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Permit mi CITY OF TIGARD ", ,. . ; - MASTER PERMIT 2 COMMUNITY DEVELOPMENT rte® Permit#: MST2014-00140 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S109DB06200 Jurisdiction: TIGARD Site address: 13276 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 10 Project: Sequoia Heights, Lot 10 Project Description: New SF. 2/5/15, reprinted to add a/c. 5/19/2015 REPRINT permit to add deck. BUILDING Floor Areas Reaulred Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $305,395.84 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: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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: 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 2536 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: 360-258-9000 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,458.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o. er app/' -ble 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 w• is su • nded • mo 7 the 180 days. ATTENTION: Ore•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. T,ose r -s are -- fo' i - OAR 952-001-0010 through•' 1-0099. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• :r 2 344. / Issued By: Permittee Signature: ��— ` tr 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. r s FOR OFFICE USE ONLY—SITE ADDRESS: /3,2 9--( S-6,-) `T" 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. IS City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter I ■ I I ; 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: L DATE REC DEPT: BUILDING DIVISION R E /E MAY 132015 FROM: ► `'A'Y .S-Z-5-1a/ CITY OF TGASIO BUILDING N COMPANY: PHONE: 0 2S R T f o o By r+a RE: (Z 7 0�� i�15�p/Cir zi—OG/4/v (Site Address) (Permit Number) sect n3e or subdivision na14 and lot nudber) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I 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: ' 0 $ t / . _ . _, FOR OFFICE USE ONLY Routed to Permit Technician: Date: 5( (E l I Initials ue Fees Due: ❑ Yes EI� Fee Description: Amount ue: $ $ $ Special Instructions: , err), 77 k/frS 14-- (6 , Reprint Permit(per PE): `: 'es ❑No ,bone 1 Applicant Notified: i1 ate: sf/q/jam J �S Initials: <�i I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 . ,, City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential I Icy \ I: 1) Building Permit #: H -r cz9,e)14—60 140 Site Address: /,39.? / 1fcc ,Le Project Name: u�,�a /�/' ,j A Lot #: /0 (New d'ng=subdivision ame Addition or Alteration=last name of owner) Planning Review «((((////JJ Proposal: l V fit, /O 'X f(o ' c4cL Rirify site address/suite#exists and active in permit syste ver Terrace Plan District: ❑ Yes !d No Site 'lan Elements: t P ree(3)copies of site plan sting structures on site teS,te plan must 12e on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished �wn to scale(standard architect or engineer scale) 9Wor elevations rth arrow V j 'ty locations(required for new,may apply for additions) IYS Eaddress,project or subdivision name and lot number Ili : ation of wells/septic systems plicant information(name and phone number) I a Erosion control(including drainage-way protection,silt fence I t dimensions and building setback dimensions a ign,location of catch basin,etc.) l2 Lot area,building coverage area,percentage of coverage and IFA reet names ithpervious area(applicable if R-7,R-12,R-25&R-40) Greet tree size,type and location ldProperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree [4 of differential) protection measures Clean Water Services—Service Provider Le of platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified Ifd No Received: 0 Yes ❑ No 1/blic Faciliti provement(PF1)Permit: equired: V Yes,applicant was notified ❑ No Applied For: i/es ❑ No,stop intake and Use Case#: S' � Dl -(� }�) !LI oning. —3- V tbacks: Front /S—Rear /s Side S" Street Side /0 Garage 0,20 andscape Requirement: Wr of Coverage Maximum: _cepi % uilding Height: Maximum Height 3s-- Actual Height 3s F Visual Clearance V;Easements V Sensitive Lands: ❑ Yes No Type r1 ■ rban Forestry Plan in Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: t`- .` Date: //3 /S' 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_031015.docx l Building Permit Submittal Original Submittal Date: 57i ,i/S/ Site Plans: # Building Plans: # Building Permit#: 1.-Enter building permit#above. Workflow Routing: 2-Planning -Engineering rmit Coordinator 2- uilding Workflow Sign-off: ISign-off for Planning(include notes from planning review) Route Application Documents: ❑--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: r Date: S Engineering Review Ripe at building pad: 21-Conditions "Met"prior to issuance of building permit [asements (encroachments) per engineering conditions of approval and plat 12—Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 12"---No Assess Water Quantity Fee in-lieu: ❑ Yes [No LIDA Facility on lot: ❑ Yes 2'No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: K ,_, f 'SNP Date: c—/.5--/...c Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: ❑ OK to Issue Permit ',,,(, Approved by Permit Coordinator: C���/,0 ( Date: 5 — /8 —1 5 1:\Building\Forms\B IdgPermitRvw_RES_031015.docx ■ Contractor is responsible to check site plans and notify designer of RECEDE any errors or omissions prior to start of construction. Plans and CITY OF TIGARD ExISTING 6 MAY 13 2015 specifications shall be approved SILT FENCE CEDAR FENCE by local building officials prior Approved by PI nning MULCH ESTABLISH CITY OF TIGARD _ 50.00' GRASS BUILDING DIVISION CI to the start of any construction. Date: 3 i� EROSION CONTROL NOTES: — • X56' S 1. A STABILIZED GRAVEL CONSTRUCTION ENTRANCE 557' Initials: L — — SHALL BE INSTALLED AS FIRST SITE ACTIVITY. n,-- 4 ,-- '� y21'-3" 16'-0" 12'-9" 2. EROSION CONTROL MEASURES SHALL BE _�j_=j' 4 — — —1- 7 / 55S' INSPECTED DAILY AND MAINTAINED AS NECESSARY ioyxze• TO ENSURE THEIR FUNCTION. " o DECK 7 9„ ° 16'-3 e / SITE LEGEND: 3. EROSION CONTROL MEASURES SHALL BE KEPT IN 0 , -0 559 - \ '' PLACE UNTIL PERMANENT GROUND COVER IS �,,�h0 255555- —I— 4: Utility Symbols: ESTABLISHED. "SYCAMORE" *N AMERICAN — Y FIRE HYDRANT WET WEATHER EROSION NOTES: LIVABLE COVEREAGE_� CATCH BASIN 1. DURING WET WEATHER SEASON(OCTOBER 1 -40'-0" ___.---561-" -APRIL 30)ALL SOILS EXPOSED FOR MORE THAN 2 4-- OVERALL -J DAYS SHALL BE COVERED WITH PLASTIC STREET LIGHT SHEETING,OR A 2-INCH LAYER OF MULCH,BARK, a` f! 0 -_ O% 56 _Y —u �— SANITARY SEWER WOOD CHIPS,SAWDUST,OR STRAW TO MAIN MINIMIZE EROSION POTENTIAL. GARAGE co I° F.F.E.F563. I —m—'r—s— STORM DRAIN 2. EXPOSED SOILS SHALL BE SEEDED NO LATER T.O.S.562250_ b�' ._„ x_563, THAN SEPTEMBER1. GARAGE PORCH �' —w WATER LINE 5' ,�� b' COVERAGE ■6059.Ft.0 • _____c bat Fence Types: ( _ 8'-On W STORM CONCRETE os 0 0 o 6'-0" WOOD FENCE LATERAL DRIY.EWAY-, i w P.U.E. (See Fencing Plan if Necessary) - • SANITARY ��" LATERAL ' Street Tree Types: O �' '�j,A� YP sID —.&. EWALK • 1 50.00 �� � .�� . . . • ' 0 ACER TRUN. x ACER PLAT. �� WATER �` c., ca* SUNSET MAPLE' ro _ 2"CAL. —WAT Mlir f - METER WAT ■ o WAT CLADRASTIS KENTUKEA sTM /TM STM - sTM M „ PROVIDE GRAVEL STAGING / 'YELLOWOOD' — z"CAL. / SW HAZELCR ST WAY -.O.W q. AREA AT DRIVEWAY. (2"MIN QUARRY SPACES FOR SAN SAN SAN ■ SAN SINGLE FAMILY SITES). ..„.*t FRAXINUS OXYCARPA SEE LEGEND FOR o 2"CAL. OD ASH' \ ro 2 z"cAL. TREE TYPES-TYP, cn, AIWA LIB'II c PROPOSED COVERAGE AREA: MINIMUM BUILDING SETBACKS cREVISED:5-82015JBG 1 SITE PLAN Street Address: HOUSE' 1,088 Sq.Ft. GENERAL REQUIREMENTS FOR LOTS LENNAR GARAGE. 560 Sq.Ft. 160 Sq.Ft. FRONT HOUSE: 15FT.(From P.L.) SEQUOIA HEIGHTS 13276 SW Hazelcrest Way COVERED ENTRY 11807 N.E. 99th Street DECK: 160 Sq.Ft. FRONT PORCH 12 FT.(From P.L.) GARAGE: 20 FT.(From P.L.) Suite 1170 DRIVEWAY: (IMPERVIOUS) 392 Sq.Ft. SIN CITY OF TIGARD, WASHINGTON CO, OREGON REAR YARD: 15 FT.(From P.L.) HOME SITE #1 0 Vancouver, WA 98682 TOTAL COVERED AREA' 2,306 Sq.Ft. SIDE YARD: 5 FT. (From P.L.) LOCATED IN THE SE 1/4 OF SECTION 9, Office. 360.258.7900 STREET SIDE: 10 FT.(From P.L.) N— TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE MERIDIAN 4,500 Sq.Ft. 80%MAX.ALLOWABLE = 3,600 Sq.Ft. q PROPOSED COVERAGE% = 51.2% \f LE: 1" = 20' J CITY OF TIGARD ii I MASTER PERMIT ' 1 I COMMUNITY DEVELOPMENT Permit#: MST2014-00140 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S 109DB06200 Jurisdiction: TIGARD Site address: 13276 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 10 Project: Sequoia Heights, Lot 10 Project Description: New SF. 2/5/15, reprinted to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 2536 sf Value: $305,395.84 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 Drywall-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 SrvclFeeders 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 2536 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: 360-258-9000 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,458.98 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr 1 / 1-952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232..1987 or 1.800.332.2344. Issued By: A. Permittee Signature: "' �e/^�' `� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED _ ..__.. _..._...___.. .._ _.____......_........_.._ Mechanical.Permit Apt Iicatio EB 5 2015 FOR OFFICE,:trsc ONLY Recel4ed City of Tigard Dated3 /S PermitNo.: QO/ ■ 'r 1-3125 SW Hall Blvd.,Tigard,OR 97 3^ �® K�+J �Ti�� Y OF TIGARD Plan Review OlherPtrbiiC Phone: 503.718.2439 Fax: 503.52g Date/By TIGARD Inspection Line: 503.639.4175 LDING DIVISIO Datelteady/By: ;uric fd See Pnge2to' Internet: www.tigard-or:gov Notified/Method: Supplemental Inform lion i i TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST Mechanical permit fees"are based on the value Of the Work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other; .mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION • RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 11-and 2-family dwelling El Commercial/industrial ❑Accessory building For speciallnforruaden use Meal's): 0 Multi-family ❑Master builder 0 Other: Description 1 Qty. I Ea, I Total JOB SITE INFORMATION AND LOCATION IIe (iBgLCpolln 'I — Job site address: `?,2'� �V v • C2e1 :e5 I-- VI) Air egndittopipg • 46.75 JJ t BTU(ducts/vents) • 46.75 City/State/ZIP: - -V/,a rA. 0�? e1 21-3 Furnace 100,1300+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: '.J Project name: - Duct wprk 61.06 Duct work 23,32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or ill,drol3ia) 23,32 it heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Fine/ventforany of alma 23.32 Subdivision: Lot no.: p I 0 Other: 23.32 S E-4)14 n l l4 Eller(i�S Other fret appliances: Tax map/parcel no,: Water heater 2332 1 DESCRIPTION OF 1VORK Gas fireplace/insert • - 33.39 , NSFR Flue vent for water heater or gas Aj i A l le- C o -.t b I T f DTI I Nc� fireplace 23,32 HJ� p M (' I Log lighter(gas) 23.32 ' "A ST�L_ '1° L-1. M_�'.40. r — Wood/peilet StQYe 33,39 Wood fireplaceJinsert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 1 ❑ TENANT Other: 23.32 Envh'onmentnl exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen Address:111107 NE 99'r'Street,Sulte 1170 Clothes ts dr 33.39 dryarexhaust 33.39 City/State/ZIP:Vnneouvcr,WA 98682 Single-duct exhaust(bathrooms, • • toilet compartments,utility rooms) . 23,32 Phone:(360)258-7900 Fax:(360)258-7901 Attio/crawlspace falls 23,32, ® APPLICANT ❑ CONTACT PERSON Other: 23,32 , Fuel piping: Business name:LENNAR N1V,TNC 514:15 for first four;$4.03 or unlit e_dditional. Contact name:ERIK PETERSON Furnace,eto. • Gs heat prp Address:11807 NE 9911'Strect,Suite1170 , City/State/ZIP:Vnncouver,WA 98682 • Wall/suspended/unit er h healer heater Water healer ._ Phone:(360)258-7900 Fax::(360)258-7901 Fireplace Rang? E-mail:crilc.peterson®lennar.com gaOgcnc CONTRACTOR Clothes dryer.(gas) Business name:-fl i Cote,Wri iwp CU/1/TI2o . Other: Address; ` MECHANICAL PERMIT FEES' 31 o .S, Ce.A cKi-1 MRS jli✓-2 De. Subtotal /�.7e'' City/State/ZIP: r' ! Mhlimum permit fee($90.00) ���oA/ /T� O� 7 7045" Plait ret ew(25%of permit fee) --- Phone:(5-e,3) 55 7- 2 2.7 I Fax:(C°3) 557— U 9 9 State surcharge(12%ofpermit fee) 5.4,t CCf 1io.: 72 6. 2 3 TOTAL PERMIT FEE 5-9._ This permit application expires it n permit Is not obtained within ISO Authorized signature: >ialZ Jensen days after It has been accepted as complete, * Fee methodology set byTri-County building industry Service Board • Printname: April Jensen I bate; 1-13-15 I 1:1Butldinp'PormlIAMEC PermltApp 04DI13.doc 440.461T101/02/COMIYEB) I L q CITY OF TIGARD MASTER PERMIT Ili 1. COMMUNITY DEVELOPMENT Permit#: MST2014-00140 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S 109DB06200 Jurisdiction: TIGARD Site address: 13276 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 10 Project: Sequoia Heights, Lot 10 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1069 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1467 sf Garage: 525 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $305,395.84 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 Tvees 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 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 2536 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 360-258-9000 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,406.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. 44 552-001r-.0090.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 r 1.800.332.2344. Issued By:c ) `-'1-`' - Permittee Signature: L Call 503.639.4175 by 7:00 a.m.for the next available inspect rn date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY Received `' Pennit No.: '../ 2 o!//'/o City of Tigard Dateiv : b - !���`'/ 14 2 Phone:SW Hall Blvd.,Tigard,OR 972:2131r 2 7 2014 Plan B : , e� ��/ _tea? Phone: 503.718.2439 Fax: 503.5904M Date/B : ,A 10 �� Other Pennit: 0 Inspection Line: 503.639.4175 Date Ready/By: Juris: gi See Page 2 for TIGARll Internet: www.tigard-or.gov f CITY OF Notified/Method: / �ti I i Supplemental Information � 11} C DIVISION JOccs,.�-„ ig..k_ ►�.-:V TYPE O 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: $ <(,�j J3 76j, ® 1-and 2-family dwelling ❑Commercial/industrial ID Accessory building ❑Multi-family Number of bedrooms: 4- ❑Master builder ❑Other: Number of bathrooms: 2 . S JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 1.12 7�o SW gel ZL LC,QL-`s7 kV Al New dwelling area: 2, 53 6 square feet City/State/ZIP: TC4RD l O R 9 72 2 Garage/carport area: .523 square feet J Suite/bldg./apt.no.: Project name: Covered porch area: /60 square feet tic? Cross street/directions to job site: Deck area: square feet l(:)(4' Other structure area: 30(0 1 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ...5—t_.--Q Lt a/A //L"/q Ef TS Lot no.: /Q 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: ® 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 Phone:(360)258-7900 Fax::(360)258-7901 Amount received: ?7r1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:erik.peterson @lennar.com Commerci. and residential prescriptive installation of CONTRACTOR roof-top mou -. PhotoVoltaic Solar Panel Syste . Business name:LENNAR NW,INC Submit two(2)sets • oof plan with conne details and fire department acce ,= ong • • e 2010 Oregon Address: 11807 NE 99th Street,Suite 1170 Solar Installation Special - • ecklist. City/State/ZIP:Vancouver,WA 98682 Permit Fee •• r es plan revie $180.00 d administrative fees): Phone:(360)258-7900 Fax:(360)258-7901 State surcharge(12%of permit fee): $21.60 CCB lic.: / j S 3 C7 7 Total fee due upon application: $21 60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ��/� Pl7 /fSD� /� 7 /1 *Fee methodology set by Tri-County Building Industry Print name: Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) a F�eC C Ile�i r�T �CTIlll�� llRECEIVED FOR OFFICE LSE ONLY z City of Tigard Date/8y: �7 #../ Permit No.: eryc j��c'/SIG' v 13125 SW Hall Blvd.,Tigard'503.5'8719607 OIja'r; 2��4 Plan Review Other Permit e`�-C_;2.?C>/C-eroj C Phone: 503.718.2439 Fax: Date/By: Inspection Line: 503.639.4171-q Date Ready/By: kris: Q See Page 2 for TIGARD Internet: www.tigard-or.gov �,ITY OF TIGARD Notified/Method: Supplemental Information Typa,lactDIVISION PLAN REVIEW Please check all that apply(submit 2 sets of plans w/items checked below): KNew construction ❑Addition/aIteration/replaeelnent ❑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 ❑Commercial-use agricultural K1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. • ❑Multi-family 0 Master builder ❑ Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION Ell Addition of new motor load of ❑"A","E","1-2","1-3", 'p f+ 100HP or more. occupancy. 132 765� 14 jZ-F I G(._t ST V ❑Six or more residential units. ❑Recreational vehicle parks. fob no.: Job site address: 15r q []Health-care facilities. ❑Supply voltage for more than �ity/State/ZIP: 'l f t2 ) 1 t)�— /7 ZZ 0 Hazardous locations. 600 volts nominal. ❑Service or feeder 600 amps or more. iuite/bldg./apt.no.: Project name: FEE SCHEDULE cross street/directions to job site: Description I Qty. 1 Fee. I Total I " New residential single-or multi-family dwelling unit. Includes attached garage. subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 r �'r.p u CA- 4 -1 c-1�"T S !_ Ea.add'!500 sq.ft.or portion 33.92 1 'ax map/parcel no.: Limited energy,residential l 75.00 2 DESCRIPTION OF WORTS (with above sq.ft.) Limited energy,multi-family 75.00 2 i\1 C r residential(with above sq.ft.)J Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 1�`J PROPERTY OWNER I TENANT 201 amps to 400 amps 133.56 2 fame: L Gs.,J NA.F._ Ii IN f I N G . 401 amps to 600 amps 200.34 2 ■.ddress: I \ 93c)-7 9'q-4---V-1 Si-* c u vt'� ( ` %C) 601 amps to 1,000 amps 301.04 2 ( Over 1,000 amps or volts 552.26 2 ity/State/ZIP: V ikiNs C_trib'i E-12, Uv A i 5(p g,2- Temporary services or feeders installation,alteration,and/or 1 relocation hone:(j(po -2_5-6 • - 11 Oa Fax:(3(06) -1 o • 11 e. 1 200 amps or less 59.36 1 'wner 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 0 APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 each branch circuit usiness name: — S ef,,t•.I1, _ B.Fee for branch circuits without Dntact name: service or feeder fee,first 56.18 2 branch circuit 3dress: 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 Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy See isillesS name: ��O (F LFf („eL 2 1 panel,alteration,or extension. Page 2 2 Idress: I I O s' S 01\1 ao NI-r/.1, 'h R1,11,-; Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr ty/State/ZIP: 14 pcee ki U I PcL L tY E`/ 1 (L_ Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr One; Fax:( ) (5�3) �%� .��3 Inspections for which no fee is 90.00/hr :B Lic.: 19°O 39 9 Electrical Lic.: G 231 1 Suprv.Lic.: 4-s70 S specifically listed(%hr min) ELECTRICAL PERMIT FEES pry. Electrician signature,required: Subtotal: Date: Plan review(25%of permit fee): nt name: rQNy 70,oSIrIk\(Ci'S �' �4— State surcharge(12%of pennit fee): thorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 tit name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. dingiPermits\ELC PermitApp ELR ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED Received PermitNo.. —eC/ ' u 13125 SW Hall Blvd.,Tigard,OR 97223 y STS/ 71 : Phone: 503.718.2439 Fax: 503.598.1g96►07 Plan Y iew Other Permit: /���j�e�i�� t t G A RD Inspection Line: 503.639.4175 A U G 2 7 2014 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TtGARD COMMERCIAL FEE" SCHEDULE — USE CHECKLIST Air1 ° VISION 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: /32 7( SL✓ .414&& L Peg S7 WA y Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: 7� p4R0 OR 9722.3 Furnace 100,000+BTU(ducts/vents) 54.91 I 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 // Other: 23.32 Subdivision:Skep Gl o/ 4 4 E//Hf Lot no.: /Q Other fuel appliances: Tax map/parcel no.: Y Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas NSFR 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 equipment I 33.39 Address:11807 NE 99th Street,Suite 1170 Clothes dryer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) S 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: $14.15 for first four;$4.03 for each additional Contact name:ERIK PETERSON Furnace,etc. Address:11807 NE 991h Street,Suite1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater ( Phone:(360)258-7900 Fax::(360)258-7901 Fireplace ( Range E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: TR i CD a„.)j y 7T - p (��t a/to- a L. Other: MECHANICAL PERMIT FEES'` Address: 1 g i g o ,s, CCc.A G K/-I/1,0)S l?i✓..lZ VAC', Subtotal City/State/ZIP: 6v6.-...-6.DA/ of T OR Cf 7 O lf.S Minimum permit fee($90.00) Y Plan review(25%of permit fee) Phone:(5-03) 6-5 7_ 22-z G (Fax:(6-03) 53-7_ U 9/g State surcharge(12%of permit fee) CCB lie.: 72 6 2 3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 clays after it has been accepted as complete. Authorized signature: " Fee methodology set by Tri-County Building Industry Service Board Print name: / (4 �/ y Date:/G, ?,l 1 1.Building\Permits\MEC_PermitApp_040113.doc ` 440-4617T(I1/02/COM/WEB) Plumbing Permit Applicati.ECEIVEP Building Fixtures FOR OFFICE USE ONLY AUG 2 7 2014 Received City of Tigard I V Ca k Permit No.: M lT / _tee pie u 13125 SW Hall Blvd.,Tigard OR 972 Dan Re a7 111 ll g 9t alOF'TIGARD Plan Review G� - Phone: 503.718.2439 Fax: 503.5 Other Permit No.:d4,,e‘9.,,/4-2 Inspection Line: 503.639.4175 Date/By: T1 G A R D BUILDING DIVISION Date ReadyBy: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 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 building SFR(3)bath 1 500.32 ❑Accessory 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: 13276 s-14/ I/fAZL L€.RL S/ �It Y Catch basin leor ach line,drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: // pAR D ) OR 9 7 22 ? 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:..( Lu )/A /-/E/i f/TS I Lot no.: Q 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 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►/ PROPERTY OWNER ❑ 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 j 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 CONTRACTOR Water closet 3 25.02 F Water heater ( 37.52 Business name: W D F d LC 7T L C ffi 131 Nt j Water piping/DWV 56.29 Address: /6,75 1.4, f--(I 57C'R i c Co la m9706,6 13)/ Ri 11cr'/2 ybt/j/ Other: 25.02 City/State/ZIP: /t2'u�q L L , 0 l / Subtotal Phone:(5"0,3) 6‘7_179/ K 3'81 Fax:(563) G G 7. '6:5)9 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: /f 2 2 2 O Plumbing Lic.no.: Z.G . 8 2 4 p i3 State surcharge(12%of permit fee) Authorized signature: /�� TOTAL PERMIT FEE Print name: CL �F- 4 7 V WMA A(l Date: This permit application expires if a permit is not obtained within 180 days l after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) • 74 City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: r16-1- 6 L LI- Do /`-f D Site Address: 1327A SW Ha-Lelc res+ Way Project Name: S t 01 a. H eiohts Lot #: I d (New d elling=subdivisio name;Addition or Alteration=last name of owner) Planning Review Proposal: hAAI SF Verify site address/suite #exists and active in permit system. Si d Plan Elements: M ree(3)copies of site plan sting structures on site Site plan must 1 g on 8-1/2"x 11"or 11 x 17"paper L1�Footprint of new structure (including decks)with finished ❑G rawn to scale(standard architect or engineer scale) oor elevations 1L IX orth arrow Utility locations(required for new,may apply for additions) C�tte address,project or subdivision name and lot number canon of wells/septic systems pplicant 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.) Lot area,building coverage area,percentage of coverage and Street names pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location 1L roperty corner elevations (2 foot contour lines if more than €iriristing 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): Re uired: ❑ Yes – Received: ❑ Yes ❑ No nif Land Use Case#: SU S 20 –OOQ 1 . Di/Zoning: (etbacks: Front lee(lsl Rear Z�`(is) Side 5'(5) Street Side — Garage �' ZD Landscape Requirement: 20 % J Coverage Maximum: $0 MI/Lot B ding Height: Maximum Height 35 ' Actual Height N Zy isual Clearance asements LJ Sensitive Lands: ❑ Yes No Type B/Urban Forestry Plan [ Conditions Met Notes: Approved By Planning: I m —41YblC f) Date: $IZ7/ I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Bui Id ing\Forms\BldgPerm itRvw_RES_042914.docx • 7 Building Permit Submitta Original Submittal Date: 0144 14 Site Plans: # 3 Building Plans: 112 Building Permit#: Enter building permit#above. Workflow Routing: (lanning n gineering EP-Permit Coordinator ©-Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original 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: o?g / Engineering Review Actual Slope: 8 /° ❑ Conditions Met Notes: Approved by Engineering: Date: 8.2 8, 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 ❑ 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: K to Issue Permit Approved by Permit Coordinator: / Date: d ` I:\Building\Forms\B I dgPermitRvw_RES_042914.docx CITY OF TIGARD BUILDING DIVISION A� PERMIT#:/Y1cral 0(51—00 lei 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 4„<- 0j1l� .. Inspection Requests (24 Hrs.): (503) 639-4175 P , 5 INSPECTION WORKSHEET FOR DATE: l..;5-__ 15 TIME: PAGE: SITE ADDRESS:/361 76 514 / 14 AZ I=L`i265'� w�1 CLASS OF WORK: SUBDIVISION:+ o� C'' vl/ LOT#: TYPE OF USE: PROJECT NAME: N, DESCRIPTION: /, � OWNER: PHONE #: CONTRACTOR: i PHONE #: Inspection Request Scheduled For: Date: /—a/-5----/5 Pour Time: Code # Inspection Description Confirm # Contact Message 330 w4 K- S R ait 'f- ;.'A,:.4 c).9-, S A4;T%4 t SL=11/ IL- 3 yv S op 5:r..,7 t- Corrections/ omm nts/ nstructions: a1(e//4- -1 42 5&2-vrt l— iigT►if L LEI,4Vt Tr2 i?ic, / of j rieac,-j IlI 4/ 4 6A-c Fag- I4 zr`'7 2 h<�U 4 .•4w O i /1 r-yy7� .Pi " 17L 1 y /o. 3'`4-� ! 3 4 le3kzip*--.i-- cAilir;i vy 5r1.---4-- d- - A-41 z-- Fr; .u tb L"--- G 14 Jr:Z.>A.-' I(Z Ate e-vz..._ i 14.4/1-E ALci v 6- `0 r�6r- 7/25. if S7 Q. h7 (c-A.,2_ 3.0,,1-01.-7 Ap_12 G,4 i) 13 G`DPf 16- (IWP6-�2 (�1('� A ai(�- Gif i, 4(g. fa©A) 7- 7/ ss. LI�L c'r ' C.A.• i J 0_,,% AL C ALL- I hif fr•-cTth14 r l©.7'-S` 6- / I I \ i I ,11 i i i t ❑ -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '►'A .IL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 . / Inspector: �,�► ' ,� Date: ( K' ' ) Phone #: (503) 718- s a City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13276 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00140 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13276 SW HAZELCREST WAY, TIGARD, OR, May 26, 2015 at 8:56:58 AM 97224 Record Type: Record ID: Residential - Master Permit MST2014-00140 Inspection Type: Inspector: 299 Final inspection Result: Comments: *Final Erosion Control approval. Received *Street Tree Certification, checked for tree(s). Received, signed/dated *High-Efficiency Interior Lighting Systems Document Received *Moisture Content Acknowledgement Form. Received *Insulation Certification checked. Checked *Approach to Sidewalk Approval (if required). Passed *Carbon monoxide Detector. Checked. *Garage Vehicle Barrier Installed. Not required *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval. Pass *Lawn Irrigation final with Backflow test results. Received Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13276 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00140 Inspection Type: Inspector: 299 Final inspection George Heimos Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13276 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00140 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: hard cap all unused future fixture pipes at: 101 .4.1 .1 .3, rain drain at entry. cleanout plug needs approved thread sealant at: 316.1 .11 dishwasher hose to be securely anchored to underside of cabinet top. 807.4 All else ok. Note: provide approved lawn irrigation back flow devise inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13276 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00140 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor