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Permit 1111 .1CITY OF TIGARD MASTER PERMIT `' COMMUNITY DEVELOPMENT Permit#: MST2020-00188 //��`� � Date Issued: Jul 14 2020 12:00AM TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134BD12600 Jurisdiction: Tigard Site address: 10894 SW TEAL CREST PL Subdivision: SUMMERBROOK SUBDIVISION Lot: 9 Project: Summerbrook, Lot 9 Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2009 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 sf Garage: 406 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2009 sf Value: $265,806.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 3 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 2009 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 N POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 HOUSTON,TX 77055 BEAVERTON,OR 97006 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $35,011.41 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 0 952-001-0 90. 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: Ct 4 i1— Permittee Signature: ( roti /,L./ "-7-7l! ,L,/ 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. ' PIltmbing Permit Appli En4 E i V -_1 p Building Fixtures JUN D i 2020 FOR OFFICE USE ONLY City of Tigard (( y, Rettivea ', is/w 4 �1 Permit Nt'/ Q �7 -+ 13125 SW Hall Blvd.,Tigartl,.(111`t� �L r(�; ! i) Date'By U CJ T�J� f�6 I : .a:-.( t• Plan Review a 114 Phone: 503.718.2439 ? I 3{5 6,60 5, -- S Datetl Other Permit No.: Inspection Line. 5036394175;`" ' `'ry• I-}I '�•.�I('-!'� r T 11.,A R I.f Internet: wvvu ti rd-or Date Ready/By: lurk Sre Pale 2 fin '� R rn S NntifiedIdethod. Supplemental Information TYPE OF WORK FEE'. SCHEDULE Ness construction Fars special in armarion use checklist ® ❑Demolition P Description 1 Oty. I F.a. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 1001t for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312 70 ® 1-and 2-family dwelling ❑CommereR is IVE a SFR(2)bath X 437.78 ❑Accessory buildingSFR(3)bath 7.< 500.32 500.32 ❑Multi-family AUG 05 2020 Each additional bath/kitchen !�,�/ 25 02 25.02 ❑Mader builder ❑Other, Fire sprinkler( sq 0) Page 2 JOB SITE,INFORMATION AND LOCATI@Iti TY OF TIGARC Site utilities: Job site address: 10894SW'Teal Crest Place BUILDINGDIVISILI\ Catch basin or area drain 18,76 City/State/ZIP:Tigard/OR/97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear It:210) Page 2 87.55 Suite/bldg./apt.no.: I Project name:Summerbroak Manufactured home utilities 50.03 Cross street/directions to job site:SW 121 n Ave and SW Sum merbrook Lane Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 0.• ) Pace 2 Storm sewer(no linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Summerbrook I lot no..9 Fixture or item: _'- Tax map/parcel no.: Backlowpreventer 1 3 . 7 31.27 DESCRIPTION OF WORK Backwater valve I 1 Clothes washer 1 25.02 25.02 New Single Family Horne 3199 sgtt 5 bedroom,3.5 bath with 678 sqft 4 car Dishwasher 1 25.02 25.02 garage. Drinking fnunlain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER • 0 TENANT Expansion tank 12.51 Name:David%'teekley Homes Fixture'sewercap 25.02 Floor drain/tloor sink/hub 25.02 Address: 1905 NW 1690 Place Suite 102 Garbage disposal 1 25.02 2502 City/State/ZIP:Beaverton,OR 97006 Hose bib 5,2' 25 02 50.04 Phone:(503)213-4415 Fax:( ) Ice maker I 12.51 12.51 ® APPLICANT ®-CONTACT PERSON Interceptor/grease trap 25.02 Business name: David YYeekley Homes Medical gas(value$_) Page 2 Primer 12.51 Contact name:Michele Schiedler Roof drain(commercial) 12.51 Address: 1905 NW 169th Mace,Suite 102 Sink/basin/lavatory cr./ 25,02 10008 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62 54 Phone:(503)213-4415 Fax: :( ) Tub/showerishower pan 2 12.51 25.02 E-mail:inschiedlerr dwhomes.com Urinal 25.02 Water closet 2 25.02 75.06 CONTRACTOR - Water heater 1 37.52 37.52 Business name: Malmedal Plumbing Water piping/DW1! 56.29 Address: PO Box 207 Other 25.02 City/State/ZIP: Banks/OR/97106 Subtotal 31, 2.,7 Phone:(503)324-0759 Fax:( ) Minimum permit fee: 572.50 GCB Lie.: 102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) . .75 Authorized signature: TOTAL PERMIT FEE s.o v PrintnaneCarolinaMalmeda ':,„-, ,y ... Date: 03/26/2020 This permit application expires ifa permit is not obtained within ISO days after it has been accepted es complete. •Fcc medndology set by Tri•Comay Building Induatn Service Board. 1 inuildmt.Pcrmis PLMU-PecnulApp dx IONI'IN 4403616TiiG52'COMWGBI , CITY OF TIGARD MASTER PERMIT '111 COMMUNITY DEVELOPMENT Permit#: MST2020-00188 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 2Y 2' 0 Date Issued: 07/14/2020 I C"�n O 9 Parcel: 1 S134BD12600 Jurisdiction: Tigard Site address: 10894 SW TEAL CREST PL Subdivision: SUMMERBROOK SUBDIVISION Lot: 9 Project: Summerbrook, Lot 9 Project Description: New detached dwelling. 8/15/2020: REPRINT to add irrigation backflow. 9/11/2020: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2009 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 st Garage: 406 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 st Right: 5 Detectors: Yes Total: 2009 sf Value: $265,806.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 3 201-400 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 2009 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 N POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 HOUSTON,TX 77055 BEAVERTON,OR 97006 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $35,063.77 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 9 01-0090. may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ` i��J�-efet Q__ _ Permittee Signature: Old .1",/°' Call S03.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Mechanical Permit ApplicatiolRECEIVE L. FOR OFFICE USE ONLY Cityof Tigard C • ate/B : pp g DmerBy: 9 J► ? •dJ C7 Permit No.:(M S f 2t7 ZCl QO�O 6 IN • 13125 SW Hall Blvd.,Tigard,OR 97223 A U G 3 2q,, / ■ 2OLu Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: I I GAR D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jots: 0 See Page 2 for Internet: www.tigardor.gov 6UILDWG DIVISIOIti Notified/Method: Supplemental information TYPE OF WORK COMMERCIAL FEE*SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement pertonned.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special lnforntalon use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. En. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:10894 SW Teal Crest Place Furnace 100.000 BTU(ductavemsl 1 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(duets/vents) 54.91. Beat pump 61.06 Suite/bldg./apt.no.: Project name:Summerbrook Duct work 23.32 Crass street/directions to job site:SW L21't Ave and Summerbrook Lane 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:Summerbrook Lot no,:9 Other: 23.32 . Other fuel appliances: Tax map/parcel no,:TBD Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New single family home to be built-2009 sqft,3 bedroom 2 bath home with fireplace 23.32 406 sqft2 car garage,and a 115 sq ft covered rear porch Log lighter(gas) 23.32 Wood/pellet stove 33.39 4"1.S 4 'z/e------ Wood fireplace/insert 23,32 Chimney/liner/flue/vent 23.32 IS PROPERTY OWNER CI TENANT Other: 23.32 Environmental exhaust and ventilation: Name:David Weekley Homes Range hood/other kitchen equipment I 33.39 Address:1905 NW 169"Place,Suite 102 Clothes dryer exhaust I 33.39 City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(503)213-4415 , Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT a CONTACT PERSON Other: 23.32 Business name:David Weekley Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Michele Schiedler Furnace,etc. Address:1905 NW 169'Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 Water heater Phone:(503)213-4415 Fax: :( ) Fireplace Range E-mail:mschiedlerc;dwhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:David Weekley Homes Other: MECHANICAL PERMIT FEES* Address:1905 NW 169'h Place Suite 102 Subtotal ,73. City/State/Z1P:Beav ton/ 97006 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)213-44 5 Fax:( ) State surcharge(12%of permit fee) S.,1p CCB lie.:213653 TOTAL PERMIT FEE 57, 3 ea This permit application expires if a permit is not obtained within 1110 days after II has been accepted as complete. Authorized signature: * Fee methodology set by Tel-County Building Industry Service Board Print name:Michele chied r Date:08/31/20 1:1BaildingAPermile441EC_Pcnni 040111.doc 440.46)77 II INJCOM/WEBI CITY OF TIGARD MASTER PERMIT tN I . COMMUNITY DEVELOPMENT Permit#: MST2020-00188 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Jul 14 2020 12:00AM Parcel: 1 S134BD12600 Jurisdiction: Tigard Site address: 10894 SW TEAL CREST PL Subdivision: SUMMERBROOK SUBDIVISION Lot: 9 Project: Summerbrook, Lot 9 Project Description: New detached dwelling. BUILDING Floor Areas Reauired Setbacks Required Stories: 1 Bedrooms: 3 First: 2009 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 2 Second: 0 sf Garage: 406 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2009 sf Value: $265,806.52 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=10OK: 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: 3 201-400 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 2009 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1111 N POST OAK RD 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 HOUSTON,TX 77055 BEAVERTON,OR 97006 PHONE: PHONE: 503-213-4415 FAX: Total Fees: $34,976.39 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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. s Issued By: v Permittee Signature: j � �.. a.C .639.4175 by 7:00 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. Building Permit Application ->' 4 _— z 1 ff Residential — FOR OFFICE USE ONLY 7 Received// h City of TigardJUN ® 1 2020 Date,By(f�7/ �V Permit 1 2020.00`g,' 13125 SW Hall Blvd.,Tigard,OR 97223 r .,,. Plan Revive( � ��` m Phone: 503.718.2439 Fax: 503.598.1960-r'. FY F' +T A r,).")fYate/B : lY I. AAn Othcr Pervf tt f n�sa 0a Inspection Line: 503.639.4175 C j i(e i nip,,p,it-, j Si ,/. to Reedy/By: %{y��'�-+'n'r ta See Page 2 for TIGARU Internet: www.tigard-or.gov ..�)'`[,. )1'./�•J1`�A tified/Method: /w '. Supplemental Information A TYPE OF WORK REQUIRED DATA: 1-AND 2-FANIIL%'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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling ElCommercial/industrial Valuation: 00 2� gVvO ElAccessory building El Multi-familyNumber of bedrooms: 3 El Master builder El Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 4:2(7 /S Job site address: 10894 SW Teal Crest Place New dwelling area: 2009 square feet 9.001 City/State/ZIP:Tigard/OR/97223 Garage/carport area: `406 square feet Suite/bldg./apt.no.: Project name:Summerbrook Covered porch area: L1f5, square feet Cross street/directions to job site:SW 121't Ave and SW Summerbrook Lane Deck area: /// square feet Other structure area: � square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Summerbrook Lot no.:9 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. New Single Family Home to be built-2009 SQFT 3 Bedroom,32 bath with 406 SQ Valuation: $ 2 car garage,and a 115 sq ft covered rear porch Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: David Weekley Homes Type of construction: Address: 1905 NW 169t° Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:David Weekley Homes (Please refer to fee seAeQalJ Structural plan review fee(or deposit): !$(r 3 q Contact name:Michele Schiedler Address:1905 NW 1691h Place,Suite 102 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP: Beaverton/OR/97006 Amount received: Phone:(503)213-4415 Fax::( 1 E-mail:mschiedler�dcbvhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169'a Place,Suite 102 Solar Installation Specialty Code checklist. City/State/ZFP: Beaverton/OR/97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:213653 / 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. Print name:Michele Schiedler Date:6/5/20 `Fee methodology set by Tri County Building Industry Service Board. I:\Building\Pennits1BUP-RESPenni •pp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard - Phone: 503.718.2439 Fax: 503.598.1960 Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Dater iat Associaed permits: TIGARD 24-Hour Inspection Line: 503.639.4175 ® Electrical CO Plumbing ® Mechanical Internet: www.tigard-or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ® ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0 3 Verification of approved plat/lot. Ei 0 ❑ 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 ❑ 7 Water district approval. 0 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ® ❑ 0 9 Erosion control ®plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ® 0 ❑ basin protection,etc. , 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® ❑ 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. _ 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if // 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. , 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® ❑ 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. I. 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ® ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ® ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ® ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ® 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ® ❑ 0 architect licensed in Or:on and shall be shown to be a..licablc to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ® ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® ❑ 0 25 Building plans shall not contain red lines or tape-ons. `Mirrored"building plans will not be accepted. ® ❑ 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. . ® ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ El including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:1Building\Permir its1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 .� �-,-.- VP ,. Mechanical Permit Applicatioi 3 ..a FOR OFFICE USE ONLY City of Tigard Date/By: G 2 JUN 01 2029 Received Permit No�is 00 l 6 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598 I960 ' 1 ` l r� + ,�! Date/By: Other Penult: Inspection Line: 503.639.4175 Cf; E 1 r�') TIGARD p r:, l;i i ).,, ) 1t;,(*.DapReady/By: huffs: ® See Paget for Internet: www.tigard-or.gov - �. .—_.. ,,-.,. .- J . Ntlhfied/Method: Supplemental Information TYPE OF WORK 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 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 10894 SW Teal Crest Place Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Summerbrook Duct work 23.32 Cross street/directions to job site:SW 120 Ave and Summerbrook Lane Hydrvnic 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:Summerbrook Lot no.:9 Other. 23.32 Other fuel appliances: Tax map/parcel no.:TBD Water heater l 23.32 DESCRIPTION OF WORK Gas fireplace/insert I 33.39 Flue vent for water heater or gas New single family home to he built-2009 sqft,3 bedroom 2 bath home with fireplace 23.32 406 sqft 2 car garage,and a 115 sq ft covered rear porch 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: David Weekley Homes Range hood/other kitchen equipment I 33.39 Address: 1905 NW 169th Place,Suite 102 Clothes dryer exhaust 1 33.39 _ City/State/ZIP:Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) iti 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name:David Weekley Homes Fuel piping: $14,15 for first four;$4.03 for each additional Contact name:Michele Schiedler Furnace,etc. Address:1905 NW 169th Place,Suite 102 Gas heat pump - Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 Water heater I Phone:(503)213-4415 Fax::( ) Fireplace I Range E-mail:ruse hiedler@dwhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:David Weekley Homes Other: MECHANICAL PERMIT FEES* Address:1905 NW 169th Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimumpermit fee(590.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lic.:213653 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: * Fee methodology set by Tri-County Building Industry Service Board Print name:Ken Putt an Date: L 1 IdBuilding+.Permits\MEC_PennitApp_040 113.d°c 41 617T(I1.0 2D COMAVEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional $100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:Building\Permits\MEC_PennitApp_0401I3.doc 2 • Electrical Permit Appli 4' " 4— 1. FOR OFFICE USE ONLY City of Tigard L.:.....‘ ' ' qr Received Pemrit,`d-9S l l� _oodie, Er 13125 SW Hall Blvd.,Tigard,OR 9 O 1 Lt120 Plan Review Phone: Related Permit#: 503 718.2439 Fax: 503 595. 960 19, Date/By: TIGARD Inspection Line: 503.639.4175- r �F- '}`„ 1ry1r1� ReadyDate-By.: tans: la See Page 2 for t. Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW El New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 btanuas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ElCommerciallindustrial ❑Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 0 Addition of new motor load of system. Job#:68020009 Job site address: 10894 SW Teal Crest Place IOOHP or more. ❑"A"."E","1-Y',"1-3", City/State/ZIP:Tigard/OR/97223 CI Six or more residential units. occupancy. ❑Healthcare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Summberbrook ['Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW 121st Ave and Summerbrook Lane FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:Summerbrook Lot#:9 Includes attached garage. Tax map/parcel#:9 1,000 sq.ft.or less I 168.54 168.54 4 Ea.add']500 sq.ft.or portion 3 33.92 107.76 1 DESCRIPTION OF WORK - Limited energy,residential New single family home to be build-3199 sqft,5 bedroom 3.5 bath home with (with abovesq.ft.) 75.00 ^_ Limited energy,multi-family 75.00 2 678 sqft 4 car garage residential(with above sq.ft.) - Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:David Weekley Homes 200 amps or less 100.70 2 Address: 1905 NW 169th Place Suite 102 201 amps to 400 amps 33.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2 Phone:(503)213-4415 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:David Weekley I lomes above service or feeder fee, 747 2 each branch circuit Contact name:Michele Schiedler B.Fee for branch circuits without • service or feeder fee,first Address:1905 NW 1691h Place Suite 102 branch circuit 56.18 2 City/State/ZIP:Beaverton/OR/97006 Each add't branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4415 Fax: :( ) Each manufactured or modular 67.84 2 dwelling.service and/or feeder Email: nischiedlera;dwhomes.com Reconnect only 6784 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:2890 SE Brookwood Ave panel,alteration,or extension. City/State/ZIP:Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)523-9060 Fax:( ) Investigation(I hr min) 90 00/hr Industrial plant(1 hr min) - 78.181hr Email:permits@gamereleetriaeom Inspections for which no fee is CCB Lic.:121159 Electrical Lic.:34 05C Suprv.Lic.:3707-S specifically listed(V hr min) 90.00.hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name:Charles Garner ,,,Date:3/27/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: a ‘3,,,,... TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:BrittanyBuriar � Date:3/27/2020 days after it has been accepted as complete. " Number of inspections allowed per permit. I:\Building`.permits\ELC_PernutApp_ELR_ERE.doc Rev O 17/2015 440-4615TI I I!O5/COM,WER Electrical Permit Application—City of Tigard Ptige`2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description l Qty, I Each I Total I . Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less ono 2 5.01 to 15 kva 133.56 2 n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301,04 2 50.01 to 100 kva 552.26 2 ® Garage Door Opener* '100 kva(fee in accordance • with OAR 918-309-0040) 552.26 2 .. Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* -'-100 kva—no additional charse 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.25/hr charged at an hourly(l hr min) • Inspections for which no fee is 90.00'hr specifically listed(Y hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems ❑ Boiler Controls n C• lock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation HVAC n Instrumentation I I Intercom and Paging Systems ❑ Landscape Irrigation Control* n M• edical Nurse Calls ❑ Outdoor Landscape Lighting* I Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 ABuildingPeemits'ELC_PnrmitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Appl ,EIVED Building Fixtures JUN 0 i 2020 FOR OFFICE USE ONLY '` Cityof Tigard Received 1'A g Permit N �y�7 • 13125 SW Hall Blvd.,Tigar l �! �' Date/By- yc'(5 I ZC✓;: /!�j ld 8 . �� 1 .+.-.ti'•. l.� Plan Review Phone: 503.718.2439 !}T3iJ F' i119i l s i(.)i 3 Date/By.: Other Permit No.: T I G A R I) Inspection Line: 503.63 1 5 l Date Ready/By: Jura: RI See Page 2 far Internet: www.tigard-or.gov Noti fied/tctethod Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ["2] I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath \ 437.78 ❑Accessory buildingSFR(3)bath "F< 500,32 500.32 0 Multi-family Each additional bath/kitchen X. 25 02 25 02 ❑Master builder 0 Other: Fire sprinkler(_sq.tt) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10894 SW Teal Crest Place Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard/OR/97223 Footing drain(no.linear ft.:230) Page 2 87.55 Suite/hldg./apt.no.: I Project name:Summerbrook Manufactured home utilities 50.03 Cross street/directions to job site:SW 121e Ave and SW Summerbrook Lane Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 0: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Summerbrook I I.ot no.:9 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 25.02 New Single Family Home 3199 sqft 5 bedroom,3.5 bath with 678 sq ft 4 car Dishwasher I 25.02 25.02 garage. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 1251 Name:David Weekley Homes Fixture sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1905 NW 169'h Place Suite 102 Garbage disposal 1 25.02 25.02 City/State/ZIP: Beaverton,OR 97006 Hose bib s2 25.02 50.04 Phone:(503)213-4415 Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name: David Weekley Homes Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Michele Schiedler Roof drain(commercial) 12.51 Address:1905 NW 169 h Place,Suite 102 Sink/basin/lavatory 52- 25.02 100.08 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54 Phone:(503)213-4415 Fax: :( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:mschiedler0gydwhomes.com Urinal 25.02 Water closet 2 25.02 75.06 CONTRACTOR ----- Water heater I 37.52 37.52 Business name: Nlalmedal Plumbing m pip Water t WV 56.29 --..._ Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks/OR/97106 Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 102535 Plumbing Lic.no.:34-276PB / State surcharge(12%of pennit fee) Authorized signature: / TOTAL PERMIT FEE Print nameCarolina MalmedaIVVV'` ~; "» Date: 03/26/2020 This permit application expires if a permit is not obtained within 190 days '" after it has been accepted as complete. *Tee methodology set by Tri•County Building Industry Service Board. I.1Building\Permits\PLMU-PermitApp.doc 10/01/09 470-4616T(10i0>JCOMJWEB) • Plumbing Permit Application - City of Tigard - Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-I"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3:600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37,52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5.000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10.001.00 to$25,000.00 $148.50 for the first$10.000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof;to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Rath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food g Q Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures! C:\Users\Malmedal\AppData\Local\Microsoll\Windows\Temporary lnterr2t Files\Content.Outlook\6XKYAOWA\68020009 Plumbing Permit.doc • City of Tigard 71 i COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: H S T 20 2 ) - 00 l etc Site Address: 1 OeL L. Sin/ Teat I Gres+ P . . Project Name: fl ib j1L Lot #: Planning Review Proposal: WON/ 1- RISC/ a Verify address/suite# active in Accela. In River Terrace: 14 No ❑ Yes, River Terrace Review Addendum Site Plan Elements: 21.k.rosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper Olt etained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) 'Footprint of new structure(including decks) and FFE ‘siZNorth arrow 1 dtility locations&easements(required for new and additions) .. Site address,project or subdivision name and lot number �� idewalk/driveway approach Applicant information(name and phone number) rii ocation of wells/septic systems sl7fb,ot dimensions and building setback dimensions treet tree size,type and location 14'11 quare footage of buildings to be demolished lIStreet names ::1 xisting structures on site Sorner elevations(2'contours if more than 4'differential) rEilikot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? [l s o 14 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified $ No Received: ❑ Yes ❑ No yWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: E Yes ❑ No.§. Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: SV?;12-Df1^d0 P._4}'-c �-Zoning: giv Rear:Setbacks: Front:i Rear: 15 Side: 5 Street Side: N/1V Garage: 20 g Building Height: Max. Height: ) Actual Height: r. i 1LP IJLandscape Area: % NLot Coverage Max: Entrance X,Set back no more than 8'from street-facing wall xi Parallel to street or offset 45 degrees or less Windows tg, Minimum 12%of area of all street-facing facades 0424, Garage .Nr Garage door is behind widest street-facing wall ❑ Yes KL o,one of the following is met: Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. `1(Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch E Recessed entrance ❑ Wall offset ❑ 1'Roof cave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony G Visual Clearance Urban Forestry Plan Sensitive Lands: ❑ Yes X,No Type: .Conditions met prior to issuance of building permit Notes: E Approved By Planning: Date: lP(q I2D Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\BuildingWForms\B1dgPermitRvw RES 122419.doex Building Permit Submittal Original Submittal Date: (P/j/2d Site Plans: # 3 Building Plans: # .3 Building Permit#: EVEnter building permit#above. Workflow Routing: Er-Planning C ngineering L1 -mitCoordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: 42'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and onal plan review routing form. d /Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: to//?i/ZU En ineering Review Be Slope at building pad: d7i, Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes CNo Assess Water Quantity Fee in-lieu: ❑ Yes KNo LIDA Facility on lot: ❑ Yes �No P Final Plat Recorded: LI NOT Approved by Engineering: Date: Notes: Approved by Engineering: � Date: ev'/�ze.., Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ 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: SDC Exemption: ❑ Received `c4 Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: g Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes yJ N/A OK to Issue Permit n - Approved by Permit Coordinator: ' Date: l h 120 I:\Building\Forms\BldgPennitRvw_RES_122419.docx