Permit CITY OF TIGARD • MASTER PERMIT
I
1''- COMMUNITY DEVELOPMENT Permit#: MST2013 00083
T t GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2013
Parcel: 2S 104 BB 11400
Jurisdiction: Tigard
Site address: 13982 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 31
Project: Walnut Creek, Lot 31
Project Description: New SF. 9/12/13, addin• a/c. Placement of a/c unit must comply with manufacturer's clearance
requiremen s.
et• — BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms. 3 First: 957 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1286 sf Garage: 388 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 4
Detectors: Yes
Total: 2243 sf Value: $256,753.40 Rear: 15
PLUMBING
Sinks 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=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: 4 201-400 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 8 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 2243
Owner: Contractor:
LEGEND HOMES LEGEND HOMES Required Items and Reports(Conditions)
12755 SW 69TH AVE#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: $18,910.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in a ance with approved plans""This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. NTION: 0 • on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 -0010 through OAR •52-05.090 You may obtain a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344.
Iss d By: / L..�f�/_��� i Permittee Signature: i# 1.;�et - - `_
_— Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
/
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application : , •FOR,OFFICE USE ONLY.
1114 City of Tigard Date/By: Permit No.: (�6` VW rl `-,
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review l J t�L�t,
:.:t Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Date/By:
r ` Inspection Line: 503.639.4175
.TIGARD Date Read /B Y ions.
® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: • Supplemental Information
• • • TYPE OF WORK " - . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST•'
®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
• ' :CATEGORY OF CONSTRUCTION , , Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
For special information use checklist.
❑ Multi-family ® Master builder ❑Other: Description Qty. Ea. Total
- . JOB SITE`INFORMATION AND LOCATION Heating/cooling
Job site address: 13982 SW Walnut Creek Way Air conditioning
(requires site plan showing placement) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 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.:031 Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.:2S104BB 11400 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 691h Avenue,Suite#100 Range hood/other kitchen
equipment 33.39
City/State/ZIP:Portland,OR 97223 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(503)620-8080 Fax:(503)589-8900 toilet compartments,utility rooms) 23.32
® 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 69th 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 .
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 $46.75
Minimum permit fee($72.50)
Phone:(503)557-2200 Fax:(503)557-0919 Plan review(25%of permit fee) 11.69
CCB lie.:72623 State surcharge(12%of permit fee) 5.61
TOTAL PERMIT FEE $ 64.05
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name:Steve Lucas Date:9/12/2013 * Fee methodology set by Tri-County Building Industry Service Board
PLOT PLAN 1`I 04/05/13
LOT 31 WALNUT CREEK
13982 SW WALNUT CREEK WAY
NE 4 SECTION 4, T. 25, R. 1W, W.M. 1.• 20'-0w
•
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
i+'""'wmr LEGEND
Gam. ;Ip:l
HOMES
ion1/111111 18750 sr 69th AVE. OITICE(509)ez0-6060
BURT 100 FAX(609)696-6900
- PORTLAND.08 07889 CCB/65161
Q`:
W
W ---- WATER LINE -P.
55 SANITARY SEWER q-..__ \
v
SD - - - — STORM DRAIN S ` �a
0 0 EROSION FENCE yr VV,4 / \' 1
q - ¢OF STREET CU�,B - .NUT c - --•-{-
0 WATER METER .� , '-- �K'
O MANHOLE S/,D . 235 0. 7
u \ ``` ��
® CATCH BASIN '�'�K,�l\�� � --
PROPOSE D a'PLJE 2 R. 8 26'•
STREET TREES // G 8 248 '. ' /�
��� STREET LIGHT 1- m N �•.. /'. '
STREET TREE: B b - n 233
q� FIRE HYDRANT CHANTICLEER PEAR S.93, �` �ry 233.8' co
y�0 2"Caliper / • — /�' —.•-°macO _/7�
PROVIDE EROSION 235.1' / 1��
CONTROL FENCE
:/ ' 234.3',• q /
PER COMMUNITY / �`%�j/ ` '
EROSION PLAN / '\/ ry
LOT �, � //�j� �' 4.00,
N/ f �iij �
32 ml� /// V/j' /\233.5'
4lam/ // ////,
LOT;31/ / w
/3,175/SOFT , ' "-,
235 / SPRUCE 6E(311' �,/_ LOT
235 / /FIN.FLR•236.0'//, ,/�
'/\ "//7/ 0 z
GAR FLR:234.5% / `}r 30
235.1' ' ///,,, / /
8'pU . `y_R \ //,/ //� 241'
_ UT —'Za A/C n 4.72.
SirDta f
4L k' /.\� Gat. 2 N 4
835, `�. . '-'tea_.•
cuRg
Sty , 11
vr d.
e s\,7:r FRI.._ r
SETBACKS : 0
FRONT YARD • 15 FEET
GARAGE • 20 FEET
REAR YARD • 5 FEET
SIDE YARD • 4 FEET
STREET SIDE YARD • 10 FEET
y CITY OF TIGARD MASTER PERMIT
g COMMUNITY DEVELOPMENT Permit #: MST2013 -00083
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/21/2013
T IGARIJ Parcel: 2S104BB11400
Jurisdiction: Tigard
Site address: 13982 SW WALNUT CREEK WAY
Subdivision: WALNUT CREEK Lot: 31
Project: Walnut Creek, Lot 31
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 957 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1286 sf Garage: 388 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 4
Detectors: Yes
Total: 2243 sf Value: $256.753.40 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
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! 500 sf: 4 201 -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 2243
Owner: Contractor:
LEGEND HOMES LEGEND HOMES Required Items and Reports (Conditions)
12755 SW 69TH AVE #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: $18,857.80
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 - 0010th h R 952 - 001 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: — (- e- Permittee Signature: X
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 e project
Approved plans are required on the job site at the time of each inspection.
Btiddina Permit Applic
Residential VI.- FOR OFFICE USE ONLY
City of Tigard APR 0 8 2013 Date/By:
g (� led sr � /3 4�8
- Permit No.:
° 13125 SW Hall Blvd., Tigard, OR 97223 y
g Plan Revie � �t
Phone: 503.639.4171 Fax: 0 Plan Review O ther Pernut.
� I TIGARD 1 ems/ 3 c
Y: � �so
TIGARD Inspection Line: 503.639 Date R ea. ,C / Supplemental See Page for
Internet: www.li�ard- or.go 1 1LDING DIVISION Notified/Method: ��� Supplemental Information
VM WI S im/
TYPE OF WORK REQUIRED DATA: I- 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.
Valuation jA0 $ _ .28 ��O �J
I- and 2- family dwelling Commercial /industrial ''YY'"' YY``''
® El
El Accessory building El Multi-family Number of bedrooms: 3
® Master builder ID Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 13982 SW Walnut Creek Way New dwelling area: 2,243 square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: 388 square feet
Suite /bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 4n square feet rZ�
Cross street/directions to job site: Barrows & Walnut Deck area: 1 ` square feet er67
Other structure area: 7 ,4 c ---6 ( square feet 2.1
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Walnut Creek Lot no.: 031 Permit fees* are based on the value of the work
Tax map /parcel no.: 2S104BB 11400 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*
Business name: Legend Homes
(Please rejerro fee sdredule)
Structural plan review 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
Amount received:
Phone: (503) 620 -8080 K Pmt ( Fax: : (503) 598 -8900 7
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: slucas @legendhomes.com
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Legend Homes Submit two (2) sets of roof plan with connection details
and fire department access, along with 2010 Oregon Solar
Address: 12755 SW 69 Avenue, Suite #100 Installation Specialty Code checklist.
City /State /ZIP: Portland, OR 97223 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 620 -8080 Fax: (503) 598 -8900 State surcharge (12% of permit fee): $2I.60
CCB lie.: 55151 Total due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
(- � - ...V.-- --- * within 180 days after it has been accepted as complete.
Print name: Steve Lucas Date: 4/5/2013 Fee methodology set by Tri- County Building Industry
Service Board.
Plumbing Permit Application
Building Fixtures N E FOR OFFICE USE ONLY R eceived r
Ci of Ti and RE CE
8 0 1 3 e / Permit No.: j - �t,�
City g Date /By 1 � � _i 5
n 13125 SW Hall Blvd., Tigard, OR 91� Plan Review
Other Permit No.: �I n --
; - Phone: 503.639.4171 Fax: 503.598.1960 Date /By: "-'PfJ 5-000;4
`� Inspection Line: 503.639.4175 CITY OF TIGARD i ons 0 See Page 2 for
TIGARD p Date Ready /By: t.
. Internet: www.tigard or.gov Notified/Method: Supplemental Information
BUILDING DIVISI 4
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1 dwellings (includes 100 ft. for each utility connection)
' ' CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
® 1- and 2- family dwelling ❑ Commercial /industrial
SFR (2) bath 437.78
SFR (3) bath I 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: 13982 SW Walnut Creek Way Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City /State /ZIP: Tigard, OR 97223
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.: 031 Fixture or item
Tax map /parcel no.: 2SI04BB 11400 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
Primer 12.51
Contact name: Steve Lucas
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 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
Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Minimum permit fee: $72.50
CCB Lie.: 112220 Plumbing Lic. no.: 26 - 824PB Plan review (25% of permit fee)
•
State surcharge (12% of permit fee)
Authorized signature: ' �T/ � c , kl TOTAL PERMIT FEE I
Print name: Gloria Hawes �'�/ / `u Date: 4/5/2013 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.
Mecha Permit Appl It
i -FOR OFFICE-USE ONLY •
City of Tigard APR 0 2013 Date/Receive d 7 / 5 � Permit No: 1..../. /V 2 �Q FO
- v 13125 SW Hall Blvd., Tigard, OR 97223 n y ( �/ r
IL
Phone: 503.639.4171 Fax: 5036 J� TIGARD Plan Review
Date/By: Other Permit: �l -C g
TIGARD Inspection Line: 503.639.4175pI I ILDIIVG DIVISION Date Ready /By: Juris: 0 See Page 2 for
Internet: www.tigard or.eov D l! 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: $
® I- and 2- family dwelling 11 Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi- family ® Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 13982 SW Walnut Creek Way Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) I 46.75 46.75
Suite /bldg. /apt. no.: , Project name: Walnut Creek Furnace 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.: 031 Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: 2S104BB 11400 Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32 23.32
Gas fireplace I 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
Single -duct exhaust (bathrooms,
Phone: (503)620 - 8080 Fax: (503)589 - 8900 toilet compartments, utility rooms) 5 23.32 1 16.60
® 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.
Gas heat pump
City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Water heater I
Fireplace I
E - mail: slucas @legendhomes.com
Range I 14.15
CONTRACTOR Barbecue
Business name: Tri County Temp Control Clothe 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) 1
CCB lic.: 72623 State surcharge (12% of pennit fee) 1
TOTAL PERMIT FEE
Authorized signature: L._ 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 v D ate: 4 /5/2013 • Fee methodology set by Tri - County Building Industry Service Board
Ekkctrical Permit Applic i1, G FOR OFFICE USE ONLY
q 1111 . City of Tigard • EIVED D ate /B d t /3 Permit No. / 3 -1)00 ,„„5 13125 SW Hall Blvd., Ti ard, S y ,J �/yyG
g Plan Review (, �! v c)
Phone: 503.639.4171 Fax: 503. Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 2013 Date/By: Date Ready /By: tuns ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
IGARD
TYP ba1 n 1 1 ON PLAN REVIEW
® New construction ❑ Ad t era Ion rep acement 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
® 1 - 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
JOB SITE INFORMATION AND LOCATION ❑ Emer system. larger separately derived system.
❑Addition of new motor load of ❑ "A "E ", "I -2 ' l -3",
Job no.: I Job site address: 13982 SW Walnut Creek Way IOOHP or more. 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.: I 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 I Lot no.:031 1,000 sq. ft. or less I I 168.54 168.54 4
-
Ea. add'I 500 sq. ft. or portion 4 33.92 1
Tax map /parcel no.: 2S104BB 11400 Limited energy, residential
I 75.00 75.00 2
DESCRIPTION OF WORK (with above sq. fi.)
Limited energy, multi - family
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
® PROPERTY OWNER I ❑ 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 I 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 I ❑ 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 I 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
Business name: Garner Electric 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 I Fax: (503) 642 - 7925 Industrial plant (I hr min) 78.18/ hr
Inspections for which no fee is 90.00 / hr
CCB Lie.: 121159 I Electrical • • l . -305C I Suprv. Lie.: 3707 -S specifically listed (1/2 hr min)
— ELECTRICAL PERMIT FEES
Suprv. Electrician signature, require : Subtotal:
Plan review (25% of permit fee
Print name: Chuck Garner �� /2013 ( p ) _ —
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
1111 -9 Building Division
Development Code Provision Review
T I cA ° esidential Projects
Building Permit No.: M 7Tao , - OoO 5
Project /Subdivision Name: I,3 /L/0 Lc i � �� E /4 fir/ , Lot #:
Site Address: / 9 g 3-- 5 w LLD&L/J ITT (-L/4 k >c4
CWS Service Provider Letter:
Required: Yes ❑ No Fr
Received: Yes ❑ No
Plans Routed:
Original Plan Submittal Date: 4 / Routed By: C�
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2 Revision Submittal Date: ❑ Site Plan Only Routed By:
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 only if approved.
Planning Review (contact � , . '� R � C Z at (503) 718 -z �� 42 or �r(c (- @tigard-
or.gov)
Land Use Case No. S',72 ( t- - "MAD �
Zoning
l S etbacks: c ,
Front } Rear ID /1 Side Street Side N I Garage 20
L Maximum Building Height: °"� l Actual Building Height 2.1 A
❑ Visual Clearance cal /-PC
Lir Easements
I ensitive Lands Type: L5 \ s; NO f)i); �; 4'
I 'Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved Not Approved ❑ Date: lg.
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope: cyo
Notes:
Original Plan: Approved,Zr Not Approved ❑ Date: 4 /9/13
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 �: _ N. ❑
Date Routed to Building: 111
1
Page 2 of 2
I: \CURPLN\ Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
PLOT PL_ AN 04/05/13
LOT X31 WALNUT CREEK RECEIVE 0 S 2013
__,___.__
______.
13952 SW WALNUT CREEK WAY
NE 4 SECTION 4, T. 2 S, R.1 W, W.M. CITY OF TIGARD 1" = 20' -0"
CITY OF T IGARD BUILDING DIVISION'
WASHINGTON COUNTY, OREGON
07""‘"7""- LE IH: ND
1e lo HOME S
a1 Img, 12755 601h AVE. OFFICE (609) 620 -0000
Q f 1�::1O10 EurrE loo Pa (609) 608 -0000
(� PORTLAND. OR. 07229 CCTV 56151
N
W
W --- - -- WATER LINE
- SANITARY SEWER q �' `` W
SS w
SD - -- - - -- STORM DRAIN ' `
o O EROSION FENCE CU S � '4L• N U T ` 1,
q - q OF STREET
10 WATER METER � � C �� Kr
5/0,... 235 �� _ _ / �
_
MANHOLE ' - W,4 2 4 ) / - '-
P U
® CATCH BASIN K • , � 3
B� S ,'
PROPOSED d 832 0 0'
• i � / STREET TREES N 2.4 °:
STREET LIGHT STREET TREE: \ N 2 .8' ` 2 33
lir FIRE I- IYDRANT CHANTICLEER PEAR 5 .5.3 , / ` , mil_ , � c� � .
yY0 2 "Caliper :'—
235.1' 00 �
PROVIDE EROSION �� j� / • l . r 234.3' ..re
/
CONTROL FENCE / /.\ / , ' ` •/ (
PER COMMUNITY / fi / / *.
EROSION PLAN • / / % 4.
LOT w / �� 0 � ,
rv / � � � 233.5'
• / / 0 ., / / /�j'ii./
S LOT �3I� / /' I/
23
/3,115 E T // / +1� LOT
235 / / SPR R.236.0' j N / � LO
\ / GAR FLR %234.5' r 30
s.6
//// / � / / // 1
2 35 I' �•` �// /
/ //� �j
8, (p // / / , 234 I
P US - ,y _ , �
El'4 - � 4. Z •�• - iii -� _ 2 34
1p,„
235_ , •.77 2
Rg •% -` 34
5w , /I
e rs r �� -r
\ .
SETBACKS :
FRONT YARD = 15 FEET
GARAGE = 20 FEET
REAR YARD = 15 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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
310 Crawl drain
05/30/2013 00:00
MST2013-00083
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
210 Foundation walls
05/24/2013 13:00
MST2013-00083
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
340 Storm drain
05/30/2013 00:00
MST2013-00083
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
205 Footing
05/24/2013 13:00
MST2013-00083
PASS
Ufer Tagged
Setbacks as per approved set of plans
(Builders stakes/string lines used to verify)
Erosion Approved
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
210 Foundation walls
05/24/2013 13:00
MST2013-00083
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
225 Post/beam structural
06/05/2013 00:00
MST2013-00083
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
505 Sanitary sewer
05/30/2013 00:00
MST2013-00083
PASS
3" tested
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
330 Water service
05/30/2013 00:00
MST2013-00083
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
13982 SW WALNUT CREEK WAY, TIGARD, OR,
97223
Residential - Master Permit
205 Footing
05/24/2013 13:00
MST2013-00083
PASS
Ufer Tagged
Setbacks as per approved set of plans
(Builders stakes/string lines used to verify)
Erosion Approved
Violation Summary:
Inspector Contractor
s 13 -c-cro 8'3
:71 °. m ,
STREET TREE
TIGARD CERTIFICATIIN
a v k U l / tI4 , owner/agent or e
gf •
(PLEASE PRINT) (PERMIT OLDER)
do hereby certift 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.: o 13O(o3
ST1 E ADDRESS: l 3: 1 Z k1 jIqhiiifCee/.f1,1�
SUBDIVISION: u;1 reek LOT#. 3 l
SIGNATURE: ,/j,� � , ,,: ..4 DA"1 IJ:
, 3
WNER/AGENT)
RECEIVED &
VERIFIED BY G;.,� DA 1 E: /a/q//.3
( ITYOFTI )
❑ Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012
�a13 - c�.)-c ca-3
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Allay .5v il 1111101 , am the general contractor or the owner-builder
at the following address:
Site Address: 13 a SW , i 6rid /4,67
-City:- �q -:
' a'y
Permit#: l 600 0 D 3
Subdivision/Lot#:
and/or
Map and Tax Lot#:
To conform with the 2008 Oregon Residential Specialty Code(ORSC), Section R318.2 and
OAR 918-480-014.0, 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: /1/ -4 1- Date: iO/i d 3
Gene'.:1 Co u actor or O^'"f-:ui1 r er
I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/98 -
acs 3 - a 3-3
Mark Sullivan
From: GLENN C WAER [gbopwaer @msn.com] /� �
Sent: Friday, September 13, 2013 11:40 AM i3 .0°""
To: Mark Sullivan; Mike Goodrich; Carol Eisenlohr
Subject: WC 31- Final inspection
Inspection Date: 9/13/13
Project Address: 13982 SW Walnut Creek Way
Energy Path: ETO
Path measures: Pass
• Duct test: Pass
Maximum CFM allowed: 134
Test results: 83
Thermal Enclosure Check list: Pass
Blower Door test: Pass
Maximum ACH allowed: 5
Test results: ACH = 2.8 ELA = 47.55 SQ IN
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
AA. 5 T-7., 3 -du-6 a 5
Oregon Residential Specialty Code N1107.2
HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: �D0 Jurisdiction: -Ti Q rd
Site Address: 1 :56 *1 ski k/A I t ) 447
Subdivision/Lot#: r ^ a / /-/- 3/
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)1
Signature: JI B Lu! ji.: 1 AA 1
/ Date: /v i/h 3
Owne/Gen-:al Contract oruthorized '-`gent
Print Name: Pghek - u//0 VA h
1 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 fmal 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.
I:\Building\Fortes\RES=HighEfficiencyLighting.doc 07/01/08
s , 013-68
$ JB INSULATION
S / Sp,.„,( m•krddenria!
H� Conun:abl•1ln,w Wenthrrlmdon
'Sou 19;9'
14255 S.W.Galbreath Dr.,Sherwood,OR
Phone(503)625-9700-Fax(503)625-9730
Certificate of insulation
Contractor: LEGEND HOMES
Job Name: WALNUT CREEK LOT 31 -SPRUCE B Job Number: JB-29576
W/GARAGE OPT
Job Address: 13982 SW WALNUT CREEK WAY Customer ID: 5EG
Contractors Telephone: 503-620-8080
20-8080
Proposal Number: BD-29576
City: TIGARD State: OR Permit Number:
Product Location
SILL SEALER SILL SEAL(20)
R-21 high density unlaced batts at rim joists
FSK Facing at rim Joists
Baffles at save vents
CAULK Air sealant package
Foam No Expand Window&Door Polycel/Chink
R-38 unlaced belts at vaulted ceiling with poly
R-38 unlaced baits at overhangs
3.2"Rigid at knee walls
R-19 unlaced batts at garage exterior walls
Blown-In Fiberglass R-49 In attic over living space
•
prep at attic accesses
Foam No Expand Window&Door AIR SEAL CAN LIGHTS&BATH FANS
Blown-In Fiberglass polar blanket 2x6 exterior walls 9'
Blown-in Fiberglass polar blanket 2x6 exterior walls 8'
Blown-in Fiberglass polar blanket 18°GARAGE CEILING
THERMAL PLY 4X8 EXTERIOR WALLS
R-38 unlaced batts at post&beam after deck 32"
•
prep at crawl accesses
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE
�. ELLULOSE JAR-Value Thickness Bags Footage
�i NAUF JETSTREAM ATTIC OF HOUSE >1/M� t(-P•''�5 '� t12c
••WENS-CORNING PINKPRO ATTIC OF GARAGE 1�'
ERTAINTEED IN` LSAF
Authorized Agent AIl�lrl��r�iC c/ Date: W f
•
"The higher the R-Value t e grea er the Insulating Power.Loose fill Insulations vary In thermal performance due to factors such as aging,
mean temperature,conviction,moisture absorption and Insulation variation.
Page 1 of 1