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Permit . 1 i a CITY OF TIGARD � MASTER PERMIT 'r� - COMMUNITY DEVELOPMENT Permit#: MST2014-00134 T t t;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S109DB06300 Jurisdiction: TIGARD Site address: 13260 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 11 Project: Sequoia Heights, Lot 11 Project Description: New SF. 2/5/15, reprinted 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: 24 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 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 8.Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2722 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 15060 SW 133RD AVE 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,956.05 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 th gh OAR 9 -001-00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - Permittee Signature: - - -, X CIJ Call 503.639.4175 by 7:00 a.m.for the next available inspe .. .. e.. II This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED Mechanical Permit Apilicafion FOR OFFICE list onx City of Tigard ER 5 2015 Reedited ig •Lv1 r Date/By: i !p 13125 SW Hall 131vd.,Tigard,O Plan Review Phone: 503,718.2439 Fax: o ftING 1 6t pF TIGARD Date/By; OtherPerhdh Ins ectionLine: 5.03.639.41 DIVISION nateRead/B Jurir 6�J SeePn a far T1G. RD p Y y: E Internet: www.tigard-or.gov Notified/Metltod: Supplemental Information I TYPE OF WORK COMMERCIAL FEE' SCHEDULE-•USE CHECKLIST l Mechanical permit fees''are based on the value Of the lvork ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Q Demolition ID Other: mechanical materials,equipment,labor,overhead;and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS BEES' 11-and 2-family dwelling 0 Commercial/industrial I]Accessory building For specialhr/onlmrlon use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I En. I Total JOB SITE INFORMATION D LOCATION $e Ung(t polin 't Air cogditioalag 1 46.75 Job site address: (?v :A Ci.a.. BTU(ducts/vents) 46.75 City/State/ZIP: ' 4 / ` Furnace 100,000+BTU(duels/vents) 34.91 Heat pump 61.06 Duct work 23.32 Iit!J1J'I r Hydronlc hot water system 23,32 Residential boiler(radiator or ltydronic) 23.32 • Unit heaters(11:4.type,not electric), in-hall,in-duct,suspended,etc. 46.75 • Flue/vent for any of above 23.32 �� Other: 2132 Snbdivision: Lot no•,n a 1 ■ mi _ Other fpcl appliances: Tax map/parcel no,: Water heater , _ 23,32 1 DESCRIPTION OF WORK (3as fireplace/insert - . 33.39 NSFR ,( Flue vent for water.heater or gas - A bb A1fz C.r7t.1bI'(t/sf41NC, _fireplace 23.32 . - Log lighter(gas) 23,32'IP►d F> T a[ 4l t+•/ _ ' Wood/pellet stove 33.39 Wood fireplace/insert 23.32 chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 nvh'.ontttentnl exhaust Ord ventilation: Name:LENNAR NW,INC Range hood/other kitchen Address:11807 NE 99th Street,Suite 1170 equipment • , 33.39• Clothes dtyerexhnust .- 33.39 City/State/ZIP;Vniicouve1',WA 98682 Single-duct exhaust(bathrooms, ipilet compartments,utility rooms) 23..32 . Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawispace fads 23.32 © APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name;LENNAR NW,INC $14.15 far first four;$4.03 Or each.additional. - Contact name:ERIK PETERSON Vuntace,eto.• Address:11807 N1 •99'a Strcet,Suite1170 OM petit pump .. . .Wall/suspended/unit heater City/State/ZIP:Vnneouver,WA 98682 Water heater - Phone:(360)25$-7900 Fax::(360)258.7901 Fireplace Range . E-mall:ei•ilr.peterson@lennal'.aom J3arilecpp CONTRACTOR Clothes dryer(gas) Business name: TR( Cown)Ty !e MP CO/V7R0L Other: MECHAMCAL PERMIT FEES' 1/ Address: 131 5 U S, C I. GK/-(MAS fT/✓�2 De, Subtotal City/State/ZIP: 0 Minimum permit fee($90.00) i G2��dAr �T� �� 7 �� Plan review(25%of permit fee) Phone:(�j a3) 6-5 7- z Z 7G I Pax:(6-03) 5-57— U Cj/9 State surcharge(12%ofpennit fee) 5.b/ . CCB no.: 72 G' 2 3 TOTAL PERMIT FEE H�,3[Q This permit application expires if a permit is iiot oblainefiithin 180 *11(7en teh days after It has been accepted as complete, Authorized signature: $ Fee methodology set by Tri-County Building Indushy Service Board Print name April Jensen I Date: 1-13-15 I I:wuildinp\PcrmitdMECjennttApp 040113.doo 440.4617T(11101/COMWEB) I , u CITY OF TIGARD MASTER PERMIT * COMMUNITY DEVELOPMENT Permit#: MST2014-00134 T 1G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014 Parcel: 2S 109DB06300 Jurisdiction: TIGARD Site address: 13260 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 11 Project: Sequoia Heights, Lot 11 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1245 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height 24 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp 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 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 LENNAR NORTHWEST INC Required Items and Reports(Conditions) 15060 SW 133RD AVE 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 VANCOUVER,WA 98682 PHONE: 360-258-7900 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,903.69 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ot-- 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 iss ance, or if wo' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati.j Center. T • rules are set forth in OAR 952-001-001 AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5• Ir •,7 or 1.8 I 2.2344. Issued y: Permittee Signature: 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. c S Building Permit Applica C'Ej IVEP Residential i'J, r FOR OFFICE IiSE ONLY City of Tigard AUG 1 4 2014 Received Date/By: . Permit No.:ty —01-Li - )J3y v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi- i III �V rl Other Permit: p'�(.o(�fl,�dCYI7A Phone: 503.718.2439 Fax: 5,e��TIGARD Daten3 Inspection Line: 503.639.41D sate•ea.y: See Page 2for TIGARD g g UILDING DIVISION Notified/Method. otified/Method: �i11� S_ Supplemental Information Internet: www.ti and or. ov -1 aA-10,(,z„ F=.,--. 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: $ 3�� �Zz ® 1-and 2-family dwelling ❑Commercial/industrial El Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 2 , JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address: /3 2.6 p SW I-44 ZC=LC PLUS 7 WA y _ New dwelling area: 2 j 7 2 Z square feet City/State/ZIP: -774'42D j QA, 9 7 Z2.3 Garage/carport area: 7 7 4 square feet Suite/bldg./apt.no.: Project name: Covered porch area: I (0 B square feet I477 Cross street/directions to job site: Deck area: square feet 1244 Other structure area: 2 4', square feet 24 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 32.7.-quo/A 7./ /ca TS I Lot no.: / / 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. N S F R Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LENNAR NW,INC Type of construction: Address:11807 NE 99th Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: Z APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:LENNAR NW,INC Structural plan review fee(or deposit): Contact name:ERIK.PETERSON FLS plan review fee(if applicable): Address: 11807 NE 99th Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Amount received: Phone:(360)258-7900 Fax::(360)258-7901 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:erik.peterson @lennar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:LENNAR NW,INC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 11807 NE 99th Street,Suite 1170 Solar Installation Specialty Code checklist. City/5tate/ZIP:Vancouver,WA 98682 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)258-7900 Fax:(360)258-7901 State surcharge(12%of permit fee): $21.60 CCB lic.: 5 3 0 7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained(W7lcx...",‘A„.... within 180 days after it has been accepted as complete. Print name: n Date: *Fee methodology set by Tri-County Building Industry per pe �G 1 SD/U 6 .¢' �� Service Board. I:\BuildingWermits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) ilL . L' 1VLI Electrical Permit Application FOR OFI?ICI,USE ONLY 7 AUG 1 4 2014 Received / / , Permit No.: S7T�l`f e)Ul✓c/ City of Tigard Date/13y: g y (A---;.) 13125 SW Hall Blvd.,Tigard,OR 97 TY OF TIGARD Plan Review 2aa I/ 7 Other Permit; IC)7 . g Phone: 503.718.2439 Fax: 503.5 Date/By: luris: H See Page 2 for Inspection Line: 503.639.4175 ,DING DIVISION DateReadyBy: TIGAKD' Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit 2 sets of plans w/items checked below): 1New construction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural K1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Fire pump. ❑Installation of 150 KVA or ❑Multi-family ❑Master builder ❑Other: 0 Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A",'E","1-2","1-3", 13Z f A p J Six or or more. Recreational rob no.: fob site address: 17'%1-c J� � {,G�GST V�11'r/ ❑Six or more residential units. 0 Recreational vehicle parks. q ❑Health-care facilities. ❑Supply voltage for more than :ity/State/ZIP: �l C,t� , f Q�__, 1 7 ZZ ❑Hazardous locations. 600 volts nominal. 0 Service or feeder 600 amps or more. iuite/bldg./apt.lno.: Project name: FEE SCHEDULE :ross street/directions to job site: Description I Qty. I Fee. I Total I ' , New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less L 168.54 4 subdivision: � .Q U 0l L 1 �C�-•l-S Lot no.: I ( Ea.add'l 500 sq.ft.or portion 7 33.92 1 'ax map/parcel no.: 11 �+ Limited energy,residential I 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 NS L residential(with above sq.ft.) I l Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ■ IPROPEtZTY OWNER I 0 TENANT 200 amps or less 100.70 2 ✓ ti 201 amps to 400 amps 133.56 2 fame: t__,—e NA?, I vt I N G . 401 amps to 600 amps 200.34 2 • � ddress: I �0'7 (,vim 914-Aft Si- S u t L 601 amps to 1,000 amps 301.04 2 • Over 1,000 amps or volts 552.26 2 sty/State/ZIP: \ poNs G[ t9 EL W 15(a U Z Temporary services or feeders installation,alteration,and/or I relocation hone:(3(,,() 2_5-e, • `T 1 co Fax:(3 406) ZS'o • /C'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 tended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 wner signature: Date: Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit usiness name: — S tkr i F— B.Fee for branch circuits without Dntact name: service or feeder fee,first 56.18 2 branch circuit ddress: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) ty/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder tone:( ) Fax: ( ) Reconnect only 67.84 2 mail: - Pump or irrigation circle 67.84 2 CONTRACTOR Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy See iciness name: Fp_p-T ti✓c_i_f E.L ec---c gA panel,alteration,or extension. Page 2 2 idress: (o Sg 5r. 0 Nl ao 1■1-Ps 1)(2.-1‘1V--- . Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr ty/State/ZIP: Rkee y \PcLLE"+ i 0"1(2._. Investigation(1 hr min) 66.25/hr 3 Industrial plant(I hr min) 78.18/hr one: Fax:( ) (50 3) �O ,�j D�j Inspections for which no fee is 90.00/hr ;B Lie.: 19°O 391 Electrical Lic.: G g' , Suprv.Lic.:- -9'7Q s specifically listed(%hr min) ELECTRICAL PERMIT FEES ■ pry. Electrician signature,required: Subtotal: Date: /', j , I� Plan review(25%of permit fee): nt name: 'rQNy T5OtjpSL iwe.:'S tF' State surcharge(12%ofpennit fee): thorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 nt name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. iingWermits\ELC PermitApp ELR ERE.doe Rev 05/21/2013 440-4615T(11/05/COM/4VEB Mechanical Permit Applica ��j`TE11 FOR OFFICE USE ONLY City of Tigard j� ff vv 11 �� Received Permit No.: UPI `J g DateBy: /� J ��7T / —ea,'3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' ° Phone: 503.718.2439 Fax: 503.598.1960 2014 Date/By: Other Permit +fLo'�+ry� 1� T I G A R D Inspection Line: 503.639.4175 AU G 14 Date Ready/By: kris: E1 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OFTIGARD TYPE O�>lyy NG DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement 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* ® 1-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: Air conditioning 46.75 Job site address: ( 3260 s W kfA uFLC k/!5 i' 1 /Ay Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 77 •";47 Q O !,'7z 2 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 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 'N TS Subdivision: 52c q 4 L� !- i Lot no.: / Other: 23.32 Q Other fuel appliances: Tax map/parcel no.: Water heater l 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 NSFR Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen Address:11807 NE 99th Street,Suite 1170 Clothes dryer 33.39 Clothes dryer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms)• 6 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,INC Fuel piping: W $14.15 for first four;$4.03 for each additional Contact name:ERIK PETERSON Furnace,etc. t Address:11807 NE 99th Street,Suitel170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater I l Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) /t Other: Business name: TR( c0NdJl r 775 bIP (�U/V%RDL MECHANICAL PERMIT FEES* Address: I g it-U s: CG A clip}M4 S M✓/2 De, Subtotal City/State/ZIP: GQ (5.oA/ day OR. c' 7046--- v 4 S Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(6-03) S 7— 2 2 z G I Fax:(5-4)3) 5-5 7-- 0 9/g State surcharge(12%of permit fee) CCB lie.: 72 2 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 i days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: f f/L pg7 3 'J Date: �'-Z¢ •/,/ I:\Building\Permits\MEC PermitApp 040113.doc 440-4617T(I 1/02/COM/WEB) Plumbing Permit ApplicationRL�CEIVEP Building Fixtures II��GG FOR OFFICE USE ONLY City of Tigard Received u 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 4 2014 Date/By: 1 /I /r( j PennitNo.: 7�/�QdJ3/ t? Plan Review Phone: 503.718.2439 Fax: 503.598. Date/By: Other Permit No.:64 e.�/ice, 77 TIGARD Inspection Line: 503.639.4175 eY�'Y OF Tl(,ARll Date Ready/By: Juris: Ed See Page 2 for Internet: www.tigard or.gov BUILDING D!VISI0 Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description l Qty. j Ea. l 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 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 1 500.32 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: Catch basin or area drain 18.76 Job site address: / 3Z!U ,514/ I-/A ZG-"LCRgST Wy Drywell,leach line,or trench drain 18.76 City/State/ZIP: /f (pew') DR 972 Z. 3 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: 5 cJ u O/!4 /44„/6-7/73- I Lot no.: / 1 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 NSFR Clothes washer 1 25.02 Dishwasher t 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LENNAR NW,INC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NE 99th Street,Suite 1170 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2, 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker I. 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,INC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:ERIK PETERSON Roof drain(commercial) 12.51 Address: 11807 NE 99th Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax::(360)258-7901 Tub/shower/shower pan 3 12.51 E-mail:erik.peterson @lennar.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater f 37.52 Business name: W 'Q'tt CD 77 FL�Lt/fJ 13)1��� p Water piping/DWV 56.29 Address: / b 75 w. /.-1/sT,R 1 c LO i wt413)A )?1✓6372 /-4.12/ Other: 25.02 City/State/ZIP: j i 2 p u T f)q Le 1 t� 9 7 )6 Q Subtotal (Sd 3) Fax: G Minimum permit fee: $72.50 Phone: 7�-/78/ x ) (5 3) G( 7- �j L�9 Plan review (25%of permit fee) CCB Lic.: // 2 2 Z 6 Plumbing Lic.no.: 2.6 . 6,24 p Q State surcharge(12%of permit fee) Authorized signature: • &w/x Pe•T TOTAL PERMIT FEE Print name: eL f rr a wiyq Af Date:7.2_14., 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) I 111111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: X 51 01-c/` -e a/ 34 Site Address: 13260 SW E caeicre5t Way Project Name: Seq of o Heioh+s Lot #: I I (New dwelling=subdivisibA name;Addition or Alteration=last name of owner) Planning Review Proposal: new SF home_, 4 Verify site address/suite #exists and active in permit system. Sipe Plan Elements: ,f ree (3)copies of site plan = -xisting structures on site LYJ ite plan must bb on 8-1/2"x 11"or 11 x 17"paper 'A Footprint of new structure (including decks)with finished prawn to scale(standard architect or engineer scale) or elevations prawn arrow NJ Utility locations(required for new,may apply for additions) 't e address,project or subdivision name and lot number = V.cation of wells/septic systems pplicant information(name and phone number) I'•Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) PLot area,building coverage area,percentage of coverage and treet names pervious area(applicable if R-7,R-12,R-25&R-40) VStreet tree size,type and location NJ Property corner elevations(2 foot contour lines if more than $1-xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—S rvice Provider Letter: (lot platted prior to 9/10/1995): Rewired: ❑ Yes — Received: ❑ Yes ❑ No L�"and Use Case#: SUB2Oi3-O' 2_ �O oning: R-77 M Setbacks: Front \ S' Rear I S Side 5 ' Street Side — Garage ?n' ,,...f Landscape Requirement: 2O % LYJ of Coverage Maximum: 8O 1 :uilding Height: Maximum Height iv 3 S Actual Height i 21-4 1'A isual Clearance asements >Sensitive Lands: ❑ Yes INo Type OCJ Urban Forestry Plan L47 Conditions Met Notes: Approved By Planning: ,I I jg _• a f.g a Date: $i i/II 4 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\BldgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: 9/1`i /iq Site Plans: # 3 Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Er Planning ET Engineering Permit Coordinator IBuilding Workflow Sign-off: Ergign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan,(1) building plan and ,.,..-original 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: l� -)6,c,,,y,..„_.y4_i Date: V/c/Xy Engineering Revie7 Actual Slope: q Conditions Met Notes: i Approved by Engineering: .4_-1111- Date: 1E" Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 0 Permit Coordinator Review 1nditions 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: K to Issue Permit / Approved by Permit Coordinator: / Date: a/1 VA 4 1:1 Building\Forms\BldgPermitRvw_RES_042914.docx 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O February 26, 2015 at 12:59:11 PM MST2014-00134 Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Blower door test results received. Insulation certification checked. 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL February 25, 2015 at 1:36:13 PM MST2014-00134 David Young Provide approved final inspection for deck on separate MST permit. No inspection made. Recall both inspections after deck corrections completed. 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS February 25, 2015 at 12:55:41 PM MST2014-00134 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2014-00134 Jeff Grove 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS February 20, 2015 at 10:52:58 AM MST2014-00134 David Young Corrections from previous inspection done. No AC installed at this time, permits and inspections required at time of installation. Foundation vent screens to be checked at building 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL February 19, 2015 at 2:13:42 PM MST2014-00134 David Young AC not complete. Seal foundation vents at line set locations at rear of house. 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final FAIL February 19, 2015 at 2:05:44 PM MST2014-00134 David Young Expose sewer line Cleanout and bring up to grade. All else ok. Note: call in plumbing final for lawn irrigation backflow devise. 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 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL February 19, 2015 at 1:19:35 PM MST2014-00134 David Young Provide collar at water heater vent in garage to seal penetration thru wall. Provide clearance to combustibles from vent to control box. Provide timer or de humidistat for master bath and main bath fans to code. Seal foundation vent in rear of house where screen is missing. Violation Summary: Inspector Contractor