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Permit Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, e Lad, v i s e istn,St'fttL nv, , am the general contractor or the owner-builder at the following address: Site Address: 1�35 1 s co ddQ j 1 t`t.„ ©ci City: ..—, X. ��� Permit#: 3 A02 , l - ores o Subdivision/Lot#: I1 1n/t , U Y l!Y a vi o and/or Map and Tax Lot#: L 4, To conform with the 2017 Oregon Residential Specialty Code(ORSC), Section R318.2 and OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes,the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: .::Ifrr +R 40 , Date: I o23/r9c2 lip eral Cont . . or Ow 1 er-Builder 1:113ui Iding\Form1HES-MoistureContentAcknow ledgement_022018 Oregon Residential Specialty Code M1505.4 Balanced Mechanical Whole-House Ventilation System Installed PermitNo.: ry�s�OQ.2 - naS3(0 Jurisdiction: -�r p Site Address: 15., 3) C} Subdivision/Lot#: ,(J. and/or Map and Tax Lot#: 0k By my signature below, I certify that the Mechanical Whole-House Ventilation System has been installed at the address listed above per the requirements of the Oregon Residential Specialty Code and Section M1505.4. Signature: �: .�v A7� Date: LI d' 'J /c9 dr- ontractor h ut oriz . T gen Print Name: , ,, - 0021, 1:1Building\Forms\RES-H ighEffic iencyLighti ngAcknowledgement_0220I 8 Oregon Residential Specialty Code R408.1 MOISTURE BARRIER ACKNOWLEDGEMENT FORM I, ` ui 5'r �Y , am the general contractor or the owner-builder at the following address: Site Address: 1 t t p , �, p .(t(t�96f� CA- City: I n �T c r{ Permit#: Subdivision/Lot ,� fAYI n. SAW)VVL. and/or Map and Tax Lot#: 1 D I, To conform with the 2017 Oregon Residential Specialty Code(ORSC), Section R408.1 Ventilation. I am notifying the building official that I have installed the Moisture Barrier as per Requirement in ORSC Section 408.1 and have taken the following steps to meet this code requirement: EThe ground surface of the under-floor space is covered by a Class I vapor retarder or other approved materials, with C Joints lapped 12 inches at seams and E Extending up the foundation walls 12 inches. Signature: ,sa,,,.__-� � Date: I 60 3 /4� eral Co -act'r or 111 I:1Build inglForm\RES-Mo istureBarrierAcknowledgement_o22o 18 Gale Contractor Services, 15865 SW 74th Ave Suite gale Tigard,, O OR 97224 503-443-2298 contractor services Job Info: Chad E Davis Construction 15391 SW Silkwood CT Tigard, OR Lot 10 CFM @ 50Pa 983 Volume cuft 21,513 ACH 2.74 Date 11/14/2022 Completed by: Ramon Parra 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 `I111 Is Transmittal Letter r I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Matt Weatherdon/Val Howland JUN 2 2022 COMPANY: Chad E. Davis Construction LLC CITY OF TIGARL) PHONE: 503-357-8587 BUILDING DIVIS T. EMAIL: VaIH@chadedavisconstruction.com RE: 15391 SW Silkwood Court MST2021-00530 (Site Address) (Permit Number) Bull Mountain Summit—Lot 10 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 copies Revisions: 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: Submitting reverse layout to match site plan for Bull Mountain Summit Lot 10-15391 SW Silkwood Court(MST2021-00530) No other changes. 3 copies of each document is attached here. 012 OFFICE USE ONLY Routed to Permit Technici : e: Le 'Z-- Initials: Fees Due: Yes No Fee Descriptio2n: Amount Due: N) b P E ss 0---,,,, Special Instructions: Reprint Permit(per PE): 1-1 YesNo n Done Applicant Notified: Date: C,// j _ Initials:oci j City of Tigard liM COMMUNI l'Y DEVELOPMENT DEPARTMENT II 7iGARD Building Permit Review — Residential I Building Permit #: N ST 2021 -00 CD Site Address: j\0 v S j( kt' Gt- Project Name: , ,E U (j /A- p O i. Iv' S (J V141Nt 4— Lot #: r 0 r Planning Review 1* Skhm i - rc✓ris c. l—7 IA "ore.i st,ffl/4" Proposal: thJkeiL 4.01-60/LeiYIS*1. . dwc( , ) Verify address/suite# active in Accela. ❑ In River Terrace: No ❑ Yes, River'Tema a Review Addendum Site Plan Elements: pa.rosion Control r I$3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper • s )yawn to scale (standard architect or engineer scale) Footprint of new structure(including decks)and FIT North arrow Utility locations&easements(required for new and additions) ite address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) . s sc c s )11 Lot dimensions and building setback dimensions ?Street tree size,type and location ❑ '>.lrt f d— 4tStreet names C•.r"tiD}! it.act u.c';Tnr'ire Corner elevations(2'contours if more than 4'differential) Dfll Au area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? It Yes ONo impervious area(applicable if R 7,R 12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes`k]No Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No . e Required:t [ ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Q SIB'Ex,iiirtitin for No Received: ❑ Yes ❑ No gl Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified SA 10 Applied For. ❑ Yes ❑ No,stop intake [ ) Land Use Case #: $'L/6`j 20 21) -(,iO Q ( 0 Zoning: Required Setbacks: Front: I _ Rear: L 51 Side: 5' Street Side: '7-011 Q' Garage: D i [X) Building Height: Max. Height: 35' Actual Height: �� 12Landscape Area: % I.ot Coverage Max: % Entrance A Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows rio Minimum 12%of area of all street-facing facades Garage 0 Garage door is behind widest street-facing wall ❑ Yes 0 No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ) Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2'0 floor. E;ii Garage door width is © 12'or less dii1 SQ%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof eave 0 Roof offset 0 Fire shingles ❑ Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding E Window trim ❑ Window recess 0 Window projection 0 Balcony pi Visual Clearance ❑ Urban Forestry Plan . El Yes ($ No Type: ❑ Conditions met prior to issuance of building permit Notes: t Li Approved By Planning: ._ AljAIL foil,14frietki4 Date: ._____ Sir.ai Revisions after Building Submittal only) i : .-iewer d". � Date -.1tfit',Pitt ) � /4:. j' Approved El Not Approved l0 ZF3 2-2- Revision 2: 0 Approved 0 Not Approved l:\Buildungfonrs\BidgPermitRvw_RES_122419.does Building Permit Submittal Original Submittal Date: t I t 5/202/ Site Plans: Building Plans: # Building Permit#: Cta'Enter building permit#above. Workflow Routing: Er Planning f 'Engineering a Permit Coordinator 'Building Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: g--Engineering: (1) copy of permit application, (1) site plan,(1) building plan and original plan review routing form. • CBuilding: original permit application,site plans;building plans,engineer and beam calculations and tr st details,if applicable,etc. Notes: By Permit Technician: i ' Date: ( d372 )2I Engineering Review Li'Slope at building pad: 2 % ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat cir Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes L "No Assess Water Quantity Fee in-lieu: 0 Yes R'No LIDA Facility on lot: 0 Yes 13'No ❑ Final Plat Recorded: Li NOT Approved by Engineering: Date: Notes: Do not (4 I(G14 ( d -6 1))S oe W-+eal ',�/ �/>L /S r' (c rfitC� [''Approved by Engineering: "77'411 /3i-7z Date: 12-/('i/UZ I Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit Approved,NOT Released: A p s It " F�L Date: (y115 2 2( Notes: tt Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: 0 Received A Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: A yes 0 N/A Tigard Trans SDC: . 'Yes ElN/A Parks SDC: ,�1 Yes 0 N/A I.IDA ❑ Yes zr N/A OK to Issue Permit Approved by Permit Coordinator: Date: 3jZL /Zc2z_ I:',Bui Iding\Forms\Bldg Perm itRvw_RES_1224 19.docx II CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit it: MST2021-00530 Date Issued: 05/25/2022 T f G A II.f t 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108AB01300 Jurisdiction: Tigard Site address: 15391 SW SILKWOOD CT Subdivision: BULL MOUNTAIN SUMMIT Lot: Project: Bull Mountain Summit, Lot 10 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1053 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1504 sf Garage: 514 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2557 sf Value: $360,250.98 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bekflw Prevntr: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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 Fdc 0 Ea add9 500 sf: 5 201-400 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+amplvolt: 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 2557 Owner: Contractor: KEMMER RIDGE LLC CHAD E DAVIS CONSTRUCTION Required Items and Reports(Conditions) 12555 SW HALL BLVD 2808 19TH AVE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 FOREST GROVE,OR 97116 PHONE: PHONE: 503-357-8587 FAX: Total Fees: $40,289.62 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 Q ,..nr11-nnln fhrro,nh AP 0c911M-nno Vni, nhfain v rnnv of that ndate nr Aire t n„aefinne to ell INC by Tallinn AM 9A9 10A7 nr I Ann TV)9'i4el Issued By: 4 '" 1 et Permittee Signature: Tke2 t1 t /1CQ 41 a/ Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. V 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. • , 1 �� Building Permit Application I/ _ _ Residential RECEIVES. FOR OFFICI: I SF°NI,1' Received ( `j �q� "L1� Permit No. City of Tigard DateBy: I^ 17%.702/ %� a / /O - 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 5 2021 plan Rev ew /=�3 AA- m!R2O4-'OO 3/4- Inspection 503.718.2439 Fax: 503.598.1960 Date/By: J ]r3T� Other Pe T Ins ection Line: 503.639.4175 CITY OF TI GARD Date Ready/By: /L2 Jar : ® See Page 2 for (!GARD P g g BUILDING DIVISION tified/Metho . ( Supplemental Information Internet. www.ti azd-or. ov TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ® New construction ❑Demolition Permit fees*arc horsed on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 7� 1% Valuation: $ (250 a ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building El Multi-familyNumber of bedrooms:4 ❑Master builder ❑Other: Number of bathrooms 3 JOB SITE INFORMATION AND LOCATION Total number of floors:2 3C11 t Job site address:15391 SW Silkwood Ct New dwelling area: 2557 square feet I5D City/State/ZIP:Tigard, Oregon 97224 Garage/carport area: 614 square feet 106 Suite/b►dg./apt.no.: Project name:Bull Mountain Summit Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Bull Mountain Summit I l.ot no.:10 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. New Construction -Single Family Residential Valuation: $ Plumbing Permit - 1 Backflow Device needed per lot Existing building area: square feet New building area: square feet .IaU:E .K 4Z&1 11:11yaTR , v\al:Stb. 4,,L: 0 TENANT Number of stories: y„r rv% hJ , .. Name:Chad E. Davis Construction LLC Type of construction: Address:2808 19th Ave Occupancy groups: City/State/ZIP:Forest Grove, Oregon 97116 Existing: Phone:( )503-357-8587 Fax:( ) New: "I;x� ' APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* :; ® (Please refer to fee schedule) Business name:Chad E. Davis Construction LLC Structural plan review fee(or deposit): Contact name:Matt Weatherdon FLS plan review fee(if applicable): Address:2808 19th Ave Total fees due upon application: City/State/ZIP:Forest Grove, Oregon 97116 Amount received: Phone:( )503-357-8587 Fax: :( ) E-mail:ValH@chadedavisconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Chad E Davis Construction LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:2808 19th Ave Solar Installation Specialty Code checklist. City/State/ZIP:Forest Grove, Oregon 97116 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( )503-357-8587 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:154184 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ��CLf//Q within 180 days after it has been accepted as complete. *Fee methodology set by 7 ri-County Building Industry Print name:Chad E. Davis Date:11.15.2021 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t, Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard IIIIReceived . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. O. ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. e. El 0 3 Verification of approved plat/lot. ® 0 0 4 Fire district approval required. Name of district: . ® El 0 5 Septic system permit or authorization for remodel. Existing system capacity ® 0 El 6 Sewer permit. .e 0 0 7 Water district approval. N 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ® ❑ 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- N El ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® ❑ 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed 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 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, N 0 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- / ❑ ❑ 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. 121 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 ❑ 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 N 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ® 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists N ❑ El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. IZ 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required N 0 El 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 ® ❑ ❑ architect licensed in Ore•on and shall be shown to be a.p licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". N 0 • 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. N ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. N 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ® El El 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard N ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ZI ❑ ❑ 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 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:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB) ' Mechanical Permit Applicatinm. ' Received FOR OFFICE USE ONLY 1, City of Tigard ������ • Date/By: PemutNo.: l�(si 2o2( be�53D ;IN • 13125 SW Hall Blvd.,Tigard,OR 97223 ��. 111 i Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 Nov 5 O�" Date/By: Other Penult: 1 I GAR U Inspection Line: 503.639.4175 Date Ready/By: tuns. WI. See Paget for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees°are based on the value of the work �� New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:15391 SW Silkwood Ct Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/state/ZIP:Tigard, Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Bull Mountain Summit Ductwork 8 23.32 186.56 Cross street/directions to job site: 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 Other: 23.32 Subdivision:Bull Mountain Summit Lot no.:10 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert t 33.39 33.39 Flue vent for water heater or gas New Construction - Single Family Residential fireplace 1 23.32 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Plumbing Permit - 1 Backflow Device needed per lot Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 - Environmental exhaust and ventilation: Name:Chad E Davis Construction, LLC Range hood/other kitchen1 33.39 equipment 33.39 Address:2808 19th Ave Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Forest Grove, Oregon 97116 Single-duct exhaust(bathrooms, 3 69.96 toilet compartments,utility rooms) 23.32 Phone:( )503-357-8587 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name:Chad E Davis Construction LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Matt Weatherdon Furnace,etc. Address:2808 19th Ave Gas heat pump Wall/suspended/unit heater City/State/ZIP:Forest Grove, Oregon 97116 Water heater Phone:( )503-357-8587 Fax: :( ) Fireplace Range E-mail:VaIH@chadedavisconstruction.com Barbecue CONTRACTOR Clothes dryer(gas) . Business name:Pyramid Heating and Cooling Other: MECHANICAL PERMIT FEES* Address:9409 NE Colfax Street Subtotal City/State/ZIP:Portland, Oregon 97220 Minimum permit fee($90.00) - -- Plan review(25%of permit fee) Phone:( )503-786-922 Fax:( ) State surcharge(12%of permit fee) CCB lic.:59382 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 /JfJ-GTi + days after it has been accepted as complete. Authorized signature: ��/l ( p4-GY-Q • Fee methodology set by Tri-County Building Industry Service Board Print name:Chad E. Davis Date:11.15.2021 I9Building\Permits\MEC_PermitApp_040113.doc 440-4617r(11/02/COMNlEB) Electrical Permit ApplicatiolltBECEIVE . ZOZt Received Pennite 7 City of Tigard NOV 15 L Re eive ���Lt-60530 13125 SW Hall Blvd.,Tigard.OR 97'_23 Plan Rev;cw C Phone: 503.718.2439 Fax: 503.598.196 Date;➢y: Related Permit CITY OF TIGARD ® See Page Line; 503.639.4175 Ready Date By i for TI"aRD.. Internet: u w.tigard-or.gov BUILDING DIVISION Notified Method. Supplemental Information , TYPEOF'WORK _ PLAN REVIEW ®New construction ❑Addition'altcrationireplacenlent Please cheek all that apply(suhmim 2 sets of plans witems eneckedl'. ❑Service or feeder 400 amps or more 0 Building over three stones. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. I g 14.000 ❑Commercial-use agricultural I-anddwellin loss round.or exceeds ® 2-family g ❑Commercial/industrial ❑Accessory building 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 ❑ mrgoncy system. larger separately derived ❑Addition of new motor load of system. Job#: j Joh site address:15391 SW SilkwOOd Ct 10011P or more. ❑"A "E"."1-2- "i-3 ❑Six or more residential units occupancy. City/State/ZIP: ❑Health-care f,cilities. ❑Recreational vehicle parks Suitebld /a t.4: ( Pro1 ect name:Bull Mountain Summit ❑Harrrdous locations 0 supply voltage for more than g• P 0 Semen or(esker 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Descnyrtl"a __ I 0ev. I [sell I _ fatal I ' Now residential single-or multi-family dwelling unit. Subdivision;Bull Mountain Summit Lot#: 10 Includes attached garage. ,J 1,000 sq.ft.or less { 168.54 t62sS11 4 '1-ax map:'pareel e: fill. Ea.add'1 500 sq.R.or ponion 33.92 b1,fit( I DFSGIiIP'f7ChN OF WORK rt'v •�t7^,tt;' Limited energy,residential 75.00 n New Construction - Single Family Residential (with above sq.ft.) Limited energy.multi-family 5 residential(with above sq.ft.) 7-'00 Renewable Energy ❑ See Pape 2 gl pB.OFERTV OWNER r— ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Chad E Davis Construction, LLC 200 amps or less 100.70 2 Address:2808 19th Ave 201 snips to 400 amps 133.56 2 401 amps to 600 amps 200_14 2 City/State/ZIP:Forest Grove, Oregon 97116 601 amps to 1.000 amps 301.04 2 Phone:( 1503-357-8587 j Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:ValH@chadedavisconstruction.com relocation Owner installation:This installation is being made on property that I own which is not 200 snaps or leas 5936 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 i -0 APPLICANT I . ® CONTACT PERSON Branch circuits new,alteration,or extension, panel circuits Fee for branch circuits mitt/ Business name:Chad E Davis Construction, LLC above service or feeder fee, 742 2 each branch circuit Contact name:Matt Weatherdon a Fee for branch circuits nilh.n,t service or feeder fee,fast 56 l8 Address;2808 19th Ave branch circuit City/State/ZIP:Forest Grove, Oregon 97116 Each add'lbranch circuit 7,42 2 Miscellaneous(service or feeder not included) ^J Phone:( 1503-357-8587 Fax: :( ) Each manufactured or modular 67.84 dwelling,service and/or feeder Email:Valli@chadedavisconstruction.eom Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Platinum Electric Inc Sign or outline lighting 67.84 - Signal circun(s)or limited-energy ❑ See Page 2 2 Address;4676 Commercial Street SE#248 panel,alteration,or extension. City/State/ZIP:Salem, Oregon97302 Each additional inspection over allowable in any of the above ty _ Additional inspection(1 hr min) 66.25..hr Phone:( )503-510-5173 Fax:( ) Investigation(1 hr min) 90.00i hr r lndustnal plant(1 hr min) 78.181 hr f Email \ l C CC AU CV' e 1`t C it-/-'1 L N- elm C ci.T, Jo t 1— Inspections for witch no fee is q(100 hr CCB Lie.:172027 1 Electrical Lice L)-1�l uprv.Lic.: 3--)(I S 5oecthrails limed( -hr mini i ELECTRICAL PERMIT FEES Suprv.Electrician signature.required: 8a4e. Subtotal: ')._,j(p r 38 I 1 n , ❑Plan Review Required l25%of permit fee): i I Print name: 7r� IJtt'1(rlt�lq. Date: —t ti , /J�� � State surcharge(12"/"of permit fee): �s, 3 6Authorized signature: ColeZd7i�POw.r.c. TOTAL PERMIT FEE: )(D((,'")l( This permit appileation expires if a permit is not obtained within ISO Print name:Chad E. Davis Date: 11.15.2021 days after it has been accepted as complete. d" • Number of inspections allowed per permit. I:'iluikiin'Pumas`FJ.0 PcrmitApp ELR ERE.doe Rcs 0617,2015 49116151'[11,5 c01bWEB , Plumbing Permit Application (� Building Fixtures RECEIVE E . N FOR OFFICE USE ONLY City TigardData of NOV 15 2021 Received r By: Permit No.: ,S .'L.tJ^nu' JaO 13125 SW Hall Blvd.,Tigard,OR 97223 .11114 S Plan Review Phone: 503.718.2439 Fax: 503.598.196p Da[eB Other Permit No.: Inspection Line: 503.639.4175 I.ITY OF TIGARD }' TIGARD RI Internal: v,�aw.tigard-or.gov RIMMING DIVISION' Date ReadyBy: Inds. ElSee Page 2 for Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑ Demolition For special inJorinarion use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 2.5 1 437.78 437.78 Cl Accessory building Cl Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 Cl Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:15391 SW Silkwood Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard, Oregon 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Bull Mountain Summit Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Bull Mountain Summit I Lot no.:10 Fixture oritem: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwatervalve 12.51 Clothes washer 25.02 New Construction - Single Family Residential Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Plumbing Permit - 1 Backflow Device needed per lot Ejectors stump 25.02 ® PROPERTY OWNER I Cl TENANT Expansion tank 12.51 Name:Chad E Davis Construction, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:2808 19th Ave Garbage disposal 1 25.02 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Hose bib 2 25.02 50.04 Phone:( )503-357-8587 Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name.Chad E Davis Construction, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Weatherdon Roof drain(commercial) 12.51 Address:2808 19th Ave Sink/basin/lavatory 3 25.02 75.06 City/State/ZIP:Forest Grove, Oregon 97116 Solar units(potable water) 62.54 Phone:( )503-357-8587 Fax: :( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:ValH@chadedavisconstruction.com Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater 37.52 Business name:The Mullen Company Waterpiping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 Fax:( ) //;3-1)3 Minimum permit fee: $72.50 3�A 60/ 6 Plan review (25%of permit fee) CCB Lic.:92689 Plumbing Lic.no.: ��� � 7-� State surcharge(12%of permit fee) Authorized signature: eitezd (ICe. . s TOTAL PERMIT FEE Print name:Chad E. Davis Date:11.15.2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. L\Building\Penmis1PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) 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-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 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 Valuation: Permit Fee: Storm&Rain Drain-1st l00' 1 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 P 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: 3 187.62 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 Quantity by Fixture Type Plan review is required for any of the following. Fixture'J'ype for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptist Font ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. -Commercial ElAny multipurpose fire sprinkler system. D- omestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Iav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: l:lBuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application Building Fixtures RECEIVE . FOR OFFICE USE ONLY City of Tigard NOV I Received 5 LOZ' Date/By: Permit No.: r ■ 13125 SW Hall Blvd.,Tigard,OR 97223 S I �Z 1-00 53 o II Plan Review Phone: 503.718.2439 Fax 503.598.196 Other Permit Inspection Line: 503.639.4175 �ITY OF TIGARD Date/By: TIGARD Internet: www.ti and-or. ov �R(jl9 Dryl N^ G NoteRd/Melo: kris: El See Page 2 for g g - A.,L.+ 1,4, DlVI�IQn Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®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 Igl 1-and 2-tamily dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building El Multi-familySFR(3)bath 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:15391 SW Silkwood Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard, Oregon 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Bull Mountain Summit Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Bull Mountain Summit I Lotno.: 10 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 1 12.51 12.51 _--- Clothes washer 25.02 New Construction -Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Plumbing Permit - 1 Backflow Device needed per lot Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Chad E Davis Construction, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:2808 19th Ave Garbage disposal 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Hose bib 25.02 Phone:( )503-357-8587 Fax:( ) Ice maker 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Chad E Davis Construction, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Weatherdon Roof drain(commercial) 12.51 Address:2808 19th Ave Sinlc/basin/lavatory 25.02 City/State/ZIP:Forest Grove, Oregon 97116 Solar units(potable water) 62.54 Phone:( )503-357-8587 Fax::( ) Tub/shower/shower pan 12.51 E-mail:ValH@chadedavisconstruction.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:The Mullen Company Waterpiping1DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro, Oregon 97123 Subtotal Phone:( )503-640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lic.no.: Plan review (25%of permit fee) 7� State surcharge(12%of permit fee) Authorized signature: Citaaf CLW.d TOTAL PERMIT FEE Print name:Chad E. Davis Date:11.15.2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp_doc I0/01/09 440-4616T(10/02/COM/WEB) City of Tigard INNI COMMUNITY DEVELOPMENT DEPARTMENT C . TIGARD Building Permit Review — Residential F Building Permit #: N ST 2.02t O O Site Address: 1\0'q ( 5V7Si( k► Gf• Project Name: , , U CI lit p j vL 4-Ci i i -S u Vl.t yN,i- Lot #: o Planning Review Proposal: 4 V I4 Y ,L d l f`ly Verify address/suite # active in Accela. ❑ In River Terrace: )No ❑ Yes, River Terrace Review Addendum Site Plan Elements: Prosion Control 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper nu t t a ' a t s I drawn to scale(standard architect or engineer scale) NFootprint of new structure(including decks) and FFE 4North arrow pUtility locations&easements(required for new and additions) ite address,project or subdivision name and lot number �lSidewalk/driveway approach Applicant information(name and phone number) s sep c sy )Lot dimensions and building setback dimensions ?Street tree size,type and location re f Street names Comer elevations(2'contours if more than 4'differential) Plot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? MYes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes' No Required: El Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No a — Required: El Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No . s No Received: El Yes ❑ No gi Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified A No Applied For: pp ❑ Yes ID No,stop intake LP Land Use Case#: eSG/fj 24 20 -moo 1 vl Zoning: I`- p Required Setbacks: Front: 15 Rear: G 51 Side: 51 Street Side: I Q t Garage: 20 1 ! l Building Height: Max. Height: 3 S t Actual Height: 2i3 i ® Landscape Area: % 0 Lot Coverage Max: ��j % Entrance A Set back no more than 8'from street-facing wall A Parallel to street or offset 45 degrees or less Windows P Minimum 12%of area of all street-facing facades Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ® No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. Xi Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2md floor. 6d' Garage door width is El 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance El Wall offset ❑ 1'Roof eave ❑ Roof offset El Fire shingles ❑ Lap Siding El Roof pitch El Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony p Visual Clearance ❑ Urban Forestry Plan `;an. ❑ Yes l No Type: ❑ Conditions met prior to issuance of building permit Notes: yn Approved By Planning: VV) Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: [ 55/2O2/ Site Plans: # yi yj Building Plans: # 'J Building Permit#: L Enter building permit#above. Workflow Routing: El-Planning !Engineering 2'Permit Coordinator C'Building Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: UkEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. I,�Building: original permit application, site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: / J/ By Permit Technician: i'A Date: /;(L d 372)2f Engineering Review ((( { 'Slope at building pad: 2 ./ 0 Conditions "Met"prior to issuance of building permit O Easements (encroachments) per engineering conditions of approval and plat 2/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes V No Assess Water Quantity Fee in-lieu: 0 Yes Er No LIDA Facility on lot: ❑ Yes 2""No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Do nat r'2le'J4 on-h-1 Cpmal+(,?J ?S a e w,of -.- i t%. / i S rr��, o%�( LKApproved by Engineering: "Troll 13I:7 Date: I L/1`(/ZOZ I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit jzr Approved,NOT Released: 'Feud �( - 4- P- Date: (L5 12024 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received A Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 41 Yes ❑ N/A LIDA ❑ Yes Z N/A OK to Issue Permit Approved by Permit Coordinator: Anwy Date: 3/iL(/2o22 I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Plan# IyIIY!-2.557— Floors - Large Bed rooms Small -7 le we 3 Tub 33 LAV arm�" E Basement � � � ovi ridv-4-..A4—c" Vent S 1st Floor l bS-3 Water Heater I 2nd Floor 15j by AC f� 3rd Floor /_ School) �,,e3 R-3 Total 1.- 7 i(/til IthL Garage [7G1� oc-Q Total 3U —7 I 1-0..c ") L•-1 #for Elec 1) PUP.ASs-- 4---u2 v,i; I -4`v -c-ann -1- Ito( . I (2) Yr-e %4 e* l oS. 3 t�1 tU PS; 3