Loading...
Permit CITY OF TIGARD MASTER PERMIT N--i- COMMUNITY DEVELOPMENT Permit#: MST2020-00089 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Jul 16 2020 12:OOAM T t`"�R n 9 Parcel: 2S103CA00311 Jurisdiction: Tigard Site address: 13154 SW 121ST AVE Subdivision: BIRCH MILL SUBDIVISION Lot: Project: Birch Mill Estates, Lot 5 Project Description: New SF. DEFER SDCs TO OCCUPANCY. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1670 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 767 sf Garage: 399 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2437 sf Value: $318,901.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 4 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2437 Owner: Contractor: LF121 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $21,036.00 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/ R 952-001-0090.-0 You may otain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 'SCY 4,,,,„....) Permittee Signature: � /'t-7 C' J7tY� / 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. - - - r • , ` Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY - Cl of Tigard Received n Permit Non5r V -• 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 11 2020 Date/By e 3// ao d y Phone: 503.718.2439 Fax: 503.598.1 3i` '�4� Other Penn2a7FJ �o o�iJa ?ry OF TIGAHD DateBy: yl t t GARU Inspection Line: 503.639.4175 ti Date Read B : /J Ions: ® See Page 2 for Pe {� Internet: www.tigard-or.gov Bu I JING ni V i li`,1 ' No.fied/M od: Zct20 • Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees* are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and Op profitQ for the CATEGORY OF CONSTRUCTION work indicated on this application. 3k j f l 0 1 ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 3 I Imo! I El Accessory building El Multi-familyNumber of bedrooms: El builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION 1 Total number of floors:A3 7 2 2-Z310 Job site address: 13154 SW 12191 Avenue,Tigard,OR New dwelling area: Z3 r:, square feet 7ie7 City/State/ZIP:Tigard,OR 97223 T -S Garage/carport area: 3cm square feet ( ti2:70 Suite/bldg./apt.no.: Project name:Birch Mill-Lot 5 C Covered porch area: 4 Z square feet Cross street/directions to job site:SW 121"Ave&SW James St. \, Deck area: square feet Other structure area: / square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Birch Mill Estates I Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel no.:TBD 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. New home construction Valuation: $ Existing building area: square feet / / 32S-c/ /_ S L C..i tv} c)Ct Lr-CG/4111-7V New building area: square feet 8I1 PROPERTY OWNER ❑ TV/ANT Number of stories: Name:LF 121,LLC Type of construction: Address:5285 Meadows Rd Ste.171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JTSC,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:John Wyland FLS plan review fee(if applicable): Address:5285 Meadows Rd Ste.171 City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application: Phone:(503)209-7555 Fax::( ) Amount received: E-mail: ' land�'[smi[hco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Jwy J Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:JTSC,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5285 Meadows Rd Ste. 171 Solar Installation Specialty Code checklist. pl an Permit F City/State/ZIP:Lake Oswego,OR 970 ee(includes review $180.00 and administrative fees): Phone:(503)209-7555 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:200237 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:John Wyland Date:3/10/2020 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building1Permits1BUP-RESPe pp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatiiorr CEIVE iiiCfty of Tigard y ReceivedDt o9s (Jr at 13125 SW Hall Blvd.,Tigard,OR 97223 ''''^AR 1 1. 20 20 Pla Review �D11'"Q�/S� �c ' Phone: 503.718.2439 Fax: 503.598.1960 - Plan 5,� ,ry DatdBy: Other Permit 7 1 G A R D Inspection Line: 503.639.4175 i 'jr' i f' Date Ready/By: hair FS See Rage 2 for Internet: www.tigardor.gov 11 i NTT T` Notified/Method• a '.j.L��. t .. JPVI,�It,R: Snppkmenmllnfarmation TYPE OF WORK . :COMMERLTAE FEE*SCHEDiILE-USE CiJ CKLIST Mechanical permit fees'arc based on the value of the work 0 New construction 0 Addition/alteration/replacement perforated.Indicate the value(rounded la the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equnt, profit CATEGORY OF CONSTRUCTIONTION valueipme:$ labor,overhead,and ® 1.-and2-familyRESIDENITAL EQUIPMENT i SYSTEMS FEo. dwelling 0 Commercial/industrial 0 Accessory building For spedaflnforetorlon use checklist 0 Multi-family 0 Master builder 0 Other: Description P Qty. I Ea. Total JOB SITE ravoa1ti2ATJON AND LOCATION Heating/cooling: • L51 5N /�/.. r.... .. .. Air conditioning 46.75 /3/✓ Job site address: 57 Furnace 100,000 BTU(dncm/.ents) I 46.75 City/State/ZIP: ,a,„/ �, 970223 Furnace 100,000+BTU(dacts/vents) 54.91 Suite/bldg.apt.no.: Project name: 31 ifCh M f II —L-o� Heat Pomp 23. Ductwork ) 23.3232 Cross street/directions to job site: 1ii 5*'A,,,.e * .6(4 ,-e,tivAe 2, 54- Hydronic hot waxer system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 L Flue/vent for any of above 23.32 Subdivision. Rl Bch y a t It �b-tia4s.s Lot no.:6 tamer 23.32 i"� Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/inscit t 33.39 Flue vent for water heater or gas New home construction fireplace _23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER Q TENANT : 23.32 Environmental exhaust and ventiladon: Name:. L F 1011 I LLC Range hood/other kitchen Address:5285 Meadows Rd Ste 171 equipment t 33.39 Clothes dryer exhaust 1 33,39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 01 APPLICANT ❑ CONTACT PERSON Other 23.32 Business name:JTSC,LLC Fuel piping: S 14.15 for tint tour,S4.03 for each additional Contact name:John Wyland Furnace,etc. I Address:5285 Meadows Rd Ste 171 Gas beat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater 1 Phone:(503)209-7555 Fax::( ) Fireplace 1 Range I. E-mail:jwyland@jtswithco.com Barbecue CONTRACTOR Clothes dryer(gas) Business name;Integrity Air,LLC Other: MECHANICAL PERMIT PEES• Address:16756 SW 72a4 Ave Subtotal City/State/ZIP:Portland,OR 97224 Minimum permit fee(S90.00) Phone:(503)572-3594 Plan review(25%of permit fee) Fax (503j 596$498 State surcharge(12%ofpermit fee) CCB lie.:203869 TOTAL PERMIT FEE /�� fr This permit application expires it a permit is not obtained within ISO Authorized signature: // / gy days after it has been accepted as cempkte. Fee methodolo set by Tri-County Building Industry Service Board Print owner Kyle Birman Date: y�0/��.0 I:IBuitding\PermitOMEC_PermitApp P10 I II,, 44a-0617 (I1P02ll /� B) RECEIVED MAR 1 2 2020 Electrical Permit Application CITY OF TIGARI FOR OITI .csE OSLV City of Tigard BUILDING DIVISIi r g 1111, 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Dew; : Related Permit r: -I I i;.1 I:i? Lure 503.639.4175 Ready Date/Br tare 0 See Page 2 for krtenet: www.tigarclrx.gov Notified/Method: Sappttaental kdorrataon /7 S to q.nss,,�`<'`,: cat rtti1 s},,a.r b�Fir°sR R AA4f.•n�S^s 1 V3 rcr,•wtx.§:tpd.r w S "a A: a¢+Mk-` s-•;f+"e.�r� ..e?... .+. �`�'.�:t+.MFr��9'?,ecru x wLf« .h.. ,'�.r�>.n _ ++sye'i��,<,',^.`..rA't�ie;:���vas`,'Y�'a S. f-,�,€Ye,i i ®New construction 0 Addition/alteration/replacement Plane cheek all that apply(aubeah j sets ofplans iv/items checked): ❑Demolition O[her. ❑Service or feeler 400 amps or more 0 Building over three stories. S i i'-7 3\o'£a,,� y,;.,.; a ^r+,�, +.e a. a when the evadable fault cerreet ❑Mamas and boatyards. .,. . f ,k «syt.,,. ., \=t tiota l Ctit..4 tf tabled.: '� " 2.-Z <,:r e , nor i exceeds 10000 amps at ISO volts or ❑Floating buildings- ®I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 ❑Caapaere al use agricultural amps for all other installations. buildings. ❑Multifamily 0 Master builder ❑Other ❑Fire pump. ❑lnetatrtieeof150KVAor .. as?'%, .."+� :iF-.l>4,0: 2 •JL`. 0411Wanr7i7i 4Y0ti a! t^l...g.M j'kN va"13 e ❑EMerla ry rysbem. larger separately derived Job#: Job site address /3/,j y SA/ /Z/sri U11d 0 Addition of acro motor load of system. IOOHPw more. ❑"A•'"E"`d-1"'9d" ❑Sic or more residential units. occupancy. City/State ZIP:Tigard,OR 97223 ❑Hall are facilities. 0 Recreational vehicle parts. Suite/btdg./apt.#: Project name:1 I,/c•", IA;II.-- l.Of 5 ❑ddarard es locations. ❑Supply voltage for more than ❑Servrce or feeder rA0 amps or more. 600 yob mmrmL Cross street/directions to job site: W d I f) -k- a«�,-.._.l ) ,.r$.41 w *t.•3.1~ t -}r;w S � �'J'r? cji�J Tomes SF- �°r��.+;•�r.-w'�.?�Kea;: :h!} ��r a,:vac ik; " _�.�, o aert/AWN 0oy I twat I row f New residential stagk-or inukt-►amiy dwelling unit. Subdivision Sirci„L lik.k.1%J q#CS Lot# 5 [admits attached garage. /'Q 00 .54 Tax map/parcel# wed energy,1Esd residential 7s oo ��C(T�JYT 2 :+ a ry r ,,, _.._ s es_adds)500 sq.R or portion t 33.92 I `...ley: rd ., 3`n, .e.xs4 •` I,P 'JQkj.'il�:: 'ill r. -n.?`ii,,..s,.:'.�Y ,w `. Limited New home construction 1 sq.ft.) Limited energy,muhi-family 75.00 2 99 residential(with above aq.0.) .y)u 1 0r i W' "r'.°:.,h I* b •'-. ;* AMt• �+v;` r w t'S, Renewable fe a (ce See Page I ' �`' '""• "� * u"'�^� k4i•-�Fw Services or feedersimta6s0onialkntbn,and/or relocation Name: LF JRli LLC amsalpaorfess 100.70 2 Address:5285 Meadows Rd Ste 171 201 amps to 400 amps 133.56 2 42 City/State/ZIP:Lake Oswego,OR 97035 601 ins Its 1a tea"p' 200.34 201 amps to 1,000 amps 301.04 2 Phone:(503)657-3402 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Emai I: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 maps 168.54 2 '` ?'+"' + 'x' -^ fi 1w`,* :ry Ale s ,, ,,t, at,, Branch circuit,-sew,akeratb_o,or esteudoe,per panel E>'v-_tixh, k,„; ., ' 1nNT..E ,Lw..\s`{ .. ,:sus.,ilt,°D,1 .(►,C' *-2's4i!Ry 'r .,t- A.Fee for branch circuits wills Business name:JTSC,LLC above service or feeder fox, 7.42 ? each branch circuit Contact name:John Wyland B.Fee for branch circuits without Address;5285 Meadows Rd Ste 171 ranch circuit or feeder fee,first b 56.18 2 ranch City/State/ZIP:Lake Oswego,OR 97035 Each add•l branch circuit 7.42 I 12 Miscellaneous(service or feeder not included) Phone:(503)209-7555 I Fax::( ) Each manufactured or modular 67A4 2 dwelling,service andiur feeder Email:jwyland®jtamithco con Recwnect only 67.54 '• i l rev ss &MI.t.S i t40- -0.1it ..:; ,,,s*i,S"'S "'s -..rib Pump or irrigation circle 67.84 ... Y.�n .\':' Business name:Career Electric Sign or outline lighting 67.84 2 Address:2920 SW Brookwood Ave.Ste A Signal circuit(s)on or limited-energy 0 See Page 2 2 tend.ahantioq or extension. City/StetelZlP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25f hr Phone:(503)648-4552 Fax:(503)642-7925 Investigation(I he min) 90.00/hr Email:andreap�agarneretectric-con Industrial plant(1 fir mini 78.181 fir Itupecttons for which no fee is 90 OO/fir CCB Lie.: 121159 Electrical Lie.: 34-30 S tc.: 3707S sjaecnBcal}y Inset(h fir men) env -..... �..<i YM1 5 ,. �1t :•;�.r,^S. . . Suprv.Electrician signature,required: Subtotal Print name: Charles Ga Date �I//t,e)ij, ❑Plan Review Required(25%ofpennit fee): 7 3 Slate ucharge(12%of permit fee): Authorized signatur YYfi� s TOTAL PERMIT FEE: vvv This wads application eapsres Ha permit k an obtained Malls Igo Print name: Andrea Phillips I Date: 3 /�/� data afar It km beta accepted as amplete. • Number of inspections al breed per perch 1,9rldes'hmrir.ELC PermhApp_ELS_EREAx Res D6.17:20IS 4404615T11f05 COMWEB Plumbing Permit Applicatip •Qt\J Building Fixtures MAR 1 2020 IOR OFFICE USE ONLY eive City of Tigard Permit N'7e/S%=t'3-C -4)/,'‘:b III • 13125 SW Hall Blvd.,Tigard,OR 97�/ IGAID Plan Review B Phone 503.718.2439 Fax: 503.39ttd 11960tt A�Att((,�(w�n, q�o •. Date/By: Other Permit No.: TIGn1tf-1 Inspection Line: 503.639.4175 ';_AIL.DEi`t�^UI Date Ready/By: rods 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Suppiemeaal Information . a+ii;oi •rafC bl. :... in, J; . ...,« '. rsG,;. ~4 MI ..;., ,, ®New construction 0 Demolition For special information use checklist. Description I Qtyy. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utili connection) +tl`, '"" .,k4' Ia ,ti °gas`' ' xy ,Yr } i SFR(I)bath L 312.70 I ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.18 SFR(3)bath I 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other. Fite sprinkler( sq.ft.) Page 2 ../Viliftitk -.yR ,. 1 li100/ +2 " , i(: :.'. Site utilities: Job site address:/'1j/5 y sit/ 42/ ST Catch basin or area drain 18.76 Drywel,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 G, Footing drain(no.linear ft.: ) Page 2 Suite/bldg.apt.no.: I Project name:Pp;f Gr1 M I 1 I' Lo4,/ Manufactured home utilities 50.03 Cross street/directions to job site:,St,,,.) kA1 5-1 Ave * Su.) 'lyres S-. Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft,: lair/) I Page 2 Storm sewer(no.linear ft.: t aL) 1 Page 2 Water service(no.linear ft.:1w.) I Page 2 Subdivision: 1 .?-St r+s1i1 G54-skkf.$ Lotno.: 5 Fixture or item: Tax map/parcel no.: Backtlow preventer / 31.27 m' t ,, p xx SYf?R1C , Backwater valve 12.51 r- t - , . Clothes washer I 25.02 New home construction Dishwasher I 25.02 Drinking fountain 25.02 Ik Ejectors/sump 25.02 r„ 4t t0} i e,{is t" -. tic46,*ji,6 k , . Expansion tank 12.51 Name, ® f j-L'C Fixture/sewer cap 25.02 4Yr l a 1 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal 1 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 3:. 25.02 Phone:(503)657-3402 Fax:( ) Ice maker f 12.51 =91 €Fw a Zre.T. © Cp t4,1&1 p1�T Interceptor/grease trap 25,02 Business name:JTSC,LLC Medical gas(value;S_) Page 2 Contact name:John Wyland Primer 12.51 Roof drain(commercial) 12.51 Address:5285 Meadows Rd Ste 171 Sink/basin/lavatory '5 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 1 12.51 E-mail:jwyland@jtsmithco.com Urinal 25.02 A;`;� v''y` I.{ r r t. �fi'M: : ./ is ,, , ,.,,. Water closet 3 25.02 �'` • '' - Water heater 1 37.52 Business name:Mullen Company Water t m W Y 56.29 PP P/D Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640.0113 Fax:( ) Minimum permit fee: 372.50 CCB Lic.:92689 Plumbing Lic.no.:34-260PB Plan review (25Ya of permit fee) State surcharge(12%of permit fee) Authorized sign TOTAL PERMIT FEE Print name:Jeremy ce Date: �j`�O/ Ma permit application expires If permit is not obtained within ISO days after it has been accepted as complete 'Fee methodology act by Tri-County Building Industry Service Board. r\Baudine\PemitaLMU-PermitApp.doe lO I)t9 440.4616T110/0v/COMAVEa) • Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: k-::;4 A(2tY gfe YTLv. 'rativc xi $ it$� Footing drain-l"100' 50.01 0 to 2,000 $121.90 • Footing drain-each additional 100' 37.52 2,001 to 3,600 S169.69 3,601 to 7,200 S233.20 Sewer-1st 100' 62.54 7,201 and greater S327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems Water Service-each additional 100' 37.52 to,iln !.ke. n ., {_ `„a Storm&Rain Drain-1st 100' 62.54 51.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain•each additional 100' 37.52 S5,001.00 to S10,000.00 $72.50 for the first$5,000.00 and$1.52 for ee each additional$100.00 or fraction thereof,to and including S10,000.00. Inspection of existing plumbing or for $10,001.00 to 525,000.00 $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 550,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional S 100.00 or fraction thereof,to Reinspeetion 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-12 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*. Qaan6ty byF xture fype 3 , 11: Fixfia►eType for R►ptace/ lt[[CS � 1 ;; • W',orlii'eiformeda Capto 'Ached .Rdaate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -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/WaterAapirator as defined in OAR9I8-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 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" Car Wash Drain ElIsometric or riser diagram is required for new buildings Garbage -Domestic-non-food � s q g 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/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: lithe 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\jeremy\AppDatalLocal\Microsoft\Windows\INetCache\Content.QutlookkBTBRFOU6\04 Plumbing Permit-Blank.doc Plumbing Permit Application Building Fixtures x i `,' FOR OFFICE LINE ONLY City of Tigard fee H T(i Re<ei dy: 7 (o/2t) <J2 O Parch Nu.M S i Ze'i .(I 1,1000 13125 SW Hall Blvd.,Tigard,OR 97Se' 3 0 2020 Plan Review v Date Reew ether Permit No.:pQ�E/F7-1 I Phone: 503.7182439 Fax 503.598.1960 Date/By: Inspection Line 503 639.4175 Dole Rady/B- kris: l ®See Page 2 Tor TIGARD Internet, wwwtigard-or.gov Notified/Method: ,�.,p�y ei lKI $upplement■llafwwtioa (e • ''. �r iiii T ` i, u . rt % '' r u i e: ?,cir, .%:;II`'+"0 Wt. /;+ ,. el construction 0 Demolition• Description For special information use checklist p I Qty. f Ea I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(I)bath 312.70 i'. .a .• .. -. F..... a, a SFR(2)bath 437.78 ®I-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 _ ❑Master builder ❑Other. Fire sprinkler( sq.R) Page 2 il'> q 34., Site utilities: cl '.:7-:.) ( Catch basin or area drain 18.76 Job site address. l 1 �� Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: . ) Page 2 Suite/bldg./apt.no.: Project name: t./ i 1 ( 1\ \\\ ,'L t 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.:_J Page 2 Water service(no.linear ft.: ) Page 2 Subdivision..-jj SY!'„ A 1\ 'l_VY'\ 1 V 1 ,1 t.91 I Lot no.: - Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 .-.',) ,1`j ,,. ., ry ' �y _ ,& 4� ._F �a Backwater valve 12.51 'dam°P, ''x' ,.- +4' - 0'.A.: ''' Clothes washer 25.02 New home construction i.,6� 4 X t (k ) t(k 4:`,. Dishwasher 25.02 t)“. \, ( i )\( ' }1 - (x+ •>l 1 i\ .)( )lv\-A Drinking fountain 25.02 Ejectors/sump 25.02 +a ,-'� �,,y ; .*4 ,yy 7"-2:4 'Tt+,q„ •g :% Expansion tank 12.51 Fixture/sewer cap 25.02 Name: - i f 1 ( t Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)657-3402 Fax:( ) Ice maker 12.51 v s 9 I tj s.4 ztr... y: r '4 s Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value.S ) Page 2 Primer 12.51 Contact name:John Wyland Roof drain(commercial) 12.51 Address:5285 Meadows Rd Ste 171 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail jwyland(ajtsmithco.com :, �c.R T.,7, .,.,, ,,;�t�� . y,p +.. Water closet 25.02 aF�'' . 2"'• ,: Water heater 37.52 Business name:Mullen Company Water piping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal 31. 2.7 Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fa) State surcharge(12%of permit fee) 3. 75 Authorized si re: TOTAL PERMIT FEE 25. (), - Print name:Jeremycc 11 This permit application expires if a permit is not obtained within 180 days Date: e1)l , after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board, l:1Bui14ng\Permin\PLMU-PnmitApp doe 10/01/09 440.4616TO av2I:OM1WEB) Apt- 1 -a /`ems" Dianna Ornelas /2G=1--7J V TU iss-cc-r` From: Karina Bradshaw <karina@jtsmithco.com> Sent: Wednesday, April 8, 2020 12:29 PM To: Dianna Ornelas; #Building Permit Technicians Cc: John Wyland Subject: RE: AC Permits for Birch Mill - Lots 1, 4&6 Attachments: Mechanical Application - Lot 1 - revised to include AC.4.8.20.pdf; Mechanical Application - Lot 4 - revised to include AC.4.8.20.pdf; Mechanical Application - Lot 6 - revised to include AC.4.8.20.pdf Warning! This message was sent from outside your organization and we are unable to verify the sender Hi Dianna, Thank you for the information and for your assistance! I have attached the revised applications to include A/C(1)for Birch Mill Lots 1, 4 & 6 as instructed.Thank you for adding to the Mechanical applications for lots 2 & 3. It appears that we did include A/C(1) on the application for Birch Mill Lot 5, correct? Please confirm. Can you please confirm that for lots 2, 3 and 5, it is the intent of JT Smith Company that the Tigard transportation and parks SDCs shall be deferred to occupancy?YES, we do want to defer on all lots that have not already been paid! Thank you again, Karina Bradshaw Contract Specialist/Purchasing Assistant J.T. SMITH Companies, LLC 15285 Meadows Rd., Suite 171 I Lake Oswego, OR 97035 Office: 503.657.3402 I Mobile: 360.936.0372 I karinanitsmithco.com Visit us online at JTSmithco.com I Facebook From: Dianna Ornelas<Dianna(a tgard-or.gov> Sent:Wednesday,April 08, 2020 11:41 AM To: Karina Bradshaw<karinaPjtsmithco.com> Cc:#Building Permit Technicians<TigardBuildingPermits, itigard-or.gov> Subject: RE: AC Permits for Birch Mill- Lots 1,4& 6 Importance: High Hi Karina, 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R 111 o Building Permit Review — Residential Alin, Building Permit #: /4i,5 i a p o2--p — DO 0. g Site Address: 1314 Riq 124S+ Pc , Project Name: B rch Mill g-r,4-1—s Lot #: 5 Planning Review Proposal: NevJ s-c, Verify address/suite#active in Accela. X In River Terrace: X No ❑ Yes,River Terrace Review Addendum Site Plan Elements: $Erosion Control Ma copies of site plan on 8-1/2"x 11"or 11 x 17"paper MRetained trees with drip line and tree protection measures 'Drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE -North arrow Utility locations&easements(required for new and additions) ,ite address,project or subdivision name and lot number Sidewalk/driveway approach 'pplicant information(name and phone number) PR-Location of wells/septic systems j .ot dimensions and building setback dimensions 1tAStreet tree size,type and location WAaSquare footage of buildings to be demolished Street names N EVExisting structures on site RrGorner elevations(2'contours if more than 4'differential) NALot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ds o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Y o •g Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No q Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified Rt.-No Received: ❑ Yes ❑ No tSDC Exemption for ADU applied for: ❑ Yes -4 No Received: ❑ Yes ❑ No IA Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ‘Rt No Applied For:: ❑ Yes ❑ No,stop intake .a1 Land Use Case#: 50 WiS`000D-7 '4 Zoning Q 4•s Xr Required Setbacks: Front: 20 Rear: 15 Side: S Street Side: N/A Garage: 20 Building Height: Max. Height: 3N Actual Height: t 2S' ' A Landscape Area: % IV* Lot Coverage Max: °/u Entrance ,Er Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows X Minimum 12%of area of all street-facing facades Garage . -Gara a door is behind widest street-facing wall Yes ❑ No,one of the following is met: tends no more than 5'from wall and there is a covered porch extending beyond garage. r xtends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. a Garage door width is ❑ 12'or less 0 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ 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 0 Visual Clearance Urban Forestry Plan ( I F� , Q Sensitive Lands: '"Yes 0 No Type:vu t&A`t Q `at't✓v l v!.o' '`CO' gConditions met prior to issuance of building permit tes: MCvf- (Xvi,{t ti wtl; Arlo r ID 155�1-a-ttccn k Approved By Planning: �tro C `.. Date: 3(I t 12 0 Revisions (after Building Submittal only) V Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: -3////3c Site Plans: # 3 Building Plans: # j Building Permit#: a-Enter building permit#above. Workflow Routing: I -Planning ngineering B 1' nit Coordinator Building Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: ..arEngineering (1) copy of permit application, (1) site plan, (1) building plan and onal plan review routing form. le'13uilding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 49,M-‘fiti ea,..1—) Date: 3/1;/7AD Engineering Review Slope at building pad: Z°7, FA"-Conditions "Met"prior to issuance of building permit CEasements (encroachments) per engineering conditions of approval and plat 1Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: G 'Yes 0 No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Z Approved by Engineering: % —"i Date: 'A7�2UZG Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 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: 0 Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: . Yes 0 N/A Tigard Trans SDC: Rr Yes 0 N/A Parks SDC: . Yes 0 N/A LIDA 0 Yes VI N/A . ' OK to Issue Permit q Approved by Permit Coordinator: �� JJ Date: 311 I:\Building\F orns\BldgPemiltRvw_RES_122419.docx