Permit (2) „-
III CITY OF TIGARD MASTER PERMIT
' ' Permit#: MST2021-00016
• COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2021
T l i A It.C. 9 Parcel: 1 S136AC04900
Jurisdiction: Tigard
Site address: 10717 SW 72ND AVE
Subdivision: TOPPING CORNER Lot: 2
Project: Topping Corner, Lot 2
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: 23 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: $222,600.17 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
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: 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: 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!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 LENNAR NORTHWEST INC Required Items and Reports(Conditions)
11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: PHONE: 360-949-9128
FAX: 360-258-7901
Total Fees: $35,099.53
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 1OAR 9521-001-00900.. 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: �l`�0Ck, (' e Permittee Signature: �Ui(. OiCT
Call 503. 39.4175 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.
Building Permit ApplicationRECEwED i z//y�
Residential JAN 21 2021 FOR OFFICE USE ONLY
Received W, 1—��,(
City of Tigard Date/By: 1 i`IA Cw Permit No.:M'T?AZ
• 13125 SW Hall Blvd.,Tigard,OR 97 CITY OF TIGARD y
g Plan Review �i
Phone: 503.718.2439 Fax: 503.598.t6kdILDING DIVISION Date/By: OtherPemdt AZOZ1_peC3pCt.
r t G A R D Inspection Line: 503.639.4175 Date Ready/By: `-is: ® See Page 2 for
Internet: www.tigard-or.gov ofifiedMtethod: 0 0 • Supplemental Information
OF WORK RE77QUIREDDATA:I-AND2-FAMILY DWELLING
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the rofi for the 17
CATEGORY OF CONSTRUCTION work indicated on this application. 2 :-Lt Du,
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $LTS,/C]y
ElAccessory building ❑Multi-family Number of bedrooms:3
❑Master builder ❑Other: Number of bathrooms:3
JOB SITE INFORMATION AND LOCATION Total number of floors:2 19 (e7
Job site address:10717 SW 72ND AVE New dwelling area: 1690 square feet CICH
City/State/ZIP:Tigard, OR Garage/carport area:277 square feet ( I I
Suite/bldg./apt.no.: Project name: 7�/ i�J a r� j� i.+ L — Covered porch area: square feet
Cross street/directions to job site: Deck area: sS square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Topping Corner I Lot no.:2 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
NSFR Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: ,
Name:Lennar NW Inc. Type of construction:
Address:11807 NE 99th St. #1170 Occupancy groups:
City/State/ZIP:Vancouver, WA 98682 Existing:
Phone:( 360)258-7900 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Same as above (Please refer fa fee schedule)
Structural plan review fee(or deposit):
Contact name:Karin Herrington FLS plan review fee(if applicable):
Address:Same as above
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98682
Phone:( 360)828 3909 Fax: :( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permitportland@lennar.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Lennar NW Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same as above Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98682 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360 898 3909 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Iia:195307 Total fee due upon application: $201.60
Authorized signatur ' _ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
1/19/2021
Print name:Karin He gton Date: Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
RECEIVED
Mechanical Permit Application JAi FOR OFFICE USE ONLY
City of Tigard Received DateBy: t if 1\21 Qi Permit No.:msr ,,- come
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARU
I Plan Review
Phone: 503.718.2439 Fax: 503.598.1960E111f1DINGDIVISIP 'late/By: Other Permit:
i lc,.A I:t t Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
ix New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
O Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
22 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. La. 'total
JOB SITE INFORMATION AND LOCATION Heating,/cooling:
10709 SW 72ND AVE Air conditioning 1 46.75
F
Job site address: Furnace ace100,000 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: 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.:2 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
NSFR fireplace 23.32
Log lighter(gas) 23.32
-- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Lennar NW Inc. Range hood/other kitchen
equipment 1 33.39
Address:11807 NE 99th St. #1170 Clothes dryer exhaust 1 33.39
City/State/ZIP Vancouver, WA 98682 Single-duct exhaust(bathrooms, U. ,YBalh+laundry
toilet compartments,utility rooms)I.P 23.32
Phone:(360)258-7900 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Same as above Fuel piping:
Businessname: --
$14.15 for first four;$4.03 for each additional
Contact name: Karin Herrington Fumace,etc.
Address:Same as above Gas heat pump
Wall/suspended/unit heater
city/State/ZIPVancouver, WA 98682 Water heater _ I
Phone:( 360 828 3909 Fax::( ) Fireplace I
Range i
E-mail: permitportland@Iennar.eom 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
City/State/ZIP: Minimum permit fee($90.00)
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
'inn uyi•r 1 i ukti ig days after it has been accepted as complete.
Authorized signature: JJ�rlrl J L !/VUI`It * Fee methodology set by Tri-County Building Industry Service Board
Print name: Dennis L. Dunning Date: 1/12/2021
I:1Building\Permits\MEC_PermitApp_040113.doc 440.4617r(I1/02/COMIWEB)
L
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_040113.doc 2
Electrical Permit ApplicationREI CEI V E 9 FOR OFFICE USE ONLY
City ofTigard JAN 21 2021 Received , \` ' Permit ref^ 1^
.� g DateBy: 12:11Zt T\J Iv\S i.V2A'Qd1,1W
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196�,�TY OF TI(',,ARD Date/By: Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: ions 1 (d See Page 2for
I I G A lit) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
I^J New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/ilems checked):
❑Demolition ❑Other: 0 Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-ass agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job siteaddress:10717 SW 72ND AVE 100HPormore. ❑"A","E","I-2","1-3'.
City/State/ZIP:Tigard, OR 97223 ❑Six or more residential units. occupancy.
g ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than
O Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Descriplion I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:Topping Corner Lot#: 2 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
NSFR Limited ener
gy,multi-family 75.00 2
residential(with above sq.ft)
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ 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 1 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, .erpanel
--- - - A.Fee for branch circuits with
Business name: Lennar NW Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name: Karin Herrington B.Fee for branch circuits without
service or feeder fee,first Address: Same as above branch circuit 56_18 2
City/State/ZIP: Vancouver, WA 98682 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)828 3909 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitportland(a),lennar.com 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
Additional inspection(1 hr min) 66.25!hr
Phone:(971)-222-5758 Fax:( ) Investigation(1 hr min) 90.00/hr
Peter Sunli htElectriclnc.com Industrial plant hr no 78.19/hr
Email: Qe g Inspections for which no fee is 90.00/hr
CCB Lic.:172549 Electrical Lic.:C230 Suprv.Lic.:1793S specifically listed('/a hr min)
���i,��� / ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: C � " �f� 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: Karin Herrington Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I.\Budding\PermitsUELC_PermitApp_ELRERE.doe Rev 06/17/2015 440.4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 nesoipfie° �" EachI}' 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
El Garage Door Opener* 50.01 to 100 kva 552.26 2
>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:
n 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('h hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: S75.00Subtotal
permon Page I)_
S' * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
n L• andscape Irrigation Control*
❑ Medical
n N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I'.Viuilding'PermitsiELC PermitApp_ELR_ERE.doc Rev 06/172015
•
Plumbing Permit APPIie gnCEwED
Building Fixtures CC �/CC Lttl{ of Fic i• 1 St_ Os.1.'
BAN 2, ]. 2021 Received
Cityof Tigard Permit No..
• 131 SW Hall Blvd.,Tigard,OR 972 3 DateBy: 2"1 Z-1 MS�`Z-bZ-�-O��lp
•- Phone: 503.718.2439 Fax: so3G4Et. F TIGARD Plan Review Other Permit No.:
Date/By:
I IGnItD Inspection Line: 503.639.4175DUILDING DIVISCNON DateReedy/Bq: huts El See Page 2 for
Internet: www.tigard-or.gov _Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist.
Description ( Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 1 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 071 7 SW 72 N D AVE Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
cityrstatelzlP:TIgard, OR 97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Topping Corner I Lot no.: 2 Fixture or item:
Tax map/parcel no.: Backiow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
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
Name:Lennar NW Inc. Fixture/sewer cap 25.02
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
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:SAME AS ABOVE Medical gas(value:$_) Page 2
Primer 12.51
Contact name: Karin Herrington Roof drain(commercial) 12.51
Address:Same as above Sink/hasinAavatory 7 25.02
City/State/ZIP: Vancouver, WA 98682 Solar units(potable water) 62.54
Phone:(360)828 3909 Fax::( ) Tub/shower/shower pan 2 12.51
E-mail: permitportland@lennar.com Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 1 37.52
Business name:Wolcott Plumbing Water piping/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: $72.50
Plan review (25%of permit fee)
CCB Lic.: 112 2 2 0 Plumbing Lic.no.: 2 6-8 24 PB
State surcharge(12%of permit fee)
Authorized signature: Aft /�je--t--.-.__ TOTAL PERMIT FEE
Print name: Cliff Bowman Date:1/12/21 This permit application expires if a permit is not obtained within 190 days
after it has been accepted as complete.
`Fee methodology set by Tn-County Building Industry Service Board.
I.,Bwldiny Permt PLMU-Peera App.doc 10/0I/09 4404616T(10/02/COM/WEB)
•
Plumbing Permit Apulicati C E IVE D
Building Fixtures rtiu uffu i.. I SI O>1.1
J A N 21 2021 Received (tZ,I Z� �� Permit No: r r 1S1 LJ�L ^�(�
City of Tigard Pate By
•11,1 13125 SW Hall Blvd.,Tigard,OR!;9f3F TGARC7 Plan Review Other Permit No.:
■ Phone: 503.718.2439 Fax: 5O2..$�� DIVISION Dine/By:
lmu. 153 See Page2 for
f r I l 1 RI) Inspection Line: 503.639.4175 Date Ready/By: Supplemeal Information
Internet: www.tigard•or.gov Notllied.'Method:
TYPE OF WORK FEE* SCHEDULE
For special information use checklist
�i New construction ❑Demolition Description i Qry. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
SFR(1)bath 312.70
CATEGORY OF CONSTRUCTION SFR(2)bath 437.78
gl I-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 500.32
0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02
0 Master builder
0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 10717 SW 72ND AVE Drywell,leach line,or trench drain 18.76
CityiState/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_.) Page 2
Slite/bldg./apt.no.: I Project name: Manufactured home utilities
50.03
Manholes 18.76
Cross street/directions to job site: IR 76
Rain drain connector
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear R.:_) Page 2
Subdivision:Topping Corner I Lot no.: 2 Fixture or item: ✓
Backflow preventer 1 31.27
lax map/parcel no.: Backwater valve 12.51
DESCRIPTION OF WORK Clothes washer 25.02
NSFR Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Expansion tank 12.51
® PROPERTY OWNER I 0 TENANT 25.02
Fixture/sewer cap
Name:Lennar NW Inc, Floor drain/floor sinkihub 25.02
Address:11807 NE 99th St.#1170 Garbage disposal 25.02
city/state/ZBP:Vancouver,WA 98682 Hose bib 25.02
Phone:(360)258-7900 Fax:( ) Ice maker 12.51
Interceptor/grease trap 25.02
is APPLICANT ❑ CONTACT PERSON Page 2
Medical gas(value:$ )
3usiness name:SAME AS ABOVE Primer 12.51
Contact name: Karin Herrington Roof drain(commercial) 12.51
Address:Same as above
Sinklbasinlavatory 25.02
Solar units(potable water) 62.54
�ify/state/Z1P: Vancouver,WA 98682 12.51
I Fax ,( ) Tub/shower/shower pan
Phone:( 360)828 3909 Urinal 25.02
E-mail: Water closet 25.02
CONTRACTOR Water heater 37.52 1
s ,.wit.[ • Water piping/DWV 56.29
Business name: �,I.aC-m/9/e/(C.. GGIfx�J CiPfP� /
6oho 02 gee Other: 25.02
Address: Subtotal
City/Stale/ZIP: 4I(3 e. c ,,1 ,, �2• /e� I�J OVS- Minimum permit fee: 57250
Phone:( j�-'} �pJJ3 - p3���'////�9 Fax:(�p G•3.2"4'3� Plan review (25%of permit fee)
-e'lie: / "• 1(.O Plumbing Lic.no.: State surcharge(12%of permit fee)
L�� Aug L l /� TOTAL PERMIT FEE
Authorized signature: -4 ^-0,
S '/,� f / This permit application expires If a permit h not obtained within ISO days
[Print•
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City of Tigard (ZI 2i
COMMUNITY DEVELOPMENT DEPARTMENT
'
T 1 c n u D Building Permit Review — Residential
Building Permit #: MST202 \— pU 0 U p
Site Address: 10717 SW 72nd Ave
Project Name: Topping Corner Lot #: 2
Planning Review
Proposal: New house
lkl Verify address/suite # active in Accela. ® In River Terrace: ® No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: $7Erosion Control
%13 copies of site plan on 8-1/2"x 11" or 11 x 17"paper ttetained trees with drip line and tree protection measures
®Drawn to scale (standard architect or engineer scale) X Footprint of new structure(including decks)and FFE
®North arrow ®Utility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number El Sidewalk/driveway approach
MApplicant information(name and phone number) IIaLocation of wells/septic systems
KiLot dimensions and building setback dimensions EStreet tree size,type and location
square footage of buildings to be demolished IN Street names
Existing structures on site X Comer elevations (2'contours if more than 4'differential)
X]Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? �las ENo
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ENo
s1 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified g No Received: E Yes ❑ No
® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes El No
Xi SDC Exemption for ADU applied for: ❑ Yes gl No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified [ No Applied For: ❑ Yes ❑ No,stop intake
® Land Use Case#: PDR2018-00001 E Zoning: R-12
i Required Setbacks: Front: 15 Rear: 15 Side: 4 Street Side: n/a Garage: 20
K7 Building Height: Max.Height: 35 Actual Height: 23
LJ Landscape Area: 20 % F. Lot Coverage Max: 80
Entrance k no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or
Windows ❑ Minimum of all street-facing facades
Garage ❑ Garage door is behind - acing wall Q Yes ❑ t e following is met:
❑ Door extends no more than 5' ro Not applicable extending beyond garage.
❑ Door extends no more than 5'from approved ft.window above garage on 2"s floor.
❑ Garage door width is ❑ 12'or under PDR. de ess and includes 7 of following:
❑ Covered pore cessed entrance Li Wall offset ❑ 1'Roof ea ❑ Roof offset
❑ • es 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof
r❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
® Visual Clearance ® Urban Forestry Plan
® Sensitive Lands: ❑ Yes ® No Type:
® Conditions met prior to issuance of building permit
Notes: n/� J� P Q
f 1 Approved By Planning: \L [j Date: 1/25/2021
Revisions (after Building Submittal only) (((JJJ Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
I:1Bui lding\Fonns\Bl dgPermitRvw_RES 122419.docx
Building Permit Submittal
Original Submittal Date: \`IA\Z.\
Site Plans: # 'S
Building Plans: # 3
Building Permit#: g Enter building permit #above.
Workflow Routing: [a'Planning EX Engineering a Permit Coordinator CE' Building
Workflow Sign-off: R Sign-off for Planning(include notes from planning review)
Route Application Documents: M Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
[3'Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \1-3 V QnOe W{ojR Date: ‘\271 `- -
Engineering Review
or:lope at building pad: 6
NIP 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 2...-No
Assess Water Quantity Fee in-lieu: ❑ Yes Ca' o
LIDA Facility on lot: ❑ Yes L�1'No
Final Plat Recorded:
NOT Approved by Engineering: Date:
Notes:
2'A1proved by Engineering: 141t5 I-}-f(Z___ Date: , ^I -r}p07..,(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
gConditions"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 gi Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: xi Yes ❑ N/A
Parks SDC: '. Yes 0 N/A
LIDA 0 Yes g N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 2I2I2021
1:1Building\Fortes\BldgPertnitRvw_RES_122419.docx
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
III Transmittal Letter
f I;(;A 1.1l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.aov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION -RECEIVED
FROM: Lennar Homes NW+ JAW 2 1 202!
COMPANY: (DESIGN WORKS-NATHAN CITY OF TIGARD
BUILDING DIVISIQN 'y,
PHONE: (503)708-6204
EMAIL: nathan@idesignworks.design
RE: 10717 SE 72ND AVE. 7/1 5 2o? I- )OO/(,
(Site Address) (Permit Number)
Topping Corner-Lot 2
(Project name or subdivision 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. X Engineer's calculations.
Other(explain):
REMARKS: 1)Updated lateral calcs for front wall.
FO��R//O�F ICE USE ONLY
Routed to Permit Tech cian: Date: Gj 2/ Initials:
Fees Due: Ye ❑No Fee Desch ti6666n: Amount Due:
`j2 fIVAiel r,,t A C__v..) 1 $ -l. J. v 17
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: A//4 / j Initials
I:\Build ing'Forms\TransmittalLetter-Revisions 073120.doc