Loading...
Permit (91) p CITY OF TIGARD MASTER PERMIT II; COMMUNITY DEVELOPMENT Permit#: MST2015-00312 Date Issued: 04/28/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S103CC00500 Jurisdiction: Tigard Site address: 12207 SW PLANTATION TER Subdivision: 2012-001 PARTITION PLAT Lot: 2 Project: Plantation Estates, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1466 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1700 sf Garage: 440 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3166 sf Value: $382,649.50 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 RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvaes 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 Tomo 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 3166 Owner: Contractor: KKNW LLC WESTWOOD HOMES LLC Required items and Reports(Conditions) BY CRANDALL,MARK L 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 1800 NW 167TH PL STE 150 PORTLAND,OR 97229 BEAVERTON,OR 97006 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,928.89 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 503.232.1987' 2. or 1.800.332.2344. i'�� Issued By: rz1/ vri Permittee Signature: O/t/ efic' G /e/7-770,1 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. j Approved plans are required on the job site at the time of each inspection. 1 Building Permit Application v 07LS t2 S--- 4 + Residential 1 OR 01 1 1( 1: 1 S1: 0\I,1' Ci}�,of Tigard Received 9 I `J g Permit No.: Date/B u 13125 SW Hall Blvd.,Tigard,OR 97 1 0 y S r' S—���� 1 Plan Review e Phone: 503.718.2439 Fax: 503.5 %0, I "s DaBy: V'0 /4 Other Permit: Q l/�,� T 1 C E D Inspection Line: 503.639.4175 s+� """ Date Ready/By: �,/��, Juris: Fd See Page` 2 for d t�L1J Internet: www.tigard-or.gov 9 '1Q1\C3 Notified/Method: tr/ze,42-��42 '--T�a Supplemental Information TYPE OF WORKC L i,8 W/`7TT j � , `� QUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑r+L®*® k/v t'! �w�C0�o Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑�� Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 11' ® 1-and 2-family dwelling 0 Commercial/industrial Vatuation:3�� (�O $ ?j ® 4\ 0 Accessory building 0 Multi-family Number of bedrooms: S 1 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:7_ Job site address: lila'?- S w P1 a h..-4,r,oet r f r a c '_ New dwelling area:-27/6‘, square feet3 6 Q City/State/ZIP: f pot(di G . q?-2z Garage/carport area:4/V0 square feet O Suite/bldg./apt.no.: Project name:/20*-0A) r-ij,t 1(31' Covered porch area:37 0 square feet 17Q0 Cross street/directions to job site: (1(± Deck area: •-- square feet ) 1 b C Other structure area: --- square feet _ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: P(C_A t4 h i^i-. 4S1-47.-S Lot no.:L.. 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. New Single Family Construction Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Westwood Homes LLC Type of construction: Address:12700 NW Cornell Rd Occupancy groups: City/State/ZIP:Portland,OR 97229 Existing: Phone:(971)678-5018 Fax:( ) New: ta APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* lBusiness name:Westwood Homes LLC � ' �tofee scschedule) Contact name:Matt Fricke Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: 12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR 97229 Phone:(971)678-5018 Fax::( ) Amount received: E-mail:Matt@Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Westwood Homes LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 12700 NE Cornell Rd Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97229 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(971)678-5018 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195597 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:Matt Fricke Date: /7/2 i/ity S *Fee methodology set by Tri-County Building Industry / f Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i Electrical Permit Application 1(At mitt l l sl_c)vi.l • City g ofTigard d Received ON Date/B : 'I 13125 SW Hall Blvd.,Tigard,OR c, ,, Plan Review IIPhone: 503.718.2439 Fax: 503.5'.. '60 '1- \C' Da Permit#: Related Permit#: 0 .1P �; Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page 2 for I 1 c;A L Il Internet: www.figard-or.gov '- h � � Notified/Method: Supplemental Information TYPE OF WO Off►* ii1/410�► ,\ PLAN REVIEW ®New construction 0 Addition/alterati Please check all that apply(submit 2 sets of plans w/items checked): O Demolition ❑Other: �� 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CON aUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 1-22 [7(40,1- 4110,., ❑Addition of new motor load of system. Job#: Job site address 07 I� ,1- '1(If a(C 100HP or more. ❑«A» «E» <.1 2»«1 3» City/State/ZIP:��Y'� iZ �'�Z 3 ❑Six or more residential units. occupancy. / ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 1-2,0± FEE SCHEDULE Description I Qty. I Each I Total I • j New residential single-or multi-family dwelling unit. Subdivision: pia n.y o -,Y,i1 &54-ck I�5 Lot#:2 Includes attached garage. 1,000 sq.ft.or less ) 168.54 4 Tax map/parcel#: Ea.add',500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) El PROPERTY OWNERNA Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name:Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps ( 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2 J Temporary services or feeders installation,alteration,and/or Email:tM WeJ OeittoAies/ (-..C.0Yb1 relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less ( 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 El APPLICANT El CONTACT PERSON ' Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 SAddress:2870 SE 75th Ave#203 panel, lern or lex Tension. 0 See Page 2 2 pane,alteration,or extension. City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:RossElectric@comcast.net Inspections for which no fee is 90.00/hr CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lie.: 42325 specifically listed(%hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): 9 , ,j' State surcharge(12%of permit fee): _ Authorized signature: ' '!'(6'/z, - TOTAL PERMIT FEE: / ' f u- This permit application expires if a permit is not obtained within 180 Print name: Date: L- J -c,L5 days after it has been accepted as complete. $ Number of inspections allowed per permit I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(11/05/COM/WEB Mechanical Permit Application City of Tigard % 1 4.' Received `J g :' A k ,t.)" Date/By: Permit No.: is (5—....co,-4/ 2. t , .114 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 ; � j--i ' `D Plan Review Phone: 503.718.2439 Fax: 503.598.1960Other Permit: 04 ?\yA, ' DateBy: T I G A R D Inspection Line: 503.639.4175 "-/ - '` Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.govfied/Method: Supplemental Information. a �', ` �:� TYPE OF WORK iL% r)t f '"i,' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST . est- k4'y Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/re nt performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total _ JOB SITE INFORMATION AND LOCATION Heating/cooling: /� Air conditioning 1 46.75 Job site address: [-1-10 - 4 vi Pia t't1 Ct-11'cm -ff i1 ace, Furnace 100,000 BTU(ducts/vents) I 46.75 _ City/State/ZIP:Tigard OR Cj 4.72 3 Furnace 100,000+BTU(ducts/vents) 54.91 ll Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 _ Cross street/directions to job site: h(CHydronic 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 Subdivision: l'�ad-ti-1'r 4 bst-44-e 5 Lot no.: Z Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert i 33.39 Flue vent for water heater or gas new SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER Other: 23.32 ❑ TENANT Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen Address: 12700 NW Cornell Road equipment 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, 9 toilet compartments,utility rooms) 23.32 Phone: 171/-C ,O(g Fax:(503)342-2403 Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Westwood Homes LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:.ploy Fri tee, Furnace,etc. Address: 12700 NW Cornell Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland OR 97229 Water heater Phone: Ili-6]5.661 Fax::(503-)342-2403 Fireplace Range E-mail:Mkt4westwoodhomesllc.com 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 This permit application expires if a permit is not obtained within 180 // days after it has been accepted as complete. Authorized signature: (/�„`d * Fee methodology set by Tri-County Building Industry Service Board Print name:Jon Montgo Date: 1'21-7 fpGi 5 t _ 1lBuilding\Permits\ME.C_PermitApp_040113.doe 440-4617T( I/02/COMMWEB) ' Plumbing Permit Application Building Fixtures t`1 FOR OFFICE I S1: ONLY Cityof TigardJ Received g Date/By: Permit No.: c 1 5-....64)3/� 14 . ,il 13125 SW Hall Blvd.,Tigard,OR 972vt-' J Phone: 503.718.2439 Fax: 503.598.1960 ��1' Plan Review Date/13y: Permit No.: Inspection Line: 503.639.4175 f C` cl+ T I G A R D YI,C.', r ,_kl}Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov ' �;,L.itttified/Method: Supplemental Information TYPE OF WORK �,i 0.0 t ,i 1:-, °'" FEE* SCHEDULE _ <<cs ®New construction ❑De AVP a '' For s r ecial information use checklist 6 Description Ea. p Qty. Total 0 Addition/alteration/replacement 0 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 500.32 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: 127,07- SW qa nt'avi bin TC frt=C Catch basin or area drain 18.76 Drywell,leach line,or trench drain 1 .7 f� rYw' 8 6 City/State/ZIP:Tigard OR "t 3.--a j Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site: (`Z(.5" . 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: P1 et t1h 41 t")yA s(---c t-e c I Lot no.: � Fixture or item: Tax map/parcel no.: Backflow preventer ( 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer f 25.02 new SFR Dishwasher ( 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:12700 NW Cornell Road Garbage disposal ( 25.02 City/State/ZIP:Portland OR 97229 Hose bib Z 25.02 Phone: R 71^ v t-11-7O/' Fax:(503)342-2403 Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: � ijEif/`(1'0'11c?) L`( Medical gas(value:$ ) Page 2 Contact name: i F r:C-ke., Primer 12.51 Roof drain(commercial) 12.51 Address: 5 Qkie " f Sink/basin/lavatory / 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( I( ) s I` - 50/5 Fax::( ) Tub/shower/shower pan Z 12.51 E-mailf4'talwestwoodhomesllc.com Urinal 25.02 CONTRACTOR Water closet -.5 25.02 Water heater 1 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCB Lic.:178122 Plumbing Lic.no.: Plan review (25%of permit fee) �� State surcharge(12%of permit fee) Authorized signature: � 4,_-,. _. ,„---��- .4.; TOTAL PERMIT FEE --7,,,--- This permit application expires if a permit is not obtained within 180 days Print name:Dusti ague / Date: 1717117 GI after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMTJ-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c n a D Building Permit Review — Residential Building Permit #: /n,57-2710i5-_0,13/.2 Site Address: 4,72Q09-- 24 ) P,1)n4-hon -7-- oa Project Name: :6laj1 --.54 'S' Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A)e 0 SP/ Verify site address/suite#exists and active in permit syste/ P/i*ver Terrace Neighborhood: ❑ Yes No Sit,Plan Elements: 1 ree (3) copies of site plan O; isting structures on site Ate plan must be on 8-1/2"x 11"or 11 x 17"paper [ootprint of new structure (including decks)with finished Vre rawn to scale (standard architect or engineer scale) elevations rth arrow LJ Utility locations (required for new,may apply for additions) 250tte address,project or subdivision name and lot number Pi i;cation of wells/septic systems .plicant information(name and phone number) 1►, rosion control(including drainage-way protection,silt fence It of dimensions and building setback dimensions d Agn,location of catch basin,etc.) III !et area,building coverage area,percentage of coverage andet names pervious area (applicable if R-7,R-12,R-25&R-40) et tree size,type and location Property corner elevations (2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential) protection measures lean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): equired: ❑ Y s,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Faciliti Improvement (PFI) Permit: - :quired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake VOCCMand Use Case #: � °cQTgep00/ S'�` OW— — oning: /a —2/S Setbacks: Front 0' © Rear ISS Side Street Side /S—Garage t,70 Landscape Requirement: of Coverage Maximum: ❑ Building Height: Maximum Height ' Actual Height �0/0 8 eco l' vi I isual Clearance 1/ Easements 3l ensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: .0L''i i�'i kC197c&tns A�u.c/ Ze PS /ler 7b �l1117�"' Approved By Planning: � -- " Date: _ • S.— Revisions (after Building Submittal only) s T Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Pp PP Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\BuildingTonns\BIdgPennitRvw_RES_070915.docx , Building Permit Submittal Original Submittal Date: ,r`/;l/5 Site Plans: # 3 Building Plans: # 3 Building Permit#: C—n'te building permit#above. Workflow Routing: E ng ngineering er -nit Coordinator ❑ Building Workflow Sign-off: off for Planning(include notes from planning review) Route Application Documents: sneering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /vvz`,30/.7— Engineering Review Slope at building pad: 5 n E Conditions "Met"prior to issuance of building permit I ❑ Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Zi No Assess Water Quantity Fee in-lieu: E Yes Z No LIDA Facility on lot: ❑ Yes �No ❑ NOT Approved by Engineering: Date: Notes: ANE,cr C- zt) i'T a..,4 an- 70 f7vI[7,""AW-X) Approved by Engineering: A. GHQ, t,., i Date: /L 3/i Revisions (after Building Submittal only) Reviewer l[[ 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 4 F Approved,NOT Released: iey,„1,�•-� 4' d,/1 Date: .//9//‘:, 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: SDC Fees Entered: Wash Co Trans Dev Tax: WYes ❑ N/A Tigard Trans SDC: ❑ Yes P N/A Parks SDC: gt Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: / 1/4 - Date: 7.2'-5// , 1:\Building\Forms\BldgPennitRvw_R ES_070915.docx Albert Shields From: Kenny Fisher Sent: Tuesday,April 26, 2016 7:46 AM To: Albert Shields Subject: Plantation Estates Hello Albert, The plat for Plantation Estates Subdivision has been signed. Addresses are released and building plans can be submitted for review. Thanks. DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 Albert Shields From: Albert Shields Sent: Monday, January 04, 2016 4:33 PM To: 'Matt Fricke' Subject: MST2015-00312 &-00313 Matt, there are still 2 Engineering Conditions of Approval that need to be met before we can release MST2015-00312 and -00313 per the attached list of conditions. (See Us 20& 21 marked "Continuing.") Please let me know when these have been met. Albert Shields City of Tigard 'A.7 Coordinator 74 Aberttig,rd-or.go:• .503)718-2426 (503)624-3681-5,, 13125 SW tail Bled. T rgard,OR 97223 1 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 12207 SW PLANTATION TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS MST2015-00312 Chip Barnett 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 12207 SW PLANTATION TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O November 14, 2016 at 12:22:35 PM MST2015-00312 Jeff Grove Violation Summary: Inspector Contractor City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Re ue s t f r q o Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor jgi City Staff Check(✓)one REFUND OR Name: o n INVOICE TO: (Business or Individual) Cu_k MAL-T,0 Mailing Address: NO City/State/Zip: �_ea-c��ai-�- 0 12 q7 07 5 Phone No.: 5-0 3 - y 8 (_ y 1 3 )-- PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): • _. CI Ef VOID PERMIT APPLICATION. ago ERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: H5T ap l 5—CDC)3! Site Address or Parcel #: (2-a07 `3-c4.) Pta-,Zta 42_31, Project Name: Subdivision Name: Lot#: EXPLANATION: ( ) as 0 v 1 l p. Signature: Cim. CZ Date: / /9-//4, Print Name: --1"),...101.0« P rd,e s Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Dateif ,5 toB Route to Records: Date T" Refund Processed: Date /7 /4 By egi Invoice Processed: Date By Permit Canceled: Date /V By"Li.. Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_0923 4.doc 4. TIGARD City of Tigard November 14, 2016 All Metro Landscape Attn: Kevin S Norris PO Box 1812 Beaverton, OR 97075 Re: Permit No. MST2015-00312 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 12207 SW Plantation Ter Project Name: Plantation Estates,Lot 2 Job No.: N/A Refund: ® Check#222889 in the amount of$10.00. ❑ Credit card"return"receipt in the amount of$ ❑ Trust account"deposit"receipt in the amount of$ Notes: Refund overpayment of permit fees collected in error. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I:\Building\RefunPd2ni§t 'o WeA.e'j'gniiigon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov II IN City of Tigard T I GARD Accela Refund Request This form is used for refund requests of land use,development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: All Metro Landscape DATE: 11/7/2016 Attn: Kevin S Norris PO Box 1812 REQUESTED BY: Dianna Howse Beaverton, OR 97075 TRANSACTION INFORMATION: Receipt#: 407191 Case#: MST2015-00312 Date: 11/01/2016 Address/Parcel: 12207 SW Plantation Ter Pay Method: CreditCard Project Name: Plantation Estates,Lot 2 EXPLANATION: Refund overpayment. la will—n .ev are^ T-�'i ,��, . ,� ra �.. a�„ Xcd r Cash over 100-0000-48001 $10.00 TOTAL REFUND: $10.00 APPROVALS: SIGN U /DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board t=FOR TirmIVIAR-sysTw ADJ: iNis' 'R.A,' TON sE;OIit; Case Refund Processed: Date: ////fl/bo By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010