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Permit . a.s:. ata +u.+f+f++tatsf+fai+9+ ti++i+ft Hi„ffr t+telr i. • f,. r.. t i +ri}JtAiN NHH+aw. uat.ei JHIHSAst J utiH++tu+N+1}9Y}HKSfWi( HiiHs}AAHdiFAHiNf1HA4nA/ltNiFIMAWlA}+flisNWY+Jf+eNr.. CITY OF TIGARD BUILDING PERMIT • 3 ' COMMUNITY DEVELOPMENT Permit#: BUP2021-00282 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/10/2022 Parcel: 2S110AD12400 Jurisdiction: Tigard Site address: 10849 SW ANNAND HILL CT Project: Annand Hill Partition,Lot 3, Primary Subdivision: ANNAND HILL CT PARTITION Lot: 3 Project Description: A new multi-family dwelling on the main level,with(2)attached ADUs.Trade permits to be obtained separately. NO FINAL INSP UNTIL WATER METER UPSIZED. Contractor: BLUE PALOUSE PROPERTIES Owner: BLUE PALOUSE PROPERTIES LLC 333 S STATE ST, SUITE V452 333 S STATE ST STE V452 LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034 PHONE: 503-936-3212 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: MF Class of Work: NEW Type of Const: VB Building Permit-New Construction 02/07/2022 $1,039.94 Plan Review 11/25/2021 $751.34 Occupancy Grp: R-2 Occupancy Load: 4 12%State Surcharge-Building 02/07/2022 $124.79 Dwelling Units: 1 Stories: 1 Height: 0 ft Wash Co Trans Dev Tax- 02/07/2022 $5,756.00 Condominium/Townhouse Bedrooms: 2 Bathrooms: 2 Tigard Trans SDC Improvement-Other 02/07/2022 $3,903.00 Value: $139,690 Residential Tigard Trans SDC Reimbursement- 02/07/2022 $225.00 Other Residential Floor Areas: Parks SDC Improvement-Other 02/07/2022 $4,727.00 Total Area: 1125 Residential Accessory Struct: 0 Parks SDC Reimbursement-Other 02/07/2022 $1,112.00 Basement: 0 Residential Carport: 0 Parks SDC Neighborhood-Other 02/07/2022 $1,752.00 Residential Covered Porch: 40 Plan Review-Fire Life Safety 02/07/2022 $415.98 Deck: 125 Metro CET 02/07/2022 $167.63 Tig-Tual School CET-Residential 02/07/2022 $1,586.25 Garage: 0 DC Provision Review,SF-Ping 02/07/2022 $110.00 Mezzanine: 0 Total $23,334.85 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: No 1 Special Inspection(see plans) 2 Ersn Cntrl 503-639-4175 Fire Alarm: Yes Protected Corridors: No Smoke Detectors: Yes Manual Pull Stations: No Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344, Issued By: Eotgcu-do-Ma(.doriao(or Permittee Signature: yet, p.1} a'i-Lcvt, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application 10 Zt 2I ResidentialFOR OFFI( I I SF Or RECEIVED Received Z* ///� City of Tigard Date/By: /0 Z7 / r mit l`�o.:L�,.1]Dl'L� till " 13125 SW Hail Blvd.,Tigard.OR 97223 0 CT 21 2021 Plan Review' Other Permit ��ii Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 " 6 - 5Wg2021"00ZX I(;R R n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: - See Page 2 for Internet: www.tigard-or.gov BUILDING DNISEON otitied/Methoc -� / Supplemental Information New construction 0 Demolition Permit fees*are based on the value of the;work.performed.W� Indicate the value(rounded to the nearest dollar)cef all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ktt'.k w - _o -in o C application. 1-and 2-family,: ... . ....:ar... ........... v-_ .... :- <3, .. . � dwelling 0 Commercial/industrial 13 1 G8 7- Z S - -- * 0 Accessory building (Multi-family Number of bedrooms:f, . El builder 0 Other: Number of bathrooms: yam; ,+ -i`'Aiii ', i e4iiiieif Total number of floors: 3 Job site address: /O8 ' kV,O Ail) AlaL- Cr _ New dwelling area:- t (Q11; square feet '1 as - City/State/ZIP: j'( Q 10'2 Garage/carport area: 0 square feet Suite/bldg./apt.no.: Project name f/I/ i/f17oi7 Covered porch area: square feet Cross street/directions to job site: 6/4-N7 avAV 4 ,47JA' J Aiy f Deck area: /25- square feet Other structure area: 0 square feet 1 E 0:04,,TAa CU119Mjt]1CU USE C1 .1 ' Subdivision: — Lot no.: 3 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: is Ito tkp J.Z 4700 equipment,materials,labor,overhead,and the profit for the work indicated on this application. `t;lta11 $ PP u �...^.: ... ..t ... ., ,v .. ...,.a... .... �,.e..; �,..,y... . ... „„. .....� ....tee ..!, , .3 —SEW Sr/2- G,/ 7- Pr 4- _ Valuation: $ ����� e� ` �!- ��`/�/ `r� Existing building area: square feet ✓U / �C New building area: square feet PPRLi RTY d I IAN ` Number of stories: 3 Name: BI- Pilt-e) 5 yO�QQ/D 7� , j- Type of construction: Address: 33 3 $.S/�-Tr sr 5CJ/76- V'T/��Z Occupancy groups: City/State/ZIP: ti/fA£ C5We 071-. ?703'f Existing: Phone:03) q36 32 /Z Fax:( ) New: nt"1'k3:CAN .,. TACT 1'ERSQIy ' tif:ii.ik12VG:P I `T p'l S* Business name: /,�t,�i pl-� i/20 �� (Pew fee to deposietl n o Structural plan review fee(or deposit): 7q,34 Contact name: fos m/4-7-77-/ectiS 3 3 5� S VQ-CCZ FLS plan eview fee(if applicable): Address: City/State/ZIP: (/r4LG-L O t7L— Total fees due upon application: Phone:03) 93g 32/Z Fax: :( ) Amount received: E-mail: vy��$LIEPAL0/1SC; coo "II 4aClafi'#LCAIC,s ltll„AR 'AN L+�" 1 Aw>t * r. Commercial and residential prescriptive installation of .. > C1 1txAc.F- i`_ .„ . . . . - �.-. . ,> roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: A-�i" /4-5 /teall& and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): __ Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 L— C'.C.B lie.: q� 1 7 p¢ 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. rPrint name: np,�� �I/ Date: y *Fee methodology set by Tri-County Building Industry I /`7/0 /0/Cl�/� p �D Z7 Service Board. I:\ftuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist ' Oise-•and Twt�.Famlly Dweting l EOR', )i I lc[ ;ENE'10) I'��'. '( , i' City of Tigard Received Permit Na: II 13125 SW Hall Blvd.,Tigard,OR 97223 .ssocty: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing T i ii ARP [) ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 11tt 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑___ ❑_ 3 Verification of approved plat/lot. —❑ ❑ 4 Fire district approval required. Name of district: • 0 0 _❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ [ 6 Sewer permit. 0 0 0 7 'Water district approval. [] ❑ [] 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 []__ 9 Erosion control )plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- El ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state [y 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 it copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 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 ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 1i-� 0 ❑ 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- [?j 0 0 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. 61 ❑ 0 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- Ed 0 0 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 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered Ea ❑ 0 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 �cfi—t❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. N. 0 [I 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 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 I 0 0 architect licensed in Ore•on and shall be shown to be applicable to the 'ro-ect under review. .Ii,RISt)ICTic)N.A1, 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". — � ■ I 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. ❑ 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. .C] _❑ ❑_ 27 "Drawn to scale"indicates standard architect or engineer scale. _ ] Eli28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ][ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, [R ❑ 0 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, [] ❑ [ 1 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. 1:'\Building'Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613I(11/02/COM/WEB) Mechanical Permit Applicati .1,(ii OFrt( t I ,I (�,N ), City b GEIVED , of Tigard Received Permit No ,. 13125 SW Hall Blvd.,Tigard,OR 97223 s� +� Plan Review Phone: 503.718.2439 Fax: 503.598.1960IN O C T 2 1 LU I Date/By: Date By: Other Permit: t Inspection Line: 503.639.4175 Date Ready/By: yetisTi Sec Page 2 for I (, \ILI) Internet: www.tigard-or.gov CITY OF IIGARD Notified/Method: Supplemental Information BUILDING DIVISION �__� f t� se - (�x s� :.�; F` ec a t r i� .. ws � i,1 s•.'",-..=m ''_-`,, , , eN `t # ' f Mechanical permit f *are based on the value of th,:work ❑ New construction ❑Addition/alteration/replacement performed.Indicate e value(rounded to drt nearest dollar)of all 0 Demolition ❑Other: mechanical materi s,equipment,labor,overnead,and profit. s a € a a r mat Value $ ^8 �s-�.RE ':: ,,ARI`; X,.,:..,, ..,.=s.,,...4._,..„ v,• ,,4Mt.44. ut s t. r.lycs 3a� 1 ; c , k"`te '`y@}t3{i� ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information arse checklist. 1;1-Multi-family 0 Master builder ❑Other: Descriptio, I Qty. f Ea. Total tin a` - ``t r� �, *� .. "g�illabl 1 - oohing: Heat, a.zm ! { ,. Ac v..... _,-.��_:e :e �;. .._. .. .- eft sst,1, ..m., -kirco ditiontng 46.75 Job site address: A-WV FF/G� �- . iD '4 Fu ce 100.000 BTU{ducts vents) 46.75 City/State/ZIP: T 1/Cry) 02 t Fu ace 100,000+BTU(ducts/vents) __.54.91 I eat pump 3 61.06 Suite/bldg./apt.no.: Project name: :auct work _ -5 23.32 Cross street/directions to job site: ,,A/vi-i 3 y h�iv 4 >!fg. 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 I 23.32 Other: 23.32 Subdivision: — Lot no.: Other fuel all>liances: Tax map/parcel no.: 7 s' /fo AJ /2 -30 / � Water heater .3 _23.32 ° i f g� '' 'P, - " F a' is Gas fi lace/insert 33.39 iQ ; . a # t -., I �� F, «g fists a�x sir //,,��..,�,,',,, Flue vent for water heater or gas -- /J / ifAl jf piLV /'Nlie- elf/� "%look fireplacc _3 23.32 Log lighter(gas) 23.32 Wood/pellet stove _ 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Y - 1 -- : Other: 23.32 ;a rI' - - .'. , a. .' F .' l ", Environmental exhaust and ventilation: Name: / (r1 PAL 0115-6 p,Q.Qp 77es Range hood/other kitchen equipment 3 33.39 Address: 3 3 5. 5 sTi vz__ Clothes dryer exhaust T. 33.39 City/State/ZIP: / A.. p rr) e'Z Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5- 23.32 Phone:(505) k; 7Z1Z Fax:( ) Attic/c_rawlspace fans 23.32 f - t Y r Wel Other: 23.32 Fuel piping: Business name: 5 A-$d S _ S14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump _- - —___ Wall/au pended/unit heater _ City/State/ZIP: Water heater : Fireplace Fax: Phone:( ) ( ) —_-- Range E-mail: Barbe.ue o04 x 'a i EMIRali , I�Z. .� r • r rHte f. t ... a. Clothes dryer(gas) Other: Business name: 's "Sursnol" «��4.Lt illiVit:></ - ra�.ri i3<:.. ..� 4, '. 1 fi r.�i�1s1 x, { t Address: U' %i il-he- co�rP�a,e-r r L � Subtotal at... s t- ;:`: City/State/ZIP: -- Ui410 vo ry. ,a v _ Minimum permit fee($90.00) 0/0 6 Cr e k l C t' 7 _ Plan review(25%of permit fee) Phone:(St9) 407- 441 Fax:( ) State surcharge(12%of permit fee) _ CCB lie.: (D6,403 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. r Authorized signature: ° Fee methodology set by Tri-Courty Building lndu,try Service Board Print name: AtI ,uas x, Date: f (f 2( I:'Buildntg\Permits\MEC—PermitApp_0401I3.doc d40-4617T(11/O2/COM WED) ii Electrical Permit Application P(,R 01.T I( 1 1 4i:�C) La � �' RECEIVE Received p.9 e,y 1_ �.2 City 4f Tigard Date/By: Permit#: Jam✓ Iii ° 13125SW Hall B1vd.,Tigard,OR 97223 OCT 2 1 2021 Plan Review i m Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Fermi#: i Inspection Line: 503.639.4175 CITY OF TIGARD Ready Datc/By: Iuris: 0 See Page 2 for g t 'I F, Internet: www ugard-or gov BUILDING M pl Notified/Method: I Su ,ennental Information $....}...,1fnr.x E.'. F Kv",ita F.C.. ........ .....v. ...Tarr all tlil .t'IM ling n..k1'.,. .,. . 14*, 1,^".`1111f ... 7R.. .a. kl-New construction ❑Addition/alteration/replacement Please check all that apply(submit sets of plans i,ritcnnt chocked): 0 Service or feeder 400 amps o cre :7;Building over-du stet.-s. [] Demolition ❑Other: white the available fault c ent : Marini.;and boatyards. for i li ?i iy s, 1 4-- :77,.r-aw 144 'VI tans e. cxc.cds to,000 amps at 0 volts or _.Floatia_build u.s. i 1-and 2-family dwelling El Commercial/industrial 0 Accessory building less to ground,or exe la 14,000 buitCommercial-usem a{�ricuituial amps for all otheri allatior.s. building;:. ETK/lulti-family ❑Master builder ❑Other: 0 Firc pump. qi installation of 150 KVA.a• t ._ � s �;� ,�. �� ' l w l ❑Emergency sys m. larger separately derived y �//� ❑Addition of v motor load of system. Job#: Job site address: (0 /74/1ViVt,I1)f itt_ I001IP or..,n. City/State/ZIP: 0 Six cr in e residential units. occupancy. 0 Health are facilities. C_i Recreational vehicle packs. Suiteibldg./apt.#: Project name: �(/// //J� ' /�f` ❑Haza,ens locations. Supplyvols,gn far men than /"��/""tJ r �� �"' ❑S .-ice orfeeder600 amps ormere. 600c ltsnanirlal. Cross street/directions to job site: ,/ t e T "' nevia....,.Cititrit' ,. _-_- J `i1� ��/QT 9 �}J _ t tr z:..i t.sE„ 1 ._._ ••- L :_ 4 _ ti (• D..eription (it-.� E.neh j.__regal L _ - _ . ''ew residential single-or mull-family dwelling unit. Subdivision: Lot#: 3 Includes attached garage. 1,000 sq.ft.or less 158.54 4 Tax map/parcel# 7$ ( (p 24.0-0 Ea.add.'500 sq.ft.or portion 33.92 1 "iuz.. ii eP....e SJw� s,,;srra 17we Lunl•ted energy,residential --'. �� t (with above sq.ft.) 75.00 Yew FP fv/2 fw V S -__- Limited energy,muhi-family residential(with above sq.ft.) 75.00 - -- 2 ,is x> „xlr +=1 ir*�. iw' �s e#�'. .m. t .,.� LZQR¢'wahle :net I Q_See page 2____________- .':p�,�s :/�'{,� 4. I -- /;� v .:�tl l`r ,._--': ?` Servines or feeders installation alteration.stnd/or t eiefono' Tame: y g(,� x \TS7-t�(/J� � r' � - _200aripsorlcss .-_1J0.71) _- 3- Address: 3'� • S, S sr- . l'4-cZ -201 stags to 400 amps __L 1 33.56 -2 401 amps to 600 amps 230.34 2 City/State/ZIP: _ 1,S(,,-c) a. _ 601 amps to 1,0(10 amps 3)1.44 - - - Phone: ' 36 32.1z Fax: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation alteration,and/or i Email: Izo a, (fir( -' 1,4/S relocsution _ Owner installation:This installation is being made on property th I own which is not 200 amps or less :( 50.36 1 intended for sale,lease,rent,or exchange,according to ORS 447 449,670,and 701. 201 amps to 400 amps ! t 1.25.08 2 4U I amps to 599 amps 1 58.5,1 2 Owner signature Date - l ka Y ,... 4, Branch circuits-new,alteration,or eaten.;tson, er panel --- 11 . ', r ,,,. . .��...,,.is;.. �4,. j',31, 'y t4.. ... 6 ;T� #- "';'' A Fee for branch circuits with - - 1 Business name: above service or feeder fee, �. 7.42 — 2 each branch circuit Contact name: B.Fee for branch circuits without -' - service or feeder fee,first Address: branch circuit l 56.18 2 -V City/State/ZIP: Each add'l brunch circuit _� _ 7.42 2 - -- Miscellaneous(service or feeder not included) -_ Phone:( ) For: :( ) Each raanufactured or modular 1 — dwelling,service and/or feeder 57'84 2 Email: Reconnect only j l ch7.tbt 2 1k � I 7-_ ,,„h �_ a� , •„ ;� _ s�a,, '' Pump or irrigation circle 7.34 2 Business name: , Li, • !fta.,/ _Hi,- ' CC Sign or outline lighting 1 - h7.84 -_— 2 Signal circuit(s)or limited-energy �� See Page 2 A ddress: S"'77 r (..Q •(iUE patrel,alteration or extension. 2 / Each additional inspection over allowable in any of the above City/State/ZIP: v at . r J .Additional inspection(]hr train) �I-- 6,5.25/to Phone:(q7/) 31. -- crA♦� Fax ( ) Investigation(1 hr min) J 9'_.00l b ___._ ._- IILkg -- ���` Co Inspecial plant(l hr min) 1 ?*.18/tu Email: C- %-- ----- _ Inspections for which no fee is l C CB l.ic. _,a M Suprv. Lic.: specifically#lliisste d('/s l,r mini j,-a 9L;.ry0,,,0/hr t{ Slagg lliglibilill Suprv. Electrician •gnature,required: Subto,11: _ Print name: Bi r&" 7 'J2j ,i( Date: / iJ/ `, 0 Plan Review Required(25%of permit tee: _ ---_- _ State surcharge(12%of permit fen:): Authorized signature: _ TOTAL PERMIT FEE: This permit application expires it a permit is not obtained within 180 Print name: Date: days after it has been accepted as tomplem. a Nuinber of inspections allowed per permil.. l:'Dailding'2ermits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-46157•(1I/t15/COM/WEB 1 ' Numbing Permit Application Building Fixtures RECEIVE® i I ��l,� t 11 rlt. l�. 1 ,I <►�1>ti �, Cl of Ti and Received Permit No.: p a-.. I 25r SW Hall Blvd.,Tigard,OR 97223 0 C T 21 2021 plan Date/By: : . a 131 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit Nc.: - - Inspection Line: 503.639.4175 CITY OF-i1GARD Date Ready/By: Juris: ES Sec Page 2 for g g BUILDING DI JiSION �T i t .�1 C/ Internet: www ri ard•�r ov 1 Neoxuficd/Mcthod: Supplemental Informtaeeon •^' ,�.,,. ::x :. *`� rt. •K '�-«? � ,€�3 N3 ed// t 'Y,CE`�}#,'s ,,,,_.x L"+F* T �c q �1„ ¢r 'ki , . ?'N r ,. 1T -, ..,.y nt._ • q. isi,'i� k i, .`€--'i. "'. `.. , C .. ,.beE __...7 .. "'„€P - 'F .E 1° 1�15�� .,te..... []New construction 0 Demolition For special inform 'vn use clreckldst Description _ _]-( tE I Ea,_ j---7fc.tutl-- []Addition/alteration/replacement 0 Other: New 1-2-fondly dwellings I: udes 100 ft.for each utility connection) 3 1 q � : ,. .;.° s t SFR(I)bath -- --- 312.70 --_ I 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath - - ---- 437.78 SFR(3)bath / 500.32 AccessorybuildingMulti-family -- ----- y Each additional b,i.kitchen 25.02 0 Master builder 0 Other: Fire sprinkler sq.ft.) Page 2 _ r.. r - --.__--- - f 1`sel , T s g Site utilitie Job site address: /0 S AA/Aiar'� Catch ba,'.e or area drain - -J---- -18�76 -_- ---- Drywe ,leach line,or trench drain 18.76 City/State/ZIP: t p � GG ft � - Foo'ig drain(no.linear .: ) liar Page 2 - ?' _ Suite/bldg./apt.no.: Project name: ,.ufactuted home utilities 50.03 Cross street/directions to job site: c_Alvie-401 t' ,`/fit l0/( anholes 18.76 _ Rain Rain drain connector / 18.7fi Sanitary sewer(no.linear ft.:_) -1 Page 2 Storm sewer no.linear ft.:___) Page 2 Water service(no.linear ft.:___) Page 2 -Subdivision: Lot Lot no.: Fixture or item: __ Tax map/parcel no.: 7i5 if(� �� IZQ{,�} Backilow preventer -_-�-/ 31.27 lP H i E,r 1 '' Backwater valve - 12.51 iz, . . '=ems-t.::r.�fv,:,', s..e:1-,t - *---:,._r- e . 1 « Clothes washer 3 25.02 &ea) Sr/R/4CE rigfIg/Ltd 4// 2 'A CS Dishwaahcr 3 25.02- --_- Drinking fountain 25.02 Ejectors/sump 25.02 w3 � r1, U . "., ^� ----'- - t . - ,,, , .! -(=-Iti Y : Expansion tank 12.511 ; . . - r r -rqit t_ :,.. - .�r .,,., 4at-4., a,: fa - s,43. t .., - Fixture/sewer cap --- 25.02 Name: - -- _--- )1."UA- PSG-00.6 P/�Pe1 r7A Floor drain/floor sink/hub 25.02 Address: . ~ 2 --_- - 3 3 3 S. STET a�- T�s Garbage disposal 5.02 y�_ City/State/ZIP: G, - os'�,s-� c Hose bib Z 25.02 Phone:(0.3) 93% 3 Z/Z Fax ( ) Ice maker 12.51 -- -_- a $ o �, ,,' t`'r,"',' s,t• ;•1 Interceptor/grease trap 25.02. '. alb- t s:e ,,. l s _ Business name: &UE pAtQe�'e- `e; ,`1 r� Medical gas(value:$ ) _ --- - Page 2 -____.-__- Primer 12.51 Contact name: gat4 ibtAnWeZ ,µ Roof drain(commercial) 12.51 _- Address: 3 3 3 S. S.7 - S . >"7- (-`4'L- Sink/basinlavatory S - 25.02 _ City/State/ZIP: Solar units(potable water) 62.54 --�--- Plone:(t 7) 936 3Z/Z Fax::( ) Tub/shower/shower pan r 12.51 E-mail: �4;teeg B ei%P/}4(A/f�'r cult f Urinal 25.02 _- -^ae r•,�ratz gF �„� � -��, �,�.k.y � k:s l= °'s. tz�e Water closet 25.02 akigr / ,t x _ :- a)1" I mitt - -- ------. _ � - - Water heater -3 37.52 Business name: J7' r• NVA,fP/a(f - Gum Waterpipirig/DWV ^--�- 56.29 ----` Address: 6/3 g Sec /36 e_ Other: 25.02 ------ City/State/ZIP: p©AQ- ,I. X M.- q7 216 Subtotal _-- Minimum permit fee: $72.50 Phone:( co, 4'C17 rocc Fax:( ) Plan review (25%of pc:milt fee) --- CCB Lie.: /76 Plumbing Lic.no.: 1-' 3 ) --- = -- - 7s 7 State surcharge(12%of permit fee) Authorized signature: r TOTAL PERMIT FEE [ Print name: / Date: p / Th➢s permit application expires if a penult is not obtained within ISO days (�i � G� ! l�/ Z/ after it has been accepted)as complete. 11 "Fee methodology.et by'Tri-County Building Industry Service Board. l't3uilding\Permits\P1.MU-PetmitApp.doc 10/01/09 440-46161(i0/02/COM/WED) Plumbing Permit Application - City of Tigard ' Page 2- Supplemental Information Fee Schedule: Residential Fire Suppression Systems: r • s {�vao. 14 s:a ^ 4€�`3 i it t t § -'7 Y ' 1 f. �: .; Ii C �al.'te b sl: _ � .&lfih l lr :..,... Footing drain- 1'100' 11111 50.03 0 to 2.000 $121.90 Footing drain-each additional 100' MUM 37.52 2,001 to 3,690 $169.69 _—�_-- 3,601 to 7,290 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 109' Systems: Medical Gas Water Service-each additional 100' = t gz .^ �•..`� fitn� n4isin1' Storm&Rain Drain- 1st 100' $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5.000.00 and$1.52 for each additional$100.00 or fraction thereof,to fi ... ,;r and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10.000.00 and$1.54 for which no fee is specifically indicated `t t each additional$100.00 or fraction thereof,to (minimum charge—1/2 hour) and including$25,000.00. Inspections outside of normal business •t 1 $25,001.00 to$50,000.00 S379.50 fur the first$25,900.00 and$1.45 fur hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 't ► _ and including,$50,000.00. __ _ Additional plan review for revisions .t t t $50,001.00 and up S742.00 fur the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to �.�� fsn m.; °at , s accurately report fixtures could result in increased sewer fees •-, -- „` 17w' ` Plan review is required for any of the foliowing. 4 T 'fir *0 M O� Please check all that apply. • aIk. max , .......:.. ..1, .A A_ 14 E p ❑ Any new commercial building with water service 2"and _Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. _ -Jacuzzi/Whirlpool C'ar Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR9l 8-780-0040. El_C:uspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic El Any complex structure as defined in Of1..R918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" a e �t1t# siear ❑ Isometric or riser diagram is required for nsw buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice MMach7Refig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang _. -Stall — Sink: -Lav/Bar non-food related -Bradley Com/Serv/Lltil food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and _V✓asher-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 i City of Tigard IIIIICOMMUNITY DEVELOPMENT DEPARTMENT ■ T1cARD Building Permit Review — Residential Building Permit #: _ Site Address: g W A-141,kelrili a, Project Name: ''�� �h j�` CA-, Pa -i in Lot #: 3 Planning Review We4-.' I%I f •*r' ll 01 lit MAi'N kyr.,, Proposal: --&&)--S IR Verify address/suite# active in Accela. ❑ In Riv r Terrac : 0 No ❑ Yes,River Terrace Review Addendum Site Plan Elements: RErosion Control 74 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ZRetained trees with drip line and tree protection measures Brawn to scale(standard architect or engineer scale) OFootprint of new structure(including decks)and FFE Worth arrow OUtility locations&easements(required for new and additions) 4Site address,project or subdivision name and lot number ASidewalk/driveway approach OADTApplicant information(name and phone number) 4❑L,,,,ati,,..„f wells Lser r� en1 0 of dimensions and building setback dimensions OStreet tree size,type and location f�etca£bi " lAl Street names ❑EA.Ling-ehact1.h.3Lu ait'O ' • pLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? AYes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes elNo 14 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 0 No Received: ❑ Yes ❑ No pi Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required Yes,applicant was notifie o Received: WYes -Lei IN.. ...' IP SDC Exem • or U app e or: ❑ Yes . No Received: es iw., 1N., Ti Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified J No Applied For: ❑ Yes ❑ No,stop intake I Land Use Case#: io 26 " 00Ov2 I x tZoning: R^12- CJ Rear: (S ` Side: 5 Street Side: ( d, Garage: 21d 1 1 p Required Setbacks: Front: I, 1 0 Building Height: Max. Height: 3 S Actual Height: 2 5, Landscape Area: % Lot Coverage Max: % Entrance la Set back no more than 8'from street-facing wall iV2 Parallel to street or offset 45 degrees or less Windows {Minimum 12%of area of all street- acing facades Garage C arage door is behind widest street-fa , . ❑ Yes ❑ N. : e of the foll. g is met: • ... - tends no more tha• rom wa I .-. there is a covere. :. c extending b- . . garage. ❑ 10 o.r exten. - .re than 5'from wall and therm_- sq ft.window .•. e garage on 2nd floor. ❑ Garage doo ' ...I is ❑ -ss ❑ .:'0 or less of faca.- ■ .i`/o or less and includes 7 of following: Pi -overed porch ■ Re - -. entry z ❑ Wall.offse ■ 1' 'o. - e ❑ Roof offset ❑ Fire shin:les 1111 La. '.' g ❑ Roof pi .. • Gable,hip,or gambre •, ❑ Dormer j • cent siding ❑ Window trim a Window recess ± Window projection ❑ Balcony :_ tal r_! I ' Urban Forestry Plan 4 Sensitive Lands: ❑ Yes {a No Type: tg1 Condi 'ons met prior to issuance of building permit Notes: ta, t 3 1 In NN P "" 0000 2 © Approved By Planning: 1� Date: 0 /2A { Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1l I:\Building\Forms\BldgPermitRvw_RES_122419.docx I I Building Permit Submittal Original Submittal Date: /D/2, 20� Site Plans: # 6 Building Plans: # 3 Building Permit#: [Er-Enter building permit# above. Workflow Routing: Pe-Planning [Engineering VPermit Coordinator Irliuilding Workflow Sign-off: ErSign-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. Pr-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. 1 t r Notes. ' By Permit Technician: Date: /P/7AAAZ/ //1) En ineering Review Slope at building pad: 2Y, O [2'Conditions "Met"prior to issuance of building permit air Easements (encroachments) per engineering conditions of approval and plat [j"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [,,No Assess Water Quantity Fee in-lieu: ❑ Yes ► a LIDA Facility on lot: WYes 74 No fGJ Final Plat Recorded: KNOT Approved by Engineering: Date: /,s,/ Notes: //1 ,s *aril S itritL C'Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Shan) (,,t,P 1k Date: l 111-{, 02{ Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received g Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Aii Yes ❑ N/A N Parks SDC: / Yes ❑ N/A -Cee, IVAi(. • LIDA OYes Z N/A ' PA ( V`'' I OK to Issue Permit Approved by Permit Coordinator: Pt\r79L Date: tl - 1 v, l l:\Building\Forms\BldgPennitRvw_RES_122419.docx \Voter Meter 11%turia Unit \‘ ()rksiscut RECEIVED OCT 2 1 2021 Pkale complete the folios ing information: CITY OF TIGARD WI...MG DIVITONI Contra,.tot ',Nam( Pi...UQ PAL cip,e pp?(-1,1,p-r ic IWItn$ AtidtcNN Sttc.ct Stint. ti --',..?: ":.; , ' ,t A t‘.. •.1 - 4 11. i A k t ;:"4Qti:4 ;IA,: .4:. :,,, .? 1( , Phivrtc titinl :: -', ' 1 li 1: l 4' ticv. \loci AL1.1rc,.., • d t3 .f 4 le.WA/VP '1'4 / 'r Subtip.i.lon \Ailic - ; ittilltling Pectilit Plcaw fill In the numt•ci .0 C.ik II I IthlIC ‘1% lirt,111C41 I'll Hi,' id it 601411ip. 'sic 4,.-4,!.. `_!' .. .e. 41 ArrI\t.' it talc pkNtnt tot.O. N41.1 all poli%1 lot.11,, t1v,i1).. ! liir 111(-11 ,I*111 : ,,r.- 7... 1). i:Yl tun 1'nit ( hiatitit., PF or-0 V 1, -K. KIT sulk 0 ' I - iihicl 0 t:Wotht-s v.ai.tvcr 3 . ,.. .:'• (-• - . .. licr‘c hth. cach Addittorial Kttc ittik 3 N 1 . ..., ' •• -- 4. .. 1 Laundr. *Ink Watrt clivwt, I 6( pi . , Rathtuhwhirlpool Stbrywri *tail e ... Rath*hrrn-c-r ctItilhi, e ' ,,, . 4 , • • 0.0. ltription 141 of ilciit19. in logvit toix.1 C' \ I .., ..... I total 11.1‘turt I nit rioilirc %.,,- • Etztorr I. nit Points: t'It tip 3 ) C'br I hk.t k' I— I,r1 ti. i 7 Meter Sion / 1Irtrr Coo: S 24 •I ••000 • FOR ()FFI( F I'SI: ()Nil( Fixture l;fliiit Point erified %all 1 Itint•dong I Mii‘tcr) Penntt ot Plumbing i i \cl Li N,, 11 l IIINA't MON/ 0 kccopt N S-41C 1)111IC MOO IL:lkti Ikftiltitsyrit N4 JUTIC „ „ IllI • IP 4 tit,4 i Par Z Agnes Lindor From: Agnes Lindor Sent: Thursday, November 4, 2021 9:09 AM To: robm bluepalouse.com Cc: Boris Piatski; Sean Vermilya; #Building Permit Technicians Subject: Annand Hill Ct MST2021-00463 -469 Attachments: TransmittalLetter.pdf Hi Rob- Engineering has requested revision to your site plan. Please show and provide dimensions of the LIDA and resubmit along with the attached transmittal sheet. If you have any questions related to the LIDA and how big in needs to be, please contact Boris Piatski (copied on this email.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 1