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Permit p CITY OF TIGARD MASTER PERMIT 8 COMMUNITY DEVELOPMENT Permit#: MST2014-00102 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i , Date Issued: 07/15/2014 Parcel: 2S109DB05400 WAN= Jurisdiction: TIGARD Site address: 13217 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 2 Project: Sequoia Heights, Lot 2 Project Description: New SF. Demo credits from BUP2014-00031 for TDT&Parks applied to this permit. 12/16/2014: Reprinted permit to include A/C unit. Placement of A/C must comply with manufacturer's BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1467 sf Garage: 735 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $313,764.40 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 Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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 2536 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: $8,398.36 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain copy of thglules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: C. 6 9.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard received / Permit No.: " 13125 SW Hall Blvd.,Tigard,OR 97223 �' -�I 7 •_ � (i'a Review Phone: 503.718.2439 Fax: 503.598.196 .te/By: Other Permit: T I G A it D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov DEC 16 2014 Notified/Method: Ell. Supplemental Information TYPE OF WORK COMMERCIAL FEE" SCHEDULE- USE CHECKLIST I Mechanical permit fees*are based on the value of the work ®New construction ❑ quf�. J performed.Indicate the value(rounded to the nearest dollar)of all 1:1 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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 ❑Oilier: Description 1 Qty. Ea. Total JOB SITE INFORMATION AND LOCATION H.g 1Lna /etmhng:, • ' (Air conditioning) I 46.75 Job site address: ( 3''Z 1 7 S W +}z.�l e.izE'ST UU R''' aee.-1430;00t1BTU(ducts/vents) 46.75 City/State/ZIP: —"t't - -2b cl 7-7--z-' Furnace 100,000+BTU(duets/vents) _ 54.91 fi 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: 1cQ kit°f ft. 14 E16 475 Lot no.: ---- Other fuel appliances: Tax map/parcel no.: ,G;--00 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 NSFR Jn� /� Flue vent for water heater or gas AbD Al fi- CO-ND ern 67•1i►x/C-0 fireplace 23.32 Log lighter(gas) 23.32 MST Wood/pellet stove 33.39 1"---it Of ST€rz p (MCC +MJ t -2•-Q1 `-- -OOfoZ. Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen ,i equipment 33,39 Address: 11807 NE 99 Street,Suite 1170 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 0 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. Address:11807 NE 99°i Street,Suite1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)258-7900 Fax::(360)258-7901 Fireplace _ Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes s dryer(gas) Other:Business name: T ) C a t4 t ry 7 M P cc v7 ©t ;� MECHANICAL PERMIT FEES* Address: 13tt D 5 CGAGKiMAS 1Tt✓i2 ✓e, Subtotal City/State/ZIP: G/26-66A/ (' Ty ` ©e q7045- Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5a3) 6--j?_ 2 Zz i Fax:(5-03) 55-7_, 0 C./9 State surcharge(12%of permit fee) CCB lie.: 72 l 2 3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 iG Je`seer days after it has been accepted as complete. Authorized signature: r * Fee methodology set by Tri-County Building Industry Service Board Print name: April Jensen Date: 12-16-14 J 1'I Building\Permits\MEC_PermitApp_040113.doc 440-46177(I I/02/COht/WEB) CITY OF TIGARD MASTER PERMIT s.. COMMUNITY DEVELOPMENT Permit#: MST2014-00102 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2014 T[c;A R i7 g Parcel: 2S109DB05400 Jurisdiction: TIGARD Site address: 13217 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 2 Project: Sequoia Heights, Lot 2 Project Description: New SF. Demo credits from BUP2014-00031 for TDT&Parks applied to this permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1467 sf Garage: 735 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $313,764.40 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'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&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 2536 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: $8,346.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes 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, r work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cente. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co• -- •- r - • •---- •uestions to OUNC by calling 5 .232.19877 1.800.332.2344. Issued By. ' Permittee Signature: /til.., Call 50 •��raait•7:00 a.m.for the next available inspection date. 1� This permit card shal •' kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Plumbing Permit Application Building Fixtures i ' 1E I IJE , Received City of Tigard .r [f Permit No. III • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: LS' y t 7 /.7r�dl �it/I/0". 3 0 2014 Plan Date/By: Other Permit No.: / Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ��'lY-,t55efe, T I G A R D Inspection Line: 503.639.4175 Li I ��(�iQ/� Date Ready/By: kris: H See Page 2 for Internet: www.tigard-or.gov ��4iPi� 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(1)bath 312.70 ® 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 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: 13 2/7 ski Ib}Z L(, e Re=$7- Jil4 Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: !/f A417 i 0 I? 9 7 22 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: SE- u Ui p I--/&.-l 0-17:5 I Lot no.: Z Fixture or item: Tax map/parcel no.: Backflow preventer f 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 CO PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,INC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NE 99th Street,Suite 1170 Garbage disposal I 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker i 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,INC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:ERIK PETERSON Roof drain(commercial) 12.51 Address: 11807 NE 99th 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 j� Water heater f 37.52 Business name: W O L CEO/ 77 ` L/LtIM131�Q Water piping/DWV 56.29 Address: / 0,75 W J. 141 STOR 1 c LO r!uM 691 Rl Ycji2 1-/W J/ Other: 25.02 City/State/ZIP: j i2a u�AL L Q q 76 ,Q / Subtotal Phone:(5-03) 6c7..../767/ K as/ Fax:(5 63) (o(0 7. �`g)7 / Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: // 2 2 p G Plumbing Lic.no.: Z( .f? 2 4 P a State surcharge(12%of permit fee) Authorized signature:__�1 ` W� TC-rte ) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: LLB FF' sU�tl MA Date:(p • /.1._ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application i •-? FOR OFFICE USE ONLY City of Tigard Received Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 y jC/�� / ��T�� -�/O} : I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit: Se..4.;.12,96/4"-eiecio Z.. -I I G A It D Inspection Line: 503.639.4175 Date Ready/By: Tuns: M See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TIIPk`'OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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 I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: // Air conditioning 46.75 Job site address: /32/7 -SW /Y/izi. eizL-S 7 1449/ Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: I,`1 pa 0 O2 9'7 2 2 3 Furnace 100,000+BTU(ducts/vents) 54.91 I 7 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 Subdivision: s[sQ Li O/Ir1 ,�l L-'/!f',y 75 Lot no.: 2 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 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 ® PROPERTY OWNER ID TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment I 33.39 Address:11807 NE 996 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 I Range ( E-mail:erik.peterson @lennar.com Barbecue _ CONTRACTOR Clothes dryer(gas) Business name: T. ( CO N�r'y E M �UN%f20 L Other: l MECHANICAL PERMIT FEES* Address: 131 U 5 CLA c./11-1 Mf1 S j?✓i:12 j2. Subtotal City/State/ZIP: G2 6-O^/ C,T OR. 9 7 0 4 s Minimum permit fee($90.00) Y Plan review(25%of permit fee) Phone:(6-03) c 5 5 7- 2 Z 2 G f Fax:( U3) 55-7-. 0 9/9 State surcharge(12%of permit fee) CCB lic.: 72 // 2 3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: Fiat t Z P t Z S 6-1■1 Date: ( .- ,. I 4 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/CO IM/WEB) . • Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received L 1 h Permit No.: / 7 2 jj/ —Qt /1 �— Date/$y: f Jv �"T Illii `I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / Q Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: ��7 /Y`Grp 1p'3- Ins ection Line: 503.639.4175 Date Ready/By: furls: 0 See Page 2 for TIGARD p Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit/sets of plans w/items checked below): New construction ❑Addition/alteration/replacelnent ❑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 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2","1-3", 100HP or more. occupancy. Job no.: Job site address: 32/ N 114zE1.-G(EST WO"1 ❑Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. ❑SuppIy voltage for more than City/State/ZIP: I LD Q�_, 9 7 Z2- l �J 0 Hazardous locations. 600 volts nominal. ❑Service or feeder 600 amps or more. Suite/bldg./apt.no.: Project name: FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 ..Q U O l�r Pr a-I CI-k--T S Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) I 75.00 2 Limited energy,multi-family 75.00 2 1 + 5F residential(with above sq.ft.) `V Renewable Energy ❑ See Page 2 Services or feeders installations alteration,and/or relocation 200 amps or less 100.70 2 ROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: A\---- - J if/Ng_ N IN I I N G , 401 amps to 600 amps 200.34 2 Address: I \ t p'7 N q e3-1—k S.- r S LA I-T e ( 1 —7 b 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: \ Cc—iv 6-7_ U\. A q S C 8 Z Temporary services or feeders installation,alteration,and/or I relocation Phone:(3d 2_5-s • 11 o o Fax:(3(06) 2G • o I 200 amps or less 59.36 1 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/c t`-(P- B.Fee for branch circuits without -2ontact 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) 7.ity/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: Signal circuit(s)or limited-energy See FR C''T c. f 't_ec_i RA�t)(2...1 panel,alteration,or extension. Page 2 2 k.ddress: I (p S'g S.. D NI EO 1�I`C H ,, ■= Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr :ity/State/ZIP: Ft Ace(' U PrLLls! I Of— Investigation(1 hr min) 66.25/hr Fax:( ) Industrial plant(1 hr min) 78.18/hr hone:(sp 3) 3 p. 6,05-0 3 Inspections for which no fee is 90.00/ht :CB Lie.: 19 3 319 Electrical Lie.: c, g c 7 Suprv.Lie.: -¢-g 7o s specifically listed(''h hr min) ELECTRICAL PERMIT FEES ■ uprv.Electrician signature,required: , , Subtotal: S �� Plan review(25%of permit fee): rint name:' t i '�t] p !_P�U ET S Date: State surcharge(12%of pennit fee): .uthorized signature: ��r TOTAL PERMIT FEE: .:............4 _'- �� This permit application expires if a permit is not obtained within 180 rint name: ' _2,v_ 'ECBr eki Date: Co .2_40' 1.1._ days after it has been accepted as complete. * Number of inspections allowed per permit. Jilding\Permits\ELC PermitApp_ELR EREdoc Rev 05/21/2013 440-4615T(11/05/COM/WEB . r 1111 City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential ,a. Building Permit #: N67-6Qoi t QO/O . Site Address: 132f Sv\l - e( cres+ \AJM Project Name: pia ,1Vfits Lot #: 2 (New welling=subdivis name;Addition or Alteration=last name of owner) Planning Review Proposal: New SFRR .r Verify site address/suite #exists and active in permit system. Site Plan Elements: .2rfliree(3)copies of site plan Existing structures on site ,2Site plan must be on 8-1/2"x 11"or 11 x 17"paper Z-Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations J2North arrow 2i[Jtility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number ZLocation of wells/septic systems . rApplicant 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.) .ot area,building coverage area,percentage of coverage and .2'5 eet names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location ,0froperty 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—Service Provider Letter. (lot platted prior to 9/10/1995): Required: ❑ Yes Er No Received: ❑ Yes ❑ No -0 Land Use Case#: 5L 52013 —occO2 ET Zoning: V-7 ,Q-Setbacks: Front 15 Rear 15 Side 5 Street Side RO Garage i5 IZI Landscape Requirement: 20 Lot Coverage Maximum: eO % 21' Building Height: Maximum Height G Actual Height±2.5 Visual Clearance Easements .0' Sensitive Lands: ❑ Yes /6 No Type ❑ Urban Forestry Plan 0 Conditions Met Notes: Approved By Planning: Date:r 7.--/-�5" 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\BldgPermitRvw_RES_042914.docx 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: 0 It ❑ Conditions Met Notes: t'1 rvil,r" Cc�•-IZ�YI J — V Approved by Engineering: Date: Revisions (after Building Submittal on Reviewer at- Revision 1: ❑ pproved Not Approved 5� g Revision 2: Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: "fit ( . , Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: A../ di Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: to Issue Permit ?5jbK Approved by roved b Permit Coordinator: //% I �-Date: S f I:\Building\Forms\B1dgPermitRvw_RES_042914.docx Contractor is responsible to check site plans and notify designer of any errors or omissions prior to start of construction. Plans and specifications shall be approved h'' 60.00' '0� r. by local building officials prior -- -567' to the start of any construction. 566 MULCH-ESTABLISH -__ WET WEATHER EROSION NOTES: GRASS , ° SILT FENCE 1. DURING WET WEATHER SEASON ;_, ia4' '(OCTOBER 1-APRIL 30)ALL SOILS _ _ ca *E EROSION CONTROL NOTES: ,./ N EXPOSED FOR MORE THAN 2 DAYS 168 1. A STABILIZED GRAVEL SHALL BE COVERED WITH PLASTIC „- 51 SHEETING,OR A 2-INCH LAYER OF 15'-0 " :` CONSTRUCTION ENTRANCE SHALL MULCH,BARK,WOOD CHIPS, I °i 2 55A-3 4 I BE INSTALLED AS FIRST SITE SITE LEGEND: SAWDUST,OR STRAW TO MINIMIZE "SYCAMORE' ACTIVITY. / EROSION POTENTIAL. I I AMERICAN °I 2. EROSION CONTROL CITY OF TIGARD LIVABLE SA.Ft•`E Utility Symbols: 2. EXPOSED SOILS SHALL BE I MEASURES SHALL BE INSPECTED Approved b P I a n n 1 n i Y SEEDED NO LATER THAN r DAILY AND MAINTAINED AS / ' FIRE HYDRANT SEP MBER1. 'r ,, [OVERALL / ' NECESSARY TO ENSURE THEIR Date: /--/ o� '4 MAIN F FUNCTION. V .F.E=563.75 ° D\ Initials: ® CATCH BASIN 3. EROSION CONTROL PROVIDE GRAVEL STAGING GARAGE CD MEASURES SHALL BE KEPT IN * STREET LIGHT AREA AT DRIVEWAY. T.O.S:562.75 PLACE UNTIL PERMANENT GROUND (2"MIN QUARRY SPALLS FOR hb 15*-I.' COVER IS ESTABLISHED. —=s ss— SANITARY SEWER SINGLE FAMILY SITES). GARAGE .. ,�5.�." —"—n—= — STORM DRAIN �ba 5'-0"��'3°� ="�"�'' I SANITARY SILT FENCE rs lrsc i ■ — H ° LATERAL /I —W WATER LINE 412E �x — STORM LATERAL i Fence Types: 563 P U.E. .4 t ONCRETE ; ` - _ -- -- N .R A .o• r�2 i .., / 0 0 0 6'-0" WOOD FENCE --- __ _ o i•e ` -46 ';* � ,f • SEE LEGEND FOR ,i �_ � ___ 563'- b ,. .� �.sf _ f . /1 0� TREE -TYP. --- (See Fencing Plan if Necessary) — _- 5-01 — -- � �_r� �� , s \ TYP - ! • - '• "SIDEWAL - © ' ' ,� 1 _ Street Tree Types. �;'� �` 0 ACER TRUN. x ACER PLAT. WATER N �® METER SUNSET MAPLE' 2"CAL. SAN. — SAN SAN \ SW HAZELCR ST WAY s''" CLADRASTIS KENTUKEA /' 2"CAL. STM STM STM _ 2"CAL. \ WAT WAT 4 STM >�kft1111 kf FRAXINUS OXYCARPA N CD RAYWOOD ASH' p 2"CAL. .. .. .. .. , /�� /� �® ■ PROPOSED COVERAGE AREA: /MINIMUM BUILDING SETBACKS 1 r-DRAWN:06-24-2014JBG� SITE PLAN Street Address: HOUSE 1,088 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS L E GARAGE' 716 Sq.Ft. 160 Sq.Ft. FRONT HOUSE: 15 FT.(From P.L.) SEQUOIA HEIGHTS 13217 SW H aze I crest Way COVERED ENTRY FRONT PORCH 12 FT.(From P.L.) 11807 N.E. 99th Street PATIO: (IMPERVIOUS) 168 Sq.Ft. GARAGE: 20 FT.(From P.L.) Suite 1170 DRIVEWAY: (IMPERVIOUS) 608 Sq.Ft. REAR YARD: 15 FT.(From P.L.) CITY OF TIGARD,WASHINGTON CO, OREGON Vancouver, WA 98682 TOTAL COVERED AREA 2,740 Sq.Ft. SIDE YARD: 5 FT. (From P.L.) i LOCATED IN THE SE 1/4 OF SECTION 9, HOME SITE # 2 Office: 360.258.7900 STREET SIDE: 10 FT.(From P.L.) TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN 5 140 Sq.Ft. 80%MAX.ALLOWABLE = 4,112 Sq.Ft. \ SCALE:1" = 20' J , \ J PROPOSED COVERAGE% = 53.3% 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00102 George Heimos *Final Erosion Control approval. Received *Street Tree Certiﬁcation, checked for tree(s). Received, signed/dated *High-Efﬁciency Interior Lighting Systems Document Received *Moisture Content Acknowledgement Form. Received *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval (if required). Passed *Carbon monoxide Detector. Checked. *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval. Pass *Lawn Irrigation ﬁnal with Backﬂow test results. Received CofO Certiﬁcate provided. 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00102 George Heimos 1. Provide plumbing ﬁnal approval. 2. Recall inspection when above correction has been completed. NOTE: checked smoke detectors, pass Did not take documentation. 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00102 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00102 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00102 George Heimos 1. Correct hall bath 1/2 bathroom not caulked completely. 407.2 2. Correct master bath left handle not positioned properly. 310.3 3. Provide lawn irrigation backﬂow device approval. PLM2014-00381 4. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00102 George Heimos 1. Provide ﬁnal plumbing, mechanical, backﬂow device and erosion control ﬁnal approvals prior to calling for ﬁnal building. 2. No inspection made, did not take any documents, recall when above corrections have been 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 13217 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00102 Jeff Grove Violation Summary: Inspector Contractor