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Permit I � p CITY OF TIGARD �AMIN MASTER PERMIT • COMMUNITY DEVELOPMENT Permit#: MST2014-00133 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S109DB05600 Jurisdiction: TIGARD Site address: 13255 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 4 Project: Sequoia Heights, Lot 4 Project Description: New SF. 1/21/15, reprinted to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 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: $336,657.22 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 Other Fixtures: 0 Drywell-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 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'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2722 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 15060 SW 133RD AVE 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,960.05 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 t - •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin83.232.1987 0-4,800.332.2344. Issued By t.. i — Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. t/ This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVE Mechanical Permit.Application 2015 FOR OFFICE USE ONLY IN Cl of Ti al'd ,IAN 2 0 Received D /s Permit No,: l 6 e/ 3 i3' g nele/13y; / IF d 't 13125 SW Hall 131vd.,.Tigard,OR 97223 T►GAR ' Phone: 503.'118.2439 Fax: 503,598.I VI OF . �, s Diller Period: TIGARD lnspectloi1 Lino: 503.639.4175 BUILDINGONIS� Datc.Ready/By; lyric Q See'age for Internet: lvww.tigard-or.gov Notitiied/Mcthod: Supplemental Inforutnllon I TYPE OF WORK COM11IERCIAL FEE• SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the value of the Work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all • Q Demolition 0 Other: .mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES" ®1-and 2-family dwelling Q Commercial/industrial ID Accessory building For specialbtfordratlon use checklist. ❑Multi-family ❑Master builder 0 Other: Description I Qty. ' Ea. I Total JOB SITE INFORMATION AND LOCATION He tin g/oolln'1 Air conditioning i 46.75 Job site address: 13 2 5 51 V •t GI I[�re-. - ]k I^JJ t BTU dt/onu) • 46.75 _City/State/ZIP: -TA AG� —A p q-'Z A Furnace100,000 BTU (duets/vents) 54.91 Suite/bldg,/apt.no.: Project name: — Duct work 23.32 • Cross street/directions to job site: Hydronic hot water sytletu 23.32 Residential holler(radiator or •Dydronio) 23.32 Unit heaters(Thehtype,net electric), in-wall,in-duct,suspended,etc. 46.75 • Flue/vent for any of above 23.32 Subdivision: µ7S f Lot no.:lCCb"h Other: 23:32 C7I�n t f� Ell- Other fuel appliances: Tax map/parcel no,: Water heater 23.32 I• . .DESCRIPTION OF 1VORK oat fireplace/ittsgrt . 33.39 • NSFR AA Flue vent for%vater.heater. or gas 1"f bb AIR- CarJ D I-r l rrl4 n Nc fireplace 23.32 A �../J :ap i 3 3 . Log lighter(gas) 23.32 1-'L Tb�Yt- FfZ1M t� +-' —Z - Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Envh•oninental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen lothesdry Address:11807 NE 99th Street,Suite 1170 Cthes 33.39 lgerexhau9t 33.39 City/State/ZIP;Vnncouver,WA 98682 Single-duct exhaust(bathrooms, • . toilet compartments,utility.rooms) ; 23.32 Phone:(360)253-7900 Fax:(360)258-7901 Atilc/gratvlspece falls 23.32 • . ® APPLICANT ❑ CONTACT PERSON Other: 23,32 • ■ttel piping; Business name;LENNAR N1V,INC 514.15 for lust lour;.S4.03 for each additional. • Contact uamo:ERIK PETERSON Furnace,eto. Address:11007 NE 9911'Strect,SuIteI I7O pas heat pump . Wall/stts;Serided/unit heater City/State/ZIP:Vancoaver,WA 98682 Water heater . Phone:(360)258-7900 Fax::(360)258-7901 Fireplace , Range . • E-mail:ei•ih.petersondlcnnar.00m . . Barbecn0 CONTRACTOR Clothes dryer(gas) , Business name; T? : Cot.wrr TMP Cc)AuRoI- Other: MECHANICAL PERMIT FEES` Address: j g) D $ Cie 44 G '(/-1 MRS [i✓/1/ D2, Subtotal City/State/ZIP: ,, / t/ U Minimum permit fee($90.00) u2��A/ ��Ti �� 7 �� Plan review 25%of penmmit fee Phone:(5 a3) 6-57.. 2 z 7 0 (Fax:(503) 557—• 0 91/9 State surcharge(12%of permit fee) CCB no.: 72 G• 2 3 • TOTAL PERMIT FEE • This permit application explrci On permit Is hot obtained within ISO ><pa Jensen days otter It ens been accepted as complete, Authorized signature: • Pea methodology set by Trl-County Building industry Service board IPrint name: April Jensen I Date: 1-13-15 I:IBuildingwcnnits1MEC I'ermilApp 040113.doa -- _-- 440-4617T(I1l02ICOi.IAVEB) CITY OF TIGARD MASTER PERMIT s • COMMUNITY DEVELOPMENT Permit#: MST2014-00133 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S 109DB05600 Jurisdiction: TIGARD Site address: 13255 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 4 Project: Sequoia Heights, Lot 4 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: 24 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: $336,657.22 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2722 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 15060 SW 133RD AVE 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,907.69 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 • ••• OA- • 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. — Issued B • G .1 Permittee Signature: 41 f s:.tor e 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. Building Permit Applicatio F,CEIVEP Residential FOR OFFICE USE ON I.1 AUG 14 2014 Received City of Tigard A AMU Permit No.: -DO/33 Date/B II 13125 SW Hall Blvd.,Tigard,OR Plan Revie irg Phone: 503.718.2439 Fax: 503.597 9> Y OF TIGARU DateB : .A, 1 '. Other Permit:64,2�,rel_eet07,. T I GARU Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready: : �� t/„ (3 jfr Jur;s: 0 See Page 2 for Internet: www.tigard-or.gov Noti6red/Method.�f�J� (/ Supplemental Information i14 _f.--..,/ '✓c TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING e; 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ C, c)7.22_ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Z • g' JOB SITE INFORMATION AND LOCATION Total number of floors: 2._ Job site address: /32 55 51,/ /-/4 z E L C Res 7 wA y New dwelling area: 2, 7z Z square feet City/State/ZIP: /I (I 4/2() 1 D R 9 72 23 Garage/carport area: 774_ square feet Suite/bldg./apt.no.: Project name: Covered porch area: 1 (08 square feet l Cross street/directions to job site: Deck area: square feet ' -5 Other structure area: ,m476„, square feet '2-4 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: c q?LI 0/4 /4 El q H 75 I Lot no.: 4. Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all 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* Business name:LENNAR NW,INC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:ERIK.PETERSON Address:11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98682 Total fees due upon application: Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:erik.peterson @lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:LENNAR NW,INC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:11807 NE 99th Street,Suite 1170 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver,WA 98682 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)258-7900 Fax:(360)258-7901 State surcharge(12%of permit fee): $21.60 CCB lic.: / ci J Q 7 Total fee due upon application: $201.60 Authorized signature: ago- This permit application expires if a permit is not obtained Iv, within 180 days after it has been accepted as complete. Print name: — fK PE/E/t'Soi(/ Date: $ •4 • I *Service methodology odology set by Tri-County Building Industry I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A I' • IVEP FOR OFFICE USE ONLY Received e- lig City of Tigard Date/By: d /`1 N iriai, Permit No.: sue- ,/V—nc/33 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 50 3.598.�A 14 2014 Date/By: Other Permit: 3ta,r�x,/ 0CC7 Inspection Line: 503.639.4175 f 1 G R D Date Ready/By: Juris: . Ei See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OFTIGARD TypiRtinsING 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 information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1 3 2 55 SW f/iq ZC= L'.RL 5% Iti A)/ Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 77C C/V / i O R Q 72_L 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: S6¢L!O / Fit,..-7/4"H T S Lot no.: ¢, Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas NSFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Z PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen Address: 11807 NE 99th Street,Suite 1170 equipment 33.39 Clothes dryer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,INC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:ERIK PETERSON Furnace,etc. Address: 11807 NE 99°i Street,Suite1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater I Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) /� Other: Business name: TR 1 CD UAJ l y I c M c n MI- O L MECHANICAL PERMIT FEES* Address: g i U 5: CIL A G/414 A41)5 RI✓g-i D e. Subtotal City/State/ZIP: G26:7-6 OA/ (-11 Ty DR 1 7O 4'S Minimum permit fee($90.00) 7 Plan review(25%of permit fee) Phone:(g 03) 5-5 7_ 2 226 Fax:(5-O3) 53-7— 0 9/9 G State surcharge(12%of permit fee) CCB tic.: 72 6 2 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: i ' * Fee methodology set by Tri-County Building Industry Service Board ar Print name: E-d2f g_ FereeeetA.1 Date: 9. aye....//- I.\Building\Permits\MEC_PermitApp_0401 I3.doc 440-4617r(1I/02JCOM/WEB) Plumbing Permit Applica Building Fixtures g FOR OFFICE USE ONLY City of Tigard Received /it / ' ^ n 11�� ,/�60/3 13125 SW Hall Blvd.,Tigard,OR 91 14 2014 Date/By: 7 (��+rJ Permit No.: Y 3 Plan Review 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: V2 C/-.eto 6X, TI G A R D Inspection Line: 503.639.4175 CITY OF TIGARU Date Ready/By: Juris• ® See Page 2 for Internet: www.tigard-or.gov V 1 I Notified/Method: Supplemental Information TYPE 01,�ING DIVISION FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total El 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 I=1 Commercial/industrial SFR(2)bath 437.78 1:1 Accessory building n SFR(3)bath 500.32 0 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: �3 25 J W l7/�z&L C��L 5, Catch basin or area drain 18.76 Job site address: 5 ��y Drywell,leach line,or trench drain 18.76 City/State/ZIP: 77-6'r'hl R 0 J OR 9 72 2 3 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: s�-/'1 u 0vA 1---/6:I p/(7$ I Lot no.: � Fixture or item: Tax map/parcel no.: Y' Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,INC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NE 99th Street,Suite 1170 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2_ 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker I. 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,INC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:ERIK PETERSON Roof drain(commercial) 12.51 Address: 11807 NE 99th Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax::(360)258-7901 Tub/shower/shower pan 3 12.51 E-mail:erik.peterson @lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater ( 37.52 Business name: W p L co 77 FL.c..il4l3)N4' Water piping/DWV 56.29 Address: / b 75 t4). HI STOR i c i' '1 um I3� 13 i a-ra (JW V Other: 25.02 City/State/ZIP: j r2a u T)/-L L} 042 9 7C6 6D / Subtotal_ L Fax:(�G3) 7_ Minimum permit fee: $72.50 Phone:6-03) �a(0 7./7F'/ x 3 t I 6'? / - CCB Lic.: // 2 22 s G Plumbing Lic.no.: ZG . f?2¢RQ Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: `,, P We- g TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: L rF- �U(.tJMA/� Date: 2 -�� 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) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE I •e Date/By: /� ��/ ,dj Permit No.:�.��,plL�OO/33 711 n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: �LC7 Qo00/�-QLkl 7� Inspection Line: 503.639.4175 AUG 14 2014 Date Ready/By: kids: H See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORI:CITY OF i1UARD PLAN REVIEW g1veW construction ❑Addition/alterat li(3lN€tPIVISION Please check all that apply(submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural Al.and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. El 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", Job no.: Job site address:/32 S 55 � ©S10ix 0Hor P or more. occupancy. . more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: —1-1(„ D t �_� 9 7 2_:2_ �j ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I ' New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less L 168.54 4 JrcQ U O1 EIC��! T Ea.add'l 500 sq.ft.or portion `j 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 ✓r residential(with above sq.ft) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation PROPERTY OWNER I ❑ TENANT 200 amps or less ( 100.70 2 ��`` 201 amps to 400 amps 133.56 2 Name: L.„ieiNJ N A -.. N IN J N C,• 401 amps to 600 amps 200.34 2 Address: ` \ ,.)-1 N( f q 4V l Si_ S u l.-r c ( t -7 n 601 amps to 1,000 amps 301.04 2 1 � ` Over 1,000 amps or volts 552.26 2 City/State/ZIP: V tk CcrU'1 EZ ( U\1 1 5(p e Z Temporary services or feeders installation,alteration,and/or Phone:(3(Pd 2...5 2) • --r1 co Fax:(3lov) 2G -11 200a psorless 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 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel ❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 each branch circuit 3usiness name: _ S t`(P=- B.Fee for branch circuits without :ontact name: service or feeder fee,first 56.18 2 branch circuit 4ddress• Each add'l 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 O"T E LH L 6L"I 1Z1 panel,alteration,or extension. Page 2 2 ddress: ch additional inspection over allowable in any of the above I I D Sg �j Ni l�EU T/� C�1 U Additional inspection(1 hr min) 66.25/hr 3ity/State/ZIP: 14 A-f(1 qPi-L.LE i Q Investigation(1 hr min) 66.25/hr _ Fax:( ) Industrial plant(1 hr min) 78.18/hr 'hone:(Sp 3) 3 so. "50-3 Inspections for which no fee is 90.00/hr :CB Lie.: 4 9 0 3 • Electrical Lie.: . 9.el I Suprv.Lie.: 9 70 s specifically listed(h hr min) ELECTRICAL PERMIT FEES uprv.Electrician signature,required: Subtotal: Date: Plan review(25%of permit fee): rint name: O 0 SL�1�1f ETS ' l 8 �+ �Q(�!`{ (� State surcharge(12%ofpennit fee): .uthorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 rint name: Date: days after it has been accepted as complete. ° Number of inspections allowed per permit. uilding\Permits\ELC PermitApp ELR EREdoc Rev 05/21/2013 440-46151(11/05/COM/WEB . . 11114 City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: N 31—c9-0/4—CO/ 33 Site Address: 13255 Sal 1-k l,Zek ie,sf Way Project Name: Sequolo, Heich k-5 Lot #: Li (New dCvelling=subdivisio name;Addition or Alteration=last name of owner) Planning Review `,, Proposal: ne-v4 SF home Verify site address/suite #exists and active in permit system. Site Plan Elements: g P ree(3)copies of site plan txisting structures on site 1 . e plan must Le on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations arrow Utility locations(required for new,may apply for additions) 2.° .ddress,project or subdivision name and lot number we ation of wells/septic systems l• pplicant information(name and phone number) I Erosion control(including drainage-way protection,silt fence I• t dimensions and building setback dimensions ign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and 6JS et names /impervious area(applicable if R-7,R-12,R-25&R-40) 2Street tree size,type and location Property corner elevations(2 foot contour lines if more than $sting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—S ice Provider Letter: (lot platted prior to 9/10/1995): Re ed: ❑ Yes la No Received: ❑ Yes ❑ No Land Use Case#: SUB 2-0 13- 2 �oning: R— , t ,Zetbacks: Front l S' Rear 1 5 Side 5 Street Side -- Garage Zb ,Xandscape Requirement: 2 a ot Coverage Maximum: n LI Building Height: Maximum Height 35 Actual Height 2 y ' Vr tsual Clearance V asements sitive Lands: ❑ Yes No Type rban Forestry Plan Conditions Met YP Notes: Approved By Planning: 9 Lehr..• Date: PP Y g I L� SIIu11y Revisions (after Building Submittal on ) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:1Bui Iding\Forms\BldgPermitRvw_RES_042914.docx . . Building Permit Submitt I Original Submittal Date: /4 /41 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning .D—Engineering 0-Permit Coordinator -a Building Workflow Sign-off: -E Sign-off for Planning(include notes from planning review) Route Application Documents: J:-.1-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: CO Date: _ VVA7 • Engineering Review Actual Slope: Conditions Met Notes: Approved by Engineering: Date:_ /8 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved _ 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: K to Issue Permit Approved by Permit Coordinator: 4, /, _L.&/ Date: • " /'K 1:\Building\Forms\Bl dgPermitRvw_RES_042914.docx Contractor is responsible to check site plans and notify designer of any errors or omissions prior to start of construction. Plans and RECEIVED specifications shall be approved (E)RETAINING by local building officials prior h�'` 60.00' WALL �1S to the start of any construction. 0 - - — G 7 4 2014 ..t CITY OF TIGARD 4 • - CITY OF TIGARD Approved by Planning MULCH ESTABLISH N BUILDINGDIVISIO L GRA55 — — — NILE — — — _ _ SILT FENCE N Date: : l '68SF' SITE LEGEND: Initials: y _, h'°b 2693A-3 ebb °I EROSION CONTROL NOTES: 7_ -- WET WEATHER EROSION NOTES: I ��BAMERE� NE�� Utility Symbols: I I I 1. A STABILIZED GRAVEL CONSTRUCTION LSVABIE COVERAGE 1. DURING WET WEATHER SEASON 1,245 58.E1. ENTRANCE SHALL BE INSTALLED AS FIRST ir FIRE HYDRANT (OCTOBER 1-APRIL 30)ALL SOILS I SITE ACTIVITY. 5'-0 SHALL BE COVERED WITH PLASTIC p 2. EROSION CONTROL MEASURES SHALL ® CATCH BASIN SHEETING,OR A 2-INCH LAYER OF O -- -- -- 50.-0" ° w� BE INSPECTED DAILY AND MAINTAINED AS MULCH,BARK,WOOD CHIPS, GARAGE OVERALL NECESSARY TO ENSURE THEIR FUNCTION. STREET LIGHT SAWDUST,OR STRAW TO MINIMIZE T.O.5.=564.50 F of °_00 EROSION POTENTIAL. (LEF) MAIN 3. EROSION CONTROL MEASURES SHALL — — — SANITARY SEWER I GARAGE F.F.E:565. I BE KEPT IN PLACE UNTIL PERMANENT 774 Sq.Ftt. 2. EXPOSED SOILS SHALL BE SEEDED GROUND COVER IS ESTABLISHED. n .— STORM DRAIN NO LATER THAN SEPTEMBER!. I bh • 5'-0" hb 5' i. w WATER LINE /- !L 281-4 E � LATERAL SANITARY 8'-0"W .�t •— 12%GRADE — 1685,F,. Fence Types: P.U.E. o CONCRETE • 564' STORM _ I; DRIVEWAY LATERAL 6'-0" WOOD FENCE 563' (See Fencing Plan if Necessary) _.- _-_ — WATER b bti t �« ,., ; %j_Az• 562' Street Tree Types: SIDEWALK 0 ACER TRUN. x ACER PLAT. "A/ u �� III _ 'SUNSET MAPLE' PROVIDE GRAVEL STAGING V r ; 2°CAL. AREA AT DRIVEWAY. (2"MIN QUARRY SPALLS FOR SAN SINGLE FAMILY SITES). —� SAN SAN SAN•de/0 CLADRASTIS KENTUKEA — SW HAZELCREST WAY ° 2' CAL.WOOD' 2"CAL. — — STM STM — STM STM STM FRAXINUS OXYCARPA — WAT WAT• AT WA a/ '/ WAT WAT 4, .•-N.'- ' .f ,ro. „0 'RAYWOOD ASH' .- 2"CAL. \ • • . ...... ,..,..• . . , : . . . .. . : . . . . . . .. . . .:, . . .. . . .. . , _ _ _ . .._ _ _,...... __ SEE LEGEND FOR i TREE TYPES-TYP. PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS DRAWN:08-01-2014 JBG SITE PLAN Street Address: HOUSE 1,245 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS SEQUOIA u HEIGHTS LENNAR GARAGE' 774 Sq.Ft. FRONT HOUSE: 15FT.(FromP.L.) HEIGHTS 13255 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.) Suite 1170 DRIVEWAY: (IMPERVIOUS) 637 Sq.Ft. REAR YARD: 15 FT.(From P.L.) ® CITY OF TIGARD, WASHINGTON CO, OREGON Vancouver, WA 98682 TOTAL COVERED AREA' 2,992 Sq.Ft. SIDE YARD: 5 FT. (From P.L.) \ N / LOCATED IN THE SE 1/4 OF SECTION 9, HOME SITE # 4 Office: 360.258.7900 STREET SIDE: 10 FT.(From P.L.) – TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN= 5, OO Sq.Ft. h 80%MAX.ALLOWABLE' ° /° –= 4,080 Sq.Ft. SCALE:1" 20' j q PROPOSED COVERAGE = 58.6% 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 13255 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O February 20, 2015 at 10:43:28 AM MST2014-00133 David Young Corrections done. Street tree certiﬁcation received. NOTE: ﬁnish installing missing street tree per city approved site plan. To be installed same day per on site superintendent Jeff Hess. Blower door test results received. High efﬁciency lighting form received. Moisture content form received. Final erosion control approved. 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 13255 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00133 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 13255 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL February 19, 2015 at 12:54:44 PM MST2014-00133 David Young Finish sealing line set penetration thru foundation vent. Provide plumbing ﬁnal for lawn irrigation permit PLM 2015-00026 Provide approved electrical ﬁnal inspection. Note: exterior grading corrected. 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 13255 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS February 19, 2015 at 12:43:27 PM MST2014-00133 David Young Seal line set penetration thru foundation vent, will check at building ﬁnal. Note: no AC installed for ﬁnal. At time of AC installation a permit and inspections required. 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 13255 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS February 19, 2015 at 12:41:27 PM MST2014-00133 David Young Note: no French drain installed in rear yard. Violation Summary: Inspector Contractor