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Permit REVISED, IF 1/4 i . - V CITY OF TIGARD s ( Q , / 1 . MASTER PERMIT a COMMUNITY DEVELOPMENT t Permit #: MST2012 -00290 Date Issued: 12/17/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S1046B10400 Jurisdiction: Tigard • • Site address: 14056 SW WALNUT CREEK WAY • Subdivision: WALNUT CREEK Lot: 21 Project: Walnut Creek, Lot 21 ' Project Description: New SF 5/6/13 REPRINT Add NC Placement of A/C unit must comply with manufacturer's clearance requirements . BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 4 First 815 sf Basement 0 sf Left 4 Parking Spaces 0 Height 26 Bathrooms 3 Second 1096 sf Garage 330 sf Front 15 Smoke Dwelling Units. 1 Third 0 sf Right. 4 Detectors Yes Total: 1911 sf Value $213,144 48 Rear 15 PLUMBING Sinks 1 Water Closets 1 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 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Drains 0 Catch Basins. 0 Bckflw Prevntr: 0 Footing Drain. 0 Ice M aker 1 Hose Bib 2 Backwater Value 1 Drywell- Trench Drain 0 Other Fixtures 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 SrvclFeeders Branch Circuits 1000 sf or less 1 0 -200 amp. 0 0 -200 amp 0 W/ Svc or Fdr 0 Ea addl 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 +ampNolt 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo N HVAC N Security Alarm Y Vaccuum System N Garage Opener N All Other N Other Descnption: Ecompasmg Y BUILDING INFO , Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 1911 Owner: Contractor: LEGEND HOMES LEGEND HOMES Required Items and Reports (Conditions) 12755 SW 69TH AVENUE, SUITE 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 - 639 - 4175 100 TIGARD, OR 97224 TIGARD, OR 97223 PHONE 503 -620 -8080 PHONE 503- 620 -8080 FAX: 503 -598 -8900 Total Fees: $18,124.87 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 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 AR 952 - 001 -0090 You m a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued B 4 IJI 2 �l� G4f . e 7 ' &L y: Permi Signat Call 503.639.4175 by 7:00 a.m. for the next available inspection date. , This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Mechanical Permit ApplicatibRECEIVED FOR OFFICE USE ONLY • DBy 11 ate/By of Tigard Received ��b it 3 / Permit No lf� s` /o?- ao9 'I 13125 SW Hall Blvd , Tigard, OR 97223 MAY 0 6 2013 Date/By Phone. 503 639.4171 Fax 503 598 1960 an B Other Permit TIGARD Inspection Line. 503 639 CITY OFTIGARD Date Ready/By tun 0 See Page 2 for Internet: www tigard or.cov BUILDING DIVISION Notified/Method T Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑Ad dition /alteration /replacement 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* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi family ® Master builder ❑ Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 14056 SW Walnut Creek Way Air conditioning (requires site plan showing placement) 1 46.75 46.75 City /State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts /vents) 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.: 021 Flue /vent for any of above 23 32 Other: 23.32 Tax map /parcel no.: 2S104BB 10400 Other fuel appliances DESCRIPTION OF WORK Water heater 23 32 Gas fireplace 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 33 39 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 33 39 Fax: 503 589 - 8900 Single-duct compartments, rtm e n ts (bathrooms, Phone: (503)620 ( ) toilet compartments, uuhty rooms) 23.32 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other. 23 32 Business name: Legend Homes Fuel i to Pp g Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional Address: 12755 SW 69' Avenue, Suite #100 Furnace, etc Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater Phone: (503) 620 - 8080 Fax: : (503) 598 -8900 Water heater Fireplace E -mail: slucas @legendhomes.com Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: Tri County Temp Control Other Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City /State /ZIP: Oregon City, OR 97045 Subtotal $ 46.75 Minimum permit fee ($72 50) 72.50 Phone: (503) 557 -2200 Fax: (503) 557 - 0919 Plan review (25% of permit fee) 11 69 CCB lic.: 72623 State surcharge (12% of permit fee) 8 70 C , TOTAL PERMIT FEE - S - 9913 Authorized signature. / This permit application expires if a permit is not obtained within 180 g � /' ` days after it has been accepted as complete. Print name: Steve Lucas ` � Date: 5/2/2013 * Fee methodology set by TTi- County Building Industry Service Board 323 I I CITY OF TIGARD MASTER PERMIT • COMMUNITY DEVELOPMENT Permit #: MST2012 -00290 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2012 Parcel: 2S104BB10400 Jurisdiction: Tigard Site address: 14056 SW WALNUT CREEK WAY Subdivision: WALNUT CREEK Lot: 21 Project: Walnut Creek, Lot 21 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 815 sf Basement 0 sf Left: 4 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1096 sf Garage: 330 sf Front: 15 Smoke Dwelling Units 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1911 sf Value: $213,144.48 Rear 15 PLUMBING Sinks: 1 Water Closets: 1 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: 3 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 Tvoes Air Conditioning: N Vent Fans 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =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: Y 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 1911 Owner: Contractor: LEGEND HOMES LEGEND HOMES Required Items and Reports (Conditions) 12755 SW 69TH AVENUE, SUITE 12755 SW 69TH AVE #100 1 Ersn Cntrl 503 639 - 4175 100 TIGARD, OR 97224 TIGARD, OR 97223 PHONE: 503- 620 -8080 PHONE: 503- 620 -8080 FAX: 503 - 598 -8900 Total Fees: $18,072.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1. 00.332.2344. Issued By: .0 .l (IA /2 r Permittee Signature: i - Call 503.639.4175 by 7:00 a.m. for the next available inspection dat This permit card shall be kept in a conspicuous place on the job site until comp on of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLI City of Tigard DateB �� ®��-� Permit No.: H7r� /� 002ge 13125 SW Hall Blvd., Tigard, OR 972 Plan Review � 1 J � _ Phone: 503.639.4171 Fax: 503.59 ` : ') 2 7 2012 Date/By: W p, (7 1 2-- Other Permit: �j„Q ,9 --00A912 T 1 G A R D Inspection Line: 503.639.4175 D. a Ready/By: ` ^ 1 rp, tC �^ Ei ' � SSee Page 2 for Internet: www.tigard - or.gov CITY . , . thodl . ied � t7- I � Supplemental Information a a a Vl' 111J ti' TO ' 6 ':1-`' o . REQUIRED 'DATA: 1l- 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 tCONSTRUCTION -' the the profit fo the work indicated on this application. Valuation: $ 2 ..rj ® 1- and 2- family dwelling ❑ Commercial /industrial L ❑ Accessory building ❑ Multi - family Number f bedrooms: 4 ® Master builder ❑ Other: Number of bathrooms: 3 JOB , #11L INFO O 4 4 ,1 1 ' LOAON Total number of floors: 2 Job site address: 14056 SW Walnut Creek Way New dwelling area: 1,911 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 330 square feet Suite/bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 78 square feet leR� Cross street/directions to job site: Barrows & Walnut Deck area: square feet el Other structure area: z •z4_1 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Walnut Creek Lot no.: 021 Permit fees* are based on the value of the work Tax map /parcel no.: 2S104BB 10400 performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. OF WORK:, __ � ' �` _ P PP lication. Valuation: $ Existing building area: square feet New building area: square feet ►a PROPERTY OWNER Q 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: 0 itICANTI " ' ❑ w ; ACT i*ON BUILDING PERMIT FEES* Business name: Legend Homes t l&.,�/►t review for a p Structural plan revie fee (or deposit): Contact name: Steve Lucas FLS plan review fee (if applicable): Address: 12755 SW 69 Avenue, Suite #100 Total fees due upon application: City /State /ZIP: Portland, OR 97223 oU Phone: (503) 620 -8080 k c�' 1 1 Fax: : (503) 598 -8900 Amount received: 75/31 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: slucas @legendhomes.com Commercial and residential prescriptive installation of COSNTR*164 roof -top mounted Photo Voltaic Solar Panel System. Submit two (2) sets of roof plan with connection . - -'Is Business name: Legend Homes and f i r e .• - ... , - - • . ccess, along with ! i Oregon Solar Address: 12755 SW 69 6 Avenue, Suite #100 Installation Specialty Co. - : • • st. City /State /ZIP: Portland, OR 97223 Permit fee (incl , plan re $180.00 a • . fees): Phone: (503) 620 -8080 Fax: (503) 598 -8900 State sur• arge (12% of permit fee): $21.60 CCB lic.: 55151 Total due upon application: $201.60 Authorized signature: / i j - 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: 11/27/2012 Service Board. Plumbing Permit Applicatio;� E D Building Fixtures 1� FOR OFFICE USE ONLY City of Tigard NOV 2 7 2012 DateByd // g / J Permit No.:H jt /rj .0 I ll NI 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review = Phone: 503.639.4171 Fax: 503.5 p� Other Permit No ���/j --0O2�'7 �POI~TI Date/By: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: lulls: ® See Page 2 for Internet: w >yw,t igard- or.gov Notified/Me Supplemental Information TYPE OF WORK FEE* SCHEDULE ® New construction ❑ Demolition 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 ® 1- 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: 14056 SW Walnut Creek Way 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.: 021 Fixture or item Tax map /parcel no.: 2S104BB 10400 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 @legcndhomcs.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 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: yel' t/� / / c q. TOTAL PERMIT FEE Print name: Gloria Hawes Date: 11/27/2012 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. Mechanical Permit ApplicatRIECEIVED FOR OFFICE USE ONLY 1111 • City of Tigard l pe;eBY �/ �� P ermit No.: I��yT�pl7 -o0��0 13125 SW Hall Blvd., Tigard, OR 97223 O V 2 7 ZO12 Plan Review r. Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: ie - 2) 7 TI GARD Inspection Line: 503 CITYOFTIGARD DateReady/By: twig ®SeePage2for Internet: t.ck‘k‘ tigard- or.gn_v $U1LDING DNI�ION Notified/Method. Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ® 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ® Master builder ❑ Other: Description I Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning Job site address: 14056 SW Walnut Creek Way (requires site plan showing placement) 46.75 City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Walnut Creek 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.: 021 Flue/vent for any of above 23.32 Other: 23.32 I Tax map /parcel no.: 2S104BB 10400 Other fuel appliances DESCRIPTION OF WORK Water heater I 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 ellet 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 Range hood/other kitchen Address: 12755 SW 69 Avenue, Suite #100 equipment I 33.39 33.39 City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust I 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)620 -8080 Fax: (503)589 -8900 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 Clothes Business name: Tri County Temp Control Other: dryer (gas) Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* City /State /ZIP: Oregon City, OR 97045 Subtotal Minimum permit fee ($72.50) _ 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 aspires if • permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas I Date: 11/27/2012 * Fee methodology set by Tri- County Building Industry Service Board Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: • Permit Fee: • $1.00 to $500.00 Minimum fee $69.06 $501.00 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. $5,001.00 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. $10,001.00 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. $50,001.00 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 $2608.71 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. Electrical Permit Applicati EKED FOR OFFICE USE ONLY City of Tigard j �/ j � Date/By: //// // 2^ Cl�).46 Permit No M! /1 Q0 49 ' ■., 13125 SW Hall Blvd., Tigard, OR 97M V 2 7 2012 Plan Review n 0!/1- -00 9- Phone: 503.639.4171 Fax: 503.598.1 960 Date/By: Permit: G y: 7 Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for TIGARD P CITYOFTIGARD Notified/Method: Supplemental Information Internet: www.tigard-or.gov BUILDNI3ION TYPE OF wu PLAN REVIEW ® New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ 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 ® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ® Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 - ", 1001-P or more occupancy. Job no.: Job site address: 140.56 SW Walnut Creek Way 0 vehicle parks. ❑ Six or more residential units. 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.:021 1,000 sq. ft. or less 1 I 168.54 168.54 14 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: 2S104BB 10400 Limited energy, residential 1 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 2 401 amps to 600 amps 200.34 2 Name: Legend Homes 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 tY 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'l 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 - energy panel, alteration, or Page 2 2 Business name: Garner Electric extension. Each additional inspection over allowable in any of the above Address: 2920 SE Brookwood Avenue #A Additional Inspection (1 hr min) 66.25/ hr City /State /ZIP: Hillsboro, OR 97123 Investigation (1 hr min) 66.25/ hr Industrial plant (I hr min) 78.18/ hr Phone: (503) 648 -4552 Fax: (503) 642 -7925 Inspections for which no fee is specifically 90.00/ hr CCB Lic.: 121159 Electrical • s -305C Suprv. Lic.: 3707 -S P Y listed (1/2 hr min) - ELECTRICAL PERMIT FEES Suprv. Electrician signature, requir : Subtotal: . /) 1 ) 11r . /, Print name: Chuck Gamer / / , 11 • /27/2012 _ Plan review (25% of permit fee): — — - State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. . . • ! I N • Building Division Development Code Provision Review r r G Ez i' Residential Projects Building Permit o.: H 5 r Pot '� - co Site Address: Igo S!o L OP LaJtAT CtLk L *"/ Project Name & Lot No.: L)ktjJ1A i OW PI LsrrAl CWS Service Provider Letter Required: Yes ❑ No It Received: Yes ❑ No Routed Plans: Original Plan Submittal Date: //47 //?-- r1-1 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 onl if approved. hit( Plannin Review (contact at 503 718 �� 1U o � ti d or. ov g ( @ l g ) Land Use Case No. .14A2005- OQOd Zoning y ' JK5 ' ❑ Setbacks: Front / 7 Rear 15 Side � Street Side / Garage a ❑ Building Height: 45 Actual Building Height EJ Visual Clearance Easements , ,Sensitive Lands Type: Ii? Street Trees ❑ Protected Trees Notes: Original Plan: Approved [9 Not Approved ❑ Date: ` /x /1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ' Er Actual Slope: Notes: Original Plan: Approved .iEr 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 Ap�pli nt Okay ka to Issue Permit: Yes No ❑ Date Routed to Building: tii>40 // 2//e/K Page 2 of 2 PLOT FLAN RECEIVED II/2 1/12 LOT *021 WALNUT CREEK Nov 27 2012 14056 SW WALNUT CREEK WAY CITY pFTIGARD ill NE 1/4 SECTION 4, T. 25, R 1W, W.M. BUILDING DIVISION 7 1 == 20' -0" CITY OF TIGARD WASHINGTON COUNTY, OREGON "" LEGEND : �,,� c _ // HOMES it a Iltf 12766 2f 69th AVE. OFFICE (603) 620 -0060 ' 111,1,.'IuI S 100 FAX (606) 666 -6000 ( PO R(7AN D, OR. 6 7226 CCB/ 66161 STREET TREE: CHANTICLEER PEAR 2" Ca liper ¢N LOT 20 N N e N N \ / \ ; / T, • `„ F 1 _ `� 225.2 S 88'23' E 4.9' NI I I I 2 � 18. 22 Ili 1 s s1 • / ',/,,,,./. ,;,;, 1 / II Jill LOT 21 / U I .. 1 /,3)40 50FT/// 0 I I I I Cr) : .I` ASPEN B' p I � I' .: . 9 FIN FLR =226.0'. . r ' 0 K 1 1 9 .. •1 -4 GAR FLRe225.5'i / I/ I , I • S/ ''\ 2 25 2' ? £ I � 1111110, 0 r � I � � � 1 20.00' p� . 4/A 2a 0 , I - Raw' 5 88_23'11' E _ � . � J 2 .2' 18.50' 224 9' IV — — I \ � N U N M LOT 22 � � W � N N W N _ Q N W — - - — WATERLINE SS — — - SANITARY SEWER SD - - - -- STORM DRAIN O O EROSION FENCE q - q OF STREET © WATER METER 0 MANHOLE ® CATCH BASIN PROPOSED STREET TREES CI STREET LIGHT FIRE HYDRANT 'y PROVIDE EROSION CONTROL FENCE PER COMMUNITY EROSION PLAN SETBACKS : FRONT YARD = 5 FEET GARAGE = 20 FEET REAR YARD = IS FEET SIDE YARD = 4 FEET STREET SIDE YARD = 10 FEET 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 05/07/2013 00:00 MST2012-00290 PASS Under cab switch not installed. Will check at building final 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 05/01/2013 00:00 MST2012-00290 FAIL Not Ready for Inspection OSSC 110.5 and ORSC R109.3 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection 05/08/2013 00:00 MST2012-00290 FAIL 1. Insulation Certification, could not locate, need 2. Garage Vehicle Barrier Installed, but not adequate as protection for, water heater. Figure M1307.1 ORSC 3. Lawn irrigation sprinkler system installed, please uncover lawn irrigation backflow device for inspection. 103.5.1.4 *Approach to Sidewalk Approval. Passed *Carbon monoxide Detector checked. Yes *Erosion Control (CWS) approval pass *Street Tree Certification, checked for trees. Received *High-Efficiency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Took above documentation. 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 05/07/2013 00:00 MST2012-00290 PASS Under cab switch not installed. Will check at building final 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 242 Interior shear walls 02/27/2013 00:00 MST2012-00290 FAIL Interior shear wall back of garage missing full stip of nails on left side, noted on plan in red 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 05/07/2013 00:00 MST2012-00290 PASS 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 280 Insulation 02/27/2013 00:00 MST2012-00290 PASS 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 14056 SW WALNUT CREEK WAY, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 05/01/2013 00:00 MST2012-00290 FAIL Need to add A/C to permit, No permitted at this time ORSC R105.1 Not Ready for Inspection OSSC 110.5 and ORSC R109.3 Violation Summary: Inspector Contractor Mark Sullivan From: GLENN C WAER [gbopwaer @msn.com] Sent: Wednesday, May 01, 2013 12:16 PM To: Mark Sullivan; Mike Goodrich; Carol Eisenlohr Subject: Final Inspection WC L -21 Inspection Date: 5/1/13 Project Address: 14056 SW Walnut Creek Way Energy Path: ETO Path measures: Pass Duct test: Pass • Maximum CFM allowed: 114 Test results: 80 Thermal Enclosure Check list: Pass Blower Door test: Pass Maximum ACH allowed: 5 Test results: 2.9 Re- inspection required: NO Action required: None - House certified Thanks for the opportunity to work with your company, Glenn Glenn Waer Energy Consulting dba Willowaer, LLC 16266 Hiram Ave Oregon City, OR 97045 503 - 701 -3165 1 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, /4614 YL) /1; VMA , am the general contractor or the owner - builder at the following address: Site Address: I Q 7 19 City: ado Permit #: Subdivision/Lot #: tiL cv6e4 and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: /,A., ,.. mo t. Date: 5/ Ar Gener./ Con actor or Own uilder • 1:\ Building\ Form \RES- MoisturesensitiveWood.doc 09/25/08 • ' C= STREET TREE TIGARD CERTIFICATION I, P , owner! a ent for '.� 'i��� % LIB' (PLEASE PRINT) (PERMIT HOLDER) do hereby certifi that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: fd 1 Z- 00 STI E ADDRESS: SUBDIVISION. All U �-- CArtek LOT #: �l SIGNATURE: 4.1 L _�� , f/.�S DATE: 5171 1.3 (OWNE 'Ar ENT) RECEIVED & VERIFIED BY DATE: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. I: \Building \Forms \Streetl reeCertificate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 70 / 2._ L., 10 Jurisdiction: 11:717d Site Address: ) J J j/i4 1 � 1/16k 1(44/ Subdivision/Lot #: and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: /, /`� L Date: 5/7 Ow 'er /Ge -ral Contrac i Authorized Agent �� Print Name: Allt)14/ k 514J J); • I ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. (:\Building\ Forms \RES- HighEffcciencyLighting.doc 07/01/08