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Permit CITY OF TIGARD MASTER PERMIT 1111 : - COMMUNITY DEVELOPMENT Permit#: MST2014-00097 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2014 Parcel: 2S109DB05800 Jurisdiction: TIGARD Site address: 13283 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 6 Project: Sequoia Heights, Lot 6 Project Description: New SF 11/13/14: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1477 sf Garage: 774 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2722 sf Value: $336,657.22 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 Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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 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 2722 Owner: Contractor: LENNAR NORTHWEST INC Required Items and Reports(Conditions) 25 ENTERPRISE 1 Ersn Cntrl 503-639-4175 ALISO VIEJO,CA 92656 PHONE: PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,471.68 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 0 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: Permittee Signature: /1� ��,(C �77PN Call 603.639.4176 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. y q CITY OF TIGARD MASTER PERMIT ''1 I - COMMUNITY DEVELOPMENT Permit#: MST2014-00097 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2014 TIGARD g Parcel: 2S109DB05800 Jurisdiction: TIGARD Site address: 13283 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 6 Project: Sequoia Heights, Lot 6 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories. 2 Bedrooms: 4 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1477 sf Garage: 774 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors Yes Total: 2722 sf Value: $336,657.22 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 Drains 0 Tubs/Showers: 3 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 Other Fixtures: 0 Drywell-Trench Drain: 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: 0 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'I 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 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 2722 Owner: Contractor: LENNAR NORTHWEST INC Required Items and Reports(Conditions) 25 ENTERPRISE 1 Ersn Cntrl 503-639-4175 ALISO VIEJO,CA 92656 PHONE: PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,419.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all •th.r 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 •rk is suspended for more the 180 days. ATT • •, Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. o e rules are set forth in OAR 952-00 -r 010 through• •R 95 .61-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 •.1987• 1.:0 r.332.2344. Issu•• By: t, ��r ,�.i Permittee Signature: X A r� — 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. , Building Permit Application RECEIVED Residential FOR 0141( I 1 ',I O\ .l City of Tigard JUN 19 2014 Received Date/B : S �. PermitNo.: M G JT is 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi / Phone: 503.718.2439 Fax: 503.598.19�q Date/B : tel:, 6 14- Other Permit: j��/(i ' d T I G:1 R v Inspection Line: 503.639.4175 I.ITY OF TIGARD Date Rea. t' : Juris: Vi See Page 2 for Internet: www.tigard-or.gov Notified/Method: tiu Iemental Information BUILDING DIVISION /Via-e.ea_1� I�ti-�"%� PP TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING $New construction ❑Demolition Permit fees* are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation. ' . � 't. JK1-and 2-family dwelling ❑Commercial/industrial �/ • a ` Z raR_�'� _ ❑Accessory building ❑Multi-family Number of b Brooms: s- ❑Master builder ❑Other: Number of bathrooms: 2,S JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: r 52.63 5 W 14Az -LC.RE.ST WAY New dwelling area: 2 17 22 square feet City/State/ZIP: I CARS) ...t C 1 7 2 2_7. Garagekarper area: 7'7 square feet Suite/bldg./apt.no.: Project name: Covered porch area I(p S square feet? Cross street/directions to job site: Deck area: — square feet t -- Other structure area: 14, square feet 23."-S REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: S -Cc>U O IA }-1' 1 1+TS Lot no.: 67 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New SIeaGLF -FtFP-l1Ly g. sto&N-[IRL- Existing building area square feet New building area: square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name: L E.tJNf}f_. N v\l I I G. Type of construction: Address: I k 2,01 N - l q-(-� S4. S IJ I"(E H-70 Occupancy groups: City/State/ZIP: \J Pc-NI c )'J lZ I VV A Tip co g Z Existing: Phone:(3(p0 2.58. 79 0 O Fax:( 5 LAO 25 5 •-me, I New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: — SAME - Structural plan review fee(or deposit): Contact name: __IZIIL p __-T w2.,5o,,i FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax: :( ) Amount received: 475n•C'C' E-mail: -R1 t<. F' . -sols c- L�1•J N P1/4R-- CO 1-1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: _ ME _ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 19 55 30-7 Total fee due upon application: $201.60 =Nor Authorized signature: This permit application expires if a permit is not obtained �ff within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: _ -�� Date: 18 • Service Board. I:\Building\Perrnits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB) Plumbing Permit ApplicaCEIVEI) Building Fixtures City of Tigard JUN 1 9 2014 Received /- Permit No.: r�, p 1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: (U /7'...' �� )� Tp�CIJ �T Plan Review Phone: 503.718.2439 Fax: v i 9V F TIGARD Date/By: Other Permit No.: _ woe_9 01 q-0006 V Inspection Line: 503.639.4175 1.1 T I c1 K D Date Ready/By: runs: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE T"�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(1)bath 312.70 XI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 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: I ' � � Catch basin or area drain 18.76 Job site address: 132p 7 S� 1-1 p,2_E L.criz__s-T Drywell,leach line,or trench drain 18.76 City/State/ZIP: `� ��p Et(� 97 7.--Z.." I( / Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 141C. 1.-A-1",<, Water service(no.linear ft.: ) Page 2 Subdivision: SF Q U t�I A Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 N S F}_. Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: L�NI N Fie- 6 V W I rG Fixture/sewer cap 25.02 Q w , Q Q1 Floor drain/floor sink/hub 25.02 Address: ( ( UO7 1VE I l+I1 �k. SUITE I17O q I Garbage disposal � 25.02 ` City/State/ZIP: ) V Nwce VET 1 A 1 2 (O )Z Hose bib . 25.02 Phone:("3(00 2_5-8. 79 cc Fax:(3(40 2se, .-7/c 1 Ice maker 1 12.51 Cl APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: - Medical gas(value:$ ) Page 2 MME Primer 12.51 Contact name: ..Cil,_- 't T _1 5C t,1 Roof drain(commercial) 12.51 Address: _ Sink/basin/lavatory 5 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan � 12.51 E-mail: '�12-i� .p� .� o 1`1 C�(�F_m NA R- , C_O OA Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater t 37.52 Business name: Y O L-GoT-1 `FLU nH ?Lc pp Water piping/DWV 56.29 Address: I t7 75-- W• ) IS-T 012_1 c-Ca(_IJIMe,iA_ Ft }4 x.c./. Other: 25.02 City/State/ZIP: -7?-6U1 DRS OOF-- i-7 04.0 Subtotal I ( 3 (563) (v47 , q Qq I Minimum permit fee: $72.50 Phone: SO )(P(�-7• �7 S I � ;81 Fax: 1 CJ 1 Plan review (25%of permit fee) CCB Lic.: 1 1 2 2 -2 0 0 Plumbing Lic.no.: 2-40•0 2.11'15 State surcharge(12%of permit fee) Authorized signature: g", / TOTAL PERMIT FEE Print name: L L‘F F, W M R Date: (p • �s. i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Applicatio 1O1z Orrlc I i til ()NI 1 City of Tigard tECEIVEI� DateBy: .' PermitNo.: 6 > 40I 7 Y� � �/ " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review `Y • Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: ��IQ. -/ -t x.) 'd, Date/By: T I G A R D Inspection Line: 503.639.4175 JUN 19 2014 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIG[,ARD TYPE OF W RING DI ISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work KNew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ ulti-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: r,, Air conditioning 46.75 Job site address: '�j 7 Z 3 C j w p t Z„L c? '-s c U V/N,i Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP: T Cam' e L12-- 9 7 2 z_ j Furnace 100,000+BTU(ducts/vents) 54.91 1 I I Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 cJC?U O I E ICkTS Other fuel appliances: Tax map/parcel no.: Water heater ( 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas N S r t7--___ fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: L�A.,i t,Lit,,F4., 1\.1 \ `N G Range hood/other kitchen ( equipment I 33.39 Address: (I C�0-7 N _._ 19+-L D+ 1 s uv-x� I \--7 O Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: \I Av�L o L v 1 VJ A I g cao C toilet com partments,utility rooms) 5 23.32 Phone:(3(,6 2 S8. l9 a O Fax:(3(o0 2 Sa • 7 9 o I Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: - S p.ylAe__ $14.15 for first four;$4.03 for each additional Contact name: \ 'P .-`F`s),_ Furnace,etc. 1 Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace I Range E-mail: �(Zw_— .e�-jEf-Soil(Qi L.t('NNe-. c_or-t Barbecue CONTRACTOR Clothes dryer(gas) Business name: 0_0 V�-r Other: �T�1 y --camp l�OIyT R o l� MECHANICAL PERMIT FEES* Address: I 15 O S . C L 14G I wt A,s 1.Z.1 v elz.. r)fz._ . Subtotal City/State/ZIP: ORP• CooIt < -T y no_ t 704-5- Minimum permit fee($90.00) ` Plan review(25%of permit fee) Phone:(503) 1,j ---7. . , 2.D Fax:(rte�jl 55-7. cp 119 State surcharge(12%of permit fee) CCB lic.: 7Z rP (y .. / 5/ /l(i TOTAL PERMIT FEE ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: O W. • Fee methodology set by Tri-County Building Industry Service Board Print name: �i ie_. F1v�F(2. _ Date: &, , ! •/!- \ \ 1:\Building PermitsMEC_PermitApp_0401 I3.doc 440.4617T(I1/02///COM/WEB) . r . Electrical Permit A ➢iejiti ECEIVEP ''-lcaLia °.�i� ., City of Tigard Da�"� (p /4 /i/(;�-b Permit No.: STOt� —00097 a 13125 SW Hall Blvd.,Tigard,OR 972 N Plan Review OLOre._,�.,t Li c700(p(,) I II II 2 3 2014 OthcrPamit: Phone: 503.718.2439 Fax: 503.598.1 6A Date/By: Inspection Line: 503.639.4175 Date Ready/By: Jude: BI See Page 2 for LIGARDi Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: Supplemental Information TYPE Ori4IMING DIVISION PLAN REVIEW }�( Please check all that apply(submit A sets of plans w/items checked below): i?SI New construction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more 0 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 A-and 2-family dwelling ❑Commercial/industrial ❑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 system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2", '^� 100HP or more. occupancy. Job no.: Job site address: 3Zt�3 --/42E.LC-CzEST Y V o 0 Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. 0 Supply voltage for more than City/State/ZIP: 1 l Copt-('--D 1 O 617 22-.?' ❑Hazardous locations. 600 volts nominal. ❑Service or feeder 600 amps or more. Suite/bldg./apt.no.: Project name: FEE SCHEDULE Cross street/directions to job site: Description MO Fee. Total New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less S 168.54 4 I. Subdivision: 4r,., Lot no.: Ea.add'1 500 sq.ft.or portion 33.92 1 I. Tax map/parcel no.: Limited energy,residential ( 75.D0 DESCRIPTION OF WORK _(with above sq.ft.) 111 I Limited energy,multi-family N C F 75.00 residential(with above sq.ft) Renewable Energy , ❑ See Page 2 Services or feeders installation,alteration,and/or relocation XI:ROPERTY TENANT 200 amps or less I 100.70 2 OWNER 201 amps to 400 amps 133.56 2 Name: LEN `tiNg.. N IN, -I N c-, • 401 amps to 600 amps 200.34 2 l�Q-1 , I 9,q r S. r s u lT� ( I i d 601 amps to 1,000 amps 301.04 2 Address: N t- l Over 1,000 amps or volts 552.26 2 City/State/ZIP: \pci..4 co-LA V Ey2 Uv+ Ac 1 S cob Z Temporary services or feeders installation,alteration,and/or 1�I relocation Phone:(3(et) 2_5"B • -71 d o Fax:(3(PO) "2 ' — / • / o I 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps - 125.08 2 intended for sale,(case,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: _ Date: Branch circuits-new,alteration,or extension,per panel ❑ APPLICANT 1 ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 I each branch circuit Business name: - 5 A.1,_41., - B.Fee for branch circuits without 72ontact name: service or feeder fee,first 56.18 branch circuit A.ddress: Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) .:ity/State/ZIP: Each manufactured or modular 67.84 dwelling,service and/or feeder ?hone:( ) Fax: ( ) Reconnect only 67.84 El ?-mail: • Pump or irrigation circle 67.84 El CONTRACTOR Signor outline lighting 67.84 2 3usiness name: (L O-j ELhf r -�G Z- C� Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 kddress: ! I D,S$ Sr_ Q(3 a0 1.,17 w D R I t1- Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr :ity/State/ZIP: t 4ke ,1 U A-Lue-I / of • Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.181 hr 'hone:(Sp 3) 3�O. Sp 3 Fax:( ) Inspections for which no fee is 90.00/hr :CB Lie.: 19 g 3 1 j Electrical Lie.: , $1 , Suprv.Lie.: 4 f S 5 specifically listed(h hr mm) 11 7 f(�/rl� ELECTRICAL PERMIT FEES uprv.Electrician sign�aturr,fe�uired: 1/i+ti� �� _ Subtotal: Date: /� Plan review(25%of permit fee): tint name: 411 5DC9OSL-AVIrTS tf', iS, I� State surcharge(12%of pennit fee): Luthorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 lint name: I Date: _ days after it has been accepted as complete. * Number of inspections allowed per permit. uilding\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 440-4615TO1/05/COM/WEB , - . III City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential ,Y. Building Permit #: N ST9,Q 1 L--OOO ?7 Site Address: 132$3 Sv/ r\c,ze l kres+ Way Project Name: S eQ,t�,O i a 0 et s Lot #: 6 (New dw ing=subdivision n c;Addition or Alteration=last name of owner) Planning Review Proposal: new SF ❑ Verify site address/suite #exists and active in permit system. Sit lan Elements: Three(3)copies of site plan listing structures on site [ite plan must he.on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale (standard architect or engineer scale) floor elevations orth arrow Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot number cation of wells/septic systems L 1pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) #ae he-44 E Lot area,building coverage area,percentage of coverage and E 'S reet names , impervious area(applicable if R-7,R-12,R-25&R-40) eet tree size,type and location pol'roperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes No Received: ❑ Yes ❑ No Land Use Case#: S U Q 2O 13—OOQQ 2 Zoning: R Setbacks: Front ' 5 l Rear r S ` Side S 1 Street Side Garage 20' X Landscape Requirement: 2 0 Lot Coverage Maximum: 70 % Building Height: Maximum Height 2)5 Actual Height 23 .S Visual Clearance Easements Sensitive Lands: ❑ Yes X No Type XUrban Forestry Plan ❑ Conditions Met ((�� (r� fr� Notes: Eli fip,�r`,�n1 -Fo con-I rim re, ei P� cre tina,i Oa+ rAnd sign occ Approved By Planning: —1-i •1 ye •9. Date: 6I 19 ((1j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\Bl dgPerm itRvw_RES_042914.docx I — • • - Building Permit Submittal Original Submittal Date: &1/71/q Site Plans: # 3 Building Plans: # 3 Building Permit#: 2"-Enter building permit#above. � Workflow Routing: Planning engineering .12 Yermit Coordinator LE-Building Workflow Sign-off: Y�" ,' -off for Planning(include notes from planning review) Route Application Documents: I�Engineering: (1) copy of permit application,(1) site plan, (1) building plan and ofi0tal plan review routing form. Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: (..-_ ,t___ Date: -3 Engineering Review o • Actual Slope: g�� ‹ f//7 ❑ Conditions Met Notes: Approved by Engineering: / // Date: 07�00/V Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved S Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: /ViK to Issue Permit _ /I Approved by Permit Coordinator: 4110 Date: J` /2 �/ I:\Building\Forms\BIdgPermitRvw_RES_042914.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT lig _ ~ Transmittal Letter i i(,,\R 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RiREjv VED DEPT: BUILDING DIVISION jj��jj''��,,i'�l 11 JUN 3 0 2014 FROM: �A�%_ CITY OF TIGARD COMPANY: +,,��(� I I Ni BUILDING DIVISION PHONE: 3(,o 25'i3 - 774c By: RE: (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OF ICE UOE ONLY Routed to Permit Technicians Date: C '3cj (4 Initi.. : g� .. Fees Due: ❑ Yes L -IQo Fee Description: Amount I ue: $ . $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 -, ar Contractor is responsible to check site plans and notify designer of any errors or omissions prior to start of construction. Plans and CITY OF TIGARD specifications shall be approved — — bylocal building officials prior �— _ 573 __ �� - Approved by Planning to the start of any construction. -- __L .I IM ILCH-ESTABLISH - - - - 7}' - (� 1 ■4 , WET WEATHER EROSION NOTES: -GRASS l - __ __69' — -- - � e' - 12'X14' 1. DURING WET WEATHER SEASON ,Tar .., EROSION CONTROL NOTES: Initials: 168 Sq.Ft.(OCTOBER 1 APRIL 30)ALL SOILS 1. A STABILIZED GRAVEL CONSTRUCTION EXPOSED FOR MORE THAN 2 DAYS I ENTRANCE SHALL BE INSTALLED AS FIRST SHALL BE COVERED WITH PLASTIC I 6 2693A-3 I SITE ACTIVITY. SHEETING,OR A 2-INCH LAYER OF 1 "BELLEVUE" C 4?' SITE LEGEND: MULCH,BARK,WOOD CHIPS, I AMERICAN 2. EROSION CONTROL MEASURES SHALL SAWDUST,OR STRAW TO MINIMIZE I r,,B,E�o, I BE INSPECTED DAILY AND MAINTAINED AS \ EROSION POTENTIAL. 1.2455q.Ft. NECESSARY TO ENSURE THEIR FUNCTION. Utility Symbols: 2. EXPOSED SOILS SHALL BE SEEDED 3. EROSION CONTROL MEASURES SHALL I -cif FIRE HYDRANT NO LATER THAN SEPTEMBERI. BE KEPT IN PLACE UNTIL PERMANENT GROUND COVER IS ESTABLISHED. ® CATCH BASIN STREET LIGHT PROVIDE GRAVEL STAGING GARAGE I ,,�b� AREA AT DRIVEWAY. COVERAGE --_ — SANITARY SEWER (2"MIN QUARRY SPALLS FOR } SINGLE FAMILY SITES). —n—n—'.— ,•a• — STORM DRAIN -�,5. . ,• •}• g .•,.b —w WATER LINE SILT_FENCE _ --I.4 sR • '. ; : ;y am 5^ -566- • ••••••r a••! - Contractor is responsible to check site plans and notify designer of any errors or omissions prior to start of construction. Plans and A3 , specifications shall be approved ) _60.00 y by local building officials prior --573174-72! _ --- — CITY OF TIGARD to the start of any construction. — -- _t_ --- _ --- — _ _- N _ --s70' --- = Approved by Planning 12.X14' if, l / - / Date: 6 l— 1613 Sq Ft. 15'-0' b� � I 5'-0" % Initials: / I I 6 2693A-3 hb I "BELLEVUE" 4? SITE LEGEND: I AMERICAN I LIVABLE COVERAGE 1 247 Sq Ft. Utility Symbols: / 50 -0 „...".- OVERALL F.F.E.=569.00_iimm__ a ,....,,- � FIRE HYDRANT oo j CATCH BASIN GARAGE in o ® 0 T.GARAGE '' ° O(LEFT) STREET LIGHT 6m1 GARAGE I° 43 [OVERAGE Sq.Ft. —s, - SANITARY SEWER —'— STORM DRAIN 5 0 hb —28'-4"— — _.... O' ?' 15'� STORM / �rnv LATERAL 168 SgFt. ��: w WATER LINE - • 147.GRADE • s' o"w 566' CONCRETE \5`011 - P.U.E. Fence Types: - wATER , METER a Am !? ° 0 0 6'-0” WOOD FENCE 4-j3(r _ (See Fencing Plan if Necessary) 5 -8 SIDEWALK M`0 004 " Street Tree Types: L' .; 1:': :_d��' _ 2 ACER TRUN. x ACER PLAT. LATERAL . '� N '� '_ 'SUNSET MAPLE' 2"CAL. SAN SAN SAN \ SAN - — 5 HAZELCREST WAY R.o.wc —> CLADRASTIS KENTUKEA STM STM — S M 0,, YELLOWOOD' / STM / 2"CAL WAT WAT \ WAT—� WAT In FRAXINUS OXYCARPA * n N .0 o 'RAYWOOD ASH' 2"CAL. -----2 . . , . SEE LEGEND FOR TREE TYPES-TYP. Note: J See separate sheet for Erosion Control Plan PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS DRAWN:06-09-2014 JBG SITE PLAN Street Address: HOUSE' 1,245 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS LENNAR GARAGE. 774 Sq.Ft. FRONT HOUSE: 15 FT (From PL) SEQUOIA HEIGHTS SW Hazelcrest Way COVERED ENTRY. 168 Sq.Ft. FRONT PORCH 12 FT.(From P.L.) 11807 N.E. 99th Street PATIO: (IMPERVIOUS) 168 Sq.Ft. GARAGE: 20 FT.(From P.L.) Suite 1170 DRIVEWAY: (IMPERVIOUS) 621 Sq.Ft. REAR YARD: 15 FT.(From P.L.) CITY OF TIGARD, WASHINGTON CO, OREGON 13063 Vancouver, WA 98682 TOTAL COVERED AREA 2,976 Sq.Ft. SIDE YARD: 5 FT. (From P.L-) LOCATED IN THE SE 1/4 OF SECTION 9, HOME SITE # STREET SIDE: 10 FT.(From P.L.) TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN Office: 360.258.7900 80%MAX.ALLOWABLE. = 4,080 Sq.Ft. 5,100 Sq.Ft. PROPOSED COVERAGE% = 58.3% SCALE:1" = 20' Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL November 13, 2014 at 12:10:52 PM MST2014-00097 David Young Provide approved electrical, mechanical, and plumbing ﬁnal inspections. Provide ﬁnal inspection and test report for lawn irrigation backﬂow device. Provide required city documents for ﬁnal inspection, street tree certiﬁcation, high efﬁciency lighting form, and moisture content form. Duct leakage test checked. Insulation certiﬁcation checked. Final erosion control passed. Recall when corrections complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS November 18, 2014 at 11:31:13 AM MST2014-00097 David Young Correction done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL November 13, 2014 at 11:52:21 AM MST2014-00097 David Young Downspouts not installed. Hard cap all unused stand pipes. hard cap all unused future ﬁxture pipes at: 101.4.1.1.3 cleanout plug needs approved thread sealant at: 316.1.1 Finish grouting or calking around tub in master. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL November 13, 2014 at 12:00:33 PM MST2014-00097 David Young Dryer duct to have the equivalent length identiﬁed on a permanent label or tag. M1502.4.5 Locking access port caps. Refrigerant circuit access ports located outdoors shall be ﬁtted with locking-type tamper-resistant caps. M1411.6 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS November 17, 2014 at 9:49:53 AM MST2014-00097 David Young Corrections done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL November 17, 2014 at 9:58:59 AM MST2014-00097 David Young Dryer duct to have the equivalent length identiﬁed on a permanent label or tag. M1502.4.5, as noted on previous inspection dated 11/13/14. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL November 17, 2014 at 10:11:42 AM MST2014-00097 David Young Provide approved ﬁnal inspection for lawn irrigation backﬂow device. Provide approved mechanical ﬁnal inspection. Street tree certiﬁcation received. Moisture content form received, High efﬁciency lighting form received. Duct seal test report received. Lawn irrigation backﬂow test report received. Insulation certiﬁcation checked. Recall ﬁnal inspections for building, mechanical and plumbing for lawn irrigation. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13283 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00097 Jeff Grove Violation Summary: Inspector Contractor