The URL can be used to link to this page

Permit CITY OF TIGARD . MASTER PERMIT COMMUNITY DEVELOPMENT W 8211 � ! Permit#: MST2014-00141 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S109DB06000 Jurisdiction: TIGARD Site address: 13296 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 8 Project: Sequoia Heights, Lot 8 Project Description: New SF. 1/27/15, reprinted to add a/c. 5/19/2015 REPRINT permit to add deck. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Detectors: Yes 9 Third: 0 sf Right 5 Total: 2536 sf Value: $305,395.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 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 2536 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: $21,458.98 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 wor is s pe -od for m•re the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T .se rules -r- s= 7f.rth in OAR 952-001-0010 through OA 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:10.33 .23-'. / / Issued By: _ . Permittee Signature: 44 ■! 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. 3 FOR OFFICE USE ONLY-SITE ADDRESS: l342 96 J'&7 1 This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III ■ Transmittal Letter I i., , I<I 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: - DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAY 1 3 2015 FROM: / 1 fCiel _(21:Z eV CITY OF TIGARD BUILDING DIVISION COMPANY: /Jp,/C_D-e.......-/- PHONE: .AGO Zs-6, 7 goo B RE: 1 aq 60-) .b '161 dO/4- 60 iii (Site Address} (Permit Number) 6-0-0.-4—e-e_/. ` �.-� (Projee or subdivision n an lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: I Description: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): r. REMARKS: 4_-e FO 0 FICE USE ONLY Routed to Perm ..mit.' _ Date: _ Initials- `y4 Fees Due: Yes 1. . '� Fee Description: Amoun sue: $ $ $ $ Special Instructions: erfpY TO W RI 41- C O , Reprint Permit(per PE): 'r11_L es ❑No Done Applicant Notified: Date: �//�/5 .A-/gl.$ nrtial*).-6P-- (:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 . • City of Tigard ISCOMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: H'7T( b14 —60 l el/ Site Address: /3 % cS?je ) H io 60. Project Name: ,� /,t„el/c? /42_,A is Lot #:(Newelling=subdivision Addition or Alteration=last name of owner) Planning Review �v Proposal: /Vet() /0' x /6 ' d_ Jerify site address/suite# exists and active in permit syste . g River Terrace Plan District: ❑ Yes V No Sitf Plan Elements: I(d ree(3)copies of site plan ,existing structures on site l!t ite plan must be on 8-1/2"x 11"or 11 x 17"paper NJ Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations ilLorth arrow ( Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot number It�i 'cation of wells/septic systems pplicant information(name and phone number) li Erosion control(including drainage way protection,silt fence gr •t dimensions and building setback dimensions � d''esign,location of catch basin,etc.) l!Lot area,building coverage area,percentage of coverage and W S eet names 'Prpervious area(applicable if R-7,R-12,R-25&R-40) et tree size,type and location operty corner elevations(2 foot contour lines if more than [ Existing trees to be retained with drip line,and tree 4/not differential) protection measures gri Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified IfQ No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI)Permit: equired: V Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake and Use Case#: eo13 —c o� �oning: - etbacks: Front /S Rear / 5 Side S Street Side /cD Garage 6 Landscape Requirement: (.20 % t Coverage Maximum: Q % — :lidding Height: Maximum Height 35 Actual Height a e16 tsual Clearance asements Lld Sensitive Lands: ❑ Yes L✓J No Type IL 1. rban Forestry Plan Ig Conditions"Met"prior to issuance of building permit Notes: Approved By Planning: ' lanning: -�� Date: `s-/3 /,- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_031015.docx A • Building Permit Submittal Original Submittal Date: 6//5/6--///1' _ Site Plans: # 5 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing.. i 'Planning engineering CYPermit Coordinator ding Workflow Sign-off: 1a 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: j�J CI(X tQ�t.4.��-1 Date: 6---/ Engineering Review a—Slope at building pad: p2kj [ Conditions "Met"prior to issuance of building permit Drgasements (encroachments)per engineering conditions of approval and plat LQ--Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [1io Assess Water Quantity Fee in-lieu: ❑ Yes [ No LIDA Facility on lot: ❑ Yes riNo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: V.id.' 17 5 tFf.R„ Date: S"- i S'- t 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: vOK to Issue Permit Approved by Permit Coordinator: OvA,F, �- n� Date: 5 - I c; - /s. I:\BuildingWorms\BIdgPennitRvw_RES_031015.docx to y CITY OF TIGARD Mr' ® MASTER PERMIT ' _ ' COMMUNITY DEVELOPMENT Permit#: MST2014-00141 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S109DB06000 Jurisdiction: TIGARD Site address: 13296 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 8 Project: Sequoia Heights, Lot 8 Project Description: New SF. 1/27/15, reprinted to add a/c. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 of Value: $305,395.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 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 2536 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: $21,458.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTEN • eregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- through OA- •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by 'n 503.232.1987 or 1.800332.2344. Issue By: J - �'�/La! - Permittee Signet • Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED Mechanical Permit Application FOR OFFICE'LJNE ONLY Ci of Ti �Ird JAN 2 6 2015 Received �+V, `J Date/By: Permit No.: M!)1`�I '-aye/ y 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review k Phone: 503,718.2439 Fax: SoEpTW6OF TIGARD Date/By: OtherPerhiit: TIGARD Inspection 5.03.639.41'�uILDING DIVISION DatelteadyBy: Juds• U so Page 2 far Intemat: tvww.tigard-or.gov ldotilied/Method: Supplemental Information I TYPE OF WORK COMMERCiAL FEE* SCHEDULE-USE CHECKLIST Mechanical permit fees"are based on the value bf the-Work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the lscarest dollar)of all 0-Demolition 0 Other; .mechanical materials,equipment,labor,overhead;and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES" . ®I-and 2-family dwelling D Commercial/industrial p Accessory building For specialhtfornralloit use checllist. ❑Multi-family ❑Master builder 0 Other: Description I Qty. l Ea. Total JOB SITE INFORMATION AND LOCATION 13'eatinpf Olin 7 . __ Air cgnditioning I . l 46.75 Job site address: 1. Z, te 5 V V r/-a7e_l e- e 1-"VQ t� �1 f BTU(ducts/vents) 46.75 City/State/ZIP: A s a 0 Z Furnace 100,000+BTU((kucts/vents) 54.91 }feat trump 61,06 Suite/bldg./apt,no.: . Project name: — Duct work 2 3.32 Cross street/directions to job site: Hydronlohot Water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(file)-type,not electric), in-wall,in-duct,suspended,etc. 46.75 • flue/vent for any of above 23.32 Subdivision: GJ iA 01 .4 Elf t '( -1 Lot no.:l g Other: Other fuel appliances: .23.32 Tax map/parcel no,: Water heater 23,32 1 DESCRIPTION OF WORK Oa;111'91ac0esed ' . 33.39 NSFR Flue vent for watcr.lieater or gas A bh Ally Co-Nt b r i o-r.t I NG _fireplace 23.32 6 iF S`Tja2 PF 2_ t-T s 7 J'f' (� Log lighter(gas) 23.32 v _tiYogdlpellet stave 33.39 Wood fireplace/insert 23.32 Chimney/liner/fiile/vent 23.32 ® PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust sad ventilation: Name:LENNAR NW,INC lunge hood/other kitchen equipment 33.39 Address:11807 NE 9911'Street,Sulte 1170 Clothes dryer exhaust 33.39 • City/State/ZIP;Vnueouver,WA 98682 Slngte-duct exhaust(bathrooms, toilet compartments,utility rooms) ,- 23.32 . Phone:(360)258-7900 Fax:(360)258-7901 Attic,/eraWlspacefuns 23,32 ' . ® APPLICANT • , ❑ CONTACT PERSON Other: , . 23,32 Business name:LENNAR NW,INC Fuel piping: 514;15 for lust roust 54.03 for each additional - Contact nalise:ER1;K PETERSON -Furnace,eto. . • Address:11807 NE-99a'Strect,Suite1l70 Qua heat pump City/State/ZIP:Vnncouver,WA 98682 - Wat h /rroitheater Wateer r heeater ater Phone:(360)258-1900 I Fax::(360)258-7901 Fireplace genge . E-mail:erilc.petersonelcnnat-.com Barbecue CONTRACTOR Clptisea dryer(gas) , Business name: T? l co a,07-1 7L/alp ComTl20L Other: -� MECHANICAL PERMIT FEES' Address: 1 g j U 5, oz.')e a r n A.14$ )?t.1 1Z 1/2, Subtotal Cil /State/ZIP: Minimum permit fee $90.00) y Gtr-�DAI �/T Ofd 70¢$, p ( . Ty Mini review(2.5%of permit fee) . Phone:(6b3) 6--,5 7- G t Fax:(Sv3) 55`7— U 99/q �Z z State surcharge(12%of permit fee) CCBIio.: 72 G• 2 3 • • TOTAL PERMIT FEE 052.3(e This permit nppllcn lion expires it h'permit is riot obtained within 180 > �rG(7ehseii days after it has been accepted as complete, Authorized signature: • Fee methodology set byTrl-County Building Mushy Service Boats! Print name: April Jensen _ -_—_ l_Date.: 1-13-15 I I:'BuildingWermils\MECjermiuApp 040113.doe 440-46uTr(II/02/COMAVEB) 111111 CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2014-00141 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S 1090806000 Jurisdiction: TIGARD Site address: 13296 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 8 Project: Sequoia Heights, Lot 8 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $305,395.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 SrvcFeeders 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 2536 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: $21,406.62 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 calling 503.232.198 • 1.800.332.2344. / Issued By: Permittee Signature: A- — tai(/ 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 ApplieaCEIVED Residential E FOR OFFICE USE ONLY City of Tigard Received y: D 97 /47 f h Permit No.: ti6rAl eV/ / II >a a 13125 SW Hall Blvd.,Tigard,OR A 2 7 2014 Plan Revie mi. , �� I�( Other Permit: �(�;� i/L/(1(1Q�7 Phone: 503.7182439 Fax: 503.598.1960 Date/By: ( \ TIGARD Inspection Line: 503.639.4175 OF Date Ready/By: ) (� kris: RI See Page 2 for Internet: Line:gaud-or.goV CITY Of TIGARD _NoteieeadetUod: /0 /,q C/�-.k�7 Supplemental Information BUILDING DIVISION r�ii--- TYPE OF WORK 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 indicated on this application. — Valuation: $ '65 3 .4. CI 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 2, S JOB SITE INFORMATION AND LOCATION ' / Total number of floors: z Job site address: /32`J6 SIB/ I 41 ZL L CC U-3 s r W A)/ New dwelling area: 2 t 53(, square feet City/State/ZIP: I t 'AR 1) 1 OR q 7 22-3 Garage/carport area: .5-2 5 square feet Suite/bldg./apt.no.: Project name: Covered porch area: /6, , square feet 1A-U-7 Cross street/directions to job site: Deck area: square feet 1bect Other structure area: s06, ( square feet 26" REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Seep uo/p /-/&/C/a/s I Lot no.: 8 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 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/Z1P: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 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)258-7900 Fax::(360)258-7901 Amount received: 75 .14{ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'` E-mail:erik.peterson @lennar.com Comme 'al and residential prescriptive installation of CONTRACTOR roof-top mou •hotoVoltaic Solar Panel Syst-••. Business name:LENNAR NW,INC Submit two(2)sets o •of plan with conn-, on details and fire department access,• •i:wi • e 2010 Oregon Address: 11807 NE 99th Street,Suite 1170 Solar Installation Specialty Co,- '•-cklist. City/State/ZIP:Vancouver,WA 98682 Permit Fee(include . an review $180.00 and a'• nistrative fees): Phone:(360)258-7900 Fax:(360)258-7901 State surc - :e(12%of permit fee): $21.60 CCB lie.: / S 3 0 7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: edef Pe- /?..e...a A/ r Date: /6,7, / ''Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Yect>rical Permit Amit r', E FOR O DICE I$E ONLY IVEh I C i t y of Tigard Received 6 El/ f�i Penult No.: 2W le7/ ipil "s 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit:alt p?4/11z/COe ° Phone: 503.718.2439 Fax .5 69014 Date/By: kids: E( See Page 2 for Inspection Line: 503.639.41151 7[ Date Ready/By: TIGARD' Internet: www.tigard-or.gov Notified/Method: Supplemental Information aiVc9falifiARD PLAN REVIEW KNew construction DallinThiGahtiMilicAent Please check all that apply(submit 2 sets of plans w/items checked below): 0 Service check or feeder 400 amps or more El Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural VK1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. • Multi-family ❑Master builder ❑Other: 0 Fire pump. 01nstallation of 150 KVA or y 0 Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of /3}965 IA�' '1 100HP or occupancy. fob no.: lob site address: G A2-0I,GtZ-FIST 1,�1 it I ❑Site or more residential units. ❑Recreational vehicle parks. o Health-care facilities. 0 Supply voltage for more than �Ity/State/ZIP: �l l'cz�D / t �J 677 2 ?' 0 Hazardous locations. 600 volts nominal. 0 Service or feeder 600 amps or more. iuite/bldg./apt.no.: Project name: FEE SCHEDULE cross street/directions to job site: Description 1 Qty. I Fee. I Total I New residential single-or multi-family dwelling unit. Includes attached garage. y 1,000 sq.ft.or less 168.54 , 4 lubdivision: ��p u Ott }- GPI! T S Lot no.: g Ea.add'l 500 sq.ft.or portion �� 33.92 1 'ax map/parcel no.: 666 tt' Limited energy,residential I 75.00 2 DESCRIPTION OF WORTS (with above sq.ft.) Limited energy,multi-family 75.00 2 N 5? residential(with above sq.ft.) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation 2 PROPEt2TY OWNER I ❑ TENANT 200 amps or less 1 100.70 2 201 amps to 400 amps 133.56 2 fame: 1___,--... __, NJ N A g.,.. 14 IN , I N CG . 401 amps to 600 amps 200.34 2-7.ddress: 1 1 0)Q—1 1 1 cf.1n Si- S u t t ( ` 601 amps to 1,000 amps 301.04 2 f t I Over 1,000 amps or volts 552.26 2 ity/State/ZIP: \ {1\1,4 G0-U'E1Z U"Ac I 2)402'2-- Temporary services or feeders installation,alteration,and/or I relocation hone:( („a 2.6- • 11 v o Fax:(3 4") 25-0, ` ' J 200 amps or less 59.36 1 'caner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 tended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 wner signature: Date: Branch circuits-'new,alteration,or extension,per panel A.Fee for branch circuits with El APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit usiness name: - S A.,,....t - B.Fee for branch circuits without antact name: service or feeder fee,first 56.18 2 branch circuit ddress: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) ty/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder — tone:( ) Fax: ( ) Reconnect only 67.84 2 mail: . Pump or irrigation circle 67.84 2 CONTRACTOR Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy See isiness name: FR p `F L� L e� 12 l panel,alteration,or extension. Page 2 2 Each additional inspection over allowable in any of the above tdress: ( i O S'� �j l�1=v tJ`�F� [ 1'f�' Additional inspection(1 hr min) 66.251 hr ty/State/ZIP: H '?y VprLLE' 1 CL-. Investigation(1 hr min) 66.25/hr Fax: Industrial plant(1 hr min) 78.18/hr Mlle:(So�) 3�p• (9,50-3 ( ) Inspections for which no fee is 90.00/hr B Lic.: 19 5 39 9 Electrical Lie.: G gj cl -1 Suprv.Lie.: n 70 s specifically listed(h hr min) ELECTRICAL PERMIT FEES It pry.Electrician signature,required: Subtotal: Date: /,, 1G1 J Plan review(25%of permit fee): nt name: frQNy r)O(.20 SL-AVE-'TS 0' 1 a' I State surcharge(12%of permit fee): thorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 at name: Date: days after it has been accepted as complete. * Number of inspections allowed per pennit. lingWermits\ELC PennitApp ELR ERE.doc Rev 05/21/2013 440.4615T(11/05/COM/WEB Mecha'hical Permit Apph i j I`J P FOR OFFICE USE ONLY City of Tigard Received (.7 Date/By: of � Permit Mr-au/ /V/ 13125 SW Hall Blvd.,Tigard,OR pn7.„3 Plan Review l7 Phone: 503.718.2439 Fax: 503.5 .)1(96& 7 2014 Date/By: Other Permit:t5eo,2 lev4/_etiDs7 TIGARD 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 BUILDIN+ TYPE OF WO ISKIN 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 special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: INFORMATION / / 1444 Air conditioning 46.75 Job site address: / 3 2 9�o S1/✓ NRz&-z.C/2 L$T y Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 7/6-wp� d/1? C� '7'Z 2 3 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 J Other: 23.32 Subdivision: „5-4-..49„5-4-..49 acwq /-/'G/1�HTS Lot no.: 8 Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 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 Z PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment I 33.39 Address:11807 NE 99th Street,Suite 1170 Clothes dryer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,INC Fuel piping: $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 Phone:(360)258-7900 Fax::(360)258-7901 Fireplace I Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) /a Other: Business name: TR I CO//14)77 1 cM P (�UN/IZOL- MECHANICAL PERMIT FEES* Address: 1 g) t--0 5, c-16,4 cf?7-4/W115 Ri✓&2 De, Subtotal City/Statc/ZIP: Minimum permit fee($90.00) G/e�L�Of\/ /T:/ ' Ofd T Plan review(25%of permit fee) Phone:(6-63) 5 7— 2 2 2 G I Fax:(5-03) 5s7-» U /9 State surcharge(12%of permit fee) CCB lic.: 72 6 2 3 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: J • Fee methodology set by Tri-County Building Industry Service Board Print name: l eli LZ yf y / Date: /0.J lli I:IBuildineermits\MEC_PermitApp_040�3.doc 440-6I7T(1I/02ICOM/WEB) .Plumbing Permit APQ 1IVEP Building Fixtures 1111'' FOR OFFICE USE ONLY City of Tigard A 4p Received �J Permit No.: / / g A U 9 ��4 Date/By: �✓Zi ,� �)7 '/ - T 71 � n 13125 SW Hall Blvd.,Tigard, 7 2 Plan Review : 2 Phone: 503.718.2439 1960 Date/By: Other Permit No.: ,g, c/Cf'e '7 T I G A RD Inspection Line: 503.6!�� ''GARD Date Ready/By: Juris: H See Page 2 for Internet: www.tigailit DING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE [El New construction ❑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 building SFR(3)bath 1 500.32 ❑Accessory g ❑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: / 32,76 .SW f/A ZGfL c l:S% w 4 Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7//(/i7/ )) 2l/ 97223 J / 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 lie Water service(no.linear ft.: ) Page 2 Subdivision:,..5.....6779 /-t4a/A e/4747-_s I Lot no.: 8 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 NSFR Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ID PROPERTY OWNER ❑ 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 ( 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 `J 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 CONTRACTOR Water closet 3 25.02 Water heater , 37.52 Business name: y1/D I.co 7T FL cm,//3 1 N6) Water piping/DWV 56.29 Address: /b 7 S' w. 1-1/STD I C a,L UM�1.3►11 6z) Subtotal /4147 Other: 25.02 City/State/ZIP: %/20 U TDI LL) D e 7 70 6 z) Subtotal Phone:(5 Minimum 6‘7_179/ X 3 SI Fax:(563) (D , 7. fig'? Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 1/ 2 2 2 co Plumbing Lie.no.: Z,( • g2¢PQ State surcharge(12%of permit fee) Authorized signature: /s7 TOTAL PERMIT FEE /I L F�, U MA This permit application expires if a permit is not obtained within 180 days Print name: („ , w Date: after it has been accepted as complete. `Fee methodology set by Tri-County Building Industry Service Board. I:\Building 1Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard Ill ■14 ■ COMMUNITY DEVELOPMENT DEPARTMENT T r n n Building Permit Review — Residential Building Permit #: H 5 i?o I c/- DD /4/ Site Address: 13 216 anl Ro zedlcre s - Way Project Name: Se,cv,Abla. He,j h-f- Lot #: _ ' 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: IIVerify site address/suite #exists and active in permit system. SiX Plan Elements: NJ ree(3)copies of site plan sting structures on site [ Site plan must b on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure (including decks)with finished brawn to scale (standard architect or engineer scale) loor elevations orth arrow IJ Iiite address,project or subdivision name and lot number Utility locations(required for new,may apply for additions) 2 .cation of wells/septic systems l pplicant information(name and phone number) ►�Erosion control(including drainage way protection,silt fence of dimensions and building setback dimensions i esign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and trees names ypervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location RProperty 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—�Sce Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes LJ No Received: ❑ Yes ❑ No Rand Use Case #: SVf32 I - 00002_ ��/ oning: R-7 / etbacks: Front 16'j\15)Rear2 (1 c ) Side 51 (5] Street SidelOr(Id) Garage2o(z.U3 Ly Landscape Requirement: j 0 LJ Lot Coverage Maximum: BE Building Height: V—aximum Height './1 Actual Height Z 25' <Visual Clearance � asements ensttive Lands: ❑ Yes INo Type rban Forestry Plan [/Conditions Met Notes: Approved By Planning: i •_g a, _a Date: 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Build ing\Forms\BldgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: 5/P'? b 9 Site Plans: # 3 Building Plans: # 3 Building Permit#: [ YEnter building permit#above. Workflow Routing. [34lanning 0/Engineering j;kfermit Coordinator Building Workflow Sign-off: /2'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. ar Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: • i�� Date: 4 o4� /7 Engineering Review/ Actual Slope: ‘ ",h ❑ Conditions Met Notes: Approved by Engineering: �N.,T Date: 8, 2 8.14e Revisions (after Building Submittal only) Reviewer Date Revision 1: El 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: K to Issue Permit _ /7 .Approved by Permit Coordinator: , Date: 2 g `� I:\BuildineForms\BIdgPermitRvw_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 13296 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00141 David Young 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 13296 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00141 David Young Corrections complete. 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 13296 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00141 David Young Provide approved electrical ﬁnal for ELC 2015-00490. All else ok, recall both ﬁnals for C of O. 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 13296 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00141 David Young 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 13296 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00141 David Young 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. Violation Summary: Inspector Contractor 111111 CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2014-00141 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S 1090806000 Jurisdiction: TIGARD Site address: 13296 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 8 Project: Sequoia Heights, Lot 8 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $305,395.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 SrvcFeeders 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 2536 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: $21,406.62 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 calling 503.232.198 • 1.800.332.2344. / Issued By: Permittee Signature: A- — tai(/ 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. 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 13296 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00141 David Young cleanout plug needs approved thread sealant at: 316.1.1 dishwasher hose to be securely anchored to underside of cabinet top. 807.4 Remove debris and mud from storm catch basin in back yard. Expose low point drain termination for inspection. Hot and cold reversed at left side lav main bath. Finish back splash and seal to countertop. Upper main bath. Violation Summary: Inspector Contractor