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Permit n CITY OF TIGARD MASTER PERMIT ''1 3 COMMUNITY DEVELOPMENT • • Permit#: MST2014-00158 T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2014 © � Parcel: 2S1106C12400 Jurisdiction: TIGARD Site address: 14773 SW 122ND PL Subdivision: TROY PARK Lot: 10 Project: Troy Park, Lot 10 Project Description: New SF. 4/23/15: Reprinted permit to include(1)A/C unit. Placement of the A/C unit must comply with the manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1401 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1513 sf Garage: 479 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $345,131.38 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 2914 Owner: Contractor: TIMBERLAND HOMES,INC. TIMBERLAND HOMES INC Required Items and Reports(Conditions) 12670 SW 68TH AVE#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: $22,261.12 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a copy• •-rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. N Issued By _ Permittee Signature: D ♦ 9.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Mechanical Permit Application + � ‘�1 FOR 014It'E LSE ONLY � City of Tigard Received j Nt ° 13125 SW Hall Blvd.,Tigard,OR 9 ^ t Plan Review, 8' Phone: 503.718.2439 Fax: 503598.1960 p {O\� Date/By: Other Permit: T I GA RD Inspection Line: 503.639.4175 `' D Date Ready/By: kris: la See Page 2 for Internet: www.tigard-or.gnv �•` ON Vp�+itltd/Methnd: Supplemental Information •U ��` ,� TYPE OF WOl �1 vCjQ`v 1 COMMERCIAL FEE*SCHEDULE–UST CHECKLIST (��l_ Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alterati ment performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: ‘ mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTI.• Vahre:$ a i RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ®1-and 2-family dwelling ❑Commercial/industrial It l,ty o g For special information use checklist. ❑Multi-family ❑Master builder • • l Description 1 Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning f( 46.75 lob site address: 1 tri'73 .51,1) i 22r4 p f Lt_:,,e. Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61A6 Suite/bldg/apt.no.: Project name:Troy Park Lot !C Duct work 2332 _ Cross street/directions to job site: Hydronic hot water system �^ �� 2332 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 2332 Subdivision:Troy Park Lot no.: !C Other: 2332 Other fuel appliances: Tax map/parcel no.: Water heater 2332 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Single Family Residence Flue vent for water heater or gas g Y fireplace 2332 ( � 4-1c_ � r� Log lighter(gas) 2332 "' G. CA r t!t �t Wood/pellet stove 3339 istiSrae IL(— (')(.sre Wood fireplace/insert 2332 Chimney/liner/flue/vent 2332 ® PROPERTY OWNER 0 TENANT Other. 2332 Environmental exhaust and ventilation: Name:Timberland Homes,Inc. Range hood/other kitchen 68th equipment 3339 Address:12670 SW 68 Ave.,Suite 300 Clothes dryer exhaust 3339 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 2332 Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332 ® APPLICANT 0 CONTACT PERSON Other: 2332 Business name:Timberland Homes,Inc. Fuel piping: $1415 for rust four;$4.03 for each additional Contact name:Laura Blake Furnace,etc. Address:12670 SW 68th Ave.,Suite 300 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tigard,OR 97223 Water beater Phone:(503)620-8860 Fax::(503)598.9081 Fireplace Range E-mail:laura @timberlandhomes.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: MECHANICAL PERMIT FEES' 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 lic.:178624 TOTAL PERMIT FEE tS�.3 4; This permit application expires if a permit is not obtaine within 180 days after it has been accepted as complete. Authorized signature: ,./L_ • Fee methodology set by Tri-County Building Industry Service Board Print name:Andrew Scheidt Date: Le'/Z?,/I Ilauildm5 n irsN.MEC_PermitApp_040113doc 440-4617r(ti A71C M/WPB) p CITY OF TIGARD MASTER PERMIT 14 a COMMUNITY DEVELOPMENT Permit#: MST2014-00158 Date Issued: 09/30/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1108C12400 Jurisdiction: TIGARD Site address: 14773 SW 122ND PL Subdivision: TROY PARK Lot: 10 Project: Troy Park, Lot 10 Project Description: New SF. BUILDING Floor Areas Requ i red Setbacks Required Stories: 2 Bedrooms: 3 First: 1401 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1513 sf Garage: 479 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $345,131.38 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!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 2914 Owner: Contractor: TIMBERLAND HOMES,INC. TIMBERLAND HOMES INC Required Items and Reports(Conditions) 12670 SW 68TH AVE#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: $22,203.15 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Special■ Codes and = other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180.ays of ss ce or work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notific: io e er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a copy o ,=•es or direct questions to OUNC by•-Iling r3 32. •r 1.800.332.2344. Issued By: ` I y: ._� Permittee tgnature: rr1f *'75 by 7:00 a.m.for the next available inspec'•n• e. This permit card shall be kept in a conspicuous place on the job site until ompleti••of the• Approved plans are required on the job site at the time of each ins•. •• . • Building Permit Application as • `s Residential tl I O lt ()1 I I( I I `NI c1\I 1 IN City of Tigard �tCt`� R `d e9 ail effm Permit No.: , 13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Revie ,► �� g Phone: 503.718.2439 Fax: 503.598.1960 ry ,. ``t Date/B : vez— im e'er Permit: :, _ is I� Inspection Line: 503.639.4175 0 +e Date Ready : : tuns Si See Page 2 for Internet: www.tigard-or.gov et t6N 9,. Notified/Method: • Supplemental Information i aiG REQUIRED DATA:l-AND 2.FAMI LY DWELLING ®New construction El Denteon Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY work indicated on this application. OF CONS'IROCI1ON Eli-and 2-family dwelling El Commercial/industrial Valuation: $ <`'t3 `'3( r El Accessory building El Multi-family Number of bedrooms: $ El Master builder El Other: Number of bathrooms: 3 JOB S[FE 1NFOiRbIATIIE1N AND LOCATION Total number of floors: Job site address:14773 SW 122ad Place New dwelling area: 21 I I LI square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 I square feet Suite/bldg./apt.no.: Project name:Troy Park Lot 10 Covered porch area: i b b square feet (51 i Cross street/directions to job site:SW Winterview Drive Deck area: in.f k square feet 1146 / Other structure area: 3A-& -r- square feet 2-5 REQUIRED DATA:CO ,ISt Subdivision:Troy Park Lot no.:10 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 rucsaurrioN OF WORK work indicated on this application. Single Family Residence Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY 1 0 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 BUILDING PER1mr FEES* Business name:Timberland Homes,Inc. (Throe nil.roll•aeludtiJ Structural plan review fee(or deposit): Contact name: Laura Blake FLS plan review fee(if applicable): Address:12670 SW 68th Ave.,Suite 300 Total fees due upon application: City/State/ZIP:Tigard,OR 97223 Phone:(503)620-8860 Fax::(503)598-9081 Amount received: E-mail laura@timberlandhomes.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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 and administrative fees): $180'00 Phone:(503)620-8860 Fax:(503)598-9081 State surcharge(12%of permit fee): 521.60 CCB lic.:141715 Total fee due upon application: $201.60 i Authorized signature: / 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: a/ Z/�'� *Fee methodology set by Tri-County Building Industry ( Service Board. I:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) L Electric• al Permit Application FOR OFFICE USE ONLY City of Tigard Da Permit No.:/'1 � (j/ vv�' r • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �+ 71 e. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Otter Permit. T I G A R D Inspection Line: 503.639.4175 Date Ready/By. Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): Demolition Other: ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ ❑ where the available fault current ❑Marinas and boatyards. CATEGORY OF CONST'RUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings_ less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑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","1-3", Job no.:TP10 Job site address: 14773 SW 122o1 Place loollPormore. 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 10 ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description i Qty, I Fee. I Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Troy Park Lot no.:10 1,000 sq.ft.or less 1 168.54 4 Ea.add'l 500 sq.ft.or portion 47 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) l.imited 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_ _ ■14 PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Timberland Homes,Inc. 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 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 ❑ 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 56.18 2 branch circuit Address: 12670 SW 68th 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(1 hr min) 66.25/hr Phone:(503)519-6711 Fax:(503)648-9723 Industrial plant(1 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(V:hr min) (\ t , ELECTRICAL PERMIT FEES ` Suprv.Electrician signature,required: ��jjk- Subtotal: ' Print name: Chris Mahoney Date: fl ( l I l- Plan review(25%of permit fee): lState surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Chris Mahoney Date: This permit application expires if a permit is not obtained within 180 N,-1,1 L days after it has been accepted as complete. • Number of inspections allowed per permit. l:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 05/21/2013 4404615T(11/05/COM/WEB I Mechanical Permit Application FOR OFFICE,l SF 011.1- City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By �� 0 �� PM Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: i i t;`i,1 t Inspection Line: 503.639.4175 pate Ready/By: Juni: B See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental lamination r. TM OF WORE COIDAIRC IAL FEW SCIODIGLI.—L6iC l l 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 ( 0 0 mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF Ct1ItiS1R04'17rOH IIALEQI>I TT/STIDEMS!'M* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special Wora.wnon use checklist. I El Multi-family ❑Master builder ❑Other: Description I Qty. I Fs. J Total SOO SETE DWORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:14773 SW 122vd Place Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg/apt.no.: Project name:Troy Park Lot 10 Heat pump 61.06 Duct work 2332 Cross street/directions to job site: Hydronic hot water system 2332 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 2332 Subdivision:Troy Park Lot no.:10 Other: 2332 Other fuel appliances: Tax map/parcel no.: Water heater ( 2332 DESCR CRON Cr WORK Gas fireplace/insert ( 3339 Flue vent for water heater or gas Single Family Residence fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 ® 1f mores OWNER 1 ❑ TENANT Other: 2332 I Environmental exhaust and ventilation: Name:Timberland Homes,Inc. Range hood/other kitchen equipment 3339 Address:12670 SW 68th Ave.,Suite 300 Clothes dryer exhaust I 3339 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 2332 Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332 ® APIOICAN'r ❑ CONTACT PELSON Other: 2332 Business name:Timberland Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for I each additional Contact name:Laura Blake Furnace,etc. Address:12670 SW 68`a Ave.,Suite 300 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tigard,OR 97223 Water heater k Phone:(503)620-8860 Fax::(503)598-9081 Fireplace Range _ 1 E-mail:laura®timberlandhomes.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: MECHANICAL PI OO f FIZIP Address:PO Box 433 Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee(590.00) Phone:(503)656-1908 Fax:(503)650-3898 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:178624 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: A- f * days after it has been accepted as complete g i- L. c,, .. Fee methodology set by Tri-County Building Industry Service Board Print name:Andrew Scheidt Date: CI I zZ I I 1:\Buildmgu'*rmitu\MEC_RrmitApp_040113 floc 440-4617T(II�t � OM,WEB) 1 ,a . Plumbing Permit Application Building Fixtures FOR OFFICE-. I SF: O\1.1 City Tigard Received Date/By: Permit NO° r}j ]I N—OO I 58' • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.598.1960 By: Other Permit No.: I i t .\It t Inspection Line: 503.639.4175 Date Ready/By: lu,i6_ 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: tat Information ''TYPE OF WORK MP SCHEDULE ®New construction ❑Demolition For special*formation use checklist. Descri,;on 5 . Ea. 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 1 50032 0 Accessory ry buildin g ❑Mu hi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOS 8T'I2 INFORMATION AND LOCATION Site utilities: Job site address:14773 SW 122id Place Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg/apt.no.: I Project name:Troy Park Lot 10 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.: ) Page 2 Subdivision:Troy Park I Lot no.:10 Fixture or item: Tax map/parcel no.: Backflow preventer 3127 OF WORK Backwater valve 1231 DESCRIPIION Clothes washer 25.02 Single Family Residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Ca PROPERTY OWNER I ❑ Timm Expansion tank 1251 Name:Timberland Homes,Inc. Fixture/sewer cap 25.02 Address:12670 SW 68th Ave.,Suite 300 Floor drain/floor sink/hub 25.02 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 la APPucmcr 0 coqAe'.PEON Interceptor/grease trap 25.02 Business name:Timberland Homes,Inc. Medical gas(value:$ ) Page 2 Primer 1251 Contact name:Laura Blake Roof drain(commercial) 1251 Address:12670 SW 68'a 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 E-mail:laura @timberlandhomes.net Urinal 25 A2 Water closet 25.02 ODIfI'RACTOR Water heater 3752 Business name:G&B Plumbing&Sons,Inc. Water lnl8/D WV 5629 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: $7250 Plan review (25%of permit fee) CCB Lic.:184372 Plumbing Lic.no.:PB634 `- _ State surcharge(12%of permit fee) �{h{r� Authorized signature: t9 I TOTAL PERMIT FEE Print name:Steve Fowler Orr 'Date: 1 11,1,i 1 i ml permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. 1:\BuildingPemutswLMU-PennitApp.doc 10.01.09 440-4616T(10A2COM/wlB) ■ a • ilil City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT TI G AR D Building Permit Review — Residential Building Permit #: /17 STaO)Lt—c)O l5 Y Site Address: 1‘11-7 3 $W I a.) d Project Name: "Troy o.rt< Lot #: I o (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: KI e_(..) SF R 96 Verify site address/suite #exists and active in permit system. Site Plan Elements: iiiiThree(3)copies of site plan xisting structures on site ¢!]Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow XUtility locations(required for new,may apply for additions) KSite address,project or subdivision name and lot number cation of wells/septic systems ct Applicant information(name and phone number) gErosion control(including drainage-way protection,silt fence Fi Lot dimensions and building setback dimensions design,location of catch basin,etc.) it area,building coverage area,percentage of coverage and KStreet names impervious area(applicable if R-7,R-12,R-25&R-40) &Street tree size,type and location Property corner elevations(2 foot contour lines if more than -8-Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes Ai No Received: ❑ Yes ❑ No Land Use Case#: 5l,rr$a,00 7 - OOc0 l Zoning: R - 7 Nr Setbacks: Front 15 Rear 15 Sidesaa Street Side co Garage as fZ Landscape Requirement: .2 c Lot Coverage Maximum: $a 0 Building Height: Maximum Height 35 Actual Height 025 Z Visual Clearance Easements' X Se Js: ❑ Yes X No Type Urban Fores Conditions Met feV'Sec a *°Vs. ei4Lce.04hiva...+,:t44414. Notes: pL(,g on 1.) s:d2 i Ot -Peer - eneruac,1mc.-,ts :ai=- - ,.....�:- . .Ii,�.�:�■. - • - ..,,.t 04' re-a4 s R.t4 SanStt Approved By Planning: ermII • P Cam_ Date: q ,214 IL MoY(e. " III Si It- Revisions (after Building Submittal only) Reviewer Date picet- Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1 dgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: . ,,._31...1...,:., to 1W.e., Engineering Review XActual Slope: 6,2% ❑ Conditions Met Notes: Approved by Engineering: Date: /S�o?O/y Revisions (after Building Submittal only) Reviewer Date ( g Y) 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: KOK to Issue Permit Approved by Permit Coordinator: /` Date: g�Zs/ " '� I:\B u ilding\Fortes\BldgPermitRvw_RES_042914.docx 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 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS April 15, 2015 at 3:03:31 PM MST2014-00158 David Young No AC installed at this time. 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 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00158 David Young Note: provide ﬁnal inspection for separate PLM permit for lawn irrigation backﬂow devise prior to building ﬁnal. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL April 23, 2015 at 10:03:37 AM MST2014-00158 David Young Per plumbing ﬁnal inspection results, provide approved plumbing ﬁnal for lawn irrigation back ﬂow devise on separate PLM permit taken out by landscapers. Provide slope away from house per code R401.3 left side of entry and right side of garage. Provide permit and approved inspection for ac unit installed after mechanical ﬁnal inspection. Remove smoke detector covers for 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 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00158 David Young Locking access port caps. Refrigerant circuit access ports located outdoors shall be ﬁtted with locking-type tamper-resistant caps. M1411.6 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 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00158 George Heimos 1. Front and rear door step to landing over maximum on 8" from threshold. 311.3.1 2. Provide lawn irrigation backﬂow device approval. 407.2 3. Provide safety glass for window at soaking tub location. 306.4 NOTE. Did not take documentation, all else ok. Recall 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 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00158 George Heimos Final mechanical failed entered in error 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 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00158 George Heimos 1. Front and rear door height over maximum of 8" maximum from threshold to landing. 311.3.1 2. Provide lawn irrigation backﬂow device approval. 407.2 3. Provide safety glass at soaking tub window. 306.4 NOTE: did not take documentation, all else ok. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14773 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O April 30, 2015 at 11:35:53 AM MST2014-00158 David Young Corrections from previous inspection done, rear landing re-poured, front landing has minimum 3x3 mat afﬁxed to bring step into compliance. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Duct seal test report checked. C of O left on site with plan packet. Violation Summary: Inspector Contractor