Permit INSULATION CERTIFICATE
Building Number:
Number and Street: 67-52 1.g 1% /tic City:11 Zip: 14274
Contractor-a44- 5 ?\
1,1200P- ygrt4ec-
Insulation Type: 13I)K3 LV`- Brand Name: OAS (n<0-1-
Thickness added(inches): 1(e Thermal resistance added(R-Value): u v
Total Thermal Resistance(R-Value): '1 Insulated area: 1 a ft2
2.CEILING Dense pack:❑ Loose fill: ❑
Insulation Type: t+ Brand Name: S
Thickness added(inches): 6 14 Thermal resistance added(R-Value):
Total Thermal Resistance(R-Value): Insulated area: , s ft2
3. EXTERIOR WALL
Cavity frame type: 2"x4"❑2"x6"i. Dense pack:❑Loose fill:❑
Other:
Insulation Type: p Brand Name: .3 Ccx.-C-14 ..et-
Thermal resistance added(R-Value): )( Total Thermal Resistance(R-Value): -LA
Insulated area: C)(, ft2
4.FLOOR C.,424'l V
Insulation Type: Brand Name:
Thickness added(inches): Thermal resistance added(R-Value):
Total Thermal Resistance(R-Value): Insulated area: ft2
5.RIM JOIST(Perimeter) ,�� " " {
Insulation Type:, Brand Name: �J kern ell-
Thickness added(inches): Co Thermal resistance added(R-Value): Z►
Total Thermal Resistance(R-Value): 2-I. Insulated area: 17 ft2
6.FOUNDATION WALL ((
Insulation Type: 2-1. I d 7 d t Brand Name: (1:11A-e.e__S y` t
Thickness added(inches): -3 Thermal resistance added(R-Value): i
S Insulated area: 2
Total Thermal Resistance(R-Value): 3G-� ft
I, GLWLB6 4(b CERTIFY THAT THE RESIDENCE IDENTIFIED ABOVE WAS INSULATED
AS SPECIFIED ON THIS CERTIFICATE AND THE INSTALLATION WAS CONDUCTED IN CONFORMANCE TO
APPLICABLE CO ES,WEATHERIZA STANDARDS AND PROGRAM REGULATIONS.
Item#s Signature 711
0 Installing Subcontractor or Wx Subgrantee
Item#s Signature Date Installing Subcontractor or Wx Subgrantee
Item#s Signature Date Installing Subcontractor or Wx Subgrantee
CITY OF TIGARD MASTER PERMIT
III s COMMUNITY DEVELOPMENT Permit#: MST2022-00006
Date Issued: 03/03/2022
T f 6 A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 112CD00400
Jurisdiction: Tigard
Site address: 15732 SW 76TH AVE
Subdivision: DURHAM ACRES Lot: 9& PT 8
Project: Knauss Estates, Lot 2, Primary
Project Description: New primary dwelling with (1)attached ADU on separate permit. Revisions required prior to
mechanical rough in. NO FINAL INSPECTION UNTIL WATER METER IS UPSIZED & DEFERRED
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 732 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 28 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: $239,019.18 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
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'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
LAKE OSWEGO,OR 97035
PHONE PHONE: 541-600-5146
FAX:
Total Fees: $15,344.76
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
oc9_nn1_nnln thrnllnh(l 9_nn1 noon v it maw n ain a rnnw of rho rnlcc nr minor'nnactinne to(ll I1JC hw Tallinn c(14 919 1QR7 nr 1 Rnn'3'39 944A
Issued By: Permittee Signature: — .- 7/1 --0 )---1
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.
DocuSicgn Envelope ID:C51372C6-03AE-4F62-9041-329C0C444867
Building Permit Application 9 - 1- 2-1
Residential REr' ='1/ � 1 olz Orr]CF: t sl:tl\l
City of Tigard <.r9 Da ,J r� — 2Z PennitNo.: mirio- Z-1_i s'l .
,. 13125 SW Hali Blvd.,Tigard,OR 97223 1) 2 i 21)2' Plan Review t - l J ^�]„ Other Permit: S 2ZO _`t I
Phone: 503-718.2439 Fax: 503.598.1960 Date'_ (? ��/
Inspection Line: 503.639.4175 r .-:, ] Date Ready/By: 62 See Page 2 for
I t c i,1 h t 1 p C:1 ( e: 1:6AR® t( supplement Information
Internet: www-tigard-or.gov Notified/Muttod:
TYPE OF WORK a_ REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction 'Pn, , ❑Demolition Permit fees*are based on the value of the work performed.
,,i , Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement j ❑Other: equipment,materials,labor,overhead,and the profit for the
— CATEGORY OF CONSTRUCTION work indicated on this application.
l 1
---.�x. Valuation: $ I�3-t 0 q 1 i
O I-and 2-family dwelling I❑Commercial/industrial /
Number of bedrooms:
❑Accessory building 1 0 Multi-family
❑Master builder .. l 0 Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: ,) 161 (0 9
Job site address: 15732 SW 76th Avenue; New dwelling area: `7', square feet Q4/3
CityiState/ZlP: Tigard,OR Garage/carport area: 49 square feet 32
Suite/bldg./apt.no.: ,1( Project name: muss Estates2�ie1 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: Li( square feet
Nik stA G f/ ,+e 1 f2 `N (d'7' rx,ci(k/c-g Other structure area: square feet
/"a l, �l/is,7 f(td,� 0 _ ," _/ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Knauss Estates t no.: 2 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Proposal to construct a primary residential structure and an attached accessory dwelling t
unit. Each unit is 2 stories in height and will have a single car garage. Existing building area: square feet
rti New building area: square feet
U PROPERTY OWNER ❑ TEN Number of stories:
Name: CBG SW 76th Avenue,LLC Type of construction:
Address: 15110 SW Boones Ferry Road,Suite 500 +" n Occupancy groups:
City/State/ZIP: Lake Oswego,OR 97035 4 Existing:
Phone:(503 ) 956-9307 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES°
(Please refer to fee ache/ul
Business name: CBG SW 76th Avenue,LLC Structural plan review fee(or deposit):
Contact name: Sean O'Neill _ ----.-, FLS plan review fee(if applicable):
Address: 15110 SW Booties Ferry Road,Suite 500
---- Total fees due upon application:
City/State/ZIP: Lake Oswego,OR 97035 --- •-
Amount received:
Phone:(503 ) 956-9307 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: sean®canopypdx.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
_.. Submit two(2)sets of roof plan with connection details
Business name: Canopy Building Group,LLC •�. .-.— and fire department access,along with the 2010 Oregon
Address: 15110 SW Boones Ferry Road,Suite 500 Solar Installation Seecial>♦•Code checklist.
--aR. Permit Fee(includes plan review $180.00
City/State/ZIP:
e Oswego,OR 97035 •__._.._ and administrative fees):
Phone:(503 ) 956-9307 1 Fax:( ) State surcharge(12%of permit fee): $21.60 I,
CCB lie CCB#232358 - Total fee due upon application: $201.60 }
Authorized signature: This permit application expires if a permit is not obtained
,)t4AA, ' �� within Igo days after it has been accepted as complete.
""`""""`- ""` *Fee methodologyset byTri-Coup Building Industry
-..._.-_..- \_356C6C883F7D433._`... ii ty g
Print-name: Sean O'Neill a Date: 06/07/2021 i Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist i
One- and Two-Family Dwelling FOR OFFl( I. t 't O\I.1
City of Tigard Date/Bed Permit No.:
r 13125 SW Hall Blvd.,Tigard,OR 97223 at
g Associated pemvts:
I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
l t c n R t> Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1`, yo y;,'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • to-
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: • 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. 0 0 ❑
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and Iocation of catch- 0 0 ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ( ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® 0 0
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 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, IT ❑ 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- El 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. ® 0 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- ® 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 M 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 a
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 ® ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ® 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 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 ® 0 0
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
i
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. El 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 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, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Pemuts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
DocuSign Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF
Mechanical Permit Applicatio (�r FOR OFFICE USE ONLY
City of TigardRECEIVE Date/By:d )V r / /s -f-L. Permit No.: en1rZOZ2"b C„
II I14 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 :17,l , .. Date/By: Other Permit: .94-Z -000D/
s - •
I 1 c, I,t t Inspection Line: 503.639.4175 Date Ready/By: Juris 0 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. Supplemental Information
3LIILDING fIVISIM'
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
a New construction ❑ Addition/alteration/replacement Mechanical permit tees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder 0 Other: Description Qty.
Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 15732 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 2 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.: 2 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 Water heater 1 23.32 23.32
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
t PROPERTY OWNER b TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: CBG SW 76th Avenue,LLC
Range hood/other kitchen
Address: 15110 SW Boones Ferry Road,Suite 500 equipment 1 33.39 33.3
Clothes dryer exhaust 1 33.39
3.3
City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, 9
toilet compartments,utility rooms) 23.32
Phone:( 503 ) 9569307 Fax:( )
Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: CBG SW 76th Avenue,LLC Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name: Sean O'Neill Furnace,etc. 1
Address: 15110 SW Boones Ferry Road,Suite 500 Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Y Lake Oswego,OR 97035 Water heater I
Phone:(503 ) 9569307 Fax::( ) Fireplace i
E-mail: seanncanopypdx.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: G n c-pc-r-- �f�o' Other:
Address: _`� MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
,e-Do..Sign.d by
f�{�'f e This permit application expires if a permit is not obtained within 180
Authorized signature: J tom' �rr "). days after it has been accepted as complete.
Sean o~R�5P4°FaesFioass... * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date: 01/05/202 2
I:\Building\Permits'MEC_PermitApp_082520.doe 440-4617T(1 I/02/COM/WEB)
DocuSign Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Submittal Requirements:
• (2) sets of plans, drawn to scale.
• (2) sets of equipment cut sheets.
• (2) copies of site plan for ground and roof top equipment
location and screening per Tigard development code.
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
I:\Building\Permits\MEC_PermitApp_082520.doc 2
DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF
Mechanical Permit Application �+ FOR OFFICE ESE O\I.1
City of Tigard RECEIVE Received
illDate/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 2
/027
Phone: 503.718.2439 MAR Plan Review
Date/By: Other Permit:
I !GAR I) Inspection Line: 503.639.4175 ,p Date ReadyBy: Juris I El See Page 2 for
CITY
Internet: www.tigard-or.govOF TIu^H Notified Method: Supplemental Information
BUILDING DIVISI*r
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
a New construction ❑ Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment, labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Et 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder 0 Other: Description Qtv. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 15730 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 2 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.: 2 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39
Proposal to construct a primaryresidential structure and an attached accessoryFlue ventfor water heater or gas
Po 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
Cc PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: CBG SW 76th Avenue,LLC Range hood/other kitchen
Address: 15110 SW Boones Ferry Road,Suite 500 equipment 1 33.39 33.
3333
Clothes dryer exhaust 1 33.39
City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, 9
toilet compartments,utility rooms) 23.32
Phone:( 5(13 ) 9569307 Fax:( ) -
Attic/crawlspace fans 23.32
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: CBG SW 76th Avenue,LLC Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name: Sean O'Neill Furnace,etc.
Address: 15110 SW Boones Ferry Road,Suite 500 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Lake Oswego,OR 97035 Water heater
Phone:(503 ) 9569307 Fax::( ) Fireplace
E-mail: sean@canopypdx.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Jacobs Heating and Cooling Other:
MECHANICAL PERMIT FEES*
Address:4474 SE Milwaukie Ave-
Subtotal
City/State/ZIP:Portland,OR 97202 Minimum permit fee($90.00)
Phone:(503-413-9796 ) Fax:(N/A ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 1441 TOTAL PERMIT FEE
-- c D.,e..Siyneddbr. -- -
S /A L it This permit application expires if a permit is not obtained within 180
Authorized signature: , V days after it has been accepted as complete.
sean O"N4 �EES�ri9 tS3 * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date: 02/11/2022
r\Building\Permits\MEC_PermitApp_082520.doc 440-4617T(I 1/02/COM/W EB)
DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF
Mechanical Permit Application - City of Tigard
Page 2- Supplemental Information
Commercial Submittal Requirements:
• (2)sets of plans, drawn to scale.
• (2)sets of equipment cut sheets.
• (2)copies of site plan for ground and roof top equipment
location and screening per Tigard development code.
Commercial &Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
I:\Building\Permits\MEC_PermitApp_082520.doc 2
uocuslgn envelope ID: /AA3/IAb-4b49-4001--1iF51--4 b I'
Electrical Permit Application IVEC FOR OFFICE USE ONLY
III qn q Received
City of Tigard _ / s Permit#:
13125 SW Hall Blvd.,Tigard,OR97223 DEC�� 1 NV Plan Review
MS)2�2� �
Phone: 503.718.2439 Fax: 503.598.1960 CITYOF TIGAR[� Date/By: Related Permit#: S 4JqpZezz-pyii)
Inspection Line: 503.639.4175 Ready Date/By: Ions ® See Page 2 for
1 I G A E l) Internet: www.tigard-or.gov 3UILDING DIVISION NotifiedMethod: I Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction ❑ Addition/alteration/replacement Please check all that apph(submit2 sets of plans v:items checked).
❑Service or feeder 400 amps or more ❑Building over three stones.
❑ 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.
El I-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
❑Addition of new motor load of system.
Job#: Job site address: 15732 SW 76th Avenue 100HP or more. ❑"A","E","l-2",°'1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,OR 97224 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Knauss Subdivision Lot 2 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
New residential single-or multi-family dwelling unit.
Subdivision: Knauss Subdivision Lot#: 2 includes attached garage.
1,000 sq.ft.or less 1 168.54 168.5z 4
Tax map/parcel#: WCTM 2S112CD,Tax Lot 00400 Ea.add'1500 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 energ
y,multi-family 75.00 2
dwelling unit. Each unit will be be 2 stories residential(with above sq.ft.)
Renewable Energy I I See Page 2
®PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: CBG SW 76th Avenue,LLC 200 amps or less 1 100.70 100.7( 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
cano dx.com Temporary services or feeders installation,alteration,and/or
Sean
Email: @ PYP 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
Branch circuits—new,alteration,or extension,per panel
f APPLICANT 0 CONTACT PERSON 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
service or fe
Address: 15110 SW Boones Ferry Road,Suite 500 branch c rcuiteder fee,first 56.18 2
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 67.84 2
dwelling,service and/or feeder
Email: lean@canopypdx.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 1 67.84 67.84 2
Business name: g', y t o',2 fc___ Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2. 2
Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: inspections for which no fee is 90.00/hr
CCB Lie.: Electrical Lic.: Suprv.Lie.: specifically listed('/2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: n Plan Review Required(25%of permit fee):
—DocuSigned by: State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature: um& 0 o 11,E,e,
�,95s This permit application expires it a permit is not obtained within 180
Print name: Sean 0'Nel 7 f D6C8B3F7D433_ Date: 01/05/2022 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
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
Description I Qty. I Each I Total I "
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
Door ener
❑ GarageOpener*p >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
[1 O• ther: Each additional inspection is 66.25/hr ]
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n A• udio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
• Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015
DocuSign Envelope ID:C2BF0958-6444-4BB5-932E-3137655C6C51
Electrical Permit Applicatio ECEI\JED FOR Of I It l ( SI: mil
Received
City of Tigard Date/By:Receied Permit II:
li • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2022 Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris ® See Page 2 for
T I G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
3UILDING BIVISIOK
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.
[I 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 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition
Job#: Job site address: 15732 S W 76th Avenue IO0HPH of new motor load of system.
or more. ❑"A" "E" "1-2""1-3"
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,OR 97224 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Knauss Subdivision Lot 2 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#: 2 Includes attached garage.
1,000 sq.ft.or less 1 168.54 168.5z 4
Tax map/parcel#: WCTM 2S112CD,Tax Lot 00400 67.84
Ea.add'I 500 sq.ft.or portion 2 33.92 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 energ
y,multi-family
r residential(with above ft.) 75.00 2
dwelling unit. Each unit will be be 2 stories sq.
RenewableEnergy I I 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 1 100.70 100.7( 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
cano dx.com Temporary services or feeders installation,alteration,and/or
sear
Email: pyP 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
Branch circuits—new,alteration,or extension,per panel
[y APPLICANT 0 CONTACT PERSON A.Fee for branch circuits wit/i
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
ser15110 SW Boones FerryRoad,Suite 500 branchce i feederitfee,first
Address: branch circuit 56.18 2
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 67.84 2
dwelling,service and/or feeder
Email: sean@canopypdx.com Reconnect only 67.84 2 II,
CONTRACTOR Pump or irrigation circle 1 67.84 67.84 2
Business name: Jarmer Electric, Inc. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy Address: 5105 SW 45h Avenue #100 panel,alteration,or extension. 0 See Page 2 2
Portland, OR 97221 Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr min) 66.25/hr
Phone:?02 7)46 5 381 Fax:( ) Investigation(1 hr min) 90.00/hr
ti m@ a rme r.corn Industrial plant(I hr min) 78.18/hr
Email: Inspections for which no fee is
90.00/hr
CCB Lie.:6924 Electric � -1 4C Suprv. 63655 specifically listed('-4hrmini
1Soeu tgned y: P ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required' 'rme )0tyrypltr Subtotal.
Print nameTi m J a rme r `-472C61799C294A8... Date: 3/2/2022 n Plan Review Required(25%of permit fee):
D,.esk,ntel by State surcharge(12%of permit fee):
Ar TOTAL PERMIT FEE:
Authorized signature: S� tT M...
356D6C883FI0433_. 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(11/05/COM/WEB
DocuSign Envelope ID:C2BF0958-6444-4BB5-932E-3137655C6C51
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 + Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n C• lock Systems
n Data Telecommunication Installation
n F• ire Alarm Installation
n HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
❑ Other: -
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Uocubign tnvelope IL): IAAS//Ati-4b49-4UUI--tS-bI--41-tbAU/:fl-UFI-
Plnmbing Permit Application
Site Utilities RECEIVE I FOR OFFICE USE ONLY"
Cityof Tigard Received N,r l/S-k p
g l ?jjf Date/By: Z Permit No.: rLOZ'Z'at V
13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 - Plan Review J
1 Phone: 503.718.2439 Fax: 503.598.196 �,` , DateBy: Other Permit No..At r1207Z-0000/
T I G A R D Inspection Line:503.639.4175 �ITY OF TIGAf1V Date Ready/By: Juris El See Page 2 for
Internet: www.tigard or.gov 3UILD NG DIVISION Notified/Method: Supplemental Information
TYPE OF WORK 1V17 DIVISION FEE* SCHEDULE
For special information use checklist
Q New construction ❑ Demolition
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® I-and 2-family dwelling ❑ Commercial/industrial . SFR(2)bath 437.78
SFR(3)bath 1 500.32 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 15732 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 1 18.76 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Knauss Subdivision Lot no.: 2 Fixture or item:
Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 Backflow preventer I 31.27 31.27
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 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 1 25.02 25.02
Phone:( 503 )9569307 Fax:( ) Ice maker 1 12.51 12.51
El 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(a canopypdx.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 1 37.52 37.52
Business name: 5r.,e 1 c7c77�r Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
r-nocuSigned by State surcharge(12%of permit fee)
Authorized signature: S /ll ri t;/1 TOTAL PERMIT FEE
Print name: Sean b.Ntfirl6V8B3F7D433. Date: 01/05/2022 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.doe 10/01/09 440-46 16T(10/02/COM/WEB)
DocuSign Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF
Plum bing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-I"100' 1 50.03 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 1 37.52 37.52 3,601 to 7,200 $233.20
Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 1 62.54 62.54
Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 1 62.54 62.54 Valuation: Permit Fee:
$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
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
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 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for 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
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR9 I 8-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
4" Isometric or Riser Diagram
Car Wash Drain
Garbage Domestic-non-food ❑ isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture workunderthis permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
I:\Building\Permits\PLMU_PermitApp.doc 2
DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF
Plumbing Permit Applicatioi ECEIVE
Site Utilities �✓✓ FOR OFFICE USE ONLY
MAR 2 2022 Received
City of Tigard Date/By: Permit No.:
w 13125 SW Hall Blvd.,Tigard,OR 97223rI� OF TIGARU Plan Review
a Phone: 503.718.2439 Fax: 503.598.19t79 Other Permit No.:
T I G A R D Inspection Line:503.639.4175 BUILDING DIVISIOP�' Date Ready/By: luris El See Page 2 for
Internet: www.tigard-or.gov NotifiedMethod: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
[2 New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings(includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑ Accessory building 0 Multi-family SFR(3)bath 1 500.32 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 15732 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 1 18.76 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Knauss Subdivision Lot no.: 2 Fixture or item:
Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 Backflow preventer 1 31.27 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
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
I-7{PROPERTY OWNER n 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 1 25.02 25.02
Phone:( 503)9569307 Fax:( ) Ice maker 1 12.51 12.51
pi APPLICANT n CONTACT rEKSON 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
I/-mail sean(Icanopypdx.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 1 37.52 37.52
Business name:Alliance Plumbing Water piping/DWV 56.29
Address: 146 W Historic Columbia River Hwy. Other: 25.02
City/State/ZIP:Troutdale,OR 97060 7 Subtotal
Phone:((503)492-3490) Fax:( ) r/1 S/L-t Minimum permit fee: $72.50
l Plan review(25%of permit fee)
CCB Lic.: 184601 Plumbing Lic.no.:
r-e.,..uaiam=d by. State surcharge(12%of permit fee)
Authorized signature: , TOTAL PERMIT FEE
Print name: Seance I BB3F7D433... I Date:02/11/2022 I 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.
1:\Building\Permits\PLMU-Permi1App.doc 10/01/09 440-461 6T(10/02/COM/WEB)
DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF ` -
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-l" 100. I 50.03 50.03 0 to 2.000 $121 90
Footing drain-each additional 100' 1 37.52 37.52 3,,601 to 7,201 to 3, 00 $00 $233..269 0
Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 1 62.54 62.54
Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation• Permit Fee:
Storm&Rain Drain-1st 100' I 62.54 62.54
$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
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
l� 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 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for 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
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
a Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
-4" Isometric or Riser Diagram
Car Wash Drain
Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
' Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
'' Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
I:\Building\Permits\PLMU_PermitApp.doc 2
City of Tigard
IN ® COMMUNITY DEVELOPMENT DEPARTMENT
i
T 1 G A R D Building Permit Review — Residential
Building Permit #: Iv1SV2-0 — 0000
Site Address: 1 5 2 S( j 6)*'1' Akre.
Project Name: 17(y1,6t $ 65 Lot #: 2,
Planning Review r _ rr _,, II r , `
Proposal: C V , L,-e Ag ixek k C!j�Ull! � A G 6--e�, I`D
xi Verify address/suite#active in Accela. ❑ In River Terrace: 0 No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: AErosion Control
[193 copies of site plan on 8-1/2"x 11"or 11 x 17"paper V3Retained trees with drip line and tree protection measures
)rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 014
l'NTorth arrow f�Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information(name and phone number) sten1s
71Lot dimensions and building setback dimensions AStreet tree size,type and location
i ti,oa L rn in(
�,SYa-P FnntaaP of h„ilrlinvc to)1P rl�•� — q�StYeet names
na-+ *i -- cite Corner elevations (2'contours if more than 4'differential)
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 0Yes ❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? .VYes No
Clean Wat8c-� yic s r 4c' ,Pro l r T ttt r(1 r r<lo rrg. pri r r Q/1(1/9 nn
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
❑ 444.er—M t;er Fix.tury 1 ' it W «1 oL eon A d]itie Re A o
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
❑ . ❑ Yes ❑ No Received: ❑ Yes ❑ No
❑ .
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
igi Land Use Case#: C vs'ze(g-ocyco I risZoning: P.--9—
Required Setbacks: Frontal 5Rear: IrJ r Side: ✓( Street Side: 11d t Garage: 1
�
p Building Height: Max. Height: 3 Actual Height: Zc)
PO Landscape Area: Zj 0/0 g) Lot Coverage Max: 0 d
Entrance [? Set back no more than 8'from street-facing wall )5 Parallel to street or offset 45 degrees or less
Windows ,ig) Minimum 12%of area of all street-facing facades
Garage Ni Garage door is behind widest street-facing wall LA 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.
02 Garage door width is ❑ 12'or less ❑ 50%or less of facade g 60%or less and includes 7 of following:
❑ Covered porch 4. Recessed entrance tg? Wall offset SDP Roof eave 1 Roof offset
❑ Fire shingles iti Lap Siding ❑ Roof pitch Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding PWindow trim ❑ Window recess ❑ Window projection 47 Balcony
pVisual Clearance IR Urban Forestry Plan r 1
• Sensitive Lands: �' Yes CI No No Type: 6otit �/ c�l�iA - �G(jt f
g Conditions met prior to issuance of building permit ✓
Notes:
"] Approved By Planning: Date: 2 ?�?A
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
I:\BuildingWorms\BldgPermitRvw RES_122419.docx
.
Building Permit Submittal
Original Submittal Date: /2/21 4/
Site Plans: # S
Building Plans: # 3
Building Permit#: EI Enter building permit#above. �,�
Workflow Routing: �[�Planning [ En IJgineering Permit Coordinator filding
Workflow Sign-off: L� 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
o):iginal plan review routing form.
irBuilding: original permit application, site plans,building plans, engineer and
beam calculations nd trust details,if applicable,etc.
Notes:
By Permit Technician: Date: S 7
Engineering Review
[ Slope at building pad: 1 %
Conditions "Met"prior to issuance of building permit
Lasements (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: Ill l Yes No tot It wl PP'
�,/ LIDA Facility on lot: Pr-Yes ❑ No Add Fee: ❑ Yes [No
hQ Final Plat Recorded:
' NOT Approved by Engineering: 7 Date:
Notes: n,.i :4.1 ( ord ed----..
Approved by Engineering: •/ t Date: 1//a/2j'z t
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
Approved,NOT Released: ikL Date: L I 1.412622
Notes: Plat- Inat record . GV1ecik--CO&S .
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received iZ Does not apply
�l SDC Fees Entered: Wash Co Trans Dev Tax: 7y1 Yes ❑ N/A
Sec d E -Fo rwG.
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: )2r Yes ❑ N/A
LIDA ❑ Yes /1?_1 N/A
7 OK to Issue Permit
Approved by Permit Coordinator: Date: 1'2,1D 12022—
I:\Building\Fonns\B1dgPennitRvw_RES_1208021.docx
Water Meter Fixture Unit Worksheet For New Buildings
Please complete the following information:
Contractor Name: Canopy Building Group, LLC
Billing Address: Street/Suite#: 15962 Boones Ferry Road Suite 202
City: Lake Oswego State: OR Zip: 97035
Phone Number: 503 956 9307 Email: sean@canopypdx.com
New Meter Address: 15732 SW 76th Avenue/15730 SW 76th Avenue
Subdivision Name: Knauss Subdivision Lot#:
2
Building Permit#: MST 2022-00006/MST2022-00008
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 2 x 4 = 8
Dishwasher 2 x 1.5 = 3
Hose bib, 1st one 2 x 2.5 = 5
Hose bib, each additional x 1 =
Kitchen sink 2 x 1.5 = 3
Laundry sink x 1.5 =
Lavatory 8 x 1 = 8
Water closet, 1.6 GPF 6 x 2.5 = 15
Bathtub/whirlpool x 4 =
Shower stall 2 x 2 = 4
Bath/shower combo 2 x 4 = 8
Total Fixture Unit Points: 55
Fixture Unit Points:
1 to 30 =5/8" 37.5 to 89= 1"
30.5 to 37=3/4"
1"
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:
i:/Building/Forms/WaterMeters_070121_New.dOCX Page 2
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= r Water Meter Fixture Unit Worksheet
T"'AR" 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" $14,418.00 water system development charge,
1" $26,487.00 water meter, and
1-1/2" $78,488.00 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.
I:/Building/Forms/WaterMeters_070121_New.dOCX Page 1
DocuSign Envelope ID:414650D3-DE3B-4811-A7CE-7FCA6DBFADDO
City of Tigard
Deferral Until Occupancy Request
s
TIGARD Washington County Transportation Development Tax (TDT),Transportation and Parks System
Development Charges (SDCs)
,I-NAVVffint . , td
This form is to be signed and submitted prior building permit issuance or, if no building permit is required,then
upon land use approval(TMC 3.24, as amended by Ordinance No. 21-09).
Date: 1/10/2022 Site Address: 15732 SW 76th Ave (Primary)
Project Knauss Lot 2 Land Use Case or MST2022-00006
Name: Building Permit#:
Tax Lot Total Parks
#: 2S112CD00400 Amount*: $7,591.00
TDT N/A Total TSDC
Amount: Amount*: $4,128.00
*The total TSDC amount shown above is the sum of$ 3,903.00 for TSDC-Improvement,$ 225.00 for TSDC-
Reimbursement, and$ N/A for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$4,727.00 for Parks-Improvement,$ 1,112.00 for Parks-
Reimbursement,and either$1,752 00 for Parks-Neighborhood or$ N/A for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
DocuSipned by:
``L �� it 1/11/2022
Property Owner: 366D6C697F7D433._ Date:
(-DocuSipned by:
Develot�er: I e/ L Date: 1/11/2022
p 35000CDD31713433...
Permit Coordinator: 16 oemAefiti Date: 1/10/2022
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
1,111 Transmittal Letter
T I CI A\It C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION x , -
FROM: CBG SW 76th Avenue, LLC (Sean O'Neill) FEB 9 1O2
COMPANY: CBG SW 76th Avenue, LLC ;ITY Oh I IUHRl1
UJILDING DIVISION
PHONE: 503-956-9307 By:
EMAIL: sean@canopypdx.com
RE: 15732& 15730 SW 76th Ave M5T2022-00006 &00008
• (Site Address) (Permit Number)
Knauss Subdivision Lot tL.,
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: See Remarks
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 2 Engineer's calculations.
Other(explain):
REMARKS: Updated slabedge detail and foundation sheet is attached. The Slabedge detail will meet the requirements
of N1101.1(2) by installing R-15 insulation around the perimeter of the footiings as shown in Detail 1 on Sheet S1.
The engineering calc packet is attached as well. As discussed on the phone,we are only requesting a foundation permit at this time.
FO OFF CE USE ONLY
Routed to Permit Technic, n: ,,Date: 2 (,5 Z�- Initials: �fr
Fees Due: ❑ Yes Technic.,
Fee Descriptio : Amount Due:
D 0 CC/ : (0f6.---
% $
Special / j
Instructions: J/
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: „2 /2 2) Initials: j ;
U
Agnes Lindor
From: Agnes Lindor
Sent: Tuesday, January 18, 2022 1:27 PM
To: Sean O'Neill
Cc: Trent Brickey; #Building Permit Technicians
Subject: Knauss MST2022-00006, 8, 9, and 10
Hi Sean-
These permits have been approved but cannot be released until the final plat has been recorded with the County.
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