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Permit CITY OF TIGARD MASTER PERMIT 11111 --' . g' COMMUNITY DEVELOPMENT Permit#: MST201600107 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 Parcel: 1S136AA12900 Jurisdiction: Tigard Site address: 10380 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 24 Project: Oak Street Estates, Lot 24 Project Description: New SF. DEMO CREDITS from BUP2015-00091 apply to this permit for all transportation and parks SDC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1029 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1277 sf Garage: 400 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2306 sf Value: $278,901.51 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 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 F u rn>=100 K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 2306 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11870 NE 99TH ST,STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $7,919.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in , • •.nce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. . ENTION: Or-.•n law requires you to follow the rules adopted by the Oregon Utility Notificati•• Cer - Those rules are set forth in OAR 952-0.1-0010 through OAR 9' -00 ..•: •u may obtain a copy of the rules or direct questions to OUNC by callin• 503.2 . or 1.800.332.2344. Issu • By: .A _ .1 �G..46.4 _ Permittee Signatur _ �42 j� 01—&—) _ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of e project. Approved plans are required on the job site at the time of each inspection. Building Permit Application 7 i`,! Residential RECEIVED FOR OFFICE USE ONLY • Cl of Tigard 1 � Received Permit III . q 13125rS W Hall Blvd.,Tigard,OR 9722MAR AR 16 2016 Date/By: 3 — �, -m/b Gb iti 7 g M Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By. J J , Other Permit:S'�/, ` —oda$ Inspection Line: 503.639.4175 ` OF TIGARDDate Ready/By: 7uris: S/,eeePPaagg7e[2for ! TIGARD Internet: www.tigard-or.gov CITY DIVISION Notified/Method:rrYA`th, o J/ (�(b� i I Supplemental Information BUILDING Y1. �}( `-C eva to 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. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $a7$! 01 ❑Accessory building ❑Multi-family Number of bedrooms: L. 0 Master builder ❑Other: Number of bathrooms: r 5- JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: /73 go S /� 7 4 New dwelling area:1, (:)co square feet� 6 City/State/ZIP: 67 rj"Crel j/7 6:1 7 72 3 Garage/carport area: 4-SO square feet Suite/bldg./apt.no.: l// Project name: a u S ,t ,„..).„1_,,, - Covered porch area: ?3 square feet 1'171 Cross street/directions to job site: Deck area: square fees 09 Other structure area: square feet REQUIRED DATAi COMMERCIAL-USE CHECKLIST Subdivision: 2,q/( 3-2--/ ' T 6.--:-.5 Tp T'(.:'5 Lot no.:2_,Lt 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 DESCRIPTION OF WORK work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet ®'PROPERTY OWNER 0 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 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Lennar NW,Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Charles Webb FLS plan review fee(if applicable): Address:11807 NE 99th Street,Suite 1170 City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 1 95 3 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received PermitNo.: �-��-']d / DaDate/By: J/ ,'io adbo 13125 SW Hall Blvd.,Tigard,OR 97223 \'�� Plan Review C Phone: 503.718.2439 Fax: 503.598�A6��`V Other Permit: ��Jy Date/By: TI G A R D Inspection Line: 503.639.4175 1C-:i. O�C Date Ready/By: jurist Ea See Page 2 for Internet: www.tigard-or.gov �) Notified/Method: Supplemental Information SD TYPE OF WO ��t\a 0� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST a �O Mechanical permit fees*are based on the value of the work ®New construction El Addition/alte x�r ement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: V mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* VI-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORTION AND LOCATION Heating/cooling: '�/ Air conditioning I 46.75 l406 MA Job site address: /0 3 e O 31 U 4 71h � - Furnace 100,000 BTU(ducts/vents) 1 46.75 -I�P 1 ri City/State/ZIP: `C 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 �- >4r�S 2� Other: 23.32 Subdivision: ��j� 5-7-,e6-6.-r >+ Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 1-3..i2 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 3.39 NSFR Flue vent for water heater or gas fireplace I 23.32 Z 3,U- Log lighter(gas) i 23.32 23. 32- Wood/pellet ZWood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen "55. 2 equipment 1 33.39 59 Address:11807 NW 99th Street,Suite 1170 Clothes dryer exhaust 1 33.39 3-3, 7,1 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 1 16).(410 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:LENNAR NW,Inc $14.15 for first four;$4.03 for each additional Contact name:Charles Webb Furnace,etc. Address:11807 NW 99th Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) ��/ Other: Business name: Wo 0 L co 7-7.- j `w A413 i� MECHANICAL PERMIT FEES* Address: /U 75 illi MS Ta R/e CO L WMJ'/Al M ki/2 ii W7 Subtotal City/State/ZIP: %g©cf4 L L OR 976 6 a Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5 01 6 6 7_/78/6.17.16y,Fax:(5;03) 7,_ 989/ State surcharge(12%of permit fee) CCB 1ic.: J 1 222 U U TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 eZ-4.7, days after it has been accepted as complete. Authorized signature: / ' tie.. ,f * Fee methodology setby Tri-County Building Industry Service Board Print name: �Ll�� /t'��{.E✓ Date: 9 i/6 , /5 I:\Building\Permits'MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE 1 SF O\1.1 City of Tigard �`�� Received Permit No.: Date/Br: fll /�� (v' • III )3125 SW Hall Blvd..Tigard,ORP V^ Dat Review- ' C Phone: 503.718.2439 Fax: 50 t► 0�6 Date/B•: Other Permit: 1 l t h t3 Inspection Line: 503.639.4175 16 n Date Ready/By: Juni la See Page 2 for Internet: w«w.tigard-or.gov ♦AP� �\r``Pap�O.' otifiediMethod: Supplemental Information TYPE OF WO 01 tows _ PLAN REVIEW . EJ New construction Please check all that apply(submit 2 sets of plans w/items checked below): ❑Addition,alterat ent 0 Service or feeder 400 amps or more 0 Building over three stories 0 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 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION O Addition of new motor load of ❑"A","E","1-2-.-1-3", Job no.: Job site address: /n �j tOOHPormore. occupancy. NT7�V 0 Six or more residential units. 0 Recreational vehicle parks. CityiState/Zl e: �( 6✓� -7 O Health-care facilities. ❑Supply voltage for more than � ) VV 1 6 0 Hazardous locations. 600 volts nominal. Suitt/bldg./apt.no.: roject name: 0 Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Q . 1 Fee. I Total I . New residential single-or multi-family dwelling unit. Includes attached garage. ,,,,,-)Li Subdivision: / el L.S7 q7i S Lot no.: 1.000 sq.ft.or less 168.54 4 V'�N5510667 -�- Ea.add'1500 sq.ft.or portion 3 33.92 1 Tax map.'parcel no.: Limited energy,residential DESCRIPTION WORKK (with above sq.fu) 75.00 2 Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation i.' PROPERTY OWNER - 0 TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: , _..41 I Y I ' . 401 amps to 600 amps 200.34 Address: r I 601 amps to 1.000 amps 301.04 , l 8�r� A�I Over 1.000 amps or volts 552.26 2 CityiState,'ZIP: 1 /n Real ver I a 46? Temporary services or feeders installation,alteration,and/or Phone: 00 )2�— "1900 U Fax:`�, ))-0VVV _..--no i relocation V �V 200 amps or less 59.36 I ) Owner installation:This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 ) 2 intended for sale-lease.rent.or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 168.54 ! 2 Owner signature: Date: Branch circuits-new.alteration,or extension, r panel X. APPLICANT CONTACT PERSONA.Fee for branch circuits with above service or feeder fee. 7.42 0 Business name: LfA t/ 1�t each branch circuit I ►- �' B.Fee for branch circuits without Contact name: e /� 1 J I service or feeder fee,first La`� � Y G branch circuit 56.18 2 Address: I l)0 ' 1\1 ' C'FY- .- ( I Each add•I branch circuit 7.42 2 r. (J 1 ' ^C Miscellaneous(service or feeder not included) Cily'State'Zll. \i , (\CCU V�// { 1 ��j���-- Each manufactured or modular /,/I v 2 1 i coo i �� 1,) � 6 ---7401 dwelling,senate and/or feeder 67'84 2 Phone:13620 J Fax: :` � 9-S-13 tt�� LL'' Reconnect only 67.84 2 E-mail: �rn'i 4 NI �n(1ltr , C O>'Y't Pump or it ieation circle 67.84 2 CONTRACTOR . Sign or outline lighting 67.84 _ Business name:V4�ec'1�,,e.: \e,cic.c, - I pSanel.alteration. t(sl or limited-energy See panel,alteration.or extension. Page 2 2 Address: 'RA03 . ,14 cE. 9.. Each additional inspection over allowable in any of the above Additional inspection(I hr mm) 6625.hr Cit)!State/ZIP: ?oC , CR- Cr 2-(d0 investigation 11 hr min) 66.25hr I Phone:(Ri-I) EA _..5Fax:( ) Industrial plant(I hr min) 78.18 hr Inspections for which no fee is 90.00'hr CCBLie.:wSaiG Electrical Lie.: ,Jr kQ Q I Suprv. Lic.:5 305 S specifically listed(s2 hr min) ELECTRICAL PERMIT FEES Subtotal: Supn.Electrician signature.required:Ave — Print name: r - ate: Plan review(25%of permit fee): /C. . . r n � -- - State surcharge(12%of pennit fee): 1 Authorized signatur . - .- O\G '.v C 41 TOTAL PERMIT FEE: Print name: �� V Date: This permit application expires if a permit is not obtained within 180 �i)(� 0\<�-e„..-. " I days after it has helm accepted as complete. ' Number of inspections allowed per permit. I nuddine•Prmin fLC_Pennio,pp_ELR ERE dac Res 05/21 2011 440-46157"11 1.05 tQMi WEB Plumbing Permit Application Bui'ding Fixtures `��� FOR OFFICE USE ONLY City of Tigard � �� �� Received Permit No.: M J a 13125 SW Hall Blvd.,Tigard,OR 9223 6 `l0 Date/By: S'' 1lfj_co/0 / 7 = Plan Review Phone: 503.718.2439 Fax: 503.598.196�PR �� Other Permit No.: tt.�t1�� ��Date/By: Inspection Line: 503.639.4175 ` ` qtr` t0Wate Read/B T t G A R D Internet: www.ti ard-or. ov `` Ready/By: Jur s: Supplemental See Pagefor g g � �A`GD��I�S Notified/Method: Information TYPE OF WORKK ``i)ji FEE* SCHEDULE ®New construction ❑Deemolition For special information use checklist Description Qty. 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 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family - SFR(3)bath 1 500.32 f , Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ______/.1)396 <� 0-7 � e . Catch basin or area drain 18.76 I/ Drywell,leach line,or trench drain 18.76 City/State/ZIP: / ./ r �� 1 ch Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 /' �7/2 % L T �fJ76 S I , ( Water service(no.linear ft.:_) Page 2 �A Subdivision: Lot no.: �/ Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 ' ,/I DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 2,6,UZ. NSFR Dishwasher 1 25.02 ?6-.b7,.. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NW 99th Street,Suite 1170 Garbage disposal 1 25.02 M.,0 Z City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 5),p LI Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1 12.51 i 2, ci I ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Charles Webb Roof drain(commercial) 12.51 Address:11807 NW 99th Street,Suite 1170 Sink/basin/lavatory 5 25.02 VA, I 0 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 -;---/.,-_--23 E-mail:PROPermits$Lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 /5-, Q to Water heater 1 37.52 -Y/,62.- Business ZBusiness name: 'WO £ C n 77- PLL um �3/4/c Water piping/DWV 56.29 Address: /0 7.5 W W. 14157'02/C 6,,a/Y//3/4 (T/Yh ,u r/�C' 25.02 ��; City/State/ZIP: ©G[7'/�LL-^� d/(� y7©� Subtotal d Phone: (gip ) C! Minimum ermit fee: $72.50 (56. )(o!„7',/7g'(6 k>f/ Fax: 3 (r,7- L cts''��" p Plan review (25%of permit fee) CCB Lic.: /1 22200 Plumbing Lic.no.:24. 821 p8/ State surcharge(12%of permit fee) Authorized signature: _� 7.- , TOTAL PERMIT FEE 0)/-1/ Date: This permit application expires if a permit is not obtained within 180 days Print name: l li//'/" 0�/1?f.�.(/ �'�� ' �`J after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I1Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i II s T I G A R D Building Permit Review — Residential Building Permit #: p7STaU j6:,..-,gyp 07 Site Address: 1 0 3 g 0 SW 61 1'h Project Name: Lot #: 2 4 (New dwelling= subdivision name;.Addition or.Alteration=last name of owner) Planning Review S� Proposal: N�!Y v /Verify site address/suite# exists and active{ in permit system. River Terrace Neighborhood: YJ No ❑ Yes,See River"I eirace Review Addendum Attached Site Plan Elements: /Three (3) copies of site plan fisting 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 -kation of wells/septic systems /applicant information (name and phone number) / Erosion control (including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) `mot area,building coverage area,percentage of coverage and1Street names impervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location /Property corner elevations (2 foot contour lines if more than ❑ I.fisting 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 ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 7 Land Use Case#: SU(3 2.014 - 00001 ` SL220<tI -0000 Zoning: Cig 4 .S Setbacks: Front 2, Q Rear I S Side 5 Street Side I S Garage ZO 7 Landscape Requirement: — 0,0 Lot Coverage Maximum: % Building I{eight: Maximum Height 3 0 Actual I'eight 2 fO Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type ZUrban Forestry Plan ❑ Conditions "Met" prior to issuance of building permit Notes: Approved By Planning: /11 o✓l 1 Gvt (3 1'(p c.LL4 VA.- Date: 3/ !C / l (, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: L1 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:ABuilding\Forms\BldgPenw Rvw_RES_012116.docx Building Permit Submittal Original Submittal Date: 3//‘'//[o, Site Plans: # 3 Building Plans: # 3 Building Permit#: LL—infer building permit#above. Workflow Routing: Inning ngtneering Q-P finit Coordinator ❑ Building Workflow Sign-off: Ri—Signn---off for Planning(include notes from planning review) Route Application Documents: $ gineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ctrrding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ Date: 3��/`� cam' Engineering Review 7 Slope at building pad: 2 Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes t No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: WNW" Date: —if Revisions (after Building Submittal only) 'eviewer 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: TDC Fees Entered: Wash Co Trans Dev Tax: Sies ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: EYes ❑ N/A K to Issue Permit Approved by Permit Coordinator: Date: Z Y4, 7 L`Building`,Forms\BldgPennitRvw_RES_0121 16.docx Building Permit Application ? A y sidential FOR OFFICE USE ONLY _ City of Tigard Received Tigard Date/By: Permit No.: IN V 13125 SW Hall Blvd.,Tigard,OR 9722n AR 16 20\6 Y 3//( �6 � /'�.,T7" /(�--fib�O Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ��; Date/By: Other Permit:SWR _00 . G TIGARD Inspection Line: 503.639.4175 aF TV'ARD Date Read/B Juris: ` C� 1 Internet: www.tigard-or.gov 1 DIVISION J Notified/Method: Supplemental See for RI IIL N �f Information V ' TYPE OF WORK ' REQUIRED DATAAND2-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 El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ® 1-and 2-family dwelling ElCommercial/industrial ❑Accessory building El Multi-family Number of bedrooms: ii El Master builder El Other: Number of bathrooms: a 5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: j03� S Al 0 7-e-.4 A-- New dwelling area: , C(p square feet City/State/ZIP: —7-7y. ��/-�/j )� C? 7 7,7 3 Garage/carport area: 1.�-O0 square feet Suite/bldg./apt.no.: I 11 � GProject name: Oct u Ste-* E,.--k.,71-e:.&, itJ„t1 Covered porch area: g3 square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ' ' 'ic(-7- G TA7-6-.75 Lot no.:zq. 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 DESCRIPTION OF WORK work indicated on this application. NSFR 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* Business name:Lennar NW,Inc. (Please refer to fee Structural plan review fee(or deposit): Contact name:Charles Webb Address: 11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) CCB lie.: 3 State surcharge(12%of permit fee): $21.60 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: Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10380 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00107 Inspector: Chip Barnett Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10380 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00107 Inspector: Chip Barnett Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10380 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00107 Inspector: Chip Barnett Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10380 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: CWS final erosion approval Moisture content: received High -efficiency interior lighting systems form: received Street tree CERT: received Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00107 Inspector: Chip Barnett Inspector Contractor