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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00377 T[r.,;A 12.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/28/2022 Parcel: 2S114AC00500 Jurisdiction: Tigard Site address: 9233 SW WAVERLY RD Subdivision: EAGLE VIEW ESTATES Lot: Project: Eagle View Estates, Lot 4-ADU Project Description: New attached ADU. PER BO, NO FINAL UNTIL LOT NUMBER HAS BEEN CONFIRMED AND APPROVED BY ADDRESSING DEPT. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 710 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1115 sf Garage: 388 sf Front: 19 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 1825 sf Value: $298,784.59 Rear: 4 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 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: 2 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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+ampNolt: 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 SF VB R-3 1825 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 LAKE GROVE,OR 97035 PHONE: PHONE: 541-600-5146 FAX: Total Fees: $26,832.66 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 ..nni_nnin thrni inh nAR QS9-nnl-noon nh/ni ,,., nt the.ruin nr r irert ni ieetinne to nl INn by rollinn cirri 9'9 10R7 nr 1 Ann 4'29 91dd Issued By: '-_ Permittee Signature: all 503.639.4175 by 7:00 a.m.for the next available inspectio te. 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 iob site at the time of each inspection. Building"Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard OCT —5 2022 Received te�-�aa f�sfi� _ Date/By: Permit No.: � / . ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Ph IN Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DateBRey;e 1„ St ./y-/7, A S Other p ;t: TIGARD InspecUonLine:503.639.4175 BUILDING DIVISION nateReadyBy: I� l� inns: ( ® See Page 2for Internet: www.tigardor.gov N ed/Met,odif L Supplemental Information 1 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 ❑ Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Sa ❑x 1-and 2-family dwelling ElCommercial/industrial Valuation: 2""���� �I-Mg, f Number of bedrooms:3 ElAccessory building 0 Multi-family ❑Master builder ❑ Other: Number ofbathrooms3 -S j JOB SITE INFORMATION AND LOCATION Total number of floors:2 7,7,I3 Job site address: 923 S Waverly Drive New dwelling area:I825 square feet 1115- City/State/ZIP: Tigard,OR ` Garage/carport area:388 square feet 1 to Suite/bldgJapL no.: Project name:Eagle View Estates Lot `DU7 Covered porch area: square feet Cross street/directions to job site: SW 92°d and Waverly Drive Deck area: square feet , F,(At . Other structure area: square feet r�,l( LS $ C., REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Eagle View Estates I Lot no.:.4' y 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.: WCTM 2$112CD,Tax Lot 00400 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Proposal to construct a primary residential structure and an attached accessory dwelling Valuation: $ unit. Each unit is 2 stories in height and will have a single car garage. Existing building area: square feet New building area: square feet ❑PROPERTY OWNER ❑ TENANT Number of stories: Name: CBG SW 76th Avenue,LLC Type of construction: Address: 15962 Boones Ferry Road Suite 202 Occupancy Pan Y groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503 ) 956-9307 Fax:( ) New: ®APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: CBG SW 76th Avenue.LLC (Please refer to fee schedule) Structural plan review fee(or deposit): ' l i" 5 I Contact name: Sean O'Neill FLS plan review fee(if applicable): Address: 15962 Boones Ferry Road Suite 202 Total fees due upon application: City/State/ZIP: Lake Oswego,OR 97035 Amount received: Phone:(503 ) 956-9307 Fax::( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: sean@canopypdx.com canopypdx.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Canopy Building Group,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 15962 Boones Ferry Road,Suite 202 Solar Installation Specialty Code checklisL City/State/ZIP: Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503 ) 956-9307 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: CCB#232358 Total fee due upon application: $201.60 Authorized signature: C This permit application expires if a permit is not obtained fl C` �i within 180 days after it has been accepted as complete. IPrint name: Sean O'Neill Date: 08/22/2022 I *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I DocuSign Envelope ID:AB207A5E-7CDF-4E1 E-9A58-50F92E4440C9 Building Permit Application RECEIVED ��C�,V feG p Residential 1OR OFFICE USE O L\ City of Tigard OCT -5 2022 Reaeivad —]ter *J g Re... icit /rda i-.,1 Pcm,;t No: j G —UG�/ J 11- 13125 SW Hall Blvd.,Tigard,OR 97223 o Aev L Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TiGkRD p plauvgy.iaw is s1 f LZ Other Permit t t, t Inspection Line:503.639.4175 BUILDING DIVISION Date Rea•y,/y r a: ® Se Page for Internet: www.tigard-or.gov Notlfled/Method: SaPPkmeWal Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ©New construction El Demolition Permit fees"are 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 the work indicated on this application. f CATEGORY OF CONSTRUCTION ` 2�t/A4,' le Valuation: D 31-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number oflxdrooms:3 ❑ Master builder , 0 Other: Number ofbathrooms: 3 }3 JOB SITE INFORMATION AND LOCATION Total number offloors:2 Z,L d 3 Job site address: 9233 Waverly Drive New dwelling area:1825 square feet It t 5" City/State/ZIP: Tigard,OR Garage/carport area:388 square feet 1 1 Q Suite/bldg.apt.no.: Project name:Eagle View Estates Lot DIDCovered porch area: square feet Cross street/directions to job site: SW 92ed and Waverly Drive Deck area: square feet t4 tl,(�?1 4 7Z. f • Sfi. eJ� �,y Other structure area: square feet iJ✓cz 5 -& /r e.,'" d f 7;__ A 1st` fIs te„, ; REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Eagle View Estates Lot no.: y f i Permit fees'are based on the value of the work performed. —Tax m ! 1 no.: WCTM 2S 112CD Tax Lot 00400 Indicate the value(rounded to the nearest dollar)of all aP Parce equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Proposal to construct a primary residential structure and an attached accessory dwelling Valuation: $ unit. Each unit is 2 stories in height and will have a single car garage. Existing building area: square feet New building area: square feet ®PROPERTY OWNER (J TENANT `: Number of stories: Name:CBG SW 76th Avenue,LLC Type of construction: k Ati•JteSS:15962 Booties Ferry Road Suite 202 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503 ) 956-9307 Fax:( ) New: 'Vt. ®APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES' (tveare aroma fee seitak e) Business name: CBG SW 76th Avenue,LLC Structural plan review fee(or deposit): f s I 3,I Contact name: Sean tl'Nrttl FLS plan review fee(if applicable): Address: 15962 Booties Ferry Road Suite 202 - City/State/ZIP: f'lire Oswego,OR 97035 Total fees due upon application: Amount received: Phone:(503 ) 956.9307 Fax::( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES' E-mail: lean@canopypdx.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Canopy Building Group,LLC Submit two(2)sets of roof plan with connection details - --- 1 and fire department access,along with the 2010 Oregon Address: 15962 Booms Ferry Road,Suite 202 Solar Installation Specialty Code checklist. ( cludes plan review City/State/ZIP: Lake Oswego,OR woePermit Fandmadmim shative fees): $180.00 Phone:(503 ) 956-9307 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: CCB#232358 c..•ara,._a sr Total fee due upon application: $201.60 Aughcamrl. sr t to t /f1/21/202 2 iThis permit application expires if permit is not obtained /T w within 180 days after it has been accepted as complete. Print name: assoacaea�roaaa_ pale. 08/22/2022 *Fee methodology set by Tri-County Building industry Sears O'NeillService Board. I:1Building\Permits\BUP-RESPennitApp.doe 02/24/2011 440-4613T(11/02lCOM/WEB) DoouSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF Mechanical Permit Application FOR OFFICE USE ONLY Cityof Tigard Received Date/By:s 13125 SW Hsll Blvd.,Tigard,OR 97223 Da Rev ew Permit No.: s Phone: 503.718.2439 Dye By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: runs: 0 See Paget for Internet: www.tigard-or.gov Notified/Method: I Supplemental Information TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST a New construction CI Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment, labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* CR 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family 0 Master builder ❑ Other: Description Qty. Ea. Total JOB S,TE INFORMATION AND LOCATION Heating/cooling: Job site address: 923 .Waverly Drive Air conditioning 1 46.75 46.75 7 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bl J t.no.: Projectname: Heat pump 61.06 dg aPEagle View Estates Subdivision Lot 5 Duct work I 23.32 23.32 Cross street/directions to job site: SW 92nd and Waverly Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Eagle View Estates Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: WCTM 2S1 I2CD,Tax Lot 00400 Water heater I 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/in W sert R 33.39 33.39 Flue vent for water heater or gas Proposal to construct a primary residential structure and an attached accessory fireplace 23.32 dwelling unit. Each unit will be 2 stories Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimneylliner/llue/vent 23.32 [f PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: CBG SW 76th Avenue, LLC Range hood/other kitchen Address: 15962 Boones Ferry Road,Suite 202 equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.3 City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, 9 toilet compartments,utility rooms) 23.32 Phone:(503 ) 9569307 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: CBG SW 76th Avenue, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Sean O'Neill Furnace,etc. 1 Address: 15962 Boones Ferry Road,Suite 2020 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Lake Oswego,OR 97035 Water heater Phone:(503 ) 9569307 Fax: :( ) Fireplace I E-mail:sean@canopypdx.com Range I Barbecue CONTRACTOR Clothes dryer(gas) Business name:Jacobs Heating and Cooling Other: MECHANICAL PERMIT FEES" Address:4474 SE Milwaukie Ave- Subtotal City/State/ZIP:Portland,OR 97202 Minimum permit fee($90.00) Phone:(503-413-9796 ) Fax:(N/A ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 1441 TOTAL PERMIT FEE Dvco,n d by .- S-` m t � This permit application expires if a permit is not obtained within 110 Authorized signature: �j'- days after it has been accepted as complete. � 3�n Sean O'NCI 1 I o®aP7u6aJ... * Fee methodology set by Tri-County Building Industry Service Board Print name: Date:10/03/2022 I.\Building\PermitsNEC_PermitApp_082520.doc 440-4617T(11/02/COM/WEB) DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF Mechanical Permit Application - City of Tigard Page 2=Supplemental Information Commercial Submittal Requirements: • (2)sets of plans, drawn to scale. • (2)sets of equipment cut sheets. • (2) copies of site plan for ground and roof top equipment location and screening per Tigard development code. Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. I:\Building\Permits\MEC_PerrnitApp_082520.doc 2 DocuSign Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF Electrical Permit Application FOR OFFICE USE ONLI City of Tigard Date/By: Date/By: lir 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Permit S:Related Permit N: TIGARD Inspection Line: 503.639.4175 Ready Date/By: tuns: H See Page 2 for Internet: www.tigard-or_gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building less w ground,orexceeds 14,000 0 Commer ial-use ag cultural amps for all other installations. buildings. ❑ Multi-family 0 Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system.Ystetn. larger separately derived Job#: Job site address: 923tWaverlyDrive ❑Addition of new motor load of system. I OOHP or more. ❑"A>,"E""1-2>,"1-3" 1 0 Six or more residential units. occupancy. City/State/ZIP: Tigard,OR 97224 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Eagle View Lot 5 ADU 0 Hazardous locations. 0 Supply voltage for more than Cross sit eeUdirections tojob site: El Service or feeder 600 amps or more. 600 volts nominal. 92nd and Waverly FEE SCHEDULE Description l Qty. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: Eagle View Estates Subdivision Lot#:/3"y Includes attached garage. Tax map/parcel#: WCTM 2S112CD,Tax Lot 00400 1,000 sq.ft.or less 1 168.54 168.5 4 • • Ea.add'I 500 sq.ft.or portion I 33.92 67.84 1 DESCRIPTION OF`WORK Limited energy,residential (with above sq.ft.) 75.00 2 (with Proposal to construct a primary residential structure and an attached accessory Limited ener gy,multi-family 75.00 2 dwelling unit. Each unit will be be 2 stories residential(with above sq.ft.) Renewable Energy I 1 See Page 2 ®PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: CBG SW 76th Avenue,LLC 200 amps or less 1 100.70 100.71 2 Address: 201 amps to 400 amps 133.56 2 15962 Booties Ferry Road Suite 202 401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:(503 ) 9569307 Fax:( ) Over 1,000 amps or volts 552.26 2 cano Temporary services or feeders installation,alteration,and/or Email: sean dx.com @ PYP relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59.36 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 [ APPLICANT Branch circuits—new,alteration,or extension,per panel ❑ CONTACT PERSON A.Fee for branch circuits with Business name: CBG SW 76th Avenue,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Sean O'Neill B.Fee for branch circuits without Address: 15962 Booties Ferry Road Suite 202 service or feeder fee first 56.18 2 branch circuit City/State/ZIP: Lake Oswego,OR 97035 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 9569307 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: sean@canopypdx.com Reconnect only 67.84 2 CONTRACTOR Ptunpor irrigation circle 1 67.84 67.84 2 Business name:Jarmer Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:5105 SW 45th Avenue# 100 panel,alteration,or extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Portland OR 97221 Additional inspection(1 hr min) 66.25/hr Phone:(503 )246-5381 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email:tim@jarmer.com Inspections for which no fee is CCB Lie.:6924 Electrical Lie.:26-144C Suprv.Lie.:6365S specifically listed(Vs hr min) 90.00/hr ,,11 ELECTRICAL PERMIT FEES '9s. prv.Electrician signature,required: s-r-c h� tt� a� Subtotal: Print name:Tim Jammer ate: n Plan Review Required(25%of permit fee): o.,cs.bried by: State surcharge(12%of permit fee): A r 1/ TOTAL PERMIT FEE: Authorized signature: �L606 1T tl,l Print name: 356DBC883F 7Da33 This permit application expires if a permit is not obtained within 180 Sean O'Neill Date: 10/03/2022 days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\Building\PermitaaELC_PermitAppELR_ERE.doe Rev 06/17/2015 440-1615T(l 1/05/COM/WEB es--..car--=_,..,i,,....1 n•7nAtt77 .O aCAO Aflnc_mreC_A FCAarr7RFfFF DocuSign Envelope ID:AB207A5E-7CDF-4E1 E-9A58-50F92E4440C9 electrical rermir AppnICan10n FOR OFFICE USE.ONLY City of Tigard Rd Date/By: Puma l a. • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.598.1960 Date/By: Related Perna#: Inspection Line: 503.639.4175 Ready Date/By: ruff: P1 See Page 2for 1 I i':1 N.I'' Internet: www.ligard-or.gov Notified/Method. Supplemental information TYPE OF WORK PLAN REVIEW Ed New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Whams checked). 0 Service or feeder 400 amps or more 0 Building over three stones. 0 Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 mops at 150 volts or 0 Floating buildings. f 1-and 2-family dwelling 0 Commercial/industrial El Accessory building less to ground or excead51a,000 ❑Co nerciai•use agricultural ❑Multi-family ID Master builder ❑Other: El Fire s for all othernatallal one.. Installation ass. pump. 0 of 150 KYA or JOB SITE INFORMATION AND LOCATION 1 D Emergency system larger separately derived Job#: Job site address: 923isWaverl Drive D1001Ii000forwmoto toad of system. y 100IIP or more. ❑"A" `E""1 2""1 3" CItY/S �Z� Tigard,OR 97224 0 Six or more occupancy units uPan❑Health-care facilities. ❑Rec eational vehicle parks. Suite/bldg./apt.#: Project name: Eagle View Lot 5 ADU ['Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: 9210d and Waverly FEE SCHEDULE Deecripdo. i Qty. I Eael. 1 Total 1 • New residential single-or multi-family dwelling unit. Subdivision: Eagle View Estates Subdivision I Lot#:,..?y includes attached garage. Tax map/parcel#: WCTM 2SI12CD,Tax Lot 00400 1,000 sq.ft.or less 1 168.54 168.5t 4 t Ea add'1500 sq.ft.or portion I 33.92 67.84 1 DESCRIPTION OF WORK Limited energy,residential _ (with above sq.ft.) 75.00 2 Proposal to construct a primary residential structure and an attached accessory Limited en ergy,multi-family 75.00 2 dwelling unit. Each unit will be be 2 stories residential(with above sq.ft.) RenewableEneray _ r) See Page 2 ®PROPERTY OWNER I: 0 TENANT Services or faders installation,alteration,and/or relocation Name: CBG SW 76th Avenue,LLC 200 amps or less 1 100.70 100.7i 2 201 amps to 400 amps 133.56 2 Address: 15962 Bermes Ferry Road Suite 202 -401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:(503 ) 9569307 Fax:( ) Over 1.000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or sean@canopypdx.com Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 59.36 . I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 - �- Branch circuits-new,alteration,or extension,per panel ` [If APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: CBG SW 76th Avenue,L 1.0 above service or feeder fee, 7.42 2 _- .._..___ ._. -- each branch circuit Contact name: Sean O'Neill B.Fee for branch circuits Wilm �� '"'r Address: 15962 Boones Ferry Road Suite 202 service or feeder fee,first 5618 2 branch circuit City/State/ZIP: Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 9569307 Fax::( ) Each manufactured orniodular dwelling,service and/or feeder 67.84 2 Email: sean@canopypdx.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 1 67.84 67.84 2 Business name:Jarmer Electric Sign or outline lighting 67.84 2 ..�_...__ Signal circuit(s)orlimired-energy - Address:5105 SW 45°Avenue#100 panel,alteration,or extension ❑ See Page 2 i 2 Each additional inspection over allowable in any of the above City/State/ZIP:Portland OR 97221 Additional inspection(1 hr min) 6625/hr Phone:(503 )246-5381 Fax:( ) Investigation(I hr min) 90.00/hr Email:tirn@jamier.com Industrial plant(I tar min) 78.18/hr , Inspections for which no fee is 90.00/tar CCB Lic.:6924 Electrical Lie.:26-144C Suprv.Lic.:6365S specifically listed(va nrmin) ELECTRICAL rtriiiitriViS.' ' may. : Subtotal: ,• —on-vvia--d by: Print name:Tim Tarn er Date: 11/21/2022 n Plan Review Required(25%of permit fee): rIMM4N6 State surcharge(12%of permit fee): �a7z>- csl79alpgs ..+! TOTAL PERMIT FEE: Authorized signature: Jt.AJA IT 1`(tU l.suxili 784157.----- This permit application minims Re permit is not obtained within 180 Print name: Sean O'Nei 11 Date: 10/03/2022 days after it has been accepted as complete. • Number of inspections allowed per permit. 11BNIdiog1PrmitalELC_PerraitADp_tt.R_ERedoc Rev 06/17/2015 440-4615T(1I/e5/COM/WEB DocuSign Envelope ID:7AA377A6-4649-400E-BF5F-4FE6AD73FDFF Electrical*Permit Application—City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total ' Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n V• acuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is specifically listed(I/2hr min) 90.00/hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) ' Number of inspections allowed per permit. Check Type of Work Involved: ❑ A• udio and Stereo Systems ❑ Boiler Controls n C• lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* [l Medical n 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 11auildinglPermits1ELC_PerinitApp ELR_ERE.dor Rev 06/17/2015 DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF . Plumbina Permit Application • Site Utilities FOR OFFICE USE ONLY City of Tigard Received •,r g Date/By_ Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: I I t i-s R It Inspection Line:503.639.4175 Date Ready/By orris: El See Page 2 for Internet: www.tigardor.gov 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/alterationireplacement ❑ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1-and 2-famil Y dwellin SFR(2)bath 437.78 g ❑ CommerciaUindustrial ElAccessory building 0 Multi-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler( sq.ft.) Page 2 .IOB SITE INFORMATION AND LOCATION Site utilities: 4 Job site address: 9231 averly Drive Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name:Eagle View Estates 5 Manufactured home utilities 50.03 Cross street/directions to job site: SW 92nd and Waverly Manholes 18.76 Rain drain connector 1 18.76 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Eagle Vicw Estates I Lot no. 1 u Fixture or item: Tax map/parcel no.: WCTM 2S112CD,Tax Lot 00400 Backflow preventer 1 31.27 31 27 DESCRIPTION OF WORK V2- c �w Backwater valve 12.51 Clothes washer 25.02 Proposal to construct a primary residential structure and an attached accessory Dishwasher I I 25.02 dwelling unit. Each unit will be be 2 stories Drinking fountain 25.02 Ejectors/sump 25.02 El(PROPERTY OWNER TENANT 's Via. Expansion tank 12.51 Name: CBG SW 76th Avenue, LLC Fixture/sewer cap 25.02 Address: 15110 SW Booties Ferry Road,Suite 500 Floor drain/floor sink/hub 25.02 City/State/ZIP: Lake Oswego,OR 97035 Garbage disposal 1 25.02 25.02 Hose bib I 25.02 25.02 Phone:( 503)9569307 Fax:( ) Ice maker 1 12.51 12.51 ?PA 1 � s.. = 5--' ;s ..; n (-UN'IACI' PERSON Interceptor/grease trap 25.02 Business name: CBG SW 76th Avenue,LI.0 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Sean O'Neill Roof drain (commercial) 12.51 Address: 15962 Booties Ferry Road,Suite 202 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego, OR 97035 Solar units(potable water) 62.54 Phone:( 503)9569307 Fax::( ) Tub/shower/shower pan 12.51 E-mail: seanacanopypdx.com Urinal 25.02 ar , ,a s Water closet I I 25.02 CONTRACTOR 1 'g���y „iwnWater 1 '�.r . ,x4 it __TA= 37.52 37.52 Business name:Alliance Plumbing Water piping DWV 56.29 Address:146 W Historic Columbia River Hwy. Other: 25.02 City/State/Z1P:Troutdale,OR 97060 Subtotal Phone:((503)492-3490) Fax:( ) I ff 5-1Lj Minimum permit fee: $72.50 Plan review (25%ofpermit fee) I I CCB Lic.: 154601 Plumbing Lic.no.: m 73,z 15wu3lanedby. State surcharge(12%of permit fee) Authorized signature:I t 0-Ia TOTAL PERMIT FEE AtA.Print name: sean `f 8B3An433... I Date:08/22/2022 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by'Fri-County Building Industry Service Board. I:IBuildieg\Permits 1PLMU-PennitApp.doc 10/01/09 4404616T(10/02/COMAVEB) DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF Plumbing Permit Application - City of Tigard . Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1a100' I 50.03 50.03 01o2,000 $121.90 Footing drain-each additional 100' I 37.52 2,001 to 3,600 $169.69 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' I 62.54 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 62.52 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' I 62.54 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures?If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for PlumbingInstallations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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 Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig. Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: I:\Building\Permits\PLMU_PermitApp.doc 2 DocuSign Envelope ID: 7AA377A6-4649-400E-BF5F-4FE6AD73FDFF • Site Utilities — Plumbing Permit Application Plan Submittal Requirements TIGARD A plumbing permit for site utility plumbing work is required for sanitary sewer,storm sewer and potable water systems on private property. 1. SITE PLAN and vicinity map showing the geographic location (fully dimensional,drawn to scale) labeled with: A. ❑ map&tax lot# ❑ project name ❑ site address 0 suite number ni❑ zong ❑ applicant name ❑ phone number B. North arrow. C. Scale(architectural or engineering only). D. Street names. E. Building pads with project location. 2. PLUMBING PLANS-Two (2) complete sets,civil only. All details listed below shall be incorporated into the plumbing plans: A. Storm drainage plan showing: 1) Finish elevations throughout the developed site. 2) Grade breaks determining area serving each catch basin. 3) Location of catch basins. 4) Pipe size. 5) Type of material. 6) Slope of piping. 7) Manholes and field drains. 8) Cleanouts provided for each 100 feet or fraction thereof. 9) Roof drain laterals specifying cleanouts at each upper terminal. 10) Location of existing or proposed connection to a public sewer line. B. Utilities plan showing: 1) Sanitary sewer line location,pipe size, type of material, slope of piping,manholes and cleanouts provided as required for storm. 2) Size and location of domestic water piping and drainage. 3) Proposed location of connection to a public water or sanitary sewer line. I:\Building\Pertnits\PLMF-PertnitApp.doc 12/30/05 c City of Tigard 1v COMMUNITY DEVELOPMENT DEPARTMENT TI A D Building Permit Review - Residential Building Permit #: 114 acia`�-06377 k °?--) - p0 3 7 5 Site Address: 9233 S1.0 Ualcillij tpf. Project Name: �`e- View ts-ta'rCS Lot #: Proposal: 02,V1 Attacked' i9 1 ett��� (00 P6( v2m) Required Submittal Elements ,I_�3 copies of site plan ,Drawn to standard scale ootprint of new structure and FFE 'North arrow ine / tree protecTFon 'Site address, project name, lot # d ,Street names Sidewalk / driveway shown and dimensioned Z1Applicant name and phone # 0-Utility locations & easements (new / additions) Lot and setback dimensions • terns E Existing : rctures ,iLot area and lot coverage percentage ,ef Erosion control grtorner elevations (2' contours if > 4' differential) Viaion cicaranco ti4 ngIC ;I-Ground slope at building pad calculated / shown Planning Review Verify address / suite # active in Accela. /El Zone: ,S MClean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) Required: ❑ Yes .ErNo Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: 0 Yes ❑ No, stop intake p-Sensitive Lands: 0 Yes p'No Type: j2'Housing Supplemental Sheets Completed O Cottage Cluster C&O (1 site, 1 per unit) 0 Quad O Courtyard Units C&O (1 site, 1 per building) ❑ Rowhouse ❑ Cottage Cluster Type II (1 per unit) 'Small Form Residential / ADU ❑ Courtyard Units Type II (1 per building) ❑ River Terrace Addendum eb 2v7-2 -Door+ j�Land Use Case #: Sv�Z.nl°t $000 2 Conditions met prior permit issuance Approved By Planning: Date: 9 1-2°)12-51-- Notes Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: 19Bui1dmaotms031dgPenrotRvw Res 05162022.ducx Building Permit Submittal . . . Original Submittal Date: 1 5 Site Plans #: 3 Building Plans #: —17 Building Permit #: ,'Building permit # entered on page 1 Workflow Routing: $(Planning N Engineering lg. Permit Coordinator k Building Workflow Sign-off: l 'Sign-off for Planning (include notes from planning review) Route Documents: k Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. J Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: ( Date: ( (S (_— Notes Engineering Review �yt Mope at building pad verified Slope: fo 'tonditions met prior to issuance of permit -Easements (encroachments) per engineering conditions of approval and plat ,-"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facilityon lot: 0 Yes 0 No Add Fee: ❑ Yes ❑ No final Plat Recorded ❑ NOT Approved: Date: Notes Approved By Engineering: A., Date: _ / I -/5"--ZP z- Revision 1: ❑ Approved 0 Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review Conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: ❑ SDC Exemption: 0 Applied for ❑ Received ❑ Does not apply I SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A Tigard Trans SDC: C;I Yes 0 N/A 0 Deferred Parks SDC: E Yes 0 N/A ❑ Deferred LIDA ❑ Yes 4 N/A 2 OK to Issue/Approved by Permit Coordinator: PO- 6 f DB�te: Revision 1: ❑ Approved 0 Not Approved ve) s`e Date: Revision 2: 0 Approved ❑ Not Approved Date: City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT TlGAan Small Form Residential Supplemental (Non -RT) IP ,nsr 9x, --oo7 7) le J>e� Building Permit #: �yl-aoa� 0 037 5 Project Name: Site Address: °I7-33 UaUJ6lij (91• Lot #: 5 Total Existing Units: New Configuration: 0 Single Detached Duplex ❑ Triplex +ADU pI.' i Small Form Residential Standards Setbacks Front: V Rear: 1 Side: 5 Street Side: 15 Garage: 2-0 Height Max. Height: 9eR Actual Height: 2-1 Landscape Landscape Area: /JR'W % Lot Coverage Max: NA° % Entrance ,l "Set back no more than 8' from street-facing wall 71Parallel to street or offset 45 degrees or less Windows nimum 12% of area of all street-facing facades jc.( .S 7. Garage Garage door is behind widest street-facing wall ,es ❑ No, and one of the following is met: ❑ Door extends no more than 5' from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5' from wall and there is a 12 sq ft. window above garage on 2nd floor. Garage door width is: ❑ 12' or less )2'50% or less of facade D 6 0% or less and includes 7 of following: ❑ Covered porch 0 Recessed entrance ❑ Wall offset ❑ 1' Roof eave 0 Roof offset 0 Fire shingles ❑ Lap Siding ❑ Gable, hip, gambrel roof 0 Dormer ❑ Roof pitch ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection 0 Balcony Approved By Planning: Date: I I vi (zZ I\8uilang\Firos\BldgPermftRvw_SFR Supplemental 07022 - 3 = �i .s K3 .s 2 40,25 101N s 3o S Flo ?A_kg) 3C Zvi A- kb R Z((7)) 1cA , S 1,