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Permit
11kCITY OF TIGARD MASTER PERMIT :'- COMMUNITY DEVELOPMENT j Permit#: MST2016 00135 -TGA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ��.��i/ Date Issued: 11/08/2016 Parcel: 1 S 125DA02700 Jurisdiction: Tigard Site address: 6619 SW WALNUT TER Subdivision: KINGS VIEW Lot: 12 Project: Walnut Terrace Partition Project Description: New SF. 4/3/2017: REPRINTED permit to include(1)additional kitchen sink. 4/6/17, REPRINTED to add (1)add'I gas fireplace. 8/16/17: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1879 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1574 sf Garage: 655 sf Front: 20 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 5 Total: 3453 sf Value: $419,818.91 Rear: 15 PLUMBING Sinks: 2 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 Other Fixtures: 0 Drywell-Trench Drain: 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'I 500 sf: 6 201-400 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 3453 Owner: Contractor: COKELEY,JOHN WESLEY&KACEY WILSHIRE CONSTRUCTION LLC Required Items and Reports(Conditions) 6617 SW WALNUT TER 14845 SW MURRAY SCHOLLS DR STE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 110-324 BEAVERTON,OR 97007 PHONE: 530-524-0882 PHONE: 503-320-2100 FAX: Total Fees: $31,640.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a d all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuanp or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the.rules adopted by the Oregon Utility Notification e. -r ose rules are set forth in OAR 952-001-0010 through OAR 52-00�001J1--0090. Y u may obtain a copy/the rules or direct questions to OUNC by calling 503 : 98 •r 1.800.332.2344. Issued By: y4, G r.e1 `6`"� ', Permittee Signature: . / Call 503.639.4176 by 7:00 a.m.for the next available i pection d te. This permit card shall be kept in a conspicuous place on the job site-until completion of the prof Approved plans are required on the job site at the time of each inspection. RECEIVE i Mechanical Permit Application 1'012 orHCE t sr()NIA' City of Tigard Received �; /' "r Date/By: / 0� PermitNo.: A� to (� � 13125 SW Hall Blvd.,Tigard,OR 97223 /�L �� Plan Review Phone: 503.718.2439 Fax: 503.598.196 d /��y Other Permit: Inspection Line: 503.639.4175 1 / 06 Lr% DY. ate Re T I G A R D Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov BUDDING DJV ,Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ �/ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 21-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: y6 75" Air conditioning / 46.75 Job site address: 6,(Q(1 s(4/ (,o 1-44-LAjt l �-j A ck _� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ( i Ga-A G2 7 ..)-.1-33 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 ?-1---t k 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 A( Flue vent for water heater or gas I fireplace 23.32 fff / ,ems Loglighter(gas) 23.32 PeAAS- • rd.() f / — 001_3s — Wood/pelletfireplstove 33.39 �j Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT / r 0 CONTACT PERSON Other: 23.32 Business name: W i t�C O /� Fuel piping: J / t "N'� ( S +�( $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal Til 75 City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: i 9 33 LI 2. TOTAL PERMIT FEE t?-3 4- This This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signat * Fee methodology set by Tri-County Building Industry Service Board Print nam-. Date: , "/j.././7 I:\Buil.. g\Permits.11 C_PermitApp_040113.doc 4 440-46172/COM/WEB) CITY OF TIGARD ` ` MASTER PERMIT COMMUNITY DEVELOPMENT T Permit#: MST2016 00135 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 11/08/2016 [GARD 9 Parcel: 1 S 125DA02700 Jurisdiction: Tigard Site address: 6619 SW WALNUT TER Subdivision: KINGS VIEW Lot: 12 Project: Walnut Terrace Partition Project Description: New SF.4/3/2017: REPRINTED permit to include(1)additional kitchen sink. 4/6/17, REPRINTED to add(1)add]gas fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1879 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1574 sf Garage: 655 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3453 sf Value: $419,818.91 Rear: 15 PLUMBING Sinks: 2 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 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 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 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'l 500 sf: 6 201-400 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 3453 Owner: Contractor: COKELEY,JOHN WESLEY&KACEY WILSHIRE CONSTRUCTION LLC Required Items and Reports(Conditions) 6617 SW WALNUT TER 14845 SW MURRAY SCHOLLS DR STE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 110-324 BEAVERTON,OR 97007 PHONE: 530-524-0882 PHONE: 503-320-2100 FAX: Total Fees: $31,588.27 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 rou OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. yPermittee Signatu : x,02/lf���jc-� Call 503.639.4175 by 7:00 a.m.for the next available inspection te. (/ This permit card shall be kept in a conspicuous place on the job site until c pletion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLI' City of Tigard r `J g ,1 *'.I ' Date/By: 4 M:I/Permit No.: k-/W--- .4/4,-.?::1/3/3 11 13125 SW Hall Blvd.,Tigard,OR 72'3 ' Plan Review II Phone: 503.718.2439 Fax: 503.598.1960Other Permit: Inspection Line: 503.639.4175 Date/By: T I G A R D p r-"R `/( Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov �� Notified/Method: Supplemental Information TYPE OF WORK— a yr zxv* .a .1 ref � ,J � �� COMMERCIAL FEE* SCHEDULE – USE CHECKLIST 10 f I / C I 1 Mechanical permit fees*are based on the value of the work 0 New construction ❑Additi n/aller'ation/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-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:C, ` ,� nn Air conditioning 46.75 Job site address: t,,/,,� Cy d� 1& J H-Lt Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 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 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESC PTION"OF,W *'"_ A. Gas fireplace/insert 33.39 `) '` „..111.,,..„4,,,,,,f' ,- _..` Flue vent for water heater or gas � d2 (I) �/ iii012---4--0.—Lr. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ” 3 Other: 23.32 ❑�'4Q EIR-Y 0 ;� 4 TENANT ��",.., " , , 4' , , "'" Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 1-„..,„' ❑ APPLICANT `" CONTACT PERSON ,: Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue ] ,I. Clothes dryer(gas) Business name: LJg,1{4! L�6�a / ' , ; ,,,,; , MECHANICAL PE FEE$" Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: / TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized sign. re: j / * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(II/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT 14 0f 2: ' COMMUNITY DEVELOPMENT Permit#: MST2016-00135 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2016 T[ �'#� ' 9 Parcel: 1 S 125DA02700 . y i * -.- Jurisdiction: Tigard Site address: 6619 SW WALNUT TER iiiisr Subdivision: KINGS VIEW - . Project: Walnut Terrace Partition Project Description: New SF.4/3/2017: REPRINTED permit to include(1)additional kitchen sink. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1879 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1574 sf Garage: 655 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3453 sf Value: $419,818.91 Rear: 15 PLUMBING Sinks: 2 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 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 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 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'I 500 sf: 6 201-400 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 3453 Owner: Contractor: COKELEY,JOHN WESLEY&KACEY WILSHIRE CONSTRUCTION LLC Required Items and Reports(Conditions) 6617 SW WALNUT TER 14845 SW MURRAY SCHOLLS DR STE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 110-324 BEAVERTON,OR 97007 PHONE: 530-524-0882 PHONE: 503-320-2100 FAX: Total Fees: $31,550.87 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 i k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cer - -s 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. . .198 '7,7;• . ''. Issued By. C --_� -.ow- Permittee Signature: 4 — 03.639.4175 by 7:00 a.m.for the next available inspection date. 411111111.P- 491P— 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. Plumbing Permit Applicatinp Nt " BuildingFixtures it)It 01'1.1( 1: , si: 0.11 .� City of TigardyReceived 5� alla��l3S \� Date/By: Permit No.: 7 k' 13125 S W Hell Blvd.,Tigard,OR 97223 pian Review /By: Phone: 503.718.2439 Fax: 503.598.1960 . Other Permit No.: II, \tit l) Inspection Line 503 639 4175. , .. Dat`Re I Internet www hgard or.gov Date Ready/By aria H See Page 2 for 4 Notified/Method:ft Snppiemesrtallnfornration 3a -4Wjr"st„ as'X Y!t7nt. 7 + zr IQNew construction 0 Demolition �� For specs[tnforn ation sae checklist Description 1 Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utilityconnection) ... .. VgigCt?rn c71 TR: #3'. 6,,It-,,,:::,,_,, SFR(1)bath 312.70 3/2.7 o I-and 2-family dwelling 0 s*�, ,; , R mi " SFR(2)bath 437.78 411, ❑Accessory building M a h}famil SFR(3)bath 500.32 -cm,?)„,- -2k.y ; ❑Master builder O Each additional bath/kitchen 25.02 Fire sprinkler( sq.ft) Page 2 r //:4oS 4 �! 3 ' L% 1. 11 Site utilities: ‘z, Job site address: G 4•1 ( 510 ed Gi l"c..1 77 r Catch basin or area drain 18.76 City/State/ZIP: "( 4/ A ©2 Drywall,leach line,or trench drain 18.76 1 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job sittO 6 51N Manholes 18.76 pp Rain drain connector yr / 18.76 /®.76 Sanitary sewer(no.linear ft.: ) i/" / Page 2 Storm sewer(no.linear ft.: ) ✓ / Page 2 Water service(no.linear ft.:. ) Page 2 A Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer LA r f3 � Backwater valve . , ,r1tM° � � � „ � � 12.51 ��t- 4 Clothes washer ✓ 25.02 r V r L Dishwasher _L .7 f 25.02 at-iJ L 6636 Lit`--)1 91:41( [,l t C-.eeM! 3,kik 'to f ' in Drinking fountain 25.02 x( ,(aJ��'"Y � � � .I� ��� Ejectors/sump 25.02 I _;,r v .'(("21_‘ "�' �p. � r ':t ° , Expansion tank 12.51 74 Name: "i.)k 'p (a f Q Fixture/sewer cap 25.02 Address: 6(4 66,c) A.�l't •-re re- Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 3-S e-''')... City/State/ZIP: 14 a-Irp - j Hose bib , Z 25.02 ;.,c ay- Phone O) 5 Df" '- ' Fax:( ) Ice maker f i 12.51 ()-'3-1 "' ?. .1, ,p t GOt )E'sQJ Interceptor/grease trap 25.02 Business name: �,) l L j�is f--€ (,LL. c c �' Medical gas(value:$ ) Page 2 41_4,6,,C AA. a8 Contact name: ,�- rY e Primer 12.51 Roof drain(comercial) 12.51 Address: /L/6-i.(� . A (f .,.. y(� ci�( l/D- ' t� i W Sink/bacin/lavatomry v''' "/ 25.02 t d i City/State/ZIP: � ,.-' Ls-- 9)oo 17 Solar units(potable water) � 62.54 Phone:( ;y, ) . - .....t a J Fax::( ).------ Tub/shower/shower pan 2- 12.51 t)-'S'1 E-mail: L.) l is k r-P 4p 1 S`Fi6t cr Drt t Or Urinal 25.02 25.02 Water closet �3 25.02 S•�`z- r� t Water heater / 37.52 37,S-2- Business name: l t�Q,q t-1/4- '��ih.,,�o i , Water piping/DWV 56.29 Address: e).3- ei & &r N S i Ore. it. .0.6-t Other: 25.02 City/State/ZIP: 6 (^,ps(,`y,i„et or C(7 v,)0 Subtotal ‘11ISi3 Phone:(S V3 )s-k14- O(.(7.7 Fax:( -)- Minimum permit fee: $72.50 CCB Lic.: 11 t.t 3 - _Plumbing Lic.no.: f6 D-Q"] Plan review (25%of permit fee) Authorized signatu -�" /.r/-" ` State surcharge(12%of permit fee) TOTAL PERMIT FEE Print,name: i---+QdTC . Ls,)f Dao:4,-6--t6 This permit application expires if a permit is not obtained within 180 days 7 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:BuildiagTennits\PIMU-PemitApp.dce 10/01/09 440.4616T(10/02/cOM/WEB) 1 CITY OF TIGARD MASTER PERMIT s 2:'' COMMUNITY DEVELOPMENT Permit#: MST2016-00135 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2016 Parcel: IS 125DA02700 ' Jurisdiction: Tigard Site address: 6619 SW WALNUT TER Subdivision: KINGS VIEW Lot: 12 Project: Walnut Terrace Partition Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1879 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1574 sf Garage: 655 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3453 sf Value: $419,818.91 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 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'I 500 sf: 6 201-400 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 3453 Owner: Contractor: COKELEY,JOHN WESLEY&KACEY WILSHIRE CONSTRUCTION LLC Required Items and Reports(Conditions) 6617 SW WALNUT TER 14845 SW MURRAY SCHOLLS DR STE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 110-324 BEAVERTON,OR 97007 PHONE: 530-524-0882 PHONE: 503-320-2100 FAX: Total Fees: $31,522.85 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 i uanc--, or if work s rsus.ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati.n = ter. Thos: ule , are set forth in OAR 952-001-0010 throug •A- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 3 23 1!87 or 1.800.;<..43-. -4. ' ll Issued By: ' ll �! Permittee Signature: i 4r, I) Call 503.639.4175 by 7:00 a.m.for the next available inspection da i.1 This permit card shall be kept in a conspicuous place on the job site until complet on of the project. Approved plans are required on the job site at the time of each inspection. v Building Permit Application 4 .00 Residential a, - FOR OFFI( F I. Sh. OyL1 I 71 City of Tigard Received !6 13125 SW Hall Blvd.,Tigard,OR 9722 ' Date By. Permit No.:4,:t4,...120/35- . Phone: 503.718.2439 Fax: 503.598.1960Plan Review _DateBy: -i/ /f Other Perini `// �Z Inspection Line: 503.639.4175 Date Ready/By: ,% �� Juns: I H See Page 2 for I J Internet: www.tigard-or.gov Notified/Method: Supplemental Information T'PE <? F7(`41t, r� ' REQvna D DATA;1-AND 2-FA ;�i'l►W LLi G P ew construction 0 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 cA'TEt ORY off` CONSTRircnON work indicated on this application. V -and 2-family dwellingValuation/ $ 0 Commercial/industrial -/' : _• e) ill ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JoB SITE tNF'+(}RM .TION AND LOCATION Total number of floors: 4//0 \ Job site address: i) (01 � cL Vl. ink- New dwelling area: 3 y sfeet City/State/ZIP: 1--- 1 6 o-_-r Gard e/c g arport area: 6,,5,$- square feet Suite/bldg./apt.no.: Project name: IA,/ /Gyr-xct 14 e'9)'f j , Covered porch arear-,gA�s, square feet) -7+ Cross street/directions to job sit-• ,,J • ' `__y Deck area: i square feet 'S 7 1 Other structure area: 'a-3 square feet Qu1RED DATA:4OA CIAL-1 CHEMIST Subdivision: I Lot no.: 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 DESCRMIONON Or W(.RK work indicated on this application. LGff VQ2 . 3 (-- 1N�,__ Valuation: $ Existing building area: square feet New building area: square feet oPERY ©3?N`R y " -TENS Number of stories: Name: "3"" Lt,. tJ1 ti,(62 h Co( .e. -2. Type of construction: Address: (6 t'l <Lc) L - -(iv Occupancy groups: City/State/ZIP: \ t 6" C Phone:(,j j .S—D-,--(- ' tea- Fax:( ) Existing: New: e''AP1'LIC N"lr .'0 coNTAc1 PERSON. BUIt l7 to PERMIT FEES* Business name: 1 t_5L. i t f p (5)A,‘-t--4-l.Le Contact name: S-Ce_.J� r c LLSStructural plan review fee(or deposit): Address: 1 4,S t-c> ;f �- �+� FLS plan review fee(if applicable): � 0,, tto- City/State/ZIP: e s..0�f 2- Total fees due upon application: Phone:(�) 3 V—,.).-k GO I Fax::( ) Amount received: -o E-mail: $--42.....{..)-e Cl.... t..J '1_,5 to Z f ec otAst.ftk 41v •L.Dti4�. PHOTOVOL3' C SOLAR PANEL SESTI M.FEES* C+aNI'RAC_1R residential prescriptive installation of Commercial and roof-top mounted P'oto Voltaic Solar Panel System. Business name: LO l (` j l ('e e ‘ Submit two(2)sets o •of plan with connec •etails Address: and fire department acces , long wi 010 Oregon ,���Q Solar Installation Siecial �. ecklist. City/State/ZIP: i, 4.-S j ®f.)'�' Permit Fee(incl . plan reg Phone:( ) I . . .ri 'nistrative fees):'., $180.00 Fax:( ) CCB lic.: 3 1.-1 State . ge(12%of permit fee): $21.60 Total fee due upon application: 01.60 Authorized signature; r / This permit application expires if a 1/ PP p permit is not obtained� within 180 days after it has been accepted as complete. I Print name 41-Lae 'mss V I Date: (/�(/J 6I *Fee methodology set by Tri-County Building Industry c/An Service Board. I:\BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) L Electrical Permit Application' 1 FOR OFFICE I SF ON L1 City of Tigard Received �� ill 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : ifrMMI Phone: 503.718.2439 Fax: 503.598,1960 Plan Review Date/B Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TVIV—OF Wim" PLAJ+l' UMW laNew construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans WIitemschecked) 0 Demolition 0 Other: ❑Service or feeder400 amps or more ❑Building over three stones. where the available fault current 0 Marinas and boatyards. / CATEGORYTR OF CON tlCfo. exceeds 10,000 amps at 150 volts or 0 Floating buildings. L�'I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builderamps for all other installations. buildings. Other: 0 Fire pump. 0 Installation of 150 KVA or JOB S7# INFORMATION,AND LOCATION ❑Emergency system. larger separately derived //15•/, 7,t (t pt V ❑Addition of new motor load of system Job#: Job site address: (> tN lc.rrl / 100HP or more. 1 ❑"A" "E","1-2","1-3", City/State/ZIP: Ti- 6- Gt.f (3 t ) 0 Six or more residential units. occupancy. o Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than I "1--'---' '+L 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job sit6 6�/ ;'lam'SCI Description I Qty. I Each I Total ]* New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq,ft,or less i 168.54 ii"S4 4 Ea.add'l 500 sq.ft.or portion 6 33.92 33 1 DESCRIPYION OF"WORT Limited energy,residential a 8t,t(16 (I Q-62.2 oLe (with above sq.ft.) / 75.00 7 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 P ?Eta } "" Renewable Energy ❑ See Page 2 Ci TBN . Name: "—VD/,� ��/' � // / Services or feeders installaHon�alteraHon,andfor relocation 1 `� 1r 1(/L�u( �Q(�-�[g 200 amps or less 100.70 �DO.7O 2 Address: �i�( S(� L�r.Q� J^,r- 201 amps to 400 amps 133.56 2 l 401 amps to 600 amps City/State/ZIP: yam.Q n (9�" P P 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(C30 ) S-4-,-1-- C isci-)-- Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less j 5936 .cit.3‘, 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 1 Pk ICANI Ci CONTACT:PERSON' Branch circuits-new,alteration,or extension,per panel !. ' f/ rA.Fee for branch circuits with `1 Business name: W (3 CO->,ckC.�4--,..-52,( Le G_ above service or feeder fee, 3 i 7.42 ),0 yb' 2 Contact name: each branch circuit LS el, B.Fee for branch circuits without Address: /tf f,;r Sc,_, Ma et A (/ h l5 4 t service or feeder fee,first CC //l (O' 31—� branch circuit 56.18 2 City/State/ZIP: a2_._0-0-r-{-7)--,-- 0 4 7x1 Each add'l branch circuit 7.42 2 �� Miscellaneous(service or feeder not included) Phone:( ) 3 c)--0 - 4- l o C' Fax: :( ) Each manufactured or modular dwellin service and/or feeder 67.84 2 Email: 54—'v (,c)(Ls‘—j, i nP C G't.s`-Cu 4.--ti-AA-iAtg c i.` g, Reconnect only 67.84 2 " - CONTRACT Pump or irrigation circle 67.84 2 Business name: C DvU1.e c- c,,,,L.S I-�_ L?�. Sign or outline lighting 67.84 2 Address: l� \1 a 7 S ©F sC( tSignal circuit(s)or limited-energy panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: Gc h 0Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(S ) 3 9'D "?ci I 4 Fax:( ) Investigation(1 hr min) 90.00/hr Email: M r (-9 Q V i\-,_ _. �'--ti t,.-1( , L 0 Industrial plant(1 hr min) 78.18/hr r I � Inspections for which no fee is CCB Lic.: S'`l9 1/4( Electrical Lic.:).y c4-`T ec Suprv.Lic.:3L)(.5 sjiecifically listed('V2 hr min) 90.00/hr Suprv.Electrician signature,require tl ,` ELECTRICAL"PERMIT"FE �' �r Subtotal: 7k/ S Print name: llA v\` LT A J�t)(1.-___ Date: V(6/7..6 0 Plan Review Required(25%of permit fee): /� State surcharge(12%of permit fee): Authorized sign TOTAL PERMIT FEE: `/' L l This permit applicationhas expires if a permit is not obtained within 180 Print name: 5 G( �� Date: T �y••- / days after it has been accepted as complete. �P * Number of inspections allowed per permit. I:\Building\Permits\ELC_PcmtitApp_ELR_ERE.doe Rev 06/17/2015 440.4615T(11/05/COM/WEB Mechanical Permit Application. FOR OFFIC E USI? ()NLN City of Tigard Received .71 " 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: y Phone: 503.718.2439 Fax: 503.598.1960 PlannRev Review —co 1 1 G A k D Inspection Line: 503.639.4175 Date/By: Other Permit Internet: www.tigard-or.gov Date Ready/By: Anis: 63 See Page 2 for NotifiediMethod: Supplemental Information ,`. � `.t IMVISCOMMERCIAL RCIAL FEE. S ptI,B,- i1 +C I" X_J New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ,�� fiERY (:)1tCUNSTRT7CTI(1rri,' Value:$ s.ICJ 1-and 2-familydwelling �� I���� � 1'I'�'1'StYST)�41 Fit ' 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. I Ea. I Total .Ton SEPE MORIVIATION AND LOCA1"IM : Heating/cooling: Job site address: I C/Ct 149 e Gf A�f.(frt Air conditioning // �, 46.75 t-/(0...�$ Furnace 100,000 BTU(ducts/vents) 1 46.75 tl ior'7,S City/State/ZIP: T/64-I0 O2- Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Cross street/directions to job site: �j Duct work f 23 32 )3 )z Hydropic 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 h O Subdivision: ter: I Lot no.: 23.32 Tax map/parcel no.: Other fuel appliances: i .. Water heater / / 123.32 'J-3'j'i- D.ESC I"iON Oil w� Gas fireplace/insert L,/" 1 33.39 63,'�J�/ ,Z4, t}C. h � 4 23.32 Flue vent for water heater or gas ilk, �' �' Log lighter(gas) 23.32 .2-3-31- Wood/pellet 3.31-Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 "SPR T OWN R (( Other: �� �t� �� � ����� �A1 23.32 Name: +j�it, (JA-T-602_,_ C Range hood/ th exhaust and ventilation: / �� ( Range hood/other kitchen Address: Crj(9 S (J A -. '� equipment t� I 33.39 3 q City/State/ZIP: 6.(Z. Clothes dryer exhaust 1 33.39 35 r3q t�16 rSingle-duct exhaust(bathrooms, Phone:(j',30)s-a-L f--0 �j____. toilet compartments,utility rooms) 23.32 93.2.8 Fax:( _4 .__ Attic/crawlspace fans 23.32 'APPLICANT 0 CoNTAC1 PERSON , Other: 23.32 Business name: (eit (�t � 149 (' '7> c-6-A, LC Fuel piping: Contact name: ! 7:e $14.15 for first four;$4.03 for each additional LI.--Su, Furnace,etc. f Address: /its-c.(3 mu t, ' /,r/ n. } -s-,.,';',0-31--y- s- Ir'rC Gas heat pump cAl .��0 t CS YC �� pr�y� Wall/suspended/unit heater City/State/ZIP: -F-,--,.-t.},.-t O ie__ q)®e, Water heater Phone:( ) 3 v I Fax: (-- --•).. Fireplace I E-mail:5 i-e---z tot l.C�P &t --1--r14,1----/`D K . LC) Range Barbecue I 4ii d3 m CO1�RC"OR Clothes dryer(gas) Business name: LAD t C‹ Other: Address: e�v�^ , MECIIAAI+IC'A)C T+ERMIT PRES' City/State/ZIP: � ✓Y`-Q Subtotal Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) I Fax:( ) CCB lie.: I 13 3 N 1..-- State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized Signature: days after it has been accepted as complete. Print name: s- id�� * Fee methodology set by Td-County Building Industry Service Board •,+-`—�1 U I Dat . 94"—C--/4. I I:\Building\Pennits\MEC_PennitApp_040113.doc 440-4617T(11/011COMTWEB) Plumbing Permit Application' Building Fixtures Q Folz oFFI(l: 1 SF O.AI,1 • City of Tigard Received k / :� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re Date/By: PermitNo.: I Z !/_,. /2� a Phone: 503.718 2439 Fax: 503.598.1960 Plan Review 10 !7 I t c N12.1) Inspection Line: 503.639.4175 Other Permit o.. DateBy: Internet: www.: -or.gov Date Ready/By: June P I H See Page 2 for Notified/Method: Supplemental formation TYPE OF VORIC FEE*SMOULE Ca<w construction ( 0 Demolition For s ' 1 information use checklist. Description aQtv I Ea. I Total ❑Addition/alteration/replacement ❑Other; New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY Qll,coNs i11 1[3r( SFR(1)bath I I 312.70 13i 2-70 a-I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 (.4 1 CI Accessory building 0 Multi-family SFR(3)bath 500.32 31, ❑Master builder Each additional bath/kitchen 25.02 ❑Other: ., Fire sprinkler( sq.ft) Page 2 T JOB SITE, INFORMA'f jON AND LOCATION Site utilities: Job site address: f 5� CI 4..4..1- 1 Catch basin or area drain 18.76 City/State/ZIP: r I 6 u- d A D2 µ' Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: �. ,��, Cross street/directions to job sit Manufactured home utilities 50.03 6 Manholes 18.76 �f Rain drain connector /' / 18.76 i Dp<!i' Sanitary sewer(no.linear ft.: ) f Page 2 Storm sewer(no.linear ft.: ) I Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer " _ERQN- 'rO Baokwater valve 12.51 A4 Clothes washer ✓f / 25.02 S r Ccs r�---.1 Dishwasher 1 25.02 • i?i-- Drinking Drinking fountain 25.02 O Ejectors/sump 25.02 �, � �" �` � Expansion tank 12.5151 Name: - k /J (-L,�„ 6� 2. Fixture/sewer cap25.02 CoAddress: 6 t ) i 1 �,-t- 're �- Floor drain/floor sink/hub 25.02 City/State/ZIP: -7-'� /•���tJ� 1 Garbage disposal / 25.02 YS C) 4- Hose bib .3.c : Phone ) 5 0 g-S- --- Fax:( ) ./ Z 22. ice maker i` 12.5151 I g.-S-t I'.!'ucor 0., oTA i&soN Interceptor/grease trap 25.02 Business name: LA) C�e. lit t I� (� _ 1- 4� Medical gas(value:$ ) Page ge 2 Contact name: Sr 7�/ /i�� Primer 12.51 Address: /(� "` .!'� �/Li���1 f� Roof drain(commercial) 12.51 '•l At�tate pt. . Ski [o- pf Sink/basin/lavatory 4"/ 25.02 ,1-1-• a 1-- City/State/ZIP: 3 a-.j ...-----km-, cj)DD 1-1 Solar units(potable water) 62.54 Phone:(S ) hyo -. ....t a v I Fax:: ( )'""" Tub/shower/shower pan 12.51 / •S'I E-mail: �j-r--s-v L_ L.7 c 1,��t t -e G S lt t c i 7�Yt_ • [ De,..... Urinal 25.02 ' CONTRACTOR;;. Water closet 3 25.02 3 c•0I-- l Ro s-V La �t Water heater f 37.52 37��2 Business name: ? Address: �,'�/�`C'� pp Water piping/DWV 56.29 1 1)E et.t r 11 S l'6. S#- #4t-' Other: 25.02 City/State/ZIP: 6 cpst.6.1,,,,, 0 I Cts()-) 0 Subtotal /S/3 V1 Phone: (C0.3 ) 14-- 047-, Fax:( j--" Minimum permit fee: $72.50 CCB Lie.: (1�F 3 r( _.. PlumbingLic.no.: 5/°of q 7 Plan review (2 ° permit fee) Authorized signature. w ""� State surcharge(12%of permit fee) i//����, TOTAL PERMIT FEE Print name: ` 4� cc,'iff Date:4/-6// This permit application expires if a permit is not obtained within 180 days G after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Penuits\PLMU-PematApp.doc 10/01/09 440-46161(10/02/COM/WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: )1f i(o 6013 S- Site Address: (AI I cl ,S- W Weill til V 4- Te E c"' Project Name: Wen 1 r'1 tit Teri-74 Lt, Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N v -e ,c C-0.-- %,Verify site address/suite# exists and active in permit system. ARiver Terrace Neighborhood: 7'No ❑ Yes, See River Terrace Review Addendum Attached Site Plan Elements: /Three(3) copies of site plan xisting 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 '❑Location 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.) ®met area,building coverage area,percentage of coverage and //Street names impervious area(applicable if R-7,R-12,R-25&R-40) /Street tree size,type and location 'roperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 7 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified ❑ No Received: ❑ Yes E No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑( No Applied For: /Yes CI No,stop intake 7 Land Use Case #: M L (2 r2CJ 1 0 0 0 0 1 Zoning: a q . S Ve Setbacks: Front ? Rear IS Side S Street Side (,S Garage u%C k"Landscape Requirement: — 0/0 Vr Lot Coverage Maximum: 7 Building Height: Maximum Height 3 0 Actual Height /`1 Visual Clearance XEasements $Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan VoConditions "Met"prior to issuance of building permit p tes: . n(,i.1. 910 'i" 19 $." et(�C rd./LS. e ' + 1 Ss ll G'1 nut_ 0 u.1Yl . e"w1 f Approved By Planning: � Al eiV,%.. V•-/- --=V•-/- --=-- Date: Lihe / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_O 12116.docx Building Permit Submittal Original Submittal Date: gib. �1(p Site Plans: # '3 Building Plans: # 3 Building Permit#: H Enter building permit#above. Workflow Routing: I?:1-Planning Q.-Engineering 11.---Permit Coordinator Building Workflow Sign-off: [`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. Q'Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: C _ • 11All_.4 Date: Sc f�#, Engineering Review jZf Slope at building pad: ?A, ❑ 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: E Yes i No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: . Date: Notes: F7 .;z a, "/Y Ap/`•er _ir i�I� /.,!,/� 1► Approved by Engineering: ,iMiri Date: 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 C Approved,NOT Released: Date: Notes: T--;'(-va( F[ of vs"us� p-r._ K c-arda d . 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: P'SDC Fees Entered: Wash Co Trans Dev Tax: p Yes ❑ N/A Tigard Trans SDC: IX Yes ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit (Approved by Permit Coordinator: ,54 �ilF e f Date: 3/4 L:\Building\Fonns\BldgPennitRvw RES 012116.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 15, 2017 at 11 :09:22 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Hot and cold reversed at bar sink, same un marked handle as kitchen sink. One has hot forward on left one opposite. Correct one to same as other. 415.0 Remove doors from upper level main bath for inspection access. Provide hot water tempering for master bath tub. 414.5 Locate sewer cleanout for building drain. 719.0 Water pressure exceeds 80 psi, provide pry and expansion tank as required. 608.2,3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 15, 2017 at 11 :07:28 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide permit for AC installed not on permit. Seal mechanical penetrations in garage ceiling. R302.5.3 No access to upper level main bath for inspection. Front room FP not working. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 15, 2017 at 11 :10:07 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Remove door in front of outlet in garage for testing. Provide permit for AC installed without permit. No access to upper level main bath for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 17, 2017 at 9:24:58 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 17, 2017 at 9:34:43 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 17, 2017 at 9:55:17 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Fall prevention devise required at Windows greater than 72" above grade, window opening less than 24" above finished floor, at front bedrooms and master bedroom locations. R612.2, 612.4.1 Provide duct seal test report or blower door test for whole house building tightness for ductwork installed in crawl space. AF103.4.8 radon mitigation. Provide required documents for high efficiency lighting and street tree affidavit. Moisture content form received. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 August 21 , 2017 at 8:16:14 AM Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections complete. Pictures provided for installed fall prevention devises. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Duct seal test report received. Insulation certification checked. C of 0 left at city office for contractor pick up. Violation Summary: Inspector Contractor (,&tet f— City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6619 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2016-00135 Inspection Type: Inspector: 275 Framing David Young Result: Cancelled Comments: Provide approved mechanical rough in inspection. Provide approved interior shearwall inspection, provide missing LS 50's @32" oc. Provide attic access at single car garage bay. Fix cut floor joist at hvac garage ceiling location. Provide soffit for fire separation at hvac and plumbing, garage ceiling location. Provide missing nails at truss at cantilevered Ivl by lower level bath. Provide missing upper level floor joist at upper hall floor by entry. Provide ridge board support above master closet area. Finish soffit for water heater venting at upper level chase, maintain 1" clearance to combustibles. Provide missing column cap at bearing stair wall for GLB above, requires 5 1/2" bearing per floor joist plan. Aline upper level GLB support with lower level support as noted on approved plans. Provide plan or revision from engineer of record for double Ivi supporting wall and roof load above living room area. Truss web bracing ok. Violation Summary: Inspector Contractor