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Permit n CITY OF TIGARD MASTER PERMIT 7.1 s ' COMMUNITY DEVELOPMENT Permit#: MST2014-00115 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2014 ©r Jurisdiction: TIGARD Parcel: C06200 diction: TIGARD Site address: 14251 SW FERN ST Subdivision: LUKAR RIDGE Lot: 4 Project: Lukar Ridge, Lot 6 Project Description: New SF. 5/11/15: Reprinted permit to include an additional 100 ft. of storm sewer. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1826 sf Garage: 606 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3154 sf Value: $374,871.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 1 SF Rain Storm Sewer: 2 Drains: 1 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 1 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 1 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 4 201-400 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: Y HVAC: Y Security Alarm: Y Vaccuum System: Y Garage Opener. Y 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 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-381-3753 PHONE: 503-381-3753 FAX: 503-214-8524 Total Fees: $22,221.34 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: d� - -..di __ _ - __ Permittee Signature: ----! -, \\ . 7.3.639.4175 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. Plumbing Permit Application Building Fixtures FOR OFFICE 1'SE ONI,ti' City of Tigard RD -:: Permit No.: 'I 13125 SW Hall Blvd.,Tigard,OR ''r. CEIVED Date/By: 5--/////.3--- �- Ms;- calY-cX�lIs- Plan Review Phone: 503.718.2439 Fax: 503.5 :. Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 '1. 2015 Date Ready/By: luris: 0 See Page 2 for Internet: www.tigard-or.gov MAY 1 Notified/Method: Su..lemental Information New construction R. C) N w For special information use checklist. ❑ Mil 1 r Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility comection) SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial t` SFR(2)bath 437.78 ❑Accessory building ❑Multi-family ' ,!' SFR(3)bath 500.32 ion// Each additional bath/kitchen 25.02 ❑Master builder ❑Other: �i_ Fire sprinkler( sq.ft.) Page 2 Site utilities: Job site address: r/ia5 Feen) Catch basin or area drain 18.76 City/State/ZIP: �-(( Drywell,leach line,or trench drain 18.76 ty �t,q°1� I V -- Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1J Project name: 1,6I/'k;‘,10,0 i67-c, Manufactured home utilities 50.03 Cross street/directions to job site: ✓ / Manholes 18.76 Rain drain connector 18.76 ` f - -- - Sanitary sewer(no.linear ft. •) Page 2 Storm sewer(no.linear ft.: n1-)) 2 Page 2 37 Water service(no.linear ft.: ) Page 2 J Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 `"• ! y /du 7,• Cil".5 i':// 1- A- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT" Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 =IWO APPLICANT 1ER ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan _ 12.51 E-mail: Urinal 25.02 1 Water closet 25.02 '� Water heater 37.52 Business name: V-V_5 ,,,/ (21 6 1-4e Water piping/DWV 56.29 Address: . Other: 25.02 City/State/ZIP: Subtotal -37 j0/ Phone:( ) Fax:( ) Minimum permit fee: $72.50 - - CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) _--.-- State surcharge(12%of permit fee) y S� Authorized signature: c - '` TOTAL PERMIT FE1 Jya,At Print name: Jy: Date:S- /!- This permit application expires if a permit is not obtained wi hin 180 days S p} IIEL S v after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:l B0/®ding\Permits\PLMU-Pamitwpp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbinz Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-I"100 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. u E byVTature Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Wort Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Punt greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. CI Car wash: Each Stall New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" • Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the •ualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 q CITY OF TIGARD MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MST2014-00115 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2014 TIGARD g Parcel: 2S104BC06200 Jurisdiction: TIGARD Site address: 14251 SW FERN ST Subdivision: LUKAR RIDGE Lot: 4 Project: Lukar Ridge, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1826 sf Garage: 606 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3154 sf Value: $374,871.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 1 SF Rain Storm Sewer: 1 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 1 Drains: 1 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 1 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel"Noes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 4 201-400 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: Y HVAC: Y Security Alarm: Y Vaccuum System: Y Garage Opener Y All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 LAKE OSWEGO.OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-381-3753 PHONE: 503-381-3753 FAX: 503-214-8524 Total Fees: $22,221.34 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. A • • •. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 -0010 through••R • -0' -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l Issue. By: L. � ' � �ter% � Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspe .. ••f: � This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio Residential RECEIVEb FOR OFFICE USE°NIA Received )j� City of Tigard JUL 16 2014 Date/By: �/ 4 /� � PennitNo.: QrJ /(J/tl/,S 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Petmit:v1�� /L Phone: 503.718.2439 Fax: 503.598 T�(��Qr, DateBy: 5_1c" d'r'�,T'Z! T IGARD Inspection Line: 503.639.4175 �`l6ARD Date Ready/By: �e�s' ® See Page 2 for Internet: www.tigard-or.gov Bt. f fAfQI( Notified Methoa: q l�3 J��- Supplemental Information � t ',k, TYPE OF WORK RE UI ED 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. ® Commercial/industrial and 2-family dwelling ❑Comercial/industrial Valuation: $215,000 ❑Accessory building 171 Multi-family Number of bedrooms: 4 El Master builder El Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 14251 SW FERNST. New dwelling area: 3154 square feet City/State/ZIP:TIGARD/OR/97223 Garage/carport area: 606 square feet Suite/bldg./apt.no.: Pro j ect name:LUKAR RIDGE r /4/ Covered porch area: square feet Cross street/directions to job site:ASCENTION TO FERN t Deck area: square feet Other structure area: square feet _ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:LUKAR RIDGE I Lot no.:6 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. _ NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet • ® PROPERTY OWNER ❑ TENANT Number of stories: Name:MISSOIN HOMES NW Type of construction: . Address:PO BOX 1689 Occupancy groups: City/State/ZIP:LAKE OSWEGO/OR/97035 Existing: Phone:(503)381-3753 Fax:(503)214-8524 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedul) Business name:MISSION HOMES NW Structural plan review fee(or deposit): Contact name:JOSH KELSO FLS plan review fee(if applicable): Address:PO BOX 1689 City/State/ZIP:LAKE OSWEGO/OR/97035 Total fees due upon application: Phone:(503)381-3753 Fax::(503)214-8524 Amount received: E-mail:JOSHKELS03 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:MISSION HOMES NW Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:PO BOX 1689 Solar Installation Specialty Code checklist. City/State/ZIP:LAKE OSWEGO/OR/97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)381-3753 I Fax:(503)214-8524 State surcharge(12%of permit fee): $21.60 CCB lic.: 186849 Total fee due upon application: $201.60 Authorized signatur . This permit application expires if a permit is not obtained �. within 180 days after it has been accepted as complete. Print name:JOSH KELSO Date: 0" I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) L Plumbing Permit Application Building Fixtures REGEW E� FOR OFFICE USE ONLY City of Tigard 014 Date/By: 7 /4, /S/ 6. STaa/y-C4, 6 Permit No.: 13125 SW Hall Blvd.,Tigard,OR 93 1 6 2 Plan Review INI Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit No.: T I G A R p Inspection Line: 503.639.4175 CM OF TK3ARD Date ReadyBy: runs: El See Page 2 for Internet: www.tigard-or.gov �/ v� ' Notified/Method: Supplemental Information TYPE OF 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 building SFR(3)bath 3 500.32 ❑Accesso ry g ❑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: 14251 SW FERN ST. Catch basin or area drain 18.76 City/State/ZIP:TIGARD/OR/97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:LUKAR RIDGE Manufactured home utilities 50.03 Cross street/directions to job site:ASCENTION TO FERN ST Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:LUKAR RIDGE I Lot no.:6 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SINGLE FAMILY Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:MISSION HOMES NW Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:PO BOX 1689 Garbage disposal 1 25.02 City/State/ZIP:LAKE OSWEGO/OR/97035 Hose bib 1 25.02 Phone:(503)381-3753 Fax:(503)214-8524 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:MISSION HOMES NW Medical gas(value:$ ) Page 2 Contact name:JOSH KELSO Primer 12.51 Roof drain(commercial) 12.51 Address:PO BOX 1689 Sink/basin/lavatory 5 25.02 City/State/ZIP:LAKE OSWEGO/OR/97035 Solar units(potable water) 62.54 Phone:(503)381-3753 Fax: :(503)214-8524 Tub/shower/shower pan 3 12.51 E-mail:JOSHKELS03 @GMAIL.COM Urinal 25.02 CONTRACTOR Water closet 2 25.02 Water heater 1 37.52 Business name:S&B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City/State/ZIP:VANCOUVER/WA/98664 Subtotal Phone:(503)545-3601 Fax:(360)695-5031 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:168129 Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: `- TOTAL PERMIT FEE Print name:JOSH KELSO vow. ... .....161-r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building'Pennits\PLMU-PermitAppdoc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY �V E l Received /�/ City of Tigard 1 _ Date/By: 7 �, /e/ CA PermitNo.:' r �� —�Q(/ 13125 SW Hall Blvd.,Tigar Plan Review B Phone: 503.718.2439 Fax: 0 Date/By: Other Permit: T I G A R iti Inspection Line: 503.639.4175 JUL 16 2014 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 1 II t_i ' TY ' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST � t �'�t t � n��t 1T Mechanical permit fees*are based on the value of the work 0 New construction ❑Addition a teration/replacement, performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* O 1-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 Job site address: 14251 SW FERN ST. (requires site plan showing placement) 1 46.75 City/State/ZIP:TIGARD/OR/97223 Furnace 100,000 BTU(ducts/vents) 1 46.75 _ Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:LUKAR RIDGE Heat pump _ (requires site plan showing placement) 61.06 Cross street/directions to job site:ASCENTION TO FERN ST. Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision:LUKAR RIDGE Flue/vent for any of above 1 23.32 Lot no.:6 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 1 23.32 Gas fireplace 1 33.39 NEW SINGLE FAMILY Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER I ❑ TENANT Other: _ 23.32 Name:MISSION HOMES NW Environmental exhaust and ventilation: Range hood/other kitchen I Address:PO BOX 1689 equipment 1 33.39 City/State/ZIP:LAKE OSWEGO/OR/97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, Phone:(503)381-3753 Fax:(503)214-8524 toilet compartments,utility rooms) 4 23.32 ® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32• Other: 23.32 Business name:MISSION HOMES NW Fuel piping: Contact name:JOSH KELSO 514.15 for first four;$4.03 for each additional Furnace,etc. I Address:PO BOX 1689 Gas heat pump City/State/ZIP:LAKE OSWEGO/OR/97035 Wall/suspended/unit heater Phone:(503)381-3753 Fax::(503)214-8524 Water heater 1 Fireplace 2 E-mail:JOSHKELSO3@GMAIL.COM Range 1 CONTRACTOR Barbecue 1 Clothes dryer(gas) Business name:ADVATNAGE HEATING&AIR CONDITIONING,LLC Other: Address:2355 HYACINTH MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:SALEM/OR/97301 Minimum permit fee($90.00) Phone:(503)393-5315 Fax:( ) Plan review(25%of permit fee) CCB lic.: State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: _ days after it has been accepted as complete. �� ` �r/ • Fee methodology set by Tri-County Building Industry Service Board Print name:JOSH KELSO Date: y I:\Building\PermitsVMEC-PermitApp.doc 09/09/10 ..6 •ITr(1I/02/COM/WEB) 03/17/2011 13: 12 5034636863 CONNECTIONS ELECTRIC #2190 P. 002/002 rr'N'• I1, LVI1 1V•7G,1,1, RIO) IY V. 1ITV 1. L Ellec>�irica) Permit App t t� City of Tigard Dam ? /Lv ie/ ,-.4' Perna!No.: , / - 4 '/5.- III R 13125 SW1tall13Ivd.,Tigard,ORlIpp�31 6 V)\4 pis„ i,w Phone: 503,718.2439 Fax: 503:5 1:1960 ��-.�p PlgoRor CMhrrperntil: 1 c 4.n,;,, Inspection lane: 503.639.4173 ( rY A rD Date Rcadyf r d: 1 See Paso 3 Ler lnttlnlet: wtit�Y,tigard-Or,goP t %P 1 Notified/Method: Supplemental Information - New construction 0 Addition/alteration/replacement Erase cheek all that apiply(twhtaic]sets of pl ei Wheels checked below): ❑I)ernof pion O Senice or feeds 400 amps mingle 0 Building ow those stories. Other: „$ere the evajl4 4 pull ewroal ❑Marinas and boatyards. C:OOP$V•:0 tOI1Tg'11tij r t0N>;Q y 6 :i.: exceeds 10,000 turps a1 I50 volts or Q Flwtiar b++il4ings. kss to ground,or exceeds 14,000 0 Comnicrclal-uso sericultural -A 1-and 2-family dwelling 0 Commercial/Industrial 0 Accessory building arks for 4ll other imuelwioe.. buildings. 0 Multi-Family 0 Master builder El Other: 0 Fite pump. ❑IArlaUatlon of75 KVA or ❑ 1R rinem- tuber mural*4 ayuam. . JOn SITU 1NFORMATION AND LOCATION Addition crony motor toad of Q"A*,"W","l,2'."1-3". Ion no.: Job site address: l`t 25 I 100HP or room. occupancy- lob arV SL 0Sixartaorarelidenlialunits. ©Rareational vehicle parka, City/State/ZIP: T-16,49,4)r a►' e)}22- O Health-care facilities. n S0y0 voylu nominal.more than Q llresrdeos locations Suite/bldg./apt.no.: Project name: L.,rho t •_&-- 0 Service or feeder 600 amps or mom. . Cross street/directions to Job site: /A./ Q BEE SC . i Job ! 1�-�.�.�Y'1E3� � ��i�� • �trGptkll . • t �IY, l lea E Yatd I ■ Ncrr residential single-Or mulli-family dwelling unit. Ineluaes attached garage. Subdivision: LV _9.-A C6-yE Lot no.: (a 1,000aq.(1 or less 1 168.54.1 'I Tax map/parcel no.: Ea n6r1'l 300 eq.R,or portion r{ 33.92 - 1 Eimitcd ewe,resideeulal 75.00 2 DFS AipT1QN OF WORK (with above sq.(l1 - - , NEW SINGLE FAMILY �"m i energy,multi-family abov y�, 75.00 2 Services or feeders juatsittionolkration,enWor relocation 200 amps or Icss 100,70 2 - ® PROPERTY OWNER 0 TENANT • tot.raps tp 400 amps 133.56 2 Name:111rS9rU1V HOMES NW 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address:PO EOX 1689 _Ova 1,000 amps or vole 552.26 2 Ci /SlnteJ211':LAKE OSWI�GO/OI2J9703$ Temporary services or feeders installation,alteratlon,and/ar ry' relocation Phone:(503)38147553 Fax:(503)214-8524 200 amps or less 59.96 I Owner installation:This installation Is being ade on property that I own which is not 201 amps 4,400 amps 125.08 2 Intended for sale,lease,rent,or exchange,according to ORS 447, 449,670,and 701, oat amps to 599 erns 168.54 ? Drench circuits_new,alteration,or eztenslon,per panel Owner signature: Date: A,Fee for branch circuits srlrk ® APP'LICAN'T 0 CONTACT PEIl6ON• above service Of feeder fee. A 7,42 r 2 each branch circuit Business name:iMIISSION HOMES NW B.Pco for taraocls 6=16 Wilma - service nr feeder sea,fist 56.18 2 Contact name:JOSH KELSO hcnnch circuit Each sdd'I branch circuit 7.421 2 Address:PO BOX 1689 h11scepaneoussservlee or feeler not included) City/State/ZIP:LAKE OSWEGO/OR/97035 Yf I manuervice d or r lex modular 67.84 2 dwctfin�service andlor feeder , Phone:(503)381.3753 Fax::(503)214.8524 Reconnect only 67,84 2 E•malI:J'OSHKELS03@GMA.1L,COM - ewnp or irrireaen Wrote 67.84 2 Sign or oudlno lighting 67.84 2 CONTRACTOR ,, Signal clrcaitts)or Iimited'eoergy Business name:CONNECTIONS ELECTRIC a alteration orextero Pogo 2 2 ioa. Each 4ddltlenal inspection over allowable in any of the a bove, Address:4675 PORTLAND RI)NE } ,4- f' �a Additional inspection(1 he min) . - 66-251 hr „ Lrve16gation(1 hr min) _ 6.5.23/In _ City/State/ZIP:SALEM/OA/97305 {jam ,∎r,ti c fl3 ybu�dol plant(l hr min) 78,18/br - Phone:(S03)39 p•7914 sex:(9)4:1) if43- 3 Inspectluii for winch no foe is 90.00/hr — aneci aallylieied( hr min) _-_ CCB Lic.: 65444 Metrical 11c.: 24.248C Suprv.Llc.:3t ts ]p.LECT'RICM i'ERM1T'FEES Subtotal: _.. .. Suprv.Electrician signature,required: Plan review(25%ofpermit fee): - Print name; Ktix-01"...,— -.. « Date: Slate surcharge(124 of Tr. fee): TOTAL PER3v11T FEB: Authorized signs This perall sFpursdvn expires Ira permit ii not eblsined hthls 84 ` dsla after Itbas been acroptcd it complete. L Print nano: ps �S O Date: T—( - 11 + Number of inspoction1 all0wrod per permit. 1:u3uildlu .PcnniiaLC-renmitAptdoc osrotno also-tdllt(uto3ICOM.AvnD III City of Tigard • ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: h 4,--r,)-014- 06 // 5----I / `t - OG // 5 Site Address: x'}25I SW Porn S-t Project Name: LLI l r QId Lot #: (,,p (New dwelling=subdivis name;Addition or Alteration=last name of owner) Planning Review Proposal: 'Neu,,, Sfl Er Verify site address/suite #exists and active in permit system. Site Plan Elements: ,Three(3)copies of site plan Existing structures on site ,'Site plan must b_t on 8-1/2"x 11"or 11 x 17"paper -Footprint of new structure(including decks)with finished ,121Drawn to scale (standard architect or engineer scale) floor elevations ,B'&orth arrow 2Utility locations(required for new,may apply for additions) ,bite address,project or subdivision name and lot number 2'Location of wells/septic systems "Applicant information(name and phone number) ,erosion control(including drainage-way protection,silt fence ,1 of dimensions and building setback dimensions design,location of catch basin,etc.) ,�ILot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location Property corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes ,ErNo Received: ❑ Yes ❑ No ,r Land Use Case #: S....162013 - moo -Zoning: R-1 -Er Setbacks: Front i5 Rear {5 Side 5 Street Side I 0 Garage 2_0 Landscape Requirement: 7)) % . "'Lot Coverage Maximum: ) °/o Building Height: Maximum Height .j5 Actual Height f' r Visual Clearance le Easements ..2" Sensitive Lands: ❑ Yes 'No Type Urban Forestry Plan 0 Conditions Met Notes: Approved By Planning: ] (4jeCQ¢ Date: v1,44 Revisions (after Building Submittal onl y) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B IdgPermitRvw_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 2 Actual Slope: 82, ❑ Conditions Met Notes: ! .6 --- ' r..'d*f rQ� � ...) 27c:04-ye Approved by Engineering: 4L ,,eiti Date: 7 JI/4/ Revisions (after Building Submittal only) Reviewer Date Revision 1: Cir..Approved ❑ Not Approved 4Z. J 7.-_.9-i-/Ij Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ?f.'h K to Issue Permit / Approved by Permit Coordinator: Date: ?/3 / I:\Building\Forms\BldgPermitRvw_RES 042914.docx u' RECEIVED �(I� JUL 16 2014 ROCK WALL (E) 'EE FEN R0. WALL i yr r< ROTECTI.N FEN E 5b 0 m®sar°°a.®®ms .r®®®e�.aai s,.ae- - s %, A / s 8, '57" E 56.00' a w I ' I // // / / / / /// I / a L( ;/6/ • 10,055 / �/° ,p P • i / n • AIR F - 1328 50-FT / // o / [ 4JLooR - 3154 50-FT / • / / j 1 of (. \ / / ^P a y / d o /. r /cov ■ EN // .'/., �; / g DRIV,F WAY . �, /' / ,/ CITY OF TIGARD • 4,:- /Approved by Planning i rr:ik-, /- 7 Date: -11149114 '.1. , ...- - '::,,;I � ' - : / ti / Initials. A41-All T , .0011ilip , II..�' • s. ff /\ l �M f IN LOT coYERAGE SITEPLAN l LOT AREA =10,055 SQFT. W I BUILDING FOOTPRINT = 1964 SOFT. SCALE = 1"=20' COVERED PORCH/ENTRY = -1I SOFT. S TOTAL COVERAGE = 2035 / 10,055 = 202% PLAN NAME: I UKAR 3154 GL LOT 6 RIDGE Ig!ill Edra ftinccorp PLOT: 6/25/I4 PLAN REV: 6/20/l4 SUBDIVISION mission HOMES, LLC. liniCill i5 ( IN FEET ) f) ELp 1 IN = 20 FT ri cv W in W 80 c..) 41 or INSTRUCTION KEYNOTES: W a.-op STALL 48" STANDARD SANITARY 01 CMANHOLE PER CWS TANDARD DETAIL 010 SHEET NSTALL 48" STANDARD 010 SHEET MANHOL PER CWS TANDARD DETAIL `INSTALL 4" SANITARY LATERAL PER CWS STANDARD DETAIL 0. 520 SHEET C701. " sr a - -• : - 0 9 INSTALL 4" STORM LATERAL PER CWS STANDARD DETAIL NO. 520 SHEET C701. `V INSTALL 4" STORM LATERAL TO CURB WEEP. 0 INSTALL 60" 40 WATER EEQUALITY MANHOLE PER CWS STANDARD �� — L DETAIL NO. 2 -8 INSTALL CG-2 INLET PER CWS STANDARD DETAIL NO. 300 < SHEET C702. O _ '9 INSTALL OUTFLOW CONTROL STRUCTURE PER CWS C STANDARD DETAIL NO. 720 SHEET C702. Q 0 INSTALL 5'X5'X2' CLASS 50 RIPRAP OUTFALL PAD. 0 ) 11 REMOVE EXISTING CLEANOUT AND PLACE NEW MANHOLE AT Q - EXISTING LINE. VERIFY IE. NOTIFY ENGINEER OF ANY C DISCREPANCIES. I-- F• © INSTALL 2" STANDARD BLOWOFF SHEET ER CI Y OF TIGARD _ STANDARD DETAIL NO. 570 110 INSTALL 1" WATER METER SERVICE PER CITY OF TIGARD STANDARD DETAIL NO. 520 SHEET it) REMOVE EXISTING BLOWOFF AND CONNECT TO EXISTING WATERLINE. FLOW THROUGH PLANTER TO BE BUILT BY HOME BUILDER. LOCATION IS APPROXIMATE AND DEPENDENT ON FINAL HOUSE SITE PLAN AND GRADING. SEE DETAIL AND SIZING ON SHEET C703. ifi CONNECT NEW STORM PIPE TO EXISTING MANHOLE INLET. ©7 INSTALL STREET LIGHT. SEE ELECTRICAL SHEETS EL1 AND EL2 FOR DETAILS. 11". •L-4-I-.../•I CONDUIT • LOT 5 LOT 4 I LOT I I I I 8 1 ?... I 1 •zo I I ■ ,,t,I / Th t° =Mb ■••■ IMIMm ••••••••■•■.. ......... "'' ''....,,..:....( _..1 1 17‘ • „. . LOT 6 - .. ,7 .. - • * %- I • • ,z/211://,• . -- / f , -,.. 19 7 • : _ .. . zy /4,4s- . „,... ... '-ftY 4 • ,- -/-•.---- -4:E. ..c.- ,„*” .41'e4-4:•...: ::tir....,4: . z/2/7/ /.4. - ,,,,,, :,:&...,..•,„„..., 11 n / ./f'4A4...i'l-'v.`•-. - '4- 4 . Y-)5 , '1.! . ..7" 4-2A.-0..._1,7;,..5-'” ,N.,C '-'"'" t. .,IP'•"* -;.;,,Vt':- i 7 , C,;) '''' 4`- - . , ,,N, ,- ,,..,4-/7" „ / 11 , 7 -7-7 i I , 41 , <-0 , ,•,- .„,..., :.. .. - , ,,- <ss i . • 1 y ,-\-K, .r.- .... 41--. ' . 1.). „..-- >77,17,/ , • : . • • „.,-- _-_,- • 4 , , ,„....- 4 ,. -( , _ 7 -.4 . - --- - - - ■ •• 41(_44•111,,, .. • '' "7-"/"" _ - ..•• .. _ ...- --I) - ,c,peRvoN:. - ----- • \ ___ ... ..i. . , . 1-,....---v _..„---•-,. e• .A,......' SAN MH RIM EL 307.64 - . ... 0. . , 8" IN NE IE 293.99 8" OUT SW IE 293.89 • r . BUILDING OFFSET AS APPROVED BY BUILDING JURISDICTION IRAIN DRAIN & OUTFALL PROTECTION OVERFLOW TO CONVEYANCE 2" FREEBOARD 6" MAX POND DEPTH a t:,.4 V`:1 ,\I. 11 SEE NOTE 8. r...�.:.�5%�l •GROWN MEDIUM/ /, ��; � : >•:L�•�"� .�••;o / � STRUCTURAL WALL .:;�;'\rA; .18 MIN DEPTH :'�\\ ti %.�.'• Si.t ;.*: \j\ \ N T\S�//\ \\// FILTER FABRIC, 6" MIN •Z:V:5:•.x;1 \/\/\ �� OVERLAP UP FACILITY SIDES 4114;1 i I.W. w 4. awe" 12 LIFT OF 1 DRAIN s''`' 'i� ��v�'� ►o v o ROCK :...•• .::s% ' ;: ��,�I�I_I l�� OVERFLOW TO �•: Airk , CONVEYANCE FOUNDATION s; � � DRAIN PER a �Z:14:412:,.� :.%:,.;v..:wif�'... ,..y�v�''L,�;;vS ;;v."�°? s �... :: :: �•:. •�: SYSTEM COUNTY s:s%p�.;:.Z:�.4..% o%_ :.:•.,..:%,.:..,.\4:.�;..:%.: , ,::.1 4 MINIMUM DEPTH �ti;::*:s�::;::0; • :41 30" MINIMUM - OF LATERAL TO :'��::�:*:. :: • %,��y, FACILITY WIDTH SERVE PROPERTY *II•tA s iS)i (OR MATCH ` PERFORATED PIPE UNDERDRAIN DESIGN) t ,.*,: •a MANIFOLD RUNS LENGTH OF :tit:*:�`L` FACILITY AND VERTICALLY 's`:'$ WATER PROOF „„�::Siwi �-.:?':; POSITIONED IN DRAIN ROCK LAYER ; ��;�,,; PVC BOOT & CLAMP ��.�s�:�:r�.��:t��5;a PERFORATED PIPEEDETAILS E GROWING MEDIUM TO MEET NOTES: SPECIFICATIONS LISTED ON 1. PRIVATE WATER QUALITY TREATMENT THIS SHEET. 2. 30” MIN WIDTH - FACILITY LENGTH TO BE CALCULATED BASED ON INCOMING FLOWS. 3. VEGETATION: SMALL SHRUBS, TREATMENT LOT# 6 PLANTINGS; RUSH GRASSES, SEE ____ IN LIDA HANDBOOK. BOX SIZE (SF.) 158.4 4. NO TREES OR DEEP ROOTED VEGETATION OVER PIPING. # OF PLANTS -11 -6- - 5. RAIN DRAINS AND OVERFLOW TO MAINTAIN MAXIMUM LINEAR SEPARATION. TYPE OF PLANTS - - 6. NO BARK DUST TO BE USED WITHIN FACILITY. 7. OUTFALL PROTECTION SIZED PER FLOW 159 HERBACEOUS CALCULATIONS. 7 SHRUB 8. PLANTER HEIGHT ABOVE GROUND AND DEPTH SEE LIST BELOW GROUND PER OTHERS. 2" MINIMUM ABOVE SIZE OF PLANT S OVERFLOW OR BY DESIGN. 9. BUILDING JURISDICTION APPROVAL REQUIRED WHEN (MIN. 1" X 6" PLUGS) DEPTH OF FACILITY IS BELOW BUILDING FOOTING. LIDA FLOW-THROUGH (�eanWaber Services NUMBER 794 HANDBOOK PLANTER W! Ow eommlt a. t i�afar. 98 STANDARD DETAILS BLDG. OFFSET '°°°`"""'°°°"" DRAWING ,••.Dde,OR•),il 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00115 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00115 George Heimos 1. "Provide design storm system" not completed as per inspection dated 9/18/14. 1101.1 2. Storm sewer, according to owner, discharges thru curb on Lukar Ct and is installed on property at rear of residence, on left side of home from retention system. Storm needs to discharge to an approved location. 1101.1 3. Expose all backwater valve for crawl drainage for inspection. 103.5.1.3/103.5.1.4 4. Expose storm cleanouts, one at lower terminal (outlet from house) and one every 100'. 103.5.1.3/103.5.1.4 5. Expose sanitary sewer outside cleanout. 103.5.1.3/103.5.1.4 6. Provide private easement for storm sewer on Lot 5, 14278 SW Lukar Ct. 1101.1 7. Caulking required on ﬁxture(s) at: kitchen sink. 310.3/407.2 8. Calking required at both master bath lavs. 310.3/407.2 9. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL May 8, 2015 at 11:00:25 AM MST2014-00115 David Young Provide permit for additional storm line thru easement. Finish new storm piping thru easement. Ok to locate DI Y ﬁtting and clean out on lower side of landscape retaining wall. Storm piping to have min 1' of ground cover. Leave open 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL May 8, 2015 at 11:36:04 AM MST2014-00115 David Young Provide approved plumbing ﬁnal inspection. Provide landing to code at exterior rear stairs. Grade on left side of house to slope away 6" in 10' or have approved drainage swale. R401.3 Install Fall Prevention Device(s) that complies with ASTM F 2090 or window opening limiting devices per section R612.4 at all openable. Operable sections of windows that allow more than 4 inches of opening, are located more than 72 inches above exterior ﬁnished grade, and where the window(s) are less than 24 inches to the interior ﬁnished ﬂoor. Note: Fall Prevention Device shall not reduce Emergency Escape sizing requirements. R612, R310 at upstairs bonus room built in bench. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00115 David Young Corrections done. Backwater devises exposed and brought to grade. Ductile iron pipe installed in easement. Note: contractor backﬁlling, to provide min 1' of cover near landscape retaining wall. Landscape contractor to backﬁll trenches behind house. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00115 David Young Corrections done. Final erosion control approved. Street tree certiﬁcation received. 7 trees installed. Moisture content form received. High efﬁciency lighting form received. Duct seal test report checked. Insulation certiﬁcation checked. Storm drain easement received for lot behind to lukar court. Note: landscapers on site backﬁlling all open trenches. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00115 George Heimos 1. Corrections 04/28/15, #7 & #8 caulking has gaps around sinks, re- caulk all. 2. Expose crawl drain and retaining wall drain piping installation and tie to storm piping thru an accessable backwater valve. 3. Plans show 4" ductile Iron (DI) starting within 5' of LIDA box and continues to Lukar Ct catch basin expose cleanout at upper end and pot hole DI for inspection from cleanout to termination point every 10' and expose termination point. 4. Camera storm sewer with water running, to verify grade and installation of piping, from building to discharge location. 301.2/310.3/718.1 5. Recall inspection when 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00115 George Heimos 1. Seal around A/C line set exterior penetration. R703.1, 1403.2 2. Complete outside gas ﬁre place, not working, provide manufacturers installation instructions. M1307/304.1 3. Recall inspections when corrections have been completed. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00115 George Heimos 1. Corrections #2 and #3 previous inspection not completed, 2. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL May 7, 2015 at 12:50:27 PM MST2014-00115 David Young Provide extended backwater devise at perimeter and retaining wall drain tie in to Lida drain. R408.5, 1101.5.2(3) Pot hole every 10' from storm clean out to catch basin to verify pipe depth and material, ductile iron required per city per original design. Pipe installed and covered without inspection. Provide proper threaded cap for clean out. 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS May 7, 2015 at 12:24:45 PM MST2014-00115 David Young Corrections done. Shutoffs for ﬁreplace ok 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 14251 SW FERN ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2014-00115 George Heimos 1. No inspection done. Did not take documentation 2. Provide plumbing, mechanical and erosion control ﬁnal approvals prior to calling for Final Building approval. 3. Re-inspection fee due if ﬁnal inspection called prior to all other corrections approval. Violation Summary: Inspector Contractor 4/17-• Washington County,Oregon 2015-031635 3 I REED Stn= 04/29/2015 11:37:54 AM tn GRANTORS $30.00$11.00$5.00$20.00$20.00 $86.00 I,Richard Hobernicht,Director of Assessment and Taxation and Ex- Mission Homes Northwest,LLC Officio County Clerk for Washington County,Oregon,do hereby certify that the within instrument of writing was received and recorded in the book of records of said county. GRANTEES Richard Hobernicht,Director of Assessment and Taxation,Ex-Officio Mission Homes Northwest,LLC After recording return to: , ,51 ic,? St Mission Homes Northwest, LLC P.O. Box 1689 Lake Oswego, OR 97035 COVENANT FOR FUTURE PRIVATE STORM DRAINAGE EASEMENT d AND MAINTENANCE AGREEMENT EFFECTIVE UPON DATE OF SALE Recitals A. AGREEMENT AND COVENANT CREATING FUTURE EASEMENT -3 The undersigned are the owners of the parcels described in item B below. The undersigned are hereinafter referred to as"Owners". Owners desire to burden Parcel 1, described with a covenant that will create an easement in perpetuity for a Private storm drain to benefit Parcel 2 upon the date of the first conveyance of each of the parcels. Owners desire to clarify Owners responsibilities with regards to the easement CC B. LEGAL DESCRIPTIONS Parcel#1 is described as follows: Lot 5, LUKAR RIDGE, Washington County Plat Records Parcel #2 is described as follows: Lot 6,LUKAR RIDGE, Washington County Plat Records o C. INTENT E The parties desire to enter into an agreement to create a"Covenant Creating Private Storm E Z Drainage Easement And Maintenance Agreement Effective Upon Date of Sale" for the storm a drain and to establish rules and regulations to govern the use, maintenance and repair of the E easement. N ca U L C a) D Q U a-. E cc <L AGREEMENT 1. CREATION OF COVENANT FOR PRIVATE STORM DRAINAGE EASEMENT AND MAINTENANCE AGREEMENT: Owners convey the rights under this agreement for the storm drain to the successors in interest to Parcel 2, as depicted in the drawing set forth in attached Page 1 and 2 of Exhibit"A" and as described as follows: EXHIBIT A Owners, their successors and assigns, covenant that Parcel I described in Section B above shall be burdened with an easement for the private storm drainage benefiting Parcel 2. At such time as Parcels 1 and 2 described in section B above is conveyed. 2. PURPOSE OF THE AGREEMENT The purpose of this agreement is to provide for a covenant which will create an easement in perpetuity for the private storm drainage easement on Parcel 1, benefiting Parcel 2,as described in section B above. 3. DURATION AND NATURE OF AGREEMENT This agreement shall continue in perpetuity. This agreement is intended to and does attach to and run with the land affected herein. This agreement is binding on the undersigned landowner Mission Homes Northwest, LLC,and all persons claiming under them. It is the intent of Mission Homes Northwest, LLC to create a continuing obligation and right on the part of themselves and subsequent owners of the subject land. 4. OWNERSHIP Mission Homes Northwest,LLC is the owner of the private storm drainage easement. As Mission Homes Northwest, LLC shall convey each of the described parcels in Section B of this agreement to subsequent Grantees, each such grantee shall acquire an undivided ownership interest in the Private Storm Drainage Easement. 5. RELATIONSHIP TO OTHER EASEMENTS OR ENCUMBRANCES This easement is granted subject to all prior easements or encumbrances of record. 6. ACCEPTANCE OF TERMS-DEED By acceptance of the conveyance to their property, future owners property described in Paragraph B become parties to and are bound by this agreement whether or not expressly stated in any conveyance. MAINTENANCE AND REPAIR OF THE PRIVATE STORM DRAINAGE EASEMENT Owners and their successors in interest agree to maintain and repair the easement at their own expense according to the terms set forth in this agreement. Following any repair or maintenance, Owners will return the easement to the same condition it was in prior to the repair or maintenance. All maintenance and repairs shall be completed within a reasonable period of time. Owners and their successors in interest shall have no responsibility for or be obligated in any way to pay for any maintenance and repair of the easement except as set forth in this paragraph. Any damage to the easement due to the intentional,negligent or abnormal use by any party, or the party's agents, invitees or independent contractors, shall be the responsibility of that party and shall be repaired at that party's sole expense. 8. USE OF EASEMENT BY OWNERS OF DECLARANTS PROPERTY. Grantors, and successors, shall be allowed access to the easement and use of the easement so long as such use does not interfere with the use of the easement for its intended purpose or obstruct any portion of the easement. Grantors shall not place or allow any obstructions to be placed within the easement that would in any way interfere with the use of easement for its intended purpose. 9. OREGON LAW AND FORUM. The Covenant shall be construed according to the laws of the State of Oregon even if Oregon's choice of law rules otherwise would require application of the law of a different jurisdiction. Any litigation arising under or regarding this Covenant shall occur, if in the state courts, in the Washington County Court having jurisdiction thereof, and if in the federal courts, in the United States District Court for the District of Oregon, Portland Division. Any arbitration or other form of alternative dispute resolution arising out of this Covenant shall take place in an appropriate forum within Portland, Oregon. 10 EFFECTIVE DATE This covenant shall automatically create the subject easement upon the recording of a deed conveying one of the parcels described in section B above. 11. SEVERABILITY Each provision of this Covenant shall be independent and severable. The invalidity or partial invalidity of any provision thereof shall not affect any of the remaining portions of that or any other provision of this Covenant. IN WITNESS WHEREQF,the parties have caused this instrument to be executed on this 2 q day of ,}111-y-t ) 201 . Mission Homes Northwest, An Oregon Limited Liability Company By: Jos Kelso, Member STATE OF OREGON ) )ss. COUNTY OF L(14 S i.c.1/1 ) THIS INSTRUMENT WAS ACKNOWLEDGED BEFORE ME ON 1 ,29 , 201 5 BY Josh Kelso, as Member of Mission Homes an Oregon limited liability company �,. ./, ttibti • q�cial-.ems • Y PUBLIC ./U a.rl;1-1 1 la. ;4 t 9 My Commission Expires :� � OFFICIAL STAMP `.4TRACY MARIE HAYDEN NOTARY PUBLIC-OREGON COMMISSION NO.936807 MY COMMISSION EXPIRES MARCH 16,2019 IIIU\le consustl ltants,inc I a ke PLANNING 1 ENGINEERING 1 SURVEYING Luker Ridge Private Storm Drainage Easement Project No 2312-004 February 13, 2015 EXHIBIT A PAGE 1 of 2 The westerly 10.00 feet of Lot 5, LUKAR RIDGE, Washington County Plat Records, situated in the southwest one-quarter of the northwest one-quarter of Section 4, Township 2 South, Range 1 West of the Willamette Meridian, in the City of Tigard, Washington County, Oregon, and being more particularly described as follows: Beginning at the northwest corner of said Lot 5, being 18.00 feet, when measured at right angles, from the centerline of SW Luker Court; Thence, along the North line of said Lot 5, also being the South line of SW Lukar Court, North 89°21'59" East, 10.00 feet; Thence, parallel with and 10.00 feet from the West line of said Lot 5, South 00°37'03" West, 95.34 feet to the North line of Lot 6, LUKAR RIDGE, Washington County Plat Records; Thence, along said North line of Lot 6, North 89°22'57" West, 10.00 feet to the West line of said Lot 5; Thence, along said West line, North 00°37'03" East, 95.12 feet to the Point of Beginning. REGISTERED Containing 952 Square Feet. PROFESSIONAL LAND SURVEYOR /4. , OREGON JULY 13, 2004 TOBY G. BOLDEN 60377LS RENEWS: 12-31-2015 J:\2312-004.12\Survey\CAD\WORK\10' Storm Drainage Easement\2312-004 - Storm Drainage Easement-doc I Westlake Consultants, Inc. 15115 sw sequoia parkway, suite 150 tigard, oregon 97224 PH - 503-684-0652 FX - 503-624-0157 www.westlakeconsultants.com 7- . 1 I .. 0 10' 20' $N vO OV10� •! I I K P„- C,� SCALE:1"=20' S31;--- \ Yr ____ _ _ _ /3 \' o3 r N8921'59"E 10.00' \ POINT OF BEGINNING J INI lu o NW CORNER LOT 5 4 0 i "LUKAR RIDGE" _ — i -c h E PRIVATE STORM 0 10.00' DRAINAGE EASEMENT 6LP,' 952 SQ. FT. 1 LOT 58 O. HILLSHIRE WOODS iv n N 14 14 Ol Of 1,.1 LOT5 c c LUKAR RIDGE Ls N 0 NOTES z S o PUE = PUBLIC UTILITY EASEMENT ..1 -c Oki zI 10.00' 1-- E WI REGISTERED PROFESSIONAL N LAND SURVEYOR 1• 1• N \ ,i 4 - `1 N8922'57"W 10.00' 5 OREGON JULY 13, 2004 z TOBY G. BOLDEN LOT 6 60377LS LUKAR RIDGE N RENEWS: 12-31-2015 0 0 N cv EXHIBIT A DAZE 13FEB15 j WESTLA PAGE 2 OF 2 DRAWN BY SLH2 I KE CONSULTANTS ox. E CHECKED BY Z LOCATED IN THE NW 1/4 OF SECTION 4 TGB ENGINEERING • SURVEYING • PLANNING TOWNSHIP 2 S., RANGE 1 W., W.M. REVISION 0 PACIFIC CORPORATE CENTER WASHINGTON COUNTY, OREGON JOB NO. 15115 S.N. SEQUOIA PARKWAY. SUITE 150 (503) 664-0652 0 O 2312-004 TIGARD, OREGON 07224 FAX (503) 624-0157