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Permit FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T l .i n It rl 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION 2 Zj FROM: [4 ,r in 312�� COMPANY: C....LA 01..C PHONE: 3 te 6 - ZS By: ii-Pc ,J EMAIL: f oYA . rri nS rgtim.n0.T. c-bry! RE: l OVA L 5V3 7 a •C_ MijT20Z0 r OC-j1() (Site Address) (Permit Number) ► Co ryvt--r Lz( l (Project Ant or subdd''sion name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: t0 ,per( \AA_( tifty( JCS FOROF ICE USE ONLY Routed to Permit Techni 'an: D :: 3/�� Initials: 4 Fees Due: Yes o 4/Tee Descrl tldn: Amount Due: p 471:1 )3 ---- $ (2/, , $ Special Instructions: Reprint Permit(per PE): ❑ Yes �o ❑ Done Applicant Notified: Date: �� �/ Initials: 1.1Build ing\Forms\lransmittalLetter-Revisions_073120.doc CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2020-00340 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02117/2021 Parcel: 1 S136AC04800 Jurisdiction: Tigard Site address: 10709 SW 72ND AVE Subdivision: TOPPING CORNER Lot: 1 Project: Topping Corner, Lot 1 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 691 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 999 sf Garage: 277 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Yes Total: 1690 sf Value: $222,575.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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: 2 201-400 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 1690 Owner: Contractor: LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 PHONE: PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $34,237.76 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: H J' Voim/Dei W€ Permittee Signature: 0wAppUctt on Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ApplicatP CEI ED FOR()Hi, E I.SE oNt.ti. Cityof Tigard c ReceivedDate PermitN .. 1315 SW HallBlvd Ivd.,Tigard,OR 97223 'AN 15 202? Plan RevBy:iew y1`'lS / -o0 3`t S Plan Review Other Permit: l Phone: 503.718.2439 Fax: 503.598.1960 Date/By: T l c n r l) Inspection Line: 503.639.4175 y y Internet www.tigard-or.gov CITY OF TIGAR Date Ready/By : Inns. El See Page 2 for BUILDING DIVISION Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ' Mechanical permit fees*arc based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS.FEES* © 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total .LOB SITE INFORMATION AND LOCATION Heating/cooling: 10709 SW 72ND AVE Air conditioning t 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) t 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: 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:Topping Corner Lot no.: 1 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas N S F R fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 EaPROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Lennar NW Inc. Range hood/other kitchen equipment t 33.39 Address:11807 NE 99th St. #1170 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver, WA 98682 Single-duct exhaust(bathrooms, ••Bath+laundry toilet compartments,utility rooms) 4 23.32 Phone:(360)258-7900 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Same as above Fuel piping: $14.15 for first four;S4.03 for each additional Contact name: Tristin Lui-Papenfuse Furnace,etc. Address:Same as above Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:( 360)216-5340 Fax: :( ) Fireplace E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: Development Northwest Inc. dba Wolcott HVAC Other: MECHANICAL PERMIT FEES* Address: 1075 W Historic Columbia River Hwy Subtotal Ci /State/Z1P: Minimum permit fee($90.00) ty Troutdale/OR/97060 Plan review(25%of permit fee) Phone:(971 )256-4584 Fax:( 503)667-9891 State surcharge(12%of permit fee) CCB lie.: 112220 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Dennis L awning days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Dennis L. Dunning Date: 1/12/2021 I:1BuildingiPermits\MEC_PermitApp_040113.doc 440.46177(11/02/COM/WEB) 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 fcc$69.06 $500.01 to$5,000.00 S69.06 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. 1:1Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Applicatio1Q ECE\ED FOR OFFICE USE ONLY � ^ J� II��11 Received Penult : >I `v 4V ✓ LI�+ . 3 ofTigard City g Y C �O'�1 Dan R • 13125 SW Hal]Blvd.,Tigard,OR 97223 JAN 1 eJ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/ : Related Permit k: Inspection Line: 503.639.4175 CITY pp�Fr TIGARD r�11 Ready Date/By: Jens: 67 See Page 2 for I I l'ARD Internet www.tigard-orgov B�ILIJIIVk.a DIV Sl0N Notified/Method: Supplemental Information TYPE OF WORK U PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please cheek all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. E I-and 2-family dwelling ❑Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 p 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 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 10709 SW 72ND AVE 1001.11,or more. ❑"A, E","t•z° "t-3 ❑Six or more residential units. occupancy. City/State/ZIP:Tigard, OR 97223 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 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: FEF..SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:Topping Corner Lot#: 1 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 2 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 N S F R Limited energ y,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Lennar NW INC. 200 amps or less 100.70 2 Address:11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:( 360)258-7900 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 ❑ CONTACT PERSON € Branch circuits—new,alteration,or extension,per panel tzi ' ;'"."C A.Fee for branch circuits with Business name:Lennar NW Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name: Tristin Lui-Papenfuse B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:Same as above branch circuit City/State/ZIP:Var1COUVer, WA 98682 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)216-5340 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67,84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:2804 NE 65th Ave, Suite D panel,alteration,or extension. City/State/ZIP: Vancouver WA 98661 Each additional inspection over allowable in any of the above �' tate Additional inspection(1 hr min) 66.25/hr Phone:(971)-222-5758 Fax:( ) Investigation(I hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Peter@SunlightElectriclnc.com Inspections for which no fec is 1 90.00i hr CCB Lie.:172549 Electrical Lic.:C230 Suprv.Lic.:1793S specifically listed(.t hr min) 1 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:• �' Subtotal: Print name:Chester Garrett Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1:1Building\Permits'ELC_PerniltApp_EIR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COMMWEB Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I 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 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ 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 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('G hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter Fee for each commercial system: $75.00 per * Number of inspections allowed per permit. Page Ip. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building'\Permds\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Anplicati nECEt` ED Building Fixtures . . V 1Olt 01IIt f t `NE 0\1 1 City of Tigard AN 1 5 2021 Received - Dale/By Permit Net".$1 Le P.4 --CC'_5'!y : lig 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.14Y OF TIGARD Plan tv Other Permit No.: l u n 1t n Inspection Line: 503.639.4175 , I-,I ttl f71 fl\f I SIO Date Ready/By: u ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Es, I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 1 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10709 SW 72 N D AVE Catch basin or area drain 18.76 City/State/ZIP:Tigard, OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50 03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fl.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Topping Corner I Lot no.: 1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Lennar NW Inc. Floor drain/floor sink/hub 25.02 Address:11807 NE 99th St.#1170 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)258-7900 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:SAME AS ABOVE Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Tristin Lui-Papenfuse Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 7 25.02 City/State/ZIP: Vancouver, WA 98682 Solar units(potable water) 62.54 Phone:( 360)216-5340 Fax::( ) Tub/shower/shower pan 7 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 1 37.52 Business name:Wolcott Plumbing Waterpiping/DWV 56.29 Address: 1075 W Historic Columbia River Hwy Other: 25.02 city/State/ZIP:Troutdale, OR 97060 Subtotal Phone:(503) 667-1781 Fax:(503) 667-9891 Minimum permit fee: $72.50 CCB Lic.: 112220 Plumbing Lie.no.: 2 6-8 2 4 PB Plan review (25%of permit fee) /! State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Cliff Bowman Date: 1/12/21 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. `Fee methodology set by Tri-Comity Building Industry Service Board. I.\BuddingrPermitstPLMU-Perm5App.doc 10/01/09 440-4616T(10/02/COM/WEB) . . - 1. umbing Permit Anplicat CEIVED Building Fixtures .jAN 2 2 202i 5 rt)u mil, 1 v, ,i (1 ., City of Tigard Received / 13125 SW Hall Blvd.,Tigard,OR 97z(2Y OF TIGARD Date/By: C iC '�'c'. /� Plan Review Phone: 503J18.2439 Fax: 503.598:19$QN(a DIVISION Datd PermitNor 1 S�ey: Other Permit No.: T I i;A It t� Inspection Line: 503.639.4175 Date Ready/By: tutu 611 See Page 2 for I, Internet: www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE 0 New construction 0 Demolition For special inforsmion usechecklisc Description LQty. I Ea. j Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 fl, for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 I P11-and 2-famil dwe SFR(2)bath 437.78 y llin g ❑Commercial/industrial , El Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 1O site address: 10709 SW 72ND AVE Catch basin or area drain 18.76 Dtywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear fl.: ) Page 2 Suitt/bldg./apt.no.: 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.: J Page 2 subdivision:Topping Corner Lot no.: 1 Fixture or hells: Tax map/parcel no.: Backflow preventer 1 31.27 4 DESCRIPTION OF WORK Backwater valve 12.51 . NSFR Clothes washer 25.02 Dishwasher 25.02 , Drinking fountain 25.02 Ejectors/sump 25.02 L ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Lennar NW Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: NE 99th St.#1170_ Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)258-7900 Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:SAME AS ABOVE Medical gas(value:I_-._I Page 2 Primer 12.51 ~Contact name: Tristin Lui-Papenfuse - --r Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 25.02 _City/State/ZIP: Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:( 360)216-5340 Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR r' . Business name: "�` ",,i I9rit_ Lacer i e-o S -Trio.e , 5- Water heater 37.52 �L1 � t water ptping/Owv 6,29 Address: / ) 45.6se c72 We Other: 25.02 City/Stale/ZIP: je:3(. 4 /sl. 6.0-y/L. S'7Qy.S - Subtotal Phone:( 53.3 6,32- t 3/ 4 Fax:(s-2)3) G j2-O3ze Minimum permit fee: 872.50 Lw,Q u� f r Plan review (25%of permit fee) (jJ yLtc.� / Plumbin Lic. o: - �n ----- State surcharge(12%of permit fee) Authorized signature: '' l ! It TOTAL PERMIT FEE Print name: s 0r,„4/ a.. V -..e-eik rite; 0,/, i/ /- This permit application mitres if a permit is not obtained within ISO days after It bat been accepted as complete. *Fee methodology set by TO-County Building Industry Service Board. l:'auddinglPen,soPLMU-PenniiApp.doe 10/0169 0e0-4616T(10/02/COM/WEB) Plan# Floors o2 3 Large b Bed rooms Small .30 (gyp We 3 II _ Z (o��S`7 Tub Basement 3 L� Vent 1st Floor V I ( v — 2�" X LI 46 ,�3 _ f ICI Water Heater 1 2nd Floor 9 I t - ZL-( ' / E v `z AC Y 3rd Floor School -' R-3 Total �( �a ` a,l` 222 ! S75r �D Garage ay a`` 1 � -7 Total Ili (a 7 v / #for Elec �, C tjA Li -fw L) PiLve4k jer- k �p �`* • i / U 2 Cap et c-7 Pam`- y � Z,,, >'' ��-h L Q `1 ( < L a ——— _tee-o.�,.l.L a� 55 Zit /2, 1 Pr(AA Rroi* kaAJA‘ 0 f_ (,75\ [ I r\,(..j -C-1) Lk lioLn c&' LyaL9-4--ci � �.I o,,,A,l BSc S . -j f )2/7 III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: k461W 2O-00340 Site Address: 10709 SW 72nd Ave Project Name: Topping Corner Lot #: 1 Planning Review /44 Proposal: New house /2W/2/ f z�i.re--z, £'r la-f' s.1 i7j S//zr i s7 -r/ZS/ll/ 1/!ii ® Verify address/suite# active in Accela. INIn River Terrace: k No ❑ Yes,River Terrace Review Addendum Site Plan Elements: 'CJErosion Control K3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper n[3Retained trees with drip line and tree protection measures �l(Drawn to scale(standard architect or engineer scale) $7Footprint of new structure(including decks)and FFE ®North arrow NUtility locations&easements(required for new and additions) XlSite address,project or subdivision name and lot number 6JSidewalk/driveway approach XApplicant information(name and phone number) War ocation of wells/septic systems ®Lot dimensions and building setback dimensions *Street tree size,type and location n/LASquare footage of buildings to be demolished ®Street names n/aExisting structures on site Corner elevations(2'contours if more than 4'differential) XlLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? piiyas No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified KI No Received: E Yes ❑ No Ilia SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified id No Applied For: ❑ Yes ❑ No,stop intake ® Land Use Case #: PDR2018-00001 ® Zoning. R-12 II Required Setbacks: Front: 15 Rear: 15 Side: 4 Street Side: N/A Garage: 20 ® Building Height: Max.Height: 35 Actual Height: 28 ® Landsca e Area: 20 % ® Lot Coverage Max: 80 Entrance no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees o Windows ❑ Minimum of all street-facing facades Garage ❑ Garage door is behind wi - cing wall ❑ Yes of the following is met: ❑ Door extends no more than Not applicable. Approved ch extending beyond garage. O Door extends no more than through PDR dow above garage on 2"a floor. ❑ Garage door width is ❑ 1 ' less and includes 7 of following. 0 Covered ecessed entrance 0 Wall offset 0 1'Roof ea 0 Roof offset angles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof O Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ® Visual Clearance , Urban Forestry Plan IX Sensitive Lands: ❑ Yes ® No Type: 173 onditions met prior to issuance of building permit rotes: meet conditions prior to issuance of permit. X Approved By Planning: eQYL Date: 0-I2-1 i.DW Revisions (after Building Submittal o y) Reviewer D to Revision 1: ' Approved ❑ Not Approved 2 2 ZUZ( Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: /307/2az Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit #above. Workflow Routing: 2"Planning Engineering Permit Coordinator E l-Building Workflow Sign-off: Ci]' Sign-off for Planning(include notes from planning review) Route Application Documents: 12'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. VBuilding: original permit application,site plans,building plans,engineer and beam calculations d trust details,if applicable,etc. Notes: By Permit Technician: Date: /2/23/1 6 Engineering Review p� LRSlope at building pad: �n B---Conditions "Met"prior to issuance of building permit , rLT CXEasements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑'No Assess Water Quantity Fee in-lieu: ❑ Yes Iff-No LIDA Facility on lot: ❑ Yes C7�No 2e- nal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 2i pproved by Engineering: ({ l'�rs Date: 42.•a.�. � Revisions (after Building Submittal only) Reviewer Date Revision 1: p.Approved ❑ Not Approved 1.4, f .s 14 _( a p A.( 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 14. Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: tg.Yes ❑ N/A Tigard Trans SDC: .V Yes ❑ N/A Parks SDC: g Yes ❑ N/A LIDA ❑ Yes I N/A OK to Issue Permit Approved by Permit Coordinator: Date: I21,2°1 I202V L\Building\Forms\BldgPerm itRvw_RES_1224 I9.docx c if .l g•j- :,.;;:70.1 '' x ''' -4„''.1-:e. FOR(3F�'IC:E USE ONLY-SITE ADDRES .4,, .-,^., W t Tisk form is rccogni cd by innet building departments in the Th-County arca for tranrmit ing//do naa:don. Please complete this form when submitting information for playa review responses and:?✓visions. This form An tha mkrtmatirsn it provides hcltxs the teviev Gru>rss and resppnse to your rmmiei City of Tigard • COMMUNITY D Vf.LOPMF.NT DEPARTMENT Transmittal Letter I 1,..,ia.i} I3125 SW Hall Blvd. » Tigard,Oregon 47223 . 593.718.2434•www,Ususl.or goo' T124; !)1 A Anbqcit r,sa DA E lm D.: _ DEPT: EtJJT i IN GDIVISION ;, c COMPANY: .._. - AtC 4.\\I ' PRONE. 5( i,--17111:12;-ft r v.!' EMAIL: ` .c +(`, a pa' ; i^ic _ i„ 'o 6. anti 70L' 4,-c RE: I__ • r 4 f,,, -e - .a (.ems _. 3 tNeacs hatric tirrANIN ii '&Mt and tot zu t '4� �TrA im ARE TUE FOLLOWING ITEMS: 'Ve Ilist 1 Description: i maples:. I Description: 1 Additional set(s)of plans. 'rte- Revisions: '� Cross section(s)and details X Well bracing and/or lateral analysis. N: Flom/roof training Basement and retaining walls, -7" 'Beam cailculations. ')' Engineer's calrxilati©its. Other(explain): 14E't]r1TtK.S: s i '+D i ., im.a l4r0 r --.., i-,1-,e 4 d�� „„. . _ ,..,. 7' ) _:t,a _p_!,,-_...___4,,,,,,-1.,3- l:r r- .. _._�... w_ ._ _e » ,,_ - •R •FFICE USE ONLY "Routed to P 4, +'t Tr chrncian: Date: I.24 initials: Fees Due Tit '=" _. ■ Ivo _ Ft r D-= np cut, Amount Due; ,-`" S Special ____ �....,m._ _____ Instructurns: Reprint Permit(pe:-1 PE - D Yea OW. 0 IN Dome[ q Applicant Notified- Date_ _ //.G1^ Initials~ ., - - ¢ _" l id,=.,..d. •='" :J . ., '" 1 _ -;-- r FOR OFFICE USE ONLY- SITE ADDRESS This form is recognized by most building departments in the Tri-County area for transmitting information.f .Y Please complete this form when submitting information for plan review responses and revisions. ` This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT li Transmittal Letter 1 t t,n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiaard-or.eov , I TO: A Wy c,n)--1 Ag1011 . .Try.)rlD DATE RECEIVED: ' DEPT: BUILDING DIVISION RECEIVI L) FROM: 1 Pan I d o 4,42 S 1.1 t13 es- JAN 2 0 2021 COMPANY: ar75 i,n r ,�f 1<-S — 1J; ��\ ,17Y OF TIC RG 3UILDING DIVI rIO-N--_ PHONE: :45-c)3— o -(0aO L By&L-2____—' EMAIL: nrs 'lin (mac 1.I D55ta-N'w0 f._2 s. ,Cs\b,n _.. XI• : - Ib1ac w --as � " 3' /6'$ _ '1l1Se o -- -- 2,Da003h0 (Site Address) ennit Number) `rl._ jp 91'l"-‘ -4, - J'- _ L6' ` - (Project name or subdivision name and lot number) 1. ATTACHED ARE THE FOLLOWING ITEMS: • Iiii ,),t`MF : _ Description: J Copies: I Description: Additional set(s) of plans. Revisions: Cross section(s) and details. X Wall bracing and/or lateral analysis. X Floor/roof framing. Basement and retaining walls. ' 2<". Beam calculations. JC Engineer's calculations. Other(explain): REMARKS 1) npp- +e0 S L 6 rwt4---6--vdl.. /Fi12t'/Vie g.iosiP , ucshul �+p tP 7� �'1"j c" ,C..,c acw N't '.•tet. 7- Jf 3 f.1Q 'P .5 TA-0.=Q-‘• ' A4.-.J 0.r6-6 .Se lee.tr.1 fl ti76' , . r3 ,6,-NwtArc,-- ,-7yC1 -4' f"�- X 9�°/ t' FORjO 'ICE USE ONLY / � 44 Initials: Routed to Permit Techtun:Date: 1 Amount Due: Fees Due: C� Yes , No Fee Descrl'pt10 : ' $ / , / / I $ y) i /-- Instructions; No I-1 Done ' print Permit (per PE): YesI I Initials: 7� t Notified: Date: ,Z/;l L, l y