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Permit CITY OF TIGARD 11111111101M MASTER PERMIT 'F1 •- COMMUNITY DEVELOPMENT Permit#: MST2014-00104 T[G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2014 Parcel: 2S109DB06500 Jurisdiction: TIGARD Site address: 13226 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 13 Project: Sequoia Heights, Lot 13 Project Description: New SF. 1/14/15, reprinted to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1074 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1318 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2392 sf Value: $304,843.60 Rear: 15 PLUMBING Sinks: 0 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 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 2392 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: $20,914.04 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in acco with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT ION: Orego =w requires you to follow the rules adopted by the Oregon Utility Notif' - ,Center. Those rules are set forth in OAR 952-00 010 through OAR 9522-0090 1 ..may obtain a copy of the rules or direct questions to OUNC by ca, .. . 32.1987 or 1.800.332.2344.71 Issu d By: r -alb ` Permittee Signatu -• .')A/ 6 Call 503.639.4175 by 7:00 a.m.for the next available inspection da •. This permit card shall be kept in a conspicuous place on the job site until c. •etion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applica ion FOR OFFIC'r. IJSr,ONLY City of Tigard f ECEIVED Date/BY /® PemsitNo.: •"I1`�o/Y- /e)y ' ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: 1 1 c RD Inspection Line: 503.639.4175 JAN 14 2 015 Date Ready/By: Ems ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE giJ4,144RiNG DIVISION COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. — Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES' ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special/nforn ation useckeckllsl. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION He tingLCpolirlg: Job site address: I �j 7....2._.Cr, 1-1-11-2. -LL-12-F- 1- . 11 Air conditioning 4 46.75 ,,.-75'- S ' I f i A-�' •umace IIRI, BTU(ducts/vents) 46.75 City/State/ZIP: �I,M--(Lt:, T72-2.3 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 Subdivision: Other: 1 23.32 `JECi Un114 Lot no.:�E)C�F(TS i3 Other fuel appliances: Tax map/parcel no.: � SO 0 Water peak, • 23.32 DESCRIPTION OF\YORK Gas fireplace/insert 33.39 Flue vent for water heater or gas NSFR - r71:)% Aire- CoNbt-rl TNINC. fireplace 23.32 l Log lighter(gas) 23.32 r`-'1AS't'eye_ pl✓RWtt-f MsTZD1`C -00104_. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: _ 23.32 ® PROPERTY OWNER I ❑ TENANT _ Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen ,h —" equipment - 33.39 Address:11807 NE 99 Street,Suite 1170 Clothes shyer exhaust 33.39 City/State/ZIP:Vnucouvcr,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: S14.15 for first four;54.03 for cacti additional Contact name:ERIK PETERSON Furnace,etc. Address:11807 NE 99th Strect,Suite1170 Gas hens pump — Wall/suspended/unit heater •City/State/ZIP:Vnncouver,WA 98682 Water heater Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range E-mail:crlk.pcterson«lennar.conu Barbecue CONTRACTOR Clothes dryer(gas) Business name: TR I CoU,jr1 T Mp Ccwr oL Other. --� MECHANICAL PERMIT FEES* I Address: 131 0 S. C'GA eHN MR5 Iii✓k 2 ✓e. Subtotal j7/&.'7S City/State/ZIP: p Minimum permit fee($90.00) _ G�[=ODA� /T1� ()if?. 7U�� Plan review(25%of permit fee) Phone:(5-03) SS 7- 2ZZ6 (Fax:(CO3) 557- 09'/9 State surcharge(12%of permit fee) 55.e,/ CCBlie.: 72 6 2 TOTAL PERMIT FEE 5,• v "--""----- This permit application expires It a permit Is not obtained within ISO /n//C Jensen days after it has been accepted ns complete. Authorized signature: )N/ • Fcc methodology act by Tri-County Building Industry Service Board fPrint name: April Jensen Date: 1-13-15 1-\Boil&ngWcrmils'tEC_PermiuApp O4OI13.doc 440-461 Tr(II/021COAl/WEB) CITY OF TIGARD MASTER PERMIT I"! 1 COMMUNITY DEVELOPMENT Permit#: MST2014-00104 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2014 Parcel: 2S109DB06500 Jurisdiction: TIGARD Site address: 13226 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 13 Project: Sequoia Heights, Lot 13 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1074 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1318 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2392 sf Value: $304,843.60 Rear: 15 PLUMBING Sinks: 0 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Other Fixtures: 0 Drywall-Trench Drain: 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 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 addl 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr 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 2392 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: $20,754.60 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 wo is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. Th e rules are set forth in OAR 952-001-0 0 throu OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .198 r 1.8 .332.2344. Issued Permittee Signature: 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. f . Building Permit Application 410 Residential ' 4 3,` ED FOR OFFICE USE ONLY City of Tigard 6 2014 RDeacteeB ived Permit No.: 57 IL, )/ w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 i'i(3 P Date/13 : ��!j''` ®� Other Permit: �.�t3j }(s� Inspection Line: 503.639.4175 .•.mitt,. Date Rea."'-• Juris: la See Page 2 for d �' �`D , dY''o ; -*'t13?�+Z'Xat Notified/Method: • s �� le Supplemental Information Internet: www.tigard-or.gov '/ 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�j A /y,�-/-te h0 ® 1-and 2-family dwelling ❑Commercial/industrial / "' / ❑Accessory building ❑Multi-family Number of bedrooms: 4. ❑Master builder ❑Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: /,3 z z to 514/ _ifr]zt2a a2L-3-7- 1 il New dwelling area: 2,53 to square feet City/State/ZIP: l/ 6 meD G e g 7 z z 3 Garage/carport area: 503" square feet Suite/bldg./apt.no.: Project name: Covered porch area: ) 34_ square feet eta Cross street/directions to job site: Deck area: square feet 074_ Other structure area: 306,( square feet '2;f-3 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 5L cp q01 ,,4 I-71 L.---/ CM TS Lot no.: 13 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.: • _S I O q I D F3 — 40_500 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 ,=>> PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:erik.peterson @lennar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top ounted Photo Voltaic Solar Panel System Business name:LENNAR NW,INC Submit a (2)sets of roof plan with .•.- ion details and fire des, ment acces . g with the 2010 Oregon Address:11807 NE 99th Street,Suite 1170 Solar Installat.• .secialty Code checklist. City/State/ZIP:Vancouver,WA 98682 P' Fee(t des plan review $180.00 and admini . . ive fees): Phone:(360)258-7900 Fax:(360)258-7901 State surcharge(12%of permit - : $21.60 CCB lic.: �(3 3 17 I Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained tit within 180 days after it has been accepted as complete. Print name: u�n Date: /- *Fee methodology set by Tri-County Building Industry �lp�C1 /��[�r�/(� (!� . 7i�0 ' ¢ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Plumbing Permit Applicati W Building Fixtures 0 g 2014 City of Tigard 3 Received . �U / Permit No. Ljrd(j f -(6(Q C� Date/By: (.Q 13125 SW Hall Blvd.,Tigard,OR 974 �i(� Plan Review .1111 el C Phone: 503.718.2439 Fax: 503.54 1 ��" Other Permit No itD/4/ )6y Date/By: O�� T I G A R D Inspection Line: 503.639.4175 al RN" !ti��O�y Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov ,tai 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 ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ( 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: J_32Z6 ,SW f7AZL t d IZL�S'T W/1/ Catch basin or area drain 18.76 97223 Drywell,leach line,or trench drain 18.76 City/State/ZIP: // c A/17 ) Q R 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: SG 9(�U/fl H E )0475 5 I Lot no.: 1 3 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 I 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 j, 12.51 Z 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 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 I Water heater ( 37.52 Business name: W O L Co 77 FL c l3)NQ Water piping/DWV 56.29 Address: /b 75 tot). Hi 57hR IC Co L UM L3)A /f 1?9YZ kiwi Other: 25.02 City/State/ZIP: %Re U�AL L Q/Q q 76( ,D Subtotal Phone:(5-03) 66 to 7/75/ 3 8l Fax:(,5 63) G 6 7_ �69 9 / Minimum permit fee: $72.50 CCB Lic.: // 2 2 06 Plumbing Lic.no.: Z6 . g'24P3 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: AG ( gi p 1-L7-1ZSC.�) TOTAL PERMIT FEE sr Print name: L'L,,-,G- U I,t fitgq,v' Date: L .210.lei_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 1 Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Da e/By , ,�'�M Permit No.:I9'' J -COIU 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: OtherPermita,��Jl�-G`�(�(�L �- G A It 1) Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF w ) !!�17r''! l(}s COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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 I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 14/A Air conditioning 46.75 Job site address:12226 SW ithi Z CL Cr2G S 7 )/ Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 77714/2 7) ) Q R 9 7 2 2 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 �/L/ Other: 23.32 3-2..-e?Subdivision3-2..-e?go/4 y t S Lot no.: � 3 Other fuel appliances: Tax map/parcel no.: Water heater I 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 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) 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 a_dditional 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 't Phone:(360)258-7900 Fax::(360)258-7901 Fireplace ( Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: /7 Other: TR r co a,07-7 Y t' Mo (�U/V%fZOL MECHANICAL PERMIT FEES* Address: i 3 I 0 $ CG A c f?m MA S Ri i/g Di?. Subtotal City/State/ZIP: Gg 4.F 6-el d 6 T Qg 9 7O4-5— Minimum permit fee($90.00) Y Plan review(25%of permit fee) Phone:(3 03) 5-5 7_ 2 2. A (Fax:(6-03) .5-5-7 0 9/9 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: p,a.(v__-P =T Z- t Date: (0 .2(0 ,/1._ I:\Building\Permits\MEC_PermitApp_040113.doe 4404617T(11/02/CO M/WEB) L • • i- ;: ' : FOR OFFICE USE ONLY Electrical Permit Applicatte�ll: - City of Tigard Date/By: //^- / (`'� PermitNo.: ")T9i/ -GO�t' ty g Date/13y: t L� ' 71 O 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Permit: /`� III Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other ��/ — [�7� Inspection Line: 503.639.4175 Date Ready/By: .runs: El See Page 2 for IIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑Addition/alteratiotl/replacelnent Please check all that apply(submit 71 sets of plans w/items checked below): XNew construction ❑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 0 Master builder 0 Other: 0 Fire pump. 0 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: /3Z265 N AAZ.E.LGCLEST W'1')' ...or more residential units. ❑Recreational vehicle parks. p� q ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: �l(.,Al2_p 1 Q C� /7 22 �' ['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 I ° New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 1 ‘ 168.54 4 -, -Q U C to O'�I G�k^I'S �� Ea.add'l 500 sq.ft.or portion rj 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 N 5 r residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation �/_ TENANT 200 amps or less 100.70 2 1�J PROPERTY OWNER I El 201 amps to 400 amps 133.56 2 Name: L.E.N N Ag_ H W j I N G , ( 401 amps to 600 amps 200.34 2 Address: I \ �p-1 N� 9'e3+� Si_• 1 su1z, ( l -7 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: i l._\_Ni acs U V EV- U\.1 A q g C082— Temporary services or feeders installation,alteration,and/or I relocation Phone:(3 fpd 288 • -71 o o Fax:(3 lev) 2G-23 ' "11° 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 I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit 3usiness name: - S A. F, B.Fee for branch circuits without 2ontact name: service or feeder fee,first 56.18 2 branch circuit '<ddress: Each add'!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 :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 �(L P-1-EG1-1 .E.(✓t✓Ll�1 CJ panel,alteration,or extension. Page 2 , 2 address: I I a 5ca 51= 0 lQ eo 1 i`T A CZ 1 V1: Each additional inspection over allowable in any of the above ' J Additional inspection(1 hr min) 66.25/hr ;ity/State/ZIP: f kee U PrLLE' 1 _ Investigation(1 hr min) 66.25/hr hone: Fax:( ) Industrial plant(I hr min) 78.18/hr (So 3) 3�o (Q 0 3 Inspections for which no fee is 90.00/hr :CB Lie.: 4 9 5 39 9 Electrical Lie.: G g 1 -/ Suprv.Lic.: g 70 S specifically listed(%hr min) ELECTRICAL PERMIT FEES ■ uprv.Electrician signature,require: —,; Subtotal: Date: f 2). 1� Plan review(25%of permit fee): tint name:��Ny7D�,• SL�VETS �' f State surcharge(12%of pennit fee): ,uthorized signature: —w, TOTAL PERMIT FEE: ! This permit application expires if a permit is not obtained within 180 tint name: �ETFt2�,1J Date: (40 .2(p ' /_ days after it has been accepted as complete. I + Number of inspections allowed per permit. Jilding\Permits\ELC PermitApp ELR ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB City of Tigard Ili! w COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: /4 57i v)-D/e - old Site Address: 1322(0 S ) }- Gv-eS+ V\./Oki Project Name: UOIGI -}}eAlhs Lot #: `3 (New dwelling= subdivi on name;Addition or Alteration=last name of owner) Planning Review Proposal: New SCR 'Verify site address/suite #exists and active in permit system. Site Plan Elements: B'1'hree (3)copies of site plan C, xisting structures on site site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations ,..21Clorth arrow 'Utility locations(required for new,may apply for additions) 2 ite address,project or subdivision name and lot number l Location of wells/septic systems .. Applicant information(name and phone number) gfErosion control(including drainage-way protection,silt fence ',�Lot dimensions and building setback dimensions design,location of catch basin,etc.) , /of area,building coverage area,percentage of coverage and 2'S eet names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location 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 Z No Received: ❑ Yes ❑ No r Land Use Case #: EU e,2013 -c W2— L Zoning: R--1 Er Setbacks: Front }5 Rear \S Side S Street Side (0 Garage ZD ,r Landscape Requirement: 20 ZiLot Coverage Maximum: 3D % - r Building Height: Maximum Height 3 7 Actual Height ±2.5 gVisual Clearance 0 Easements Er Sensitive Lands: ❑ Yes ze No Type ❑ Urban Forestry Plan 0 Conditions Met Notes: Approved By Planning: / Date: �j�� Revisions (after Building Submittal on Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Bu i I ding\Forms\BldgPermitRvw_RES_042914.docx ■ Building Permit Submittal Original Submittal Date: 7 //T Site Plans: # 3 Building Plans: # 3 Building Permit#: f'Enter building permit#above. Workflow Routing: gaillanning Engineering - icrmit Coordinator —Building Workflow Sign-off: S i-off for Planning(include notes from planning review) Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1)building plan and on al plan review routing form. I�iBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ■ _ -/ Date: 7l/ //y Engineering R vi y Er r Actual Slope: ❑ Conditions Met Notes: Att,7- c ( t ?1 oK..S U Ci Approved by Engineering: Date: Revisions (after Building Submittal o ) �Revi er ate Revision 1: ❑ Approved Not Approved ?" /41 Revision 2: XApproved ❑ Not Approved /11 1'17 Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuancee of Building Permit Notes: ..44fa rv("(14- Gz7f?i 2 4' r u-wV V9- Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit X Approved by Permit Coordinator: Date: -7/6-71�� I:\Building\Forms\B I d g PermitRvw_RES_042914.doex Contractor is responsible to check site plans and notify designer of .. any errors or omissions p rior to start of construction. Plans and specifications shall be approved by local building officials prior �� 50.00' �h``>°` to the start of any construction. SILT FENCE - --- MULCH-ESTABLISH o--\, ° NOTE: 4‘10 vji1i`°-',.•- GRASS TOP OF DECK TO BE 29"OR 5 16'-1" 14'-0" 9'-11" LESS ABOVE FINISHED GRADE EROSION CONTROL NOTES: / _ / 1 1. A STABILIZED GRAVEL ,°,} CONSTRUCTION ENTRANCE 1 SHALL BE INSTALLED AS 555' o 12•x04. SITE LEGEND: FIRST SITE ACTIVITY. DECK I WET WEATHER EROSION NOTES: \ I 0 ,_0„ �; 14 1.4 Symbols: 1 2. EROSION CONTROL r -/ . - - �b 1. DURING WET WEATHER SEASON Y MEASURES SHALL DAILY AND 556' ( 4hh "ST. GEORGE" I EXPO�EDRFOR MORE 30)ALL SOILS 2 DAYS INSPECTED DAILY AND O-* FIRE HYDRANT MAINTAINED AS NECESSARY AMERICAN o+ SHALL BE COVERED WITH PLASTIC TO ENSURE THEIR LIVABLE COVERAGE C SHEETING,OR A 2-INCH LAYER OF ® CATCH BASIN FUNCTION. ""S9r' coo MULCH,BARK,WOOD CHIPS, 557- '- 40-0" I SAWDUST,OR STRAW TO MINIMIZE STREET LIGHT 3. EROSION CONTROL co OVERALL J EROSION POTENTIAL. MEASURES SHALL BE KEPT IN O% —_- ,,— SANITARY SEWER PLACE UNTIL PERMANENT �_ -- v 0 T.O.SR560.25 2. EXPOSED SOILS SHALL BE GROUND COVER IS -OB.-- MAIN( � SEEDED NO LATER THAN -°'—''' '- STORM DRAIN ESTABLISHED. F.F E.-561.25 _ 1 SEPTEMBER!. _ __I --- GARAGE _ 1� —w- WATER LINE 559 _, hb� 5.47, _-- Fence Types: 5'-o" _ D s 18'-2" , ;. PROVIDE GRAVEL-STAGING AREA AT DRIVEWAY. I 'r ': I %GRADE ; , 564 (2"MIN QUARRY SPALLS FOR a o 0 6'-0" WOOD FENCE —___ SANITARY CONCRETE ;, SINGLE FAMILY SITES). LATERAL - - MIVE4}! CITY OF TIGARD (See Fencing Plan if Necessary) - "' i ..a� STORM ; .�� ' a - I Street Tree Types: LATERAL MUD ® !%j/ ':•-��?�J �'` Pu.E. _ Approved by Planning L �� 00 5-0" A Date: 7—/--fi(• ACER TRUN. x ACER PLAT. �" * Initials: �� -}- 'SUNSET MAPLE' t,��_ _ - r_ •. . 1 2"CAL. _y I III al , � WAT WAT STM,' ��I \ CLADRASTIS KENTUKEA WATER 'YELLOWOOD' t� - PA METER sTM srM sTM — .7 pp W" 2"CAL. — . ' SW HAZELCREST WAY - SEE LEGEND FOR FRAXINUS OXYCARPA TREE TYPES TYP. SAN SAN SAN in CU • VAL ., .. . , 1117 , ,. . ,. / O 'RAYWOODASH' \ p 2"CAL. �� I� ��Q_ ,,,s._____) / 1 PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS DRAWN:06-24-2014JBG SITE PLAN Street Address: HOUSE 1,114 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS L E N N A R COVERED ENTRY 507 Sq E . FRONT HOUSE: 15 FT.(From P.L.) SEQUOIA HEIGHTS 13226 SW H azel crest Way FRONT PORCH 12 FT.(From P.L.) 11807 N.E. 99th Street DECK: 168 Sq.Ft. (IMPERVIOUS) 414 Sq.Ft. GARAGE: 20 FT.(From P.L.) C.INI3 CITY OF TIGARD, WASHINGTON CO, OREGON Suite 1170 REAR YARD: 15 FT.(From P.L.) Vancouver, WA 98682 TOTAL COVERED AREA LOCATED IN THE SE 1/4 OF SECTION 9, HOME SITE #i 3 2,281 Sq.Ft. SIDE YARD: 5 FT. (From P.L.)Office: 360.258.7900 STREET SIDE: 10 FT.(From P.L.) TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN 80%MAX.ALLOWABLE = 3,600 Sq.Ft. 4,500 Sq.Ft. } PROPOSED COVERAGE% = 50.6% 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 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00104 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 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O January 21, 2015 at 2:08:55 PM MST2014-00104 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. C of O left on site. 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 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL January 16, 2015 at 8:39:26 AM MST2014-00104 David Young No access for inspection, house locked. Recall with access for 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 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL January 16, 2015 at 8:38:55 AM MST2014-00104 David Young No access for inspection, house locked. Recall with access for 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 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS January 14, 2015 at 2:30:07 PM MST2014-00104 David Young Note: plumbing permit for lawn irrigation to be ﬁnaled prior to building ﬁnal. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL January 12, 2015 at 1:44:29 PM MST2014-00104 David Young No hot water for inspection. No inspection done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13226 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL January 12, 2015 at 1:46:01 PM MST2014-00104 David Young Seal line set penetration thru foundation vent. No AC installed at this time, permit required at installation. All else ok. Violation Summary: Inspector Contractor