Permit i 9
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2015
Parcel: 2S109DB06400
Jurisdiction: TIGARD
Site address: 13242 SW HAZELCREST WAY
Subdivision: SEQUOIA HEIGHTS Lot: 12
Project: Sequoia Heights, Lot 12
Project Description: 168 sq ft deck addition.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $3,568.32 Rear 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel TYPOS Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 0 201-400 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions)
15060 SW 133RD AVE 11807 NE 99TH STREET SUITE 1170
TIGARD,OR 97224 VANCOUVER,WA 98682
PHONE: 360-258-7900 PHONE: 360-216-6423
FAX: 360-258-7901
Total Fees: $331.13
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
952-001-00 ro OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli 3.232.1987 or 1.800.332.2344.
Issued By. Ail\ Permittee Signature: 4IC/-i'f C0-4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / r
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• !
Building Permit Application
Residential FOR OFFICE USE ONLY
CityCity of Tigard RECEIVED Received „
g Date/B E, Permit No.: ST�L0 • r,
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ��(�
' •. Phone: 503.718.2439 Fax: 503.598.1960 Date/B : AM1,�I�L N Other P01mit: r. — .1
1 WARD
Inspection Line: 503.639.4175 Date Ready 7- ® See Page 2 for
p FEB 192015 `
Internet: www.tigard-or.gov
Notified/Method: .0 Supplemental Information
✓'
TYPE OF W S* r S A.'B REQUIRED DATA:1-AND 2-FAMILY DWELLING
d]te�tr f' '' Permit fees*are based on the value of the work performed.
®New construction Kb 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 y 5.41. 32
® 1-and 2-family dwelling ❑Commercial/industrial
I=1 Accessory building ID Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION ++ Total number of floors:
Job site address: I ""j 2 4-2 S W H(r-ZELC-?- .ST �k)ii_Y New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 'fq Covered porch area: square feet
Cross street/directions to job site: E p�4^I'3 t� Deck area: /Coe square feet
go W�3' nH1(1 g�' Other structure area: square feet
v� J" REQUIRED DATA:COMMERCIAL-USE CHECKLIST fes
Subdivision: ECG IA 0 I t4 4 T . I Lot no.: ' Z 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 _ it U"' Valuation: $
� ( IS-1 a 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)name:LENNAR NW,INC
Structural plan review fee(or deposit):
Contact name:ERIK.PETERSON
FLS plan review fee(if applicable): �v
Address:11807 NE 99th Street,Suite 1170
C
City/State/ZIP:Vancouver,WA 98682 Total fees due upon application: d 7.
Amount received:
Phone:(360)258-7900 Fax::(360)258-7901
E-mail:erik.peterson @lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 I
CCB lie.: I ci S 7 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
ER��( P 'c�Ps 1/J 1 ' 3 ' 4 Service Board.
I:\Buil ding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I Y
City of Tigard
1111 UCOMMUNITY DEVELOPMENT DEPARTMENT
T �,A o Building Permit Review — Residential
Building Permit #: /j, l j&to 02/
Site Address: j 4,1 st i-l-aZelc.►ts{- 4)
Project Name: Se uo i A_ ,c�1,1+3 Lot #:
(New dwellinV=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 0 0 nS+YuC i U"1 O e de(-k- v,n rear b't— V)6 v's-c -
Verify site address/suite #exists and active in permit system.
ite Plan Elements:
❑Three(3)copies of site plan ,'Existing structures on site
I Site plan must 12g on 8-1/2"x 11"or 11 x 17"paper `Footprint of new structure (including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
'forth arrow Utility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number Location of wells/septic systems
Applicant information(name and phone number) ArErosion control(including drainage-way protection,silt fence
PLot dimensions and building setback dimensions design,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and Street names
impervious area(applicable if R,7,R-12,R-25&R-40) Street tree size,type and location
XIProperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree
4 foot differential) protection measures
❑ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
❑ Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ( No Applied For: ❑ Yes ❑ No,stop intake
rA Land Use Case #: `S aoi3 -60oc3a
Zoning: R- 7
Setbacks: Front — Rear i S Side r Street Side — Garage —
Landscape Requirement: 0 %
Lot Coverage Maximum: g 0
Building Height: Maximum Height 35 Actual Height `O dcd _p„,,-
A. Visual Clearance
AlEasements
Sensitive Lands: ❑ Yes ❑ No Type
Urban Forestry Plan
Conditions Met
Notes:
Approved By Planning: Chall O (16,-;-, �,— Date: o? -/9 -/5
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\BldgPerm itRvw_RES_020415.docx
Building Permit Submittal
Original Submittal Date: 4.2/l9/lS
Site Plans: #
Building Plans: # /i a/ /;"� C;j Building Permit Permit#: 13--Efiter building permit#above.
Workflow Routing: G-Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: CLSign-off for Planning(include notes from planning review)
Route Application Documents: ineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
a–Banding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: Sg-.&", /LA/ G11JZt. a 1/ T i v'Q f.
By Permit Technician: Date: ‘,2/t3/)_
Engineering Review
❑ Actual Slope:
❑ Conditions Met
❑ Easements (encroachments)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee: ❑ Yes ❑ No
Assess Water Quantity Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: Z.19 r /5
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
❑ 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: Date:
1:\Building\Forms\BI dgPermitRvw_RES_020415.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
13242 SW HAZELCREST WAY, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
February 26, 2015 at 12:17:18
PM
MST2015-00021
David Young
Revised Engineering received for deck guardrail and post framing.
Footings poured without inspections, appear to meet engineers design. Contractor pot
holed beside piers for verification.
Violation Summary:
Inspector Contractor