Loading...
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►G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: James Aronoff DEC 1 6 2021 COMPANY:Canopy Building Group CITY OF TIGARC _ PHONE: 541-600-5146 3UILDING DIVISIOIsy 4 EMAIL: James@Canopypdx.com RE: 15752- SW 76th Ave4,812021403Stioo353 (Site Address) (Permit Number) Knauss Estates (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 1 Revisions: Interior Footing Detail 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: This revision will apply to all buildings on this site. So far only the permit for the reb This revision is to clarify where detail 8 on the structural plan correlats with the drawings. The previous plan did not make it clear to where detail 8 was used. FOR QFFIC USE ONLY Routed to Permit Techni ' n: e: (2(.L7 .a/ Initials: Fees Due: ❑ Yes N Fee Description: Amount Due: 7 } (° Ss Special Instructions: Reprint Permit(per PE): El Yes No E Done/ Applicant Notified: ate: /,2 Igv/2 ( Initials: for IICITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2021-00352 Ti G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2021 Parcel: 2S112CD00400 Jurisdiction: Tigard Site address: 15754 SW 76TH AVE Subdivision: Knauss Estates Lot: 9&PT 8 Project: Knauss Estates, Lot 3-Primary Dwelling Project Description: New primary dwelling with(1)attached ADU on separate permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 732 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25.5 Bathrooms: 3 Second: 993 sf Garage: 244 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 1725 sf Value: $238,711.50 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 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 Fum>=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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1725 Owner: Contractor: CBG SW 76TH AVENUE LLC CANOPY BUILDING GROUP Required Items and Reports(Conditions) 15110 SW BOONES FERRY RD STE 15110 SW BOONES FERRY RD STE 500 1 Ersn Cntrl 503-639-4175 500 LAKE OSWEGO,OR 97035 2 Fire Rated Conditions LAKE OSWEGO,OR 97035 PHONE: PHONE: 541-600-5146 FAX: Total Fees: $27,397.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you t, follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc ..nM-nn1n thrroinh r14R Q 9-nn1-anon Vn,, tr nhtain n c nr rtirort nnoctinnc to(ll INr:h,Tallinn'n'949 10317 nr 1 Ann 119 91441 Issued By: �� Permittee Signature: SC r . 7)A "��,0k 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. Building Permit Application 13-7/(p/ Residential RECEIVE FOR OFFICE USE ONLY City of Tigard2021Received Rece��- 0 ) DateBy: ef 1 ZOZ ��Permit No.: r2. ' OCS7S Z IIII • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review h Q r ,�7 s Phone: 503.718.2439 Fax: 503.598.1960Date/By: 1 V I L 17j( A' Other Permit. 5uje21a k-bp e.:, _ Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: 6f1 See Page 2 for tl<i-1ND ig g BUILDING DIVISION! �10� ��� ( � — Internet: www.h and-or. ov I Date Ready/By Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application_._ (� Ei 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ j T e�v�1I 1 ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 9 w ) Job site address: 15754 SW 76th Avenue; New dwelling area: l ( square feet 993 City/State/ZIP: Tigard,OR Garage/carport area: ,(../ / square feet - r Suite/bldg./apt.no.: Project name: Knauss Estates Lot 3 Covered porch area: square feet Cross street/directions to job site: East side of the block north of SW 76th Avenue and SW Bond Deck area: 37 square feet , I tnj L , 1 41,44 t4e44.1reet$,v' jyc7, I C th 51.ii . Other structure area: square feet tc p, 5 / r'Z_,-cam ft 6 V REQUIRED DATA:COMMERCIAL-USE CHECKLIST Sub vision: Knauss Estates Lot no.: 3 Permit fees*are based on the value of the work performed. Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 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. Proposal to construct a primary residential structure and an attached accessory dwelling Valuation: $ unit. Each unit is 2 stories in height and will have a single car garage. Existing building area: square feet 7 _�y2 , I )N,/i, yy �,t 6'7.. New building area: square feet Li PROPERTY OWNER / 0 TENANT Number of stories: Name: CBG SW 76th Avenue,LLC Type of construction: Address: Occupancy groups: 1S1 Ut SW Boones.Ferry B oad,Suite 500 City/State/ZIP: Lake Oswego,OR 97035 Existing: Phone:(503 ) 956-9307 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: CBG SW 76th Avenue,LLC (Please refer m fee sckedu/e) Structural plan review fee(or deposit): Contact name: Sean O'Neill FLS plan review fee(if applicable): Address: 15110 SW Boones Ferry Road,Suite 500 City/State/ZIP: Lake Oswego,OR 97035 Total fees due upon application: Amount received: Phone:(503 ) 956-9307 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: seangcanopypdx.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Canopy Building Group,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 15110 SW Boones Ferry Road,Suite 500 Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503 ) 956-9307 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: CCB#232358 ,,2va.2— Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Sean O'Neill Date: 06/07/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitsBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .. . DocuSign,Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF , ,Mechanical Permit ApplicatlECEIVED FOR OrrICE usr OyI.Y Cityof Tigard Received p) Permit g ryry Date/By: 1 Q� ST2o2 t- DU' 2_. • 13125 SW Hall Blvd.,Tigard,OR 97223 (: . i ZOV. Plan Review n^ ' I Phone: 503.718.2439 i Other Pennit: 9'WZ I-(Q L2k Date/By: 1 I GA RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Junr ® See Page 2 for Internet: www.tigard-or.gov S Notified/Method: Supplemental Information B il_RING nlvIslnt TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST [S New construction ❑ Addition/alteration/replacement Mechanical permit fees*arc based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition El Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. O Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 15754 SW 76th Avenue Air conditioning 1 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Knauss Subdivision Lot 3 Heat pump 61.06 Duct work 1 23.32 23.32 Cross street/directions to job site: SW 76th and Durham 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: Knauss Subdivision Lot no.: 3 Other: 23.32 Other fuel appliances: Tax map/parcel no.: WCTM 2S 112CD,Tax Lot 00400 Water heater 1 23.32 23.32 E DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Proposal to construct a primary residential structure and an attached accessory Flue vent for water heater or gas fireplace 23.32 dwelling unit. Each unit will be be 2 stories 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: CBG SW 76th Avenue,LLC Range hood/other kitchen 1 33.39 Address: 15110 SW Boones Ferry Road,Suite 500 equipment 33.39 33.3 Clothes dryer exhaust t 33.39 City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, 9 Phone:( 503 9569307 Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: CBG SW 76th Avenue,LLC Fuel piping: $14.15 for first four;S4.03 for each additional Contact name: Sean O'Neill 7 Furnace,etc. t Address: 15110 SW Boones Ferry Road,Suite 500 Gas heat pump City/State/ZIP: Lake Oswego,OR 97035 Wall/suspended/unit heater Water heater Phone:(503 ) 9569307 Fax::( ) Fireplace 1. E-mail: sean@canopypdx.com Range Barbecue CONTRACTOR pp Clothes dryer(gas) Business name: .�iteeto 5 t '75Kr_ l-!,i1 Other: �/ u MECHANICAL PERMIT FEES* Address: 11 ! 2 ! St Ajt (A/a�1(�7' Subtotal City/State/ZIP: 6✓t-/4�� '7)-a Minimum permit fee($90.00) Phone:( 3)3(0,,] c-1 i� Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB tic.: , ❑ncuSipnnd ny. !I /'57012..._ TOTAL PERMIT FEE /(�({ ' This permit application expires if a permit is not obtained within 180 Authorized signature: L�S_359 • i r'"ALL days after it has been accepted as complete. sean U'NCI 9�FBB3F7D433 * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: 8/17/2021 1:ABuildingVPermits\MBC_PeimitApp_082520.doc 440-4617T(1 I/02/COMAMO DocuSign Envelope ID:7AA377A6-4649-400E-BF5F %j t IVE Electrical Permit Application u OCTcf9 1 1; (n 1 i< 1 1 '. 'i.o i., City of Tigard O 2 ti ZOZ Received Permit e: :� • 13125 SW Hall Blvd.,Tigard,OR 97�3 Datc�Bs_ iPhi,Review Phone: 503.718.2439 Fax: 503.598.196tOIN OF 71GAKi� Dateray. Related Permit . Inspection Line: 503.639.4175 Re DatcBy: Jurb 1 t c,A K I-1, BUILDING DIVISIO a`b (a See e 2 for Internet: WAVV.tiplid-or.gov NutifiedStedrod: I Supplemental Information TYPE OF WORK PLAN REVIEW Q Ness construction ❑Addition/alteration/replacement Please check all that apply(submit j sets of plans a/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories ❑ ❑Demolition Other: where the available fault current ❑Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps 41150 sobs or ❑Floating buildings ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceed:Id 000 ❑Commercial-use agricultural CI Other: ampsrefor all other installations. buildings ❑Multi-family ❑Master builder ❑Fire pump.. 0 Installation of I SU KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 15754 SW 76th Avenue ❑Addition of new motor load of system. tooliP or MOM. ❑"A""E" "1.2""1-3" ❑Six or more residential units. occupancy. CitylStatelZlP: Tigard OR 97224 0)(eahb-care amities 0 Recreational vehicle parks Suite/bldg./apt.#: Project name: Knauss Subdivision Lot 3 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SN'76th and Durham FEE SCHEDULE Qat+;pba J Cm. 1 Each 1 Tool [ • New residential single-or multi-family dwelling unit. Subdivision: Knauss Subdivision Lot#: 3 Includes attached garage. 1,000 sq ft,or less 1 168.54 168.54 4 Tax map/parcel#: WCTM 2S112CD,Tax Lot 00400 La add'I 500 sq ft or portion 2 33.92 67.84 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Proposal to construct a primary residential structure and an attached accessory Limited energy,multi-family dwelling unit. Each unit will be be 2 stories residential(with above sq.ft.) , 75.00 2 Renewable Energy 0 See Page 2 a PROPERTYOWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: CB(a SW 76th Avenue.LLC 200 amps or less I i iS)70 100 7u Address: 15110 SW Booties Ferry Road,Suite 500 tot amps to 400 mops 133.56 City,'State/Z1P: 401ampsto600amps _ 200.34 2 Lake Oswego,OR 97035 601 amps to 1,000 amps 301 04 Phone:(503 ) 9569307 Fax:( ) Over 1,000 amps or volts 552 26 2 Email: scan r canopypdx.com Temporary services or feeders Installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 59.36 I intended for sale,lease.rent,or exchange.according to ORS 447,449.670,and 701. 201 amps to 400 amps 125.08 2 Owner signature:_ Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CON7'AC T PERSON Branch circuits-new.alteration,or extension,per panel A.Fee for branch circuits with Business name: CBG SW 76th Avenue.1.1_C above service or feeder fee. 7 4 2 each branch circuit ` Contact name: Sean O'Neill B.Fee for branch circuits withoor 15110 SW Bootees Ferry Road,Suite SUU service or feeder fee.fine Address: Si)18 2 branch circuit City'!Stater/1P: Luke Oswego,OR 97035 La;h add'I branch circuit 7.42 2 Phone:( 503 ) 9569307 Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service andior feeder 67.84 2 Email: seanwcanopypdx.com Reconnect only 67.84 2 CYINTRACTOR Pump or irrigation circle 1 67.84 67.84 2 Business name: _j 4-r-t.,y0...(ram -6 L-L Z-7"r tc "rvt_e , Sign or outline lighting 6784 2 Address: i l I Signal circuits)or limited-energy �j j 0�� ,C 43 /S K' #/ t panel,alteration,or extension 0 See Page 2 2 City.'State/ZIP: /)Y ) eM— 9 `7 Zre-( Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25.'hr Phone:(. SL 3 2..Lf E `J_3 r�f'J I/ Fax:( ) /o f1 Li..- investigation(1 hr mini 90.00'hr Email: Industrial plant(1 hr mini 78.I&'hr y88 `� I( ( r �'{�' • ( CIWL �i3G�✓ Inspections for which no fee is hr CCB Lie.: t el?21 "�electrical Lic.: . , -iLft/C-Suprv.Lic.: 64 specifically listed Pi hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature.required: .-_-.� f Subtotal: Print name:--7''pt,t t l/L+1 a-.t..I / Date: I Utz S'/ 0 Plan Review Required(25%of permit fee): / , s."`a 1+,a r air 1 M State surcharge(12%of permit feel: Authorized signature: SLAbt. lei � TOTAL PERMIT FEE. 35•WitCeS3F70433 This permit application expires if a permit is not obtained within ISO Print name: Sean O'Neill Date: 8/17/2021 days after it has been accepted as complete. • Lumber of itspecnons allowed per permit. I'.auld,s J'amrs',EU'_PerrmSAap.F1R_LRF.di,;Re'..Ou'17:2pi3 440.4613TttIMPCOMWEB 4; DocuSign Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Dracriytinn 1 Qq-. I Each I Total • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva orless 100-70 2 5.01 to 15 kva 133 56 Audio and Stereo Systems* 15 01 to 25 10a 21)0 34 Wind generation systems in excess of 25 kva: 111 Burglar Alarm 25.01 to 50 ksa 301 U4 2 — 50.01 to 100 kva 552 26 2 G• arage Door Opener* >100 kva(tee in accordance with OAR 918-309.00401 552 26 Heating. Ventilation and Air Conditioning Solar generation systems in excess or 25 kva: System* Each additional kva over 25 7 42 Li Vacuum Systems* >100 kva-.no additional charge l+0 3 Each additional inspection over allowable in any of the above: nOther: Fach additional inspection is66 5 hr charged at an hourly I I hr min) Inspections for which no fee is 90 tut hr specifically listed(5 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: S7.5.00 Subtotal(Enter on Page 1) (SEE OAR 918-309-0000) • Number of inspections allowed per Kona Check Type of Work Involved: ❑ A• udio and Stereo Systems n B• oiler Controls ❑ Clock Systems Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ri L• andscape Irrigation Control* ❑ Medical r Nurse Calls n O• utdoor Landscape Lighting* Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations .Dwdmg,Permnc.El.C'_Pwrnvt App E[R_vita due a :e,I�.•::• ...., . DocuSigr,Envelope ID:7AA377A6-4649-400E-BF5F-4F . Electrical Permit Applicatio VED FOR OFFICE USE ONLY City of Tigard Receivede • n� Permit#: �rYe7 q M IV�I\ i.Ot W 2. " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit 8: Sw Q2o2)-o02 2Z Phone: 503.718.2439 Fax: 503.598.196.Q Date/B : Inspection Line: 503.639.4175 UITY OF TIGARD Ready Date/By: luris ® Sec Page 2 for I IGARD Internet: www.ti and-or. ov Notified/Method: Supplemental Information x 91 J1LDING DIVISION' TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations, buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 15754 SW 76th Avenue ❑Addition of new motor load of system. Job#: Job site address: 1 OOHP or more. ❑"A","E","l-2","I-3", City/State/ZIP: ❑Six or more residential units. occupancy. tY Tigard,OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Knauss Subdivision Lot 3 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: SW 76th and Durham FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Knauss Subdivision Lot#: 3 Includes attached garage. 1,000 sq.tl.or less 1 168.54 168.54 4 Tax map/parcel#: WCTM 2S112CD,Tax Lot 00400 Ea.add'15oo sq.ft.or portion 2 33.92 67.84 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Proposal to construct a primary residential structure and an attached accessory Limited energy,multi-family dwelling unit. Each unit will be be 2 stories residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: CBG SW 76th Avenue,LLC 200 amps or less 1 100.70 100.70 2 201 amps to 400 amps 133.56 2 Address: 15110 SW Boones Ferry Road,Suite 500 401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:(503 ) 9569307 Fax:( ) Over 1,000 amps or volts 552.26 2 Sean@canopypdxconl Temporary services or feeders installation,alteration,and/or Entail: sean@canopypdx.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 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 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: CBG SW 76th Avenue,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Sean O'Neill B.Fee for branch circuits without Address: 15110 SW Boones Ferry Road,Suite 500 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 9569307 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67,84 2 Email: sean@canopypdx.com Reconnect only 67.84 2 CONTRACTOR t Pump or irrigation circle 67.84 67.84 2 7 Business nan (�(/-u V t ° Sign or outline lighting 67.84 2 -. �{VI Signal circuit(s)or limited-energy 0 See Page 2 2 Address: panel,alteration,or extension. ' Each additional inspection over allowable in any of the above City/State/ZIP: /� ` Additional inspection(1 hr min) 66.25/hr Phone v u� \ \ � T Investigation(I hr min) 90.00/hr ` Email: VP l Industrial plant(1 hr min) 78.18/hr � Ve[a�� VVV Inspections for which no fee is 90.00/hr CCB Lic ectncal Lic.: Suprv.Lic.: specifically listed('/5 hr trim) _ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: I Date: ❑Plan Review Required(25%of permit fee): r—Docusigned by: State surcharge(12%of permit fee): fA t S Authorized signature: � 1 I>` ‘4,1 TOTAL PERMIT FEE: 356D6C8B3F7D433 This permit application expires if a permit is not obtained within 180 Print name: Sean O'Neill Date: 8/17/2021 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/05/CAM/WEB DocuSigr Em.'elope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF .Plumbing Permit Application Site Utilities RECEIVED Received �C City of Tigard kp Date/By: (l L( N t- Permit No.: M� z 0^�S/L 13125 SW Hall Blvd.,Tigard,OR 97223 pr�, Plan Review r t� �'co_�L W J I Phone: 503.718.2439 Fax: 503.598.1 (�F TlGAR Date/By: Other Permit No.: slid ' 01.223 - Inspection Line: 503.639.4175 �`+r Date Ready/By: tuns: ® See Page 2 for T a G A K D Internet: www.tigard-or.gov Sl� Y o B RIM Q1NC HIV! 7 v • Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. 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 ® 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 15754 SW 76th Avenue Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: 76th/Durham Manholes 18.76 Rain drain connector I 18.76 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Stone sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Knauss Subdivision I Lot no.: 3 Fixture or item: Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 Backflow preventer 1 31.27 11 77 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Proposal to construct a primary residential structure and an attached accessory Dishwasher 25.02 dwelling unit. Each unit will be be 2 stories Drinking fountain 25.02 Ejectors/sump 25.02 [ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: CBG SW 76th Avenue,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 15110 SW Boones Ferry Road,Suite 500 Garbage disposal 1 25.02 25.02 City/State/ZIP: Lake Oswego,OR 97035 Hose bib I 25.02 25.02 Phone:( 503 )9569307 Fax:( ) Ice maker I 12.51 12.51 51 P APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: CBG SW 76th Avenue,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Sean O'Neill Roof drain(commercial) 12.51 Address: 15110 SW Boones Ferry Road,Suite 500 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:( 503 ) 9569307 Fax::( ) Tub/shower/shower pan 12.51 E-mail: sean@canopypdx.com Urinal 25.02 Water closet 25.02 CONTRACTOR / Water heater 1 37.52 37.52 Business name: !` aC� 1�[ � Y/Lht.-_ Water piping/DWV 56.29 Address: l LiY to G/T- 6G. &vlua ora l wri // Other: 25.02 City/State/ZIP: Trvu a it 04 ��e)6,6 Subtotal `�• Minimum permit fee: $72.50 Phone:(c) e-- 7 j�- Fax:( ) 415-49 CCB Lic.: /G_I4, ,J�IIf�'` Z Plumbin r Lic.no.: Plan review (25%of perntit fee) VocuSiyned by: b State surcharge(12"/o of permit fee) I Authorized signature: SgL�6p �1�1LL TOTAL PERMIT FEE Print name: Sean 0 Ne I I 16C8B3F7D433 Date: 8/17/2021 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 Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard v COMMUNITY DEVELOPMENT DE AR T III ■ T 1 G ARD Building Permit Review — Residential v Building Permit #: M tt 202\- 0035 g. Site Address: 1 S-s-4 Si,3 1(04- PVC Project Name: 14,(Qtau5S tonVMS Lot #: 2 Planning Review f/�6/Z/ — if-i V1S e3 s/77-"Gel"/ Pro sal: I - FiAmAti eek1) flC-e. Verify address/suite#active in Accela. Vn River Terrace: No ❑ Yes,River Terrace Review Addendum Sit tan Elements: Erosion Control I opies of site plan on 8-1/2"x 11"or 11 x 17"paper [JRetained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) 2teotprint of new structure(including decks) and FFE PI 7rth arrow LJU ' 'ty locations&easements(required for new and additions) r Site address,project or subdivision name and lot number Sidewalk/driveway approach pplicant information(name and phone number) c tion of wells/septic systems Zt dimensions and building setback dimensions zr reet tree size,type and location NA Square footage of buildings to be demolished Square names sting structures on site Street elevations(2'contours if more than 4'differential) Loa area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Ees ❑ i pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes, No f�l Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified LJ No Received: ❑ Yes ❑ No 1 Water Meter F. e Unit Worksheet—Additions,Remodels and ADUs i/equired: LG Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No C Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: � � Re ' ed: ❑ Yes,applicant was notified .L�J'No Applied For: ❑ Yes ❑ No,stop intake ^�L nd Use Case#: Sug2D‘b' CO�t 2 Zoning: V�" 11 quired Setbacks: Front: I S Rear: l' Side: 5" Street Side: 10 Garage: 1 O E 'Building Height: i Max. Height: ��� IS-Actual Height: 2 •S V Landscape ��Q % y ea: 1.ot Coverage May 0/0 Entrance JorS t back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows �' 'mum 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance E Wall offset ❑ 1'Roof eave E Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer / ❑ Accent siding J Window trim ❑ Window recess ❑ Window projection ❑ Balcony disual Clearance Urban Forestry Plan ni S nsitive Lands: ❑ Yes �No Type: 'onditions met prior to issuance of buildin) ., mit Not . Approved By Planning: .11 _ Date: g/i'l 21 Revisions (after Building Submittal on y) Reviewer Date Revision 1: I Approved ❑ Not Approved Pr- 9116 V Revision 2: ❑ Approved ❑ Not Approved 1:\Budding\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # 3 Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ 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. ' • '❑ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: v By Permit Technician: / Date: 7 '2_7 �r /// Engineering Review ❑ Slope at building pad: ❑ 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 ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: /Yes ❑ No ❑^ Final Plat Recorded: L�/NOT Approved by Engineering: 7 y..'1 IQn7.IGaf Date: qlq 12.021 Notes: ,iie CJ f 0 &!V*V Vele/Ake/ t (sign..„.se., -) ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 'Approved ❑ Not Approved 7 f AI acley 5/4/2e-?) Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Z' 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: 4 SDC Exemption: ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: YJ Yes ❑ N/A Tigard Trans SDC: ( Yes ❑ N/A Parks SDC: 7 Yes ❑ N/A LIDA / Yes 'N/A r OK to Issue Permit Approved by Permit Coordinator: 47/6\/Th Date: l J2 �2o I ;4 1:\Building\Fonns\B1dgPermitRvw_RES_122419.docx Water Meter Fixture Unit Worksheet For New Buildings Please complete the following information: Contractor Name: (°Qnc p &[/1 0 toxfi Z-LC_ Billing Address: Street/Suite#: [67f0 Sw hanies f-e//__ Ka Sui* 4'6/0 City: kr DSwcs.o State: Zip:q 7v3S— Phone Number: 5-03 _ 73o? Email: Sc-,t y aveaktpj .,siy, 'os4/ New Meter Address: is?sue 5w 7GT?+ 4vc. fr°ri%�ary ? lc7c2. sw 76,74 Arc. (4)dL() Subdivision Name: k1,14u SS 5144e /Vii-Slab Lot #: 3 Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink 1 x 1 = Bidet x 1 = Clothes washer 2 x 4 = r Dishwasher 2 x 1.5 = 3 Hose bib, 1st one 2 x 2.5 = S— Hose bib, each additional x I = Kitchen sink 2 x 1.5 = 3 Laundry sink — x 1.5 = Lavatory x 1 = Sr Water closet, 1.6 GPF 4 x 2.5 = IS-- Bathtub/whirlpool x 4 = Shower stall A x 2 = L--1 Bath/shower combo 2 x 4 = r Total Fixture Unit Points: G-5 Fixture Unit Points: 1 to 30= 5/8" 37.5 to 89 = 1" 30.5 to 37 =3/4" Meter Size: 1It Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building (Master) Permit or Plumbing ❑ Yes ❑ No ❑ Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: 1:/Building/Forms/WaterMeters_070121_New.dOCX Page 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ Water Meter Fixture Unit Worksheet T "`21 For New Buildings 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov LOCATION: City of Tigard —City Hall WATER METER SALES: Utility Billing By Email Only. Please contact 13125 SW Hall Blvd. ubonlinepay@tigard-or.gov Tigard, OR 97223 to discuss sending documents and payment METER: SIZE: FEE: Effective 07/01/2021 5/8" $10,095.00 Fee includes: 3/4" $14,419.00 water system development charge, 1" $26,486.00 water meter, and 1-1/2" $78,487.00 meter installation fee. 2" $127,125.00 Note: An additional charge will apply for water meters where an"existing water main"requires a new service line to be installed by the City to the property address and is paid by the property owner as follows: • Up to 1"=$3,815.00 • Over 1"=Cost+ 10% DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve new buildings. In most cases,new residential buildings require a 3/4"meter,however, due to the size of homes built in the Tigard area, we now count the fixture units of all homes prior to selling a meter. Buildings with 37 or less fixture points can use a 3/4" meter. For those over 37, a 1"meter must be purchased. Use the worksheet on Page 2 to calculate the number of fixture units. DOCUMENTATION Please provide the following items to the Utility Billing counter to purchase your meter: • Completed water meter fixture unit worksheet(on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Most meters are installed within 10-14 business days. If your meter is not located within an existing subdivision we may need additional time in order to verify the location of other underground utilities. Please keep these time frames in mind when purchasing your water meter. is/Building/Forms/WaterMeters_070121_New.dOCX Page 1 Water Meter Fixture Unit Worksheet For New Buildings Please complete the following information: Contractor Name: Canopy Building Group, LLC Billing Address: Street/Suite#: 15110 SW Boones Ferry Road Suite 500 City: Lake Oswego State: OR Zip: 97035 Phone Number: 503-956-9307 Email: sean@canopypdx.com New Meter Address: 15754 SW 76th Avenue, Tigard OR 62/ ,./ , z7. Ate-1.G,v 6, Knauss Subdivision 3 Subdivision Name: Lot#: Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink x 1 = Bidet x I = Clothes washer 1 x 4 = 4 Dishwasher 1 x 1.5 = 15 Hose bib, 1st one 1 x 2.5 = 2.5 Hose bib, each additional x 1 = Kitchen sink 1 x 1.5 = 1.5 Laundry sink x 1.5 = �Cf Lavatory x 1 = Water closet, 1.6 GPF 3 x 2.5 = 7.5 Bathtub/whirlpool x 4 = Shower stall 1 x 2 = 2 Bath/shower combo 1 x 4 = 4 Total Fixture Unit Points: ('- Fixture Unit Points: 1 to30= 5/8" 37.5to89 = 1" 30.5 to 37 =3/4" C ' E ! M 7 i 1-z_ 1 .S �-u. 1 /**************************** // /&7 Bing ❑Yes ❑ No [ �/Lf�'Z " /7 _ Sale Date: 7-6 /7 rA)S .4)-7e(1 Meter Cos e / 6, aef-S, era )0( ?y,0�l/i2•SO Sic.,2 . q- 9, /,27• 5 Water Meter Fixture Unit Worksheet For New Buildin ,RECEIVED AUG1 g12021 Please complete the following information: CITY OF TIGARD Contractor Name: Canopy Building Group, LLC BUILDING DIVISION Billing Address: Street/Suite#: 15110 SW Boones Ferry Road Suite 500 City: Lake Oswego State: OR Zip: 97035 Phone Number: 503-956-9307 Email: sean@canopypdx.com New Meter Address: 15754 SW 76th Avenue, Tigard OR jqi` if Knauss Subdivision 3 Subdivision Name: Lot#: Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink 1 x 1 = 1 Bidet x 1 = Clothes washer 1 x 4 = 4 Dishwasher 1 x 1.5 = 1 5 Hose bib, 1 St one 1 x 2.5 = 2.5 Hose bib, each additional x 1 = Kitchen sink 1 x 1.5 = 1.5 Laundry sink 4 x 1.5 = 6 Lavatory x 1 = Water closet, 1.6 GPF 3 x 2.5 = 7.5 Bathtub/whirlpool x 4 = Shower stall 1 x 2 = 2 Bath/shower combo 1 x 4 = 4 Total Fixture Unit Points: 30 Fixture Unit Points: 1to30= 5/8" 37.5to89 = 1" 30.5 to 37=3/4" 30 Meter Size: Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master) Permit or Plumbing ❑ Yes ❑ No ❑ Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: t:/Building/Forms/WaterMeters_070121_New.dOCX Page 2 yie Drinkwater From: Sean O'Neill <sean@canopypdx.com> Sent: Tuesday, October 26, 2021 9:30 AM To: #Building Permit Technicians Subject: Re: FW: MST2021-00352, SWR2021-00228, & MST2021-00353, 15754 & 15752 SW 76, Knauss Estes, Lot 3, Primary&ADU Attachments: Scan_023015 (1).pdf; Scan_023017 (1).pdf Categories: Julie Warning!This message was sent from outside your organization and we are unable to verify the sender. Hi Julie, I have attached the Electric Permit Applications to submit. The mechanical contractor information is as follows: Jacobs Heating&Cooling 4474 SE Milwaukie Avenue Portland, OR 97202 503-369-5483 CCB 1441 Plumbing Contractor is as follows: Alliance Plumbing 146 W Historic Columbia River Highway Troutdale, OR 97060 503-577-6535 CCB: 184601 Please let me know if there is anything further you need from me to get these permits released. Thank you! Sean O'Neill On Tue, Oct 26, 2021 at 7:55 AM#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>wrote: Hello Sean Thank you for submitting the electrical permit applications for this project. 1 iH#NN##ilHxiuws and uNs 4 H a1NN##difli+++. a+xwrxwa s.Hwu#N MN fatal aia ffiii#.Hi#Ytil}##tii#i#i1##illiiHilNHfua.r..x. a ua:asx AwN sktd tuuiWxil 1 i+ Nuns M t"HuwdiNtu. wlitdielfN aaiN+.H:NaiHaNwiNH4Hikk#iiittiliHNw.:. Thank'ryou for getting these completed today! I appreciate it so much! I have attached receipts for these payments. The contractor's information for both permits is as follows: Canopy Building Group, LLC 15110 SW Boones Ferry Road Suite 500 Lake Oswego, OR 97035 CCB 232358 Contact: Sean O'Neill 503-956-9307 My electrician is completing and signing the forms now as well. Please let me know what, if anything, further you need from us to get these permits issued and how/where we can pick them up. Thank you! Sean On Mon, Oct 25, 2021 at 9:06 AM #Building Permit Technicians<TigardBuildingPermits@tigard-or.Rov>wrote: Hello Sean The permits for Knauss Estes, Lot 3, Primary& ADU, are ready to be issued.The balance due is listed below. Attached please find the invoices for your review. Knauss Estates, Lot 3 3 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 Tiga rd • COMMUNITY DEVELOPMENT DEPARTMENT i II _ Transmittal Letter T I(;A I:[) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • v vw.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Samedy Kern OCT 6 2021 COMPANY: uITY OF TIGARL PHONE: 971.563.0552 II AIDINGf MVISIOI\`By. EMAIL: samedy©kem-consultant.com RE: 15754&15752 SW 76th Ave MST2021-00352&353 (Site Address) (Permit Number) Lot 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 2 sets Revisions: Each Architecture Pages 1 thru 4 Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. 2 Other(explain):Engineer Trusses REMARKS: FOR FFI?E USE ONLY �,q� Routed to Per ' e nician: Date: 1 0 I 2� ,Initials: T 1 Fees Due. Y II]No Fee Descri tion. / Amount Due: I \A4/cri-i l�1 L (iprJ $ l � s14-1-til' ss 4 0( , 0 , \r Special V Instructions: Reprint Permit(per PE): ❑ Yes ❑ Done/J Applicant Notified: Date: / 42.1 �z No) Initials: --