Permit (91) CITY OF TIGARD MASTER PERMIT
III a:•'• COMMUNITY DEVELOPMENT Permit#: MST2017-00302
Date Issued: 11/20/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S10/2017 700
Jurisdiction: Tigard
Site address: 15134 SW CHANDLER LN
Subdivision: MANGOLD SUBDIVISION Lot:
Project: Mangold, Lot 3
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1221 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1663 sf Garage: 606 sf Front: 20 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors:
Total: 2884 sf Value: $359,839.69 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 4 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: 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: 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 2884
Owner: Contractor:
WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions)
12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97229 PORTLAND,OR 97229
PHONE: 503-406-2442 PHONE: 503-330-2215
FAX: 503-342-2403
Total Fees: $31,803.21
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 th- 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. •hose rules are set forth ' •AR
952-001-0010 through OAR 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• .800.33 .2 '4.
/ /
•
S/ ��j � Permittee Signature:
r ...
Issued By: -st`i _ LII% g
/ Call 503.639.4175 by 7:00 a.m.for the next available inspeItino-dSfe.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential '0\1 r o a OFF I( 1, U S E o 11.1
City of Tigard Received - ,
II
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Reviewy: t/J �� Permit No s G/�-�od�
Phone: 503.718.2439 Fax: 503.598.1960 �C� Plan
TI G n F D Inspection Line: 503.639.4175 �U�i Date Re $'9 Other Permit: 2 for r
±11 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov G� C.)„,
G'�i B r1, tified/Method:
��.)„, l.� I E S! Supplemental Information
TYPE OF WO)tvUO�-�`� REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement 0 Other: 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.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation:
172,9
J
0 Accessory building 0 Multi-family Number of bedrooms:
q
❑Master builder 0 Other: Number of bathrooms: 3 1 s'�
JOB SITE INFORMATION AND LOCATION Total number of floors: Z.
(/.Q 0
it /
Job site address (51� ! S„,/ ( I 4 l icy- (ant _ New dwelling area:2 gS f square feet
City/State/ZIP: 11'd f) QK 2.23 Garae/c
l tl g arport area: square feet
Suite/bldg./apt.no.:' Project name: Covered porch area: /cO square feet 63
6//
Cross street/directions to job site:
Deck area: square feet,as 1
i°40.01) OWN./ —
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ,t hr'cr Lot no.:3 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.
New SFR Valuation: $
Existing building area: square feet
New building area: square feet
8 PROPERTY OWNER
TENANT Number of stories:
Name:Same as applicant Type of construction:
Address:
City/State/ZIP:
groups:
'
Existing:
Phone:( ) Fax:( )
APPLICANT New:
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Westwood Homes LLC (Please relerXofeesebedulr�
Contact name:Matt Fricke Structural plan review fee(or deposit):
Address:12700 NW Cornell Rd FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR,97229 Total fees due upon application:
Phone:(503)406-2442 Fax::( ) Amount received:
E-mail:Matt@westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Same as applicant Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Phone:( ) Fax:( )
and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60
CCB lic.:195597
./..,...„,'
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Matt Fricke Date:--77/)V/7Z
*Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE I S E()NI 1
City of Tigard ' Received permit <
u 13125 SW Hall Blvd.,Tigard,OR 9 Date/By: �� 0 �W
�l Plan Review
C Phone: 503.718.2439 Fax: 503.59Ill ��t Other Permit:
Date/By:
T i�-��h D Inspection Line: 503.639.4175 ``,,(� Date Ready/By: kris. H See Page 2 for
Internet: www.tigard-or.gov ts,U`-/ i Notified/Method: Supplemental Information
nc.lkes s' c,\O -
TYPE OF W �� ,V�4 COMMERCIAL FEE*SCHEDULE USE CHECKLIST
A� Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteranon/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-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:
J Air conditioning ( 46.75
y,
Job site address: 1.5I'J9 JW (hot n jr�y_ (a fie _ Furnace 100,000 BTU(ducts/vents) 1 46.75
C '�� � ��" Z Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06
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: bi 3 Other: 23.32
C Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater / 23.32
DESCRIPTION OF WORK Gas fireplace/insert / 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 r 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Same as applicant Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 1 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
E APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Westwood Homes LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Matt Fricke Furnace,etc.
Address:12700 NW Cornell Rd Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97229 Water heater
Phone:(503)406-2442 Fax::( ) Fireplace I
Range
E-mail:Matt@westwoodhomesllc.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Central Air Inc. 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:( ) 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: 0/4'42...-L.......„..„-- * Fee methodology set by Tri-County Building Industry Service Board
Print name:3G�nMo vI7 4. X Date:-97
/(Z/t'. ...I:�Building\Permits\MECPermitApp040113.doc440-4617T( 02/COM/WEB)
w
Electrical Permit Applicationl(lit o i(rF (SE 011:N
City of Tigard Dawe Elf Mi'j I _.A:
illel13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
X Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : M ` " i ''
ll
1 1{;t A 17 Inspection Line: 503 Ready Date/By: NM RI See Page 2 for
Intent: www.tigatd-or.gov Notitied/Method: Supplemental information
»fIM 1ng ; ggXVk '3�clg b7tXg04g, rrMu1N ! vAwatite.;...i','). t `'r;'ilegilafecta
.
181 New construction D Addition/alteration/replacement Please check all that apply(submit/sets of plans widens'checked):
0 Service or feeder 400 amps or more 0 Building over three storks.
0 Demolition 0 Other where the available fault current 0 Mathias and boatyards,
31=5.,IlaMartFCAtt.Oi AY,,;jki ikeiti(,_,_ON 4 C`)a u i':I rritri,fin`.;, exceeds 1000 amps at 150 volts or Irl Pleating buildings.
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,040 Ci Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: CI Fire pump. 0 Installation of 150 KVA or
EY+ s z�1 .cn �w,,
2 w'6 `w ��\ � 5x�a 3 1��a ()IzlVft� l� h s ,d!!k �1 ffir`��a i4tC 107',- ❑F Addition
o 6yw m sa separately derived
11 lu 0 Addition of new motor load of system.
Job#: Job site address:F (� I '.21/1 40 petty,/ (JP- lool-1P or more. 0
City/State/ZIP: J �}f C 0 Six or more residential units. occupaUOY.
�' T(4 6if o j {-✓t' 1 r C1lleaith care facilities. 0 Rectcadoael vehicle paras.
Suite/bldg./apt.#: Project name: Dllazardaus locations. ID Supply voltage for more than
- 0 Service or feeder 600 amps or more. 600 volts somimel.
Cross street/directions to job site: l ,' D s n a� a hvr leas
Dadatpdoe �1 Qty. I Sad' 1 Craw I '..
New residential single-or multi-family dwelling unit.
Subdivision:��
oi (C f1 eC Lot#: 3 es agarage.
iIncludes( ( 2
Tax map/pareel#: C�
1,000 sq.ft.or less .1 168.54 4
r Ea.add'l 500 sq.ft.or portion 33.92 1
Z.ATIff� it t , a. .i> 'i,-;; .,Cs S e,I ( ,,..,,ti;` ala r,.a z 4 °pri. *g.,,,ttil, ', ,4 Limited energy,residemxal . . . .
1N l
J
j", (with above sq.1) 75.00 2
Limited energy,rmtiti-thmily .
residential(with above sq.fl.) 75.00 2
,, ,,� a , Renewable Energy � 5ee Page 2
'.14,0i.' Q p Y t i� ..! " �a �� Servte�ar feedersinstall atio slteratJon,and/or relocation
Name:12(A, yil.i p44; I 1((ti. 200 amps or less 100.70 2
Address: 201 amps to400 amps 1 133.56 2
401 amps to 600 amps 200,34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone;( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or loss ( 59.36 t
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
t ,+!,,t�54 y I.5, u•.,.......e',
4. i y' ., ,, 4, s1`.,�} " Sus. ; A.F for branch Circuits,, Branch circuits—new,wteratlon,or extension, panel
Business name:Westwood Homes LLC above service or feeder fee, 7.42 2
each branch circuit
Contact mune:Matt Fricke B.Fee for branch circuits without
Address:12100 NW Cornell Rd service or tuider fee'Brat 56.18 2
branch circuit
City/State/ZIP:Portland,OR 97229 Each add')branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
Phone:(503)406-2x;42 I Fax::( ) Each manufactured or modular
dwelling,service and/or feeder
fi7.84 2
Email Matt®awestwoodhomsfe.com Reconnect only 67.84 2
Ora: Rwy3,tfi %0.1#iVm.00 ' RAfW1INNO „j ,°ta S52
Pmnporirrigationcfrcie 67-64 2
Business name:Pyramid Electric LLC Sign or outline fighting 67.84 2
' Signal a)or -energy
imited
Address:12700 NW Cornell Rd penal,*heretical,orlextension. ID Sec Page 2 2
City/State/ZIP:Portland,OR 97229 Each additional inspection over allowable in any of the above
Additional inspection(l hrmtn) 66.25/hr
-
Phone:(503)406.2442 Fax:( ) Investigation(1 hr min) 90.00/hr
ffice@pyratn idelectrlcllc.comIndustrial plant(1 hr min) , 78.18/hr
Email:o
/C)///// Inspections for-which no fee is 90.00/hr
CCB Lia: 217347 ..- all listed• 'A hr min
Electrical Lic.: C1320 Suprv.Lie.: yG,LSS
Suprv.Electrician signature, of
Plan required: de Subtotal:
Print name: Jeff Evans 77 ] Ate: (j/i yi l Revacw Regurred.(25°/a permit fee):
Static stunhargc(12%of permit fee):
Authorized signature: Z/44 L- TOTAL PERMIT FEE:
, This permit application expires Ira permit is sot obtained within 180
Print name: Date: days after it bas been accepted as complete.
• Number of inspections allowed per permit.
r:'.Se0dialaermhstt7.C„PamitA.pp_EUT_ERE.doc Rev 08/172015 440-40157111NS/COM/WEa
Plumbing Permit Application
Building Fixtures ro►z (FFI( I I'S►: 0y►.1
City of Tigard Received
Permit No.:
11 13125 SW Hall Blvd.,Tigard,OR 9 plan Review
• I Phone: 503.718.2439 Fax: 503.59 .1 60 ti, '�Q�i Date/By: Other Permit No.:
Inspection Line: 503.639.4175 s\-C.5 L Date Ready/By: Anis: ® See Page 2 for
I I G A I.n Internet: www.tigard-or.gov
G l�Cio,N AJotified/Method: Supplemental Information
TYPE OF WORK GV (Av..
se 1\\1150 FEE* SCHEDULE
®New construction ❑a �ttoknAG 1 For special�in ormaattiion use checklist. I Total
Description I QtY.
❑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
SFR(3)bath l 500.32
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler(-sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION- Site utilities:
Job site address: '
51'4 J 1/1/ L 14 ni/v✓ (q k` Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Pk
Water service(no.linear ft.: ) Page 2
Subdivision: y/\e j C((2 I Lot no.:3 Fixture or item:
Tax map/parcel no.: / Backflow preventer IP 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer / 25.02
New SFR Dishwasher 0 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
o' PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:Same as applicant
Floor drain/floor sink/hub 25.02
Address: Garbage disposal / 25.02
City/State/ZIP: Hose bib 2.. 25.02
Phone:( ) Fax:( ) Ice maker 12.51
iInterceptor/grease25.02
181 APPLICANT ❑ CONTACT PERSONtrap
Medical gas(value:$ ) Page 2
Business name:Westwood Homes LLC
Primer 12.51
Contact name:Matt Fricke Roof drain(commercial) 12.51
Address:12700 NW Cornell Rd Sink/basin/lavatory 5 25.02
City/State/ZIP:Portland,OR 97229 Solar units(potable water) 62.54
Phone:(503)406-2442 Fax::( ) Tub/shower/shower pan 3 12.51
Urinal 25.02
E-mail:Matt@westwoodhomesllc.com
Water closet 25.02
CONTRACTOR Water heater ` 37.52
Business name:H&H Mechanical Water piping/DWV 56.29
Address:5757 SE Willow Lane Other: 25.02
City/State/ZIP:Milwaukee,OR 97267 Subtotal
Phone:(503)975-9787 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:178122 Plumbing Lic.no.:r46 4_«y
T47.0 State surcharge(12%of permit fee)
Authorized signature: �r TOTAL PERMIT FEE
Date: (� This permit application expires if a permit is not obtained within 180 days
Print name:Dustin gue !!! after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)
City of Tigard
I' COMMUNITY DEVELOPMENT DEPARTMENT
III m
T i c A R o Building Permit Review — Residential
Building Permit #: AAS 7 0--00302
Site Address: ( S 131 S w C h ci n cC Lo,.- LAI
Project Name: M ci n o 1 c1
3
(New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #:
Planning Review
Proposal: N1Q.jvv S 11 i?
AVerify site address/suite#exists and active in permit system.
River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
C `three(3)copies of site plan )ZrExisting structures on site
ISite plan must be on 8-1/2"x 11"or 11 x 17"paper 71Footprint of new structure(including decks)with finished
/NDrawn to scale(standard architect or engineer scale) floor elevations
orth arrow
Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number ,�/
Applicant information(name and phone number) idewalk/driveway approach
. Lot dimensions and building setback dimensions 1Df wells/septic systems
[sting trees to be retained with drip line,and tree
- n-footage of buildings to be demolished
rotection measures
building coverage area,percentage of coverage and / Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40 /Street names
)gll Property corner elevations(2 foot contour lines if more than >1,000sofmpervious'area created or replaced? Yes ❑
/ 4 foot differential) f i
P No
If yes,is a storm water quality facility shown? ❑y-es f]N0.
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified
No Received: 1:1 Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified
No Applied For: El Yes ❑ No,stop intake
Land Use Case#: gUf62Jf .' -000af
Cid` zoning: ,2_ 4 .c
71 Required Setbacks: Front 'Z 0 Rear l S Side
S Street Side Garage
Landscape Requirement: W % g G
Lot Coverage Maximum: AO, A
,l1 Building Height: Maximum Height , S
g Actual Height
Visual Clearance
ASensitive Lands: ❑ Yes ❑ No Type
Urban Forestry Plan
aConditions "Met"prior to issuance of building permit
Notes: D O rl O 4- '\,.S ‘...,-e.. v n ( 4) (51 f- c---P (,O re.A. S
Approved By Planning:
Date: e/ Z. / f ---/
Revisions (after Building Submittal only)
Revision 1: 1:1 Approved ❑ Not Approved
Reviewer Date
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES_061417.docx
Building Permit Submittal ���//�
Original Submittal Date: 3
Site Plans: #
Building Plans: # 3
Building Permit#: nter building permit#above.
Engineering 19..-Permit Coordinator ` B��g
Workflow Routing: Planning $m g ((
Workflow Sign-off: Sign-off for lanning(include notes from planning review)
Route Application Documents: Pie Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ir Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
Ahli ` / , //
By Permit Technician: 7,, Date: / �/
2
Engineering Review
Slope at building pad: �/r
.� rW
0/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: 0 Yes rrEr No
Assess Water Quantity Fee in-lieu: 0 Yes ,,e No
LIDA Facility on lot: 0 Yes /u No
ate:
0 NOT Approved by Engineering: /14- �
Notes: s d /ri '
r, ii, . � r-An—' ' i7 l
Date: � -�7
Approved by Engineering: 12
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
■- ,. ditions "Met"prior to issuance of building permit /41... 7 ,d,,,,j,,
/, .� /
Approved,NOT Released: C /�
1"-P4-e- .e GI/ Date: -tom
Notes: GGA , ;cp., Add hez ,,,,,C04 / '
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: 1!j Yes 0 N/A
Tigard Trans SDC: �4 Yes 0 N/A
Parks SDC: Yes 0 N/A
LIDA 0 Yes N/A
•''3OK to Issue Permit4! ___
Date:
Approved by Permit Coordinator:
.(1
b l SSux- ( Y- %h' -rci rcu a(- d OF `t- ft,1 t t 7
I:\Building\Forms\BldgPermitRvw_RES_061417.docx V
ACKNOWLEDGEMENT OF RISK
AND
HOLD HARMLESS AGREEMENT
1. PARTIES
This Acknowledgement of Risk and Hold Harmless Agreement ("Agreement") is
between Westwood Homes,LLC ("Owner") and the City of Tigard(the "City").
2. PURPOSE OF AGREEMENT
The purpose of this Agreement is to identify the terms and conditions under which the
City will agree to issue building permits for three proposed single family houses
located at 15134, 15158,and 15164 SW Chandler Lane in Tigard (the Properties"),
and referred to herein as the Project." Owner has requested that the City issue the
following permits and conduct the following reviews (collectively, the "Permits"):
A. MST2017-00302 for 15124 SW Chandler Ln.;
B. MST2017-00303 for 15158 SW Chandler Ln.;
C. MST2017-00310 for 15164 SW Chandler Ln.;
D. Any additional permits required by the City to construct the Project
and related site improvements.
Owner desires to proceed with construction associated with the Permits based on
City's Land Use Decision SUB20I3-00003 (the "Decision"),notwithstanding the fact
that final approval of the submitted plat has not yet been received from Washington
County. The City is willing to allow the Owner to perform the work associated with
the Permits prior to receipt of a copy of the recorded plat as long as all work done is
consistent with the approved Permits, the Decision, and pursuant to the terms of this
Agreement, '
3. ADDITIONAL CONDITIONS
In addition to all other conditions stated in this Agreement and required by law, Owner
agrees to the following:
A. The Owner acknowledges that Washington County may fail to approve and
may require revision of the submitted plat for the Project and that Owner
shall be responsible for any and all modifications,revisions, corrections,
resubmittals, or reconstruction in order to comply with the plat as approved
and recorded by the County.
B. The Owner acknowledges that the issuance of the Permits is based on the
conditions set forth in this Agreement. The Owner shall be responsible for
correcting any and all deficiencies in work conducted on the Project in
reliance on the Permits or changes required by the City as part of the
City's inspection process.
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1617260 3iDRF 728:)017
C. The Owner acknowledges that the City cannot guarantee that the plat will
be approved by the County as submitted, nor can the City
guarantee that any such approval will meet the construction schedule for
the Project. The Owner further acknowledges that any work done pursuant
to the Permits shall be subject to a stop work order posting, penalties, and
any other legal remedies available to the City to enforce any stop work
orders issued on the Project.
D. The Owner acknowledges and agrees that no final building inspection will be
performed and no Certificate of Occupancy issued for the Project until a
copy of a properly recorded plat is received by the City.
4. EFFECTIVE PERIOD
This Agreement will be effective upon execution by both parties and will remain in effect
until the plat,as submitted or as revised,is approved and recorded by the County,all appeals
have concluded, and all timelines for any future appeals have expired("Effective
Period").
5. NON-TRANSFERABILITY
This Agreement is between City and Owner and is not transferable to any other party. In
the event Owner sells,transfers, leases or otherwise conveys any interest (but not
including a mortgage or deed of trust, including in connection with Owner's construction
financing) or right of possession in Property, this Agreement shall terminate
automatically.
6. ACKNOWLEDGEMENT OF RISK
A. Owner understands that by allowing construction to commence on the
Property pending the approval of the submitted plat by the County, the
City's review and approval of the final plans may result in Owner being
required to change or remove the work done during the Effective Period.
B. Owner understands that construction work must be consistent with the
plans submitted to the City,or any changes to the plans the City requires
as the review proceeds that the City determines are necessary to bring the
Project into compliance with applicable building code and zoning
requirements.
C. The City reserves the right during the Effective Period to stop work if (1)
Owner fails to provide sufficient information necessary for City staff to
determine consistency with applicable building codes and zoning
requirements to the City within five (5)business days of a request by the
City; (2) if the City determines the plans are inconsistent with applicable
building code or zoning requirements; or(3) if construction that takes
Paget-Hold Harm less Agreement 2615266 3DRi 7284017
place within the Effective Period is inconsistent with the plans submitted
to the City and/or applicable building code and zoning requirements.
D. Nothing in this Agreement limits the City's authority or ability to issue a
stop work order if the City identifies violations of building code and/or
zoning requirements involving construction on the Property.
E. Owner agrees that any expenditures or construction Owner undertakes
during the Effective Period are undertaken at Owner's sole risk and
expense.
F. Owner agrees not to assert any claims whatsoever against the City arising
out of expenditures or construction Owner undertakes during the Effective
Period.
G. Owner agrees that failure to comply with any of the terms or conditions
set forth in paragraphs A through F, above,may result in the initiation of
code enforcement proceedings.
7. HOLD HARMLESS AND INDEMNIFICATION AGREEMENT
A. Owner agrees to hold harmless, defend, and indemnify the City and the
City's officers, agents, officials, and employees against all claims,
demands, actions, and suits, including all reasonable attorneys' fees and
costs, brought against any of them arising from allowing construction on
the Property to proceed during the Effective Period.
B. Owner hereby expressly assumes all risk of damage to Property, and loss
or impairment of the use and enjoyment thereof, and including all risk of
personal injury or death, and including loss of any and all expenditures in
any manner arising out of or attributable to allowing construction on the
Property to proceed during the Effective Period.
C. Further, in the event an action is brought contrary to this Agreement and
a court of law upholds this Agreement,Owner agrees to pay all reasonable
costs and attorneys' fees incurred by the City including any reasonable
costs and fees associated with appeals.
8. REMEDIES
Owner agrees that in the event that the construction work must be removed,
altered(60) ors other
otherwise the cdate hangedit , , haned thin sixty
dayaftpermits arewill wbeithdrawnremovedor requiredalteredor to
cbe revisedgwiby the
City,and required permits to effect that change are approved.Further,Owner
agrees that in the event the construction work is not removed, altered_or
otherwise changed,it is a nuisance and may be removed by the City,and the cost
ofremoval, including all direct and indirect costs,will become a lien against the
property. In the event the costs are not paid by the Owner to the City after entry
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26/5260.)1DRF X1&20/7
of the lien,the City may foreclose against the Property at such time as it elects to
do so,if the costs remain unpaid.
9. OREGON LAW AND FORUM
This Agreement shall be construed according to the laws of the State of Oregon
even if Oregon's choice of law rules otherwise would require application of the
law of a different jurisdiction. Any litigation arising under or regarding this
Agreement shall occur, if in the state courts, in the Washington County Court
having jurisdiction thereof,and if in the federal courts,in the United States District
Court for the District of Oregon, Portland Division. Any arbitration or other form
of alternative dispute resolution arising out of this Agreement shall take place in an
appropriate forum within Portland,Oregon.
10. SEVERABILITY
Each provision of this Agreement shall be independent and severable. The
invalidity or partial invalidity of any provision thereof shall not affect any of the
remaining portions of that or any other provision of this Agreement.
[Signature Page to Follow]
In Witness Whereof, this Agreement has been duly executed on
2615260 311211F:1&T9/7
Page 4-Hold Harm less Agreement
//.2 ,2017.
OWNER CITY
Westwood Homes, LLC City of Tigard
By y
By: ..�
Name: C�c [ ( . . .. • Name: 7j21 fit 46-u i !
Title:/ d I i
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Date: r�
Alp Date: 1/ .ZIP//
STATE OF OREGON )
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County of___WA*Aa)
This instrument was acknowledged before me on b J WWoC(
Lam.. ;�� �� g a� ,2017,
by
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OFFICIAL 13TNAP
UN[7SAY E ADAMS
YNOTARY PUBLIC FOR OREGON
my co H�410arMMINIIONARY NO.946221 p My Commission Expires: 0 t -�1 1-?e)a.
Page 5-Hold Harmless Agreement
1613266 3fDRF:162017
Albert Shields
From: Albert Shields
Sent: Tuesday,August 08, 2017 4:32 PM
To: 'Matt Fricke'
Subject: Mangold Subdivision, MST2017-00302 &00303.
Mark, in the course of reviewing your plans and application for the above permits Engineering has noted that the
applications cannot be approved at this time because:
1. A lot-specific geotechnical report is required due to the nature of the fill.
2. Multiple Conditions of Approval of the underlying Land Use Case, SUB2013-00003, remain Not Met.
Accordingly, I will code these applications as Approved but Not Released and will keep them on Hold until the above
issues are addressed. Nonetheless, Plan Review will continue.
Please let me know if you have any questions.
Albert Shields
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW CHANDLER LN, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2017-00302
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
No exterior lighting installed at this time. Exposed wiring at exterior lighting locations.
Not ready for inspection, no inspection done.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW CHANDLER LN, TIGARD, OR, 97224 May 10, 2018 at 2:20:54 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00302
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
In addition to previous plumbing final corrections, pry and expansion tank to be installed
as needed for water pressure exceeding 80 psi at hose bibs. OPSC 608.2,3
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW CHANDLER LN, TIGARD, OR, 97224 May 15, 2018 at 10:05:37 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00302
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
No A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW CHANDLER LN, TIGARD, OR, 97224 May 17, 2018 at 9:17:01 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00302
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Street tree certificate received
Moisture content form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW CHANDLER LN, TIGARD, OR, 97224 May 17, 2018 at 9:10:47 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00302
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
Water pressure = 65
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW CHANDLER LN, TIGARD, OR, 97224 May 17, 2018 at 9:07:10 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00302
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed.
A/C installed
Violation Summary:
Inspector Contractor