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Permit (33)
CITY OF TIGARD MASTER PERMIT a I.Y• COMMUNITY DEVELOPMENT Permit#: MST2018-00305 Date Issued: 01/10/2019 T'EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S105DD02400 Jurisdiction: Tigard Site address: 14625 SW SUNRISE LN Subdivision: None Lot: None Project: Underwood Project Description: New 756 sq. ft. in-ground swimming pool. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: 15 Smoke Dwelling Units: Third: sf Right: 5 Detectors: Total: sf Value: $48,000.00 Rear: 15 PLUMBING Sinks: VVater Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: - SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: VVater Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 VWodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF Owner: Contractor: UNDERWOOD,JEFFREY D&KRISTIN E BLUE MOUNTAIN POOLS INC Required Items and Reports(Conditions) 14625 SW SUNRISE LN 13121 S WARNOCK RD 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 OREGON CITY,OR 97045 PHONE: 503-5249794 PHONE: 503-760-4554 FAX: Total Fees: $1,470.02 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. Yui may•= - .4., • •-rules or direct questions to OUNC by calling 503.232.19 or .800.332 %. Issued By: a -ermittee Signature: / \\ �ql --. d •: 3.639.4175 by 7:00 a.m.for the next available inspection date. / This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential 1.0R OFI lc F I sE 0v1.1 t Received City of Tigard � Permit No.: fic- 10 13125 SW Hall Blvd.,Tigard,OR" 7823 DateB ��/��/{ �r Ail � �(,j� - 9�7 _ ' ` Plan Review Other Permit: 7 rte_ , Phone: 503.718.2439 Fax: 501;314960 s w DateBy: 1112(, ' �'1/r! (:Jd 0 t.� f i h I) Inspection Line: 503.639.41.75 Date ReadyBy: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method '�( �( ` SupplementalInforma6on P.:.O -* efiii TYPE talk. r',QI!KREQUIR I DATA:1-AND 2-FAMILY DWELLING ,New construction 0 Demolition Permit fees*are based on the value of the work performed. }' ,., +, Y 4? -% Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ' ❑Other: - ' equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ $ , ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB, SITE INFORMATION AND LOCATION/ _ Total number of floors: Job site address: f' , t5 2 5 j:ed, ' iW rrs • New dwelling area: square feet City/State/ZIP: j'fr b C,e. '7712.'4 Garage/carport area: square feet Suite/bldg./apt.no.: / Project name: 66,14,./g.4,-64A:4'. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area:?�t ' square feet 7 sro REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. t Valuation: $ 1N rffbaiu� u)%rlm/a.,q sn/ 0/ P5aJP/1 .1�m4' C6Ji . ( $7)(4/3 �a, s(�\ Existing building area: square feet y o p l: 1 t> Z'( -7'(p jJ j, 74-) -. 1 New building area: square feet _ ❑ PROPERTY OWNER 0 TENANT` / Number of stories: Name: U,UDE rrwoo 6 Type of construction: Address: PtleZ5. NS'(A) Sa JO'$e- 4.A)' Occupancy groups: City/State/ZIP: 7g04--,0 d,e, ci72Z>4 Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): 11 5-77, Contact name: FLS plan review fee(if applicable): ' Address: l � City/State/ZIP: Total fees due upon application: i5/. ') Amount received: Phone:( ) Fax::( ) PHOTOVOLTAICSOLAR PANEL SYSTEM FEES* E-mail:G��In r'�v � 6 l k Z�Uu� 2 y��t/s •�O�y,,R . / CONTRACTOR ' Ze Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: / a e A46t41U7 ,c) 7P4a,isSubmit two(2)sets of roof plan with connection details ,� r .77-4.x. . and fire department access,along with the 2010 Oregon Address: /3 124 S 1,�f i oc-i - ,R:ek Solar Installation Specialty Code checklist. City/State/ZIP: CO PC�a Qe, Cj 7c9 tI,s Permit Fee(includes plan review $180.00 '``-fir and administrative fees): Phone:(so ) 7 64- 45$(-/ Fax:(. )3) -7€d-3 0(2 q State surcharge(12%of permit fee): $21.60 CCB lic.: 2.3 9 S os — Total fee due upon application: $201.60 Authorized s'a ature: '�' /e� — This permit application expires if a permit is not obtained f s' within 180 days after it has been accepted as complete. Print name: 572_1 7 I/ i 2 C� Date:/L//\.,0l/ ?c,./6". *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application colt orricl: usl:ON 1,1 „. .. „ l Received City of Tigard Date/By: PermitNo.: y l , 'I ' u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ® Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 1ti" 1. i (.A l l i( I) Date Read Juris. ® See Page 2 for Internet: www.tigard-or.gov { y/g g k -= i Notified/Method: Supplemental Information i t' z l i.1 t`1 !O TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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: // Air conditioning 46.75 7 Job-site address: / 6P,,,Zw . SL(N IZI,S L L/M/L� Furnace 100,000 BTU(ducts/vents) 46.75 City/Stale/ZIP: 77/ ✓a 20 / C2� 9-J��1/ Furnace 100,000+BTU(ducts/vents) 54.91 t�7�1�� `� Heat pump 61.06 Suite/bldg./apt.no.: , Project name: LA NDL�L_ c..t9.b, L 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 anyof above 23.32 Subdivision: Lot no.: Other: 'DOk �ii --( I 23.32 23.37- Other fuel ppliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 1�� Flue vent for water heater or gas e 1/ /`"t4-jtz.T i I Y_v 5 t>//4.1).'04/ fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: LA_juDe2.,�.e.,e, Range hood/other kitchen equipment 33.39 Address. l L/cpa5.- S(. , , Sr.€/1/4417_I5C� L.i3-n/L Clothes dryer exhaust 33.39 City/State/ZIP: ( ( 6 ( 7 2�� Single-duct exhaust(bathrooms, V / ! toilet compartments,utility rooms) 23.32 P ( ) Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 asirress rtarrie: Fuel piping: H L �- �r7A� ��L S $14.15 for first four;$4.03 for each additional Contact-name: "LZ O`-; T4-1 c 41D Furnace,etc. Address: / 3 (,2( S , W fifeiL)oUi Gas heat pump Wall/suspended/unit heater CityP4Sthte/ZIP: OR( Gk.) ( y p/2 , � .7 9 7(z$ Water heater t3V , 5 ) /-7 L 4-71-5--)-1-( r �� 117 b91Z-I Fireplace Range E-mai+: 2c,t/p-LC'{L kvicil K 7M/Iv RLS', C0 uv,_ Barbecue / CONTRACTOR Clothes dryer(gas Business name: `V�" ,.ti Other: ,,t"..1_,,t"..1_, 4o ppi, I LI.15^ � �-S MECHANICAL PERM FEES* Address: Subtotal --- City/State/ZIP: Minimum permit fee($90.00) yl/Cu Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) '`O. --S 9.5() TOTAL PERMIT FEE` /at,57) / This permit application expires if a permit is not obtained within-AO ) days after it has been accepted as complete. Authorized sign:turn: / / / * Fee methodology set by Tri-County Building Industry Service Board _ Print name:S72_17- '�, ,vsL Date: / / /00U, /: I:\Building\Permits\MEC_PermitApp_040113.doc 440.46171(11/02/COM/WEB) w Clean Water Services-Service Provider Letter # r a . r NOV 4 cil 8 Submission Date: 11/14/2018 Confirmation#: 61 3v Applicant Name: Stephen Hansen Review Type: Partner City Plan Review Contact Email: roy@bluemountainpools.com Ground Disturbance: 2146 Sq. Ft. Contact Phone: 503-760-4554 New Impervious Area: 2146 Sq. Ft. Primary Address: 14625 SW SUNRISE LN Mod.Impervious Area: 0 Sq. Ft. Primary Jurisdiction: Tigard Development Activity: Single-Family Dwelling Grading and Affected Tax Lots: 2S105DD02400 Retaining Walls INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 17-05,Section 3.02.1. PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre- screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or location.All required permits and approvals must be obtained and completed under applicable local,State and federal law. P#*F Or Review 3 Re a t' Next Ste :1111' = ( Environmental Site Assessment No Review Water Quality Treatment Review and TBD Not reviewed by CWS.Contact city(primary jurisdiction)responsible for land use Stormwater Inspection review and permit issuance. Erosion Control Inspection Permit TBD Not reviewed by CWS.Contact city(primary jurisdiction)responsible for land use review and permit issuance. Erosion Control Inspection Permit TBD Not reviewed by CWS.Contact city(primary jurisdiction) responsible for land use with Site Plan review and permit issuance. Line Tap Inspection Permit TBD Not reviewed by CWS.Contact city(primary jurisdiction) responsible for land use review and permit issuance. Disconnection Permit TBD Not reviewed by CWS.Contact city(primary jurisdiction) responsible for land use review and permit issuance. Connection Permit TBD Not reviewed by CWS.Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit with Plumbing TBD Not reviewed by CWS.Contact city(primary jurisdiction)responsible for land use Plan review and permit issuance. Easement Review TBD Not reviewed by CWS.Contact city(primary jurisdiction)responsible for land use review and permit issuance. The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123 phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/permits-development Clean Water Services-Service Provider Letter The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123 phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/permits-development City of°Tigard : COMMUNITY DEVELOPMENT DEPARTMENT TIGA RD Building Permit Review — Residential Building Permit #: i�1 k'_ 1r Site Address: i162-3 s,,,,, S1/4,,,,-t. _ L Project Name: Aitr wat.1 rut Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: I 11 /Verify site address/suite# exists and activ permit system. River Terrace Neighborhood: 2fm No 0 Yes,See River Terrace Review Addendum Attached 't- Plan Elements: IP ee(3)copies of site plan ISSSite plan must be on 8-1/2"x 11"or 11 x 17" Zsting structures on site paper " oo .tint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) i.or elevations :Calorth arrow A as*ty locations&easements (required for new and additions) to address,project or subdivision name and lot number ii E:.licant information(name and phone number) evion o fweway approachsystems V •t dimensions and building setback dimensions anon of wells/septic systerys xitecting trees to be retained with drip line,and tree Pi.. are footage of buildings to be demolished IE .t area,buildingcoverageg ( protection measures area,percentage of coverage and t.1 •eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) ��Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? i s No 4 foot differential) If es,is a storm water •uali ' facili shown? LIdI'es ❑No v Clean Water§frvices—Service Provider Letter(lot platted prior to 9/10/1995): frequired: l Yes,applicant was notified 0 No � ©/Public Facilities Improvement(PFI) Permit: Received: ❑ Yes t!d No Required: 0 Yes,applicant was notified No Applied For: 0 Yes ❑ No,stop intake nd Use Case#: eldr,Zoning: _ Required Setbacks: Front S Rear Side Street Side _.. .__ E Iyandscape Requirement: ) % Garage LJ �ot Coverage Maximum: ding Height: Maximum Height 3.S Visual Clearance ,�/ Actual Height Sensitive Lands: ii/Yes 0 No Type GGaj 5 ma Urban Forestry Plan ( "Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: IMP == Date: f 1(_______±j__1- Revisions (after Building Submittal only) Revision 1: 0 A rovedReviewer Date 1'p 0 Not Approved 0 Not Approved Revision 2: 0 Approved Revision 3: 0 Approved 0 Not Approved MBuildingForms\BldgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: .-1-1-/W-A---- Site Plans: # --- Building Plans: # Building Permit#: 0.-Erter building permit#above. �, �� Workflow Routing: anning engineering L Permit Coordinator ung Workflow Sign-off: gn-off for Planning(include notes from planning review) Route Application Documents: eering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. g: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: MrDate: �/ By Permit Technician: —�, r Engineering Review Jd Slope at building pad: -o Z 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 Assess Water Quantity Fee in-lieu: 0 Yes No NoNo 9E �e1 F-5 LIDA Facility on lot: 0 Yes e Final Plat Recorded: Date: 0 NOT Approved by Engineering: / Notes: i./0.4i) • con el W►#n nem .e), . Date: U_ - 1' $ Approved by Engineering: Date U Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved .. ,., Permit Coordinator Review -0--Conditions"Met"prior to issuance of building permit Date: 0 Approved,NOT Released: 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: Wash Co Trans Dev Tax: 0 Yes N/A V SDC Fees Entered: N/A Tigard Trans SDC: 0 Yes Parks SDC: 0 Yes N/A LIDA 0 Yes > 4ate: G d�1/ I:I3uilding\Forms\BldgPermitRvw_RES_010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 14625 SW SUNRISE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00305 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Final for gas line supply to pool heating equipment, no other mechanical on this permit. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 14625 SW SUNRISE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00305 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: No plumbing on this permit. Plumbing permits are PLM 2019-00159, PLM 2019-00157 Note: open Plumbing permit for shower pan PLM 2018-00087 Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 14625 SW SUNRISE LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00305 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final inspection for pool retaining wall, MST2019-00070 prior to pool final inspection. R109 Retaining wall permit has no inspections, provide engineers stamped letter of approval for retaining wall as built. Violation Summary: Inspector Contractor