials:
1: \Building\ Forms\ TransmittalLetter - Revisions.doc 4/4/07
PLOT PL 4 N 0V30/13
I I�
LOT *024 WALNUT CREELK
14032 SW WALNUT CREEK WAY RECEIVED — —
NE 1/4 SECTION 4, T. 25, R 1W, W.M. JAN 3 0 2013 I•= 20' -0•
CITY OF TIGARD
WASHINGTON COUNTY, OREGON CITY OF TIGARD
1 ""r" LEGEND BUILDING DIVISION
• 7 iv•• HOMES
I.
-- Q Q I I" " 12766 6Y BOth AVE. OPTICS (603) 020 -5080
� n 8O[R lo
PAX (608) 688 -0000
POETLND. 05. 87828 CM 55151
Y
—I
Q
Ca In
w _ LOT 23
r n
Q N lL N \s) N N
U C� ;3 b' :1 N 2 21 I' N
1 � 6' -L _ _ S88
111 ! 2000\
18.50' ��— - ��
�� � - � ` -7. r SD i . 20.50' •2 26
rr \\ � I 1 •: F±.....
• 1.228.3 ' /
V I . . I ai 2 LOT ;24 / 1
U) :� n , / I .BEECH B / $
n y I 322 8 , I, , I . ` I j / / �
i .� - 1 // 29.50' • ' I rW % � . T I ) _ 22\_ 5 88'23'11" E /--- �1
/ 18.50' 1 I\ -- ci. f0 0 (1 2 28 3' c0 di C\3,, Iy
N LOT 25 "'
STREET TREE:
CHANTICLEER PEAR
W - - -- WATER LINE 2 " ca liper
SS — — — — SANITARY SEWER
SD - - — STORM DRAIN
o o EROSION FENCE
- q OF STREET
0 WATER METER
® MANHOLE
® CATCH BASIN
PROPOSED
� STREET TREES
FIO STREET LIGHT
lir FIRE HYDRANT
y
PROVIDE EROSION
CONTROL FENCE
PER COMMUNITY
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 Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/19/2013 00:00
MST2013-00020
FAIL
Door locked @ 3:40 PM
No access
Not ready
Note: need permit for back flow preventer for rear sprinkler system
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
199 Electrical final
06/18/2013 00:00
MST2013-00020
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
399 Plumbing final
06/28/2013 00:00
MST2013-00020
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
699 Mechanical final
06/20/2013 00:00
MST2013-00020
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
199 Electrical final
06/18/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
135 Low voltage
04/18/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
04/18/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
235 Shear walls/anchors
03/25/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
205 Footing
02/26/2013 12:00
MST2013-00020
PASS
Setbacks hub and tack verified
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
04/17/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
04/17/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
322 Shower pan
05/29/2013 00:00
MST2013-00020
PASS
Tested
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
135 Low voltage
04/17/2013 00:00
MST2013-00020
FAIL
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
120 Electrical rough-in
04/18/2013 00:00
MST2013-00020
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
14032 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
210 Foundation walls
02/27/2013 13:00
MST2013-00020
PASS
Violation Summary:
Inspector Contractor
. rvl 5 i2_. c 1 3 — crz.5-U Z 0
IN STREET
. ...:.,.:,
G.�ARD
_� f
TI `
CERTIFICATION
I
k 51) lif v , owner/agent for
(PLEASE PRINT)
� gf te.44.1 l s
(PERMIT HOLDER)
i,
do hereby certj 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.: p1613 -- 00 02_ 0
SI'1 h ADDRESS: 1 cf�' 32- S �, (J(J4/ 211t (Yr4 It/
SUBDIVISION: 4 a 1 h U c ye,ok LOT#:
SIGNATURE: MAI %4 J i L1 DA"l E: &72-
(OuwEVENT)
13
RECEIVED &
VERIFIED BY: DA1 h: `2 l
(
Tree location verified per approved site plan.
1:\Building\Forms\StreetTreeCertificate 05/30/2012
57-2oI3 — cr�' e 2 o
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: �,�--�} Jurisdiction: I �^_44014.3
Site Address: Rio 3 Skti Wa J 9 ei4, Wiry
Subdivision/Lot #:
IAA lh v reek
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: AV// 14 ii�� Date: 7
Owne Gene .l on actor ' orized gent ` ! J
Print Name:
' 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..
l:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08
/L1 5 is 6 (3 -Qz3-o 0.)
Oregon Residential Specialty Code R318.2
•
MOISTURE CONTENT ACKNOWLEDGEMENT FORM Add // A _ = _ , am the general contractor or the owner-builder
•
at the following address:
Site Address: 1 0 3 2. SkI 1114/h y 4107
City:
Permit#: 013 -D oa 2-Q
Subdivision/Lot#: .
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: Il/IA! /�/�. Date: (0727/13
. Genera ont .ctor •w giro i!der
\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08
-2-0 13 — c -o-0 lc?
WOMACK WATER WORKS, INC
CCB LICENSE #125943 13
BACKFLOW ASSEMBLY TEST REPORT NEW-7
PROPERTY OWNER: Cl JY4 jS P�� ` ' L.'OA� S Ure I, PHONEY`/Jr-PIS
MAILING ADDRESS: N No�Z S W W 0N-J Ld-k_€k 1►v C�v�
CITY Ti tUr ST G ZIP 7'7711 Ll
AsSEMBLY ADDRESS: .S(AM tC
WATER PURVEYOR: 1 ��
I ,
r J
ASSEMBLY LOCATION: L 4 4 1 S� e C4- 'S� GUT_
INITIAL TEST RESULTS
REDUCED PRE _.•r17 Y PVBA/SVBA INITIAL TEST
#1 CHECK sue--1 AIR CHECK PASSED V
PRESS DROP (A) CHECK ' �♦ INLET FAILED_
RELIEF VALVE TIGHT_ �� OPENED AT: PRESS DROP
OPENED AT (B) LEAKED_ PSID DATE 6/6/(3
MIN 2 PSID PSID PSID
BUFFER CHECK#2 2�
A-B= TIGHT✓ DID NOT FAILED SYSTEM
MIN 3 PSID LEAKED_ PSID OPEN PSID
RELIEF VALVE
PASS FAIL_C OMMENTS III ' 1kirks c 4-ZL-114 v 2
REPAIRS
AND/OR
PARTS
TEST AFTER REPAIRS -
REDUCED PRESSURE ASSEMBLY • PVBA/SVBA AFTER REPAIRS
#1 CHECK DOUBLE CHECK DATE:
PRESS DROP (A) CHECK#1 OPENED AT: PRESS DROP
RELIEF TIGHT PSID
OPENED (B) CHECK#2 PASSED
BUFFER MIN 2 PSID TIGHT_ PSID PSID PSID
A-B=
MIN 3 PSID
IN COMPLETING AND SUBMITTING THIS TEST REPORT,THE TESTER CERTIFIES THAT THE
ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE
RULES AND REGULATIONS OF THE WATER SYSTEM,AND STATE REGULATIONS.-
GAUGE CALABRA ION DATE 02/Q42012 DETECTOR METER READING
TEST SIGNATURE .,,J'4-aW CERT 5360
TESTERS NAME JO H PR NTICE GAUGE 20902
TESTERS ADDRESS PO BOX 307,TROUTDALE,OR 97060 503 669-2722
COMPANY NAME WOMACK WATER WORKS,INC PHONE
REPORT RECEIVED BY: X SERVICE RESTORED
(REPRESENTATIVE OR OWNER)
�Si 213—c�� zc�
Mark Sullivan
• From: GLENN C WAER [gbopwaer @msn.com]
Sent: Friday, June 21, 2013 4:03 PM
To: Mark Sullivan; Mike Goodrich; Carol Eisenlohr
Subject: FW: WC-24 Final Inspection -Correctedmark
Inspection Date: 6/21/13
Project Address: 14032 SW Walnut Creek Way
Energy Path: ETO
Path measures: Pass
Duct test: Pass
Maximum CFM allowed:109
Test results: 90
Thermal Enclosure Check list: Pass
Blower Door test: Pass
Maximum ACH allowed: 5
Test results: ACH = 2.9 ELA = 39 SQ IN
Re-inspection required: No
Action required: None, Floor insulation installed and looks good, house
certified
•
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
•
1
o 13 - csZy-o
WOMACK WATER WORKS, INC
CCB LICENSE #125943 13
BACKFLOW ASSEMBLY) TEST REPORT NEW
PROPERTY OWNER: C jS 0.,-1 S\AI `�v 5CUlfx PHONE63-7,r-62 3
MAILING•ADDRESS: 1 _I Q 3Z S AI �4l,4 L dt k_C.it
CITY II (. (Ark) ST C ZIP 7-7 Ll
AsSEMBLY ADDRESS: (A( 'C
WATER PURVEYOR: T1 (J
ASSEMBLY LOCATION: L i S�U Q G VS� AS�
P
INITIAL TEST RESULTS
REDUCED PRE •' A Y PVBA/SVBA INITIAL TES
#1 CHECK .._ : AIR CHECK PASSED
PRESS DROP (A) CHECK INLET FAILED_
RELIEF VALVE TIGHT_ �' OPENED AT: PRESS DROP
OPENED AT (B) LEAKED_ PSID DATE 6/ �c ;-.-
MIN 2 PSID PSID PSID
BUFFER CHECK#2 2 I
A-B= TIGHT✓ DID NOT FAILED SYSTEM
MIN 3 PSID LEAKED_ PSID OPEN PSID
RELIEF VALVE
PASS FAIL_W 1li M 1"S ��, 4z'-i-1 '(-i 3
REPAIRS
AND/OR
PARTS
TEST AFTER REPAIRS .
REDUCED PRESSURE ASSEMBLY PVBA/SVBA AFTER REPAIRS
#1 CHECK DOUBLE CHECK DATE:
PRESS DROP (A) CHECK#1 OPENED AT: PRESS DROP
RELIEF TIGHT_ PSID
OPENED (B) CHECK#2 PASSED_
BUFFER MIN 2 PSID TIGHT_ PSID PSID PSID
A-B=
MIN 3 PSID
IN COMPLETING AND SUBMITTING THIS TEST REPORT,THE TESTER CERTIFIES THAT THE
ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE
RULES AND REGULATIONS OF THE WATER SYSTEM,AND STATE REGULATIONS.
GAUGE CALABRA ION DATE 02/Q]_/2012 DETECTOR METER READING
TEST SIGNATURE ' *- CERT 6360
TESTERS NAME JO H PR NTICE GAUGE 20902
TESTERS ADDRESS PO BOX 307,TROUTDALE,OR 97060 503 669-2722
COMPANY NAME WOMACK WATER WORKS,INC PHONE
REPORT RECEIVED BY: X SERVICE RESTORED
(REPRESENTATIVE OR OWNER)