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Permit 14 q CITY OF TIGARD PERMIT COMMUNITY DEVELOPMENT ��® Permit#: MST2014-00132 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S 109D 805500 Jurisdiction: TIGARD Site address: 13233 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 3 Project: Sequoia Heights, Lot 3 Project Description: New SF. 1/21/15, reprinted to add a/c. BUILDING Floor Areas Required Setbacks Reauired Stories: 2 Bedrooms: 4 First: 1074 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1318 sf Garage: 701 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2392 sf Value: $295,227.64 Rear: 15 PLUMBING Sinks: 1 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 Tvaes 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 2392 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: $21,124.37 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 i ---- - • = 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. • ENTION: Or-,•n law requires you to follow the rules adopted by the Oregon Utility Notifi '-• Center. Those rules are set forth in OAR 952-0.1-0010 through OAR ••2-0' ;990. You may obtain a copy of the rules or direct questions to OUNC by - g 503.232.1987,or 1.800.332.2344.// Issu d By: = /� Permittee Signat f� 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. Mechanical Permit APP tic 'VED • FOR OFFICE USE ONLY City of Tigard n i�is`d 111 Y �� Permit No.: STSGI �o�� 'r 13125 SW Hall Bivd.;Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.59811)Q(� 2 2015 Date/B . Other Permit: TIGARD Inspection Line: 5.03.639.4175 Jr� DeteReadyBy: ruds Q15ceFngc3for • Internet: www.tigard-otgov Notified/Method: Supplemental Information CITY OF TIGAR D r>> ll � g �IVISION COMMERCIAL FEE° SCHEDULE—USE CHECKLIST TY�1 Mechanical permit fees*are based on the value'of the Work ®New construction 0 Addition/alteration/rep(acen}cnt performed.Indicate the value(rounded to the nearest dollar)of all O Demolition ©Other: .mechanical materials,equipment,labor,overhead;and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial []Accessory building For special hrfarirdlonnse clrecklrsr. ❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION He liag/polht 'r Air conditioning j 46.75 . Job site address: 52-3 3 SW - r — 0;e'S\-- ! umace 1Q, BTU(duets/vents) • 46.75 City/State/zip: '�i GQ , D 7�Z�j Furnace 100,Q00+BTU(ducte/vents) 54.91 Suite/bldg./apt.no,: . pump D Project name: Ductt work work 61.06 uc 23.32 . Cross strect/dlrections to job site: Hydronle hot Water system 23.32 Residential boiler(radiator or • h dronie) 23.32 Unit heaters(filet-type,not electric), in-wall,in-dupt,suspended,etc. 46,75 • Flue/vent for any of above 23,32 Subdivision: S E 1 Lot no �3 Other: 23.32 U(}i 14 iC�1175 , Other fetal appliances: Tax map/parcel no,: Water heater 23,32 I DESCRIPTION OF WORK OM ftreplace/irlsert . 33.39 NSFR Fle vent for water.lieater organ 23,32 r- D1> Alm Car ltl-ria-NINC, fireplace •MF4ST6Y� �ftlbA_�j sTZbl`t _co�.3L'. ' _Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/file/vent 23.32 ® PROPERTY OWNER 1 ❑ TENANT Other. 2332 Environmental exhaust part ventilation: Name:LENNAR NW,INC Range hood/other kitchen j Address:11807 NE 99111 Street,Suite 1170 equipment 33.39 ' •Clothes dryer exhaust .• 33.39 _ City/State/ZIP:Vaneouvcr,WA 98682 Single-duct exllaust'(bathrooms, . toilet comparllnepts,utility rooms) , 23.32 ' • Phone:(360)258-7900 Fax:(360)258-7901 /ltticlereWispace fads 23.32. , © APPLICANT 0 CONTACT PERSON Other: • 23.32 , Business name:LENNAR NW,INC Fuel piping: 514:25 fvrfirst four;S4.03 for each additional • Contact name:ERIK PETERSON Furnace,etc,. to Gas heat ptimp Address:11807 NE 99 Strect,Suite1170 • • . Wail/suspended/unit heater City/State/ZIP:Vnncouver•,WA 98682 Water heater . Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range ' . . E-mail:crik.peterson@a lennnr.com Barbecue CONTRACTOR Clothes dryer(gas) -�- Other: Business name: ' R 1 e6,14,)Tr - ,MP CrUN7Ro1_ - MECHANICAL PERMIT FEES* • Address; I g1 6-0 5 d 1 A c.Am A44 MA,-2 v2, Subtotal City/State/ZIP: GQ(('OA/ C/TI Of?. 9 7045 Minimum permit l'ee($90.00) Ty Plan review(2$%of permit fee) Phone:(6b3) 6-5 7- Z 2.7 (Fax:0-03) 557 0 9/9 State surcharge(12%of penlnit fee) CCBlie.: 72 6 2 3 TOTAL PERMIT FEE Tliis permit application expires it ñ permit is not obtained within 180 n't(7enten days after it has been accepted as complete, Authorized signature: > • Fee methodology set byTrI-Connly Building Industry Service Board Print Mittel April Jensen I Date: 1-13-15 I • 1:1Building\PermilsV.ECfermitApp 010113.doe 440.46171'(11/02/COMAVEB) I ■ L CITY OF TIGARD MASTER PERMIT in Ill I COMMUNITY DEVELOPMENT Permit#: MST2014-00132 Date Issued: 09/24/2014 TIUAR L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB05500 Jurisdiction: TIGARD Site address: 13233 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 3 Project: Sequoia Heights, Lot 3 Project Description: New SF BUILDING Floor ArQas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1074 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1318 sf Garage: 701 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2392 sf Value: $295,227.64 Rear: 15 PLUMBING Sinks: 1 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 Tvoes 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 addl 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 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: $21,072.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and other applicable law. All work will be done in ac • •-• e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if ork is suspended for more the 180 days. • NTION• Oreg.' law requires you to follow the rules adopted by the Oregon Utility Notification center. hose rules are set forth in OAR 952-0• -0010 through OAR 95. .01-•19• You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or :00.332.2344. oif I ' • .• Issue. By: 1 , . Permittee Signature: _ ..'ALI Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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 Application Residential RECEIVE!) I f)R OI I ICE USE ONLY Received 1 �� d^ City of Tigard Date/By: ' Permit No.: ape -60/ 7 a 13125 SW Hall Blvd.,Tigard,OR 9723461611G 1 4 2014 Plan Review e # IN = Phone: 503.718.2439 Fax: 503.598.19 Date, ; lie iii rL i r 44. Other Permit:AO Q via -(..)Glp 75 Inspection Line: 503.639.4175 Date Rea.'^ kris: ®See Page 2 for T i O A u° Internet: www.tigard-or.gov CITY OF TI GARD Notified/Method: '1 9 „1_ Supplemental Information BUILDING DIVISION ce'' wt = ■u TYPE OF WORK :, REQUIRED DATA::1 2 AND -FAMILY b . ®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/mdustrial Valuation: $ F2'7 ❑Accessory building ❑Multi-family Number of bedrooms: 4 r ❑Master builder 0 Other: Number of bathrooms: 2. .S JOB SITE INFORMATION AND LOCATION 1 / Total number of floors: 2. Job site address: 1 3233 514.) NA zirt t e/L S T W A y New dwelling area: 21 3'1 Z square feet City/State/ZIP: TC f R D ) OR 9 7 2 Z 3 Garage/carport area: 70/ square feet Suite/bldg./apt.no.: Project name: Covered porch area: 7 7 square feet (3(S Cross street/directions to job site: Deck area: square feet ID 74 Other structure area: W9'`3 square feet Z3• '" / / REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:`5 C 9 u O/4 1 6 1 e/-H 75 Lot no.: .g 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 0 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: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:LENNAR NW,INC (Pleaserejerrojeeschedal� W Structural plan review fee(or deposit): Contact name:ERIK.PETERSON - FLS plan review fee(if applicable): Address:11807 NE 99`h Street,Suite 1170 - City/State/ZIP:Vancouver,WA 98682 Total fees due upon application: Amount received: Phone:(360)258-7900 Fax::(360)258-7901 E-mail:erik petersonQlennar.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.: i i 5 3 D 7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ede 1K PE7 f-QAl Date: 8 • * • I *Fee methodology set by Tri-County Building Industry Service Board. I:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) Plumbing Permit Appliclein Building Fixtures FOR OFFICE USE ONLY City of Tigard Received // Date/Ely: l7 /I `t i,D, ro`�lY �l 3�- g Permi[No.: • 13125 SW Hall Blvd.,Tigard,OR 09II6 14 2014 I ilhl Plan Review Phone: 503.718.2439 Fax: 503.598.1960 / Date/By: Other Permit No.: Sycz /V�.x,7s TI G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris: fa See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE (4I NG DIVISION FEE* SCHEDULE ®New construction 0 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 I 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: 13 233 SW 1-/A z Et C RC=s T WIlY ��` Drywell,leach line,or trench drain 18.76 City/State/ZIP: /?R 1) ) Q/R 9 7 2 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: 56...70 taf/m 1-1 E/c 7-5 I Lot no.: 3 Fixture or item: Tax map/parcel no.: Backflow preventer I 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 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2.. 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker I. 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,INC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:ERIK PETERSON Roof drain(commercial) 12.51 Address: 11807 NE 99th Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax::(360)258-7901 Tub/shower/shower pan 3 12.51 E-mail:erik.peterson @lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater f 37.52 Business name: WO .cc 7T F cip i 13)1V4 Water piping/DDWV 56.29 Address: / b 75 W f. 1-1/sT R I c aL uM1.3)i p 1192 yb / Other: 25.02 City/State/ZIP: %i2"U l'AL L- 0 A9 7 7U 6 Q Subtotal (S G C T/72/ x ;•/ Fax:(5 63) (o(, 7- c!sD g Minimum permit fee: $72.50 Phone: 03) CCB Lic.: // 2 2 2 O Plumbing Lic.no.: 2,6 • Plan review (25%of permit fee) 2¢P Q State surcharge(12%of permit fee) Authorized signature: If- TOTAL PERMIT FEE Print name: /K / ereeSe Date:9 ', /.4 This permit application expires if a permit is not obtained within 180 days I after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit ApplidilECEIVEP FOR OFFICE ITS ON I.1 City of Tigard Received , I({ /t H9-490/4/-00/.?,7.., Date/By: o Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9724`3 I Plan Review I Phone: 503.718.2439 Fax: 503.598.19b�G 1 2 014 Date/By:v Other Permit: ,Q, jl iff ee�J i'I G A R I Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For spedal information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1323 3 SW H A ZG L C R L S T Wily Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: ri D i Q if (7223 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: S r7//� Plc f fl rs Lot no.: g Other: 23.32 Qu 7 Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 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 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment 1 33.39 Address:11807 NE 99th Street,Suite 1170 Clothes dryer exhaust I 33.39 City/State/ZIP:Vaneouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) S 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR N ,INC Fuel piping: W $14.15 for first four;$4.03 for each additional Contact name:ERIK PETERSON Furnace,etc. I Address:11807 NE 99th Street,Suite1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater 1 Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) /s Other: Business name: �""R j CDN�Ty tip C omrgOL-� MECHANICAL PERMIT FEES* Address: 3 i O J . CGA GK/-1 MAS f T,✓&)Q ,J2, Subtotal City/State/ZIP: a2L 6d n/ C,T 40/? 9. 7O 45" Minimum permit fee($90.00) Y Plan review(25%of permit fee) Phone:(±103) 6-5 7— Z Z2G f Fax:(503) 5,5-7- 0 9/9 State surcharge(12%of permit fee) CCB lie.: 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: g ,/tL rfT ill Date: 9 z i I1Building\Permits\ME``C--'Penn�'itApp_0401113.doc 44440-461Tr II/o2/C if Electrical'Permit Application FOR OFFICE USE ONLY City of Tigard ECEIVEP Received 3' // /y (Z--1"/ pennitNo.: 11-jT�![ _()�3.P.. Date/By: �J r ! IN v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review tt c//�_ I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other `` OC�7S- Ins ection Line: 503.639.4175 AU G 14 2014 Date Ready/By: Juris: EI See Page 2 for TIGARD p Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF katiVOF TIGARD PLAN REVIEW XNew construction ❑AdditienthlialiliWIRVISION Please check all that apply(submit 2 sets of plans w/items checked below): ❑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. Other: ❑Fire pump. ❑Installation of 150 KVA or Ell Multi-family ❑Master builder ❑ ❑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 3 Z 3 3 AZ-aI.Gtz-E S-( V\Cp y 0 Six or more residential units. 0 Recreational vehicle parks. q ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: "Ti i�ptt'�-D 1 0�� / Z2�j ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: ❑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 I 168.54 4 � .Q U 0146t- (=1 C 1-1-^C S Ea.add'/500 sq.ft.or portion 15 33.92 1 Tax map/parcel no.: Limited energy,residential ) 75.00 2 DESCRIPTION OF WORK (with above sq.ft) Limited energy,multi-family V 75 00 2 ` 5 r _ residential(with above sq.It) Renewable Energy _ ❑ See Page 2 Services or feeders installation,alteration,and/or relocation OWNER I ❑ TENANT 200 amps or less 1 100.70 2 )EQROPERTY 201 amps to 400 amps 133.56 2 Name: L.E-N N A 1as N W 'N G • 401 amps to 600 amps 200.34 2 1 601 amps to 1,000 amps 301.04 2 Address: 11 p ,R .� , f u t Z ` O Over 1,000 amps or volts 552.26 2 City/State/ZIP: U co-LA V e2 U■ A- 15(P c Z Temporary services or feeders installation,alteration,and/or i relocation Phone:(3 0 d -2_5--g • --Tel 00 Fax:(3/po) 2.5.2)• !o I 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner 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.t,_i p _ 13.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) 7.ity/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder 'hone:( ) Fax: ( ) Reconnect only 67.84 2 :mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 3usiness name: Signal circuit(s)or limited-energy See �F.c,-j EGH E-1_EL—t.iZ-(� panel,alteration,or extension. Page 2 2 address: Each additional inspection over allowable in any of the above I gig EO I� �` 1 Additional inspection(1 hr min) 66.25/hr ity/State/ZIP: ��V U l✓l � ' a� Investigation(1 hr min) 66.25/hr 1/ Industrial plant(1 hr min) 78.18/hr 'hone:(jp 3) 3��. „405---o 3 Fax:( ) Inspections for which no fee is 90.00/hr :CB Lic.: 4 9°O 399 Electrical Lic.: . 2,17 Suprv.Lie.: 4-g,70 s specifically listed(/2 hr min) .1, ELECTRICAL PERMIT FEES uprv.Electrician signature,required: -e>J�i� Subtotal: Plan review(25%of permit fee): rint name: ,N !O 0 S LP<\l E S Date: r g. State surcharge(12%of permit 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. uildinglPermits\ELC PermitApp ELR_ERE.doe Rev 05/21/2013 440.4615T(11/05/COM/WEB • • k N City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT • T I G A R D Building Permit Review — Residential Building Permit #: ii6rc9-0/q —ooi 3'- Site Address: (3233 SW 1-kazecres4- \May Project Name: Sea o i a. N eigh-i--c Lot #: 3 (New dwelling=subdivisi name;Addition or Alteration=last name of owner) Planning Review Proposal: fw.A SF \ r e Verify site address/suite#exists and active in permit system. Site Plan Elements: �ree(3)copies of site plan ting structures on site LL i to plan must kg on 8-1/2"x 11"or 11 x 17"paper MFootprint of new structure(including decks)with finished I61DDrawn to scale (standard architect or engineer scale) /floor elevations ! forth arrow LYJUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number cation of wells/septic systems pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence ,,.,�t dimensions and building setback dimensions ssgn,location of catch basin,etc.) Ly'Lot area,building coverage area,percentage of coverage and ,trees names pervious area(applicable if R-7,R-12,R-25&R-40) L\dStreet tree size,type and location LJ Property 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—S7rvice Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes — Received: ❑ Yes ❑ No TlizLand Use Case#: SUB2OI3-Q 2- L��1/honing: R-� IS/J�etbacks: Front 1 S I Rear 51 Side 5? Street Side — Garage �' LII"andscape Requirement: 2d L"J of Coverage Maximum: c? i :uilding Height: Maximum Height 3 5J Actual Height %23.5 1'I Visual Clearance asements LI ensitive Lands: ❑ Yes LV' No Type rban Forestry Plan 4a Conditions Met Notes: Approved By Planning: �l IA _ _l r _• Date: S I I Z/ H MI Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\Bl dgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: /jci//SL Site Plans: # r 3 Building Plans: # 3 Building Permit#: U° Enter building permit#above. Workflow Routing: Planning -Et Engineering -2-Permit Coordinator —a-Building Workflow Sign-off: ..a-Sign-off for Planning(include notes from planning review) Route Application Documents: a -Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 2"--Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 1//e//54 Engineering Revie Actual Slope: l XConditions Met Notes: Approved by Engineering: IlikrTh Date: g 18 // 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 ,onditions 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: 4:%6K to Issue Permit ' i o' 77/� Approved by Permit Coordinator: , , �I�L_,� Date: '� l:\Building\Forms\BldgPermitRvw_RES_042914.docx 1 Contractor is responsible to check RECEIVED site plans and notify designer of any errors or omissions prior to A start of construction. Plans and (E)RETAINING AUG 1 4 2014 specifications shall be approved WALL by local building officials prior ,...ZIP by 60.00' hb°' Ty OF TIGARD to the start of any construction. - �— ION �--� N� y 1 MULCH-ESTABLISH jtIV b a GRASS n.. - - ' .-- - -Q-3 �7 CITY OF TIGARD bb -5._0,, PATIO.. ' /' SILT A 166 Sq.Ft. -, SITE LEGEND: EROSION CONTROL NOTES: +r x/15'-0" WET WEATHER EROSION NOTES: Approved b Planning — �`) 2356A-3 4p i - ' + 1. A STABILIZED GRAVEL CONSTRUCTION I u u L DURING WET WEATHER SEASON Utility Symbols: Date:• ly ENTRANCE SHALL BE INSTALLED AS FIRST S AMERICAN GEORGE I (OCTOBER 1-APRIL 30)ALL SOILS AMERICAN EXPOSED FOR MORE THAN 2 DAYS o SITE ACTIVITY. ��1 �f I SHALL BE COVERED WITH PLASTIC FIRE HYDRANT Initials: / 2. EROSION CONTROL MEASURES SHALL I I SHEETING,OR A 2-INCH LAYER OF ® CATCH BASIN BE INSPECTED DAILY AND MAINTAINED AS 0 __ X50' 0" MULCH,BARK,WOOD CHIPS, NECESSARY TO ENSURE THEIR FUNCTION. i, a0 g OVERALL SAWDUST,OR STRAW TO MINIMIZE GARAGE O EROSION POTENTIAL. STREET LIGHT 3. EROSION CONTROL MEASURES SHALL , O T.O.S=563.50 MAIN 0 , — SANITARY SEWER BE KEPT IN PLACE UNTIL PERMANENT �5 I F.F.E.=564.50 I� 2. EXPOSED SOILS SHALL BE SEEDED GROUND COVER IS ESTABLISHED. (RIGHT) NO LATER THAN SEPTEMBERI. —• —•r—S— STORM DRAIN I GARAGE ,� I _ 7205q.Ft. -r 5'-0" SANITARY —w WATER LINE 8-0"W 5.-0 `'•,— I 29'6" � `, LATERAL P.U.E. - 7rs.+. / ' Y-.:%1 — PROVIDE GRAVEL STAGING —7,5 / GRAD Fence Types: ,- -664'- -- I CONCRETE '.�� , ^' AREA AT DRIVEWAY.•t a . '' ° (2"MIN QUARRY SPALLS FOR 00_ DRIVEWAY— 0 0 0 6'-0" WOOD FENCE i ~7?% ,A°� ,, 7_, ; „7yrs'« g- 0i SINGLE FAMILY SITES). __ (See Fencing Plan if Necessary) — _ •t > ,, ''' '':-.1 •� ,X,•i f: WATER If �. s_.�� ;,, ;-a P. _ _, _METER Street Tree Types: � i �� ''+�.00 �� 5-0" AL - , _IW_ I . :� •0 ACER TRUN. x ACER PLAT. �� § STORM SUNSET MAPLE' \ a LATERAL 2"CAL. SAN SAN SAN' SAN \ CLADRASTIS KENTUKEA SW HAZELCREST WAY>\ "AV 4. 0" 2' CAL.WOOD' 2"CAL. STM STM , i STM I' 4 WAT A�V WAT A FRAXINUS OXYCARPA \ -- in _ ik O 'RAYWOOD ASH'2"CAL. \ O♦) N a � ! ISEE LEGEND FOR TREE TYPES-TYP. i MST 261 if—I'i013 J PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS 1DRAWN:08-01-2014JBG� SITE PLAN Street Address: L E N N AR HOUSE 1,114 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS SEQUOIA HEIGHTS GARAGE 720 Sq.Ft. FRONT HOUSE: 15 FT.(From P.L.) SE COVERED ENTRY' 77 Sq.Ft. FRONT PORCH 12 FT.(From P.L.) Q 13233 S W H aze I c rest Way 11807 N.E. 99th Street PATIO: (IMPERVIOUS) 168 Sq.Ft. GARAGE: 20 FT.(From P.L.) „ DRIVEWAY: (IMPERVIOUS) 649 Sq.Ft. CITY OF TIGARD,WASHINGTON CO, OREGON Suite 1170 REAR YARD: 15 FT.(From P.L.) Vancouver, WA 98682 TOTAL COVERED AREA- 2,728 Sq.Ft. SIDE YARD: 5 FT. (From P.L.) CND LOCATED IN THESE 114 OF SECTION 9, HOME SITE # Office: 360.258.7900 STREET SIDE: 10 FT.(From P.L.) TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN 5 00 S Ft. 80%MAX.ALLOWABLE = 4,080 Sq.Ft. , a' PROPOSED COVERAGE% = 53.4% SCLE: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 13233 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O February 24, 2015 at 12:33:34 PM MST2014-00132 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test results received. Backﬂow test report for lawn irrigation 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 13233 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS February 24, 2015 at 12:17:50 PM MST2014-00132 David Young Corrections 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 13233 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00132 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 13233 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL February 19, 2015 at 12:04:42 PM MST2014-00132 David Young Seal all penetrations in mechanical room ceiling, insulation falling from behind supply and return piping. Seal around water heater vent pipe in garage. 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 13233 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS February 19, 2015 at 11:59:37 AM MST2014-00132 David Young Note: install strainer plate in master shower, laying on shower ﬂoor. Will check at ﬁnal inspection. All else ok. Violation Summary: Inspector Contractor