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Permit a CITY OF TIGARD MASTER PERMIT 1 ' COMMUNITY DEVELOPMENT Permit MST2014-00103 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2014 Parcel: 2S 109DB06600 Jurisdiction: TIGARD Site address: 13212 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 14 Project: Sequoia Heights, Lot 14 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1477 sf Garage: 544 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2722 sf Value: $326,801.86 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 5 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'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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2722 Owner: Contractor: LENNAR NW INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH STREET SUITE 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 1170 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,333.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and 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 issu-nce, or if •rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a•'• • irect questions to OUNC by calling 503. 32.1987 or •00.332.2344 > Issued By: � +�n�� — Permittee Signature: �/_ .• C 1 .• 9.4175 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 completion of 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 (�; /�l (� Permit No.: 'J O' `J Uate/By: �� ' I L 3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review'jPyJ )4j� Other Permit:6lt�1J0iLi/Q(�i6)1) Phone: 503.718.2439 Fax: 503.598.1960 DateBy: C�� /�''( 1 "'t`��Ix Inspection Line: 503.639.4175 Date Ready/By: 7uris: See Page 2 for �' I) p Notified/Method: 7 /41 s/�� Supplemental Information Internet: www.tigard-or.gov ei LI rt. • 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. Valuation:y11�('' ) r i-,:•i ® 1-and 2-family dwelling ❑Commercial/industrial El Accessory building ❑Multi-family Number of bedrooms: 4 El Master builder ❑Other: Number of bathrooms: 2.j JOB SITE INFORMATION AND LOCATION 2 Total number of floors: Job site address: 13 212 5 k/ h/,i Z cL eR g s r I Al 4 y New dwelling area:2l 7 2 Z square feet City/State/ZIP: /II 4s 4 12D i 0 l 9 72 2.3 Garage/carport area: ...5--.4,4 square feet Suite/bldg./apt.no.: Project name: c._. f Q Lt cI, 1-Ii./e,f/TS Covered porch area: 1 64. square feet i A..`Z`j Cross street/directions to job site: Deck area: square feet Other structure area: .3zu, square feet �� REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: SL q u d 1p ,LIE )4'N 7 5 I Lot no.: 4- Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2 S b Indicate the value(rounded to the nearest dollar)of all Rd 5 -- CD CP QO equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. N S F R Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LENNAR NW,INC Type of construction: Address: 11807 NE 99th Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:LENNAR NW,INC Structural plan review fee(or deposit): Contact name:ERIK.PETERSON FLS plan review fee(if applicable): Address:11807 NE 99th Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)258-7900 Fax::(360)258-7901 Amount received: '7 1. 31 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:erik.peterson @lennar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel Syst-m. Business name:LENNAR NW,INC Submit two(2)sets of roof plan with connec.. details and fire.-.artment access,alon• :. I e 2010 Oregon Address: 11807 NE 99th Street,Suite 1170 Solar Insta : ion Speci• •, ode checklist. City/State/ZIP:Vancouver,WA 98682 Permit •-•Includes plan review $180.00 and a..•t'nistrative fees): _ Phone:(360)258-7900 Fax:(360)258-7901 State surcharge(12%o :-rmit fee): $21.60 CCB lic.: / 15 Q 7 Total fee due upon applica • , $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: U PE/ Date: *Fee methodology set by Tri-County Building Industry �/P�CI [/�r�/(� Z�O ' i'� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard DReacteived ileffigi / Permit No.: t ./ AIMI . . • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re ew �� Other Permit: (�jQ,p/Y Phone: 503.718.2439 Fax: 503.598.1960 Date/B : � � � A I:I> Inspection Line: 503.639.4175 Date Rea. 't ® Juris: See Page 2 for Internet: www.tigard-or.gov Notified/Method: 7 T rfrIl, Supplemental Information 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 (IN ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the x CATEGORY OF CONSTRUCTION work in is ted on this application. p ® 1-and 2-family dwelling ❑Commercial/industrial Valuat !�5 7(0�, [5� ❑Accessory building 1:1 Multi-family Number of bedrooms: 4 rt. MI El builder ❑Other: Number of bathrooms: 2,j V Total number of floors: ti JOB SITE 7INFORMATION AND LOCATION '- / 2 y Job site address: /32/ / 5 1 4 ZL L c726 s r A/4 I New dwelling area: Zt 536 square feet V1 City/State/ZIP: /r,4,e/) 11 0/Z Q 7223 Garage/carport area: 735 square feet Suite/bldg./apt.no.: Isroject name: Covered porch area: 13 ef. square feet '47 Cross street/directions to job site: Deck area: square feet I O 0 z Other structure area: X27( square feet 2. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: -S6:4u0/A y�/Airs I Lot no.: Z, 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.: /L,5 ( Q 1 p Pj - 5' 0 0 equipment,materials,labor,overhead,and the profit for the ` DESCRIPTION OF WORK work indicated on this application. (�+ ■ N S F R Valuation: $ Existing building area: square feet I New building area: square feet C' ® PROPERTY OWNER ❑ TENANT Number of stories: R u Name:LENNAR NW,INC Type of construction: ....„ Address:11807 NE 99th Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: Q ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* M' C Business name:LENNAR NW,INC (Please refer to fee schedule) G Structural plan review fee(or deposit): l~` Contact name:ERIK.PETERSON f. FLS plan review fee(if applicable): Address:11807 NE 99th Street,Suite 1170 Total fees due upon application: 0 City/State/ZIP:Vancouver,WA 98682 0 Phone:(360)258-7900 I Fax::(360)258-7901 Amount received: 7�7. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:erik.peterson @lennar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:LENNAR NW,INC Submit two sets of roof plan with connection. ails and fire departm - access,along with the t t Oregon Address:11807 NE 99th Street,Suite 1170 Solar Installation Spe a Code c r, Ti 1st. City/State/ZIP:Vancouver,WA 98682 Permit Fee(include view $180.00 and• nistrative fee . _ Phone:(360)258-7900 F :(360)258-7901 State•1 c arge(12%of permit fee): $21.60 CCB lic.: / 9 5 0 7 t C o,i 1`j Total fee due upon application: $21 .60 Authorized signature: A This permit application expires if a permit is not obtained L i A within 180 days after it has been accepted as complete. r *Fee methodology set by Tri-County Building Industry Print name: C RIff 1—/61es-oil Date: 6 .Z(, . /� Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Plumbing Permit Application Building Fixtures City of Tigard Dateisey �U ek Permit No.: G)1�V -�JlQ3 IN 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.7182439 Fax: 503.598.1960 ' 3 0 1 Date/By: Other Permit No.: k/ j/ti-occ 3 T 1 G A R D Inspection Line: 503.639.4175 CITY�. l�A�O Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov �UJIl7t(aleR3, Notified/Method: Supplemental Information TYPE OF WO DI r rWISION 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(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath j 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: 132 ( Z SW J-/�ZEL e a s r WA. / Catch basin or area drain 18.76 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 77- ',4)2D 1 a 9 72.2 3 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: 57 Q(4 of j 14 E/('/q rS I Lot no.: /4_ Fixture or item: Tax map/parcel no.: 7 Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,INC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11807 NE 99th Street,Suite 1170 Garbage disposal f 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2. 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker . 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,INC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:ERIK PETERSON Roof drain(commercial) 12.51 Address:11807 NE 99t6 Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax::(360)258-7901 Tub/shower/shower pan 3 12.51 E-mail:erik.peterson @lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater ( 37.52 Business name: y1/O(,Co 77 FL C-/f1l3/_c/4' Water I m WV 56.29 Address: I b 75 141. /-lI STOR I C LO LuM►3//I R1I' 12 gwV Other: 25.02 !e MALL J O CJ q , / Subtotal City/State/ZIP: j i2o /t 7C� Q 6 Minimum permit fce: $72.50 Phone:(co 3) to6T/7B/ x 3 8/ Fax:(563) GG 7- ��? / Plan review CCB Lic.: // 2 2 Z 0 G Plumbing Lic.no.: 2g •£'24P t3 State surcharge 22%ofpermit fee) rg e(12%of permit fee) Authorized signature: �imrA , ( - _P t --5 Q- ) TOTAL PERMIT FEE / a Print name: et"Fr A„U w/t7 i Date: Cp •2,440 2,440. / This permit application after it expires has been if accepted permit is as complete.not obtained within 180 days *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) L Mechanical Permit Application , FOR OFFICE USE ONLY City of Tigard Date/By: 6®�m Permit No.: 2,J r ,' _Qc}/Q 3 ei 13125 SW Hall Blvd.,Tigard,OR 97223 sa Date/By:Phone: 503.718.2439 Fax: 503.598.1960 an Review Other Permit: it --10CleZ3 i I(_i:A I.t� Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF 1 YSRIC COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 1 1 Z SW Air conditioning 46.75 Job site address: �AZL2C R L S 7 14 A y Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 7/ ",.21) I OW q 72 z 3 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: 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 / Other: 23.32 Subdivision: SL=4,u U l W /-/L I O N T.S Lot no.: 1 ` — 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 NSFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: _ Z PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen 99th equipment I 33.39 Address:11807 NE 99 Street,Suite 1170 Clothes dryer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,INC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:ERIK PETERSON Furnace,etc. I Address: 11807 NE 99th Street,Suite1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater I Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range I E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: /7 Other: I R r Co aio rr I c M v C aArrR D L MECHANICAL PERMIT FEES* Address: 1 3 t D s, Ci A G/'l/4 ME]5 Pi vg-12 D 2. Subtotal City/State/ZIP: 026.6ont C/Ty 01 9 7645- Minimum permit fee($90.00) T Plan review(25%of permit fee) Phone:(5-03) 6`5 7- 2 Z 2 G Fax:(5-03) 55-7—. U 9/9 State surcharge(12%of permit fee) CCB lic.: 72 G 2 3 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: 0 • * Fee methodology set by Tri-County Building Industry Service Board Print name: F l IF TE-125 01 1 Date: (p •ZCo• 11- I:\Building\Permits\MEC PermitApp_040I13.doc 440-4617T(II/07JCOM/WEB) I Electrical Permit Application. FOR OFFICE USE ONLY City of Tigard Datteived (Q 3e /i/ ( Permit No.: i--i'j, c/'f ap!03 III ff "s 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /�— CP3 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Penult: Inspection Line: 503.639.4175 Date Ready/By: Judo: la See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit 1 sets of plans w/items checked below): XNew construction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural A-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. • ❑Fire pump. 0 Installation of 150 KVA or ❑Multi-family ❑Master builder ❑Other: o Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2","1-3", X� I^�' 10013Pormore. occupancy. Job no.: Job site address:!32/2 5.,\1_L 4A a1 Gt=1✓ST Y V p ❑Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: ----Tl,p*2-D f 0�_ 7 2:z- 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I " New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: r--• Lot no.: 1,000 sq.ft.or less Y 168.54 4 JEQ u OI�r C- 1��C S ' Ea.add'/500 sq.ft.or portion Zj 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family V 75.00 2 N C` r. residential(with above sq.ft.) I ✓ Renewable Energy ❑ See Page 2 >QROPERTY Services or feeders installation,alteration,and/or relocation OWNER I ❑ TENANT 200 amps or less 1 100.70 2 201 amps to 400 amps 133.56 2 Name: L N Ni p lZ N W ' J N G 401 amps to 600 amps 200.34 2 Address: l \ Cb p'/ l v 1 q-I-� s 4.. ' S u t-re ( t n 601 amps to 1,000 amps 301.04 2 1 Over 1,000 amps or volts 552.26 2 City/State/ZIP: isciNi c_cru>,Ev.._ Uv A 1 5(p 8 Z Temporary services or feeders installation,alteration,and/or Phone:(3 � Z.,S Qg • —'q e o ' Fax: 6 relocation 0 amps or less 59.36 1 (3lPV) 25"n• �� 1 200 am Owner installation:This installation is being made on property that I own 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 Dwner signature: Date: Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit 3usiness name: - S p"..l p_ B.Fee for branch circuits without :ontact name: service or feeder fee,first 56.18 2 branch circuit kddress: Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) 2ity/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder 'hone:( ) Fax: :( ) Reconnect only 67.84 2 mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 3usiness name: �(�P (fi Ll{ ELF z-1 Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 k.ddress: I I p Sg CJ 0,1,0,1-,,_, 1) 1 e Each additional inspection over allowable in any of the above Additional inspection(1 hr thin) 66.25/hr ;ity/State/ZIP: (-}fr.--,py \PrLL ' I [Se- Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr hone:(50 3) 3 bo. 5p--3 F ( ) Inspections for which no fee is 90.00/hr :CB Lie.: I90399 Electrical Lie.: G g,i -7 Suprv.Lie.: 4-s-70s specifically listed(Vo hr mm ) ■ ELECTRICAL PERMIT FEES uprv.Electrician signature,required:. Subtotal: Date: Plan review(25%of permit fee): tint name: ---16t,3,/ D��, S LPc\f ET S • (a I� State surcharge(12%of pennit fee): .uthorized signature. amw:r. �� TOTAL PERMIT FEE: S This permit application expires if a permit is not obtained within 180 tint name: (� 1 p� sert\I Date: Ca •Z(o , I¢ days after it has been accepted as complete. U"-� * Number of inspections allowed per permit. Jilding\Permits\ELC PermitApp ELR EREdoc Rev 05/21/2013 440-4615T(11/05/C0M/WEB City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: 61 /(1-00/43 j Site Address: 13212 SW k--1 2. G1'et+ \NAq Project Name: Lot #: I (New dwelling=subdivis n name;Addition or Alteration=last name of owner) Planning Review Proposal: New Sf R J21" Verify site address/suite#exists and active in permit system. Site Plan Elements: ree (3)copies of site plan 'Existing structures on site .BSite plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished .-0 rawn to scale(standard architect or engineer scale) floor elevations .01Clorth arrow /Utility locations(required for new,may apply for additions) ,.2gite address,project or subdivision name and lot number Location of wells/septic systems . Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence . tot dimensions and building setback dimensions design,location of catch basin,etc.) fd'l of area,building coverage area,percentage of coverage and JC'Street names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location ,Ei roperty corner elevations(2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—_,SService Provider Letter: (lot platted prior to 9/10/1995): Required: CI Yes XJ No Received: ❑ Yes ❑ No Land Use Case#: S-62_015— 00002- .Er Zoning: 'Z-, -E/Setbacks: Front (5 Rear is Side 5 Street Side j o Garage 'D Landscape Requirement: 20 % Z Lot Coverage Maximum: 2O % Building Height: Maximum Height 3S Actual Height ±ZS Visual Clearance ,Easements gSensitive Lands: ❑ Yes No Type ❑ Urban Forestry Plan ,0' Conditions Met Notes: Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved L\Building\Forms\BI dgPermitRvw_RES_042914.docx . . n 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: ❑ 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: 2 Pb ❑ Conditions Met Notes: (/11 FLIZ-l C.-bw:l 177oti.$ v67 Approved by Engineering: Date: Revisions (after Building Submittal o 7 Reviewer ate'9p Revision 1: ❑ Approved I�Not Approved / Revision 2: Approved ❑ Not Approved (�n i�' `a'j Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: -e- G 44? G`lfi 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: K to Issue Permit Approved by Permit Coordinator: ," Date: .-`r 'rf 1:\Building\Forms\BldgPermitRvw_RES_042914.docx Contractor is responsible to check . site plans and notify designer of „ -' any errors or omissions prior to C� tS ` start of construction. Plans and ,4 specifications shall be approved �h� 53 00, .g)4 SILT FENCE .N\A 3 2� by local building officials prior T •• — - o r�,,.ray' �� to the start of any construction. .••:•:' :•MULCH-ESTABLiSN:-. . 15'-11" 14'-0" 10'-i" ' �� WET WEATHER EROSION NOTES: GO Ot �_; :.': :'•.'� 5$ :: ;- ;..;.:�.:... �� I 1. DURING WET WEATHER SEASON(OCTOBER 1-APRIL 30)ALL A SOILS EXPOSED FOR MORE THAN 2 DAYS SHALL BE COVERED WITH •'••'• :'•••-. : 0 12'x14• N PLASTIC SHEETING,OR A 2-INCH LAYER OF MULCH,BARK,WOOD •�::•-�•.r��':.;•---T:=�:TOP OF DECK TO BE '.�:: f - . - -8€CI� 29"OR LESS ABOVE I '" 16°S°H. L — CHIPS,SAWDUST,OR STRAW TO MINIMIZE EROSION POTENTIAL. N FINISHED GRADE _ 8'-0 5'-0", II 555' ,� ------43 I 2. EXPOSED SOILS SHALL BE SEEDED NO LATER THAN 4e 2693A 4 SEPTEMBER1. SITE LEGEND: - "BELLEVUE" _ . •. • EROSION CONTROL NOTES: ' ,.• AMERICAN ''��!•'�'•�:•�'••�••�.�'••''.•''--•-: .. .-��•.':':�.'t:-'•�•:•'��.'•'•'•:•• .'�••'�' ��,� 556' Utility Symbols. ;.:STORA9WATER iz4EC 1 1. A STABILIZED GRAVEL CONSTRUCTION ENTRANCE o� FIRE HYDRANT ..... •' N 1 • r t Y _ 40'-0° � SHALL BE INSTALLED AS FIRST SITE ACTIVITY. TRACT A 557' 2. EROSION CONTROL MEASURES SHALL BE INSPECTED ® CATCH BASIN GARAGE -en AND MAINTAINED AS NECESSARY TO ENSURE M THEIR FUNCTION. :'':'.::' :': :: :';:':';r: :: J'. T.O.S.=558.25 in 0 STREET LIGHT �: �•: °''•' '°'.:''.. (LEFT) MAIN 3. EROSION CONTROL MEASURES SHALL BE KEPT IN _ —__ — SANITARY SEWER { �::, .; :,;..;.:`�-.;:.•;::•: 'f:•:. GARAGE _ --5� PLACE UNTIL PERMANENT GROUND COVER IS 544SgFt. F.F.E.=559.25 1 ESTABLISHED. 4—s.—,.—'— STORM DRAIN �':. ::.'.�: ••• :•:f':... h0 434 •.:....:.: .. .. .:-.:.� :-. ':'f.;:•:• g'� � __$59' PROVIDE GRAVEL STAGING w WATER LINE :.':,....:•...._..STORM : .' 17,9----� �rr` Drnr •. 5, / AREA AT DRIVEWAY. ..,r.�.. �. (2 MIN QUARRY SPACES FOR %:..:.:......-....--, :-..,.. ..-..-•.., •.•.:..-LATEtt!11..-.••� 1 /.GRADE �1 SINGLE FAMILY SITE Fence Types: :. . .. . . . ...• o . . . , - CONCRETE ��_ -- '— ) yp :'•'•'•':•:.';•'.';.•.''•'.:'•'''•'.''.'•:':' ::.' ''. /M DRIVEWAY 8'-0"W 0 0 0 6'-0" WOOD FENCE :� – :;r`_'; N _ �_ i.:,4 P.U.E. _ (See Fencing Plan if Necessary) '� / ;�, — SEE LEGEND FOR•r :39 ��; � / TREETYPES- rVP. 4 �� Street Tree Types: i i� �' — — - 0 ACER TRUN. x ACER PLAT. �/.` !� a ri SUNSET MAPLE' 4 2"CAL. _-' WATER SANITARY N WAT WAT WAT of METE LATERAL `\ !4� CLADRASTIS KENTUKEA STM STM STM SIM /' YELLOWOOD' - \ __ c, SW HAZELCREST WAY 2"CAL. R:O:W \ / -SAN SAN SAN SAN FRAXINUS OXYCARPA CITY OF TIGARD _ 2 CAL. OD ASH' ��-_,_'- Q \ ' / H�� / If7 '� _ 2"CAL. Approved by Planning .� !a N- J Date: �j -/ '� � � / i ' .___ Initials: - — - PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS DRAWN:06-24-2014JBG SITE PLAN Street Address: L E N N AR HOUSE 1,245 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS GARAGE 544 Sq.Ft. FRONT HOUSE: 15 FT.(From P.L.) SEQUOIA HEIGHTS 13212 SW H aze l crest Way COVERED ENTRY 168 Sq.Ft. FRONT PORCH 12 FT.(From P.L.) 11807 N.E. 99th Street DECK: 168 Sq.Ft. GARAGE: 20 FT.(From P.L.) Suite 1170 DRIVEWAY: (IMPERVIOUS) 441 Sq.Ft. REAR YARD: 15 FT.(From P.L.) CITY OF TIGARD, WASHINGTON CO, OREGON Vancouver, WA 98682 TOTAL COVERED AREA 2,566 Sq.Ft. SIDE YARD: 5 FT. (From P.L.) LOCATED IN THE SE 1/4 OF SECTION 9, HOME SITE #14 Office: 360.258.7900 STREET SIDE: 10 FT.(From P.L.) TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN 80%MAX.ALLOWABLE = 3,755 Sq.Ft. 1 4,694 Sq.Ft. PROPOSED COVERAGE% = 54.6% SCALE:1 = 20' .' 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00103 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00103 George Heimos Previous correction not completed dated 1/22/15. 1. Re-inspection/investigation fee due prior to next inspection. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL January 23, 2015 at 10:36:37 AM MST2014-00103 David Young Locking access port caps. Refrigerant circuit access ports located outdoors shall be ﬁtted with locking-type tamper-resistant caps. M1411.6 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL January 23, 2015 at 10:43:02 AM MST2014-00103 David Young Provide approved mechanical ﬁnal inspection. Provide permit for deck over 30" above grade and approved inspection as noted on previous failed ﬁnal inspection. Will check garage step at re inspection, covered with plastic and wet paint. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00103 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL January 14, 2015 at 2:16:57 PM MST2014-00103 David Young Step from garage to house not to code, 8" rise max. R311 Provide permit for deck over 30" above grade. Submit plans to city for review as built. Provide approved ﬁnal inspection and backﬂow test report for lawn irrigation prior to building ﬁnal. Note: AC and laundry sink not installed at time of ﬁnal inspection. Permit and inspections required at time of installation. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS January 14, 2015 at 1:56:47 PM MST2014-00103 David Young Provide approved thread sealant on all threaded caps. 316.1.1 Will check at building ﬁnal. Note: laundry sink not installed at time of ﬁnal inspection. Permit and inspections required at time of installation. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS January 14, 2015 at 2:07:15 PM MST2014-00103 David Young Finish sealing around line set penetration thru foundation vent. Will check at ﬁnal. Note: AC not installed at this time, permit and inspections required at time of installation. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL January 12, 2015 at 1:22:07 PM MST2014-00103 David Young Entry locked, provide access for inspections. Recall with access. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL January 12, 2015 at 1:22:18 PM MST2014-00103 David Young Entry locked, provide access for inspections. Recall with access. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O February 20, 2015 at 12:51:37 PM MST2014-00103 David Young Corrections done. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report received. Insulation certiﬁcation checked. C of O left on site. Note: laundry sink not installed at ﬁnal inspection. Permit and inspections required at time of installation. 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00103 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 13212 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00103 George Heimos 1: correction dated 01/14/15 not completed. Provide permit for deck. Re-inspection fee (Investigation Fee due, permit for deck next inspection will be fourth for this correction. Violation Summary: Inspector Contractor