Permit W CITY OF TIGARD MASTER PERMIT
III I' COMMUNITY DEVELOPMENT Permit#: MST2014-00153
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/23/2014
Parcel: 2S110BC11900
Jurisdiction: TIGARD
Site address: 14776 SW 122ND PL
Subdivision: TROY PARK Lot: 5
Project: Troy Park, Lot 5
Project Description: New SF. 9/22/2014: Demo credits from BUP2011-00244 for TDT and Parks applied to this
permit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1146 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1536 sf Garage: 432 sf Front 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2682 sf Value: $318,354.66 Rear 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 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 2682
Owner: Contractor:
TIMBERLAND HOMES,INC. TIMBERLAND HOMES INC Required Items and Reports(Conditions)
12670 SW 68TH AVE,SUITE 300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: 503-620-8860 PHONE: 503-620-8860
FAX: 503-598-9081
Total Fees: $8,856.47
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. ATTENT • •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- 0 through OA" 95 'I'-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80 . .2344.
Issu d By: . • �t,�� Lf■L_ . Permittee Signature: v
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 thewroject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFI('F: I 'I f I\I 1
liq City of Tigard 0 �Pe Permit No
13125 SW Hall Blvd.,Tigard,OR 97223 SEp 112n14 Plan Revie ►y. -� �� -
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 4 P 'f [ 2 abe`Pefnit:5[iJ/ ?I t(-CM 15
F\I Inspection Line: 503.639.4175 CITY OF TIGA" Date Ready/By: If 211X Juris: 0 See Page 2 for
Internet: www.ti d-or. ov Notified/Metltod: / ^]'may Supplementallnfornatton
1 ■ i IVISION L_41,t 2� "` +�
REQUIRED DATA 1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indi 4•_-4 on this application.
® 1-and 2-family dwelling ❑Conunercial/industrial
Valuation: ,.li y. $ ? 3 r G‘,er of rooms:
Number bed 3 1
❑Accessory building ❑Multi-family 2
❑Master builder ❑Other. Number of bathrooms: ,;/
JOB SITE INFORMATION AND LOCATION Total number of floors: 2,
Job site address:14776 SW 122°Place New dwelling area: 2_+w 0 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: LI 3 2 square feet
Suite/bldg./apt.no.: I Project name:Troy Park Lot 5 Covered porch . (J square feet 1
Cross street/directions to job site:SW Winterview Drive Deck area: square feet (/442_
--J
Other structure an 3 ( (4 ;quare feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Troy Park I Lot no.:S 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
*EW DESCRIPTION OF WORK ' r work indicated on this application.
v,. v..«.......sr Y vac::x^.
Single Family Residence 9 22 /V: AR zrciti,e4 6, 77tye 4.4,p,Valuation: $
,4/)/°t—y , e) C/LZZY73 c'i`! 07.0%/'— 00,2y
Existing building area: square feet
7 /O _Py r 71 New building area: square feet
® PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name:Timberland Homes,Inc. Type of construction:
Address:12670 SW 68th Ave.,Suite 300 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)620-8860 Fax:(503)598-9081 New:
® APPLICANT ❑ CONTACT PERSON 11 Malin PERMIT FEES*
(Please refer Jo fee schedule)
Business name:Timberland Homes,Inc.
Structural plan review fee(or deposit):
Contact name:Laura Blake
FLS plan review fee(if applicable):
Address:12670 SW 68th Ave.,Suite 300
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
Phone:(503)620-8860 I Fax::(503)598-9081
Amount received:
E-mail:laura@timberlandhomes eet PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
'-. Commercial and residential prescriptive installation of
r„,,,_,.,.t�,r. a i _, ' ,tr - - - - roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Timberland Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12670 SW 68th Ave.,Suite 300 Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $18000
and administrative fees):
Phone:(503)620-8860 Fax:(503)598-9081
State surcharge(12%of permit fee): $21.60
CCB lic.:141715 Total fee due upon application: $201.60
Authorized signature: r This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Laura Blake Date: g()_...3/1/ i., *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Buldding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application I (HZ HZ(1 I I I( I I `,1 (1.1 1
City of Tigard CENE Received Permit No.: _Q I
Date/B
• 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Datng : Other Permit:
l i t ,I.I Inspection Line: 503.639.4175 S C G P 1 1 2014 Date Ready/By: Ms: 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WO Ty OFTIGAIW PLAN REVIEW
®New construction ❑Addition/alterjpB( 1V1S10N Please check all that apply(submit 2 sets of plans w/items checked below):
�U 1 ❑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.
® I-and 2-family dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural
y g ❑CommerciaUindustrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","t-3",
Job no.:TP5 Job site address: 14776 SW 122nd Place looms more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Troy Park Lot 5 ❑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:Troy Park Lot no.:5 1,000 sq.ft.or less ( 168.54 4
Ea.add'I 500 sq.ft.or portion ir1J- 33.92 I
Tax map/parcel no.: Limited energy,residential 1
75.00 2
DESCItIPTWN OF WORK (with above sq.ft.)
Limited energy,multi-family 75 00 2
Single Family Residence residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
0 PROPERTY OWNER 1 0 TENANT 200 amps or less 100.70 2
Name:Timberland Homes,Inc. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Address: 12670 SW 68th Ave.,Suite 300 601 amps to 1,000 amps _ 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard,OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:(503)620-8860 Fax:(503)598-9081 relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that 1 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, . r panel
® APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name:Timberland Homes,Inc. each branch circuit
B.Fee for branch circuits without
Contact name:Laura Blake service or feeder fee,first
branch circuit 56.18 2
Address: 12670 SW 68'h Ave.,Suite 300 Each add'I branch circuit 7.42 2
City/State/ZIP:Tigard,OR 97223 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)620-8860 Fax: :(503)598-9081 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:laura @timberlandhomes.net Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: Dreamhouse Electric LLC Signal circuit(s)or limited-energy See
. panel,alteration,or extension. Page 2 _ 2
Address:221 SW Moonridge PI Each additional inspection over allowable in any of the above
City/State/ZIP:Portland,OR 97225 Additional inspection(1 hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(503)519-6711 Fax:(503)648-9723 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 196726 Electrical Lic.: C848 Suprv.Lic.: 45605 specifically listed(Y hr min)
n _ ELECTRICAL PERMIT FEE S
t
Suprv.Electrician signature,required: ,p 1A. Subtotal:
Print name: Chris Mahoney Date: 8/28/2014 Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: l4 1 A J� TOTAL PERMIT FEE:
Print name: Chris Mahoney v V�' ` Date: 8/28/2014 This permit application expires if a permit is not obtained within 180
y days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\BuildingWermits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB
Mechanical Permit Application FOR OFFICE L SE ONLY
City of Tigard KEW 'served
11111 13125 SW Hall Blvd.,Tigard,OR 972% Dan Rev ''
II Phone: 503.7182439 Fax: 503.598.1 Review Other Permit:
l 1, 1 I,1, Inspection Line: 503.639.4175 �A Date Ready/By: mom: B See Page 2 for
Internet www.tigard-or.gov S -9 1120 `Y Notified/f,ietbod: s
apptemmw Information
1.
TYPE OF Q�' ►ls c e1.1F>i>!F•sc�aaasaaa-IJ>girll®1cIUJBT
®New construction ❑Addition/alteta lv,Slo Mechanical permit fees*are based on the value of the work
B� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Ot her: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY Of CONSTRUCTION TTALRQZA1'1IIINT/SYSTII11ISMEW
® 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 S[I7t INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:14776 SW 122°d Place Furnace 100,000 BTU(ducts/vents) [ 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldgJapt.no.: Project name:Troy Park Lot 5 Heat pun, 61.06
Duct work 2332
Cross street/directions to job site: Hydnonic hot water system 23.32
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Troy Park Lot no.:5 Other: 2332
Other fuel appliances:
Tax map/parcel no.: Water heater I 2332
DESCRIPTION OF WORK Gas fireplace/insert I 3339
Single Family Residence flue P event for water heater or gas
2332
Log lighter(gas) 2332
Wood/pellet stove 3339
Wood fireplace/insert 2332
Chimney/liner/flue/vent 2332
® PROPERTY OWNER 1 0 TENANT Other: 2332
Environmental exhaust and ventilation:
Name:Timberland Homes,Inc. Range hood/other kitchen
Address:12670 SW 68'a Ave.,Suite 300 equipment 3339
Clothes dryer exhaust 3339
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, ?�
toilet compartments,utility rooms) J 2332
Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332
l
® APPLICANT 0 CONTACT PERSON Other: 2332
-
Business name:Timberland Homes,Inc. Fuel piping:
S14.15 for first four;$4.03 for egch additional
Contact name:Laura Blake Furnace,etc. 1
Address:12670 SW 68n Ave,Suite 300 Gas heat pump
WaWsuspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater I
Phone:(503)620-8860 Fax::(503)598-9081 Fireplace I
Range
E-mail:lauraetimberlandhomes.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Central Air Other:
MECHANICAL maim MEP
Address:PO Box 433 Subtotal
City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)656-1908 Fax:(503)650-3898
State surcharge(12%of permit fee)
CCB lie.:178624 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:Andrew Scheidt I Date: Z fyi�///
I\BuildiogWtmtits lMPC_PttmitApp_040113doc 410�I7T(1101JCOM/WEI3)
Plumbing Permit Applicati C i v�
Building Fixtures F o R ()I,F is F_ t sf: t)\1 1
City of Tigard r Q 1'1 el. :\ Received
1,4 • 13125 SW Hall Blvd.,Tigard,OR 9722%G` ,"AAIv Date/By:. Pe :�`'t i S
II Phone: 503.718.2439 Fax: 503398.1960 ''ll �,vrRw Other Permit No.:•
I r u Inspection Line: 503.639.4175 ox i ' VV 1N1 SNO t Date Ready/ey: Loris: 0 See Pace 2 for
Internet: www.tigard-or.gov V `�Ct v Notified/Method: Supplemental Information
1 TYPE OF w` SW LE
®New construction ❑Demolition For special information aase checklist.
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY (IW'CONSTRUCTION SFR(1)bath 312.70
0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25 02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:14776 SW 122nd Place Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Troy Park Lot 5 Manufactured home utilities 50.03
Cross street/directions to job site:SW Winterview Drive 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.: I Page 2
Subdivision:Troy Park Lot no.:5 Fixture or item:
Tax map/parcel no.:
Backflow preventer 31.27
�
f OF WORK Backwater valve 1231
Clothes washer 25.02
Single Family Residence
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
=■ PROPERTY OWNIIIR J ❑lumen Expansion tank 1231
Name:Timberland Homes,Inc. Fixture/sewer cap 2502
Floor drain/floor sink/hub 25.02
Address:12670 SW 68t1 Ave.,Suite 300 Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620.8860 Fax:(503)598-9081 Ice maker 1251
0 APPLICANT 0 awmcr FUSON Interceptor/grease trap 25.02
Business name:Timberland Homes,Inc. Medical gas(value:$ ) Page 2
Primer 1251
Contact name:Laura Blake
Roof dram(commercial) 1251
Address:12670 SW 68°Ave.,Suite 300
Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 6254
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 1251
Urinal 25.02 baura @timberlandhomes.net
Water closet 25.02
copintatcrot
Water heater 3752
Business name:G&B Plumbing&Sons,Inc. Water t ' W V 56.29
PmB�
Address:PO Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(971)563-3268 Fax:(503)633-8378 Minimum permit fee: $7230
CCB Lic.:184372 Plumbing Lic.no.:PB634
Plan review (25%of permit fee)
n State surcharge T(12%L of T fee)
Authorized signature: �jr��•— /// TOTAL PERMI.I.FEE
Print name:Steve Fowler Date: /
Z$/(L4 permit application=m tf a pceeerpmaeit a er e a s eat obtained wnla led days
earoptete.
*Fee methodology set by Tri-County Building Industry Service Board.
t:teulminsvPemitswt-MU-PeonaAppdoc 10/01/09 440-4616T(105O71COM/WEB)
7 •
City of Tigard
.74 COMMUNITY DEVELOPMENT DEPARTMENT
1
T I G A R D Building Permit Review — Residential
,
Building Permit #: AV-0Z 0/4t 00/C3
Site Address: I4T16 SW 122n8 P
Project Name: 1 r0\/ Palrk Lot #: 5
(New dw ]ling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: fieM SF
Verify site address/suite #exists and active in permit system.
Sit Plan Elements:
gThree (3)copies of site plan . 1.Fxisting structures on site
brawnplan must be on 8-1/2"x 11"or 11 x 17"paper L�footprint of new structure(including decks)with finished
Site
to scale (standard architect or engineer scale) Jfloor elevations
orth arrow L Utility locations(required for new,may apply for additions)
e address,project or subdivision name and lot number ocation of wells/septic systems
applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence
Q,t dimensions and building setback dimensions sign,location of catch basin,etc.)
L9Lot area,building coverage area,percentage of coverage and treet names
' pervious area(applicable if R-7,R-12,R-25&R-40) L`s7Street tree size,type and location
[ 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—�S vice Provider Letter: (lot platted prior to 9/10/1995):
Required: ❑ Yes IJ No Received: ❑ Yes ❑ No
2 Land Use Case #: /32007—QOo%
E./Zoning: R-77
wr/setbacks: Front 15 (j 5'�Rear 15� (t5t) Side S (5.) Street Side 1 0,U 0,) Garage Zp. (10'
21/Landscape Requirement: 10 %
21kt Coverage Maximum: g0
I
PEI :uilding Height: Maximum Height S'0 Actual Heigh 6
t Visual Clearance
IV/Easements
Sensitive Lands: ❑ Yes L`1 No Type
Urban Forestry Plan
Conditions Met
Notes:
Approved By Planning: /'9 1 �!/ Date: q I i l` r 4
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
l:\Building\Forms\BIdgPermitRvw_RES_042914.docx
I
Building Permit Submittal
Original Submittal Date: _34/AY
Site Plans: #
3
Building Plans: #0... ._j
Building Permit#: nter building permit#above.
Workflow Routing: I2-I'lanning Engineering g---he---Coordinator
Workflow Sign-off:
L� off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
on al plan review routing form.
at Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: GI - __ Date: y// /y
- in,
Engineering Review
,Actual Slope:
E Conditions Met
Notes:
Approved by Engineering: / ,It/ _ Date: ?-47_—/./1
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:
VOK to Issue Permit
Approved by Permit Coordinator: if Date: 9/rJ /'J1
I:\B ui Iding\Forms\BI dgPermitRvw_RES_042914.docx
RECEIVED
SITE PLAN NOTES: SEP 1 1 2014
1. ALL EXCESS GRADING MATERIAL TO BE EXPORTED TO AN APPROVED DISPOSAL CITY - Ttt1AKU
LOCATION.
2 ALL FL-AREAS Ic UNDER GARAGE FLOORS.SDEWALKS DRIVEWAYS.ETC...TO BE
COMPACTED GRANULAR FILL BUILDING DIVISION
FOWLER ,
3. THERE MLL BE A SLIGHT OVER EXCAVATION TO PROVIDE CONCRETE FOR MNG ALL
AROUND NEW STRUCTURE
4. PROVIDE COUNTY/QTY APPROVED SEDIMENT FENCING AROUND EXCAVATED AREA
PRICK TO EXCAVATION AND CONSTRUCTION.
S. PROVIDE COMITY/MY APPROVED STABIIJZED GRAVELED CONSIRUCT1O1 ENTRANCE
MICR TO EXCAVATION MO CONSTRUCTION. HOME + D E S I G N
°. STOQPEES MUST BE COVERED NTH MULCH OR PLASTIC SHEETING BETTIEQN S W W I N T E R V 1 E W DRIVE
OCTOBER 1 AND APRA 30.
7. CONTRACTOR/SUB-CONTRACTOR TO VERIFY LOCAnQN OF ALL UI1U 11ES PRIOR TO
EXCAVAno AND CONSTRUCTION.
S BOUNDARY AND TOPOGRAPHY INFORMATION HAS BEEN FRONDED TO SKYLNE HOMES �j�� 'n //,
AND DESIGN INC. SKYLNE HOMES AJD DESIGN,INC.wILL NOT BE HELD UABLE FM THE 3/4" WATER RED SUNSET Y w G�(
ACCURACY OP THIS INFORMATON.IT IS THE SOLE RESPONSIBILITY a THE CONTRACTOR MAIN RED SUNSET •N'
/OMNER TO VQ°FY ALL SITE CONDInLNS INCLUDING Flu.PLACED ON 91E M ' 2'
9. TOPOGRAPHY ELEVAIKINS WERE COU.ECIED FROM ACTUAL SITE SURVEY. NW NATURAL GAS MAPLE 2'
10.ELEVATION LEOE)R -`'•I �I�Q/Y��
il
EE-EIOrnNC GRADE ElEYA11 4 —___— I _�-� `■- Irv.'"b..--
•
FE"FlNAL GRADE E1tvAnaN — -- _-� • /,-�
FEE.FINISHED fE0EL EAlION N -c.-- .�� 'T'�_-. .- •,�W7DT/ ■ .
II. PROVIDE A MINIMUM GRAVEL BASE UNDER ALL DRIVEWAY AREAS. i �� .- r w• :•., ......,.7.vi y •h '••`.�� 1IAll,B7''
12.PROVIDE A 4-MINIMUM GRAVEL BASE UNDER ALL SIDEWALK AND PATIO AREAS. .AI..: ,...,-'•••SIDEWALK xY-. i}.,..'A.•.: _
13.PIPE ALL STORK DRAINAGE FROM THE BUILDING TO A COUNTY/CITY DISPOSAL .l;`T Y.v^.'4;'tw;Y'4`a,��' ��34=� �.i :° " _ "� ELEV. 00.00'
POINT/CONNECTION. M .?F•:. �_� -I ='-
14.MAXIMUM SLOPE a:CUTS AND ELLS TO TWO(2)HORIZONTAL ro ONE(1) ==w :N 111---
/ •_ 4 t• CO N.B. /Al V.` u--)
Q-
VERTICAL FOR BUILDINGS.STRUM/RES.FOUNDADCNS.AND RETAINING WALLS I O �� _0�4 ,-1
15.PROVIDE AND MANTAN FlNISN GRADE MTH POSI11VE DRAINAGE AWAY FRW :" , ,I 18'-3.0 .--PUE __
STRUCTURE ON ALL SIDES MTH A ROPE OF 6'MINIMUM IN 10'-0'. -'. „ ' 0' V ','_, x �1" Cw N N, co��i� 100' O N
°i^L I D Y O
,-- _I k 4 587 SF 1' Q �
- i•:�A
I T (-
EROSION CONTROL PLAN `./I J j
O/II I w \,....1A..0414,61 t. I� I'_ ' C O
-1 I II — � I w (/�I; Vrrm..- N AE P"6 W NK Pl1OMm A[/O X X X SEDIMENT FENCE t ''ti ylr+!y 'j 7wrwlmisArRa,1[oLyWEXnP,wam. m cD
_ 4 ' .y":,.. Z x LAW NO ao4arNm a rt LLCM ro BALD
r
' •••='w7: _ 11101 TEE RNO TIDE.MAN 0[£NOWT M
:<•: 'E`.'.:: ".. 132 SG. NAT. C/)
TEE P"6 ME CCPINDWED MW R R A WUIPI CNI
jj : ;."/�-'•.,.•.+p:.':_•1 E1.. 1 ti i'CONSTRUCTION ENTRANCE W1.4 I )f�:.z.;..• "I 0615'-o . """°AT°v Rs cv"w'e'°'°a NO PUNS
O T ...1 .' . MAIAO[R IS MIMEO)kW R 5 COREELT X. TIE FESPINNOLAT r I J .1 1 I- M 110E R90®61nOlMwNt m•,41`° 1~/T "' •.y•,y'' Yy.' ►• . - - wOafR NOE0 MEI xmaNA P.• NE CCPRIIIMICE CV le PUN 10 MO COM CP NO
WORK STAGING/ MATERIAL STORAGE V• I .:..__+:r , _i �, -I I J- ', ALCM,L
II M
*Ai ELEV. 100.00' In ELEV. 00.00' \ PLAN No.: 3122
N.B. COVER ALL AREAS OF BARE Q.� 011:I �'1 DRAWN: T.F.
SOIL UNTIL PERMANENT LANDSCAPE : �,�
IS IN PLACE �� 3'?N II III -- DATE: 08-28-2014
SCALE: 1"=20'-0"
Q CATCH BASIN PROTECTION VIII I I ■ .
WOODEN CURB RAMP PLOT
S\NA 1 lG� ° P Ll�i PLAN
LOT 1 INFORMATION:
LOT AREA 4,587 SO. FT.
BUILDING AREA: 1,614 SO.FT.
CONCRETE AREA: 619 SO. FT. CITY O F T`G A R D 0 (...
Approved by Planning ■ ■
Date:
=;iiLic;!s.
M•STZ31'+ 0015 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
14776 SW 122ND PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
April 10, 2015 at 8:23:40 AM
MST2014-00153
David Young
No lock box for inspection access.
Plumbing final not called in for backflow devise. PLM 2015-00100.
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
14776 SW 122ND PL, TIGARD, OR, 97224
Residential - Master Permit
699 Mechanical final
PASS
April 9, 2015 at 1:50:51 PM
MST2014-00153
David Young
Corrections done.
No AC installed at time of final 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
14776 SW 122ND PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
April 9, 2015 at 2:09:40 PM
MST2014-00153
David Young
Not ready.
Handrail not installed from landing to second floor.
Provide permit and final inspection for lawn irrigation backflow devise.
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
14776 SW 122ND PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - C of O
April 13, 2015 at 7:48:13 AM
MST2014-00153
David Young
Corrections done.
Mechanical contractor to remove insulation from rooftop bath fan vent.
Street tree certification received.
Moisture content form received.
High efficiency lighting form received.
Duct seal test report received.
Insulation certification checked.
Final erosion control approved.
C of O left on site 4/10/15.
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
14776 SW 122ND PL, TIGARD, OR, 97224
Residential - Master Permit
399 Plumbing final
PASS
April 9, 2015 at 2:02:15 PM
MST2014-00153
David Young
Corrections done.
Note: for building final inspection, add backflow devise for lawn irrigation to permit.
Violation Summary:
Inspector Contractor