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Permit ErCITY OF TIGARD 1 � MASTER PERMIT i Permit#: MST2013 00158• COMMUNITY DEVELOPMENT Date Issued: 09/17/2013 TIGARD 13125 SW Hall Blvd .Tigard OR 97223 503.718.2439 Parcel: 2S1036C10500 Jurisdiction: Tigard Site address: 122fiU SW VVALNU I ST Subdivision: 2007-085 PARTITION PLAT Lot: 1 Project: Mason Partition, Lot 1 Project Description: New SF. 3/13/14, reprinted to add backflow for irrigation. BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 4 First: 1184 51 Basement- 0 sf Left 5 Parking Spaces 0 Height 23 Bathrooms 3 Second: 1515 sf Garage 440 sf Front 20 Smoke Dwelling Units: 1 Third 0 sf Right 5 Detectors Yes Total 2699 sf Value $312,527 90 Rear 15 PLUMBING Sinks: 1 Water Closets 3 Washing-Mach 1 Laundry Trays 1 Rain Drain 1 Urinals 0 Lavatories 5 Dishwashers 1 Floor Drains: 0 Sewer Lines 100 SF Rain Storm Sewer 100 Tubs/Showers. 3 Garbage Disp 1 Water Heaters: 1 Water Lines: 100 Drains 0 Catch Basins 0 Bckflw Prevntr 1 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Tvoes 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 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 5 201-400 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+ampivolt 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 2699 Owner: Contractor: LEGACY HOMES INC LEGACY HOMES INC Required Items and Reports(Conditions) 18025 SW BROOKMAN RD 18025 SW BROOKMAN RD 1 Ersn Cntrl 503-639-4175 SHERWOOD.OR 97140 SHERWOOD.OR 97170 PHONE PHONE 503-544-6783 FAX Total Fees: 520,044.87 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 ATTE a agon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001- 0 through OAR 952- 1-0090 You may obtain a copy of the rules or direct questions to OUNC by cajling-b03.232.1987 or 1 800 332 2344 Issued y: .16.?-e----/-1-1..- f U Permittee Signature:-- ;��..3'��_ `'I'" �r Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V 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. Plumbing Permit Application r Site Utilities l I °' CL) FOR OFFICE USE OM1.1 f V�y h' Received Sr 7c)„,3..._ K. City of Tigard 1 3 20 i4 Received Perm 1" 'i/'J'' ••/S • 13125 SW Hall Blvd.,Tigard,OR 97223 �Q Plan Revlcw ' a Phone: 503.718.2439 Fax S iif I,,,,2A RD Date/By: Other Permit No rtt.al<n Inspection Line 503.639.4175, Itl nl^l��rU►1�(! Ready,By. lyre O See Page 2far Internet: www.tigard-or.gov ,1, rri't Norified'Method: Supplementallnformattoi TYPE OF WORK FEE* SCHEDULE. ®New construction 1 ❑Demolition Forspedd information use checklist Ikscription I Qty ( Ea. . j Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 It for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accessory SFR(3)bath 500.32 ❑ ssory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.t1.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 12260 SW Walnut Street Catch basin or area drain - 18.76 Drywell,leach line,or trench drain 18.76 City/State/LIP:Tigard OR 97223 Footing drain(no linear ft.: Page 2 Suite/bldg.lapt.no.: Project name: Manufactured home utilities 50,03 Cross streetidirections to job site: 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: 1 Lot no.:$ Fixture or item: Tax map/parcel no,: 12S13BC10500 ftaektlow preventer x 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Install Backllow ' Dishwasher _ 25.02 Thinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ TENANT txpansiuntank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: - Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 ^ Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Legacy Homes Inc Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Brad Miller Roof drain(commercial) 12.51 Address: 18025 Sw Brookman Road Sunk/basin/lavatory 25.02 City/State/ZIP:Sherwood OR 97140 Solar units(potable water) 62.54 Phone:(503.)544-6783 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:bradleagacy@gnmail.cum urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 C Business name: . ? �.Y t n Water piping/DU V 56.29 Address:t e3 a,. ,1- <1 e J _1 Other: 25.02 City/State/LIP:13 C f;~t�Q n _'1\ , 3 C 7 C1`-t 5 Subtotal Phone:((c,3)t�5.� ;] 5,. s� Fax'( ) Minimum permit fee: $72.50 CCB Lic.: i Lt'l 11 OJ Plumbing Lic.no.:' L; sb Plan review (25%ofp emit fix) P State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE name: I K�1 - C' Date:" i�, 1 1 4 This permit appikahoo expires ire permit is nom ehtained rvithia lax days alley it las been accepted as compkte. 'Fee methodology set by Tn-County Budding industry Service Board I vBuildinu'.PeralarPI MU-Pc nniApp do. I OUI,eq 440-0616T(I(rOJCOWWFBI CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2013-00158 T LOAF(F3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2013 Parcel: 2S103BC10500 Jurisdiction: Tigard Site address: 12260 SW WALNUT ST Subdivision: 2007-085 PARTITION PLAT Lot: 1 Project: Mason Partition, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 4 First 1184 sf Basement 0 sf Left 5 Parking Spaces. 0 Height 23 Bathrooms 3 Second: 1515 sf Garage 440 sf Front 20 Smoke Dwelling Units: 1 Third 0 sf Right 5 Detectors: Yes Total 2699 sf Value. $312,527 90 Rear 15 PLUMBING Sinks 1 Water Closets 3 Washing Mach 1 Laundry Trays 1 Rain Drain 1 Urinals: 0 Lavatories 5 Dishwashers' 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100 Tubs/Showers 3 Garbage Disp. 1 Water Heaters. 1 Water Lines 100 Drains 0 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 Srvc/Feeders Branch Circuits 1000 sf or less 1 0-200 amp 0 0-200 amp- 0 W/Svc or Fdr 0 Ea add'l 500 sf 5 201-400 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 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2699 Owner: Contractor: LEGACY HOMES INC LEGACY HOMES INC Required Items and Reports(Conditions) 18025 SW BROOKMAN RD 18025 SW BROOKMAN RD 1 Ersn Cntrl 503-639-4175 SHERWOOD,OR 97140 SHERWOOD,OR 97170 • PHONE. PHONE 503-544-6783 FAX Total Fees: $20,009 85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules'or direct questions to OUNC by calling 503 232.1987 or 332 2344 Issued By: - - — Permittee Signature: -- . �.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completlo of the project Approved plans are required on the job site at the time of each-inspection. .: , Building Permit Application RECEIVE - Residential RE NE:1 FOR OFFICE USE ONLY 111 City of Tigard JUN 2 6 2013 DateeB� - .zb /3 ;!try 'emit ViS - i/ .O C n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R. Fi Dyer P ilf4Q0i 5 d D�y Phone: 503.718.2439 Fax: 503.598.1960 CITY OFTIGARD Date/13 ' .T. G A R D Inspection Line: 503.639.4175 Date ReadyBy RI See Page 2 for Internet: www.tigard-or.gov BUILDINGDNISIO Notified/Method- 023 Supplemental Information .77_i T51. -f . 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 dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® mm 1-and 2-family dwelling ❑Coercial/industrial Valuation. $ 3l f,257, GiQ ❑Accessory building El Multi-family Number of bedrooms: 4 ID builder ❑Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address:12260 SW Walnut Street New dwelling area: 2699 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area „36r square feet iI 4 Suite/bldg./apt.no.: Project name: ,/tf e9-.50/t,/ ,e9-4-77 77,0/.J Covered porch area: '72 square feet (551 LS Cross street/directions to job site: Deck area: - 4 6 square feet Other structure area: 31 square feet 2" REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:Lot 1 Permit fees*are based on the value of the work performed. Tax map/parcel no.:R2158855 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New Residential Home Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Legacy Homes,Inc Type of construction: Address:18025 SW Brookman Road Occupancy groups: City/State/ZIP:Sherwood 0 F\ —1i I Li 0 Existing: Phone:(503)544-6783 Fax:(NA) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please referpier.sckiuti Structural plan review fee( r deposit 7$0.re Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: `, Phone:( ) Fax::( ) /may E-mail:bradlegacy @gmail.com PHI I 'OLTAIC SO •R PANEL SYSTEM F' S- .mmercial and residential prescriptiv= nstallation of CONTRACTOR oof-top ted Photo Voltaic Solar 'anel System. Business name:Legacy Homes,Inc. Submit two(2 - s of roof plan wi connection details and fire department .. .-ss,along 'th the 2010 Oregon Address:18025 SW Brookmao Road Solar Installation Specia od- checklist. �ty/State/ZIP:Sherwood,OR 97170 Permit Fee(includes pl. iew p and administra r' e fe- ,U(N` Phone:(503)544-6783 Fax:(NA) •tate surcharge(12%of. 't fee): / CCB lie.:163208 a 7j5( /s otal fee due upo 1 application: Authorized signature: Ai/ This per,i' applic: 'o, expires if a permit i not obtain within 180 1: s a t it has been accepted a com. e. Print name:Brad Miller Date:06/20/13 *Fee methodology s- Tri-County Building r. . Service Board 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 0 Plumbing Permit Applicati 1 1 Building Fixtures 1 E E1V D FOR OFFICE USE ONLY City of Tigard Received permit No, �a0/3-�!,/S� 1114 - a 13125 SW Hall Blvd.,Tigard,OR 972231 UN 2 6 2013 Date/By: Phone: 503.718.2439 Fax 503.598 1960 Plan Review Other Permit No: Date/By. T I G A R D Inspection Lme: 503.639.4175 CITY 01°TIGRRD Date Ready/By. Tuns- ® See Page 2 for Internet: www.tigard-or.gov BUILDyNG DIVISION' Nodfied/Method Supplemental Information ' - TYPE OF_WORK° ' , FEE*°SCI1EDULE ' ®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(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ( 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:12260 SW Walnut Street Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: 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: I Lot no.:1 Fixture or item: Tax map/parcel no.:R2158855 Backflow preventer 31.27 ' :'DESCRIPTION'OF WORK,;' Backwater valve 12.51 Clothes washer 25.02 New Residential Home Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I .. ❑`:TENANT _ Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 •' ❑ APPLICANT - , - • ' ❑"CONTACT..PERSON- Interceptor/grease trap 25.02 Business name:Legacy Homes,Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Brad Miller Roof drain(commercial) 12.51 Address:18025 SW Brookman Road Sink/basin/lavatory 25 02 City/State/ZIP:Sherwood,OR 97140 Solar units(potable water) 62.54 Phone:(503)544-6783 Fax::( )N Tub/shower/shower pan 12.51 E-mail:bradlegacy @gmail.com Urinal 25.02 Water closet 25.02 CONTRACTOR •• _ . Water heater 37.52 Business name:ATI Plumbing Water piping/DWV 56.29 Address:15630 S Bradley Road Other: 25.02 C %State/ZIP:Oreogn City,OR 97045 Subtotal civi.ty hone:(503)657-5375 Fax:(503)650-7831 Minimum permit fee: $72.50 CCB Lic• 70 �yp, 70 . i4 /s) Plumbing Lic.no.:26-509PB 7 / / Plan review (25°/n of permit fee) State surcharge(12%of permit fee) Authorized signature:/!' TOTAL PERMIT FEE Print name:Time Foote r Date:6 ZS id0/4- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board 1\Bmlding\Permits\PLMU-PermitApp doc 10/01/09 440-4616T(10/02/COM/WEB) 4. ' . Mechanical Permit Applica FOR OFFICE USE ONLY City of Tigard �� Received 5i�o/3-OU /S II . Permit No } q 13125 SW Hall Blvd,Tigard,OR 97223 1 JUL 0 2013 Plan Review Phone' 503 718.2439 fax 503 598.1960 Date/By Other Pcnnn T!I G A R D Inspection Line. 503 639.4175 i Date Ready/By. inns Fa See Page 2 for Internet. www.ttgard-or.gov CITY OF TIGARD Nohfied/Method I S pplemental Information TYPE OF p;"OKP� DIVISION COMMERCIAL FEE* SCHEDULE - USE CHE('KLIST Mechanical permit fees°are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CA'TF,GORY OF CONSTRUCTIO ,RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z I-and 2-family dwelling El Commercial/industrial ©Accessory building For special information use checklist El Multi-family ❑Master builder l,�,Other: Descnption I Qty Ea. Total JOB SITE INFORMATION AND LOC}ITION Heating/cooling: Job site address:12260 SW Walnut Street ' Air conditioning ! 46 75 Furnace 100,000 BTU(ducts/vents) I 46 75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54 91 -` Heat pump 61 06 Suite/bldg./apt.no.. Project name:\S d v, Pa y,T-t �',"a h Duct work 23 32 Cross strect/directions to job site: Iiydronic hot water system 23 32 • Residential boiler(radiator or hydronic) 23 32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:R2158855 Lot no.:1 Other: 23 32 Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert l 33.39 Flue vent for water heater or gas New Residental Home - Install HVAC j fireplace 23 32 ( Log lighter(gas) 23.32 Wood/pellet stove 33 39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER p TENANT Other 23.32 Environmental exhaust and ventilation: Name: Range hood other kitchen I4 I equipment 1 33 39 Address: Clothes dryer exhaust I 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) _ 23.32 Phone.( ) Fax.( ) Amc/crawlspace fans II 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other , 2332 • Business name:Legacy Homes,Inc. Fuel piping: $14.15 for first four;S4.03 for each additional Contact name.Brad Miller Furnace,etc. .1 Address:18025 SW Brookman Road Gas heat pump Wall/suspended/unit heater City/State/LIP:Sherwood,OR 97140 Water heater r Phone:(503)544-6783 Fax::(NA) Fireplace f Range 1 E-mail:bradlegaev(ti\,gmail.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: (' c I Others �^I�S 'v� MECHANICAL PERMIT FEES* Address: iD,0 30x. Lt 9 Subtotal City/State/ZIP Ci `7 0 CI Minimum permit fee($90 00) — ►��0 t Vl ' Plan review(25%of permit fee) Phone:(.5(33) 3 a O t7 (o W Fax ( ) ' State surcharge(12%of permit fee) CCB lie_: (00 3 f �,' 1 ' l - ' .`j TOTAL PERMIT FEE j��� This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tn-County Building Industry Service Board Print name: l 3 p‘k �j-4r•cjcc c Date' I 13udding\PenmtsLA1EC_Permn.pp 040113 doc I 440-46171(11/OVCOM/WEB) . „ • r-- . „ Electrical Permit Applica r: s,...„ill CEIVEll • . - 14-. _ t , ..,-L,-,,-._-..---..---._..7-,-,:s.-.4----:-.-.--,.: -,,---,-;:-.•:.---_,-----,r,-...--..--:,,,-4.:,--,..,.. •_-4,•:,-- --_-.1--,,i,==,---_7:2-:,--.;--_-_,=,ii,:._-&..-: r..„.=;,-;-y_w_I City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 9720 2 6 2013 Date/B : Permit No63.7-0/ ...-400/5? Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Datc/B : Other Permit' Inspection Line: 503.639.4175 CITY OF TIGARI) Date Ready/By. Juris• El See Page 2 for Internet: www.tigard-or.gov Notified/Method Supplemental Information rIll\in.0 DIVISION '-- --1::.:'':',''-i'.77,-,2'•',---: - -- ,_. ' 2';'-:tit:PE,(74.Y1k9LIRK- .„-i - -%- :'- _ - -:-- ---: '7 -,` --° .- ) , ' . 7P4A-P-'0‘1.WW. . „ [El New construction D Addition/alteration/repladement Please check all that apply(submit 2 sets of plans w/iteras checked below)• 0 Service or feeder 400 amps or more 0 Building over three stones 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards CATEdORlibEONBTRI.1CFION- ' ' : --- exceeds 10,000 amps a l l 50 volts or 0 Floating buildings ‘ ' ' -- ' ' ' - - ” less to ground,or exceeds 14,000 0 Commermal-use agricultural 12 1-and 2-family dwelling 0 Commercial/industrial UN Accessory building amps for all other installations buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or . „., .,_ „ , , ,, , . , _. - 0 Emergency system larger separately derived system 30B STTE INFORMATION:ANDI:PEATION- - -- ..-, , '. D Addition of new motor load of 0 R Job no.: Job site address:12260 SW Walnut Street 100H or more oompancy. 0 Six or more residential units 0 Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ID Health-care facilities. 0 Supply voltage for store than 0 Hazardous locations. 600 volts nominaL Suite/bidgfapt.no.: Project name: 0 Service or feeder 600 amps or more. '''.."•:-',-tEt.SCHEDULE Cross street/directions to job site: Description I QtY. I Fee. I TOtoi I ' New residential single-or multi-family dwelling pit. Includes attached garage. ,309 9 s-i-' Subdivision: Lot no.:1 1,000 sq.ft.or less 1 168.54 4 Ea.add'I 500 sq.ft.or portion 5 33.92 I Tax map/parcel no.:R2158855 Limited energy,residential DESCRIPTION OF,WORk,"r' :. -- --; '- --- (with above sq.It) ( 75.09 2 _ .., . , Limited energy,multi-family 75.00 2 New Single Family Home. Low Voltage residential(with above sq ft.) Iteifeiva-blantigy , "-. 0 See Page 2, Services or feeders installation,alteration,and/or relocation , -;.• 1 - - ' 't ' ' --- - 700 amps or less 100.70 12 .... `• 1:1-PROPERTY OWNER- ---..-,1' --,. .-. ----1,111 IENAN'T t,-- .,-, -- ' _ "- 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552 26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that town which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel 'El APPLICANT . - '' 1..'-- '- -ID..---, ONTACT_i.gligoif,_. A.Fee for branch circuits with above service or feeder fee, 7.42 2• Business name:Legacy Homes,Inc. each branch circuit B.Fee for branch circuits without Contact name:Brad Miller service or feeder fee,first 56.18 2 branch circuit Address:18025 SW Brookman Road Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP:Sherwood,OR 97140 Each manufactured or modular 67 84 2 Phone:(503)544-6783 Fax::(Na) dwelling,service and/or feeder Reconnect only 67 84 2 E-mail:brad legacy®gm a il.com • Pump or irrigation circle 67 84 2 • Sign or outline lighting 67 84 2 Business name:Garner Electric Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:2920 SE Brookwood Avenue Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Hillsboro,OR 97123 Investigation(I hr min) 66.25/hr /,hone:(503)648-4552 4 L . .1513 642 •'25 --/ . / - CCB Lie.: 121159 0HilliElectrica is .„...--0 # }i,,,....,.....-.rv.Lic.: 59101 ..- . - .5"....y.Y.2 Industrial plant(1 hr min) Inspections for which no fee is specifically listed pi:hr min) 78.18/hr 9000/hr 1 I ,- - '-"--- kLECTRICAL PERMIT°FEES - d(Pr AP-IPAILIffr'''' Suprv.Electrician signature,require .-j' _ di-'...,' -- - Subtotal Print name: Chuck Gamer Date: 06/20/13 Plan review(25%of permit fee): State surcharge(12%of permit fee). Authorized signature: / ' TOTAL PERMIT FEE: This permit application expires i obtained f a permit is not obtain within 180 Print name: ' ' Dale: 05/ZOrt days after it has been accepted as coniplete_ • Number of inspections allowed per persist. IABui1din5\PermitsgELCPeroviApP_ELR ERE doc Itel.0501/2013 440-1615TO 1/05/COMAYE13 Building Division Development Code Provision Review T 1 G A ft D Residential Projects Building Permit No.: A1.0 026/3 a) /SP Project/Subdivision Name: "7'g-SOAI /WA-77770A/ Lot #: / Site Address: / a a 6 d et) /4J,9-(...iV t-c i S 7 CWS Service Provider Letter: Required:Yes ❑ No ❑ Received:Yes ❑ No ❑ Plans Routed: 4 Original Plan Submittal Date: 4/24//-3 Routed By: iii 1St Revision Submittal Date: -7 /u .e/13 VI Site Plan Only Routed By: • ' 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: 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 AOVI{S Kau CPI at(503) 718-21121 or U SK @tigard- or.gov) Land Use Casse.i\T. _rnLP2c o3 —0ODZO Zoning �'--}} L� Setbacks: i yront 2. Rear 15 Side S Street Side 15 Garage D Maximum Building Height: AY Actual Building Height t 2 3 [ ' Visual Clearance ❑ sements ❑ Sensitive Lands Type: iii'./ 1 t ►.i► 1d _0.i I.4 r" qre t yStreet Trees (-7 a Protected Trees - - ,l Notes: )e in(* 00-ncll l nl2I (4V2 4S i) CstL4to) i �'1�-r✓1 yrior to • Original Plan: Approved ❑ Not Approved Date: iI I I I 3 3 Revision 1: Approved Not Approved ❑ Date: _a PP pP 7 < Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov) ,.�Actual Slope: to Notes: Original Plan: Approved Not Approved ❑ Date: 7/2!/3 —/ Z3 Revision 1: Approved .B" Not Approved, ❑ Date: l ' �3 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 Applic Okay to Issue Permit: Yes No �"9/2/1 Date Routed to Building: 9/ 2 3// • Page 2 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR RES.doc Rev.01/16/13 Parcel Condition Edit Page 1 of 1 „2-0/ 3 - D 0/S-8 Parcel#:2S103BC10500 /c 2 2 6, 0 S f L, -`-aL A✓a 7 Menu Submit Reset Cancel Help Type• Condition Name• Status HIST Building Dept Actio Applied(Appl Applied by Dept• Current Department Applied by User• Current User Action by Dept Current Department Action by User Cur Planning Albert Shields Building Dianna Howe Applied Date Effective Date Expiration Date 02/26/2009 7 02/26/2009 "I Short Comments ItStandard Comment Conditions under MLP2003-00020 and ENG2006-00120 not complete re 12260 SW Walnut,MLPENG closed for Accela conversion.Before issuin permits reinstate unmet MLP conditions and ENG requirements.Thanks,AMS 2/26/09 check spelling Long Comments MStandard Comment check spelling Resolution Action check spelling Display Notice Public Display Message Include in Condition Notice Accela Automation (_ Condition Name [ ; ACA Short Comments Li ACA Fee Estimate Page check spelling https://ay.accela.com/portlets/condition/parcelConditionEdit.do?value(mode)=edit&value... 6/26/2013 • . I, HECEIVED ■ \ •,, ,I!,!!.. 16 2013 44; BIO-BAG INLET \ CITY OFTIGARD r PROTECTION \ BUILDING DIVISION MARK STEWART n \ HOME DESIGN • ,gyp 1. \y ;y pR�`/p ENE ` J'L`. = STREET TREES ,�'( '!s= y;; ,� �pSgN! 1r 2' SUNSET MAPLE '' E �� ppA EL 2 t PORTLAND,NW'TW AVE.I,�w'� 96,:410r1 % Fob g2 JL .0 ' J'L, ti`y�� (503)8858311 P $* • /� ` , 33.30' ' ,� \1 '. i 1"1'' l I L = 33.30 1 uwwmarkstawertcom IP h • 1 �. R = 56.00' 1 e. ' I I 1 ' 1 ' I I e .- i � /_ . I 1 1 iiii 4itp. /11:140,.L04,9. I } . 4i0a .-- ,,at .,..,,,,-----------\10. wow-14 Allik cK. I ___,/ '0° I ,, ..,... I 11,1r ':107."t le ii _fib/„ t , coo.. I C 21.00' �,�, O •� Co \ /// � -�• FF.•218.0 \ I: i ; �/ N 09°13'02" 1lP ...0�! 0 \ 3 ; � , / 24.74. /: \ 0 I . 1�I21VElu41A j , 1 -_,, © F\ 1 1. I I 1 ,E = 18.23 Stock Nome Plans •( I '6'4. `�`•� I.'' i j 11 R = 60.50' Gu6tom Debtgn 1 B 16.00' I 1 ��. ass.•2115 \,,,,, ,r . i 1, I Builder Marketing N 05°16'04" E t' ,� i i ` 1 \ Interior Design . % 3,,�•A- ■ •:r 1 Since 1982 V!,...,_ I\ Gpg so 10= " L = 17.63' 15.00 •0' 40 1 N 28°33'54" E �/ I �� \ , 11 . i, \R = 60.50' Arse pees ad the dwlpe•h°ew • • - ----; ---111( by Mrh d«eery and Monk • �i ti� =b..°,I•..eels Mo.ma spo �' `� 21.00' important Disclosure Please Reacts 4,0 ' S 55°58'30" 1P "" ... I..:..,� �' b kidder NO WW wowaY°wlrow Mme.brae °s elder.the•re,a�eerea.es 19.35. ,�, 3 8.85 �. ..,.� _.. N 46°27'10" W o y 9v*1O.:0'' E S 34°01'30" E eel Ulu preeesee MT violation of no 6 nerenlwe ft Is edeeteed d°•It r 6.00' C� l\ • cneLo .al.w«w rodr.ela to roi.r.d e.IVe /� sod NNW Vs melees w N 21°37'44" W ti* w.w No�pa.d.lyl for the eoNereeeee of Wet pew to Am rode er.yWham eea IDlIGN CONTROL S. W. WALNUT ST. e LEGACY HOMES_ PARCEL #1 2 s �2 P lemma 1�., ,n f 3 JTAX 1013 PAM SCALE: 1/16 "=1 '—D " SITE • • 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 12260 SW WALNUT ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-02-21 00:00:00 MST2013-00158 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 13260 SW ESSEX DR, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final 04/02/2013 00:00 MEC2013-00158 PASS - No C of O Ml#360149 Violation Summary: Inspector Contractor , , 34 a q STREET TREE TIGARD CERTIFICATION t I, /I � /ems , owner/agent for 2 e 7 r � , (PLEASE PRIM) (PERM/7' HOLDER) 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.: ,i$T 2O/ 3 0O/6 s .i_ SIT EADDRESS: /Z217l C) , _SW ell f/u% J7' SUBDIVISION: t/i k,'— Rirri� LOT #: • SIGNATURE: DA"l E: 3/////4 ( RE CEI LED & VERIFIED BY DATE: 3/[7/1 (CITY F 77GARDJ ❑ Tree location verified per approved site plan. C\Budding\Dorms\Street rccccmfcatc 05/30/2012 . Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 6y _ e9tty5 Jurisdiction: x,/12 Site Address: 1 26(1 Sid 0 /veAr- __57-7 Subdivision/Lot#: t1 h/u 7 7, 4477776A2 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: C-: -/-1 Date: // /Y Owner/Gener I Contractor/Authorized Agent Print Name: /pi M t //ery"-' 1 ORSC Section N 1107.2.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 L Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM c � , am the general contractor or the owner-builder at the following address: Site Address: if 22 � 5W Ahdova r- .5> • City: c7/i/OW Permit#: ©o/5.4 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 8318.2 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: Date: 3/// Genera Contra for or Owner-Builder 1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 /SST /013 "619/sO Four Walls, Inc. Home Energy Efficiency PO Box 231062 Portland, OR 97281-1062 CCB#149698 PTCS#2194 Phone: 503-547-7139 fourwallsbps(a amail.com Duct Leakage Affidavit Permit #: Site Address: 12660 SW Walnut St, Tigard OR 97223 Cond. Floor Area (sq ft): 2699 Source: Plans Estimated Measured Air Handler in conditioned space? LJYes X No Air Handler present during test? x Yes No Circle Test Method: Leakage to Exterior or Total Leakage Maximum duct leakage: Post Construction, leakage to exterior (floor area x .06)= 162 CFM @ 50 Pa TEST RESULT: 160 CFM @ 50 Pa - PASS Ring: Open 1 2 3 Duct Blaster Location: upper hall R/A Pressure Tap Location: laundry S/A I certify that these duct leakage rates are accurate and determined using standard duct testing protocol. Company Name: Four Walls Inc Technician. Ron Nardoaa Technician Signature: RonaCol JA/v- IOLLa Date:3-12-14 Phone Number:503 547 7139