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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 I _ Transmittal s ttal Letter ,,,t F, ,, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A 1Iysola / 1vOiSfiTOV DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: P 1T EEZt v( oc -l 'e--1(011_1 Le iliA, JUL ti 6 2021 COMPANY: M b 0 h i n of o o o b meS CITY OF TIGARD PHONE: 111 t 5253 BUILDING DIVI QNt" , } EMAIL: haintAgt plevul-f alihWood� cm m oec.cb Kiel/vial (! "c RE: 1972 S6 5w 6e-► .escs Lbw ww g.-/'223 MSTzoz( —pb7 g (Site Address) (Permit Number) M C K-t m rVe V- (— i� i d I-h ow (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans.-SfYVi.t ro--Q , Revisions: crArw\1 I /w , Crawl sI.Prea lv w .,Cross section(s) and details. Wall bracing and/or lateral analysis. Olt- Floor/roof framing. Basement and retaining walls. v�'"k Beam calculations. Engineer's calculations. Other(explain): Y A c lAirA.l Ce (LS REMARKS: W-e -CLAAN td om, (551t-e, w l "Onti - r o s y r a o c so 6 w►- 01(\-eol to S-(-; a-- f,rztm-e d. v -e ' V-C. Ih Ut IA d-e 11 evl strv>r vhn 'aQ p l r)s ' (Lk 0 l a b 6-)r)s 4 /d v>..) w r ► - & V is i ovis. { FO(43tO VICE USE ONLY m_. Routed to Permit Technician: D te: "] 2.1 Initials: Fees Due: ❑ Yes Not Fee Descriptio : Amount Due: $ $ /CZ- OD pe c______ $ Special Instructions: Reprint Permit(per PE): ❑ Yes �� o ❑ Done /0 Applicant Notified: V—ee___— Date: /7/# ` Initials: 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 = r Transmittal Letter c ,, E, ►) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A \ lc - 5 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Kt N (A C/�-"1 KrA l 0 LeItit cI AUC 5 za21 1 COMPANY: M 6 ut i l� j b 6 d, - -litre S L IIY OF TIGARD BUILDING DIVISION,: PHONE: 11 i Th l s2�3 / 503 --lb 9-2.-b3 EMAIL: —[�Gt.1r1 Lt7(/�--a IM 6VW1 1(4.4 1,b 16 eS. opri^ RE: 1 b S S vJ G-eJ' -e st s Lv o r 1vISr zU21 - D 0-2- V (Site Address) (Permit Number) n I�' 1.V i`' h V1`&v1 (Project name or subdivision me and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Cow». I Description: , Copies: Description: Additional set(s) of plans. 2✓ Revisions: v"e*h; Cott (4A to .6-r s, Cross section(s)and details. Wall bracing and/or I teral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: F R FF CE USE ONLY Routed to Permit Techni ian: DD te: I ?i' Initials: A—Ii•-• Fees Due: LI Yes No✓ Fee Desc ptio : Amount Due: C--"a-j-' $ 21. .- Special Instructions: •r---...-- Reprint Permit (per PE): ❑ Yes ►1 No ❑ Done Applicant Notified: Date: Opp ;2 f Initials: „ CITY OF TIGARD MASTER PERMIT IS COMMUNITY DEVELOPMENT Permit#: MST2021-00258 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28l2021 Parcel: 2S103DB10800 Jurisdiction: Tigard Site address: 13235 SW GENESIS LOOP Subdivision: GENESIS NO.3 Lot: 68 Project: McKinney Project Description: 216 sf 2-story addition to dining room and bedroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First 108 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 0 Second: 108 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 216 sf Value $26,45136 Rear: 15 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods. 1 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 8 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 N Other: N Other Description Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 216 Owner: Contractor: MCKINNEY,BRUCE CHARLES MOUNTAINWOOD HOMES INC Required Items and Reports(Conditions) MCKINNEY,EILEEN THERESA PO BOX 2257 13235 SW GENESIS LOOP BEAVERTON,OR 97075-2257 TIGARD,OR 97223 PHONE: PHONE: 503-746-7338 FAX: Total Fees: $2,299.18 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR o59-nn1-nntn thrniinh IICR cic9-nni..nnon Vnn n,av nhtnin rnnv of 1ha ndAc nr rlirur$ni iuctinnc In fll INr by, iiinn Fn4 979 10R7 nr 1 Rnn 119 73121 Issued By: HC'UM VaAA, D2 V)e- C Permittee Signature: Ow Aptati-callio-fry 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 lob site at the time of each inspection. RECEIVED OCT 2 6 2021 CITY OF TIGARD Cleat Water' Services BUILDING DIVISION Our commitment is clear. CWS File Number Service Provider Letter 21-001934 This form and the attached conditions will serve as your Service Provider Letter in accordance with Clean Water Services Design and Construction Standards (R&O 19-5, as amended by R&O 19-22). Jurisdiction: City of Tigard Review Type: No Impact Site Address 13235 SW Genesis LOOP SPL Issue Date: October 26, 2021 /Location: Tigard,OR 97223 SPL Expiration Date: October 26,2023 Applicant Information: Owner Information: Name ROBERT WOOD Name BRUCE MCKINNEY Company MOUNTAINWOOD HOMES Company 8324 SW NIMBUS Address Address 13235 SW GENESIS LOOP BEAVERTON, OR 97008 TIGARD OR 97223 Phone/Fax (503)746-7338 Phone/Fax (503)639-4040 E-mail: rwood@mountainwoodhomes.com E-mail: Tax lot ID Development Activity 2S103DB10800 Single-Family Residence Building Addition Pre-Development Site Conditions: Post Development Site Conditions: Sensitive Area Present: On-Site X Off-Site Sensitive Area Present: On-Site X Off-Site Vegetated Corridor Width: 50 Vegetated Corridor Width: 50 Vegetated Corridor Condition: Marginal Enhancement of Remaining Vegetated Corridor Required: Square Footage to be enhanced: Encroachments into Pre-Development Vegetated Corridor: Type and location of Encroachment Square Footage: No Encroachment Mitigation Requirements: Type/Location Sq. Ft./Ratio/Cost No Mitigation X Conditions Attached X Development Figures Attached(1) Planting Plan Attached Geotech Report Required This Service Provider Letter does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. Page 1 of 3 Building Permit Applicati°A EC E I V E D s- co 24 2 Residential Il FUR OFTICF: I SI:O\l.l JUN 2021 Received 111 s City of Tigard �� Permit Nopl5 r. )- -CoG5 13125 SW Hall Blvd.,Tigard,OR 9722CITYDateB : , g OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.598,.t 1 WING DIVISION DateB : �`� Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for Internet: www.tigard-or.gov Notified/Method: G Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application.\ ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $'18HQA{] �`L� El Accessory building 0 Multi-family Number of bedrooms: ��' 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors:2 Job site address:13235 SW GENESIS LOOP New dwelling area: a(( square feet '0,1) City/State/ZIP:TIGARD, OR 97223 Garage/carport area: square feet '0$ Suite/bldg./apt.no.: Project name:MCKINNEY ADDITION Covered porch area: square feet Cross street/directions to job site: Deck area: square feet L " tVerl' fii+ i trait/ Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: .2 SI 0,3 Daiosoo 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. ADD DINING ROOM AS A RESULT MAKE LOWER BEDROOM BIGGER Valuation: $ KITCHEN REMODEL. Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:BRUCE& EILEEN MCKINNEY Type of construction: Address:13235 SW GENESIS LOOP Occupancy groups: City/State/ZIP:TIGARD, OR 97223 Existing: Phone:( 503.639.4040 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:MOUNTAINWOOD HOMES LLC (Please refer to fee schedule) Structural plan review fee(or deposit): /61 ;) 7LS Contact name:Kraig LeMay v FLS plan review fee(if applicable): / Address:8324 SW NIMBUS AVE Total fees due upon application: City/State/ZIP:BEAVERTON OR 97008 Amount received: Phone:(503.746.7338 Fax: :( ) E-mail:klemay@mOUfltalflWOOdhOm@S.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:MOUNTAINWOOD HOMES LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:8324 SW NIMBUS AVE Solar Installation Specialty Code checklist. City/State/ZIP:BEAVERTON OR 97008 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503) 746-7338 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 184317 Total fee due upon application: $201.60 Authorized signature: A�,9 7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:KRAIG LEMAY Date:06/25/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling RECEI V ECG FOR OFFICE USE ONLY City g of Tigard .Jul' 2 9 2021 Received `r Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503.598.1960sociated permits: CITY GF TiI IGARD 24-Hour Inspection Line: 503.639.4175 BUILDING DIVISION ❑ Electrical ❑ Plumbing ❑ Mechanical T I G A R D Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 TA 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. El 0 IY1 3 Verification of approved plat/lot. ® 0 0 4 Fire district approval required. Name of district: . 0 El 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ 6 Sewer permit. ❑ 0 7 Water district approval. 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. [ ❑ [V' 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 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 a ❑ ❑ 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 gi ❑ ❑ 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- c21 El ❑ 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. L Y ❑ ❑ 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- 1 ❑ ❑ 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 'i] ❑ ❑ locations. Show attic ventilation. J�e, 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered t' ❑ ❑ 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 a ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ® ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El ❑ EY 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 VI ❑ ❑ architect licensed in Ore ton and shall be shown to be applicable 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ El El Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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, ❑ ❑ ❑ 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) it . RECEIVED Mechanical Permit ApplicatioRIN 29 2021 FOR OFFICE USE ONI.I City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 972CITY OF TIGARD Date/By: Permit No jr2. r�.„ C) j t i Plan Review /' (J I/ Phone: 503.718.2439 Fax: 503.591 DING DIVISION Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Read/B kris' ® 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 ❑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 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 13235 SW GENESIS LOOP Furnace 100,000 BTU(ducts/vents) 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:MCKINNEY ADDITION Ductwork '- 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 - DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas ! fireplace 23.32 MECHANICAL FOR ADDITION 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:BRUCE & EILEEN MCKINNEY Range hood/other kitchen equipment G 33.39 Address:13235 SW GENESIS LOOP Clothes dryer exhaust 33.39 City/State/ZIP:TIGARD, OR 97223 Single-duct exhaust(bathrooms, /� toilet compartments,utility rooms) G'"- 23.32 Phone:(503)639.4040 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:MOUNTAINWOOD HOMES LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:KIM HANCOCK Furnace,etc. Address:8324 SW NIMBUS AVE Gas heat pump Wall/suspended/unit heater City/State/ZIP:BEAVERTON OR 97008 Water heater Phone:( )503 746-7338 Fax: :( ) Fireplace Range E-mail: KHANCOCK@MOUNTAINWOODHOMES.COM Barbecue CONTRACTOR Clothes dryer(gas) Business name:ABSOLUTE HEATING & COOLING Other: MECHANICAL PERMIT FEES* Address:614 NE 105TH ST Subtotal City/State/ZIP:VANCOUVER, WA 98685 Minimum permit fee($90.00) Phone:( )360.721.2025 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:200568 7401 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:FRANCISCO RA`MIREZ Date:06/29/2021 1:\Building\Permits\MEC_PermitApp_040113.doe 440-4617r(l 1/02/COM/WEB) RECEIVED Electrical Permit Application JUN 29 2021 FOR OFFICE USE ONI,V City of'Tigard Received g CITY OF-d�IGARD r,� ,.. Permit rt r 13125 SW ball Blvd,Tigard,OR 97223h 5 1 l U!i f'' c Z 1L is Phone: 503.71&.2439 Fax: 503.S9g.1�13bJiLDINGDIVISi01`' PlanRcview ihi Date/By: Related Permit TIGARDInspection Line: 503.639.4175 Ready Date/By. )uric 65 See Page 2 for x. Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW 0 New construction ®Addition/alteration/replacement Pkase check all that apply(submit j sets of plans writems checked) 0 Service or feeder 400 amps or more 0 Building over three stones ❑ Demolition ❑Other: where the available fault current 0 Mannas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 tolls or ❑Floating buildings. Icss to ground,or exceeds 14,000 ❑Commercial•usc agricultural o ® I-and--larnile dt+clling 0 Commercial/industrial 0 Accessory building amps for all other installations buildings ❑ Multi-family 0 Master builder 0 Other: 0 Fire pump ❑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:13235 SW GENESIS LOOP I0011Pormore ❑"A", E","1-z .'t-3", City/StateJZlr:TIGARD, OR 97223 ' ❑six or more residential units occuancy ❑Health-care facilities ❑Recrepational vehicle parks Suite/bldg./apt.#: Project name:MCKINNEY ADDITION ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: FEE SCiIEDt3i.E Description I rpv. ) I•:acs 1 total I • Ness residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1?(X)0 sq.ft.or less 168.54 4 Tax map/parcel#: Li.acid'!500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential ELECTRICAL FOR NEW ADDITION (with above set.ft.) 75 at) Limited energy,multi-family 75(R) residential(with above sq.II I Renewable Energy 0 See Page 2 ® PROPERTY OWNER ❑ 'i'ENAN'I' Services or feeders installation,alteration,and/or relocation Name:BRUCE & EILEEN MCKINNEY 2(0 amps or less 100.70 2 Address:13235 SW GENESIS LOOP 201 amps to 400 amps 13356 2 401 amps to 600 amps 2(51.34 2 City/State/ZIP:TIGARD, OR 97223 601 amps to 1,000 amps 301.04 2 I Phone:(503.639.4040 Fax:( ) Over I,000 amps or volts 552 26 2 Temporary services or feeders installation,alteration,and/or Email: GOHORC308@MSN.COM 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 amps P 401 to 599 amps 168.54 Owner signature: Date: _ _ 2 ' ❑ CONTACT PERSON Branch circuits—new,alteration,or extension.per panel ® APPLICANT A.Fee for branch circuits with Business name:MOUNTAINWOOD HOMES LLC above service or feeder fee, 7 42 each branch circuit ` Contact name:KIM HANCOCK B Fee for branch circuits without Address:8324 SW NIMBUS AVE service or teeder tee,first / 5618 j(, I 3 2 branch circuit _ CityiStatc/ZIP:BEAVERTON OR 97008 Each add]branch circuit 7 7 42 Si .91f 2 _Miscellaneous(service or feeder not included) Phone:( )971.269.5253 Fax: :( 1 Each manufactured or modular 67 84 - dwelling,service and/or feeder Email:KHANCOCK'a@MOUNTAINWOODHOMES.COM Rceoi r,e t onl 67 84 2 ('ONTRA("i'OR Pump or irrigation circle 67 84 2 Business name:DREAMHOUSE ELECTRIC Sign or outline lighting 67 84 2 ' Signal circuit(s)or limited-enerr�v ❑ See Page 2 2 Address:221 SW MOONRIDGE PL panel,alteration,or extension City/State/ZIP:PORTLAND, OR 97225 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66 25/hr Phone:( I503.648.5144 Fax:( 1 Investigation(I hrmiu) 9000/hr Email:DREAMHOUSEELECTRIC@GMAIL.COM lndustna)plant(1 hr min) 78.18/hr Inspections for which no fix is 900/hr COI lac.: 19102,14 Electrical 1.i'.: C 6113 Suprv. Lie.: 14-5ta!)6, specifically listed(/r hr min) ��/Yld ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: Subtotal: /('} ,i X Print name: Ares 1� Date: /2,s1L/ -- --"_' 0 Plan Review Required(25%of permit Ice): State surcharge(12%of permit fee): I a. '9 5 Authorized signature: TO'TAt.PERMIT FEE: I),1 o I 0 'ibis 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 pcnuit I.'".Building/Pcrmits0ELC PermitApp_filit_ERE.doe Rev OW17/2015 ado-a615T(Ii/O/COM•'+ytiB Plumbing Permit Application BuildingFixtures JUL 06 2021 rOR oFFIcE l SI 0\1.1 City of Tigard CITY OF"MAR Received �{ Permit Na: 13125 SW Hall Blvd..Tigard,OR 97223 BUILDING DIVISI�,r Fr�hterR�V1fwS% ^( yam ' Phone: 503.718.2439 Fax: 503.598.1960 Date, Other Permit No. Inspection Line: 503.639.4175 ___ 1 I G A II i7 Internet: www.tigard-or.gov Date Ready/By: ha r, VI See Page 2 for _ Notified/Method: Supplemental Information �� TYPE OF i 0 1Y. .a i I` ❑New construction ❑Demolition For special inforrnatiun use ckeckli.st. Description L Qty. I I'a. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 1011 ft.for each utility connection) =4cATEGORlt O cONSTRUCTIOPv SFR(I)bath 312.70 ® 1-and 2-family dwelling ❑Commerciabindustrial SFR(2)bath 437,78 El Accessory building 0 Multi-family SFR(3)bath 500.32 - Each additional bathikitchen 25.02 ❑Master builder 0 Other: mire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address 13235 SW GENESIS LOOP 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.:_) Page 2 Suite/bldg./apt.no.: Project name:MCKINNEY ADDITION 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 It,: ) Page 2 Subdivision: Lot no.: Fixture or item: _ Tax map/parcel no.: Back Bow presenter 31.27 1 DESCRIPTION OF NVO2I* Backwater valve 12.51 -r Clothes washer 75.07 /`7 -( . }4./..S /"/&" /-/ X TZc."/L 7 i Dishwasher 25 02 x/ if f-T(� d PLUMB FOR ADDITION_ _ Drinking fountain Ejectors/sump rif'PROPERTS ()INNER ❑ 4,NAN`T' > r� Fri, Expansion tank 12.51 Name:BRUCE& EILEEN MCKINNEY Fixture/sewercap 25.02 Floor drain/floor sink/hub 25.02 Address:13235 SW GENESIS LOOP - Garbage disposal 25.02 City/State/ZIP:TIGARD, OR 97223 !lose bib 25.02 Phone:( )503.639.4040 Fax:( ) Ice maker 12.51. AI'PI IC ANI' 0 (l)NTAC?T PEkSFJ t a it }" Interceptor/grease trap 25.02 Business name:MOUNTAINWOOD HOMES LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:KIM HANCOCK Roof drain(commercial) 12.51 Address:8324 SW NIMBUS AVE sinkilxisin/lavatory 25.02 V City/State/ZIP:BEAVERTON OR 97008r units(potable water) 62.54 Phone:( )503 746-7338 Fax::( ) Tub/shower/shower pan 12.51 E-mail:KHANCOCK@MOUNTAINWOODHOMES.COM Urinal 25.02 "fit` c rog Water closet 25.02 .-Ji a r;. ' .. . . .. �' ,., Water heater 37.52 Business name:CRAFTWORK PLUMBING Water piping D1ti'k' 56.29 Address: -? ! 3 ti ..st..3C.1 >�.-(eAl s b fj Other: 25.02 City/State/ZIIW61n 0� .6,cL -( -Z p� Q Subtotal Phone:(�3 ( ,LI N„+ Y��-(-D q S Fax:`f _1 0 Dk) E VV Minimum permit tee: $72.50 CCI3 Lic.: 791 b(t, Plumbing Lic.no.:pO-) 11$ t Plan review (l2°of permit fee) State surcharge(12 ro of permit fee) Authorized signature: JA"`(t-dAeral TOTAL PERMIT FEE - Print name: Date: I ��a..1 �-r f hls permit application expires If a permit Is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by"Fri-County Building Industry Service Bottrd. I::BuiklingvPermits=PLMU-Permit App.doc I11rtI1ri91 440-46161(161121('OM/WE8I III City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT q, IN II 1 T 1 A RD Building Permit Review — Residential A qi Building Permit #: M S •r- 2 0 2-i - 0 0 2.5 2 fi Site Address: 13235 SW Genesis Loop Project Name: McKinney 1 Y Lot #: Planning Review Proposal: Addition to house 1 ® Verify address/suite#active in Accela. ® In River Terrace: ® No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control IC3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper IfultRetained trees with drip line and tree protection measures ieDrawn to scale(standard architect or engineer scale) , Footprint of new structure(including decks)and FFE ®North arrow /Utility locations&easements(required for new and additions) It Site address,project or subdivision name and lot number ®Sidewalk/driveway approach 1 ®Applicant information(name and phone number) [Location of wells/septic systems 1 RLot dimensions and building setback dimensions rig Street tree size,type and location f quare footage of buildings to be demolished CjStreet names x:lExisting structures on site ®Corner elevations(2'contours if more than 4'differential) f13.ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No l Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ® Yes,applicant was notified ❑ No Received: ❑ Yes 1 No ® Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ® Yes,applicant was notified ❑ No Received: ❑ Yes ® No In SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No X7 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified X1 No Applied For: Cl Yes ❑ No,stop intake era Land Use Case#: ® Zoning: R-4.5 $1 Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: na Garage: na RI Building Height Max.Height: 30 Actual Height: 30 ila Landscape Area: % rE4 Lot Coverage Max: Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d s Windows ❑ °o of area of all s`eet-faring facades Garage ❑ Garage door is e • Does not apply. o,one of the following is met: ❑ Door extends no more t porch extending beyond garage. El Door extends no more than 5' 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is r ess ❑ 50%or less of faca %or less and includes 7 of following: ❑ rc ❑ Recessed entrance ❑ Wall offset ❑ 1'Roo ❑ Roof offset Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo er ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcon till Visual Clearance a Urban Forestry Plan 1 Sensitive Lands: ❑ Yes J No Type: 0$Conditions met prior to issuance of building permit Notes: ,Pf Approved By Planning: Gli- - Date: ill IZ Revisions (after Building Submittal on y) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved i:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: �(779/2-/ Site Plans: # 3 Building Plans: # ..3 Building Permit#: '1 Enter building permit#above. Workflow Routing: Planning [ —ET gineering trYlfimit Coordinator Q-Building Workflow Sign-off: ®'Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. lding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 296- 0r2 c--a Date: 7/%/2 / Engineering Review CrSlope at building pad: /0'' C'Conditions"Met"prior to issuance of building permit I9 1a- RrEasements (encroachments)per engineering conditions of approval and plat h(a- eWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes 12''No Assess Water Quantity Fee in-lieu: ❑ Yes CYNo LIDA Facility on lot: El Yes R'No Ci Final Plat Recorded: in I N ❑ NOT Approved by Engineering: Date: Notes: C5rApproved by Engineering: Tr,r.,c3 r3z.k."/ Date: 7/b/ZO2,I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review KA£onditions"Met"prior to issuance of building permit El 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: El Received Z Does not apply r SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ) N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes Vr N/A LIDA ❑ Yes / N/A 12' OK to Issue Permit Approved by Permit Coordinator: .. Date: 11%(kV I:\Building\Fonns\BIdgPermitRvw_RES_122419.docx /`1 ,5TZeU-- coo2.5er Water Meter Fixture Unit Worksheet for Additions/ r4 s( : s Please complete the following information: JUL_ 0 t; 2021 Customer Name: B�14 Lt # L.r/ten M l./a n n e y TIGARD Service Address: Street/Suite#: 1323 5 SW GEA/C-S js Loo P �\/ ION City:7-1 6-� State: OR._ zip: ?7aa 3 Phone Number: 503—(p32 _L/-O 1c Email: G0 y pleC,,3/6sk" /77S0, C.Dryj Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer I x 4 = x 4 Dishwasher 1 x 1.5 = J, ,s' x 1.5 = 1'Outside Water Spigot f x 2.5 = Z,,5 x 2.5 = Water Spigot,each add'l 4 x 1 = K, x 1 = Kitchen sink / x 1.5 = j,S' x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory(bathroom sink) 3 x 1 = ji x 1 = Water closet,1.6 GPF(toilet) 3 x 2.5 = 7, ,S` x 2.5 = Bathtub/whirlpool x 4 = x 4 = Shower stall / x 2 = 2 x 2 = Bath/shower combo / x 4 = Ly x 4 = Current Points: ...0 Proposed Increase: _O. __ Current Points+Proposed Increase= =New Total Points =Required Meter Size Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points='/<" 37.5 and over points= 1" New Meter Size Needed for New Total Points: Cost: $ (see page 1) Current Meter Size per Utilit Billie �� P Y g� 5� Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB Ali— �d �'��c7zvv� �EZ. J/�,�,/ Signature of UB Representative Data 647Q I:/Building/Forms/WaterMeters_070120_1dd.docx Page 2 Dianna Ornelas From: #Building Permit Technicians Sent: Friday,July 2, 2021 7:29 PM To: Kraig LeMay Cc: Agnes Lindor; Nikki Tuason; UB Online Subject: RE: 13235 SW Genesis Loop Attachments: SKM_C65921070219100.pdf;WaterMeters_010121_Add_Detail.pdf Hello Kraig, In review of the application packet I found the plumbing permit application is missing the plumbing fixtures identified on the application (see attached). Please make corrections and email to TigardBuildingPermits@tigard-or.gov so that we can route for plan review. I also wanted to mention that there is a plumbing permit that was obtained online by True Blue Plumbing for re- piping. This permit is separate from the plumbing fixture permit to be issued with the master building permit. We also need the attached water meter fixture worksheet completed and emailed to our Utility Billing(UB)division at UBOnlinepay@tigard-or.gov as soon as possible so that we can determine if the existing water meter needs to be upsized to accommodate the added plumbing fixtures. If so, it will be a condition of the building permit that the upsized water meter be installed prior to building final inspection. Please contact UB if you have any questions. Thank you and please let me know if you have any questions. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Agnes Lindor<agnesl@tigard-or.gov> Sent:Thursday,July 1, 2021 1:44 PM To: Kraig LeMay<klemay@mountainwoodhomes.com> Cc: Nikki Tuason <nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: 13235 SW Genesis Loop Building will contact you when fees are required.Thanks, Agnes From: Kraig LeMay<klemav@mountainwoodhomes.com> Sent:Thursday,July 1, 2021 1:20 PM To:Agnes Lindor<agnesl@tigard-or.gov> Cc: Nikki Tuason <nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: 13235 SW Genesis Loop Caution!This message was sent from outside your organization. Allow sender I Block sender Thank you, do I need to pay before it goes over? 1 Kraig LeMay I CAD Designer Mountainwood Homes OFC: 503.746.7338 CELL: 503.703.9203 mountainwoodhomes.com Proudly named Remodeler of the Year in 2019,2017&2013 From:Agnes Lindor<agnesl@tigard-or.gov> Sent:Thursday,July 1, 2021 1:04 PM To: Kraig LeMay<klemay@mountainwoodhomes.com> Cc: Nikki Tuason<nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: 13235 SW Genesis Loop Planning has signed off and this has been routed to building for permit creation and routing.Thanks, Agnes From: Kraig LeMay<klemay@mountainwoodhomes.com> Sent:Thursday,July 1, 2021 8:20 AM To:Agnes Lindor<agnesl@tigard-or.gov> Cc: Nikki Tuason <nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: 13235 SW Genesis Loop Here you go,thanks for all your help Anges! Kraig LeMay I CAD Designer Mountainwood Homes OFC: 503.746.7338 CELL: 503.703.9203 mountainwoodhomes.com Proudly named Remodeler of the Year in 2019,2017&2013 From:Agnes Lindor<agnesl@tigard-or.gov> Sent:Thursday,July 1, 2021 6:55 AM To: Kraig LeMay<klemay@mountainwoodhomes.com> Cc: Nikki Tuason <nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: 13235 SW Genesis Loop I only need the finished floor elevations on the site plan, can you just add it to that just as a not on the side of the drawing for each story?And the disturbance is less than 1,000 SF? Thanks, Agnes From: Kraig LeMay<klemay@mountainwoodhomes.com> Sent:Thursday,July 1, 2021 6:51 AM To:Agnes Lindor<agnesl@tigard-or.gov> Cc: Nikki Tuason<nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: 13235 SW Genesis Loop Anges, 2 Only the site plan is 11x17,the main floor page just has the floor elevations on it...if you want to write the finished floor on the existing sheet I won't have to print out the 22x36 page. Thank you, Kraig LeMay I CAD Designer Mountainwood Homes OFC: 503.746.7338 CELL: 503.703.9203 mounta inwoodhomes.com Proudly named Remodeler of the Year in 2019,2017&2013 From:Agnes Lindor<agnesl@tigard-or.gov> Sent:Thursday,July 1, 2021 6:48 AM To: Kraig LeMay<klemay@mountainwoodhomes.com> Cc: Nikki Tuason<nikkit@tgard-or.gov>; #Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject: RE: 13235 SW Genesis Loop Kraig- Can you just email it to me? If it's on 11 x 17 I can just print it. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tgard-or.gov From: Kraig LeMay<klemay@mountainwoodhomes.com> Sent:Thursday,July 1, 2021 6:46 AM To:Agnes Lindor<agnesl@tigard-or.gov> Cc: Nikki Tuason <nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject: RE: 13235 SW Genesis Loop Anges, I have the corrections ready, I will get them to you as soon as the print shop opens. Thanks, Kraig LeMay I CAD Designer Mountainwood Homes OFC: 503.746.7338 CELL: 503.703.9203 mountainwoodhomes.com Proudly named Remodeler of the Year in 2019,2017&2013 3 From:Agnes Lindor<agnesl@tigard-or.gov> Sent:Wednesday,June 30, 2021 3:50 PM To: Kraig LeMay<klemay@mountainwoodhomes.com> Cc: Nikki Tuason <nikkit@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits(Wtigard-or.gov> Subject: 13235 SW Genesis Loop Hi Kraig- Additional information is required on your application. Please submit the following: 1. Revised site plan: a. Property corner elevations; b. All utilities to the site; c. Finished Floor elevation of the addition; and d. If there is more than 1,000 sf of ground disturbance a storm water quality facility is required. 2. Water Meter Worksheet 3. Service provider letter from Clean Water Services: https://www.cleanwaterservices.org/permits- development/step-by-step-process/environmental-review/ a. Choose the first option (pre-screening) Thanks! Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 4