Permit 7111 III CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2015
Parcel: 2S109DB06600
Jurisdiction: TIGARD
Site address: 13212 SW HAZELCREST WAY
Subdivision: SEQUOIA HEIGHTS Lot: 14
Project: Sequoia Heights, Lot 14
Project Description: Deck addition.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $3,569.00 Rear 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LENNAR NW INC LENNAR NORTHWEST INC Required Items and Reports(Conditions)
11807 NE 99TH STREET SUITE 11807 NE 99TH STREET SUITE 1170
1170 VANCOUVER,WA 98682
VANCOUVER,WA 98682
PHONE: 360-258-7900 PHONE: 360-216-6423
FAX: 360-258-7901
Total Fees: $243.13
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop '•711 - les or direct questions to OUNC by calling 503.232.1987• 1.800.332.2344.
Al•� .
Issued By: — — __ - Permittee Signature: i..
Ca .' .4175 by 7:00 a.m.for the next available inspection / '
y pection date.
This permit card shall be kept in a conspicuous place on the job site until completion•f the p'•'-ct.
Approved plans are required on the job site at the time of each inspecti•n. ,'
Building Permit Application NResidential iktV11)
FOR OFFICE USE ONLl
City of Tigard PN i, ��15 Received PermitNo.: ��� `;
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi
11111
R+ a ateB . ao Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 (���`� i"i� T_ — .�
Inspection Line: 503.639.4175 1` Al" �,5�, Date Ready: : n/ �,� J i- ®See Page for
T:6:�:Z ll v g V A1��� Notified/Method: gr r Supplemental Information
VHInternet: www.tigard-or. ov ��`j U `I��
TYPE OF WORK ll, /G' REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees'`are based on the value of the work perfonned.
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 OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling l=1 Commercial/industrial
Valuation: $ .3 50 .t
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION '- I Total number of floors:
Job site address: f-5 2_ 1 Z s' Vv 14 P-ZELc �e,ST W Ay New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: \ p� Covered porch area: square feet
Cross street/directions to job site: I �J "L� j Deck area: /(p E5 square feet
/� p IN,'IJ�1� 7° 6 Other structure area: /
square feet
l�/ 13 7�' r� } t REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Se-cvnoiek i4 TS • Lot no.: I 41— Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
N S F R — t)e LK-- 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°
(Please refer to fee schedule)
Business name:LENNAR NW,INC
Structural plan review fee(or deposit):
Contact name:ERIK.PETERSON
FLS plan review fee(if applicable):
Address:11807 NE 996 Street,Suite 1170
City/State/ZIP:Vancouver,WA 98682 Total fees due upon application: p y3,d
Amount received:
Phone:(360)258-7900 Fax::(360)258-7901
E-mail:erik.peterson @lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 996 Street,Suite 1170 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98682 Pennit 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
:--CB lie.: r ci 5 3 7 Total fee due upon application: $201.60
kuthorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Tint name: ERW PP7&f,f")il Date: /- 21-/S *Service Board.ol gy set by Tri-County Building Indust),
:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
t
a •
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
r 1 G n li Building Permit Review — Residential
Building Permit #: /hS; l S--cxb0
Site Address: 13212 SW Hazelcresr- Wax/
Project Name: SeVO1a t}elohk y
5 Lot #: l
(New welling=subdivisi name;Addition or Alteration=last name of owner)
Planning Review
Proposal: le 4
\ 12' >L t ' deck a* reasr of home,
Verify site address/suite #exists and active in permit system.
Site Plan Elements:
❑Three(3)copies of site plan �tfxisting structures on site
NVite plan mus Le on 8-1/2"x 11"or 11 x 17"paper OaFootprint of new structure(including decks)with finished
It',rawn to scale(standard architect or engineer scale) I•or elevations
E;I orth arrow ►'•Utility locations (required for new,may apply for additions)
te address,project or subdivision name and lot number Thcation of wells/septic systems
VA.plicant information(name and phone number) -�E1osion control(including drainage-way protection,silt fence
0 .t dimensions and building setback dimensions sign,location of catch basin,etc.)
V. •t area,building coverage area,percentage of coverage and freet names
pervious 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 —g-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,applicant was notified Received: ❑ Yes
M No ❑ No
Land Use Case #: 3u$2013- 00002
NI/Zoning: R
etbacks: (atkut ) Front l S'OS'lar 15•( e) Side 5' (SaOreet Side Garage zd (21')
,if Landscape Requirement: 2.0 /o 0
L10 Lot Coverage Maximum: SO
'El—Building Height: Maximum Height Actual Height
isual Clearance
N:/Easements none,
1/ensitive Lands: ❑ Yes ti(No Type
1N4rban Forestry Plan
onditions Met
Notes: r-i e- . • iv . . 1•Y +O 0 • a... • con
Approved By Planning: ealidillir4 A e t II Date: f Z.: 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Bui Id ing\Forms\B I dgPerm itRvw_RES_100114.docx
4
Building Permit Submittal
Original Submittal Date: �--
Site Plans:
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: R PI nning eering 9 Coordinator ��uilding
Workflow Sign-off: �� lg7�n_off for Planning(include notes from planning review)
Route Application Documents: l�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
Nib
By Permit Technician: Date: / _
— =I
Engineering Review
❑ Actual Slope:
❑ Conditions Met
❑ Easements (encroachments)
❑ Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes ❑ No
Assess Water Quantity Fee: ❑ Yes ❑ No
Notes: AI v L'= •r U e.. 1 $ S Approved by Engineering: Date: _Z . z • /5---
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:
OK to Issue Permit
Approved by Permit Coordinator: i Date: Z
I:\Bui Iding\Forms\B1 dgPermitRvw_RES_100114.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
13212 SW HAZELCREST WAY, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
February 20, 2015 at 12:53:49
PM
MST2015-00013
David Young
Deck final approved.
Re-done to meet rear yard setbacks.
Violation Summary:
Inspector Contractor