Permit 1,1 ® CITY OF TIGA MASTER PERMIT
1. COMMUNITY DEVELOPMENT Permit #: MST2012 -00242
Date Issued: 10/11/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S1046B09000
Jurisdiction: Tigard
Site address: 14231 SW WALNUT CREEK CT
Subdivision: WALNUT CREEK Lot: 7
Project: Walnut Creek, Lot 7
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories' 2 Bedrooms 4 First 807 sf Basement: 0 sf Left 4 Parking Spaces 0
Height 24 Bathrooms 3 Second 1015 sf Garage' 373 sf Front 15 Smoke
Dwelling Units 1 Third 0 sf Right 4
Detectors Yes
Total 1822 sf Value' $207,011 36 Rear 15
PLUMBING
Sinks V 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 0 Catch Basins 0
Bckflw Prevntr. 0
Footing Drain 0 Ice Maker 1 Hose Bib 2 Backwater Value 1
Drywell- Trench Drain 0 Other Fixtures 0
Other Fixture Units'
MECHANICAL
Fuel Types Air Conditioning N Vent Fans 5 Clothes Dryers. 1
Natural Gas Heat Pump N Hoods 1 Other Units. 0
Furn <100K 1 Vents' 0 Woodstoves. 0 Gas Outlets' 4
Furn > =100K 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less 1 0 -200 amp 0 0 -200 amp. 0 W/ Svc or Fdr 0
Ea add'I 500 sf: 3 201 -400 amp 0 201 -400 amp 0 W/O Svc/Fdr 0
Mfd Home /Feeder /Svc 0 401 -600 amp 0 401 -600 amp 0
601 -1000 amp: 0 601 +amp -1000v 0
1000 +amp /volt 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo N HVAC N Security Alarm' N Vaccuum System: N Garage Opener N All
Other N Other Descnption. Ecompasing Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 1822
Owner: Contractor:
LEGEND HOMES CORPORATION LEGEND HOMES Required Items and Reports (Conditions)
12755 SW 69TH AVE STE #100 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 - 639 - 4175
TIGARD, OR 97223 TIGARD, OR 97224
PHONE 503 - 620 -8080 PHONE 503 -620 -8080
FAX 503 -598 -8900
Total Fees: $17,611.99
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 952 -00 0090 You may obta a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: Permittee Signature:
C all 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application Eal) 10'3 7
Residential FOR OFFICE USE ONLY
�Z 4 2Q\2 iv
Receed 0 t, 1
- City of Tigard Dateiv r 7 / q.( _ ( , , Penn„ No �r�0/A �a (/9,
13125 SW Hall Blvd , Tigard, OR 97223 FTI n P Revie r� ( ,y L
Phone' 503 639 4171 Fax 503.598.19) %'t' IM DatDate/By. � 9 l ( Zak' r Other Permit ��/� . n
TIGARD Inspection Line 503 639 4175 UILD GDIvi Date Read q� A• � ® See Page 2 for
Internet www ttgard- or.gov Notified/Method /off, /f� f Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest
❑ Addition/alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead, and
CATEGORY OF CONSTRUCTION the profit for the work indicated on this application
® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 207,011.36
❑ Accessory building ❑ Multi- family Number of bedrooms: 4
® Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address 14231 SW Walnut Creek Court New dwelling area: 1,822 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 373 square feet
Suite /bldg. /apt. no.: Project name: Walnut Creek Covered porch area: square feet (o (t
Cross street/directions to job site: Barrows & Walnut Deck area: 150 square feet'
Other structure area: 2 ( C. S square feet 2-
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Walnut Creek Lot no.: 007 Permit fees* are based on the value of the work
Tax map /parcel no.: 2S104BB 09000 performed. Indicate the value (rounded to the nearest
dollar) of all equipment, materials, labor, overhead, and
DESCRIPTION OF WORK the profit for the work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Legend Homes Type of construction:
Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing:
Phone: (503) 620 -8080 Fax (503) 598 -8900 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Legend Homes
Structural plan review fee (or deposit):
Contact name: Steve Lucas
th FLS plan review fee (if applicable):
Address: 12755 SW 69 Avenue, Suite #100
Total fees due upon application:
City /State /ZIP: Portland, OR 97223
Phone: (503) 620 -8080 'IC A !( Fax: : (503) 598 -8900 Amount received: 75-0- vG
E -mail: slucas @legendhomes.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Com • ercial and residential prescriptive installatio s of
CONTRACTOR roof -top •.ounted Photo Voltaic Solar Panel Sy -m.
Business name: Legend Homes Submit two -ts of roof plan with connec '.n details
and fire department .: -ss, along with 20 ■ Oregon Solar
Address: 12755 SW 69 Avenue, Suite #100 Installation Specialty Core list
City /State /ZIP: Portland, OR 97223 Permit fee (includes pi $180.00
and admin• .live fees):
/Phone: (503) 620 -8080 � -
c . I f Fax: (503) 598 -8900 State surchar:- % of permit fee): $21.60
CCB tic.: 55151 otal due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Print name: Steve Lucas Date: 9/12/2012 Service Board.
Se74g/c27 x0.90 ,y2 '�
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard j� 1 Date/By Received �l p " /..2- Permit No , 4/ aO /�rX 2
III e u 13125 SW Hall Blvd , Tigard, OR 9 ED Plan Review
Phone. 503.639.4171 Fax 503 598.1960 1tJ�P�/ Date /By Other Permit. t P0i,.— erVcir
TIGARD Inspection Line 503.639.4175 r ; ' -' 2 ,� d 4 Date Ready /By Juris ® See Page 2 for
Internet: www tigard -or gov '' 2012 Notified/Method Supplemental Information
TYPE OIC3 FT1GARD. • . : PLAN REVIEW
® New construction ❑ Add itiatateDINGSIV ta 1V i P lease check all that apply (submit 2 sets of plans whtems checked below)
❑ Service or feeder 400 amps or more ['Building over three stories
El Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
• - CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings
El Multi- family ® Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION : A
❑ Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: Job site address: 14231 SW Walnut Creek Court IOOHP or snore occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: Project name• Walnut Creek ❑ Service or feeder 600 amps or more
FEE SCHEDULE ' '
Cross street/directions to job site: Barrows & Walnut Description I Qty. I Fee. I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:007 1,000 sq. ft. or less I 168 54 168.54 4
Ea add] 500 sq ft. or portion 5 33.92 1
Tax map /parcel no.: 2S104BB 09000 Limited energy, residential
I 75 00 75 00 2
. ` . DESCRIPTION OF WORK . (with above sq. ft )
Limited energy, multi - family 75 00 2
residential (with above sq. ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 100 70 2
® PROPERTY- OWNER' ' , ❑ TENANT . , 201 amps to 400 amps 133.56 2
Name: Legend Homes 401 amps to 600 amps 200 34 2
601 amps to 1,000 amps 301 40 2
Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 552 26 2
City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)620 -8080 Fax: (503)598 -8900 200 amps or less 59 36 1
Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 125 08 2
not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 168.54 2
701. Branch circuits— new, alteration, or extension, per panel
A Fee for branch circuits with
Owner signature: Date: above service or feeder fee, 7 42 2
® APPLICANT ❑ CONTACT PERSON each branch circuit
B Fee for branch circuits
Business name: Legend Homes without service or feeder fee, 56 18 2
first branch circuit
Contact name: Steve Lucas
Each add'I branch circuit 7 42 2
Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included)
Each manufactured or modular 67 84 2
City /State /ZIP: Portland, OR 97223 dwelling, service and/or feeder
Reconnect only 67 84 2
Phone: (503) 620 -8080 Fax: : (503) 598 -8900
Pump or irrigation circle 67 84 2
E -mail: slucas @legendhomes.com Sign or outline lighting 67 84 2
CONTRACTOR Signal circuit(s) or limited -
Business name: Garner Electric energy panel, alteration, or Page 2 2
extension.
Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above
Additional Inspection (I hr min) 66 25/ hr
City /State /ZIP: Hillsboro, OR 97123 Investigation (I hr min) 66 25/ hr
Phone. (503) 648 -4552 Fax: (503) 642 -7925 Industrial plant (1 hr min) 78 18/ hr
Inspections for which no fee is 90 00/ hr
CCB Lic.: 121159 Electrical • • z -305C Suprv. Lie.: 3707 -S specifically listed (1/2 hr min)
ELECTRICAL PERMIT FEES __
Suprv. Electrician signature, requir : Subtotal
Plan review (25% of permit fee)
Print name: Chuck Garner / I. - 2/2012
. State surcharge (12% of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit
Mechanical Permit Application , FOR OFFICE USE ONLY
14
City of Tigard RECEIVED Date/By 9 aW /A Permit No )1r
- ° 13125 SW Hall Blvd , Tigard, OR 972 Plan Review `n ^ ( ^
Phone 503.639.4171 Fax 503 598 1960 Date/By: Other Permit WKpIO C' / 4
O
Inspection Line: 503.639 4175 2012 Date Ready/By Juris ® See Page 2 for
TIGARD C ,_ 7 2 4
Internet. www tigard -or gov Notified/Method• Supplemental Information
TYPE OF wrITYOFTIGARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition /alt eaMMOGQ3 l' SION Mechanical permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION , . . Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi- family ® Master builder ❑ Other:
Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION' Heating/cooling
Job site address: 14231 SW Walnut Creek Court Air conditioning
(requires site plan showing placement) 46 75
City /State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts /vents) I 46.75 46 75
Suite/bldg. /apt. no.: Project name: Walnut Creek Fumace 100,000+ BTU (ducts/vents) 54 91
Gas heat pump 61 06
Cross street/directions to job site: Barrows & Walnut Duct work 23 32
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
—
Subdivision: Walnut Creek Lot no.: 007 Flue /vent for an y of above 23 32 —
Other: 23 32
Tax map /parcel no.: 2S104BB 09000 Other fuel appliances
• DESCRIPTION OF WORK ' . , • Water heater 1 23.32 23 32
Gas fireplace 1 33.39 33 39
Flue vent for water heater or gas
fireplace 23 32
Log lighter (gas) 23.32
Wood /pellet stove 33 39
Wood fireplace /insert 23 32
® PROPERTY 'OWNER ' ' ' ❑ TENANT Chimney/liner /flue /vent 23.32
Other 23 32
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen
equipment 1 33 39 33 39
City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust I 33 39 33 39
Fax: (503 589 -8900
Single-duct compartments, rtm ents (bathrooms,
Phone:
(503)620-8080 ) toilet compartments, utility rooms) 5 23 32 116 60
• ® APPLICANT , ' ' , ❑ CONTACT PERSON - ' ' Attic /crawlspace fans 23 32
Other. 23 32
Business name: Legend Homes
Fuel piping
Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional
Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. I
Gas heat pump
City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater 1
Fireplace 1
E -mail: slucas @legendhomes.com Range 1 14 15
' • CONTRACTOR .;, • . Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other
Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* _
City /State /ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($72.50)
z . Phone: (503) 557 -2200 Fax: (503) 557 -0919 Plan review (25% of permit fee)
/ CCB lic.: 72623 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: � This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Steve Lucas Date: 9/12/2012 • Fee methodology set by Tn- County Building Industry Service Board
Plumbing Permit Application
Building Fixtures • ..FOR. OFFICE-USE!ONLY
City of Tigard Received r Permit No wy�� , P� {g
a 13125 SW Hall Blvd., Tigard, OR 97223 ; Date/By.
r Plan Review
Phone: 503.639.4171 Fax• 503 598 1960 Date /By Other Permit No i , • pi g
TIGARD Inspection Line 503.639.4175 r G 2 0 O 4 Date Ready /By Juris ® See Paget for
Internet: www tigard -or Roy - Notified/Method Supplemental Information
TYPE OF WORK It���� CITYOFTIGARD. ' " FEE* SCHEDULE
® I9e
New construction ❑ t� LIA NG DIVISION For special information use checklist.
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION • . ' , SFR (I) bath 312 70
Z I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437 78
SFR (3) bath 1 500 32 500 32
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25 02
® Master builder ❑ Other: Fire sprinkler (_ sq ft) Page 2
JOB SITE INFORMATION AND LOCATION ' . ' . - Site utilities
Job site address: 14231 SW Walnut Creek Court Catch basin or area drain 18 76
City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18 76
Footing drain (no. linear ft.. ) Page 2
Suite/bldg. /apt. no.: Project name: Walnut Creek Manufactured home utilities 50 03
Cross street/directions to job site: Barrows & Walnut Manholes 18.76
Rain drain connector 18 76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no linear ft • ) Page 2
Subdivision: Walnut Creek Lot no.: 007
Fixture or item
Tax map /parcel no.: 2S104BB 09000 Backflow preventer 31.27
DESCRIPTION OF WORK , , ' Backwater valve 12 51
Clothes washer 25 02
Dishwasher 25 02
Drinking fountain 25 02
Ejectors /sump 25.02
• ® PROPERTY, OWNER ` ❑, TENANT Expansion tank 12 51
Name: Legend Homes Fixture /sewer cap 25 02
Address: 12755 SW 69 Avenue, Suite #100 Floor drain /floor sink /hub 25 02
Garbage disposal 25.02
City /State /ZIP: Portland, OR 97223
Hose bib 25 02
Phone: (503)620 -8080 Fax: (503)598 -8900 Ice maker 12 51
® APPLICANT ' • . ' ' ❑ , CONTACT PERSON , Interceptor /grease trap 25 02
Business name: Legend Homes Medical gas (value. $ ) Page 2
Contact name: Steve Lucas Primer 12 51
Roof drain (commercial) 12 51
Address: 12755 SW 69 Avenue, Suite #100
Sink/basin/lavatory 25 02
City /State /ZIP: Portland, OR 97223 Solar units (potable water) 62 54
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Tub /shower /shower pan 12 51
E -mail: slucas @legendhomes.com Urinal 25.02
' - ,CONTRACTOR • ' ° Water closet 25.02
Water heater 37 52
Business name: Wolcott Plumbing
Water piping ?DWV 56.29
Address: 1075 W. Historic Columbia River Hwy Other. 25 02
City /State /ZIP: Troutdale, OR 97060 Subtotal 500 32
J Phone: (503) 667 -1781 Fax: (503) 667 -9891 Minimum permit fee $72 50
CCB Lic.: 112220 Plumbing Lic. no.: 26 -824PB Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: �/( t �
YV TOTAL PERMIT FEE
Print name: Gloria Hawes Date: 9/12/2012 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board
PLOT 'PLAN 9/12/12
LOT *001 WALNUT CFREEK RECEIV
14231 SW WALNUT CREEK COURT Cr.? 24 2012
NE 1/4 SECTION 4, T.25, R.1W, W.M. , 20-0°
CITY OF TIGARD MYOFTIGARD
01 1SIG�
WASI- IINGTON COUNTY, OREGON BUILDING
* "7' LEGEND
i ea llY `•A1.91 H 0 M 1�S/ S
3 iii®Iee 12766 89 60th AVE. OFFICE (609) 620 -8080
_ 01111• 811116 100 VAX (609) 668 - 8600
I •� ** (ft ,*,: PORTTAND, OR. 97223 CCB# 55151
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243.5' 1 0 : \�� v 0 I I
x" 15/0 x 10/0.\ \ 1`1 243.0'
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W - - -- WATER LINE -
I ! /•ii I 5 •83'
55 - SANITARY SEWER STREET TREE: 0 244 0 • ,
SD -- -- -- -- -- STORM DRAIN CHANTICLEER PEAR ® • - I 244 0'
EROSION FENCE 2 °Caliper t ___ a__ t t
q - q. OF STREET 0 ., N di 5' PUE
r 88 '•19'26" E 1 I d
® WATER METER - 7 • •3. 9.00 — ' — — , `. —
O MANHOLE _ .!.... ; - SIDEWALK
CATCH BASIN 244 jr , .. .
PROPOSED \
STREET TREES 33 ! CURB
II STREET LIGHT 244 - I
lar FIRE HYDRANT . \ SS
PROVIDE EROSION ; „ _ — q CONTROL FENCE 244 1 SD -- - - - --
PER COMMUNITY 1
EROSION PLAN I ry ___ - -
SETBACKS : SW WALNUT CREEK COURT
FRONT YARD = 15 FEET
GARAGE = 20 FEET
REAR YARD = 15 FEET
SIDE YARD e 4 FEET
STREET SIDE YARD = 10 FEET
.11 q Building Division
Development Code Provision Review
T c A R ° Residential Projects
Building Permit No.: Y c 1 a 00 a'41 9- '
Site Address: 1.13 l.% t.Lt K C.T
Project Name & Lot No.: ) LoT7
CWS Service Provider Letter
Required: Yes ❑ No L
Received: Yes ❑ No Q9-
Routed Plans: c /
Original Plan Submittal Date: ' AY / /
1st Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked ( items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left o ly if approved. JI
Planning Review (contact / 503-718-2W
or 503 -718 -2 or _ @tigard- or.gov)
L Use Case . u�Jo2D s' DOl7 � r a
It�l' Zoning
L' Setbacks:
,Front 1 GJ Rear / S Side 7 Street Side / 49 I Garage 7-0
IMaximum Building Height 4 75 fT Actual Building Height 2Li FT
0V .isual Clearance
L / Easements
Sensitive Lands Type:
Notes:
Original Plan: Approved l7 Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (c ontact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
-.Er Actual Slope: 6
Notes:
Original Plan: Approved ,0' Not Approved ❑ Date: l / Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
• . .. .
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
12' Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved V Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes !110 N. ❑
Date Routed to Building: _
Page 2 of 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14231 SW WALNUT CREEK CT, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
02/27/2013 00:00
MST2012-00242
PASS - C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14231 SW WALNUT CREEK CT, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
02/27/2013 00:00
MST2012-00242
PASS - C of O
Received street tree, moisture content, lighting and blower test forms
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14231 SW WALNUT CREEK CT, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
02/27/2013 00:00
MST2012-00242
PASS - C of O
Received street tree, moisture content, lighting and blower test forms
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14231 SW WALNUT CREEK CT, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
02/27/2013 00:00
MST2012-00242
PASS - C of O
Violation Summary:
Inspector Contractor