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Permit IS n CITY OF TIGARD j MASTER PERMIT s COMMUNITY DEVELOPMENT y er Permit#: MST2013 00230 TIC.;A R C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439, Date Issued: 01/23/2014 Parcel: 2S104BC09600 Jurisdiction: Tigard Site address: 14291 SW LUKAR CT Subdivision: 2005-069 PARTITION PLAT Lot: 2 Project: Richards/Wright Partition Project Description: New SF. 9/25/14, reprinted to add 200 sq ft deck. 9/25/14, reprinted to add a/c. Placement of a/c unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1135 sf Basement: 0 sf Left: 11 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1507 sf Garage: 456 sf Front: 25 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2642 sf Value: $302,159.24 Rear: 30 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 Drains: 0 Tubs/Showers: 2 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 Tunes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: 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 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 2642 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-381-3753 PHONE: 503-381-3753 FAX: 503-214-8524 Total Fees: $21,303.72 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 c••y of the rules• direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued n �i / —_�_ Permittee Signature: , J '175 by 7:00 a.m.for the next available inspection •, � This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • • MASTER PERMIT 1111 111 OF TIGARD 1111 11 COMMUNITY DEVELOPMENT Mr I Permit#: MST2013-00230 T I ;A Ft O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014 • Parcel: 2S104BC09600 Jurisdiction: Tigard Site address: 14291 SW LUKAR CT Subdivision: 2008-069 PARTITION PLAT Lot: 2 Project: Richards/Wright Partition Project Description: New SF. 9/25/14, reprinted to add 200 sq ft deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1135 sf Basement: 0 sf Left: 11 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1507 sf Garage: 456 sf Front: 25 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2642 sf Value: $302,159.24 Rear 30 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 Drains: 0 Tubs/Showers: 2 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 Tvoes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 F urn>=100 K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2642 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-381-3753 PHONE: 503-381-3753 FAX: 503-214-8524 Total Fees: $21,251.36 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. TOose rules are set forth in OAR 952-00 10 through 952-001-0090. 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: (( iZ Call 503.639.4175 by 7:00 a.m.for the next available inspectionilite. 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. City of Tigard III • COMMUNITY DEVELOPMENT DEPARTMENT r'GARDD Building Permit Review — Residential Building Permit #: 4 -O --- O 9 Site Address: 11429 1 svJ Lilkar C-1-, Project Name: R i c hard s I Wr i 414' Parf'i-h(A() Lot #: 2_ (New dwelling=subdivisi name;Addition or Alteration=last name of owner) Planning Review Proposal: CAL deck -1-o (EA( 44 ;house (add r-h bri 'in pe.f m i+ A(( (Ie,W SO NI/Verify site address/suite #exists and active in permit system. Sit Plan Elements: ree(3)copies of site plan sting structures on site S. e plan must bg on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished LP D awn to scale(standard architect or engineer scale) oor elevations V orth arrow U. .ty locations(required for new,may apply for additions) V,Siite address,project or subdivision name and lot number ai ' •cation of wells/septic systems ig. pplicant information(name and phone number) VA Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions 9sign,location of catch basin,etc.) tot area,building coverage area,percentage of coverage and Street names ,impervious area(applicable if R-7,R-12,R-25&R-40) -a3treet tree size,type and location re Property corner elevations(2 foot contour lines if more than —E xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Se ce Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes No Received: ❑ Yes ❑ No Land Use Case #: MLP Z0O7- 000 I t oning: (Z. L .S Setbacks: Front 2.0 i ' 1 Q Rear \ S Side Street Side Garage f S I '$Landscape Requirement: -O Lot Coverage Maximum: --B Building Height: Maximum Height Actual Height -9--Visual Clearance sements Sen -five Lands: ❑ Yes I No Type •rban Forestry Plan a Conditions Met (1 � L � 11 l Notes: (-z\, deck od:T+ Di) Orll1 j S Gnht-r ,tt- 101'l cyprc've 1 !ZZf ( q 6oiy P. f Approved BgPlanning: J T • r 10• Date: 0 12,c N- - 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BIdgPermitRvw_RES_042914.docx r Building Permit Submittal Original Submittal Date: Site Plans: Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: El Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review ❑ Actual Slope: El Conditions Met Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review El Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:1Building\Forms\BldgPermitRvw_RES_042914.docx FOR OFFICE USE ONLY-SITE ADDRESS: 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 74 ■ Transmittal Letter I 1 k,,\I<. I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov KELEIVEI► TO: DATE REC 'IVED: DEPT: UILDING DIVISION . EP 2 5 2014 CITY OF TIGARD FROM: ,' BUILDING DIVISION COMPA : , GA) S PHONE: CO?-V- 3}cl (13-y: RE: 40 Qi 5,1) 1✓k'v Ci- ISTZ0/3- o 23,C (Site Address) (Permit Number) //U (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITE : Copies: Description: I Copies: Description: Additional set(s) of plans. 7- Revisions: 02c� �lan Cross section(s) and detail . Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICIO USE ONLY Ro d to Pe ' Technician: Dat-. c2)12 -//4- Initials � ees Due: Yes LSI(o •e Description: Amount Due: $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit ti: MST2013-00230 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014 Parcel: 2S104BC09600 Jurisdiction: Tigard Site address: 14291 SW LUKAR CT Subdivision: 2008-069 PARTITION PLAT Lot: 2 Project: Richards/Wright Partition Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms. 3 First: 1135 sf Basement 0 sf Left 11 Parking Spaces 0 Height: 25 Bathrooms 3 Second: 1507 sf Garage. 456 sf Front 25 Smoke Dwelling Units 1 Third: 0 sf Right 5 Detectors Yes Total: 2842 sf Value: $302 159 24 Rear 30 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 2 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. N Vent Fans. 4 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 addl 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 Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF vB R-3 2642 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO.OR 97035 LAKE OSWEGO,OR 97035 PHONE 503-381-3753 PHONE 503-381-3753 FAxi 503-214-8524 Total Fees: $21.233.11 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 ce with approved plans This permit will expire if wont is not started within 180 days of issuance. or if work is suspended for more the 180 days. TENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 01-0010 through OAR • -001-0090. You may obtain a copy of the rules or direct questions to OUNC by cajun 2 1987 or 1 800 332 2344 t / . Is tied By: 2ai -` L...._4 Permittee Signature: v. Ir,r =,:traP21 e Call 503.639.4175 by 7:00 a.m.for the next available ins• .• •a • / This permit card shall be kept in a conspicuous place on the job site until comp:' on of the project- Approved plans are required on the job site at the time of each inspeetlon. ' Building Permit Application f Residentiac„) ,,.... ,\ .01S FOR OFFICE USE ONL1 4;305�Ci of Tiaand Received IN `, Tigard Date/13 : IO ,41111 ,91M,,,„ Permit No-: jl 3= �' 13125 SW Hall Blvd.,Tigard,OR 97223 �� A�O \, Plan Review ER. Phone: 503.718.2439 Fax: 503.598.1960 OF�,,1\f*\\J Date/B : FL 2,111 other Permit: /f-Qp/� t IGARD Inspection Line: 503.639.4175 0 \k f,?Q1 Date ReadyBy: p laris IZ see Page 2 for \`A 'I Tr' Supplemental Information Internet: www-beard-or. ov A>�``� N ified/Method: r A3 I7 TYPE OF WORK R QUIRED DATA:I-AND 2-FAMILY DWELLING el New construction ❑ Demolition P t 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 indica d o1 this application. Valuation: A y '' ® I-and 2-family dwelling ❑Commercial/industrial / J20#30"° 2-)(59.2-4- E1 Accessory building ❑Multi-family Num o bedrooms: 3 ❑ Master builder ❑Other. Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address:14291 SW LUKAR CT New dwelling area: 2642 square feet City/State/ZIP:TIGARD,OR 97223 l Garage/carport area: 456 square feet Suite/bldgiapt.no.: Project name: �,c I.1 ( /& 2 id,fi r PogT. Covered porch area: % square feet /5-67 Cross street/directions to job site:Horison to Ascesion to Lukar Deck area: square feet j( 55 1'1 Z n ��, J Other structure area: square feet 25 (' REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Single Family Residential Construction `Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Mission Homes NW Type of construction: Address:PO BOX 1689 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)381-3753 Fax:(503)214-8524 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Mission Homes NW (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Josh Kelso Address:PO BOX 1689 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:Lake Oswego,OR 97035 e. Phone:(503)381-3753 Fax::(503)214-8524 Amount received: i 7TJ�c" '� E-mail:joshkelso3@gmaiLcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel S :, . Business name:Mission Homes NW Submit two(2)sets o .1 I f plan with co . ion details and fire department acc:� along wit. i e 2010 Oregon Address:PO BOX 1689 Solar Installation Specialty ode • ecklist. City/State/ZIP:Lak Oswego OR,97035 Permit Fee(includes pl: •view $180.00 and adminis •+tive -:.): Phone:(503)381-3753 Fax:(503)214-8524 State surcharge(129' •fpermit fee). $21.60 CCB tic.:186849 f- . Total fee due upon application: $201.60 ) Authorized sign --7---- .K- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Josh Kelso Date: 10/2412013 *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) \. - Plltibine Permit Application Site Utilities - r FOR OFFICE USE ONLY Received City of Tigard Date/By: /e,/, S// ( Permit No."-ii,rQey;-a,�36 MI u 13125 SW Hall Blvd.,Tigard,OR 97223 c��Plan Review n ^ .g _w4,93 Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit No.- 1J�4 T I GA R D Inspection Line: 503.639.4175 Date Ready,By: luris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory building ❑Multi-family SFR(3)bath ( 500.32 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:14291 SW LUKAR CT 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.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site:Horizon to Ascension to Lukar Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: I Page 2 --- Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: Fixture or item: lax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve _ 12.51 Clothes washer 25.02 New Single Family Residential ---- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Mission Homes NW Fixture/sewer cap 25.02 -- Floor drain/floor sink/hub 25.02 Address:PO BOX 1689 - Garbage disposal 25.02 City/State/ZIP:Lak Oswego,OR 97035 Hose bib 25.02 Phone:(503)381-3753 Fax:(503)214-8524 Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Mission Homes NW Medical gas(value:S ) Page 2 Primer 12.51 Contact name;Josh Kelso Roof drain(commercial) 12.51 Address:PO BOX 1689 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)381-3753 Fax::(503)214-8524 Tub/shower/shower pan 12.51 E-mail:joshkelso3@gmail.com Urinal 25.02 - Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:S&B Plumbing Water piping/DWV 56.29 Address:10601 Evergreen HWY Other: _ 25.02 City/State/ZIP:Vanvouver WA 98664 Subtotal Phone:(503)545-3601 Fax:(360)675-5031 Minimum permit fee: 572.50 CCB Lic.:168129 it/94 Plumbing Lic.no.: pf,60 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date/j,- 2!-15 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. 1.1BuildinglPermits1PLMU-PermitApp.doe 10/01/09 440-4616T(10/02JCOM/WF.B) `Mecfianical Permit Application • FOR OFFICE USE ONLY Illi City of Tigard =t : " Received /e' A?�3 Permit No.: DD�3o �-• 13125 SW Hall Blvd.,Tigard,OR 9722 ,„ q Plan Review je ,�_ /� /i3 Phone: 503.718.2439 Fax: 503.598.1 1 Z Date/By: Other Permit: ,pqf TIGARD Inspection Line: 503.639.4175 Date Ready/By: ruris El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST 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:$S7,500.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. La. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:14291 SW LUKAR CT Furnace 100,000 BTU(ducts/vents) l 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: Duct work 23.32 Cross street/directions to job site:Horizon to Ascension to Lukar 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 Flue/vent for any of above 23.32 Subdivision: I.ot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater i 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New Single Family Residential Construction fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Mission Homes NW Range hood/other kitchen equipment I 33.39 Address:PO BOX 1689 Clothes dryer exhaust I 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)381-3753 Fax:(503)214-8524 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Mission Homes NW Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Josh Kelso Furnace,etc. I Address:PO BOX 1689 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater _A Phone:(503)381-3753 Fax::(503)214-8524 Fireplace ( Range F-mail:joshkclso3@gmail.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Advantage Heating Other: - MECHANICAI.PERMIT FEES* Address:2353Hyacinth Subtotal City/State/ZIP:Salem,OR 97301 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)393-5315 Fax:( ) State surcharge(12%of permit fee) CCB lie.: /7 y V TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature' // * Fee methodology set by Tri-County Building Industry Service Board Print name: �/`'' Date:/-2y/3 1 1:1Building Termits\MEC_PermitApp_040113.doe 440-4617T(1I/O2/COM/WEB) 43,"1 7J20 1 1 13 12 50346368b'3 _ r.• so i I IV•1O..* . F 1 Permit Application FOR oFele E DoE°Nll.i• City of Tigard . GASP' - '4 ' Nom her 17f,37- -60 30 13125 SW Had![ih.d..Iliad,OR 97223 Mons: 10371.2439 Pav S 13.592.1060 Doc •.a OMer Mint Q.t9.40(3'co 193 ,r,,n Inspection Lin: 543.639.417! 'r'►• r _ sec rap i err Wanes vhr.tiga d.or goo : .aaaar�.tbat J i 5,.w.+aat 1: r-' _ TYPE OF WO&R _ 2LAN RIYIZW O New ce.utrtntion ❑Addilionlaltaationtrcptxenunt dot MOW a bt++oostlmaoffMusr-sseu:xet~e Ororrt Q Ik m01iliDn t1 • afkeg 400 asp wms Q -3�A 1:Y aoOG► q Other .tr4a+c r>W.tiwa o t PR QJW sns eo joo...r..;of es;a..s.N.rea Q:,e.4.1.c:,1.e3.twrtear•,t 1-and 2-ramify dwelling ❑Comm erctc:.11nduurtal 0 Accessory Lwlidtng Multi-family ❑Mster builder ] Wu: , Me rri ■>W att,a ..a 1itr poop. yAtili =tesxe ors ;v.,or • O O _ v In t.wte■cr syurm SIB TR1T0N AND L O;AT0N 0 M►.;,n at nc.+sNor tea cr �. t,yao.+y ecA N n a.a. ci-:,-,•_-.-:-.3-,-IS- + 7ob to.: i Job site address lathe or moti nays:- p is Of LOA 0,.106,12,.., D stns t.naa:retuiss porn- Clty/S:steruP: ii/24 i - 0 e4 ii -ern trt.aua .° •Cars ASS _-., ❑Itoomkw I.va:;ori at ta+a aaadtal Sul leibldgiapl,no.: ProJe.Y name: • ❑Strew a Sr3cr K�v awes e1 tuae- Cross strceIdirections to Job site: ��• Fs�� p� 'K r . ,�.�� i New teshreatitl Osier or main-hstch dwentaC . /-r7L ■51-t p`.--L C 1.4 F-+Y-cc--.- 1,11:•.14c4 cncctccd prig:, . Subdivision. x ! Lac as- ! 1 tsoos IS o.k-s, MSS .a, Tax map.isoreT1 no.; — .,._,—--— . s'•:'° DFSGRnrnori OF MUI _ (wxL sew.,rR n I Laiutt.Qram,w.iiti-i1:i. e5.Q1 NEW S1'GLE FAMILY nriiC.•isl co abr I .0.1 Sy Arcs or frtzlon to,tali.treiooLalstraOas.,u t41.•relaeittc41 ' I 2N sou d lc., 14474 EI PROPERTY OWNER ❑ TENANT . lot.n.Fato400was 111.56 3 Name:MISSION 1iOAIES NW —� +0••�.a m�o:°�' 30114 2 ' 00,wttp0 a I,QN amps 701 Oi ' 2 I A44ress:PO UUX 16s9 d,cr t.0.t7 arr.ti a..t , 3s3-20 l i T.opora r7orro morfccdccaime.lhelagalseratlowRadler Cit3aStnttZIThL4%1.t USHkGO/08N7133 rrlacat.ca 1 Phan:(503}381-3753 I Fec(503)214-a524 ,202=mos ac ins . 343e • 1 Owner lastallatlon:This installation is be:n made on �I 599 1' _ Intended for salo,lease,rent,or= atgc,a aritny to ORS 441 449,670,and VI.r ° 599 saps ° t6dSi 2 Bnucds rinuih_otw,oilers then.or p'Tasioa mall Owner signature: Date: 1 A t"ve for trro.•6 crrcv:>:vd} f W ArruCANT J n coKPACI'rEi1SOm sbova Nrwe of ilkitt kg. T V ! aid*Iwo ccrcsa Business nun.:MISSION HOMES NW h'Q"t"p`t'a~"`a — terms or fet ('s.e,ties- 5n t i aill Contact name:JOSH KELSO Nas)e e•tctw OK*44erl WOK*0104 Ise I Address.PO BOX 1689 • �• CityISttue ZIP:LAKE OSWECO/OR/97035 hliawv4a.enimrMader Phone:(503)381- 75I Pax::(503)214-6514 *Name ` �� G:•rta11;JOSHKELS03;4ZG?�1A11..CONI �� r1iI IMenailllM —El CONTRACIIDI1 S 1c . ;�ex-.�*; .. R , Business name:CONNECTIONS ELECTRIC ~^ —+ °'i o'worm* Ea al Iidlthatal iarprritya over alwWabir a nor at tAa 041 Address.4676 PORTLAND RD NE }b'-- i- e A>arwnssl+nscvta'aoo l I►r m t) T Ca:i:r l"'atp°V`(11u to il fa.....,* Cily1State/ZP:SALEM/OR/9730S SyLti~ 0�-- Z 3 _ . _. Lfmo , Tilt* Play:IUD)390.7914 fax:(SLa) ".ratal.ars na Il i tt WAY not -�' 3 s 7U.Ii tN(1s L• - 1 CCs Lk.: 65444 ri.icctricu11-k.: 2444 SC ~ Suprv.Lk_:'4ltS - ti1�DCIIICA1.PESMIT » Suprv.Eltxkician sidttatoro,required' ‘. (�C— — - ��i4``�z = I'tsi rt.iea rh_JAmst ht Print nemo: bN Date: Sate ran-a.aii:tl1!.sfpet'=u:r.j. Nl —3l-ge,l.`� -- , Authorized Signsturer--.- �� 1UT.AL F£R�1fT ti �l rasa'4 posse-ro taiu.vs lie pr'aM.Me, t+hetl•1.s.:a 04 LPrint ntunc )15'0. _f S v A4ot~ / --_ • x.asat at ososs�Oct 1,t> ,o rtapFrtr >_,a`O toper recr-hosiApta«0140143 NF401$T111A11C01rAat1 . - ,111 ■ ' Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No.: h Sao 13—oo 30 Project/Subdivision Name: H LP ao07— oc,c21( , Lot#: Site Address: I /4 D-9 I AL.C) 1`cL k A Q- CT' CWS Service Provider Letter: Required:Yes ❑ No pq Received:Yes ❑ No Plans Routed: l Original Plan Submittal Date: k1/4-9/3 Routed By: 18t Revision Submittal Date: i//A//,` ErSite 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 (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 approved. Planning Review (contact 6 i+0-4) ( "}1-f f.4t[ 4 at (503) 718- -1 3y or 4ij j @tigard- or.gov) Land Use Case No. -0 110,°7 /l I L f?2cY) 7-40C (/ Zoning KY,S- eq./Setbacks: t Front 7 < Rear 30 Side 6 lh Street Side /V 4c. Garage 2 S R' Maximum Building Height: 33 Actual Building Height Z S c Visual Clearance ❑ Easements .P' Sensitive Lands Type: f-1, ❑ Street Trees ❑ Protected Trees 1/ _ Notes: f•Pea '1 PIGr en)/ 64-'46. 4taT psi‘"? 5aan j•ti f /s S Pi a.h n'611 C n O;-4i U.n.J rK iPO O-.pru.A ct, S;-k pia," ; s at{iO Cat m� � a Original Plan: Approved ❑ Not Approved J' Date: -L 9'(3 Revision 1: Approved Not Approved ❑ Date: 1 'f 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 J • . . Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov) ❑ Actual lope: •� P % —� le Notes: / a s &W-'' 7417 .i. A .� Le' '=„Kit_ -_r � r ! .ffi f ` ld .f(� �.s..,alary .rt- c:074 Cx 0. • • Allir Original Plan: Approved Not Approved ❑ Date: /i / , i 0!7 E.----"Aaari /P7 Revision 1: Approved X Not Approved ❑ Date: — AYENI Revision 2: Approved ❑ Not Approved ❑ Date: ,,.„ PeCoordinator Review (contact Albert Shields at(503) 718-2426 or albert @tigard-or.gov) oLJ Conditions of Approval Prior to Issuance of Building Permit Notes : J IF Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes l,)0 No ❑ Date Routed to Building. 1/110------- sk -4Li 7 .i,-,-;-,--,-.--, Zof-i- e .-____. t / 4Q=eLimarei*siff, Ex (. ..liet-)7 5.4=f-refivakeibtibe L ‘v-ere d7(4 p S"Ptej 1 Aff /50/7", .1(410 17,74 6 Ale 1/; A 154 5,7 X:‘,44diti-f Zileod -41 le›-i-- Page 2 of 2 I:\CURPI.N\Masters\Development Code Provision Review\DCPR_RFS.doc Rev.01/16/13 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14291 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2013-00230 George Heimos Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14291 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2013-00230 George Heimos 1. Provide permit and plan review approval for rear deck. 2. Provide Duct pressure test document (100cfm@50pa pascals pa.), 3. Recall inspection when correction has been completed. *Erosion Control approval. Received *Street Tree Certiﬁcation, checked for trees. Received. signed/dated *High-Efﬁciency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval (if required). Passed *Carbon monoxide Detector. Checked. *Garage Vehicle Barrier Installed. Not required *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval. yes *Lawn Irrigation ﬁnal with Backﬂow test results. (if required), received *Duct pressure test document (100cfm@50pa pascals pa.), Not received Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14291 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2013-00230 George Heimos 1. Corrections #2 and 3, inspection dated 9/18/14 not completed, recall when completed. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14291 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2013-00230 George Heimos 1. Provide electrical and plumbing ﬁnal approvals prior to calling for ﬁnal building ﬁnal. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14291 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2013-00230 George Heimos 1. Provide all residence documentation. 2. Provide plumbing ﬁnal approval 3. Provide gripable hand rail on deck stairway. all else ok Violation Summary: Inspector Contractor