Permit � y , CITY OF TIGARD MASTER PERMIT
" `'7 , C COMMUNITY DEVELOPMENT Permit #: MST2013 -00038
TIGAR 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 03/12/2013
Parcel: 2S104BB11100
Jurisdiction: Tigard
Site address: 14002 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 28
Project: Walnut Creek, Lot 28
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 25 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 $217,506 00 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
•
D 0
Drains 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'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 8 Stereo' N HVAC N Secunty Alarm N Vaccuum System N Garage Opener. N All
Other N Other Descnption: 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 AVE , 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: $18,138.56
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 t AR 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 80 2
Issued By: Permittee Signature:
- L- \2 -----
Call 503.639.4175 by 7:00 a.m. for the next available Inspection d IS
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
RCCEIV .
Residential FOR OFFICE USE ONLY
City of Tigard 1 9 2 1 Late /Bed ( 0. r / Permit No Si 3 ,
IN - 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone 503 639 4171 Fax 503 598 1960 CITY QFTIG ` ∎: " /By / \ m Other Permit G�� (3- �3ci
TIGARD Inspection Line 503 639 4175 BUILDINGDIV ! ead QQ • tun ' 0 See Page 2 for
Internet www Tigard -or gov d/Method o7r II / 5 �� Y Supplemental Information
�apePae Lo( L�a
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 th a pllcatlon.
® 1 - a nd 2-family dwelling Valuation $ ],J 32.72 ,�
y g ❑ 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: 14002 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: 2.4 square feet 1_
Cross street/directions to job site. Barrows & Walnut Deck area: square feet ecA
Other structure area: '�T�L square feet 7
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Walnut Creek I Lot no.: 028 Permit fees* are based on the value of the work
Tax map /parcel no.: 2S104BB 11100 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*
Business (Pleaserejerrojeesched��te)
usiness 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
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 2/13/2013 * Fee methodology set by Tri- County Building Industry
Service Board.
Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
- City of Tigard R eceived
,a 3 s / Permit No / r ( / 3_G�W 3
v 13125 SW Hall Blvd , Tigard, OR 97223 FEB Date/By ✓
I
9 2 � 13 Plan Review ����p - ,
Phone 503 639 4171 Fax 503 598 1960 Date /By ,t/F Other Permit No sI�Ul � -0 v03
TIGARD Inspection Line 503 639 4175 CITY OF TIGARD Date Ready /By y+n / ® See Page 2 for
Internet www tigard - gov Notified/Method 7% Supplemental Information
RUILDING DIVISIO '
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition
For special information use checklist.
Description Qty I Ea 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 El Commercial /industrial SFR (2) bath 437 78
SFR (3) bath 1 500 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: 14002 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.: 028 Fixture or item
Tax map /parcel no.• 2S104BB 11100 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
® 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 piping7DWV 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
��'� 17`/ U6L - �� TOTAL PERMIT FEE
Print name: Gloria Hawes / " � Date: 2/13/2013 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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Date/By a-(i"/ ( 3 cr Permit No LA rc,o, ` 3.
'' 13125 SW Hall Blvd , Tigard, OR 97223 rta, 9 2013
Plan Review ` c
Phone. 503 639 4171 Fax 503 598 1960 Date /By Other Pernu� /3 0008 y
TIGARD Inspection Line • 503 639 4175 CITY 3 OF 1IGARD Date Ready /By s IZI See Page 2 for
Internet www ligard -or gov B JILDING DIVISION. Notified /Method i I (O Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction El 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 - 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi family ® Master builder ❑ Other:
Description 1 Qty Ea Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 14002 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.: 028 Flue /vent for any of above _ 23 32 -
Other 23 32
Tax map /parcel no.• 2S104BB 11100 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 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 1
E -mail: slucas@legendhomes.com Range 1 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) 1
TOTAL PERMIT FEE
Authorized signature: f " This permit ap plication expires if a permit is not obtained within 180
_,..
days after it has been accepted as complete.
Print name: Steve Lucas Date: 2/13/2013
* Fee methodology set by Tn -County Building Industry Service Board
Electrical Permit Application ( FOR OFFICE USE ONLY
City of Tigard RECEIVE ir DateBy a i `t 1 13 Si Permit Permit No 44 ST 3 "Q 0° 3g
II I. 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone 503 639 4171 Fax. 503.598 1960 FEB 9 L 77 O13 Date /By Other Permit F—� (fl 3 -coo 3 �/
TIGARD Inspection Line 503 639 4175 Date Ready /By J un See Page 2 for
Internet www tigard -or gov CITY OFTIGA ! Notified/Method ( Supplemental Information
TYPE OF WOBJILDING DIVISION 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 ❑ 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
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings
El Multi - family E Master builder ❑ Other ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -_l ",
Job no.: Job site address' 14002 SW Walnut Creek Way IOOHP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for mole 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 7•oiat
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:028 1,000 sq ft or less I I 168 54 168 54 4
Ea add'I 500 sq ft or portion , 3 33 92 1
Tax map /parcel no.: 2S104BB 11100 Limited energy, residential
DESCRIPTION OF WORK (with above sq fl ) I 75 00 75 00 2
Limited energy, multi - family 75 00 2
residential (with above sq fl )
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 @legendhomes.com Sign or outline lighting 67 84 2
CONTRACTOR Signal circuit(s) or limited -
energy panel, alteration, or
Business name: Garner Electric extension Page 2 2
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 90 00/ hr
CCB Lic.: 121159 Electrical ' • z . -305C 1 Suprv. Lic.: 3707 -S specifically listed (1/2 hr min)
t ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requir Subtotal
Print name: Chuck Garner 3/2013
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
PLOT PLAN 02/11/13
LOT *028 WALNUT CREEK RECEIVED
1.4002 SW WALNUT CREEK WAY FEB 1 2013
NE 4 SECTION 4, T.25, R.1W, W.M. 1.. 20' -0"
CITY OF TIGARD CITY OFTIGARD
WASHINGTON COUNTY, OREGON BUILDING DIVISION
L TH G E N D
M °, I I HOMES
Eio II it 127 sir 0 P 69th AVE. O1rn1Ca A8 (609 (052) 60D -6000 0 -8080 ) 82 - -
F1 VI ITS 10
PO817ARD, OR. 07228 CCe/ 66161 W - WATER LINE
•3 / q ' SS -- - - - SANITARY SEWER
/ SD - - - -- -- STORM DRAIN
„ O O EROSION FENCE
/ - q OF STREET
2 � / ,/ G � 0 WATER METER
q / -- , \ , ,,,,. 1 >� O MANHOLE
1 '" / .� \ */ ® CATCH BASIN
I ��'" 1 ' , G3 � ' l (�,__ PROPOSED
'1; 1>'\'c' \Q :---.__)1
' STREET TREES
'° El STREET LIGHT
').)\ • ,, • l''' lo' „0, , \/t., Iv FIRE HYDRANT
; �!' e PROVIDE EROSION
CONTROL FENCE
--%\ .-\ . - 230.5 • ' •••> PER COMMUNITY • S Q : ” • \� n,� EROSION PLAN
STREET TREE: �, ` . 1.. `{ , PUBLIC SIDEWALK EASMENT 4
CHANTICLEER PEAR \ . � . - -- ' ° I PRIVATE ACCESS EASEMENT
2 " Caliper • , • I FOR THE BENEFIT OF LOT •28
CJS \ ` I
• \ 1T 5 - '
. \ t
- I LOT 21
LOT 29, I I
� • •� . . \
, ,_ , III
ip ` I 0 232.1' 0 ctl (10 232.1' U
I
N N N 0 cil
/ N
`S W 33.1V- 91.6r - - STD - — --N
\ - -I- - - - -/- - -, 1
2 3 2 I • j /i� /� %� / /7 "/ \-
�
1 ° ,232.8 '/ . / /L OT /2 / /� \ .
10.00' S. W.E. 9' / j ,/ 4 4.423 /.SCIFTi /j 1 1 \ ,r)1,7, LAUREL B / / X / / I , • �'
233 =�� . ° ° 'i ,3 j FIN FLR•234. / I
i — //./6- AR FLR %233. j j /� — � 2\ 00' S D.)=.�
kn � /
• 8, � ° p _ 28.10' // / / / / / i% / I \ 1
- -p ® �, N 231.8' L= 94.2 ----- - - -- / _ _ T �
L:� ::.4�, Qi = '862.00' 231.8'/ ,t / 1 �r r \ 2 3 0
\` 2
:: p_ -• pew / / • /— X23 2
- 'i\ 1 1
9 , X;, . _ _213 4
SETBACKS : ./ ` \' f'
FRONT YARD = 15 FEET 2 33 GARAGE = 20 FEET C URB ' \ •
REAR YARD = 15 FEET \ • • /
SIDE YARD = 4 FEET cr) "I LC1
STREET SIDE YARD = 10 FEET N SW WALNUT STREET N
Building Division
�: g
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: al" -2 0 3- D (9v 3
Site Address: 0oO a- 5& WA U cee ' V Project Name & Lot No.: 4)� U-f e � �
CWS Service Provider Letter _/
Required: Yes ❑ No Ia
Received: Yes ❑ No ❑
Routed Plans: I II
Original Plan Submittal Date: a'iL 1 3
15" 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 (1) 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 !rove
Planning Review (contact 'it __;.1 /i IF. A/, . " at 503-718-- .?qW or /� / / �l @tigard- or.gov)
Land Use Case No. " d — , U
Zoning `Z'"Z5
7 /- Setbacks:
Front / 5 Rear l5 Side r Street Side / v Garage Z c)
PY Maximum Building Height: d (..5 — Actual Building Height
❑ Visual Clearance pit
J' Easements
❑ Sensitive Lands Type: 71/73-- g Street Trees
❑ Protected Trees NA-
Notes:
Original Plan: Approved Not Approved ❑ Date: Z'zo 1.3
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)
Zr Actual Slope: 6
Notes:
Original Plan: Approved e er r Not Approved ❑ Date: Z / Z ( i5
Revision 1: Approved ❑ Not Approved ❑ Date: 111
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 • ant
Okay to Issue Permit: Yes o ❑
Date Routed to Building: /
Page 2 of 2
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
315 Post/beam plumbing
03/26/2013 00:00
MST2013-00038
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
280 Insulation
05/06/2013 00:00
MST2013-00038
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
615 Mechanical rough-in
05/01/2013 00:00
MST2013-00038
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
275 Framing
05/01/2013 00:00
MST2013-00038
PART
Not as per approved plans R106
Missing LTP 4s as noted on page A5
Recall with insulation
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
235 Shear walls/anchors
05/01/2013 00:00
MST2013-00038
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
310 Crawl drain
03/20/2013 00:00
MST2013-00038
PASS
Located left rear on crawl
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
14002 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
240 Exterior sheathing
04/08/2013 00:00
MST2013-00038
PASS
Violation Summary:
Inspector Contractor
A457
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STREET TREE
TIGARD T
(e,
CERTIFICA ION
0 P 414 agent or �7 ' e S
I �� owner a
g f
(PLEASE PRINT) (PERMIT HOLDER)
I
do hereby certify 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.: 13 003
HIE ADDRESS: 00102— A A 1
SUBDIVISION: A)n C/&' LOT #: ,
SIGNATURE: Ar li , 4 ii i, ` J _ _ �� DA'l E: q
(O i sk - e. AGENT)
RE CEIVED &
VERIFIED BY: DA1 E:
(CITY OF TIGARD)
❑ Tree location verified per approved site plan.
I: \Building \Forms \StreetTreeCertificate 05/30/2012
.4.4 6 T 3- ors 3 8
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, /L"/ ajrh.. , am the general contractor or the owner- builder
5'L)//j
at the following address:
Site Address: D /�'1 ji /^ i l in t) t oyeek14hAi
City: 01/14
Permit #: d9-66'-'0003
Subdivision/Lot #: j IY111 elle,/k Z�
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.
' f
Signature: � i j...44 , � L Date:
Gen ral Contractor or 0 -Bui • er
I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
ms- 20 r uzro 3 8'
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 1 Jurisdiction: d
Site Address: 11/0-02- `$� i4Li41
Subdivision/Lot #:
% _
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)
Signature: 1. / _ /�� L _ -� Date: 7/4/0
Own - r /Ge ral Contracto il'thorized Agent
Print Name:
/L4/,lr/( 5//;V
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:\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08
D JB INSULATION
Spray Foam • Residential
Cmnmerciol • I tome lVentherlrmion
1979'
14255 S.W. Galbreath Dr., Sherwood, OR
Phone (503) 625-9700--Fax (503) 625 -9730
Certificate of Insulation
Contractor: LEGEND HOMES
Job Name: WALNUT CREEK LOT 28 - LAUREL B Job Number: JB -28821
Customer ID: LEG100
Jeb- Addre's: 14002 - SW- WAL-Nl GREr €KWAY eontractors- elephune:503- 620 =808
Proposal Number: BD -28821
City: TIGARD State: OR Permit Number:
Product Location
SILL SEALER SILL SEALER (20)
R -21 high density unfaced betts at rim Joists
FSK Facing at rim Joists
R -38 unfaced baits at flat ceilings
R -11 unfaced balls at flat ceilings
Baffles at eave vents
CAULK Air sealant package
Foam No Expand Window & Door Polycel / Chink
POLY 9'X100 CLEAR tented at attic sprinkler pipes
Blown -In Fiberglass R-49 in attic over living space
prep at attic accesses
Foam No Expand Window & Door AIR SEAL CAN LIGHTS & BATH FANS
Blown -in Fiberglass polar blanket 2x6 exterior walls 9'
Blown -in Fiberglass polar blanket 2x6 exterior walls 8'
Blown -in Fiberglass polar blanket 16" GARAGE CEILING
Blown -in Fiberglass polar blanket 2x6 exterior walls 9' - DOUBLE NET
9' Insulweb polar blanket netting
R -38 unfaced balls at post & beam after deck 32"
• prep at crawl accesses
•
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE
• ELLULOSE R- Value Thickness Bags Footage
E NAUF JETSTREAM ATTIC OF HOUSE X? /6 • �( „' �� f/6 5 e.
• ENS - CORNING PINKPRO ATTIC OF GARAGE
• ERTAINTEED INSULSAFE
Authorized Agent: Date:
*The higher the R -Value t greater the Insulating Po er. Loose fill insulations vary In thermal performance due to factors such as aging,
mean temperature, conviction, moisture absorption and Insulation variation.
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