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Permit y CITY OF TIGARD MASTER PERMIT `'`4 i - COMMUNITY DEVELOPMENT • Permit#: MST2014-00101 T t C3 p); 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i t Date Issued: 07/29/2014 A Parcel: 2S109DB05300 Jurisdiction: TIGARD Site address: 13205 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 1 Project: Sequoia Heights, Lot 1 Project Description: New SF. 12/16/14: Reprinted permit to include(1)A/C unit. Placement of A/C unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1477 sf Garage: 774 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2722 sf Value: $336,572.26 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+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 2722 Owner: Contractor: LENNAR NW INC LENNAR NORTHWEST INC I Required Items and Reports(Conditions) 11807 NW 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: $21,467.58 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throughh 952-001-0090. You may obtain a copy of the r -- • direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. v Issued By: — Permittee Signature: Call 503 A"• by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE.USE ONLY City of Tigard 7, d . Y Permit No.: V --A .t1 1111 I q 13125 SW HaII Blvd.,Tigard,OR 97223 lair Review it Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: 2i1 ate/By: TI(:A RD Inspection Line: 503.639.4175 oC C 1 Date Ready/By: Suds: Ed See Page 2 for r Internet: www.tigard-or.gov L ed/Method: Supplemental Information 111 1 _72 TYPE OF WORK \7�`e"" P COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/reel performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For speck,!information nse checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION H,ttinglmolin r ' ' Air conditioning I 46.75 Job site address: (�,ZO S S W 62.4--L ,�Fs-T W f}`/ 'l i rn&ertlY0,g0 BTU(ducts/vents) • 46.75 City/State/ZIP: �Iea PA.,,12p '7'72-2-j Furnace 100,000+BTU 54.91 — Heat pump 61.06 Suite/bldg./apt.no.: Project name: — Duct work I 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: �n 1 r�JA,„ ,_ S Lot no.: 1 Other: 1 23.32 Other fuel appliances: Tax map/parcel no.: 5300 Water heater . 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 A Flue vent for water heater or gas NSFR — rA bb A AIM. CG of b I-T I 43T-11 NC_ fireplace 23.32 He� Log lighter(gas) 23.32 A S.7 E � x"VA 1� HST,1'! -O D I O ' Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 21 PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen t1i 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;54.03 for each additional Contact name:ERIK PETERSON Furnace,etc. Address:11807 NE 99Th Strect,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 lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Other:Business name: -1—R i Co mit)Ty 7 MP CU,vr oL- -� MECHANICAL PERMIT FEES* Address: ( g 1 t e) $ ci"e/tH MRS R,,.4._-2 ✓e, Subtotal City/State/ZIP: 0/26-.66A,/ �/Ty 0/19. CJ 7 0 4 5 Minimum permit fee(890.00) Phone:(5-63) ,rj 7- 2 2,26 Fax:(6-03) 5-5-7— �j CI/d Plan review(25%of permit fee) 7 State surcharge(12%of permit fee) CCB lie.: 72 6 2 TOTAL PERMIT FEE 52.3 This permit application expires if a permit is not obtained within 180 /pi-1G Jensen days after it has been accepted as complete. Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board Print name: April Jensen Date: 12-16-14 I\Building\Permits\M.EC PermitApp_040113.doc 440-46171(I 1/02/CO?WWEB) i ( I fi rye+ 614.)1}-Gb EY -' ext.. 5 c ItIc- ., CITY OF TIGARD MASTER PERMIT ICOMMUNITY DEVELOPMENT Permit#: MST2014-00101 Date Issued: 07/29/2014 TIGARD 13125 SW Hall Blvd .Tigard OR 97223 503.718.2439 Parcel: 2S109DB05300 Jurisdiction: TIGARD Site address: 13205 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 1 Project: Sequoia Heights. Lot 1 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 26 Bathrooms 3 Second: 1477 st Garage- 774 sf Front 15 Smoke Dwelling Units: 1 Third: 0 st Right 5 Detectors Yes Total: 2722 at Value: 5336,572 26 Rear 15 PLUMBING Sinks 1 Water Closets 3 Washing Mach 1 Laundry Trays: 1 Rain Drain 1 Urinals 0 Lavatories- 5 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100 Tubs/Showers' 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Drains 0 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 0 Ice Maker 1 Hose Bib 2 Backwater Value 1 Drywell-Trench Drain 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning: N 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>=10QK 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 st 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 2/22 Owner: Contractor: LENNAR NW INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NW 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: $21,415.22 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 issuance, or .; ork is suspended for more the 180 days N I ION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter hose rules are set forth in OAR 952 01-0010 through OAR 110 090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 2 .1987 0 800 332 2344 Is ued By: Le '►w - 1 Permittee Signature: y- N, Call 503.639.4175 by 7:00 a.m.for the next available inspection date.`' This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. . r Building Permit Application Residential FOR OFFICE USE ONLY ,RECEIVED City of Tigard Dates . © „ , , 11111 I 13125 SW Hall Blvd.,Tigard,OR 9 Plan Re ` -1 f- 1 , 2�0(� tom& Phone: 503.718.2439 Fax: 503.598' 3 0 2014 Oat ~/ Permit: lit.,,t r,n Inspection Line: 503.639.4175 Date' y. hags 65 See Page 2 for Internet: www.tigard or.gov CITY 01-WARD Notified/Method: •'7/i 1 ' (s”( On Supplemental Information RUIL^tW isnt' �e--„„,,, a� 'i.rif TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING in New construction El 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 4l ryj. q. 2 O ® 1_and 2-family dwelling ❑Commercial/industrial I 1:1 Number building ❑Multi-family Number of bedrooms: 4. ❑Master builder ❑Other. Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2- Job site address: /3Z 3.. .3---1„) NA Z EL e g e.-57- 1A/.4y -- New dwelling area: 2 7 Z. L square feet City/State/ZIP: l/('R./) ) 08 q 72 13 Garage/carport area: 7 7 4- square feet Suite/bldgiapt,no.: Project name: 5,f.4 Lie 1 14 /4f j a,n-r.5- Covered porch area: J 4 4. square feet /4-77 Cross street/directions to job site: Deck area: square feet 12,41(i5 Other structure area: W (i' square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: SL"4 ii 0/A /467/4-7-//4'7-/ j S Lot no.: 1 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.: 2- 1 o ci be, - 5-3 OD equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. N S F R Valuation: S 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 99a 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 994 Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Amount received: 757- 34 Phone:(360)258-7900 I Fax::(360)258-7901 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:erik.peterson @lennar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:LENNAR NW,INC Submit two( - of roof plan with connection de . and fire department ace- , • I . with the t * I regon Address:11807 NE 99*Street,Suite 1170 Solar Installation Specialty Code ,. -:+1st. City/State/ZIP:Vancouver,WA 98682 Permit Fee(include review $180.00 and:. I narrative fees): Phone:(360)258-7900 Fax:(360)258-7901 State sure arge(12%of permit fee): •1.60 CCB lic.: j 5 3 0 7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: (Riff pE, - s-,,,, Date: '-z.40- *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitstBUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Plumbing Permit Applicati iErp if F[) Building Fixtures JUN FOR OFFICE USE ONLY 71 City of Tigard J U n 3 2014 Received 0 Date/By: / �� / ( , i Permit No.: HLn- � /0 a 13125 SW Hall.2 39 Tigard,x: OR 9911$u 1 ILVIH j,) Plan Review uv��ss �^` / / ��/ ■ Phone: 503.718.2439 Fax: 503.59 1l�(0 Other Permit No. :90 cf Date/By: T I G A R v Inspection Line: 503.639.4175 BU'1 DIL1I4 nta�'nj fp• Date Ready/}3y: lulls: ® See Page 2 for Internet: www.tigard-or.gov L ItV 1 ll� 1!/ 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 ID Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑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: Catch basin or area drain 18.76 Job site address: /3 205 s h) A/11 Z�L c. 7 WA y C Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7/r'A,2j7 oR 7 7 2 2 3 f � 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: S5./,uU/� /�I/t_,i-/TS I Lot no.: 2 Fixture or item: 'Fax map/parcel no.: Y 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 99"Street,Suite 1170 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2.. 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1. 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 99'h Street,Suite 1170 Sink/basin/lavatory 5 j 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 CONTRACTOR Water closet 3 25.02 Water heater ( 37.52 Business name: W O L CO 7T t7L L./fI 8)Nci Water piping/DWV 56.29 Address: /b 75 w, 1.41 sretz I c (To lam 131/1 f?lye/i2 yW V Other: 25.02 city/state/ZIP: !i29u73AL�; . O q 70 60 / Subtotal . Phone:(j o 3) 4,C 7-1761 x 3 el Fax:(S o3) 6,�0 7- Fj ? / Minimum permit fee: $72.50 CCB Lic.: 11 22 o G Plumbing Lic.no.: 2( . g 2i PQ Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: rim.- 4 C c� PeT��v 6 J) TOTAL PERMIT FEE Print name: CL!�-F- , U W/yA Af Date: /_. .1 This permit application expires if a permit is oot obtained within 180 days �C� after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU•PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit ADDl FOR OFFICE USE ONLY p1VED R.ceived City of Tigard (p 30 /�� Permit -E-o ?1 i a 13125 SW Hall lvd.,Tigard, Plan Re .�,.G, IY5r2o� Phone: 503.718.2439 Fax: 503.598-M 3 0 2014 Date/By:Review Other Permit:44_,�/�3C/(�- L7C ti i 1 1 G:\1,11 Inspection Line: 503.639.4175 U I V Date Ready/By: ruris: El See Page 2 for Internet: wwsv.tigard-orgov CI TY 'n Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Comrnerciallindustrial ❑Accessory building For special Information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. l Total JOB SITE INFORMATION AND LOCATION Heating/cooling: _ '- / Air conditioning 46.75 Job site address: /JZO. 5k) /-/A Z EL.C 6Q( 57 Cv/y Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 77-42A1/2/, ,, OR 9 7 Z 23 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 Subdivision: 5 Q(i c,/,Q /'I L/�',//7-5 Lot no.: Other 23.32 / Other fuel appliances: Tax map/parcel no.: Water heater ( 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 ❑ TENANT Other. 23.32 Environmental exhaust and ventilation: _ Name:LENNAR NW,INC Range hood/other kitchen equipment 1 33.39 Address:11807 NE 99t1'Street,Suite 1170 Clothes dryer exhaust I 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 ® 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. 1 Address:11807 NE 99th 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 dryer(gas) Business name: TA I CO N,t)-7 i M p CUM%R 0 L Other: .. MECHANICAL PERMIT FEES* Address: 1 3i .5-0 S Cle_A c/41.4 mils JT/✓&.Q D2. Subtotal City/State/ZIP: G2r 9 7 4)4 5- Minimum permit fee($90.00) t)aN /TY t9e. Plan review(25%of permit fee) Phone:(5 o3) 5 5 7- z 2.7 6 (Fax:(6-03) 5s7- 0 /.9 State surcharge(12%of permit fee) CCB lic.: 72 6 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: .,;:�wie L.(,,-‘._....\._ • Fee methodology set by Tri-County Building Industry Service Board Print name: (2.1.1/___ F:.---c -12_.scs.r,i Date: /_ .Z tP •11._ I:\Building\PenultsV MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical. Applicati rgivED / FOR OFFICE USE ONLY City of Tigard Date/By: (, 3e' fie/ Permit No.: )1/21-49c id-e�/eT/ n 13125 SW Hall Blvd.,Tigard,OR 97221 3 0 2 G 14 c3 2,�c i G/ Cc'‘` �� Plan Review Other Permit: i ' Phone: 503.718.2439 Fax: 503.598.15 Date/By: Juris See Page 2 for Inspection Line: 503.639.4175 C /�,,A�ppr, DateReadyBy: T I GARll Internet: Line:gard-or CITY Y I I�1HtL Notified/Method: Supplemental Information ,tt tK' nor 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 L7 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural f-r\-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", 1 I I00HP or more, occupancy. Job no.: Job site address:/ 2 0.6-5 A J1A2-at•cc-.€5T 4�1 by ❑Six or more residential units. ❑Recreational vehicle parks. q 0 Health-care facilities. ❑Supply voltage for more than City/State/ZIP: �i(_,A.1,2___,0 1 //2-2- j ❑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 4Er• I Fee. I Total I a New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less 168.54 4 Subdivision: Lot no.: 1 Je P U Ott- O' CH�' 7 Ea.add'1500 sq.ft.or portion 33.92 Tax map/parcel no.: Limited energy,residential i 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) 1 Limited energy,multi-family 75.00 2 Re N 5 F residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ■ PROPERTY OWNER 0 TENANT 200 amps or less I 100.70 2 1 201 amps to 400 amps 133.56 2 Name: E.N r•(Ala. N IN j j N C-, . 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: F{ 1 p t.4 +In - ( u t Z I a Over 1,000 amps or volts 552.26 2 City/State/ZIP: V c_csi V co-- UV A 1 5 Cog,2—. Temporary services or feeders installation,alteration,and/or 1 relocation Phone:(3 4,d 2_.5-g • f 9 00 Fax:(3/0o) 2.51, • `l e 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 Jwner signature: - Date: _ Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 3usiness name: — S pr 1.._( __ B.Fee for branch circuits without :ontact name: service or feeder fee,first 56.18 2 branch circuit . ,ddress: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) _ :ity/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder 'hone:( ) Fax: ( ) Reconnect only 67.84 2 F,-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 FF.p'T>=L1-i F L.ec g_i C✓ panel,alteration,or extension. Page 2 _ 2 ddress: C _ Each additional inspection over allowable in any of the ahoye 1 Sg J E U Ev I Additional inspection(I hr min) 66.25/hr ;ity/State/ZIP: f_-4,, 1 \p„_,,1 Investigation(1 hr min) 66.25/hr hone:(5p ) 3` �' 0-3 Fax:( ) Industrial plant(1 hr min) 78.18/hr 3 Inspections for which no fee is 90,00/hr :CB Lie.: ' ct 5 39 9 Electrical Lie.: c, 2,1 ---/ Suprv.Lic.: .Qa7o S specifically listed(Vi hr min) - ELECTRICAL PERMIT FEES ■ uprv.Electrician signature,required: Subtotal: Date: /,, Plan review(25%of permit fee): rintname: �oN.iO O �L�VETS `i' ' �� State surcharge(12%of permit fee): .uthorized signature: - L TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 rint name: la l PE-Tog-5�\f Date: 6,•2.,&, - i4 days after it has been accepted as complete. • Number of inspections allowed per permit. gilding ennits\ELC_PermitApp_ELR_ERE.dos Rev 05/21/2013 440-4615T(11/05iCOM/WEB City of Tigard , . IPI COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: )`17-"do/4/CA /07 Site Address: i 32)5 SW i4C1 ZeIGreS+ \Na( Project Name: See4V0i a iltS Lot #: (New cfwelling=subdivist name;Addition or Alteration=last name of owner) Planning Review Proposal: new SFR_ igl Verify site address/suite #exists and active in permit system. Site Plan Elements: - Three(3)copies of site plan ,J2 xisting structures on site .2Site plan must bg on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished ...latrawn to scale(standard architect or engineer scale) floor elevations . ' ■• „121Slorth arrow ,ltJtility locations(required for new,may apply for additions) 2ite address,project or subdivision name and lot number .Vocation of wells/septic systems applicant information(name and phone number) ,2trosion control(including drainage-way protection,silt fence .43Lot dimensions and building setback dimensions design,location of catch basin,etc.) jZi of area,building coverage area,percentage of coverage and ,Street names impervious area(applicable if R-7,R-12,R-25&R-40) jreet tree size,type and location ZProperty 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: El Yes ig. No Received: ❑ Yes ❑ No .Land Use Case#: SUe,2013—c0002_ 0.Zoning: R--1 Setbacks: Front 15 Rear 15 Side 5 Street Side 10 Garage 2.0 Er Landscape Requirement: 2.0 .2 Lot Coverage Maximum: O ,PS Building Height: Maximum Height 3S Actual Ileight t1Lo Visual Clearance Z Easements 2r Sensitive Lands: ❑ Yes Z No Type ❑ Urban Forestry Plan .a-Conditions Met Notes: Approved By Planning: Date: "7--/4/4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms 1BldgPermitRvw_RFS_0429I4.docx . , Building Permit Submittal Original Submittal Date: 0,1/ Site Plans: # 3 Building Plans: # Building Permit#: QrEnter building permit#above. Workflow Routing: Planning EL-Engineering Cl-"Permit Coordinator EY-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. [ t ii siding original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: C Date: J] /� /I f� Engineering Review -la—Actual Slope: S %) ❑ Conditions Met �� Notes: Til., ° Id E/Cir to L Ala sf/LerY2 r0 v t G br Approved by Engineering: — Date: OW Revisions (after Building Submittal�onN fewer Date Revision 1: CI IFS Not Approved /7 ;- Revision 2: pproved ❑ Not Approved 17/ Revision 3: *'U Approved CI Not Approved PP PP Permit Coordinator Review ❑ Conditions Met -Prior to IIssuuance of Building Permit Notes: e.. . .sz�r C to 4 ape-6i Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: /V,-// Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit Approved by Permit Coordinator: Date: ? /7 I:1BuildingI Forms 1BIdgPerm it Rvw_RES_0429 I 4.docx 1. DURING WET WEATHER SEASON N Contractor is responsible to check (OCTOBER 1-APRIL 30)ALL SOILS I I site plans and notify designer of EXPOSED FOR MORE THAN 2 DAYS hb`' 65.00' 4 Z I 4� any errors or omissions prior to SHALL BE COVERED WITH PLASTIC Q — — — "- SHEETING,OR A 2-INCH LAYER OF 565' a N start of construction. Plans and 8'-0" , 8'-01'W - MULCH,BARK,WOOD CHIPS, MULCH-ESTABLISH ,v �, specifications shall be approved , SAWDUST,OR STRAW TO MINIMIZE GRASS ' " - P.U.E. I I O U by local building officials prior CIN F TIu 4n.D EROSION POTENTIAL. hba M II I J _ _ _ _ _ a I� SIL7 FENCE v„-, to the start of any construction. Approved by Planning 2. EXPOSED SOILS SHALL BE �f . PATIO r 1 r I -/Y 1 _ -1 I II i�'�h- uAR�Date: 1 - SEEDED NO LATER THAN ,M,,,,. I Oo. I N I ('��lr? t�:IS�� SEPTEMBERI. 15'-0” Initials: ''� 2693A-3 �b % 1 / EROSION CONTROL NOTES: "BELLEVUE" / 00 1. A STABILIZED GRAVEL CONSTRUCTION I AMERICAN . %r', �A 11111 1 SITE LEGEND: ENTRANCE SHALL BE INSTALLED AS FIRST 1,245,q.P,. l,_ SITE ACTIVITY. I 50'-0" „. ► j i Utility Symbols: 2- EROSION CONTROL MEASURES SHALL ° " F.F.E.=562, /r O , BE INSPECTED DAILY AND MAINTAINED AS ',5 r" m 1 I I FIRE HYDRANT NECESSARY TO ENSURE THEIR FUNCTION, 4) m GARAGE i"'�� T.0.5.=561.50 ® CATCH BASIN 3. EROSION CONTROL MEASURES SHALL I QUT i ,25'-0" I / I 25'-0" -- BE KEPT IN PLACE UNTIL PERMANENT GARAGE roi I • STREET LIGHT GROUND COVER IS ESTABLISHED. I "F ,, N O' 11— — SANITARY SEWER 5'-06,41 � I10'-0" I °C PROVIDE GRAVEL STAGING - -- AREA AT DRIVEWAY. •l ° --28'-5" I I" f� V I —s,—°'— STORM DRAIN _ ____ --- (2"MINQUARRYSPALLSFOR 562' I.'.-•- - I"",��H• / r I•SINGLE FAMILY SITES). •12%GRADE �SII —w WATER LINE _ 56i' CONCRETE ..• J Q[ �. DRIVEWAY -R ,4 / i I CY I Fence Types: -. : : . 5 —'° �...I $ >; ) _ b�', � N 4 ,. s.0 0 0 6'-0" WOOD FENCE SI• W ��, ' r p=4, 3 ebb - - I I •'`'`�. �'' ��/b' / SIGN C (See Fencing Plan if Necessary) �: , �_� �. ■- =�_��_� �-��_��'� 3� / CLEARANCE CV SEE LEGEND FOR �i'� �� :EASEMENT M I Street Tree Types: TREE TYPES-TYP. �� . . ' �� ®� �-+ YP � �� I s� SAN WATER ��,I� I 0 h ��, STORM ACER TRUN. x ACER PLAT. — — METER ry m►(� to / \ 'SUNSET MAPLE' �++' LATERAL 2"CAL. I II --- _ /I SANITARY I -t_ �� ST LATERAL CLADRASTIS KENTUKEA �" �� " 'YELLOWOOD' 2"CAL- 711IMIRIA .4 LCRFS r I I - h y FRAXINUS OXYCARPA _ �^'�- `' O 'RAYWOOD ASH' _ - _ '. TN —�o mv_________4_ L 2"CAL. litypiri-__ ________----- _N" _ .. .. -- / /, / _,_ .,t , . __________ , . , _ _ -____ : . ..___- _ . .,,r , ,t , ..„--- -_T_ ---v,_ I , ---- ,PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS DRAWN:06.24-2014JE3G SITE PLAN 1 Street Address: LENNAR HOUSE' 1,245 Sq.Ft 774 Sq.Ft GENERAL REQUIREMENTS FOR LOTS GARAGE" FRONT HOUSE: 15 FT.(From P.l.) SEQUOIA HEIGHTS 13205 SW Hazelcrest Way COVERED ENTRY 168 Sq.Ft. FRONT PORCH 12 FT"(From P.L") 11807 N.E. 99th Street PATIO: (IMPERVIOUS) 168 Sq.Ft. GARAGE 20 FT.(From P.L.) (-_1 CITY OF TIGARD, Suite 1170 DRIVEWAY (IMPERVIOUS) 729 Sq.Ft. REAR YARD. 15 FT.(From P.L.) , WASHINGTON CO, OREGON Vancouver. WA 98682 TOTAL COVERED AREA 3,084 Sq.Ft. SIDE YARD: 5 FT. (From P.L.) \■ / LOCATED IN THE SE 1/4 OF SECTION 9, HOME SITE Office: 360.258.7900 STREET SIDE: 10 FT.(From P.L.) �� TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN 80%MAX.ALLOWABLE• = 4,893 Sq.Ft. 6,116 Sq.Ft. PROPOSED COVERAGE% = 50.4% SCALE:1" = 20' f 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 13205 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00101 George Heimos The following documentation for ﬁnal inspection has been provided: *Street Tree Certiﬁcation, checked for trees. Provided *High-Efﬁciency Interior Lighting Systems Document. Provided *Moisture Content Acknowledgement Form. Provided *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval. Passed *Final erosion control Passed 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 13205 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00101 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 13205 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00101 Jeff Grove Breaker lock for dw not installed. Will check at ﬁnal Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13205 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00101 George Heimos 1. Provide ﬁnal erosion control approval. 2. Provide ﬁnal plumbing approval. 3. Provide ﬁnal mechanical approval. 4. Provide ﬁnal mechanical approval 5. No ﬁnal inspection done, not ready, recall when above corrections have been completed. 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 13205 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00101 George Heimos 1. Add AC unit to permit. 2. Recall inspection when completed. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13205 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00101 George Heimos Install outside storm cleanout cap with approved thread sealant on right side cleanout, 316.1.1 All else ok Violation Summary: Inspector Contractor