Permit CITY OF TIGARD MASTER PERMIT
IIII p
COMMUNITY DEVELOPMENT Permit#: MST2015 00022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2015
T`V'`� O g Parcel: 2S109DB06200
Jurisdiction: TIGARD
Site address: 13276 SW HAZELCREST WAY
Subdivision: SEQUOIA HEIGHTS Lot: 10
Project: Sequoia Heights, Lot 10
Project Description: 168 sq ft deck addition.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $3,568.32 Rear 0
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
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add,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 NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions)
15060 SW 133RD AVE 11807 NE 99TH STREET SUITE 1170
TIGARD,OR 97224 VANCOUVER,WA 98682
PHONE: 360-258-9000 PHONE: 360-216-6423
FAX: 360-258-7901
Total Fees: $331.13
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 copy of the rules or direct questions to OUNC by callin.003.232.1987 or 1.800.332.2344.
Issued By:��c Permittee Signatui• -• l/ -'•,1 :j /e !t__),_______,
Call 503.639.4175 by 7:00 a.m.for the next available inspection• e. 1
This permit card shall be kept in a conspicuous place on the job site until • pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildinp, Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard Received
Dates : q r .. Permit No:
V . —Al •_..
_ ° 13125 SW Hall Blvd.,Tigard,OR 9722 O C I V EP Dat Review M�. S
Phone: 503.718.2439 Fax: 503.598.19 J;l 1J 1� DateB : � ��� e 'er P�'t' 1 1 — 401 ∎+
Inspection Line: 503.639.4175 Date Ready:y See Page l for
T I G A R D Internet: www.tigard-or.gov �' Notified/Method: M ` Supplemental Information
FEB • , AWN
TYPE OF W OIW REQUIRED DATA:1-AND 2-FAMILY DWELLING
`a �� ���� Permit fees*are based on the value of the work performed.
®New construction ���,DIVISION (rounded dollar)��. Indicate the value rounded to the nearest dollar of all
❑Addition/alteration/replacement equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 3® 1-and 2-family dwelling ID Commercial/industrial
( S 6
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION q Total number of floors:
Job site address: 13 2,7(p S in.s 1-4 A-�--L C S T (ALA.-) New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: V`ly Covered porch area: square feet
Cross street/directions to job site: ` w`k\ a;e Ct Deck area: /(Q 6 square feet
' '� Other structure area: square feet
":1J (4\01'14 REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: � .G?tivolii 4 TS. Lot no.: /0 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 ,yt work indicated on this application.
N S F R — p_G k_. _ _ ,4e4104- . f 8—' Valuation: $
r 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 99t1 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 99th Street,Suite 1170
City/State/ZIP:Vancouver,WA 98682 Total fees due upon application:fr 7.4(5-
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 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.: 1 5-3 ♦ 7 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
WM i within 180 days after it has been accepted as complete.
I Print name: (R f� g/gfQN Date: /r• 3• 1+ *Fee methodology set by Tri County Building Industry
Service Board.
et
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-613T(11/02/COM/WEB) T 741.
r
City of Tigard
III a
COMMUNITY DEVELOPMENT DEPARTMENT
I
T I G A R D Building Permit Review — Residential
Building Permit #: n5T-a015
Site Address: 13 2 1 S w 1-rnw Cre s i- vvc^l
Project Name: Se coo i c.A. E+t s. Lot #: kV
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Co Y S tw c.hv el o 1 2 x 14 ' 0 C V-- • 'l✓1 re tr vJ lit rick. .
M.Verify site address/suite #exists and active in permit system.
Site Plan Elements: 2
only
cirIhree 3)copies of site plan KExisting 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 Utility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number -Birocation of wells/septic systems .J/pc
Applicant information(name and phone number) (Erosion control(including drainage-way protection,silt fence
kL.ot dimensions and building setback dimensions design,location of catch basin,etc.)
,l Lot area,building coverage area,percentage of coverage and (Street names
impervious area(applicable if R-7,R-12,R-25&R-40) �5treet 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—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified kr No Received: ❑ Yes ❑ No
❑ Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 'No Applied For: ❑ Yes ❑ No,stop intake
V Land Use Case#: S V B 2.0l3 - O O 002
14 Zoning: Q..-1
18 Setbacks: Front Rear 1 5 Side Street Side -- Garage —
,S Landscape Requirement: '7_0 °/o
gLot Coverage Maximum: 8 0 % n
tgr
Building Height: Maximum Height 3 5 Actual Height G C I— +V tick CLI 00 r
D—Visual Clearance
.easements
ig Sensitive Lands: ❑ Yes No Type
-El—Urban Forestry Plan
---Conditions Met
Notes:
Approved By Planning: /11,0 r i cc.. 3 i t c ck.0._c4.,« Date: 2 A cl / t S
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\BldgPermitRvw_RES_0204I 5.docx
a i
Building Permit Submittal
Original Submittal Datc: okll'f//S
Site Plans: # 3�=��/
Building Plans: C C i'/+s ; (') 0"4 erg ),S
Building Permit#: r building permit#above. 3
Workflow Routing: _Lg-PSammng -15-Engineering 2-1Termit Coordinator lii ding
Workflow Sign-off: [ -Si ff for Planning(include notes from planning review)
Route Application Documents: 3-Eieering. (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
0-13M ing original permit application,site plans,building plans,engineer and
L beam calculations and trust details,if applicable,etc.
Notes: 5i4,S/t-,,,��`� -7 ),- /'/c /e-t/.-Zw cm/cc 4,1/`4/al, T C✓erg de!cct 6.,-4/.
By Permit Technician: * ::r....12--....- --..„ Date: 2layils.-
Engineering Review
El Actual Slope:
❑ Conditions Met
El Easements (encroachments)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee: ❑ Yes ❑ No
Assess Water Quantity Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: 2 , z ti, /C
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
❑ Approved, NOT Released: Date:
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: Date:
1:1Building\Forms\B1dgPermitRvw_RES_020415.docx