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Permit III CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2014-00098 T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2014 Parcel: 2S 114BA17900 Jurisdiction: TIGARD Site address: 9618 SW FERN HOLLOW CT Subdivision: FERN HOLLOW Lot: 5 Project: Fern Hollow, lot 5 Project Description: New SF. BUILDING Floor Are Required Setbacks Required Stories: 3 Bedrooms: 3 First: 714 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1121 sf Garage: 458 of Front: 15 Smoke Dwelling Units: 1 Third: 1286 sf Right: 5 Detectors: Yes Total: 3121 sf Value: $368,131.33 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr 0 Footing Drain: 1 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 Temo 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: 6 201-400 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 3121 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PKWY, 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 STE 370 BEAVERTON,OR 97006 2 Structural Observation BEAVERTON,OR 97006 3 Piles/Caissons 4 Special Inspection(see PHONE: PHONE: 503-645-0986 plans) FAX: 503-690-2942 Total Fees: $22,212.29 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 i. - -= - • : with approved plans. This permit will expire if work is not started within 180 days of issuance r if work is suspended for more the 180 days. •TTENTION: Ore..n law requires you to follow the rules adopted by the Oregon Utility Notification r. 'h• rules are set forth in OAR 95 801-0010 through OAR •- -1 a '090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. . 987• .0 .3 2344. Iss 'd By: i ' / i, --9-'t Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspectio ate. 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 FOR OFFICE USE ONLI � Received City of Tigard 10 �te/a to Permit No.: - ,4 IN 13125 SW Hall Blvd.,Tigard,O*qr."' 1% �" O Plan Rev' I11�'� ,•� Al_�� = Phone: 503.718.2439 Fax: 503.598.19\` r I Other Permit: 1 �-. (�k Date/B : 1 a TI c A R n Inspection Line: 503.639.4175 ( �l�V�' O� Date Ready:y: ! See Page 2 for Internet: www.tigard-or.gov �'(4 V` ��\ Notified/Method:7/Ztf/�y Supplemental Information TYPE OF Weiew. 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. sl‘1-and 2-family dwelling ❑Commercial/industrial Valuation: $ i •[ t t9 ❑Accessory building El Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: Z,Cj JOB SITE INFORMATION AND LOCATION Total number of floors: �j Job site address: 1 V,f7 . iv .Pljr'o It ditG 1/ New dwelling area: `2I square feet City/State/ZIP: T AV I '� g224-- Garage/carport area: 4*5 square feet 1• 8b Suite/bldg./apt.no.: 4,61._ 5' Project name: Fvt 11 L 1 L' v' GJ Covered porch area: -O square feet (I 21 Cross street/directions to job site: , Deck area: ' j 0 square feet ?4-- O-I-f- 7v1,(i✓1t �( Other structure area: -7`�`7� square feet �� `I LL REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 'F.//1 ,AtOA 0 w Lot no.: �f Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: Z.S + ,� DO equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ YV/ G01ce' .v til Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: tZ.1 tot,I1 0,16.... {'1'pl'f Type of construction: Address: 1-1.1 NW . v0.11/a►'i fl4wm It 7,10 Occupancy groups: City/State/ZIP: t ‘,/tl/of/'pl t 0z-- voo6 Existing: Phone:(GJO1 f4 0117' Fax (I t7 &re�O, 214'z New: I PPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Y Business name: Gf q � (Please refer to fee schedule) ' \f�v Structural plan review fee(or deposit): Contact name: A v12v1 I 'mot �-s4=� �j� `� {- 4" FLS plan review fee(if applicable): Address: r LA 111 rO U 1'� � 51 L1 t I- "5 1'S V City/State/ZIP: }�""`� q r��, Total fees due upon application: ty �L�YVUt'S f 1UZr5j (tx►1 1,9 1,,y--N ( ) Amount received: Phone:( ) Fax: : I_ E-mail: gl (4,((Va 1 @ 0( VGk�I4 hork(G. (4311 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: G,'.464/1 Vi G� 1/ Submit two(2)sets of roof plan with connection details / ' 1 and fire department access,along with the 2010 Oregon 1 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.: 1.1 I zw Total fee due upon application: $201.60 Authorized signature: l��L/� / / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: G/f W44-7 Date: �I I 14' *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-461 3T(I 1/02/COM/W EB) , a .1 Plumbing Permit Application Building Fixtures I oR O Il l t I I 'N I 1/\I 1 `� Received City of Tigard ecet ed Permit No.: M 573,� cc SW Blvd.. '�l't Date/BY: /''✓l OKI i'-i - 1 r • 13125 S Hall Bl d.,Tigard,OR 972 % t0 Plan Review s Phone: 503.718.2439 Fax: 503.598.1 1 Other Permit No.: Q�Date/By: I c n u l) Inspection Line: 503.639.4175 \\.. ,., j1 \• e Ready/By: luris: RI See Page 2 for Internet: www.tigard_nr.gov , titied/Htet�d: Supplemental Information TYPE OF WORK I FEE* SCHEDULE cNew construction ❑Demo For special information use checklist. Description I Qty. [ 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 -and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath ( 500.32 ❑Accesso ry 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: al Co.160 ,AA/ r rti to f to w Catch basin or area drain 18.76 City/State/ZIP: 1 /�� 0 Q � {- - 1 Drywell,leach line,or trench drain 18.76 ty 1-110(Val J v �II l l�`� I Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: F 4 h tto!la Lv Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 /7L �t.��j1 Rain drain connector 18.76 l!� 1' I V Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: F64/11 ItO!10w I Lot no.: Fixture or item: Tax map/parcel no.: 2- I 14-�� I"11'00 Backflow preventer 31.27 DESCRIPTION OF WORK t Backwater valve 12.51 YVAu _ � _L•� Dishwasher washer 25.02 (�t '/'/111 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 n 11,�/�„(� �j-ovkle Fixture/sewer cap 25.02 Name: C"' V _,lU( 1 l }� Floor drain/floor sink/hub 25.02•Address: 17c1� W EVG��ee� 1"U `I �f T O Garbage disposal 25.02 City/State/ZIP: OF-- -7OO7 Hose bib 25.02 Phone:c'V 64✓J. O61''b Fax:(rte MO 20 L11.--- Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 � GV Medical gas(value:$ ) Page 2 Business name: G Primer 12.51 Contact name: AZA,Veil /U Va/k1 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: ( ?t4[CI aim r I VUV ,1* 11OityC, or vi! Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: ; f+ h4 Water piping/DWV 56.29 Address: %-%1 WI How l/arr l V Other: 25.02 City/State/ZIP: Mjit WL { OIZ1 Subtotal Phone: 7 J , / of 1l Fax:(�� t . Z1.1q Minimum permit fee: $72.50 CCB Lie.: I��I Plumbing Lic.no.:P 1fli-I� Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: i TOTAL PERMIT FEE Print name: {� !/l� Date: �� /�� This permit application expires If a permit Is not obtained within 180 days vL / / after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/0I/09 440-4616T(10/02/COM/WEB) lr Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard +� DaceiBd Date/Byy. e V ` a 1 3125 SW Hall Blvd.,Tigard,OR W F 11111 Phone: 503.718.2439 Fax: 503.59 1 I. Plan Review Other Permit: T I G A R D Inspection Line: 503.639.4175 A Date/By: SUN 19 2014 Date Ready/By: J S See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information r a 1 :1 11 'TYPE p ., COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ,� �``� Mechanical permit fees*are based on the value of the work KNew construction ❑ Addition/alt I l ep acement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* )34-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: of/� /(� y� !11 ,/ Air conditioning 46.75 101� GJ� UYv I low✓ C�' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: T1 U ot'a(1 O f' I 1 Z�-- Furnace 100,000+BTU(ducts/vents) 54.91 l r^ 1.--A I I OW Heat pump 61.06 �� Suite/bldg./apt.no.: Project name: ►'I Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 _�: T7(41, ^^^ 12 Residential boiler(radiator or ��"" v'�V'1 72( 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: FA/'[ f-/)(1 o W Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2.- l 'y-f,- 11100 Water heater k 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas fireplace 23.32 V\ 1/1/ /111 0 /� 7 P-1/1 Log lighter(gas) 23.32 ►1C/ �/�1 /I f (/ I Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 �...tROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: 1I24 V&1/ 1/1 G -�Ct, Range hood/other kitchen t i/ equipment 33.39 Address: l-7'1 n 1 W Q/�jf l ire 1 �/ it 7o Clothes dryer exhaust i 33.39 City/State/ZIP: VI* OF_ I Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) 23.32 Phone:(.Q� 04 7 rip& Fax:(L7 ) &.q0 2.//4-z_. Attic/crawispace fans 23.32 'APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: A Vorvi lj1441 i Vifi LI Furnace,etc. J Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater 1 Phone:( ) Fax::( ) -Fireplace Range E-mail: !7011(1.you/ g v i var i.46 holiii • Barbecue ` CONTRACTOR Clothes dryer(gas) Business name: niin,, Imil i Ise Other: MECHANICAL PERMIT FEES* Address: &4 O pAfrwL1 Ave.. , Subtotal City/State/ZIP: 1/lel / Q q 70 Minimum permit fee($90.00) Phone:(L o ) v 014Z- Fax:(rpm Plan surcharge(25%of permit fee) i�b'`��9 State surcharge(12%of permit fee) CCB lic.: I c It Z f 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: ex * Fee methodology set by Tri-County Building Industry Service Board Print name: 60/ (leri/s Date: L//'7//r/ I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617r(I 1/02/COM/WEB) P , OF IE Electrical Permit A 1><cah ECEI IIIIIIIIMIIIIIIIIINIIIIIIIIIIIIIIIIIII City of Tigard g ��4 Permit No.: g 1 IN 1 Date/By: _ S��I K�ow �y 13125 SW Hall Blvd.,Tigard,OR 97223 V plan Review Phone: 503.718.2439 Fax: 503.598.1960 1 In� . Reteiv ; Other Permit: Inspection Line: 503.639.4!75 C� I( w Ready/By: bins 5tl See Piggy 2 for Internet: www.tigard-Or.gov v ryf114��514 otified/Malnd. =-----`---_� Supplemental Information 7 TYPE OF WOIQ[I I PLAN REVIEW __ &New construction ❑Addition/alteretiu&replacement 1 Please check all that apply(submit 2 sets of plans w/itamt checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available hull current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or ❑Floating buildings. ---- --- lets to ground.or exceeds 14.000 ❑Commercial-use agricultural '.l-and 2-family dwelling ❑Conmiercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Muster builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system _ Addition of new nrntnr load of �^ I00I IP or more. Occupancy. Job no.: Job site address: `1 I' GIB/ F s' �/ I ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: `n i a fit, 6�' t liii - ❑health-cure facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 vole nomina I. Suite/bldg./apt.no.: Project name: '�� 0 ` 0 ❑Service or feeder 600 amps or more. —__-- _ -- FEE SCHEDULE Cross street/directions to job site: _ 17 A/Wl Description Ott'. Fe.. Tout`-T— New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: F � )j t,N �( Lot no.: __ • � 1,000 sq,ft.or less 1 1 68.54 4 Ea.add'I 500 sq.ft.or portion (O 33.92 1 Tax map/parcel no.: 26! I t 4–C'.A 1—J I OD Limited energy,residential ( 75.00 2 DESCRIPTION OF WORK (with above sq.R.) 1A • -- -'- 1_imited energy,multi-family V' 4 - ► 1 I r`(�� residential(with above sq.IL) 75.00 2 -- - —'--i-- —1! ------ Renewable Energy ❑ See Page 2 Services or feeders installation ,alteration,and/or relocation ISLPROPERTY OWNER ❑ TENANT ' 200 amps or less - I 100.70 a f 201 amps to 400 amps 100.34 2 Name: WV M 44� it- �t'/% a 52_ Address: 1--76f,71.7 Nw iv1 Ve ^' /VV / t*� "1 601 amps l 00vs p npo volts 34 1-12 City/State/ZIP: '7G01//6r 1'1f _--._ O0(�j �'' 1 Temporary services or feeders installation,alteration,and/or Phone:(GHQ J71 (/ j E2V�i Fax:IC,OV) 6•q(2 2142 relocation __ 200 amps or less F— 59.36 l_ 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,lease,tent,or exchange,according to ORS 447,449,670,and 701 401 amps 10599 omps I 1 68.54 2 Owner signature: Date: _______ Branch circuits-new,alteration,or extension,per panel "Ski,k,PPLicorr 1 ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 Business name: .y�•MFr 4e y Qt-(!/'a�/'E each branch circuit 2 B.Fee for branch circuits without Contact name: fTt `o" 1 'M f(i Vag service or feeder fee,first 56.18 2 branch circuit Address: I Each add'I branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included)Each manufactured or modular Phone: dwelling,service and/or fader 67.84 i 2 ( ) I Fax::( 1 ��,^ I, Reconnect only 67.84 2 E-mail: r I@ 1 v f ' 4 h ow .6.0,) Pump or irrigation circle 67,84 2 CONTRA_CP_OR ' -- Sign or outline lighting 67.84 2 Business name: "j1(/ friw 16.0-1,1?„,-- Signal circuit(s)or limited-energy See pond,alteration,or extension. Page 2 2 Address: ;; ,9 ,Q1 8'' 81/W6.000 'VI j--e Each additional(nspectimt over allowable in any of the above City/State/ZIP: (m t (✓(� T /^] 0 Additional inspection(i hr mm) ' 66.25/hr _ty �� S`D� vK, I'3– Investigation(I hr min) 66.25/hr Phone:(" IJ�+ &/if, �- Fax:( �1 i / . /�h '— Industrial plant(1 hr min)^j 78.18/hr /' inspections for which no fee is CCB Lie,: /02/I 5'4 Electrical i,ic. L/- ' r Suprv. Ti .31v,hs specifically listed(i4 hr into) 9U.UD/hr L— 3_ ,� 111 r—_ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ''',1'7. Subtotal' j ,�/ il'- . ;r; r Plan review(25%of permit fee): Paint name: VY W � '�-.�J�� 1E _ `. T � State surcharge(12%of permit fee): Authorized sigrla ure: /�i TOTAL PERMIT FEE: This per,nir application expires if•permit is not obtained within 110 Pont name: — jP `^1 Date 6 , days after It has bees'accepted as eeapkh. — ' Number or inspections allowed per permit. l•RRuilrintrtPerernrsP1.C-PermsApp Et.R ERE.doc ReOSRIR011 C 440-4615T 11005,COMVWEB City of Tigard III , COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: sT3,0iy. et$ Site Address: 914 Forh ,4/(cJ Project Name: SbL7O6-Qoif/ h" AIL Lot #: S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Il.)IZaOOIP_vUv0 ()-- Planning Review Proposal: //a a/ J/C,v 0/Verify site address/suite #exists and active in permit system. Site Plan Elements: 2ee(3)copies of site plan Eltisnng structures on site a plan must bg on 8-1/2"x 11"or 11 x 17"paper lO ootprint of new structure(including decks)with finished gr^D rawn to scale(standard architect or engineer scale) flop elevations l D/ rth arrow LS'Utility locations(required for new,may apply for additions) Ptjte address,project or subdivision name and lot number lB .plicant information(name and phone number) Il Erosion control(including drainage-way protection,silt fence v .t dimensions and building setback dimensions design,location of catch basin,etc.) ,ti-vi- ilea,building coverage area,percentage of coverage and tfe �,/ et names i pervious area(applicable if R-7,R-12,R-25&R-40) 1. S eet tree size,type and location LBProperty corner elevations (2 foot contour lines if more than IJExisting 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 1g No Received: ❑ Yes No Land Use Case#: S Gl3 d-o 6 b 1/ Zoning: g---7 1"1 --7 1"1 diSetbacks: Front is" Rear /5" Side S-- Street Side id Garage 00 ICl/Landscape/ Requirement: ,y_ ff Lot Coverage Maximum: % /' r ❑ Building Height: Maximum Height .) Actual Height d 0 isual Clearance Easements Sensitive Lands: 96 Yes 0 No Type i prw,t M wtr 1 fiL S .2O( -ado! 01 Urban Forestry Plan Conditions Met Notes: ..Qi-a A v?edd Iv sI,w I ['ovrtc t.0...a.,3'5,Vf51,4( Cle ,t �n 4s ((�,0 38), 1 t� e flees pp' 1 k1 (6.41 t(-2-)1 LaIo, a+z 1'st ,e..tfd, ,cl3 tic, .3/A.PA , C •44) Approved By Planning: "t'I ' Si) of. Ariarrif: Date: Revisions (after Building Submittal on ) Reviewer / Date Revision 1: ❑ Approved Not Approved \ ,�R (� —17/7 Revision 2: A(Approved ❑ Not Approved C, ,t,t./-_ Q_ e_.G.c.✓a-•/ Lo l el --I'/ Revision 3: ❑ Approved ❑ Not Approved I:1Building\Forms\BldgPennitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: ca/1c II/ Site Plans: # Building Plans: # 3 Building Permit#: fn�ter building permit#above. 1 Workflow Routing. C�1�1 g L�Engineering AJrPermit Coordinator ding 1 Workflow Sign-off: ff for Planning(include notes from planning review) Route Application Documents: engineering. (1) copy of permit application,(1) site plan, (1)building plan and on plan review routing form. uilding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /./ ' Date: V/7'//[, Engineering Review e IX Actual Slope: 70 0 ❑ Conditions Met // / Notes: 6j e o lee., cGre r T re :weed Approved by Engineering: / imp, Date: - _ a/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review onditions Met-Prior to Issuance of Building Permit otes: 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: OK to Issue Permit / �/ Approved by Permit Coordinator: /• Dat l //T I:1Building\Forms\BldgPermitRvw_RES_042914.docx r' w '\ •\ \ C1TY OF TiG�RD �,� �\ /-� • .. : / \ _ �. R��g.O_ \\ lkproved by Planning ,' ,��'\ • c,�/4. I \• C / •` 777:: I— \ \ ..- \ V 7 . a „,„ Illy 4 0•4,‘ r, ,_ii \__ .# \ �, � ,�--- ----'-�< / - • �� /' ," _----V---- __ Q_\ F, i O \ , , ,t � orb _ rti \\ 5 - - :::_:- ---- o, , -; -8X10 --- -__: - \ _-- \ �*. \/ `vim . Q� - - 594' . S , -�` 8x10 j. 194 ?i /'• C '�- ' .� , , X, s i l4 11,.'`x, ,,,� '' ; 1 , V -I-r to i, 4ii'• \ 20'2 -.;' 4.too or ,, , \ .)-, , ... zeiiii;k: r_�' +r., �, ' / , /184 \ 200 • �, ', / 186 •• `;' .'_ \. .. 20,00'�;� lea r{�� J ,� �n5 ('� �'��{!I�'�/\ / , 190 C \Lw 1 1 'V4 Lv_ v 7.. ' / 192 2 a C-1;, ) rl 41"1,A1,-,117 \ �4 ./...4° 9618 SW FERN HOLLOW COURT \ \ 197• 2407 A–L PLAN \ \ 196 i \ -". s ),, , ,,,„ , ,,j 1 WA.. - I 'V I t;„,, i �( . c,„: ,, _ ,I �„o .G N MINIMUM FRONT YARD:10 FEET (W) 20' 10' 0 Zd'{” MINIMUM SIDE YARD:5 FEET (E) 1--d\ c J ,,yv 5 j Gh MINIMUM REAR YARD:8 FEET (5) IN- MINIMUM GARAGE: 20 FEET SCALE: 1" = 20' P.U.E.: 10 FEET D L . s, O FERN HOLLOW .9.-s:::(1::::, TIGARD OREGON DESIGN GROUP INC. COMM LOT 5 49,25 SW FARMINGTON RI) 0 Suite 270 •fir t Di* Project No. RVR001 Date: .4 05/17/12 5 BEAVERTON,OR 97005 (503)844-4628 EXP 12-31-13 I_ Scale: 1" an Drawn By. KRF , of U iII0f LO\\1, a � / 1 • r / . m /" / k' / �, , tsivp ilt:, s i `-----_,, iiv .0-0 ', It.;%• ,..A.;-, 1 11,. N iF r.� `,VI CD 3 ', a I f C..I � jI r� A, i• II 7. 4. f i I • Al g it' i% P r ilar 1111N 1 E 1 OH" 11i II 4 ; { '. .-P ' ,, 344WG.,)133213•iii 1a pi 1 f ` . , 2/3dd0,7 MS i v 1 II: 111 ! i CASE FILE#SUB20060001 1 1 1 [11 3 FERN HOLLOW PLANNED UNrr DEVELOPMENT 1!N + + TIDOREN e 1 ; a SITE PLAN AND STREET TREE PLAN i `� 141 1$ p 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 . le = s a Tran mitt 1 Letter T t G n R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov tJ Q, LI S DATE RECEIVED; DEPT: BUILDING DIVISION • JUL 2 2 2014 FROM: V 4.4,1)t �ti ,•�� g vdf Ctn t CITY OF TIGARD COMPANY: R--1 V t:�5 t t'I /41 5 PLANNINGIENGINEERINO PHONE: 5 0) tG By:, ce crnt tic/r'cr4-1 C4, �+ RE: (Site Address) 7 !y_U�Cf 0 (rermtt um er) C ,-n ,/ t-) s Project name or subdivision name and of umber) Yov �� f'1UPSt lot COr-N ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: I Description: Additional set(s)of plans. X Revisions: ( + S2 p45t! 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: 91( L& c, \ Yrt, ttt'v0 l--) . 1 c <I IA r\tPI eu-1 kul t).5(, FOR OFFICE USE ONLY Routed to Permit Technician: Date: �7�' - (4- Initial : Fees Due: ❑ Yes [�No Fee Description: Amoun e: $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No _ El Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 V�" 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00098 George Heimos 1. Caulking required on ﬁxture at: kitchen. 310.3/407.2 2. Correct right front rain drain riser for garage roof downspout. ABS drain riser needs to be above deck 6" for downspout connection. 301.0 3. Provide 1/4" per foot grade on left rear ABS rain drain and provide a height of a minimum 6" above deck. 310.0 4. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 bgroves@riverside home.com 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00098 George Heimos 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00098 George Heimos 1. Corrections dated 01/21/15 not completed. #1 residence locked, need to provide access, could not check caulking. #2. downspout not screwed/riveted together and strapped to siding. #3. Rear deck rain drain still backgraded. 2. Investigation fee/re-inspection fee due before calling for next inspection. 103.4.4/103.5.6/455.058 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL February 23, 2015 at 9:16:50 AM MST2014-00098 David Young Provide approved ﬁnal erosion control inspection. Provide approved ﬁnal plumbing inspection. Provide permit for AC, installed after mechanical ﬁnal inspection and not on MST permit. Provide steps to code off back deck and landing off rear slider. 8" rise max. R311 Provide access to sewer Cleanout under deck. Rain drains at entry not in standpipes. Not a complete inspection. No access to inside, posted radon test in progress building to remain closed. Provide access for ﬁnal inspection. 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O March 17, 2015 at 10:26:46 AM MST2014-00098 David Young Final erosion control approved. Street tree rectiﬁcation received along with revised tree location approved by planning. Moisture content form received. High efﬁciency lighting form received. Building tightness test report received. Insulation certiﬁcation checked. C of O left on site. 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL March 16, 2015 at 12:38:51 PM MST2014-00098 David Young Provide street trees per approved site plan. One missing per approved plan. Trees to be located per approved site plan. All else ok. 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS March 9, 2015 at 1:29:56 PM MST2014-00098 David Young Corrections done from previous ﬁnal inspection. 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL March 9, 2015 at 1:44:09 PM MST2014-00098 David Young Provide all city required documentation for ﬁnal inspection. Street tree certiﬁcation. Moisture content form. High efﬁciency lighting form. Insulation certiﬁcation. Duct seal test report or blower door test report. Final erosion control approved at previous inspection. 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 9618 SW FERN HOLLOW CT, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00098 George Heimos 1. Corrections dated 01/21/15 not completed. #1 residence locked, need to provide access, could not check caulking. #2. downspout not screwed/riveted together and strapped to siding. #3. Rear deck rain drain still backgraded. 2. Investigation fee/re-inspection fee due before calling for next inspection. 103.4.4/103.5.6/455.058 Violation Summary: Inspector Contractor