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Permit CITY OF TIGARD MASTER PERMIT I - COMMUNITY DEVELOPMENT Permit#: MST2014-00094 T E ;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2014 Parcel: 2S104BC06200 Jurisdiction: Tigard Site address: 14221 SW LUKAR CT Subdivision: 2002-055 PARTITION PLAT Lot: 2 Project: Lukar Ridge, Lot 2 Project Description: New SF.6/26/14, DEMO credits from BUP2013-00232 applied to this permit for TDT&Parks. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 2624 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 469 sf Garage: 524 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3093 sf Value: $372,944.49 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: 4 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 Tvves 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: 6 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr 0 Ea add!500 sf: 6 201-400 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 3093 Owner: Contractor: SPECTRUM DEVELOPMENT LLC 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: PHONE 503-381-3753 FAX: 503-214-8524 Total Fees: $9,638.84 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 - .•o•ted by the Oregon Utility Notification Center. Those rules are set forth •AR 952-001-0010 through OAR 952-001-0090. You ma •• = i c.• of the rules or• -ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: . •ermittee ••- re: _�_ Cal 503.63. 7:00 a.m.for the next available inspec i• • ,�= i ■ This permit card shall be kept i onspicuous place on the job site until corn• -•• o the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY Received _ City of Tigard r�j�{ / , h Syr Permit No.: 0 =,A 13125 SW Hall Blvd.,Tigard,OR 97223 r jl „ ply gel �, � Phone: 503.718.2439 Fax: 503.598.1960 Date/ a:IA WA �r.. lr-� Other Permit: a 6 a • .a.. TIGARD Inspection Line: 503.639.4175 Date Ready :y: ® See Page 2 for Internet: www.tigard-or.gov 2014 Notif1. ethod: / `� supplemental Information AI 1 a 4 W rififPMi < TYPE OF WORK A g '41. / IllUit ED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demoli / AVIS performed. Permit fees*are based on the value of the work rformed. � i(,DII � Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other 11► equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work ip d on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuatio p Cr !•' 5 3zz ❑Accessory building ❑Multi-family Number of bedrooms: 3 El builder ❑Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: )'1.Z I 5ils LU r4t Ur. New dwelling area: t:33 square feet City/State/ZIP:TIGARD/OR/97223 Garage/carport area: '5x/4- square feet Suite/bldg./apt.no.: Project name:LUKAR RIDGE Covered porch area:•' 450 square feet Cross street/directions to job site:ASCENTION TO LUKAR CT. Deck area: square feet Other structure area: '307 square feet 30 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:LUKAR RIDGE I Lot no.:2 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 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. NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER I ❑ TENANT Number of stories: Name:MISSOIN 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) Contact name:JOSH KELSO Structural plan review fee(or deposit): Address:PO BOX 1689 FLS plan review fee(if applicable): City/State/ZIP:LAKE OSWEGO/OR/97035 Total fees due upon application: Phone:(503)381-3753 I Fax::(503)214-8524 Amount received: E-mail:JOSHKELSO3 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:MISSION HOMES NW Submit two(2)sets of roof plan with connection details Address:PO BOX 1689 and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:LAKE OSWEGO/OR/97035 Permit Fee(includes plan review $180.00 Phone:(503)381-3753 Fax:(503)214-8524 _ and administrative fees): State surcharge(12%of permit fee): $21.60 CCB lic.: 186849 3 - AIM Total fee due upon application: $201.60 Authorized si 9I• . - �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:JOSH KELSO Datl1/to 'i *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T 1l/02/COM/WEB) Pluymbing Permit Application Building Fixtures FOR OFFICE USE ONLY actiLISTE Received ip4 City of Tigard Date/By: Permit No.:/yam ,i,-c y _Q� • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review rj e Phone: 503.718.2439 Fax: 503.598.1960 QQ O,[4 DateBy: Other Permit No.: Inspection Line: 503.639.4175 1 11A11 O Date Ready/By: Juris ® See Page 2 for 1 IGARD wlI Y Y g Internet: www.tigard-or.gov ...A[otified/Method: Supplemental Information TYPE OF WORK ant UFTlGh FEE* SCHEDULE ®New construction ❑De U1NG 1 1��0� 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 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accessory building Multi-family SFR(3)bath 500.32 111 Accessory Multi-famil Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: C 4 21 � &/•1 Lt,�� /�i- Catch basin or area drain 18.76 Job site address: l/ 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:LUKAR RIDGE Manufactured home utilities 50.03 Cross street/directions to job site:ASCENTION TO LUKAR CT 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:LUKAR RIDGE I Lot no.:2 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NEW SINGLE FAMILY Dishwasher 1 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 1 25.02 City/State/ZIP:LAKE OSWEGO/OR/97035 Hose bib 1 25.02 Phone:(503)381-3753 Fax:(503)214-8524 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:MISSION HOMES NW Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:JOSH KELSO Roof drain(commercial) 12.51 Address:PO BOX 1689 Sink/basin/lavatory 5 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 3 12.51 E-mail:.IOSHKELSO3 @GMAIL.CO(v1 Urinal 25.02 CONTRACTOR _Water closet 2 25.02 Water heater 1 37.52 Business name:S&B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City/State/ZIP:VANCOUVER/WA/98664 Subtotal Phone:(503)545-3601 Fax:(360)695-5031 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 168129 Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized sign • TOTAL PERMIT FEE [Print name:JOSH Date: (p (0 ?A/f/ This permit application expires if a permit is not obtained within 180 days /i I after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. L1Building\Pennits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) 1 Mechanical Permit Application FOR OFFICE USE ONLY Received III City of Tigard �� Date/By: Permit No.: V 1[►_s 13125 SW Hall Blvd.,Tigard,OR 97223 �� Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 .[1 DateBy: Other Permit: TI G A R I Inspection Line: 503.639.4175 ��1,C,j Date Ready/By: Juns ® See Page 2 for Internet: www.tigard-or.gov Y +� Notified/Method: Supplemental Information TYPE OF WORK 0411 0 20\ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST I1Gt*- fly Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration L� UlvlSl performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: 11WI' AG mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTR RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z 1-and 2-family d\Nclling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qt).. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: (LI Z 7/i ,vJ k t Ct. (requires site plan showing placement) 1 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 Suite/bldg./apt.no.: Project name:LUKAR RIDGE Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site:ASCENTION TO LUKAR CT 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:LUKAR RIDGE Lot no.:2 Flue/vent for any of above 23.32 Other: 23.32 _ Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 Gas fireplace . 3. 33.39 NEW SINGLE FAMILY 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 — Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER I ❑ TENANT Other: 23.32 Name:MISSION HOMES NW Environmental exhaust and ventilation: Range hood/other kitchen Address:PO BOX 1689 equipment 1 33.39 City/State/ZIP:LAKE OSWEGO/OR/97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, Phone:(503)381-3753 Fax:(503)214-8524 toilet compartments,utility rooms) T 23.32 ® APPLICANT CI CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name:MISSION HOMES NW Fuel piping: Contact name:JOSH KELSO $14.15 for first four;$4.03 for each additional Furnace,etc. 1 Address:PO BOX 1689 Gas heat pump City/State/ZIP:LAKE OSWEGO/OR/97035 Wall/suspended/unit heater Phone:(503)381-3753 Fax: :(503)214-8524 Water heater 1 Fireplace 2 E-mail:JOSHKELSO3 @GMAIL.COM Range 1 CONTRACTOR Barbecue I Clothes dryer(gas) Business name:ADVATNAGE HEATING&AIR CONDITIONING,LLC Other: Address:2355 HYACINTH MECHANICAL PERMIT FEES* City/State/ZIP:SALEM/OR/97301 Subtotal Minimum permit fee($90.00) Phone:(503)393-5315 Fax:( ) Plan review(25%of permit fee) CCB lic.: till VIII State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. • Fee methodology set by Tri-County Building Industry Service Board Print name:JOSH KELSO Date: (0 (i I:\Building\Pennits\MEC-PermitApp.doe 09/09/10 440-4.17T,11/02/ OM/WEB) 03/17/2011 13: 12 5034636983 CONNECTIONS ELECTRIC #2190 P. 002/002 ,,,o,. to, L V 1 t 1 V.-r L r uu Irv. 1 ITV I . L • Electrical Permit Apnlicatian �� l c►I:OFFIt E 11S12 ONLY City of Tigard Receive! N 13125 SW J141131vd.,Tigard,OR 97223 1� Data/11' - V �� ' P m w Other Penni': Phone; 503,118.2439 F : 503.59Ll960 'ON DatrAi I,.A r, Inspection lino: 503.d34.a 173 ,`N 1 Date my e1 see Paee s for ■ Iptenlet: www,tigard-ot,gov 0 0:110M-,0 -NattiedlMedwd: Supplemental infarmatiou TYPE OF WORE, �� ,is%s: - ,k _TiEYIZW .., •,!.. Et New construction 0 Addilion/alteratior 1 Pat check all that aytply.(s.bmft 1 cu o[pla'u Whams checked below): DDemolition Other; 0 Service or leech 400 amps or mote Q Building ova throe stories. 1. ;—•=-mo _ where the available fault tweet 1�Manama mad boatyards. t '' 6;•;e(y,r ; exceeds 10,000 amps at 150 mks or Q Flotttir.8 buildmas• OAT i I►..QF"(+O YtQ I17Hy:"' y�p J, kas to groom?,or oxtcads 14.000 CI Commarcixl•uso agricultural 1-and 2-family dwelling ❑Commercial/Industrial 0 Accessory building stops Wall oiler inatalladoaa. buildings. l O Multi-family ❑Master builder 0 Other: O Firc pump. Q insuuMUon of75 KVA or•JOB SITE'INFORMATION ANI) LG ATJON - ❑An0�onetnew "A", oparotely .o system. C1 Addition oftxwp►otw load ot Q"�",''R","1�',"1�", Job no.: Job site address: 2 i N u i ° 10011P or mom o �Y ❑Six et mar tesfdeanlal units. ©Reemodonat vehicle parks, City/StatealP: 2 ❑Htah -care%ac'Zides. P Supplyvoltge oar more than _ ��b / U ) Z - - C111we:loos locations. 600 volts nominal. Suite/bldg./apt.no.: [Project mane: 1,...0 c-t p4 e ❑Service or roufcr 600 amps or Moro. "FEE SCIIKDULE` •- Cross street/direelions to Job alto: l te_plitr — - 1 0iy.1 Vea I Y1 1 New residential single-or multi-family dwelling unit. Includes attached garage. Sl,bvsior ytAcx A pa E l_ot no 2 ',1'0054•R.oeless / Ifi _ 8.54 4 Ea.add'!S00 sq.ft.or onion 39.92_ 1 t Tax map/parcel no.: Limited rnarnr,rasldeallal ' 75.00 2 DESCRIPTION OF% ()&EIr . ' _ L4th above sq.fl.) NEW SINGLE FAMILY resident all with above .t. 75.00 2 Services or feeders butallarion,alteration,and/or relooallon 200 amps or las 100,70 ` 2 El PROPERTY OWNER ❑ TENANT . X201 Raps to 400 amps 133.56 2 Name;MISSION H0119E9 NW .. 401 amps to 600 amps 200.34 2 dot amps to 1,000 amps 301.04 2 Address:PO BOX 1689 Over 1,000 amps or rain 55226 2 City/Slrtte rP:LAKE OSWEGO/0/07035 Temporary aen4ccs or feeders ins fellation,sltcratlon,and/or Phone:(503)381-3753 Fax:(503)214-8524 200 amps or less 5136 1 Owner installation:This installation is being made on proinily that 1 oiwn which is not 201 amps 41400 amps 125.08 2 Intended for sale,lease,rent,or exchange,according 10 ORS 447,449,670,and 701. 401 10554 gimps 168.34 2 llranc b to alteration,or a lenslon,per panel Owner signature: Pate: A.Fee for branch circuits with ® APPLICANT Q ComrAGT P£,11SON w above service or feeder tee, 7x42 2 , each branch circuit ,r Business name:MISSION HOMES NW a Fee for t cocl1 circuits trlrhorrr _. Memca or feeder fee,fins 56.18 2 Contact name:JOSH KELSO branch circuit _^ Each sdd'I branch circuit 7.42 1 2 Address:PC)BOX 1689 MlscellaneouM jsery'1ee or teeth r not e .. I c udcd) Each menu or modular 67.8 4 2 LAKE OSWEGO/OR/97035 dw Gi'io�,service a ndlar feeder - Phone:(503)381-3753 I rtx::(503)214.8524 Reconnect only 67.a4 2 E-matt:.YOSRIKELSQ3 @GMAMIr,CONI Sump or irrigation lighting 0.84 84 ^Sign or out!ltrq t16h1in& 67.84 2 CONTRACTOR _ Signal deceit(s)orhIrniteaargy Business name:CONNECTIONS ELECTRIC pager alteration,orexiension. Pogo 21 ? Each addltlnal inspection over ailatvablc in ark of the above Address:4675 PORTLAND RI)NE pc, -7;36, Additional inspection(l hr min) 66.25/hr Investigation(1hrmin) _ 6625/to City/State/ZEN SALEM/OR/9730S Sakes,— 09,6113a3 Industrial plant(I At min) 7818/hr Phone:(503)3911.9914 j taX:(SU ) c(43_(ai 3 Tnspe,ctlns for whlcis no fee tt 90,00/hr specifically listed(3 hr min) CCa Lie.: 65444 Electrical Lk.: 24.24$0 Suprv.Lk.:' leg ELECTRICAL PFi&MET.FEES -- _ Subtotal: Suprv.Electrician signature,required: Plan review( s%ofpcmlit!cc);ss Print name; sf�' Date: State surcharge(1244 ofporntll(cc); bJ.∎/ws- r�.et TOTAL PERMIT FE: Authorized sign L i prtRtit applirntivn oxpina ff a permil is eel obtalued nithta 180 data a[ter It has been accepted at complete. ' Print name; c— X Date: 6 (Y "y • Number of ltupoctiont allowed per permit. 1.teuud'agVermit Et-C•ronnhapp.doc vita Ws 449i61ST(11/05c0r,Wau III ■ City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: f 7 1u _( 7cli Site Address: ILI 22-1 LAA V-q,Y C,E. Project Name: LuVaiz P.tclgt, Lot #: 2 (New dwelling=subdivisr name;Addition or Alteration=last name of owner) Planning Review Proposal: new SF hd Verify site address/suite #exists and active in permit system. Site Plan Elements: --// Free(3)copies of site plan E,�l�xisting structures on site mite plan must he on 8-1/2"x 11"or 11 x 17"paper LIJ1 otprint of new structure(including decks)with finished L b�rawn to scale(standard architect or engineer scale) floor elevations N11 :rth arrow L,�/t1 lity locations(required for new,may apply for additions) [ to address,project or subdivision name and lot number L7Location of wells/septic systems Lpplicant information(name and phone number) Ilerosion control(including drainage-way protection,silt fence C dimensions and building setback dimensions design,location of catch basin,etc.) Ca" --t- area,building coverage area,percentage of coverage and ( S/eet names ii,pervious area(applicable if R-7,R-12,R-25&R-40) [j t tree size,type and location L?Property corner elevations(2 foot contour lines if more than g•E'xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes .(N o Received: ❑ Yes ❑ No E Land Use Case#: SlAB 2.013—Cxxx l Er`zoning: R---1 E E.'etbacks: Front IS Rear IS Side 5 Street Side I O Garage Zn andscape Requirement: El Lot Coverage Maximum: %.01 � Z) ti [uilding Height: Maximum Height 65 Actual Height-30 likVisual Clearance asements � � [ 'Sensitive Lands: ❑ Yes Lt No Type [i' irban Forestry Plan C"Conditions Met Notes: Approved By Planning: ,f// 1 / 1; 1' Igit Date: ( (la 14 Revisions(after Building Submittal only) 1 Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: 6p//�'//i/ Site Plans: # ,3' Building Plans: # • 3 Building Permit#: nte�gilding permit ove. Workflow Routing: n neerin g nit � g Coordinator uildin Workflow Sign-off: ii- ff for Planning(include notes from planning review) Route Application Documents: (Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ori gin l plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 4o/rg/jy Engineering Review ,Actual Slope: 1Z, LI Conditions Met Notes: Ifil j,e2 Approved by Engineering: Date: g/ _ --� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ,onditions 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: /i�U Date: /Z '/ " 'Y 1:\Building\Forms\B IdgPerm itRvw_RES_042914.docx 68.00' 4 11 I I I, CITY OF TIGARD 1 ' Approved by Planning tI Date:1011 1 8/iy 1 .. : 1 Initials: 1• /1 1 1 1 1 1 ' RECEIVED 1 -- \: 6, 446 I JUN 18 2014 I COV'D I I 1 PORCH 1 CITYOFTIGARD i% rr .,?,:-. E3ONU5 = 469 SOFT. MAIN LEVEL 2624 SQFt. TOTAL • 3093 SQFT. n I + GARAGE fi24 SOFT. -- / / 1 ''� �� LOT 2 � I AREA: 9,774 1 1 ■ \\ 1 �r 1 1 4 \ i 1 1 Nom GARAGE IUIeci • j' _ COV'D / 1 ENTRY 1 PROPOSED STREET TREE 1 2257" E (o _! �1 1 9.28, ,, i 1 �i 1 e ° e �v>)� 1 pRIVEWA'P' ° I C 1i c 4 C I 1 -� 0 ° ° d r4, ;r--a , 1 1�. N v L____Ii_ °el II �I ° ^1 d c e :: a e STORM I o e ° g a a 1 ___- WATER �� — �--- -�i— ° �_`i 5 89'2257" E -1 I 77.00' N LOT COVERAGE S I T E P L A N LOT AREA =9114 SOFT. BUILDING FOOTPRINT = 3229 SOFT. SCALE = l"=201 COVERED PORCH/ENTRY = 643 SQ.FT. W E TOTAL COVERAGE = 9114 / 3812 = 40% S PLAN NAME LUKAR 3093 LOT 2 E Praftincj Corp RIDGE 3/1 _'-_ PLOT: 6/14 PLAN n n REV: &/12/14 3/I SUBDIVISION Mission HOMES, LLC. 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS December 8, 2014 at 10:29:18 AM MST2014-00094 David Young Corrections done. 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00094 George Heimos 1. Corrections from inspection dated Dec 4th, 2014, not completed. 2. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 3. Re-inspection fee will be assessed if previous correction(s) are not approved on next inspection 103.5.6 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS December 4, 2014 at 12:27:30 PM MST2014-00094 David Young 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL December 8, 2014 at 10:43:08 AM MST2014-00094 David Young Provide approved plans with approved site plan for ﬁnal inspection. Provide city required documents for ﬁnal inspection, including street tree certiﬁcation, high efﬁciency lighting form, moisture content form, duct seal test report for duct in crawl space. Provide approved erosion control ﬁnal inspection. Recall for inspection with required documents. 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00094 Jeff Grove 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL December 4, 2014 at 12:07:26 PM MST2014-00094 David Young cleanout plug needs approved thread sealant at: 316.1.1, at exterior locations. Insulate water lines to ﬂex connection at water heater. expansion tank needed, on the closed loop water piping. properly size the tank 608.3 Sink stopper not working at left lav in master bath. Calk base of tub in main bath by master. Finish calking sink at left side front at main bath by entry. 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 14221 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O December 10, 2014 at 12:39:12 PM MST2014-00094 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Duct seal test report received. Insulation certiﬁcation checked. Violation Summary: Inspector Contractor 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 Transmittal Letter r 1 G A It I> 125 Sall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ■ _ a DATE • y �� DEPT: BUILDING DIVISION 'I • -0 DEC ' 8 2014 FROM: d O fri L$o CI Or lkjAHb � ^ I.. :� 1"RIOT !r COMPANY: 11 SS/DAJ 4.7,x- ///,li - 3 I - By:__¢_ PHONE: Go 53 3 RE: /1a !-� [ �.1.0 kl-g/ 2 !��_ 7• 9o/ /-cDoo FS' (Site Address) (Permit Number) Ott /M-- -- -),7o-E (Project n e or subdivision name and lot number) ATTACHED ARE THE FOLLOWI ITEMS•/ I Copies: I Description: ' iii pies:( Description: Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. ' Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: f [..Z.A.., :r1(2--", /_.Q__L-__-- (,4- b J- FOR OFFICE USE ONLY Routed to Permit Technici. -: P ate: 1 GI 1 1 f 1-- Initials b Fees Due: ❑ Yes ! 10 Fee Description: Amount Due: $ $ $ . $ Special Instructions: IReprint Pe it(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT lefeirAlli " ' Building Permit Review — Residential TIGARD g Building Permit #: fr T 06/C/- oDO F54 Site Address: 11-1-Q01 I SW (, J( ,' C-J • Project Name: LLA-ICo-r A; olevc, Lot #: c (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Rev.'s; On -h-a c;-k pia^ - acid) ne., dec-c Corr, Ir4 -Cluol • rA Verify site address/suite #exists and active in permit system. Site Plan Elements: ❑Three(3)copies of site plan 'sting structures on site NtSite plan must b&on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) or elevations I$North arrow Utility locations(required for new,may apply for additions) I$Site address,project or subdivision name and lot number anon of wells/septic systems VtApplicant information(name and phone number) rosion control(including drainage-way protection,silt fence 113-Lot dimensions and building setback dimensions design,location of catch basin,etc.) 2.ot area,building coverage area,percentage of coverage and ,treet names impervious area(applicable if R-7,R-12,R-25&R-40) 2treet tree size,type and location Property corner elevations(2 foot contour lines if more than Jxisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services–Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Received: ❑ Yes ❑ No ❑ No C i d Land Use Case#: s(.c,B,, 0 13 -- Ooou I Ig zoning. R -7 Xi Setbacks: Front — Rear 15 Side S Street Side — Garage XLandscape Requirement: ,?O X Lot Coverage Maximum: 50 fBuilding Height: pea-ØA(t1 Maximum Height Actual Height 1 ,< Visual Clearance `7 J" Easements NrSensitive Lands: ❑ Yes A No Type 1Jrban Forestry Plan Conditions Met d I rr Notes: DP cK c;.: prGsi; -tts✓ - •J -F 47-1 00 't . Approved By Planning: aL4 Q C - Date: la - g - 1$ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\BuildingtForms\BldgPermitRvw_RES_100114.docx Building Permit Submittal ' Original Submittal Date: /?/(/(V ¢ �/.S/DtJ Site Plans: # A Building Plans: # a` Building Permit#: gEnnttr bui ngpernut-#-abeve. Workflow Routing: Tanning ❑-Engineering ❑ Permit Coordinator - Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ! _ -• .. of.ermit .. •. • -: -, • - p an, ..ii plan and evtew routing orm. 1-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: r/ By Permit Technician: L _ Date: /2 A4?" Engineering Review ❑ Actual Slope: ❑ Conditions Met ❑ Easements (encroachments) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes ❑ No Assess Water Quantity Fee: ❑ Yes ❑ No 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 ❑ Not Approved Permit Coordinator Review ❑ 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: 1:1Bui Iding\Forms\BIdgPermitRvw_RES_100114.docx