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Permit - q CITY OF TIGARD jp MASTER PERMIT 11/41 I COMMUNITY DEVELOPMENT I Permit#: MST2413 00159 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439 �i Date issued: 09/17/2013 Parcel: 251038010600 Jurisdiction: Tigard Site address: 12240 SW WALNUT ST Subdivision: 2007-085 PARTITION PLAT Lot: 2 Project: Mason Partition, Lot 2 Project Description: New SF. 3/13/14, reprinted to add backflow preventer for irrigation BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 4 First 1134 sf Basement 0 sf Left 5 Parking Spaces 0 Height 28 Bathrooms 3 Second 1509 sf Garage 408 sf Front 20 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total 2643 sf Value 5304.553 25 Rear 15 PLUMBING Sinks: 1 Water Closets- 3 Washing Mach 1 Laundry Trays. 1 Rain Drain 1 Urinals: 0 Lavatories' 5 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 1 Footing Drain 0 Ice Maker: 1 Hose Bib' 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 Furnc100K 1 Vents 0 Woodstoves 0 Gas Outlets 4 F urn?=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeder Branch Circuits 1000 sf or less: 1 0-200 amp. 0 0-200 amp 0 W'Svc or Fdr 0 Ea add'500 sf: 5 201-400 amp 0 201-400 amp: 0 W/O Svc/Fdr 0 Mfd HomeiFeederlSvc: 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. Ecompasmg Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2643 Owner: Contractor: LEGACY HOMES INC LEGACY HOMES INC Required Items and Reports(Conditions) 18025 SW BROOKMAN RD 18025 SW BROOKMAN RD 1 Ersn Cntrl 503-639-4175 SHERWOOD,OR 97140 SHERWOOD.OR 97170 PHONE PHONE 503-544-6783 FAX: Total Fees: $21,059.10 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 952-001-001 r OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by call in 5 232 1987 or 1'1120 332 2344 ........ sj) Issued Byt a`"�`-` 1 ` "-n Permittee Signature 1-t7 rr—e_c....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. Plumbing Permit Application Site Utilities FOR OFFICE USE O\I.1 City of Tigard Re` Pumtl Nu. 14, • 13125 SW Hall Blvd.,Tigard,OR 97223 [Jae Li) ST 20/3. �5� 11 ' Phone: 503.718.2439 Fax: 503.598.1960 Plan Re"ew Otter Penns No Inspection Line 503.639.4175 Da T I G A R O Date is Re Ready/By. Jw n 0 See Page 2 for Internet: www.tigard-ar.gov Notified/Method: _ _ Supplemental informatioa TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For s eclat in ormarlon use checklist Description Qty. Ea. "total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 H.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accessory g ❑Multi-family Each additional batlukitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.It) Page 2 1011 SITE LNFORMATION AND LOCATION Site utilities: Job site address: 12240 SW Walnut Street _Catch basin a area drain 18.76 City/State/ZIP:T igard OR 97223 Drywell,teach line,or trench drain 18.76 Suitt Fooling drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it_) Page 2 Storm sewer(no.linear ft.:_, Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.:2 Fixture or item: _ Tax map/parcel no.:25I3BC10600 Backfluw preventer 31.27 DESCRIP11ON OF WORK Backwater valve i1\ 12.51 Install Backilow Clothes washer 25.02 ;---- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: - Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) lee maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Legacy Homo Inc Medical gas(value:$�) Page 2 Contact name:Brad Miller Primer 12.51 Roof drain(commercial) 12.51 Address: 18025 Sw Brookman Road Sink/basin/lavatory 25.02 City/State/ZIP:Sherwood OR 97140 Solar units(potable water) 62.54 ■ -4 Phone:(503.)544-6783 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:bradkagacy,a)gmail.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: P NA-.t 1 ■+.Y"N.I0 i Y\r� Water piping/DW'V 56.29 Address:1 5 b 0 5 1 :Lek, t` P,c Other: 25.02 City/Statc/LIP:C)c n J�`1 I o y Subtotal Phone:(5 C-3)b 5 1 - 5,11 c5�� Fax:( ) Minimum perms fee: $72.50 4 Plan review (25%of permit fee) CUB t.ic.: 0 4 -� , (3 Plumbing Lic.no.:Q L 7 t.D o- - -- If State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I Print name" �� L _ Date?) . I ly This permit application expires if a permit is not obtained within IMII4111 r t f`� t after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board l:ltluildinatP i sI'I,MU•PermiiApp.doe 10r0I105 .40A6161(t0/021COMAYL•B} CITY OF TIGARD MASTER PERMIT ill : s : COMMUNITY DEVELOPMENT Permit#: MST2013 00159 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2013 Parcel: 2S103BC10600 Jurisdiction: Tigard Site address: 12240 SW WALNUT ST Subdivision: 2007-085 PARTITION PLAT Lot: 2 Project: Mason Partition, Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories' 2 Bedrooms 4 First. 1134 sf Basement 0 sf Left: 5 Parking Spaces 0 Height 28 Bathrooms: 3 Second 1509 sf Garage 408 sf Front 20 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total 2643 sf Value $304,553 25 Rear. 15 PLUMBING Sinks' 1 Water Closets 3 Washing Mach 1 Laundry Trays 1 Rain Drain 1 Urinals 0 Lavatories 5 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 Types Air Conditioning Y Vent Fans: 5 Clothes Dryers 1 Natural Gas Heat Pump N Hoods. 1 Other Units 0 Furn<100K 1 Vents 0 Woodstoves• 0 Gas Outlets 4 Furn>=100K 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders_ Branch Circuits 1000 sf or less. 1 0-200 amp 0 0-200 amp 0 W/Svc or Fdr 0 Ea add!500 sf 5 201-400 amp: 0 201-400 amp 0 W/O Svc/Fdr 0 Mfd Home/Feeder/Svc 0 401-600 amp' 0 401-600 amp 0 601-1000 amp 0 601+amp-1000v 0 1000+amp/volt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo' N HVAC' N Secunty 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 2643 Owner: Contractor: LEGACY HOMES INC LEGACY HOMES INC Required Items and Reports(Conditions) 18025 SW BROOKMAN RD 18025 SW BROOKMAN RD 1 Ersn Cntrl 503-639-4175 SHERWOOD,OR 97140 SHERWOOD,OR 97170 PHONE PHONE 503-544-6783 FAX Total Fees: $21,024.08 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`or direct questions to OUNC by calling 503,232 1987 or 1 800 332 2344 Issued By: - _ - �� Permittee Signature: Ca . .• 9.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. } • Building Permit Application % Residential a FOR OFFICE USE.'ONLY. II ;i City of Tigard JUN 2 8 2013 Date Bvd ,2, /3'' ,•1A� Permit NA 4,2 a/?.,.0o159 13125 SW Hall Blvd,Tigard,OR 97223 Plan Re Phone- 503 718 2439 Fax 503 598 1960 CITYOFTIG�\RD Date/B AMER:PM Other Permi cVe,24/3 /y7 TIGARD, Inspection Line- 503 639 4175 iT qtr 1'7r /� ,Date ReadyBy GA on ® See Page 2 for Internet www tigard-or gov LIILDl1 ��Y SJ�LJI Nohfie� ethod a ���`r� Supplemental Information IMO, dI ;M'' — TYPE OF WORK • QUIRED 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 dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated On this application. 0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ i - ,_0-$ Accessory building Number of bedrooms: .4._. ❑ ry g ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of tloors: 2 Job site address•0,9903W Walnut Street New dwelling area: VAJ square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ,/11SerA/ Ays-g_77 77 6 pj Covered porch area: square feet t Cross street/directions to job site: Deck area: s I, square feet Other structure area: ; square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:Loth Permit fees*are based on the value of the work performed Tax map/parcel no.: R2158855 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New Residential home Existing building area: square feet New building area: square feet ® PROPERTY OWNER • ❑ TENANT Number of stories: Name:Legacy Homes,Inc Type of construction: Address: 18025 SW Brookman Road Occupancy groups: City/State/ZIP:Sherwood !1 t2N CA1 j Li 0 Existing: Phone:(503)544-6783 Fax:(NA) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please iefer t edulee Business name: Structural plan review fee( r deposit • 2,5-0,,,T) Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax: :( ) mount rerr P E-mail:bradle ac mail.com PH OLTAIC SOL PANEL SYSTEM ES g yg mmercial : d residential prescriptive inst, anon of CONTRACTOR oof-top mount-' PhotoVoltaic Solar P. . System. Business name:Legacy Homes,Inc. Submit two(2)sets I f roof plan with • nection details and fire department ac : s,along .t the 2010 Oregon Address: 18025 SW Brookman Road Solar Installation Specialty..de ecklist. my/State/ZIP:Sherwood,OR 97170 Permit Fee(includes pl r w and administr. ive fees): { Phone'(503)544-6783 Fax (NA) tate surcharge(12% permit fee): / �' CCB tic.: 163208 ,9/(y ijr otal fee d = .ion application: _ Authorized signature: / Aff`l� This per ' application expires if a permit i not obtain within 180 s after it has been accepted a. com e. Print name: Brad Miller Date:06/20/13 *Fee methodology s Tri County Budding I • Service Board. 1.1Bmldmg\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(II/02/COM/WEB) 0 . Plumbing Permit Application _ Building Fixtures l _I1 HE .JL 3 ) FOR OFFICE,USE :01NL1 City of Tigard Received Permit No/-117,204.3__e DateBy 0 j� - a 13125 SW Hall Blvd,Tigard-OR 97223 U I! 2 1) 2!. ,.`: Phone. 503.718 2439 Fax 503 598 1960 Plan Review Other Permit No DateBy T I GA R D Inspection Line 503 639 4175 CITY OF GAiR U Date Ready/By ions la See Page 2 for .- Internet- www tigard-or gov 1,11;1 '1 1/'+ ni',un:n., Notified/Method Supplemental Information t✓V aL.J1I1 i}7 1.111%J L/!LJ; 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 I-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accessory building SFR(3)bath ( 500.32 ❑ ry ildin g ❑ 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:/AA/0 ;W Walnut Street 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.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18 76 Rain drain connector 18 76 Sanitary sewer(no linear ft.• ) Page 2 Storm sewer(no linear ft: ) Page 2 Water service(no linear ft.. ) Page 2 Subdivision: Lot no.: )- _ Fixture or item: Tax map/parcel no.:R2158855 Backflow preventer 31 27 `DESCRIPTION OF WORK Backwater valve 12 51 Clothes washer 25 02 New Residential Home Dishwasher 25 02 Drinking fountain 25 02 Ejectors/sump 25 02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/tloor sink/hub 25.02 Address: Garbage disposal 25 02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25 02 Business name: Legacy Homes,Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Brad Miller Roof drain(commercial) 12.51 Address: 18025 SW Brookman Road Sink/basin/lavatory 25.02 City/State/ZIP:Sherwood,OR 97140 Solar units(potable water) 62.54 Phone:(503)544-6783 Fax::( )N Tub/shower/shower pan 12.51 E-mail:bradlegacy @gmail.com Urinal 25.02 - CONTRACTOR Water closet 25.02 • Water heater 37 52 Business name:ATI Plumbing Water piping/DWV 56.29 Address: 15630 S Bradley Road Other- 25.02 City/State/ZIP:Oreogn City,OR 97045 Subtotal hone:(503)657-5375 Fax:(503)650-7831 Minimum permit fee $72 50 ��Gy J97O — — -7/ Plan review (25%of permit fee) CCB Lic• 70 � g/1.4 /$y Plumbing Lic.no.:26-509PB /// State surcharge(12%of permit fee) Authorized signature: U TOTAL PERMIT FEE Print name:Time Foote Air Date:6 5 Z.0/4- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board 1-\Bwlding\Permits\PLMU-PermitApp doe 10/01/09 440-4616T(10/02/COM/WEB) 1 Mechanical Permit Applicatioaj) IA;T' FOR OFFICE use ONLY City of Tigard 3] ; r Dst&Bya Permit No 1`-(h r -DU 13125 SW Halt Blvd,Tigard,OR 97223 Date By Er Plan Review Phone. 503 718.2439 Fax 503 598.1960 JIJL 2013 Date/By Other Pcnnir TIGARD Inspection Line. 503 639.4175 Date Rcady/By. ions El See Page 2 for Internet www.tigard-or gov O 1 w NonfediMethod Supplemental Information raa t+n*'"bl1,, 11finIMI TYPE OF WORK-11,'S" r--i n t c' ' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work I ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical matcnals,equipment,labor,overhead,and profit Value $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling El Commercial/industrial El Accessory building For special information use checklist El Multi-family ❑Master builder ❑Other: Description I Qty Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning I 1 46.75 Job site address:/Jaye SW Walnut Street Furnace 100,000 BTU(ducts vents) I 46.75 { City/State/ZIP:Tigard,OR 97223 Furnace 100.000+BTU(ducts/vents)cis/vents) 54 91 M ` Heat pump 61 06 Suite/bldg./apt.no.. Project name:l `G1S c'11n PQ 1''T3 i'., Q h Duct work 2332 Cross street/directions to job site: I lydronic hot water system 23 32 Residential boiler(radiator or hydrontc) 23 32 Unit healers(fuel-type,not eleetne). in-wall,in-duct,suspended,etc. 46 75 Flue/vent for any of above 23.32 Subdivision:R2158855 ! Lot no. Other 2332 >' Other fuel appliances: Tax map/parcel no.: Water heater ( 23 32 DESCRIPTION OF WORK I Gas fireplace/insen I 33.39 Flue vent for water heater or eas New Residental Home - Install IIVAC fireplace 23.32 { Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/Iluc/vent 23.32 ❑ PROPERTY OWNER 1] TENAN' Other: 23.32 Environmental exhaust and ventilation: Name' Runge hood/other kitchen I equipment 1 33.39 Address. Clothes dryer exhaust I 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, ' toilet compartments,utility rooms) '� 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans I 23 32 ❑ APPLICANT ❑ CONTACT PERSON Other , 23 32 Fuel piping: Business name:Legacy Homes,Inc. S14.15 for first four;S4.03 for each additional Contact name.Brad Miller Furnace,etc i Address: 18025 SW Brookman Road Ga hca[pump ' Wall/suspended/unit heater City/State/ZIP:Sherwood,OR 97140 Water heater 1 f Phone:(503)544-6783 Fax::INA) Fireplace I I Range 1 E-mail:bradlegacy!dgmail.com Barbecue I CONTRACTOR ; Clothes dryer(gas) Business name: C 5 s k ��.. •. n C Other i� MECHANICAL PERMIT FEES" Address: P O 30x. Lt 5 9 O Subtotal City/StateiZlP: i�.J c3 c• t Vl ' 1� c -j Q Q c I Minimum permit fee($90 00) I Phone:L..5(: )3 . Fax ( ) Plan review(25%of permit tee) (O y State surcharge(12%of permit fee) CCB lic: I—t(0 V 3 ' . .iR i '1. '1 ! -- TOTAL PERMIT FEE % This permit application expires if a permit is not obtained within 180 { days after it has been accepted os complete. Authorized signature: • Fee methodology sct by Tn-County Building Industry Service Board Print name: 0Oy c�:t IC)K c S Date: I•,Building'Pennit•AIEC_Permu pp_040113 doe 440046171 I1 IArUCOtt/WEa) Electrical Permit Applicati-m ` 9•t't .J:rz y- .-` - _-. - _�.TOR'OFE!IGE`iusE o')1( , . ' • e� :: city of Tigard Received Permit Np�fJ _ O L . 5 I 0, ri q Dat=JBy• ��� D ,,I ° 1312=SW Hall Blvd.,Tigard,OR 97 V © 6-1)1J Plan Review Phone: )03.718.2439 Fax: 503.598.1960 Date/By' OmerPerunr T 1G lKD Inspection Line: 503 639 4175 3 1 t i 3 Date Ready/By tuns El See Page?for ___-_-__ Internet www.tigard-or.gov UP/ t' r'"'t~' °' Notified/Method Supplemental Information - P,1VIrmlr,nuk.fi'n:e-vI r -`'..mob.c ar.;4_:-i - - --- - _ . :�. .... . ... .. .. •=- =" �E_OFWORK�,._,. .t.- '- _ - _ : = -_ - _ .- PLAN- . 7tEY 1EtiV•',. '--, ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items clucked 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 14000 ❑Commercial-use agricultural -- — - -© 1-and 2-family dwelling ❑Commercial/industrial li Accessory building amps for all other installations buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or _ - ❑Emergency system larger separately derived systein - JOB.SITE L�1FOR,ti1ATION': `D LO_CITION-= -- ` -- , = , . -. ❑Addition of new motor load of ❑ Job no.: Job site address:L?9 )1W Walnut Street lOOtiP 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.: Project name: ❑Service or feeder 600 amps or more. i .FEE-SCHEDULE:: Cross street/directions to job site: Description I Qtv. I Pee. I Total I ' New residential single-or multi-family dwelling it. Includes attached garage. ^�Q;5 9 9f: 1,000 sq.ft.or less i 168.54 I a Subdivision: LOC n0. '� Ea.add'I 500 sq.tt.or portion S 33.92 l Tax map/parcel no.:R2158855 Limited energy,residential 75.00 2 ..'' •"- - - 'DESCRIPTION-OF;WORK")- . : (with above sq.R.) Limited energy,multi-family 75.00 2 New Single Family Home. Low Voltage residential(with above sq Il) I Re-Delia bleEnerny - - ❑ See Page Y" Services or feeders installation,alteration,and/or relocation am ": __ ❑-PROPERTY OWNER- --- _ I �. - -._ `; D- -- • _ `� _ 200 Ps or less 100.70 2 201 amps to 400 amps 133.56 12 Name- i 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552 26 12 City/State/ZIP: Temporary services or feeders insttllatiao,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59 36 I I I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 intended for sale,lease,rent,or exchange,according to ORS 447,449;670,and 701. 401 amps to 599 amps 168.54 r Owner signature: Date: Branch circuits-new,alteration,or extension,per panel _- - •.a APPLICANT . - ❑',.CONTACT_PERSON:" A.Fee for branch circuits with l above service or feeder fee, , Business name:Legacy Homes,Inc. each branch circuit 7.42 _ B.Fee for branch circuits without Contact name:Brad Miller service or feeder fee,first 56 18 branch circuit Address:18025 SW Brookman Road Each add'l branch circuit 7 42 12 City/State/ZIP:Sherwood,OR 97140 Miscellaneous(service or feeder not included) Each manufactured or modular 67 84 , Phone:(503)544-6783 Fax::(Na) dwelling service and/or feeder - Reconnect only 67 84 2 E-mail:bradlegacy@gmail.com Pump or irrigation circle 67 84 2 CONTRACTOR = ( Sign or outline lighting 67 84 2 Business name:Garner Electric Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:2920 SE Brookwood Avenue Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Hillsboro,OR 97123 Investigation(I hr min) 6625/hr ' hone:(503)648-4552 :33) �2 25 Industrial plant(1 hr min) 78 I S/hr � / Inspections for which no fee is 90 00/hr CCB Lic.: 121159 f/i(/I o/Electrica ic.: A0 �n�rv.Lic: 3701 specifically listed(%hr min) L F I 3 ' .-a f�,////3 - ELECTRICAL PERMIT"FEES- - Suprv.Electrician signature,required o,; f L Subtotal' e Print name: Chuck Gamer Date: 06/20/13 Plan review(25%of permit fee)' State surcharge(12%of permit fee). Authorized signature: 7 (/` A TOTAL PERMIT FEE: Print name: - 2 ti v Date: 6 /=f/,'C This permit application expires if a permit is not obtained within 180 '/ !! days after it has been accepted as complete_ • Number of tnspectioas allowed per pemut I\Buirdin5\PermitokELC_PermoAOP_ELR BEE doe Rev 0521/2013 4414615T(I I/05/COMWLn _ r 4 lig B uilding Division ic' ) '''' ):10\1,40 Development Code Provision Review i TIGARD Residential Projects y Building Permit No.: I-a-- 90 C6—-- 6 0 15 5 Project/Subdivision Name: )`t P1 5cl n) PP)R-TI TI o 1 , Lot #: Site Address: I - -/o t.z 1-0,4t_IJ ,,>- CWS Service Provider Letter: Required:Yes ❑ No El Received:Yes ❑ No Plans Routed: / Original Plan Submittal Date: 644 l 13 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd 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 at(503) 718- or @tigard- or.gov) Land Use Case No. Zoning ❑ Setbacks: Front Rear _ Side Street Side Garage ❑ Maximum Building Height: Actual Building Height ❑ Visual Clearance ❑' Easements ❑ Sensitive Lands Type: _ ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved ❑ Not Approved ❑ Date: 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 41 Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov) ❑ Actual Slope: Vo Notes: Original Plan: Approved ❑ 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 ❑ No ❑ Date Routed to Building: Page 2 of 2 1:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 MST2013-00159 12240.SW Walnut St Workflow Task Status Date Action By _ Comments _ Building Review Notes 6/26/2013 Dianna Howse Prior to permit issuance conditions under MLP2003-00020 and ENG2006-00120 must be completed per Albert Shields parcel condition dated 2/26/2009. Application Submittal Route 6/26/2013 Dianna Howse Permit Coordinator Review Revision 7/2/2013 Albert Shields Email to applicant re revisions. Planning Review Revision 7/2/2013 Agnes Kowacz All conditions of MLP2003-00020 shall be met prior to issuance of building permit. Engineering Review Revision 7/2/2013 Mike White water meter service is located on SW Walnut on the right side of the driveway. Show the sanitary sewer lateral and main line. (drawing is provided in packet). Revisions Route 7/16/2013 Debbie Adamski Revised site plans Planning Review Approve 7/22/2013 Hap Watkins Permit Coordinator Review Approve 7/23/2013 Albert Shields Engineering Review Approve 7/23/2013 Mike White 4 • • WATER METER K LEI ED EXISTS O 4 WALNUT 8T. I 4..smARK J'L`; = STREET TREES JUL 16 201.�1 7r 2' SUNSET MAPLE ,14. 1 CITYOFTIGARD $DESIGN T RT TS BUILDINGDIVISIO■V 09 ry�fr \ 8.85' I� O% ■ S 34°01'30" E s 1'"6- lop L 17.63' 9 I��"r 1 \ R = 10.50' 34�Nw en+Ave ry�y �.� \ F oRrLAND,OR OTeos I I ( f }\ ) . (503)8858311 P ' f I \\ , (503)519,4132 F e, 9.',.1.0160'3 �\E f Y www.markstowart.com ®• \ / f /\ MOWN cowrwoL 0 /°1 3g';,r/ ' \\ fI i \\ ��e I. ,� \\ \ $ / \ / / \ \ ` � \ 21.00' I •- \ Gs\\ens \\ � 4 /V.�-' / \�ryiti \ S 55°58'30" W : \ \,IL.,_, /---1..... _ ‘ /1 \ k- 3� \ \\ ^ 0 le'tea ` . s \\ i a; \ �:: 15.00 \ • \ b 's,. N 21°37'44" W . •FP.•2tam ; �� \ ��\ c!i \ c il •4m,\ 6 \ .- \\ \ �` , .\ \ AIL ,0 ,r., \ I ...'■ 0 oolo \ \ \ 1 \ '\ \.• , .-'.- Olt A I \ ° \ 1 1 CA\N.s � ti- k,,$ \\I / \* I Stock Home Plane ,yQ� �`.I. ``````\` - /fi \ ��1 I I\ ` \\ Custom Design I°di., \�i `�1. 0 i \\ ``\ ■\\\ �� L = 39.63' 3.00' Milder Marketing - l- f / ► \\\ \ \\ S 00°05'40" E Interior Design 1.7*-1 I ------\---- 0) fi 0 I \ \\ ) `\\\ N R = 40.50' c\i�1 t % • I I I \\ I )46 Since 1982 Q _ :,���.•�� • / I I �'R\\r I rib/ 4_. , 155. • /_ I b/ • r _• `_1_■ f 0 141"C tert o dingo horeln S 89°54'20" W ` I =i� : Ir, T• .r.........,=,,.1... 4" 6 Isparta*DtNalwle+a Flame Ilea& ti`lD 1. tit- rr rr r r e. V.0 •"M 1 MD rassu r a r ar 111"girt w u wra Me rrrM r•l* rr r. 7.=2""•" " e m Plat r yds oll pentais vOWS n A r =Rt."�P11wI \to OOF .1I X w,_,_r°ly a w r wwnw,w I owl-Fr w..r•. wipw.wp S. W. WALNUT ST. .r w r Ary mods w A7 an. NW INAIM PARCEL #2 LEGACY HOMES SCALE: 1/16 "=1 '-0 " � ' % ., ,i i,, Y fj:u JOC13 A� SITE • • 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 12240 SW WALNUT ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-03-17 00:00:00 MST2013-00159 PASS Violation Summary: Inspector Contractor STREET TREE TIGARD CERTIFICATION owner agent or l'elAy� �a g f(PLEASE PRINT) (PERMIT HOLDER) do hereby certifil 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.: /3.-��� SITE ADDRESS: / diAlo.,- S jt f -rZ SUBDIVISION: LOT#: SIGNATURE: °WI/4 DA1 E: (OWNER/AGENT) RECEIVED d� VERIFIED BY G DA1 E: 30a7/9 CITY F TIGARD Tree location verified per approved site plan. i I:\Building\Forms\StreetTreeCertificate 05/30/2012 ti Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Z©13_bo /S 9 Jurisdiction: l.4�� Site Address: /7296 A w 4-/mAr -Si- 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)1 Signature: Date: //. 4.1. O / Own r/Genera Contractor/Authorized Agent /' ///1/ Print Name: /1/K /d'(/ / y 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 o 40 lumens per input watt. 1:\Building\Forms\RES-HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 9� At , am the general contractor or the owner-builder I at the following address: Site Address: fa</e Sw % City: "7/T.4,#1 Permit#: 203- 40/59 Subdivision/Lot#: ,2 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 8318.2 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: Date: w, /, General ontracto or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 M- r �7/ vats C Four Walls, Inc. Home Energy Efficiency PO Box 231062 Portland, OR 97281-1062 CC B#149698 PTCS#2194 Phone: 503-547-7139 fo u rwallsbps(a)gmaiLom Duct Leakage Affidavit Permit #: Site Address: 12640 SW Walnut St, Tigard OR 97223 Cond. Floor Area (sq ft): 2643 Source: Plans Estimated Measured Air Handler in conditioned space? ❑Yes X No Air Handler present during test? x Yes No Circle Test Method: Leakage to Exterior or Total Leakage Maximum duct leakage: Post Construction, leakage to exterior (floor area x .06)= 159 CFM @ 50 Pa TEST RESULT: 159 CFM @ 50 Pa -PASS Ring: Open 1 2 3 Duct Blaster Location: upper hall R/A Pressure Tap Location: hall bath S/A I certify that these duct leakage rates are accurate and determined using standard duct testing protocol. Company Name: Four Walls Inc Technician: Ron Nardozza Technician Signature: bha 7NaYa'Ozza Date:3-19-14 Phone Number:503 547 7139