Permit 1r CITY OF TIGARD MASTER PERMIT
s - COMMUNITY DEVELOPMENT Permit0: MST2021-00419
Date issued: 03/09/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DCO2600
Jurisdiction: Tigard
Site address: 7660 SW FIR ST
Subdivision: ROLLING HILLS NO.2 Lot: 50
Project: Wainwright
Project Description: 1790 sq ft two story addition and remodel of existing home.
BUILDING
Floor Areas Required Setbacks Required
•
Stories: 2 Bedrooms: 2 First: 454 sf Basement: 630 sf Left: 5 Parking Spaces: 0
Height: 22 Bathrooms: 3 Second: 706 sf Garage: 0 sf Front: 20 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors:
Total: 1790 sf Value: $233,738.20 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0
Lavatories: 5 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 4 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 70 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 1
Other Fixture Units: DVW
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 0 Other Units: 1
Fum<100K: 0 Vents: 0 Woodstoves: 1 Gas Outlets: 1
Furn>=100K: 1
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 4
Ea add.'500 sf: 0 201-400 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+amphrolt: 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:
NEW SF VB R-3 1790
Owner: Contractor:
WAINWRIGHT,JAMES&TRINH AFFINITY HOME&DESIGN LLC Required Items and Reports(Conditions)
7660 SW FIR ST 1887 WILLAMETTE FALL DR 1 Ersn Cntrl 503-639-175
TIGARD,OR 97223 WEST LINN,OR 97068
PHONE: PHONE: 503-650-3090
FAX:
Total Fees: $9,941.50
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
Oc .,OO11101fl fhrnnnh r1AR O59-flrli-flfl0O Vnu matt nh+ain 2 rnnu nf+ha ndaa nr dirar+m iaafinn¢1n rll INC by rallinn SOV 9R0 1QR7 nr 1 MOO Vt9 7/44
Issued By: Ed9 -+ o Mat,d.or+acto- Permittee Signature: $appUccutizr"`
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.
WED
SEP12021
Building Permit Application CIE•k' ' - 911 cO I a 1
�!,, -:Fits : . ��
Residential f:,
tOlt Ell i II 1 1 56 Ith1 1
City of Tigard ogromt Gam?21 2/ 191 Permit No.:p f 67-2d2!-( 19 r 13125e SW Hall B1vd.,Tigard,OR 97223 Pon Review I
a• Phone: J03.7182439 Pax: 503.5961960 Pne Re; i 1 ' I t ' i ch er Permit
oate-i 1,;;11;1, Inspection Line: 503.639.417E IMeReady/By.l I Ql Bee Peaei for
Internet www.tigard•orgov d7Me��.., /l f ,/� Supplemeatal laformanon
ai/.a_ ._
TYPE OF WORK REQUIRED DATA:1-AND 2-FAINILI'DWEIlING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
�Addition/alterat onheplacemem ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and profit for the- O
CATEGORY OF CONSTRUCTION work indicated on this application. :3/735.,
M I-and 2-family dwelling ❑Commercial/industrial Valuation: 0
❑Access building Number of bedrooms: t orY ng ❑Muld-family �+❑Master builder ❑Other: Number of bathrooms: '1
JOB STIR INFORMATION AND LOCATION Total number of floors: 3
Job Bite address: ?660 s0 Ain ST New dwelling area: ,'3-f0 square feet
City/State/ZIPl c-A+ 1 R D . g 9?'2 2, 3 Garage/coon area:�
1- square feet(At/)
Suite/bldg,/apt.no.: Project name:W4/NW21GHf 4Sl DFt)I0 Covered porch area: square feet ai 5-1-1
Cross street/directions to job site: C#E I t RY P. Deck area: square feet 70 6e
4f/a fl' .4(tekr tda ks.4e4A l/el Other structure area: square feet
iP 44 f Y (S�' OU--(y G(.C./ R!' G✓-f ( ,G!L Yr( REQUIRED DATA;COMMERCIAL-USE CHECKLIST_
Subdivision:R 6(,L,#N6• N/C L S — PAT- 2. I Lat no.: SQ Permit fees*are bused on the value of the work performed.
Tax map/parcel no.: S 1/b if D e 6 x G 00
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.
/i101//nr6- FXreit/OA L,0-445a ADDiV - A• secenr•Q Valuation: $
STORY M0(164 it L_ 134 SF_M F.V r: Existing building arse: square feet
New building area: square feet
'PR PERTY OWNER ❑ TENANT Number of stories:
Name: 7" s WR/NWR 16H-T Type of construction:
Address: 76 o Sv F i R S r Occupancy groups:
City/State/ZIP: /fi-A R A 0 R /9-2 2 3 - Existing:
Phone: S3q-2/Ss Fax:( )
�r1 New:
JF" APPLICANT ❑ CONTACT PERSON BUILDING PERMIT PEES*
Business name: !ThawrxAr mire ao6eda4tl
Structural plan review fee(or deposit): WI, 17
Contact name:Ta o ES Wh-INWR144,1-7-
FLS plan review fee(if applicable):
Address: 76ro ta u tp az. S f
Total fees due upon application:
Ciy/State/ZIP: 1a A.'RD P q 7-22 3
Phone:(S03) 39 r 2/s 5 J Fax::( ) Amount received:
E-mail: l'kn P$rR(No WAt//v'rvR i a-il-f @ &MA-I I- .CoM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTORCommercial and residential prescriptive installation of
roof-top mounted PhotoVottaic Solar Panel System.
Business name: FF/N/rY ME r.$ 1ES/b/l/ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: I gg w IL LA Ef'i PALLS n ft Solarinstallatlon Specialty Code checklist
City/State/ZIP: �,?,0C Ei Permit Pee(includes plan review
�S or 0 si DR 1 and administrative fees): $IS0.60
Phone:(St73 ) S o - 3 0 4 d I Fax:( ) State surcharge(12%of permit fee): t21.60
CCB lie.: i 8 ( I S j Total fee due upon application: $201.60
Authorized signet : • :,,e7 (. P ij/ This
permit appBcatloa esplres Ira per7mit is net obtained
�' within 180 days after It has been accepted as complete.
Print mane: i A Vi S t/l//�-�'fl/�r V I2 I(r rf Date: VI(/2.()`Z., *Fee methodology Board.et 'h gy set by Building Industry
S
1:1Building\PermitstBUP-RESPamitApp.dix 02/24/2011 4104613'11I I/02/COMIWEB)
.
RECEIVED
SEP 1 3 2021
Mechanical Permit Annticatioi}^ I i Y OF i'GAR_) t i to oil tt i t t: too 1
City of Tigardill E3111111111111111PemdtNo.:WL(ST74ZI-60 ' N
13125 SW Hall Blvd.,Tigard,OR 97223 Plea Review
Phone: 503.718.2439 a,, Other Permit
i i : r.1, inspection Line: 503.639.4175 Data Reedy/Br June: M See Pape 2 ter
Monier www.tigard-orgov Nolllled/meshed: Supplemental raformWbo
TYPE OF WORK COMMERCIAL FEES SCHEDULE—USE CRECICLIST
❑New constriction lg.Atiditionialteration/replacement Mechanical permit fees*ere based on the value of the work
Demolitionperformed.Indicate the value(rounded to the nearest dollar)of all
❑
❑Other: mecbanial materials,equipment,labor,overhead,and profit
CATEGORY OF CONSTRUCTION Value:5
x I-and 2-family dwelling 0 Commercial/industrial 0 Accessory buildingIDET`TIAi EQUIPMENT ISYSP>zbfe FEES
❑Multi-family 0 Master builder 0 Other For rpealarirgonnedan use epe j Be.Description Qty. 1 B Toni
JOB SITE INFORMATION AND LOCATION Beatla5Jceoliit:
Job site address: 7 GGo sfa /2/i S r Air conditioning 46.75
Furnace 100,000 BTU(duotdvenle) 46.75
City/Stare/ZIP: ''I(r„-Q y 49)2 q722 3 Furnace 100,000+BTU(duels/vann) I 54.91 Sf,f/
Suite/bldg./apt.so.: Pr*cxneme:wA//I(wRI6,4r RESIDE.vc Heat Pump 61.06
Cross meet/directions to job site: Duct work I _23,32 23,31
C� RRY +P� Hydronic hot water system _ 23.32
, Residential boiler(radiator or
hydrant) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 2332
Subdivision:RIN-4-Mgr' 1>O4 am- 2 Lotno.: Sd Other: 23.32
Tax map/pareel ma.: 2 S'16 I DLO 1 46 O Other fuel appliances:
Water hater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 ,
/DD//1iW N& W AUteNR e .d DUCT --'olt/< fpetforwate�'h�terorg�e
fireplace — 23.32
ill/ /n/2 c.4 O F 7i Di T-f0/V. Log lighter(gas) 25.32
Wood/pellet stove I 3339
Wood fireplacefmsert 23.32
Chimnoyliner/fue/vent I. 23.32 -
R PROPERTY OWNER I 0 TENANT Other. 23.32
Name:TAMES WA-GAI irl�i&N T,— Environmentalg. exhaust and ventilation:
Range hood/other kitchen
Address: ""G;Q �(w; Fl Cr equipment 3339
City/State/ZIP: r 1(r--�D /)* t3 9.'� 3 Clothesuer haexhaust 33.39
r Z Single-duet exhaust(bathrooms, q/
phone:(SQ3) S39' -2(SIS Fax:( ) toilet compartments,utility rooms) G 2332 `7•f{P
I Attic/crawlapace fans 23.32
APPLICANT j I 0 CONTACT PERSON Other: 23.32
Business nume: Fuel piping:
Contact name: 7AMES Ws4/SVWIEI�N'r Furnace,etc.415 for first four;sa.m for aeha Y iS1 I91,IS
Address: ? 4 Q S'w f l f s r Gas heat pump _
City/State/ZIP: ;r-I4A.R d!Z . 97223 Wall/suspended/unit heater _
yWater heater
Phone:( O3) J g 7 ..'is Fax::( ) Fireplace
llmau:7,4M65 TRIN/1 WNR-!/yWR(FHret 4Mh-IL,t0M Range
1CONTRACTOR Barbecue
Clothes dryer(tas)
Business name: i L—t1Y,- '3"=j�J.ljiti- 'f 2d/A/6) Other:
F-5Q[(J ckftt e 1 •e0 MECHANICAL PERMIT FEES*
Address: Subtotal /6L3Y i}
City/State/ZIP: ttiesv Gju/ �, 7Cl(,f Minimum permit fee($90.00)
"""��,, Plan review(253'u of permit fee) fa,S 6
Phone:I,,,v3) 5$7-�,jS Fax:( )
CCH lie.: TOTAL
surcharge(12%of permit fee) i',V.
TOTAL PERMIT FEE "In,4}I
G n Th4permha ti ithosguufaccema4act ompetn.. wRMolaO
Authorized signature: /r/. J days after it bu gun aeceptedascompterw
. pee mobodolopy act by Tri-County Building Industry Service Huard
flint name: 7 M(} IA/A/AI M?I G 11 fi' Date: Ct/16/10)s. 1
leibundb1slPrnnitArag_Tenth e8:1520.dx 440-46t7r(I I/524COW,,®)
RECEIVED
SEP 1 3 2021
Electrical Permit Application C;iTY(7 Ilaa'N rt tit r,I 1 Pr. t,a,t 1 v 1
LnnLDING DIVIS!O
City of Tigard o e/B : Permit 6: -O .,Q 1 in
13125 SW Hall Blvd,Tigard,7R 97223 Plan Review
' None: 503.718.2436 Fax: 503.398.1960 ptsm/13 : Related Permit 0:
t, -:I1� lrsprctionline: 503.63dAI75 ReadyDateBy: Jerk VI Sea Page2for
irtemet: www,tigarc-or goy Notified/Method: Supplemental Inlmaeuaon
TYPE OF WORK PLAN REVIEW
❑New construction gAdditien/alteration/replace rent Please check ell thu apply(submit2 airs of plats widens eheekedl:
El Se vice or gseder 400 amps or more CI Building over three stories.
❑Demolition ®Gt}ter:
whore the available fault current ❑Mariner and boatyards.
CATEGORY CF CONSTRUCTION exceeds 10,000 amps at ISO volts a ❑Floathtg buildings.
®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceed.14,000 ❑Coromeroial-tun semi/tael
❑Multi-family ❑Masterbuilder 0 Other: cops wtfix site installations. buildings.
pep.. ❑lmmllatlan of l50 KVAa
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: I Job site address �'�`O )! fIR <r El ltHPAddition of motor load of system.
U rC l / IWHP aeon:. ❑"A","8,••1-2" ,•IJ"
City/State/ZIP: T/e,�RD f�1� 93 CI Six a more residential ant, occupancy.
n Healthcare facilities. 0 Recreational vehicle parka.
Suite/bldg./apt.#: Projectname:wovwR/or tEsolg E ❑Harerdoua locations. 0 Supply voltage for snore than
❑Service or feeder 600 amps or more. 600 vain mmioel,
Cross street/directions to job site: a Nm1QBy pr, FEE SCHEDULE
t>eseriauoe I Or. I aria I Teem I •_
New residential single-or multl-family dwelling unit
Subdivision: R c/v- Aagis —pi tir Z Lot#: So Includes attached garage.
Tax map/parcel#: 2 g 161 t� c '1 d OO 1,000 ' it.a lea 133.92 4
S, Ha.eddl SOo sq.2 aponion 33.92 ]
DESCRIPTION OF WORK Limited energy,7cxide:trial 75.00 2
(with above sq.ft.)
Limited energy,multi-feonily 75.00 2
residential(with above sq.it)
PI PROPERTY OWNER 0 TENANT Renewable Energy 0 SeePage2
Services or feederslorWlatlon,alteradou,and/or relocation
Name: Y/-M55 •WMNW/2/401- 200 amps or lees 1 100.70 [D0,70 2
Address: ? Q Se, Elf. S r 101 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/Slate/ZIP: T/& 4 Q D ( JZ slit 2 2 3 601 amps to 1,000 asps/ 301.04 2
Phone:(S03 ) S J/- '1 1 55 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary servkea or feeders installation,alteration,and/or
Email:1kMES YR/NH-WMNWI?l4ttreo 644/f/1...COM/ relocation
Owner installation:This installation is bung made on property that I own which is not 200 empa or less X., 59.36 ' 34- I
intended for sale,least,or ex:henge,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.0h 2
Owner signature: /�./ ird,0Y"'a0. Date: 41/1y/2oti 401 amps to 599 amps 168.54 2
Ji'APPLICANT 1 0 CONTACT PERSON Branch circuit,-new,alteration,or extension, . r panel
A.Fee for branch circuits with
Business name: above service or feeds fee,
7.42 2144 2eachbrunch c
Contact name: kMES W/1'I /WR/(r/i B.Fee for branch circuits withoutosice or a Re,firstAddress: 2400 SVF l isr bch circuit
56.18 2
City/State/ZIP: rIc„..„4.Q D On t 7 2 2 3 Each edd'I bland circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(03) 5'39.- )1 SS Fax::( ) Each manufactured ormodular 67.84 I 2
dwelling,service and/or feeder
EMI ISAmeS fRINN-WA-me_w_el(p in-4 GMML,COM Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: f'I.4214 roc Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: panel,alteration,or extension. 0 See Page 2 2 if
City/State/ZIP: Earls additional Inspection over allowable In any of the above
Additional inspection(1 hr min) _ 6625/hr
Phone:( 1 Fax:( ) Investigation(1 tar min) 90.00/hr
Email: industrial plant(1 tar min) 75.18/hr
Inspections for which no fee is
CCB Lie.: Electrical Lie: Suprv.Lie.:
specifically listed('A hr min) 90.00/lu
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: $Q,DJF
Print name: Date; O Plan Review Required(25%of permit fee): Ofi-214
State surcharge(12%of permit fee): i Qr II,1
�, •ter TOTAL PERMIT FEE: (as qg
Authorized signatire: r y1/yt/
This parmlt application expires If a permit la not obtained within 180
Print name: -1--fi M I $ W A- /vIli'17 /G.I 7,1— Date: er/'11/20 4 I days after it her been accepted as complete.
• Number of inspections allowed pa permit.
1:18eidiagw eddELC PaohApp_ELR HRRMe aav16/17/20 5 410-4a1rT(II/Of/COM/WEB
{ • RFCRVED
SE? 1 u 2071
Plumbing Permit Aualiitio ) r Or '''"A'RD
,(LOINC fI\J 3lQ\
Building Fixtures i f lu min i 1 ,1 . ,Ai
City of Tigard Received Permit No.: 6.1 51�u,0C41 g
4 13125SW Ball Blvd.,Tigard,OR 97223 Daffy' c
+ 9 - Da0�iew Other Pomit No.: •
Phone: 503.718,2439 Fax:503598.1960
I le:,.i i:;1 Inspection Line: SD3.639.417i Date Ready/By: lure: ✓a StePage2 for
Internee www.tigard-or.gov Ratified/Method: Supplemental Information ,
TYPE 03' WORE. FEE* SCHEDULE
❑New construction 0 Demolition For special information use aerial*,
igAddition/alteration/replacement lacemehtDescription j Qty. i Ea. 1 Total
n/rep 0 Other: New 1-2-family dwellings(moludes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SIR(I)bath 312.70
Ar I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SPR(3)bath 500.32
Each addltimtal bat/kitchen 25.02
❑Master builder 0 Other: lire sprinkler( N.ft.) Page 2
JOE SITE INFORMATION AND LOCATION Site ufWdes:
Job site address: ?G16.0 St,) file sr Catch basin or area drain 18.76
DrCity/Slate/ZIP: T/ ,i-R{� 0f 1 .22 3 Footing leach line,linear
r&:,trench drain 1ge2
5I Footing drain(m.linarfl.:,�,) ` Psge2 S(/,Q3
Suite/bldg./apt no.: Project name:W.-WW2I6.'i'r USIDilret Manufactered home MIMICS 50.03
Cross streetdirections to job site: 6AE.R V Dr Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(n0.linear ft.:_) Page 2
Walerservice(no.linear ft.:_) 1 Page 2
Subdivision:RdLUiv MS -PLAT' 2. I Lotno.: 50 Fixture orltem:
Tax map/parcel no.: 2 5 to De 02.406 Backflow preventer 31.27
DESCRIPTION OF WORE Backwater valve 12.51
Clothes washer i 25.02
A/0V/W(, /NfdTE(Z j 4 Th .t ADD/N&- Dishwasher 25.02
ADP/r/G/vAC L,SATH IA' A"`f 5*feheY i3wiriov Drinkingtbuntaln 25.02
• 1 Ejectors/sump 25.02
1 PROPERTY OWNER j I .1� 0 TENANT Expansion tank 12.51
Name: TkMES WMM WiRIC-/f/ Flo drain/floor
orca 25.02
G D Si.) Floor dcain/floor sink/hub 25.02
Address: �/� sr-
Garbage disposal 25.02
City/State/ZIP: TlerA-QP &R! ?22 3 Hose bib 25.02
Phone:(Se) S3 f _2/SS ' Fax:( ) Ice maker 12.51
5/APPLICANT 0 CONTACT PERSON Interceptor/grace trap 5.02
Business name: Medical gam(value:$ ) Gil ge 2
Contact name'.T Primer 0��_ 12.51
A�vIES WMA/wlf/1-/rr '� \ "
Roof drain(commercial) 12.51
Address: co 5� nit '.. sr Sink/basin/lavatory 5 � 25.02 100Ad
City/State/ZIP: 1/{_,.R D OR 9?2 2.3 Solar units(potable water) 62.54
Phone:(03) S3?' -)/55 Fax:;( ) Tub/shower/shower pan y X 12.51 3' S3
mail:,'� Urinal 25.02
E
RMeS rRWI/ wA/NWRom-0 GNVFIL,G4M Water closet 3 x I5.02 SD.oy
- CONTRACTOR -
Water heater 37.5I
Business name: elfll _ Water pipirlg/DWV , 56.29
Address: otter: f 25.02
City/State/ZIP: Subtotal 13.9,Gg
Minimum permit foe: $72.50
Phone:( ) Fax:( )
GCB Lie.: Plumbing Lie.no.: Plan review(25%of penult fee) $' f2
State surcharge(12%of permit fee) 22.g S 2.
Authorized signature: ---" ,-;::-",2 tile:-1,111. TOTAL PERMIT FEE 32,?L2.
T� (.5 I(/A.1111
rl/j/n j( /4� (Vile/ht Z ' mil permit application expires if a permit I not obtained within 180 days
Print hams: /4 ('! `( Date: ✓. y
�1 after It bay been accepted as complete.
*Poe methodology set by TA-County Sending Industry Service Board
I:lanildb Pm,IstPLM1I-PnmitApp4oc I0/0ln09 140 IAT(1wa1/CO/d/WEB)
City of Tigard
INRICOMMUNITY DEVELOPMENT DEPARTMENT
C
T l c A R D Building Permit Review — Residential
Building Permit #: O21-604(c
Site Address: �4.(p�50j $'(& ) ' f(r Sf.
Project Name: kAttii 1 •f Q- sith, y..re- Lot #: �X J
Planning Review I
Proposal: -�-kd,l 4-1/}(A, 1-p ei\ I S d-(`�I,.PA Ot e„- aUJ€U1j
N, Verify address/suite#active in Accela. — --LttRfver Terrace: 7 No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: ®Erosion Control
X3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ®Retained trees with drip line and tree protection measures
®Drawn to scale(standard architect or engineer scale) ®Footprint of new structure(including decks) and FFE
G6North arrow ®Utility locations&easements(required for new and additions)
®Site address,project or subdivision name and lot number it:Sidewalk/driveway approach
Applicant information(name and phone number) o
I .Lot dimensions and building setback dimensions gStreet tree size,type and location
❑ Q Street names
®Existing structures on site .ons(2'cons r 's • enttal)
❑ tage of-ca._a,ge-aud >1,000 sf of impervious area created or replaced? ❑Yes fIQINo
ff-yes_ic„ ., .es ,li yti., _? D No
® Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified ❑ No Received: [ Yes D No
NI Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ® Yes,applicant was notified E No Received: ❑ Yes ❑ No
. Received: E Yes Ez:a•
124 Public Facilities Improvement (PH) Permit:
Required: ❑ Yes,applicant was notified ' ()No Applied For: ❑ Yes /�❑ No,stop intake
-❑ Land Uscsc#: ,1 Zoning: 1(2., - 3 • 5
® Required Setbacks: Front: ID Rear: l 5Side: Street Side: 2 I Garage: Zv'
Fl Building Height: Max. Height: at Actual Height: 2;1.
5A Landscape Area: f% FL Lot Coverage Max: A /f't
Entrance Set back no more than 8'from street-facing wall 21 Parallel to street or offset 45 degrees or less
Windows 7 Minimum 12%of area of all street-facing facades
Garage Jic] 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 D 12'or less II 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
X Visual Clearance Ih Urban Forestry Plan
,r Sensitive Lands: ❑ Yes No Type:
Conditions met prior to issuance of building permit
;td
es:
By Planning: � �21�� Date: ___ [
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw RES 122419.docx
Building Permit Submittal
Original Submittal Date: 4006/2402/
Site Plans: # 3
Building Plans: #
Building Permit#: Enter building permit# above.
Workflow Routing: G"Planning [ Engineering N.-Permit Coordinator L;]'Wuilding
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 trus ,etails,if applicable,etc.
Notes:
By Permit Technician: Date: 0 720-f
Engineering Review
lope at building pad: G
Z...--Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Wr-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er-No
Assess Water Quantity Fee in-lieu: ❑ Yes [o
LIDA Facility on lot: 0 Yes Fr."--No
final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
B Approved by Engineering: Date: / -
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
NI-Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: 0 Received 4 Does not ap ly
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes /6 N/A
OK td Issue Permit
Approved by Permit Coordinator: Date: I O L 02,I
I\Building\Forms\BldgPermitRvw_RES_122419.docx
Tualatin Valley Water District
Delivering the Best Water .. Service , Value
Siziiq of Residential Water Meter Worksheet
Date:
Site Address: ?--(po co F/fe ST
City: T/(r/}R D c Z Zip Code: q- 22 3
Subdivision/Lot#: ROGL IA/6- 171 I0OS —P447— 2 GOT' SO
Builder/Contact Person: TAM CS INN-/NWR,(r/y-r Phone: (S-03) S j q-z IS5
Number of X Fixture unit = Fixture
1. Kitchen fixtures fixture(s) equivalent count
A. Dishwasher I X 1.50 = 1,5 0
B. Sink I X 1.50 = I.5 0
2. Utility room fixtures
A.Washer I X 4.00 = II-,(Po
B. Laundry tub I X 2.00 = 2.00
3. Bath fixtures
A.Toilet IF X 2.50 = /0.00
B. Lavatory sink X 1.00 = (e.0 O
C.Whirlpool bath or shower/bath 2 X 4.00 = S. O 0
D. Shower only J X 2.00 = 2, 0 0
4. Miscellaneous fixtures
A. Outside hose bibb (enter only crte here) l X 2.50 = 2 , S0
B. Additional hose bibb 2 X 1.00 = 2.00
C. Bar sink I X 1.00 = i ,00
D. Bidet X 1.00 E. Irrigation (Largest zone only) Number of heads: S X 1.00 = S,00
5.Total fixture count (fixture units) Total of 1 through 4 `K S 0
Additional questions:
I) Will the property have any of the following features? (check all that apply) X Yes No
❑ Auxiliary water source, i.e.well, pond, spring or creek
❑ Decorative water features, i.e. pond, hot tub or swimming pool
❑ Solar heating uni:, boiler,or hydronic radiant floor heating
❑ Taller than three stories with a basement OR four stories and taller
Underground irrigation system
II) Is this property going to have a fire sprinkler system? El Yes L No
If yes, check the meter size: E 3/4" D 1"
A COPY OF THE BUILDING PERMIT AND PAYMENT IS REQUIRED AT THE TIME OF PURCHASE
1850 SW 170th Avenue, Beavenon,Oregon 97003 // phone 503-848-3000 // fax 503-649-2733 // www.tvwd.org
RECEIVED
Property Owner Statement QED ' 2021
CITY OF i'; ARD
Regarding Construction Responsibilities !.!!I DING r i,i,SioN
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325(2))
This statement is required for residential building,electrical, mechanical,and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not
submit this statement.This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Da te
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
5j-/4 l5 5 Lir//f-1/V ih/2 l c—H-r
Print Name of Permit Applicant
Signature of Permit Applicant Date
Permit#:
Address: ? O S' r/� sr ,,,N, 9Ii% 74
liqL7
17MRV 0R 97 23 �. +,r,, ;
Issued by: Dare: �Eli
This Copy for Permit Offices
��:• :>0, Information Notice to Owners About
# ` 1'`' Construction Responsibilities
�, (ORS 701.325 (3))
Homeowners acting as their own general contractors to construct a new home
or make a substantial improvement to an existing structure,can prevent many problems
by being aware of the following responsibilities:
• Homeowners who use labor provided by workers not licensed by the Construction Contractors
Board, may be considered an employer, and the workers who provide the labor may be considered
employees. As an employer, you must comply with the following:
• Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages
at the time employees are paid. You will be liable for the tax payments even if you don't actually
withhold the tax from your employees. For more information, call the Department of Revenue at
503-378-4988.
• Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment
Department at 503-947-1488.
• Oregon's Business Identification Number(BIN): is a combined number for both Oregon
Withholding and Unemployment Insurance Tax.To file for a BIN, go online to the Oregon Business
Registry. For questions, call 503-945-8091.
• Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation
Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain
Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs
if one of your workers is injured on the job. For more information, call the Workers Compensation
Division at the Deparment of Consumer and Business Services at 800-452-0288.
• Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from
employee wages. Yof. may be liable for the tax payment, even if you didn't actually withhold the tax.
For a Federal EIN number, go online to www.irs.gov.
Other Responsibilities of Homeowners:
• Code Compliance:As the permit holder for a construction project, the homeowner is responsible
for notifying building officials at the appropriate times, so that the required inspections can be
performed. Homeowners are also responsible for resolving any failure to meet code requirements
that may be found th-ough inspections.
• Property Damage and Liability Insurance: Homeowners acting as their own contractors should
contact their insurance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not
otherwise covered as employees by Workers Compensation Insurance.
• Expertise: Homeowners should make sure they have the skills to act as their own general
contractor, and the expertise required to coordinate the work of both rough-in and finish trades.
CONSTRUCTION CONTRACTORS BOARD
PO Box 14140, Salem, OR 97309-5052
Telephone: 503-378-4621 —Fax: 503-373-2007
Website Address:www.oreo0n.gov/ccb
f/property_owner adopted 9-201' This Copy for Permit
ir
•
CleanWater\ Services
SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT
Clean Water Services File Number 21-002425
1. Jurisdiction: Tigard
2. Property Information(example: 1S234AB01400) 3. Owner Information
Tax lot ID(s): Name: James wainwright
2S101 DCO2600 Company:
Address: 7660 sw first
OR Site Address: 7660 sw fir st City, State,Zip: Tigard, Oregon, 97223
City,State,Zip: tigard, Oregon, 97223 Phone/fax: 5035392155
Nearest cross street: sw Cherry dr Email: jamestrinhwainwright@gmail.com
4. Development Activity(check all that apply) 4. Applicant Information
® Addition to single family residence(rooms, deck,garage) Name:james wainwright
IDLot line adjustment ❑ Minor land partition Company:
❑ Residential condominium ❑ Commercial condominium Address: 7660 sw fir st
ElResidential subdivision ❑ Commercial subdivision City, State,Zip: Tigard, Oregon, 97223
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5035392155
Other Email: jamestrinhwainwright@gmail.com
6. Will the project involve any off-site work? El Yes 0 No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site
Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,
Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and
completed under applicable local,state,and federal law.
By signing this form,the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water
Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering
information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my
knowledge and belief,this information is true,complete, and accurate.
Print/type name james wainwright Print/type title
Signature ONLINE SUBMITTAL Date 9/1/2021
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO
ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural
Resources Assessment Report may also be required.
O Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the
site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if
they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section
3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable
local,State and federal law.
R Based on review of the submitted materials and best available information the above referenced project will not significantly impact the
existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to
evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service
Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and
approvals must be obtained and completed under applicable local,state and federal law.
I$ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS 1 CWS APPROVED SITE PLAN(S)ARE ATTACHED.
❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT
OR SERVICE PROVIDER LETTER IS REQUIRED.
•
Reviewed by . J Li 1WVV\ Date 9/21/2021
Once complete,email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439
OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway, Hillsboro,Oregon 97123
Revised 2/2C20
Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f:503.681.3603 • cleanwaterservices.org
KEYNOTES:
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\/ / \' e' % RESIDENCE
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OT // \ I
1 //
\ / CWS FILE NO. 21-002425- \
/ Clean Approved
a err Services
•
, FOR ENVIRONMENTAL REVIEW
ri \ \ I 1 By sN8 Date 9/21/2021 .... •.•. .
a Y w i 0 SPL ATTACHMENT OF 1
g \
e e SITE PLAN
• C;SITE ..-- -
I Al()]
M
FOR OFFICE USE ONLY—SITE ADDRESS: //ltlk _8
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
ii
■ Transmittal Letter
1;<<,\I:a 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.7]8.2439 - www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: James Wainwright JAN 18 2022
COMPANY: - CITY OF TIGAR )
PHONE: 503-539-2155 BUILDING DIVISIh► '}r
EMAIL: jamestrinhwainwright@gmail.com
RE: 7660 SW fir st MST2021-00419
(Site Address) (Permit Number)
ROL.cJN4 rnt tS — PLA-7 Z c6T#50
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: full plans with revisions
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
1 Other(explain):Responses to City of Tigard letter.
REMARKS:
F R O CE USE ONLY
Routed to Permit Technicia : Date:: 24, 22_ Initials: �/
Fees Due: Yes o ee De�cripti n: Amount Due:
)6 L 6.----- $ p5
Special
Instructions:
Reprint Permit(per PE,): ❑ Yes No v ❑ Done
Applicant Notified: Date: 2 `co 6 2_2_— Initials:
U
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 II
■ Transmittal Letter
T I G A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION 8EGE /ED
FROM: James Wainwright JAN 2 6 2022
COMPANY: - D'ITY OF TIGARD
PHONE: 503-539-2155 3UILDING DIVIS GP:
EMAIL: jamestrinhwainwright@gmail.com
RE: 7660 SW first MST2021-00419
(Site Address) (Permit Number)
Rolling hills plat 2-Lot#50
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 2 Revisions: Updated truss packet
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:
FOR OFFICE USE ONLY
Routed to Permit Technics Date: L. 3I/D7,. Initials: kg-
Fees Due: ❑ Yes [ Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes J ❑No _ Done
Applicant Notified: Date: �/f alp __ Initials: I\