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Permit FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. IN City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TIGARD, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Allyson ArmstrongTO: DATF EW /—*WED DEPT: BUILDING DIVISION APR 21 2022 FROM: Bradlee Hersey CITY OF TIGARD BUILDING DIVISION COMPANY: Faster Permits �L By: r"• PHONE: 503-913-8811 EMAIL: Bradlee@fasterpermits.com . MST2022-00033 RE: 6711 SW Alfred St I (Site Address) (Permit Number) �(w�c� 5ir�d�5 obiGofi..� (Project name or subdivision name and lot number) f ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Plans and calcs Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: Revision of 2nd floor joists to open web FOROFFICE USE ONLY Routed to Per T�ectcian: Date: L-r27 �7--- _Initials: 64— Fees Due: I Yes I I No Fee Description: Amount Due: O6 t NU in l A,r1 ne l mac. c,---1---"" $ S >!' $ Special Instructions: Reprint Permit (per PE : [ Yes No �� n Done Applicant Notified: , Date: / / Initials: i�� _ CITY OF TIGARD MASTER PERMIT 74 _ ' COMMUNITY DEVELOPMENT Permit#: MST2022-00033 T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2022 Parcel: 1S125DA13300 Jurisdiction: Tigard Site address: 6711 SW ALFRED ST Subdivision: None Lot: 1 Project: Alfred Street Partition, Lot 1 Project Description: New detached dwelling with 216 sf patio cover. DEMO CREDITS FOR TRANSPORTATION, PARKS,AND SEWER TO BE APPLIED FROM BUP2020-00259. BUILDING Floor Areas Reautred Setbacks Required Stories: 2 Bedrooms: 5 First: 1638 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 1573 sf Garage: 655 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3211 sf Value: $459,724.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 3 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 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 Other: N Other Description: Ecom P 9 asin Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3211 Owner: Contractor: WESTLAND CUSTOM HOMES LLC WESTLAND INDUSTRIES Required Items and Reports(Conditions) 126970 SW 68TH#400 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $16,431.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc ..nnt_nnln thrn,,nh(AR GF9- nLnnQn vol.TA\,nhtain a nnn„of III mIae nr diraN m,oeenne to rll INr:by Tallinn Sn4 919 14A7 Art Ann T19 9144 Issued By:C\ 06k.QIJ (ram Permittee Signature: UI l ` -t' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the lob site at the time of each inspection. Building Permit Application Residential RECEIVE • FOR OFFICE USE O\11 City of Tigard Received ��;- r F a n Review p - Permit No e�I r !� = 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 2 7 2022 Plan Rmiew 3� Phone: 503.718.2439 Fax: 503.598.1960 Date/By 4e, ?iZ Deter Permed 2 AM 1Z' I I GA RD Inspection line: 503.639.4175 CITY OF TIGARD Date Ready/By. hms ® See Page 2 for (•[l..J Internet: www.tigard-or.gov BUILDING DIVISI B 0. ' onse e L6. -.1:'. Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. � �Z ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ l' 4 ��5p L I� 4, ❑Accessory building ID Multi-familyNumber of bedrooms:x S ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 311.LI(V Job site address: 6711 SW Alfred St New dwelling area: 3,211 square feet is l City/State/ZIP: Tigard OR Garage/carport area: 655 square feet t Suite/bldgJapt.no.: I Project name: Q ,S-�i„ _r/ 28r Covered porch area: ' 8�ej, quare feet Cross street/directions to job site: I R i fI J"� Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: ' Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor.overhead.and the profit for the DESCRIPTION OF WORK work indicated on this application. NSFR at 67111 SW Alfred 1h' /2a� Valuation: $ u e e06 3 Cr f 17 '�✓G tic l�il /45 I�.�'' r7 fisting building area. square feet 6 a pi,AN,U - `40 New building area: square feet ® PROPERTY OWNER I 0 TENANT Number of stories: Name: Westland Homes Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: Faster Permits (Plane refer le fir schedule) 'L Structural plan review fee(or deposit): e13T Contact name: Bradlee Hersey 7✓� Address: 2000 SW 1st Ste 420 FLS plan review fee(if applicable): City/State/ZIP: Portland OR 97201 Total fees due upon application Phone:( 503 ) 913-8811 I Fax: :( ) Amount received: E-mail: Bradlee(afasterpermits.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES° Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Westland Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 12670 SW 68th Ave.H400 Ti OR 97223 Solar Installation Specia/h Code checklist. City/State/ZIP: Permit Fee(includes plan review and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 30235 Total fee due upon application: $201.60 Authorized signature: This permit application expfres if a permit is not obtained within 180 days after It has been accepted as complete. Print name: Bradlee ersey Date: 7/1/21 •Fee methodology set by Tri County Building Industry Service Board. I:1BuildinglPennits\B -RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONL1 illCity of Tigard Received - Associated . Permit No.� • 13125 SW Hall Blvd..Tigard.OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical rival 0 Plumbing ❑ NI eclmnical T I G A R D 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes NoN'A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. R E ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 a 3 Verification of approved plat/lot. Q ❑ CI Fire district approval required. Name of district: ❑ ❑ CI Septic system permit or authorization for remodel. Existing system capacity ❑ CI Sewer permit. CI ❑ 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 basin protection,etc. ❑ ❑ 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 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, 0 0 ❑ f mace,vcat'lption 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- 0 0 ❑ floor,wall construction,re of 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 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums allowing 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 pi>vide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ 0 locations. Show attic ventilation. ' 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 0 systems,sec 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. ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 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 0 architect licensed in on and shall be shown to be a licable to the '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 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 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 ❑ ❑ 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, in 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. l:lBuilding\Permits\BUJP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) a Oct, 27. 2021 2: 31PM No. 3566 P. 3 Mechanical Permit Application City of Tigard ticseked fora&No._ III 1.* 13125 SW Hall Blvd.,Tigard,OP, 97223 Plan Review Phone: 503.710.2439 Fax: 5o3.$98,1960 6eleBy; Oiler Pertain 1 WARD Inspection Line; 503.639.4175 rate Ready(gy, kris: lit Sca Page 2 for tnlernee www.tigOn1-or.goV NotiBaNMrlhod: Sdpptemental Worn:Ohm TYPE OP WORK COMMERCIAL Fab SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the valve of the work ( New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to die neared dollar)of all 0 Demolition 0 Other: mechanic(materials,equipment.labor,°verbead,and pvaile. Value.$ _ CATEGORY OF CONSTRUCTION REsIDENIIAL EQMPIVIENT r SYSTEMS FEES' _ mm GI I-and 2-family dwelling 0 Cocrcial/industrial 0 Accessory building ger specie'information use checklist ❑Multi-family 0 Master builder ❑Other: Description Qry. Ba. 1 Total "OR SITEINFORMATION AND LOCATION HeetinytooUag: . Air conditioning 46.75 Job site address: 6711 SW Alfred Furnace 100.000 BTU(dactshrnts) 1 46.75 City/State/ZW: 1-165a.c6 (SF. ,+�4\1 2:3 Flunace100,000+RV(ductsA'entr) 54.91 Heat pump 61.06 Suiee/bldgJapt.no.: Project name: Duct walk 23.32 Cross streer/duectiotrs to fob site: Hydroulo hot water eystcr 23.32 , �..,..- • Residential boiler(radiator or ttydroalC) 23.32 - '- Unit heaters(fuel-type,not electric), in-wall,in-duet,suspended,ec. 46.75 Flue/vent for any of above 23.32 Other. 23.32 Subdivision: [Lot no.; Other fuel appliances. Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Cfaafireplace/waert 1 33.39 Floc vent for water heater or gas Mechanical for NSFR fireplace 23.32 Leg lighter(Ras) 23.32 _ _ Wood/pellu stove 33.39 Wood iireplacdinsert 23.32 Chimney u/flue/vent 23.32 l Other 23.32 P El OWNER TENANT );n�ropmental exhaust and venrllationt p Nae: Wit•51(0Land CK5 � Ave- Meg. 5 {,,, ,-/ Runge hood/otherkitchen 1equipment 33.39 Address: jl *goo Ctotheadryerexhaust 1 33.39 City/State/ZIP: 0 , .2 3 _ Singte-dva exhaust(bathrooms, 3 23.32 toilet compartments,utility rooms) Phone:( -.IS d 'O( Fax:(503)554 2 96 I Anic erawlepace fans - 23.32 Kt APPLICANT a CONTACT PERSON Other. _ 23.32 Fuel piping: Business name: Faster Permits $14.15 far Itrat roan 54.03 for ei h additional Contact name: Bradlee Hersey Furnace,etc. Address: 2000 SW 1st Ste 420 Oas heat porn? . Wall/suspende.Vunitheater City/State/ZTP: Portland OR 97201 Water heater 1 Phone:( 503 ) 913-8811 Fox::( ) Fireplace Ran8 - 11 2-mail: BradleeVasterpermits.com Barbecue +� CONTRACTOR �^ Clothes dryer(gas) Business name: l.3e �}�g� .+-�]�' . Othu: e? I s nfEe13ANICAL FERauT}Tar Address: ' i t l�O� 5t• H 1,)1 zt i gabtotai City/State/ZIP:i=F�iAp f e, g oft 1 7cf 2. Minimum permit(Cc(S90.013) _d �y Plan review(25%0(1mmrit fee) 1.- Phone.,(50 s'j+ZS 0 41% Pax:(5i3 3q.p a$ State svroharge(12%°rpmroilfee) CCH lie.: -.5 a TOTAL PERMIT FEE ✓aJ Q Tins permit appdndea erplrer If a prrratt It aor obtained trithla red days saner it has been accepted Pi complete. Authorized signat-u+re:� s Fat recibodology set by TrirCoelay Botldiog endesuy Service Board y r.-!.-.____. tit a' T1 A A l 1. II I, -+L. I r,..... 1A ,' r • Oct. 27. 2021 2. 31PM Ne. 3566 P. 4 Mechanical Permit Application - City of Tigard Page 2- Supplemental Information 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. S10,000,01 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. S50,000.01 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. S100,000.01 and up $2,608,71 for the first$100,000.00 and $2,92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • 1.`Buildinglpcnuilis\MEC_PmmitApp 040113,doc e , Oct. 2/. 2021 2: 30PM No, 3566 P. 1 Electrical Permit Application City of Tigard Received Permit a: Datriny: to 13125 SW Rail Bird.,Tigard,OR.97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Datr1ey Relabel Permit#: Inspection Line: 503.639,4175 ReadyPaiWRy: hcell. WI gee P age 2for TIGAlt13 Internet: www.ligard-or.gov Notified/Method: , Supplemental Information TYPE OF WORK PLAN REVIEW gl New conStruCtiOd []Addifion/0ltefetiotrhtipiacement Plasmcheck all that apply(submit a sots of plows Wilma checked): a Service or/tater 400 amps or room t]noddies over thceestories. 0 Demolition ❑Other: wheretbe available Rug eurrent ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps et 150 yobs ot CI floating bonding!. Irt6 to crowd,or exaah 14.000 ❑Commercial-use aspicultaral Ell-and 2-fatnElydwelling ©ConlmercisUlridOsttial 0 Accessory building preps be all other installations. bsdidlnta. El Multi-family 0 Master builder ❑Other: (3 Pim pomp O Insidlation of 150 KVA or ❑&mergemy ayate ca law separately derived JOB SITE INFORMATION AMP LOCATIONa Addition ufnew motor bad of system. lob#: Job site address: 6711 SW Alfred I00H5'ormore. ❑"A","a° "1.2',"1-3", G occupancy_ C i tyiS tate/ZIP: --cc(lara OF., 1-/7„3 0 Six or more rrcsdlensi®i uru. ❑ re Facilities. 0 Recreational vehicle parks. 0 Supply voltage for more than Sultclbldg.lapt.#: Project acetic: ri Hazardous a p (AV molts nornlml. [I$vice or feeder a 60 600 am s ar tmro. Cross Street/directions to job site: PEE SCUM/LE nrrAonoq r)ly. I Each I Talal I : New resideetlal mingle.or mold-family dwellidg unit. Subdivision: Lot#: fe codes eat■cbedgarage. 1,000 so,It or leas I 168.54 4 Tax map/parcel#: Ea.add'1500 sq.fl.or portion 33 92 • 1 pFSCR1P'PTON OF WORK Limited creep',residential 75.00 2 Electrical ForNSI°R (wide above sq.fl.) _ Limited energy,rnulti�famlly 75.00 2 _ residential(with above sq.1l.) RenavnableEnergy 17 See Pago2 .'A PROPERTY OWNER 0 TENANT Strikes or feeders installation,altars on,andlor relocation Name: I/ 4rj'gdh t u ' /I'V Iae5 LLc 200 amps orleas 1 100.70 _ 2 Address: iip 5 p a Q _701 amps to 400 amps 133.56 2mp 401 as to60o neaps 200.34 2 City/State/ZIP: q a t ' 601 amps to 1.000 amps 301.04 2 Pax: (J1)5 • q Over 1,000 amps or volt$ 552.26_, 2 Phone:( ♦ / Temporary services or feeders Installation,alteration,awl/or Email: to sJ�°.s-tlaruf ' eto�,Ca^ti relocation 200 Of 593E 1_ Owner Installation:This installation is being made on property that I own which Is not 1S9.3608 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps _ Date: 40tampsto599amps 168.54 TZ Owner signature: Branch drcnite—new,alteration,or extension, rimer panel t APPLICANT El CONTACT PERSON Branch FM for branch cittuits arrth Business name: Fatter Permits above service or feeder fee, 7.42 2 eariebranc3 circuit Contact name: Bradlee Hersey n,fee for branch circuits,ri hour service or feeder Re,fast SdtB 2 Address 200D SW Ist STE 420 branch circuit Portland OR 97201 Bach 144'I bn:e is circuit 7.42 2 City/State/ZIP, _ Miscellaneous(service or feeder not Included) Phone:(503 ) 9134811 Fax::( ) Each manufactured orenodolar 67.04 2 Bradlee®feSterpetlnits.cOm dwelling,service and/or feeder Email: Reconnect only 67,84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 1eAGO reCil tC x(VC . sign oroa dine lighting 67.84 2 Signal aimuH(a)rxlimlted-energy cJ see pep Z 2 Address: PD Cloy 5 panel,alteration,m extension. ( �V�(� ��3 I Each additional.Inspection over allow Mehl aa�fthe above city/state/zip: / inn, T... Addiltonalinapec+ion(I hrmin) 6625/br Phone:(60, 3G 2,f5/ O 2._2{i1 Fax:( ) Investigation(1 Mmin) 90.00/br . Industrial plant(1 Ile rob) 78.1 S/hr Email: IL 2-- Inspections For which ao fee is hr I( ' ' 2/, -3 apecitiratty listed('16 bur min) — _ - CC1d tic.: Electrical Llc.: Y C ELECTRICAL PERMIT FEES Snpm.Electrician si a.alttrc,r r wired: Subtotal: Print name: 1 r Date: 0 Phu Review Required(25%r of permit fee): J J ILA �' State surcharge(12%of permit fee): AuthTOTAL PERMIT FEE: Print name:signature: This permit applicaden wives if a permit la eat obtained nilhtn 180 Date: 0.2.,? days rill It has bass aces-pied as complein. Print J _` j• 3'i • Number of inspections allowed per permit. ___ ___. .. _.......... . .eneanrnumvaO.Wwia Oct. 27. 2021 2 : 31PM No. 3566 P. 2 Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: - FEE SCHWAS. 1 ow.I ewe I 7elat i • Fee for all residential systems combined: $75.00 Renewable electrleal energy systems: Cheek Type of Work Involved: sltvanrleas 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25kva 200.34 2 Wind generation apatcros(n exeete of25 kva: ❑ Burglar Alarm 25,01 to50kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 ksre 552.26 -2 >lee kva(fee in accordance 552.26 2 with OAR 9I II-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generatioasyttemsin exam of2Skva: • System" Each additional kva over 25 7A2 3 ❑ Vacuum Systems* >I00kva-no additional charge 0.0 Each add]tioaal inspection over allowable In inter the above: ❑ Other: Each additional inspection is chargodatan hourly(1hrthin) _ 66'25/hr lospectiooa for Ala no fee Is specifically listed et. en 90.oN M ELECTRICAL PERMIT FEES COMMERCIAL.WORK ONLY: Subtotal(Enter on Page I): 1 Fee for each commercial system: $75.00 , Number of thapectioaa allo nlperpenal (SEE OAR 918-309-0000) Check Type of Work Involved: I I Audio 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 Other: • Total number of commercial systems: *No licenses are required. licenses are required for all other installations • Oct. 27. 2021 2: 31PM No, 3566 P. 5 PlambingPermit Application Building Fixtures City of Tigard Permlxm.: a 13125 3W Hull Blvd.,Tigard,OR 97223 paWBy. • C Phone: 503.718.2439 Fax: 503.598.E 960 Plan Review Other Ferran Ho.: DalelHy: 1 ie:\11[7 fnspeclian Lino; SD3,639.4175 pate Ready/By rink See Page 2 for [Memel: www.ligard-or.gov Notifledrblatted: r Supplementalrorarmath/a TYPE OF WORK PEEP Seal:Dt7LE m P:1 Naw construction 0 Demolition Far xpecinf injorrnaneb usd checkflsi. -- Description 1 pty.• I Ea. I Total (]Addition/alteration/replacement ©Other: Newt-2-tonally dwelling•(Includes 100 ft.for each utility conneciion CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 I-and 2-family dwelling El 1- D Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0Mu1H-family SFR(3)bath I 500.32 Each additions!batlJkitcben 25A2 ❑Maxtor builder U Other: - Firc sprinkler sq.0.) Page 2 JOB $ITB INFORMATION AND LOCATION Site William Job site address: 6711 SW Alf red Catch basin or area drain 18.76 --------- Dryweil,leach lino,or trench drain 18.76 City/State/ZIP: !, p(t'- O.R. 9 2 Feeling drain(no.linear It.: ) Page 2. Suire/bldg./apt.no.; Project name Manufactured home utilities _ 50.03 Cross street/directions fojob site: Manholes 18.76 TRain drain connector 18.76 - - Sanitary sewer(no.linear ft.: 10'1n -.is, Page2 Storm sewer(no.linear ft.: 10Q Page 2 i Water serviec(no.linear ft.: 10(1 Page 2 Subdivision: Lot no.: Fixture orItem: � Tex rneplpareel no.; Backllowpteventer ( 31.27 DESCRIPTION OP WOWS Backwater valve ���/// 12.51 Clothes washer 25.02 Plumbing Application - Dishwasher 25.02 Drinking foualaio _ 25.02 , Ejeclors/sump 25.02 PROPERTY OWNER 0 TENANT Expansion tank 12.51 , _Name: wetrii (t,t tvv� f1,r-t s LIL ��sewercap 25.02Addresv: VV�r ei (� �o .k^�p� Floor drain/fkrorsink/hub 25.02 OR l r1t 7 2 3 m Garbage disposal 25.02 City/State/ZIP: t Gl 2 anse bib 25.02 Plume: 3)...liS d4,2a, Fax:( ) Ice maker 12.51 [$ APPLICANT 0 CONTACT PERSON futerceptodgrease trap 25.02 Business name; Faster Permits Medical gas(value: ) Page 2 Contact name: Bradlee HerseyPrimer V 12,51 Roof drain(commercial) 12.51 Address:2000 Sw let STE 420 Sink/basin/lavatory 25.02 City/State/ZIP:Portland OR 97201 Solar units(potable water) 62.54 Phone:(503 ) 91341811 Pax;:( ) TLI>/shower/shower pan 12.51 E-mail: Bradlec@fasterpermils.com CONTRACTOR Urinal 25.02 Water closet 25.02 Water healer 37.52 Business name: t O e�+ Pt, N� .s��� 56.29�7I so A� „TA, WaterpipinPJCfWV Addressc Other:w City/State/ZIP: f' Ke(iJ 06 o r f I"Io Subtotal Fax: Minimum permit fee: 572.50 Phone:( 3 ... ��"r'�,2(� ( ) Cal Lie.: � 1 a 4 Plumbing Lic.no.:3 i -2 5 r8 Plan nvic v (25Yo of per mit fee) State surcharge(12%drama'fee) Authorized signature: j TOTAL,PERMIT Pea Print name: {5 ,4 Date: 'Q 7 ' This permit application expires if•permit is net oatafned ailhto 160 days l /Yr;/�'P." 22 after It has been accepted ao complete. 'Fee methodology act by Tri-County Building Industry Servlee Dowd. • • Oct. 27. 2021 2: 32PM No. 3566 P. 6 Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Tidal Square Footage: Permit Fee: Fooling drain-1°100' 50,03 0 to 2,000 $12C.90 T Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-I s!]00' - 62.54 3,601 l0 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 _WaterSenice-1s1 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 --- StormdeRainDrain-Ist100' 6Y,54 Valuation: Permit Fee: Stem&Rain Drain-each additional 100' $1.00 to SS,000-00 Minimum fee$72.50 37.52 55,001.00 to S10,000.00 —572.50 for the first$5,000.00 and Sl.S2 for Other Inspections or Fees oty, Irte(ea) Total each additional S100.00or fraction thereof,to Impaction of existing plumbing or for and Including$10,000.00. lhr S 10,091.00 to 525,000.00 ' $148.50 for the first S 10or fra 0 and$1.54 for which no fee is specifically indicated 90.00Thr charm-1/2 hour) each additional 5100.00 freEinn thereof,to Iaspecdarsa outside of normal bus Hess 90.00fi 525 r $379 5 0 For the first;2S,000.W and S1,45 for end l ding$25,000.00, hours(minimum charge-2 haws) ,001.00 to$50,000.W each a [teinsprxtiM Pecs 90.00lhr additional S 100.00 or fraction thereof,to and including SS0,000,00. Additional plan review for revisions 90.00/hr $50,001.00 and up S742.00 for the first$50,000.00 and 31.20 far (minimum chargo-l/2 hour) each additional S100.00 or fraction thereof Subietair -sots, 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*. Plan Review for Plumbing Installations Qaantt by Flrture Type Plan review is required for any of the following. Fixture Type for ne tteer Please cheek all that apply.WorkPerformadt Capped Added Rckc.lc Baptistry/Foot ❑ Any new commercial building with water service 2"and Bath: Tub/Shower M� greater,except systems designed and stamped by licensed ..SII.. Iacuzai/Whirl.,,1 engineer. Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive Thru IN= as defined in OAR918.780-0040. CuspidontWater Aspirator ❑ Medical gag and vacuum systems for health care facilities. Dishwasher: -Commercial 0 Any multipurpose fire sprinkler system. -Domestic ❑ Any complex structure as defined in GAR918.780-0040, Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. FloorDrain/sink: -2" 3„ Isometric or Riser Diagram 4 0 Isometric or riser diagram is required for new buildings -Car Wash Drain $ �l Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related 'Industrial food related ice Mach.iaetrig.Drains Comments regarding fixture work; oil Separators as Station) Rcc.Vehicle Dump Station Shower; -Gang -Stall . Sink: -Lav/Bar non-food misted -Bradley •Com/Sew/Util food related -Service *Note: If the fixture work under this permit results in an Swimniing Fool Filler increase of sewer EDUs a sewer permit will be issued and Washer-Clothes , WaterEstractor fees assessed for the sewer increase must be paid before the WaterCloset-Toilet plumbing permit can be Issued. Urinal Ober Fixtures: City of Tigard IliCOMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: M ST2022 e-,j3?� Site Address: Cy-7- II SW AL-Faes> Sr. Project Name: ALf2e sr . 'l✓A'R pN Lot #: Planning Review Proposal: New 1)C4-l-c-'y7 t1.O0S6 ❑ Verify address/suite #active in Accela. ❑ In River Terra : ❑ No ❑ Yes, River Terrace Review Addendum Site lan Elements: rosion Control 3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper NA 11 '• ained trees with drip line and tree protection measures ❑Drawn to scale(standard architect or engineer scale) 'A F otprint of new structure(including decks) and FFF. ,�/orth arrow �UU)ility locations&easements(required for new and additions) to address,project or subdivision name and lot number Dsidewalk/driveway approach plicant information(name and phone number) plp Location of wells/septic systems Ilnot dimensions and building setback dimensions t tree size,type and location Square footage of buildings to be demolished t t names IA 'fisting structures on site Comer elevations (2'contours if more than 4'differential) ❑ t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? I1Yes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ces ❑No Clean Water S ces-Service Provider Letter(lot platted prior to 9/10/1995) Required: Yl.6,applikaut was notified Received: PI ❑ No 8 Water Meter Fixture Unit Worksheet-Ad ,Remodels and ADUs Required: ❑ Yes,applicant was notified kr-No Received: ❑ Yes ❑ No .0 SDC Exemption for ADU applied for: ❑ Yes 21"-No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: V.-Yes ❑ No,stop intake ❑ Land Use Case#: tALIVUbZ°-"" 0 Zoning: 2 q..S ' ❑ Required Setbacks: Front: Z 0 Rear: /S' Side: S Street Side: /J Garage: 2.0 ElBuilding Height: Max. Height: 30 ' Actual Height: Z2 El Landscape Area: ,VP % ❑ Lot Coverage Max: /V/l) Entrance t back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows Minimum 12/0 of area of all street-facing facades Garage )Garage door is behind widest street-facing wall 0--;-/es ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. El Door extends no more than 5'from wall and there is a 12 sq ft.wind w above garage on 2n' floor. �Garagp door width is ❑ 1.2'or less ❑ 50%or less of facade 60%or less and includes 7 of following: al Covered porch Recessed entrance Er-Wall offset/ lk/1'Roof eave ❑ Roof offset El Fire shingles C iiap Siding ❑ Roof pitch l' Gable,hip,or gambrel roof 'ormer Z./Visual / ❑ Accent siding El Window trim ❑ Window recess ❑ Window projection CI Balcony Z. Visual Clearance ❑ Urban Forestry Plan ❑ Sensitive Lands: ❑ Yes ."No Type: 2 Conditions met prior to issuance of building permit Notes: ❑ Approved By Planning: Date: Afk72 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Fonns\BldgPcnnitRvw RES_122419.docx Building Permit Submittal Original Submittal Date: 0//1 Site Plans: Building Plans: # 3 Building Permit#: Ilk-Enter building permit#above. ,..,/ Workflow Routing: lBP L7lanning Er Engineering Permit Coordinator L7 Building Workflow Sign-off: [align-off for Planning(include notes from planning review) Route Application Documents: t 'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 2/Building: original permit application,site plans,building plans,engineer and beam calculations an. trust details,if applicable, etc. Notes: By Permit Technician: Date: 0.03*22-- Engineering Review 2 Slope at building pad: b o Er'Conditions "Met"prior to issuance of building permit Li2r-Easements (encroachments)per engineering conditions of approval and plat 2/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes I'No Assess Water Quantity Fee in-lieu: 0 Yes Q/No LIDA Facility on lot: 2/Yes 0 No Add Fee: 2/Yes ❑ No Final Plat Recorded: El NOT Approved by Engineering: Date: Notes: R"Approved by Engineering: � f Date: 2/8/2o2-Z Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: 0 Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: 7 Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 7/Yes ❑ N/A LIDA "Yes ❑ N/A g(OK to Issue Permit Approved by Permit Coordinator: Date: Z( ID(1022 I:\Building\Forms\B1dgPernutRvw_RE S_1208021.docx Plan# }M F — 32 l l 2Z Floors 2 _ Large (O Bed rooms Small we 3 LAV Tub Li Basement \ Vent � 1st Floor 1 L3$ [ Vr LV' - � r'"v . 1 Water Heater ) 2nd Floor 5 73 ✓ AC N �f 3rd Floor School /\5S R-3 Total 32.1 Ta+vt, cpv$1 0� Garage u.P SS Total 3$(o(p G� FAY-- (Th ,M. #for Elec / v ,t', ) rn► S�` yy`�.'r a tp v l c G��` Ar- ry\4 Cana r, c w� t « 62-An.-49` p tvn ..bcr—e1/4— . l,l 6 l .l(z) 0 ,r yS - 1" tar. .11/%rroJ%1^-4- Plan c� ,9.e.-( , % k°s 3 c c>ev RETURN RECORDED DOCUMENT TO: CITY HALL RECORDS DEPARTMENT CITY OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 Space above reserved for Washington County Recording information PRIVATE STORMWATER FACILITIES AGREEMENT This Agreement is made and entered into this day of ,20_,by and between the CITY OF TIGARD, a municipal corporation of the State of Oregon (City) and Westwood Homes (Owner). RECITALS A. Owner has developed or will develop the Facilities listed below. (List the type of private stormwater facilities on site and the quantity of each type). Facility type (list each) Flow-through Planter Quantity 183 square feet Facility type (list each) _ Quantity Facility type (list each) Quantity B. The Facilities enable development of property while mitigating the impacts of additional surface water and pollutants associated with storm water runoff prior to discharge from the property to the public storm water system. The consideration for this Agreement is connection to the public storm water system. C. The property benefited by the Facilities and subject to the obligation of this Agreement is described below or in Exhibit A(Property) attached hereto and incorporated by reference. See Attached Exhibit A D. The Facilities are designed by a registered professional engineer to accommodate the anticipated volume of runoff and to detain and treat runoff in accordance with Clean Water Service City's Design and Construction Standards. E. Failure to inspect and maintain the Facilities can result in an unacceptable impact to the public storm water system. NOW, THEREFORE, it is agreed by and between the parties as follows: Page 1 —Private Storm water Facilities Agreement 5001436792 2/9/2015 1. OWNER RESPONSIBILITIES. The City shall provide Owner an Operations and Maintenance (O&M Plan) for each facility. Owner agrees to operate, inspect and maintain each Facility in accordance with the current O&M Plan and any subsequent modifications to the Plan. Owner shall maintain a log on inspection activities. The log shall be available to the City upon request during City inspections 2. DEFICIENCIES. All aspects in which the Facilities fail to satisfy the O&M Plan shall be noted as "Deficiencies". 3. OWNER CORRECTIONS. All Deficiencies shall be corrected at Owner's expense within thirty (30) days after completion of the inspection. If more than 30 days is reasonably needed to correct a Deficiency, Owner shall have a reasonable period to correct the Deficiency so long as the correction is commenced within the 30-day period and is diligently prosecuted to completion. 4. CITY INSPECTIONS. Owner grants City the right to inspect the Facilities. City will endeavor to give ten(10) days prior written notice to Owner, except that no notice shall be required in case of an emergency. City shall determine whether Deficiencies need to be corrected. Owner(at the address provided at the end of this Agreement, or such other address as Owner may designate in writing to City)will be notified in writing through the US Mail of the Deficiencies and shall make corrections within 30 days of the date of the notice. 5. CITY CORRECTIONS. If correction of all Owner or City identified Deficiencies is not completed within thirty(30)days after Owner's inspection or City notice, City shall have the right to have any Deficiencies corrected. City(i) shall have access to the Facilities for the purpose of correcting such Deficiencies and (ii) shall bill Owner for all costs reasonably incurred by City for work performed to correct the Deficiencies (City Correction Costs) following Owner's failure to correct any Deficiencies in the Facilities. Owner shall pay City the City Correction Costs within thirty(30)days of the date of the invoice. Owner understands that this is a debt owing to City. In addition, Owner agrees that upon non-payment, City Correction Costs shall be secured by a lien on the Property for the City Correction Cost amount plus interest and penalties. 6. EMERGENCY MEASURES. If at any time City reasonably determines that the Facilities create any imminent threat to public health, safety or welfare, City may immediately and without prior notice to Owner take measures reasonably designed to remedy the threat. City shall provide notice of the threat and the measures taken to Owner as soon as reasonably practicable, and charge Owner for the cost of these corrective measures as provided in Paragraph 5. 7. FORCE AND EFFECT. This Agreement shall constitute an equitable servitude or covenant running with the land and shall bind all owners of the Property present and future, and their heirs, successors and assigns. 8. AMENDMENTS. The terms of this Agreement may be amended only by mutual agreement of the parties. Any amendments shall be in writing, shall refer specifically to this Agreement, and shall be valid only when executed by the owners of the Property, City and recorded in the Official Records of the county where the Property is located. 9. PREVAILING PARTY. In any action brought by either party to enforce the terms of this Agreement, the prevailing party shall be entitled to recover all costs, including reasonable attorney's fees as may be determined by the court having jurisdiction, including any appeal. 10. SEVERABILITY. The invalidity of any section, clause, sentence, or provision of this Agreement shall not affect the validity of any other part of this Agreement, which can be given effect without such invalid part or parts. Page 2—Private Storm water Facilities Agreement 50014-36792 2/92015 IN WITNESS WHEREOF, I hereunto set my hand on this day of ,20 Name of Corporation Signature Address Title STATE OF OREGON ) ) ss. County of Washington ) This instrument was acknowledged before me on (date)by (name(s)of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed). Notary's Signature My Commission Expires: CITY OF TIGARD Accepted on behalf of the City of Tigard this day of ,20 By: (City Engineer) Page 3 —Private Storm water Facilities Agreement 50014-36792 2/9/2015