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Permit II i 1111 , q CITY OF TIGARD ��® MASTER PERMIT s: COMMUNITY DEVELOPMENT Permit#: MST2014-00142 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S109DB05700 Jurisdiction: TIGARD Site address: 13271 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 5 Project: Sequoia Heights, Lot 5 Project Description: New SF. 1/27/15, 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: 735 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $314,316.64 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 Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Gasoline Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvciFeeders 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 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: PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,540.09 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001. ••R 952-001-0090, You may obtain a copy of the rules or direct questions to OUNC by calling .232.1987 or 1.8,Q9.332.2344. Issued y: L r / '� ' Permittee Signature: eV(' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED . Mechanical.Permit Apolicat' n FOR OFFICE USE ONLY JAR, 2 6 2015 •City of Tigard DateBea '/ � Date/By: /� � � PcrositNo,:r� �•f �0/1�, 13125 SW Hall Dlvd.,Tigard Plan Review Other Psrisiit: d Phone: 503,718.2439 Fe • lF.....1 F TIGARD Date/By: TIGARD Inspection Line: 503.639.c' I DING DIVISION Pate'eady/By: luck CJ See Page 2for Internet: www.tigard-orgov Notitied/Metbod: Supplemental inforntntion i TYPE OF WORK COMMERCiAL FEE" SCHEDULE—USE CHECKLIST Mechanical permit fees"are based on the value Of the work ®New construction ❑Addition/alteration/repiacernent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead;and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES" ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For speciallq/br,)rarlon use cirecbts!. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Ifte Qngke_olin 1 Air conditioning I 46.75 Job site address: Ism - d-f i u BTU(ducts/vents) _ • 46.75 • City/State/ZIP: '1 L r or t 72.-Z3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Neat pump 61.06 Duct work 23.32 . Cross street/directions to job site: Hydronio hot water system 23,32 Residential boiler(radiator or liydrgulo) 23.32 Unit heaters(fhel-type,not electric), in-wall,In-duct,suspended,etc. _ 46.75 Flue/vent for any of above 23.32 Subdivision: C. P-41 IA n i 14 l4 El<-d-1-T S I Lot no,: .c.. other: 23,32 Other fuel appliances: Tax map/parcel no,: Water heater 23,32 i DESCRIPTION OF WORK OM fireplace/insert ' . 33.39 NSFR Flue vent for waterheater or gas A bn Air-. Carl N I-r t Irrf l N� , fireplace 23,32 H A$-I-61z--7--i2 t-j - -HT -CO VP-, I Log lighter(gas) 23,32 Wood/poet stove 33,39 Wood-fireplace/insert 23.32 chimney/liner/flue/vent 23.32 Other: 23.32 ® PROPERTY OWNER I 0 TENANT E3wii' ntnenlal exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen cquippsent 33.39 ' Address:11807 NE 99"Street,Suito 1170 Clothes dryer exhaust 33.39 City/State/ZIP:Vnimcouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments, ,tility roams) 23,32 • . Phone:(360)258-7900 Fax:(360)258-7901 }lttic/crawlspace fans 23.32. ' l APPLICANT • ❑ CONTACT PERSON Other: 23,32 Fuel piping: Business name;LENNAR IVW,INC $14.15 for first four;$4.03 for each additional. Contact name:ERYI{PETERSON Ptirnaco,eta, Address:11807 NE-99"'Street,SuIte1170 Oaf heat pomp • - . City/State/ZI1i:Vancouver,WA 98682 • Waterheateided/unitheater Water heater . Phone:(360)258-9900 Fax::(360)258-7901 Fireplace Rangy . . E-mail:erilc.peterson(plennai'.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:173 1 CacaA)rY 7 Mn Can/7-72o L Other: Address: � MECHANICAL PERMIT FEES* I 4 U 5 ,2.AC•kiki Lf195 Rr1/&2 De, Subtotal City/State/ZIP; (jQ C elAf Ct T oe CT 7045--- Minimum pemsit fee($90.00) ? Plan review(25%of permit fee) Phone:(6 03) 675 7— Fax:(5-03) q Stale surcharge(12%of permit fee) zzzo 55�-- a �� CCB lie.: 72 G. 2 3 TOTAL PERMIT FEE 15'a_34' This permit application expires if n permit Is hot obtained within 180 >�pa Jame" days after it bus been neceptcd as complete, Authorized signature: • Fee methodology set by Tel-County Building industry Service Board I Print name: April Jensen I.Date: 1-1345 J I:1Buitdinglpermits\M C_PermimApp_o4e113.doo ---440-461Tr(I1/02/COMIWEB) I CITY OF TIGARD MASTER PERMIT ' �! E COMMUNITY DEVELOPMENT Permit#: MST2014-00142 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014 Parcel: 2S 109DB05700 Jurisdiction: TIGARD Site address: 13271 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 5 Project: Sequoia Heights, Lot 5 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: 735 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2536 sf Value: $314,316.64 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Gasoline 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'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 PHONE: 360-258-7900 FAX: 360-258-7901 Total Fees: $21,487.73 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 ugh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 1,800.332.2344. Issued By: 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. N ; Building Permit Application . Residential � � FOR OFFICE USE ONLY City of Tigard Q��C Datee/Be: ' , ' /�lil jI Permit No.: �: 4 i _ ,. r 13125 SW Hall Blvd.,Tigard,OR plan• `*"►�Y��.; e Phone: 503.718.2439 Fax: 503.598.1960 014 Date/B : 1111W aher Permit: i —• Date R- • kris: ®See Page 2for r T I c;A R D Inspection Line: 503.639.4175 A,1 r 2 / y Internet: www.tigard-or.gov A NotifiedlMethod: -/ay // �' ' 'c Supplemental Information V P4 x c lr•G\644 fir. TYPE OF IF Q� D � REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ' Uent Ito 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ (4 ) ' r ❑Accessory building ❑Multi-family Number of bedrooms: CF. ❑Master builder ❑Other: Number of bathrooms: Z, JOB SITE INFORMATION AND LOCATION Z / Total number of floors: Job site address: /32 7/ 5 Lt/ //4 ZCL& r T IV A y New dwelling area: 2, 5 36 square feet City/State/ZIP: 77 p4 Qo) 0F? 9 7 Z 2 3 Garage/carport area: 7 35— square feet Suite/bldg./apt.no.: Project name: Covered porch area: /60 square feet'4(c`7 Cross street/directions to job site: Deck area: square feet (O CI Other structure area: • 'Z`7( square feet 24._. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: .5-6:01,,i am 1-/-67/CYTS Lot no.: S Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 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 99*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 Address:11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:erikpeterson @lennarcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 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/State/ZIP:Vancouver,WA 98682 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)258-7900 Fax:(360)258-7901 State surcharge(12%of permit fee): $21.60 CCB lie.: 1 9 j 3 0 7 Total fee due upon application: $201.60 Authorized signature: / r�'��r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: t f /K PE?f p� Date: * set by Tri-County Building Industry Service Board. 1:1BuildinglPermits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLI' n eceived permit No.: a-�- City of Tigard Its", Date/$ : m W b d0 . Ili n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 U Q 2.014 Date Ready/By: Iuris H See Page 2 for T I G.1 RD Internet: www.tigard-or.gov A U 2 Notified/Method: Supplemental Information }�( TYPE OF WORK `N (�V'IGP t) PLAN REVIEW• VCI New construction Additi on/alteration/re f 1, Please check all that apply(submit 2 sets of plans w/items checked below): /� ❑ G DIVISION ❑Service or feeder 400 amps or more 0 Building over three stories. El Demolition El Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural X.4-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2","1-3", {x � 100HP or more. occupancy. Job no.: Job site address:(3 27 J 5 X A 11/rZ F t C.(&ES-r N 1(I ❑Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: —1-1 c,fc-PAD I ® _ 7 7 2-Z aj 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qtr. I Fee. I Total I ' New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: `^ Lot no.: 1,000 sq.ft.or less i 168.54 4 r � -Q U owek- 4e-1 k-E'T S S Ea.add'1500 sq.ft.or portion a 33.92 1 Tax map/parcel no.: Limited energy,residential I 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family V 75.00 2 N + '7 r residential(with above sq.ft.) 1 ✓ Renewable Energy ❑ See Page 2 )EQROPERTY Services or feeders installation,alteration,and/or relocation OWNER I ❑ TENANT 200 amps or less 1 100.70 2 201 amps to 400 amps 133.56 2 Name: L-eN 1.,f�?... N I/ V ' I N G 401 amps to 600 amps 200.34 2 Address: \ Gb p'/ iNi q(14-ti, S T I S u ( t -7 0 601 amps to 1,000 amps 301.04 2 t r c Over 1,000 amps or volts 552.26 2 City/State/ZIP: V pc' C.tsUV E2 i W A 1 It t f3 Z Temporary services or feeders installation,alteration,and/or (3 teo) 25-� --M I relocation Phone:(?,(P(� 2..5--a co Fax: /G 200 amps or less 59.36 1 Owner installation;This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits–new,alteration,or extension,Per panel A.Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: - S ps.t.,i _ B.Fee for branch circuits without 2ontact name: service or feeder fee,first 56.18 2 branch circuit kddress: Each add'/branch circuit 7.42 2 Miscellaneous(service or feeder not included) 2ity/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder 'hone:( ) Fax: :( ) Reconnect only 67.84 2 mail: - Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy See F(L 0 7 EGH �L 6C-'1 yg-I C- panel,alteration,or extension. Page 2 2 address: Each additional inspection over allowable in any of the above I O SQL Cj o 13 EU Y (L 1 lJ 1= Additional inspection(1 hr min) 66.25/hr :ity/State/ZIP: -.Pcfn gPrLLE 1 di - Investigation(1 hr min) 66.25/hr 'hone:(,jp 3) 3 b p. 0-3 Fax:( ) Industrial plant(1 hr min) 78.18/hr 5 Inspections for which no fee is o G g q -7 p -1-$70 s specifically 90.00/hr :CB Lic.: ( � 0 39� Electrical Lic.: Su rv.Lic.: listed(%hr min) ELECTRICAL PERMIT FEES uprv.Electrician signature,required: Subtotal: Date: I q Platt review(25%of permit fee): rint name:I- OW/ O(�D SL�VETS �' r U �� State surcharge(12%of pennit fee): ,uthorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 rint name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. uilding\Permits\ELC PermitApp ELR ERE.doc Rev 05/21/2013 440-4615T(1l/05/COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY a City of Tigard Received tc-ii.X114V DateBy: Perniit No.: -II r —.I,13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review L .71 I Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:^ + DateBy: T I G A It D Inspection Line: 503.639.4175 p LO`� Date Ready/By: Juris: EI See Page 2 for Internet: www.tigard-or.gov fl otified/Method: Supplemental Information P�� IlGp' TYPE OF WORK CN��0 Uw1Sl014 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST GMechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/� performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 13Z 7/ 5W gAZLz eaz.S% 1i✓A/ Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: �4A2 D I d e 9 77 2 8 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 Subdivision: /� Lot no.: Other: 23.32 S<<!'���� ���`i��� S Other fuel appliances: _ Tax map/parcel no.: 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 1 33.39 Address: 11807 NE 996 Street,Suite 1170 Clothes dryer exhaust I 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 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: 514.15 for first four;54.03 for each additional Contact name:ERIK PETERSON Furnace,etc. Address: 11807 NE 99th 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 I E-mail:erik.peterson @lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Co ther: Business name: -I- i I C /A// y i e M P (�oA/772O L MECHANICAL PERMIT FEES* Address: I g i U S, [iG[A cHi-I MAS j?i 1,/g72 De. Subtotal City/State/ZIP: C2/26.:.-66A/ e,Ty DR Cf 7045.- Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(g`b3) 6-5 7_ 2 z z G Fax:(5-O3) 5-5-7- 0 rj/9 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 days after it has been accepted as complete. Authorized signature: 72,4":„..&.:4 * Fee methodology set by Tri-County Building Industry Service Board Print name: /CAA S-L L Date: / r 7, / 1 I:\Building\Permits\MEC_PermitApp_040113'doc / 440-4617r(I1/02/COM/WEB) 1 ' Pluinbin2 Permit Application t • Building Fixtures t‘N�j FOR OFFICE USE ONLY City of Tigard Received Permit No.: n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review STo201�(-QQd�fo� III 2 g d' ^ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 LQ14 Date/By_ Other Permit No.: Inspection Line: 503.639.4175 A�G t Date Ready/By: June: la See Page 2 for TIGARD �,V ( Y y g Internet: www.tigard-or.gov M ;��i ted/M�hod: Supplemental lnformation TYPE OF WORK COI Mr.105 I FEE* SCHEDULE ®New construction ❑De3 77� For special information use checklist V 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 ID Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION / Site utilities: Job site address: /327/ SW f./A z L cie6sr 1.t/A, Catch basin or area drain I 18.76 I Drywell,leach line,or trench drain 18.76 City/State/ZIP: I/"19R/) / a R 9 72 2 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: SL Q u e:)//4 /-/ /t!/',.,TS- I Lot no.: -- Fixture or item: Tax map/parcel no.: Backflow preventer I 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 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 i 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2.. 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker [ 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 Water closet .3 25.02 CONTRACTOR Water heater f 37.52 Business name: yt/D(.CO 7T FL Gip/8 1 Nt j Water piping/DWV 56.29 Address: / t 75 4. 141 S7 /IC a,Lam 6),4 Rs l'tf'/2 /114/y Other: 25.02 City/State/ZIP: `0 u Tall L O if 9 76 6e) Subtotal Phone:(So3) (,67-1 75/ x3'81 Fax:(563) G 6, 7- F8 y / Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: // 2 2 2 O b lambing Lic.no.: 2i. . £2 4 P i3 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I Print name: CL „...F. ()wMA Date: 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. 1 1:1Building\Permits PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) City of Tigard S COMMUNITY DEVELOPMENT DEPARTMENT T[GAR D Building Permit Review — Residential Building Permit #: pli jTato/y,Ud/1 a, Site Address: 1321 I SW Ha-z.eAr rest' Way Project Name: Sept pk, He qh+s Lot #: 5 (New welling=subdivisioM,ame;Addition or Alteration=last name of owner) Planning Review Proposal: noZV11 SF Verify site address/suite #exists and active in permit system. Sipe Plan Elements: �ee(3)copies of site plan sting structures on site p ite plan must b on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished �prawn to scale(standard architect or engineer scale) 1•or elevations orth arrow Y,Utility locations(required for new,may apply for additions) Rijrite address,project or subdivision name and lot number = r. ation of wells/septic systems L7.pplicant information(name and phone number) iv,Erosion control(including drainage-way protection,silt fence ►v, .t dimensions and building setback dimensions sign,location of catch basin,etc.) ►7 Lot area,building coverage area,percentage of coverage and treet names —/impervious area(applicable if R-7,R-12,R-25&R-40) pQStreet tree size,type and location I roperty corner elevations(2 foot contour lines if more than -axisting 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 /La nd Use Case#: S U B20 3—C,OOa2 ISzoning: R-77 etbacks: Front 2/131105) Rear 221ti(15) Side j� (5) Street Side — Garage2D3'(�) IJ andscape Requirement: Z a Lot Coverage Maximum: 8 Q /Building Height: Maximum Height 35 , Actual Height Zy I ,Eisual Clearance asements N1J Sensitive Lands: ❑ Yes LJ No Type WUrban Forestry Plan NJ Conditions Met Notes: Approved By Planning: /, II ��1(•q _A Date: F121311 y i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:1 BuildinglForms\BIdgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: V.1011 Site Plans: # Building Plans: # j Building Permit#: ❑❑ EEnn er building pperm i above. Workflow Routing: ��Pl iing /L�Engineering ermit Coordinator E Building Workflow Sign-off: kJ�S' -off for Planning(include notes from planning review) Route Application Documents: Engine ring: (1) copy of permit application, (1) site plan, (1) building plan and o nal plan review routing form. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /1/C4.J By Permit Technician: _ Date: 47 Engineering Review Actual Slope: ❑ Conditions Met Notes: AJ o c°.nE`j&Av.t .( t,./ 9 I s.r�4r`S Approved by Engineering: Date: 9 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: `/l7/ 1:\B u i l d in gWorms\B 1 dgPcrm i t Rvw_RE S_042914.docx CITY OF TIGARD 1 BUILDING DIVISION PERMIT #:nlSrA {—QO/Cf�_ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: J�. Q/�/� UU TIME: PAGE: SITE ADDRESS: l3c171 f-{,¢Ztt..c resr W,4'y #: CLASS OF OF WORK:RK: SUBDIVISION: L/ PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Co. - # Message 330 t✓p- rL SER✓K-E �O f O - 6 AS n aT 121,--,4D 390 Srorzr►-, ServElt Corrections/Comments/Instructions: 772r7 a3,c:1.3 036°R T 1.:-112v l c t ©P4 M F120141 h "rT 2 4j • ff ck /'.Q2 mere-a_ • ooKy`2h�� Vu,2/( JY 'O7771- /6J 5r/.`f XS1e4.- dy 0100 a c, V --,411/4/, 0 Ve-:---ke /: At" Ocrr' ft.-,l> /RIS'7 cc- )' /6c). 6c)G" 7 5-r l< WC, L-D 7 (1) ef 6-To12M 5'511451-- PQdvI o V 1;91-1,(16, Fob ce67.040c. _s- 1101_ 3. 3 CO RE u- / hs ecTQt► CN ro r'vec i'otis /-1,61v cp- cc) v►, 9LP ep /o3- 0": .- CI) l 671-c 071 h coy I2C4 PASS PARTIAL APPROVAL I I CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 17)3.-"" I)- Phone #: (503) 718- City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Note: permit required for ac and laundry sink at time of installation, not installed at final inspection. Landscaping in progress at rear of house, vent wells on site to create slope away from house to meet code. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test results checked. C of 0 left with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final inspection for PLM 2015-00131 , lawn irrigation back flow devise. All else ok. Recall both finals for inspection. Note: no ac and no laundry sink installed at time of final. Provide permits and inspections at time of installation. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, May 19, 2015 at 10:42:11 AM 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Note: ac not installed at time of final inspection, not part of this permit. Permits and inspection required at time of installation.. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Note: ac not installed at time of final inspection, not part of this permit. Permits and inspection required at time of installation.. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, May 19, 2015 at 11 :16:11 AM 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: cleanout plug needs approved thread sealant at: 316.1 .1 will check at final inspection. Provide permit and approved final inspection for lawn irrigation back flow devise. Note: laundry sink not installed at time of final inspection, provide permit and inspections at time of installation. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: cleanout plug needs approved thread sealant at: 316.1 .1 will check at final inspection. Provide permit and approved final inspection for lawn irrigation back flow devise. Note: laundry sink not installed at time of final inspection, provide permit and inspections at time of installation. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13271 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2014-00142 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor