Permit •
CITY OF TIGARD MASTER PERMIT
� ' '' COMMUNITY DEVELOPMENT
Permit#: MST2022-00269
T I GARLD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 1/0 312 022
• Parcel: 2S114AC00500
Jurisdiction: Tigard
Site address: 9212 SW WAVERLY DR
Subdivision: EAGLE VIEW ESTATES Lot: 2
Project: Eagle View Estates, Lot 2
Project Description: New attached ADU. Alternate Means and Method of fire separation reviewed and approved by
building official.
BUILDING
• Floor Areas- Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 871 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1431 sf Garage: 534 15 g sf Front: Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 2302 sf Value: $382,444.04 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:- p 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: 2 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 af: .4 201-400 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: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW ADU VB R-3 2302
Owner: Contractor:
CBG SW 76TH AVENUE CANOPY BUILDING GROUP Required Items and Reports(Conditions)
15962 SW BOONES FERRY RD STE 15110 SW BOONES FERRY RD STE 500 1 Ersn Cntrl 503-639-4175
202 LAKE OSWEGO,OR 97035 2 Fire Rated Conditions
LAKE GROVE,OR 97035
PHONE: PHONE: 541-600-5146
FAX:. .
Total Fees: $32,164.62
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 re ou to follow the rules adopted by the Oregon Utility Notification Ce ter. Those rules are set fo in OAR
ox9-nfN-OR1n rhrn u AP o69-nfJ/ Vn I faint rnnv of tha n iloa nr,tiron+ni,aefinna+n ru WC by rallin`FM 9'19 7 nr 1 Finn vv9 9vdd
Issued By: Permittee Signature:
Call 503.639.4 by 7:00 a.m.for the next available inspection d .
This permit card shall be ke t in a conspicuous place on the job site until co etion of the project.
Approved plans are required on the lob site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard Date/Bed 7/7/MrA1�"�"� ����ri 14 .413125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 7 2022 {!�
Plan Review , lirillt • r
Phone: 503.718.2439 Fax: 503.598.1960 DateB : t dAIMEMI
TIGAAD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready By: tuns: ® gee Paget for
Internet: www.tigard-orgov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
I New construction ❑Demolition Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for t
CATEGORY OF CONSTRUCTION work indicated on this application. 39,- 1 1.414 � 0
-and 2-familydwellingValuation: S 6 /
v 0 Commercial/industrial —�r�—--
.3�C
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other Number of bathrooms: ✓ l 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z33(
Job site address. 'C/�P a ti� I + New dwelling area: e)3a� square feet 143 (
City/State/ZIP: ( `ll 4_ r 6 R- Garage/carport area: 01 square feet Cal(
Suite/bldg./apt.no.: t! yprojeci name: to V,al,��� , Covered porch area: / II=2. square feet l
Cross street/directions to job site: /� Aye / w cc5...6 Deck area: square for
I /� V !/ /v� Other structure area: t
square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ‘e `V ` Oc r/f �,.k t'LC Lot no.: /1 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: V ` Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
(� DESCRIPTION OF WORK 'I V,/ work indicated on this application.
- g64A i-o f db10 N1d2
tut A)In. .� d`vd(`t - Valuation: $
64' O / Existing building area: square feet
New building area: square feet
PROPERTY OWNER
\/ ElTENANT Number of stories:
Name: C.664 SW (l6 4 5 Kt/Rift-4 l—
{{{��` C_`_ Type of construction:
Address: /.) 1 s- C� groups:
v A�� ) I d DA (/rT Occupancy
City/State/ZIP: by 1I 0 S�
4 /V c e 0• 2�. fifi.�3� Existing:
Phone:(�,�c) 1 5"P el J Fax:( .tY/"f
/" New:
4Q-APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
.Please refer tnfee schedule)
Business name: ��tVe h (
�'` Structural plan review fee(or deposit):
Contact name: � /V
Address: `�/ts
FLS plan review fee(if applicable):
����1 Q 6 � ` �r Total fees due upon application:
City/State/ZIP: G.✓z 0 e (�q ri- �� p pp'cation:
Phone:( ) Fart: : Nijs Amount received:
E-mail: nn //�� ��UU,., 7J, •f AC�/ �NJ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
S``\ V1 SCi�t" w 11•'_I Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C h 6, (, Submit two(2)sets of roof plan with connection details
K { r�^ and fire department access,along with the 2010 Oregon
Address: ti.q(9 la`Y`a•l9� `�C.l . ` pa- Solar Installation Specialty Code checklist.
City/State/ZIP: (A ic OS V` Permit Fee(includes plan review $180.00
666111 ��` and administrative fees):
Phone:(so?) Q�'/ r 73 Fax:( /t State surcharge(12%of permit fee): $21.60
CCB lie.: (( d•v10i3a3'g 'v
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
/' within 180 days after it has been accepted as complete.
Print name: S.�� C,/I/fy ti Date: 0 DO/y30�- *Fee methodology set by Tri-County Building Industry
/ Service Board.
I:1Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
1
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
•� Date,By Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits.
■ Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical ❑ Plumbing ❑ Mechanical
24-Hour Inspection Line: 503.639.4175
T l<0 1,n Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW es No N 1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. _ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. _ ❑ ❑
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: • 0 , ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0
6 Sewer permit. ❑ ❑ ❑
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 ❑plan ❑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 0 0 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
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, 0 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- ❑ 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 engineerin' standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 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 ❑ ❑ 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore.on and shall be shown to be a.plicable 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". 0 0 ❑
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. 0 0 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 ❑ ❑ ❑
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, ❑ 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.
C1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
RECEIVED Received
City of Tigard Eer,,,,, o
Date By:
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
Phone: 503.718.2439 AUG 1 rl Date/By: Other Permit.
Inspection Line: 503.639.4175
T I G A R D Date Ready/By: runs. ® See Page 2 for
Internet: www,tigard-or.gov CITY OF TIGARL Notified/Method: I Supplemental Information
Mail [Mr- niv/isION..
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
titNew 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 ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
N` . CATEGORY OF CONSTRUCTION Value $
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
.61-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi-family ❑ Master builder For special information use checklist.
❑ Other: Description Qty Ea. Total
.JOB SITE INFORMATION AND.LOCATION Heating/cooling:
///��� ,� ! 1 ;yam ' fl
Job site address: 1 •)- ,i ll y I ryt /SD Air conditioning 46.75
_I L/ �+ Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP: � � Furnace 100,000+BTU(duclssents) 54.91
Suite Bldg./apt no.:� Project name: e UO co e�jes" Heat pump 61 06,
W W A.1 /514)
'N Duct work 23 32
Cross streeUdirections to jab 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
� J Flue/vent for any of above 23.32
Subdivision: 6 - ( V ls ea) ec--�I�_r,l� Lot no.: a Other: 23.32
Tax map/parcel no.: ��� 111�L���000YYf����� Other fuel appliances:
Water heater 2332
I DESCRIPTION OF/WORK Gas fireplace/insert 33.39
VVVV
1 W � CCC ((( "--1,(h Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
lie-PROPERTY OWNER 0 TENANT Other: 23.32
Name: I� ) !` `� `'�/ Environmental exhaust andventilalion:
G ( (�IYiI ` ��c yam' Range hood/other kitchen
Address: f y a /g. x_oo / v / equipment 33.39
City/State/ZIP:[ ( eJ ? s� Clothes dryer exhaust 33.39
�yQ Q i d iC. Single-duct exhaust(bathrooms,
Phone:(53 3) 7 T to '—? $'o Fax.( /A toilet compartments,utility rooms) 23-32
PLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: Fuel piping:
�.�,,, G, $14.15 for first four;$4.03 for each additional
Contact name:
' — - I0 Furnace,etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Water heater
Phone:( )
Fax: :( ) Fireplace
E-mail: Range
CONTRACTOR Barbecue
Clothes dryer(gas)
Business name: d Other
Address: d a I t i mac` ie MECHANICAL PERMIT FEES*
1V �� P' Illy / l'r �A Subtotal
City/State/ZIP:
�Da ��( Y Minimum permit fee($90.00)
Phone:(77( ) ftiy- js ' Fax:( /I/I Plan review(25%of permit fee)
CCB lie.: JaD t �J / State surcharge(12%of permit fee)
""IIJJ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
Authorized signature:
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: V n Date: 1?(. 2..p..../
I IhnIdinePennilslMEC_PemulApp_0A2520.doo 1' 440-4617T I/l12/ WE
,
Electrical Permit AP licatiop ECEIVED FOR OFFICE USE ONLY
City of Tigard Received Pemtit a,
• 13125 SW Hall Blvd.,Tigard,OR 97223 A U G Date By.
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Related Permit u:
Date By:
T[GARD Inspection Line: 503.639.4175 CITY OF TIGARL Ready Date/By: lens: ® See Page2 for
.- Internet: www.tigard-or.gov Notified/Method: Supplemental Information
81.1ll_DING DIVISin
TYPE OF WORK • PLAN REVIEW
ew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 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.
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Multi-family ID Master builder El Other: less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND L TION 0 Emergency system larger separately derived
❑Addition of new motor load of system.
Job#: 0 Job site address: ' omit ❑'A^ "E^ 'vz" 1-3"�''�"' I vUvwa ANILSix or m mres.
City/State/ZIP: I j- ^ �� 0 Six or more residential units. occupancy.
V- r VVV (� ❑Health-care facilities. 0 Recreational vehicle parks.
i.Suite/bldg./apt.#: z,._ )—Project name: a{� ❑Hazardous locations. 0 Supply voltage for more than
/ GGv�111• 0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: r I t,p4.0`1Vj FEE SCHEDULE
W tf— Description I Qty. I Each Total I '
A r /� New residential single-or multi-family dwelling unit.
Subdivision: /e,4 ic.I h I Lot#: Includes attached garage.
U_� t ' �f" ' 1,000 sq.ft.or less 168.54 4
Tax map/parcel#: C
Ea.add'l 500 sq.fl.or portion 1 33.92 1
DES rIO OF WORK Limited energy,residential
/
I/11/J (with abovee sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNER 1 0 TENANT Renewable Energy 0 See Page 2
� I �1/ �} Services or feeders installation,alteration,and/or relocation
Name: c_...v3 \, ' 6"(„/�,V,',�y 1i 7/,,/"1 n r 200 amps or less I 100.70 2
Address: I J �; v (� /� n _-! t J'/ lJ'IJ— 1 201 amps to 400 amps 133.56 2
111JJJ (� Y`G(�— r�7�\.y LLLC� ��---ddd� dd!ll1II 401 amps to 1,0 amps 301.04 2
City/State/ZIP: e �l� i�Y'7""``��{� 601 amps to 1,000 amps 301.04 2
Phone:( fI l ( ) -4 Over 1,000 amps or volts 552.26 2
�„ LliNc_olegrE3nx:
O5 It '/ �L- Temporary services or feeders installation,alteration,anrUor
Email: l�l �,QS4 tJ
relocation
Owner installation:This installation is being made on property that I o which is not 200 amps or less 1 59.36 1
intended for sale,leassent,or exphanpe,acco ' , ,6700,,gand 7Q1 7�.2,011 amps to 400 amps 1 125.08 2
Owner signature: /Z`>/�fl �s. Date: (]7�17 , /r'v'amps to 599 amps 168.54 2
cr APPLICANT 0 CONTACT' PERSON
Branch circuits—new,alteration,or extension,per panel
� A.Fee for branch circuits with
Business name: . I Y above service or feeder fee, 7 42 2
S , I each branch circuit
Contact name: P /'nl B.Fee for branch circuits without
Address: service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder
Email: 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
' Business namee'� 0.4..04.r /i Sign or outline lighting 67,g4 2
I 0 `� P ` Signal circuits)or limited-energy
J( ✓ljity 0 See Page 2 2
Address: e, a panel,alteration,or extension.
City/State/ZIP: 6 (+I 0 • �DDI Each additional inspection over allowable in any of the above
1?-7
/ Additional inspection(1 hr min) 66.25/hr
Phone:( �b / �1 � ( Fax:( Investigation(I hr min) 90.00/hr
Email: 1 I ��(/(/(/(Vyyy��� e(�yterr Industrial plant(1 hr min) 78.18/hr
`' , � ^ •-/ Inspections for which no fee is 90.00/hr
CCB Lic.: e� Electrical Lic.: To14,_ '[y(I ll`., Suprv.Lic.: G (.55 specifically listed(Yi hr min)
1 ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
'This permit application expires if a permit is not obtained within ISO
Print name: t', '-rat Date: 0(8) days after it has been accepted as complete.
/ ' Number of inspections allowed per permit.
1:1BuddinglPermvs1ELC PermitApp_Eut ERE.dac Rev 06/17/2015 440-461 T(11/05 OM/WEB
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:
5 kva or less 100.70 2
Check Type of Work Involved:
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:
❑ 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
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00,'hr
specifically listed('/,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:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
L\Building\Permits\ELC PermitApp_ELR_ERE.doe Rev 06/17/2015
Plumbing Permit Application
r
Site Utilities FOR OFFICE USE ONLY
City of Tigard RECEIVED Received
DateDate/By:■1 gan Permit No.:
_r` 13125 S W Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.196T'7 I 7 DateBy: Other Permit No.:
I.I C.A R ll Inspection Line: 503.639.4175 Date Ready/By: bins: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYP1 F Wl kt +'tl)1y1,�tO;' FEE* SCHEDULE
aNew construction ❑Demolition For special information use checklist.
Description 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
al_and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32 )(rb 33T
❑Master builder Each additional bath/ldtchen I 25.02
❑Other:
Fire sprinlder(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: u 1,^7, yin Catch basin or area drain 18.76
O /��! U' Drywell,leach line,or trench drain 18.76
City/State/ZIP: 67-0. r-f) L Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: r fir Manufactured home utilities 50.03
Cross street/directions to job site: 5 kr b J/fJ..„... �er Manholes 18.76
/ Rain drain connector ) 18.76 /5 ,.
r ((iy
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: ll Q V I ,t)
�p� � � f I Lot no.: a Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27 c 1 ir.,
D/E�SCRIIP�TION OF WORK Backwater valve 12.51
V eu ' , . jt, Clothes washer 25.02 a .v a
d� - I � 'l""l - n� Dishwasher II 25.02 `a S't3.
Drinking fountain 25.02
Ejectors/sump 25.02
• la PROPERTY OWNER„ , . . ],,TENANT ., , Expansion tank 12.51
Name: r „ Fixture/sewer cap 25.02
q�'� n Floor drain/floor sink/hub 25.02
Address: (� 6o, it I
City/State/ZIP: J p ��[ Garbage disposal ) 25.02 ��_6�
�� O ( �W' Hose bib / 25.02 a 5f a.
Phone:(!C)3) ((( .-�( it Fax:( AY. Ice maker 12.51
APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: e_ j- Medical gas(value:$_) Page 2
O (`��t Primer 12.51
Contact name: , J 1/
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( r ) Fax: :( ) Tub/shower/showerpan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet 25.02
Business name: i i i ��yke ' / Water heater 37.52 3�,
t` 1 ^ t Water piping/DWV 56.29
Address: I L(/_ Li
1 )(Rye ,,[� 7j ' b I (k 2 gw*, [&I Other: 25.02
City/State/ZIP: ( lam 1 ["Irk, e 1 2 12 O -o Subtotal
Phone:( 5 Lr y . 3 41'v e'! Fax:( N 0 ., Minimum permit fee: $72.50
c� l dd Plan review (25%of permit fee)
CCB Lic.: I g`�b� Plumbing Lic.no.: ,
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Q�� f lJ p�( Date: ��� ®� This permit application expires if a permit is not obtained within 180 days
after it hes been accepted as rnmplete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:/Building\Pemvts'PLMU-PermitApp.doc 10/01/09 440.4E 16T(10/02/COM/WEB)
,r
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
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: „ Permit• Fee:
Storm&Rain Drain-1st 100' 62.54 $I.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
Qty. Total each additional$100.00 or fraction thereof,to
Other_IiiSpe,-. • or Fees r Fee(ea) 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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/ Plan review is required for any of the following.
Work Performed: Capped Added Relocate Please check all that apply.
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -Each Stall
-Drive Thm D New exterior plumbing site utilities for any complex structure
Cas defined in OAR918-780-0040.
Dis
hwasher
s wa Asoirator
er -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
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 ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
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 work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
_water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet
Urinal plumbing permit can be issued.
Other Fixtures:
I:\Building\Permits\PLMU_PermitApp.doc 2
•
1111 City of Tigard
° COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Small Form Residential Supplemental (Non-RT)
Building Permit #: /115-o1,2 f (j- Project Name: eAeoc.: (71 E k/
Site Address: g212 5W wp,„-cr_c.-/ c 2: v at)
Lot #: - Total Existing Units: ❑ One 0 Two 0 Three
New Configuration: Single Detached 0 Duplex 0 Triplex ;fj +ADU
01/444a0 wd
Small Form Residential Standards S4a((e-
Setbacks 0 Front: i Rear: i r Side: Street Side: t'r Gara et_ 2b
Height 0 Max. Height: L1
gg Actual Height: � � Q
Landscape ❑ Landscape Area: ?A, % Lot Coverage Max: et-'
Entrance p Set back no more than 8' from street-facing wall
Parallel to street or offset 45 degrees or less G31Sthict
Windows Minimum 12% of area of all street-facing facades
Garage Garage door is behind widest street-facing wall
❑ Ys
jNo, and one of the following is met:
❑ Door extends no more than 5' from wall and there is a covered porch
extending beyond garage.
p'Door extends no more than 5' from wall and there is a 12 sq ft.
window above garage on 2nd floor.
Garage door width is:
❑ 12' or less
IA % or less of facade
or less and includes 7 of following: e
❑ Covered porch 0 Recessed entrance Ct Wall offset
V1' Roof eave ❑ Roof offset J21'Fire shingles
12f'Lap Siding 'Gable, hip, gambrel roof 0 Dormer
❑ Roof pitch 0 Accent siding li'4Vindow trim
❑ Window recess 2/Window projection 0 Balcony
Approved By Planning: Date: g' 2
I:\BuildingTonm\BNgPennitRylv_SFR SY,pylemmlal 070722 65 \it) CA
,^,,^,11
f .
City of Tigard
• a COMMUNITY DEVELOPMENT DEPARTMENT
IGARD Building Permit Review - Residential
Building Permit #: /ICT2Z.2. -
Site Address: ai2tZ `721VE
Project Name: rAc Lt- vi) Lot #:
Proposal: Aim./ , AITACHt-7 A
Land Use Case: Sut32olCt-0(2002. Zone: ees-e
Required Submittal Elements
gi'3,_copies of site plan Square footage of buildings to be demolished
El Drawn to standard scale ❑Footprint of new structure and FFE
di rth arrow v E] Retained trees, drip line / tree protection
Site address, project name, lot # 0 Street trees shown / labelled
EiStreet names o Sidewalk / driveway shown and dimensioned
a Applicant name and phone # ID Utility locations & easements (new / additions)
PJ Lot and setback dimensions 0" m Location of wells / septic systems
rut- b Existing structures on site El Lot area and lot coverage percentage
0 Erosion control ❑ Corner elevations (2' contours if > 4' differential)
kLp Vision clearance triangle shown ❑ Ground slope at building pad calculated / shown
Planning Review
0 Verify address / suite # active in Accela.
1 Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
Required: El Yes a0 No
Received: ❑ Yes ❑ No
0 Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes El No
Applied For: ❑ Yes ❑ No, stop intake
C7 Sensitive Lands: ❑ Yes 0 No
Type:
i Housing Supplemental Sheets Completed
❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad
❑ Courtyard Units C&O (1 site, 1 per building) ❑ Rowhouse
El Cottage Cluster Type II (1 per unit) 0 Small Form Residential / ADU
❑ Courtyard Units Type II (1 per building) El River Terrace Addendum
0 Conditions met prior to issuance of building permit L-Ord CO e_ i
Approved By Planning: a - Date: 87d 7//
Notes pa , issva 33p t,vrrz •2iN�L P on , z ra
Revision 1: 'Approved El Not Approved Date: (//Z/Z'
C
Revision 2: ❑ Approved ❑ Not Approved Date:
I IiimidingTorms`B]dgPe[maRvw Res 070722.docx
r
Building Permit Submittal
Original Submittal Date:
Site Plans #:
Building Plans #:
Building Permit #: ._aBuilding permit # entered on page 1
Workflow Routing: -tf Planning ,E+-Engineering--- Permit Coordinator A-&uilding
Workflow Sign-off: .Sign-off for Planning (include notes from planning review)
Route Documents: .EI-Engineering: (1) copy of permit application, (1) site plan,
(1) building plan and original plan review routing form.
P-Building: original permit application, site plans, building
plans, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: / Date: ?7/7/2-2-
N otes
Engineering Review
,LaSlope at building pad verified Slope: ,72X
Conditions met prior to issuance of permit N.r
l-Easements (encroachments) per engineering conditions of approval and plat
Er-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes GrNo
Assess Water Quantity Fee in-lieu: 0 Yes i1No
LIDA Facility on lot: 0 Yes E'No Add Fee: 0 Yes 0 No
Final Plat Recorded N rx Rk cow-al tA- 't 1 recc..-JJ wlq
,2-NOT Approved Date: 8^/$ 2o22 /_
Notes Vc, .ter t' 12cu, s* PG,4t, s/ice STc0..) �4u , i �rt2 !4"�wds
f S ie! r/ /0/9/zitz-Date:
Approved By Engineering:
Revision 1: C 'Approved 0 Not Approved Date: ///-2/t/2'4--
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
4{6)Conditions met prior to issuance of permit
d Approved, NOT Released: Date notified applicant:
:I ENG Revisions Required: i a\(0., Date notified applicant: ZL
Pb\`o,-
ii DC Exemption: ❑ Received IX Does not apply
1SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA 0 Yes VN/A
It OK to Issue/Approved by Permit Coordinator: 14 p�j d Date:
Revision 1: ❑ Approved ❑ Not Approved l Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Hope Pollard
From: Hope Pollard
Sent: Monday, August 22, 2022 1:46 PM
To: sean@canopypdx.com
Cc: #Building Permit Technicians; Agnes Lindor; Marcos Campos
Subject: MS12022-00269/MST2022-00270
Hello,
Thank you for your applications for a new primary residential structure and attached ADU at 9214&9212 SW Waverly
Drive. Revisions are required per engineer. Submit three copies of a revised site plan showing storm, sanitary, and water
laterals along with a transmittal sheet.
Note: building permits cannot be issued until the final plat for SUB2019-00002 is completed and associated
conditions/improvements met.
If you are considering applying for an ADU SDC fee exemption, please contact Marcos(copied here) and send him an
application.
Thank you!
Hope Pollard
Associate Planner
City of Tigard I COMMUNITY DEVELOPMENT
13125 SW Flail Boulevard
Tigard,Oregon 97223
www.tigard-or.gov
Email I HopeP@tgard-or.gov
31111
TIC ARD
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1