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Permit (90) CITY OF TIGARD MASTER PERMIT 1111 Is • COMMUNITY DEVELOPMENT Permit#: MST2023-00403 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2023 Parcel: 2S110BC13700 Jurisdiction: Tigard Site address: 12135 SW WINTERVIEW DR Subdivision: HEIGHTS AT BULL MOUNTAIN Lot: 5 Project: Heights at Bull Mountain, Lot 5 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1143 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1467 sf Garage: 429 sf Front: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2610 sf Value: $467,482.98 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Treys: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bekfiw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 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+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2610 Owner: Contractor: LENNAR NORTHWEST LLC LENNAR NORTHWEST LLC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH ST STE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682-2350 PHONE: PHONE: 360-258-7900 FAX: Total Fees: $46,955.44 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work Is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENT : gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR o69_nn1_nnln$hrn„ cis _nnt_nnan Vn,i maG requires_ a rnnv of}ha mane nr,tira t nnactinne to fll INrI by Tallinn Fn1 91 an Issued By: �/- �i/G </--%7L,/ Permittee Signature: "-Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application Residential RECEIVED FOR OFFICE USE O• NLY' UPICity of Tigard Received Q 1ZZ `' ,' • 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 5 2023 Date/By: jJ I vrr y� Peny(/r f �T'3 —6O(,`DZ e Phone: 503.718.2439 Fax: 503.598.1960 Plan Review/Ze/Z 4 erjwie-1 l2Tl �( a7 CITY OF TIGARD DDaate Re "�� ((/� I J@w f� 3�j—Ott 5 "CtGA RD Inspection www.t 503.639.4175 Nod6ed/Mctho 1IU .RIU f. l(i:4 ®' See Supplemental for Internet: www.tigard-or.gov BUILDING DIVISION Noti6edRvfethod: I `J J't Supplemental Information O TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING I]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 ❑Other: equipment,materials,labor,overhead,and the profit for the, CATEGORY OF CONSTRUCTION work indicated on this application. iQ ItbZ ctoo CI I-and 2-family dwelling 0 Commercial/industrial Valuation: `D IDAccessory building El Multi-familyNumber of bedrooms: 5 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 .3-01 Job site address.12135 SW WINTERVIEW DR New dwelling area: 2610 , square feet 14(41 City/State/ZIP:Tigard, OR 97224 Garage/carport area: 429 square feet it I-11 Suite/bldg./apt.no.: Project name:Heights at Bull Mountain Covered porch area: 1/4 square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL,USE CHECKLIST Subdivision: Lot no.:HS 5 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. NSFR -- JASMINE MODERN 2513 valuation: $ A Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I 0 TENANT S Number of stories: ys Name:LENNAR NW LLC Type of construction: Address:11807 NE 99TH ST, STE 1170 Occupancy groups: City/State/ZIP:VANCOUVER,WA 98682 Existing: Phone:(360 )601-1860 Fax:( ) New: ❑ APPLICANT ❑ CON'1_ACT PERSON ; BUILDING PERMIT FEES* Business name:LENNAR NW LLC (Pfenrerefer to fee sche<ta[e) Structural plan review fee(or deposit): Contact name:TRISHA SAUERS Address:SAME AS ABOVE FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:360 ) 601-1860 Fax::( Amount received: E-mail:TRISHA.SAUERS©LENNAR.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:LENNAR NW LLC Submit two(2)sets of roof plan with connection details Address:SAME AS ABOVE and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:(3606011860 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:240462 (A1 Total fee due upon application: $201.60 Authorized suture: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:TRISHA SAUERS Date:8/2/23 "'Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitslBUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB) . Mechanical Permit ApplicaRECEIVE D FOR OFFICE USE ONLY City g of Tigard Received �y�/I Date/By: Pen/V %t;AV3- f9cv-t-G 5 C • 13125 SW Hall Blvd.,Tigard,OR 97223 A�JG 5 2023 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Dale ReadyBy rods. I ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit Value:$ CATEGORY OF' CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 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 Job site address: 12135 SW WINTERVIEWDR Furnace 100,000 BTU(ductslvevs) I 46.75 City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: HEIGHTS AT BULL MOUNTAIN Duct work 23.32 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 Subdivision: Lot no.:5 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater l 23.32 DESCRIPTION OF WORK Gas fireplace/insert l 33.39 Flue vent for water heater or gas NSFR-MECHANICAL fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/Flue/vent 23.32 ® PROPERTY OWNER L ❑ TENANT Other: 23.32 - Environmental exhaust and ventilation: Name: LENNAR NW LLC Range hood/other kitchen 1 equipment 33.39 Address: 11807 NE 99TH ST,STE 1170 Clothes dryer exhaust 1 33.39 City/State/ZIP: VANCOUVER,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:( 360)601-1860 Fax:( ) Attic/crawlspacefans 23.32 ® APPLICANT' CO CONTACT PERSON Other: 23.32 Business name: LENNAR NW LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: TRISHA SAUERS Furnace,etc. 4 Address: Gas heat pump SAME AS ABOVE Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360 )601-1860 Fax: :( ) Fireplace I. E-mail: TRISHA.SAUERS@LENNAR.COM Range 1 Barbecue CONTRACTOR Clothes dryer(gas) Business name: T�.D Other: MECHANICAL PERMIT FEES" �irGh�Ie.l� itiin4inc and Coolill9 Address: CG BOX 5tt Subtotal City/State/ZIP: )3AIoAtI t o p CO/ . Minimum permit fee($90.00) 5�j` n^ Plan review(25%of permit fee) Phone:( ) °I V 3-11�{ st✓l Fax.( ) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE V This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board 7 Print name:1�C a��'� Date: 1Y"y/(/[� �5 I tBuildinglPermittib1EC_PermilttAApp_040113.doc 440 Si91'(I /02/COMM1VEB) Electrical Permit Applicatio-ECEIVED FOR OFFICE USE ONLY City of Tigard 4u6 15 2023 Received /x' 13125 SW Hall Blvd.,Tigard,OR 97223 Da Plan Red3eview : Pe I d^ .�Qb V Review Phone: 503.718.2439 Fax: 503.598.1t9fj1-y OF TI Date/B : Related Permit 8: T[GARD Inspection Line: 503.639.4175 I�v1+�'I 1r1 GAr�RrD�tr' Ready Date,By: luris: 63 See Page 2 for Internet: www.tigard-orgov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construct ion ❑ Addition/alteration/replacement Please check all that apply(submit 2 sea of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. IS] 1-and 2-family dwelling IDCommercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system, larger separately derived Job#: Job site address: 12135 SW WFNTERVIEW DR ❑Addi on of new motor load of ystem. 100HP or more, ❑"A" "E" "I-2" "I.3" City/State/ZIP: Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I qty. I Each l Total l . New residential single-or multi-family dwelling unit. Subdivision: Lot#: 05 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4 Ea.add'I 500 sq.ft.or portion 5 33.92 1 DESCRIPTION OF WORK Limited energy,residential NSFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ®;r PROPERTY OWNER IDTENANT Services or feeders installation,alteration,and/or relocation Name: LENNAR NW LLC 200 amps or less 100.70 2 Address: 11807 NE 99TH ST,STE 1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: VANCOUVER,WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360 )601-1860 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: PERMITPORTLAND ENNAR.COM relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,le r exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date:8/14/23 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension, rer panel ® APPLICANT El CONTACT' PERSON A.Fee for branch circuits with Business name: LENNAR NW LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: TRISHA SAUERS B.Fee for branch circuits without service or feeder fee,first Address: SAME AS ABOVE 56.18 2 branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 Phone:(360 601-I860Miscellaneous(service or feeder not included) ) Fax: : ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: TRISHA.SAtIERStt.LENNAR.COM Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: TBD a �. „ i. .1,e nel ry ny.. � Sign or outline lighting 67.84 2 ��`el.J wC� ""�, Signal circuit(s)or limited-energy Address: panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed(V,,hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: • Print name: Date: 0 Plan Review Required(25%of petmit fee): State surcharge(12%of permit fee): • Authorized signature: TOTAL PERMIT FEE: �.r ^ /// /J This permit application expires if a permit is not obtained within 180 Print name: DateDate: I/' `.4� days after it has been accepted as complete. JJ �l/�� •✓ / /// * Number of inspections allowed per permit. I:1BuildingTermits\EL PermitApp_BLR_ERE.doe aev 06/17/2015 4 -4615T 1/05/COM/WEB Electrical Permit Application t . •. D FOR OFFICE I1SE()\I.', City of Tigard 9 Received g 13125 SW Hall Blvd,Tigard,OR 97223 t 0 ��ZJ p.n Review ' `i 3 ' Phone: 503.718.2439 Fax: 503.598.1960 On r Related Permit a Inspection Line: 503.639.4175 Readydy Date/By: turn RI Sec Page 2 for • ,.� 11:131U7 Internet www.tigard-orgov ��I : Vt I1s,aYifl,�}}� ppemental Information BUII )iNG DIVISION Norified Method Su I 51 TYPE OF WORK PLAN REVIEW ®New construction ❑Addilionralteration/repincemenl Please check all that apply(submit 1sets of plans w'iccros ehcekcd). 0 Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the aveilabk fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps n 150 volts or 0 Floating buildings. IN 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14,000 ❑Comme eial-use ag cdtunl ❑Multi-familyamps for all other installations, buildings. ❑Master builder ❑Other: ❑Fire pump Cl Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately d<rived Job#: Job site address:12135 SW WINTERVIEW DR ❑Addition of new motor load of system IOOHPanwre. ❑'A".'E".'I.2-,-I-3-, City/Slate/LIP: TIGARD,OR 97224 0 Six or mine residential units. occupancy. ❑Hahhcare facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations. ❑Supply voltage for mere than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Deuriotioa 1 Qty. I Each I Total I - New residential single-ur multi-family dwelling unit. Subdivision: HEIGHTS AT BULL MOUNTAIN 1 Lot#: 5 Includes attached garage. Tax map/parcel#: 1,000 sq.R.or less 1 168.54 4 DESCRIPTION OF WORK Limited add'1500 sq.fl.a portion 5 33.92 1 Limited energy,residential 75.00 2 NSFR-ELECTRICAL (with above sq.fl) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER I 0 TENANT Renews ble Energy ❑ See Page 2 Name; LENNAR NW LLC Services or feeders installs tion,alteration,and/or relocation 200 amps or less 100.70 2 Address: 11807 NE 99TH ST,STE 1170 201 amps to 400 amps 133.56 2 City/State/ZIP: VANCOUVER,WA 98682 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 phone:( 360 )601-1860 I Fart:( ) Over 1.000 amps or volts 55226 2 Temporary services or feeders installation.alteration,and/or Email: PERMITPORTLANDQLENNAR.COM relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 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: f.AMERON NEWKIRK Date: 9/14/2023 401 amps to 599 amps 168.54 2 ® APPLICANT I ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: LENNAR NW LLC above service or feeder fee, Contact name: CAMERON NEW B KIRK :hove cireirc 7A2 2 B.Fee for branch circuitsuits without Address: SAME AS ABOVE service or fader fee,first branch cicuit 56.18 2 •• City/State/ZIP: SAME AS ABOVE Each add'l branch circuit 7.42 2 Phone:(360 ) 333-2513 Fax: :( ) Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service and/or locale Email:CAMERON.NEWKIRK@LENNAR.COM 67.84 2 Reconnect only y - 61.81 2 'L Pump or irrigation circle 67,84 Business name: • Pc EIZN//[j Sign or outline lighting 67,84 2 Address: PO Box 517 Signal circuits}or limited-energy 0 panel,alteration,or extension. Page 2 2 City/State/ZIP: Newberg OR.97132 Each additional inspection over allowable In any of the above Phone:( 503 ) 538-6033Additional inspection(I hr min) 66,25/hr Fax:( ) Investigation(1 hr min) 9000/lu Email: perob20@gmail.com Industrial plant(1 hr min) 78.18/hr - CCB Lic.: Electrical Lie.: Inspections for which no fee is OO OOr hr 18749036-114C Suprv.Lie.: 5012s specifically listed('Vs hr rum) Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal. '',, Print name: Steve Peppmeier Date: 9/14/2023 0 Plan Review Required(25%of permit fee): Slate surcharge(12%of permit fee): "'- Authorized signature CAMERON NEWKIRK TOTAL PERMIT FEE: This permit application expires if a permit k ant obtained within ta0 Print name: CAMERON NFWKIRK Date: 9/14/2023 , days after lt has been accepted as complete. I'auild,nad'crmna`EIC PcnntApg ELR FJ[E doe Ito,06/11(20I3 • Number of inspections allowed per permit P • 440.4613T0 1 n15/[OWWEB . .Plumbing Permit Application ECEIVED Building Fixtures FOR OFFICE USE ONLY City g ���� [ 2023 ReceivedDat _ of Tigard J e Pe° t O'� � pQ( 'C)�j • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.j 9 Date By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 (;I `( tO�/F�TIGARD� Date Reedy/By: tuns. 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Ad dition/a Iteration/rep 1accment ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 III Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: .. _ Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 12135 SW WINTERVIE W DR Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: HEIGHTS Al'BULL.MOUNTAIN 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: I Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 NSPR-PLUMBING Clothes washer \ 25.02 Dishwasher t 25.02 _ Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: LENNAR NW LLC Fixwreisewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11807 NE 99TH ST,STE 1170 Garbage disposal ( 25.02 City/State/ZIP: VANCOUVER,WA 98682 Hose bib ti 25.02 Phone:(360 ) 601-1860 Fax:( ) Ice maker 1 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name: LENNAR NW LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name: TRISHA SAUERS __. Roof drain(commercial) 12.51 Address: SAME AS ABOVE Sink/basin/lavatory 5 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( 360 ) 601-1860 Fax::( ) Tub/shower/shower pan A 12.51 E-mail: TRISHA.SAUERS@LENNAR.COM Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: 11313 If, Gtxxil C P 1..0 ,;- 'JI N�I Water piping/DWV 56.29 Address: lie 0SO S R-iclt W ` Other: 25.02 City/State/ZIP: or On cti, I OE 41 10445 Subtotal Phone:(S(2) 'We- (l1 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: l b fi10 vl iO1 Plumbing Lic.no.:VQS Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature:Y , v P n TOTAL PERMIT FEE Print name: n co,.,1 z 6, Date:s 161 ' ,6 This Permit application expires if a permit is not obtained within l80 days after it has been accepted as complete. II *Fee methodology set by Tri-County Building Industry Service Board. 1:1BuildingWermits'PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) II i II Building Division One & Two-Family Dwelling TIGARD Fees Checklist i PERMIT INFORMATION: Application Date - FEE VERSION \J(1/41 2-D2---, Permit#: S-1- ,3 - 4 03 Plan #: 7s-5). 4 Floors: 2 Valuation: A61 /►t� np� Covered Porch: ' V�nlj Basement I "lf1 -I Bedrooms: Deck: - 1"Floor t I [' 3 WC (toilets) 3 • Deck Cover: 2 d Floor t Y(0-7 Lavatories S Patio Cover _ 3`d Floor Tub/shower <_I Accessory Struct. R-3 Total a(, r� Laundry Tray Water Heater \ Gas / Elec Garage - EQV Exhaust Vents 5 Gas Flue Vents Total for Elec. 3t DS61 Backflow Prev. 4 Heat Pump /,AC.-) # for Electrical BBQ I Gas Fireplace Ni fic #Fuel Lines 4-1 FEES: Description: Fee App� Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) Info Proc/Arch: Sm$.50 (up to 11x17) 59 Metro CET: Residential Use Q 1 :,," School CET: District: 1`5�--•A l., Tigard CET: Admin Tigard CET: ODHCS i. Tigard CET: AH Electrical Permit: Permit Fee: IV- Limited Energy: 12% State Surcharge t/ Mech. Permit: Permit Fee: 12% State Surcharge Plumbing Permit: Permit Fee: 12% State Surcharge Erosion Control: w/Permit-Ping I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 Page 1 I City of Tigard 711 e IICOMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD p` i,,,,—k..s ,Or.i01) 00 uuus,ar.K,'C W,C. X�`,AM=Wit1 i.✓.,0044.1 WAsd:"I1:N itWIV,av+"_' Building Permit #: ,4/1'5f.?-(;t,Z 5 -OO-i V ;, Site Address: `20)5 Cud (/hv fv4PMW Dr. ��rr ,,�l` a.' �� �1. Z.--Verified in Accela Project Name: lAtiP S lift- b+\1 MOJ APPil 1 Lot/Unit #: Proposal: N S ' (& U getac l) Zone: r—a.. C Housing Type:/SFR/Single Detached 0 Duplex❑ Triplex❑ADU)❑ Rowhouse ❑Cottage Cluster❑CYU❑Quad 0 Other Required Site Plan Elements: 1 3 copies of site plan on max 11x17" ijNrawn to standard scale trees, drip line/ tree protection orth arrow ;Er-Street and site trees shown/ labeled Site address, project name, lot # ri Tahla rahhr_rtatjng tree canopy at maturity , Street names (N/A for SFR) Applicant name and phone # .❑ Courtyard-red rrryle dimensioned (if applicable) ✓,Lot and setback dimensions ; 0 Hiaiurr cicalance triangle 0 Existii ly Lructures &square footage .0'(Jtility locations &easements ,H ootprint of new structure and FFE .Et-Property corner elevations L�Sidewalk/driveway dimensioned 0 LIDA (.›1,000 sf disturbance) /01 Lot area and lot coverage percentagerosion control Required Elevation Plan Elements: (For FR: talcs needed only on street-facing)Aol Summary table with calculations for: Drawn to standard scale lZrotal façade area , I Building height dimensioned jdi-otal window and door area 8 Facade dimensioned PIWindows and doors dimensioned ,0-"Garage doors dimensioned Req ' d Floor Plan Elements: (Not require 0 Summary table that includes 0 Each ensioned 0 Total floor area ach story floor area calculated ❑ loor area per story Planning Review The following standards have been met: Setbacks Front: lb Rear: k5 Side: S Min/Max Street Side: (b / Garage: 24) '� Height JECMax. Height: ?JS Proposed Height: 1S to 4. Z'Yes In N/A Landscape 0 Yes:.e1 N/A Screening (Quad only) Of Yes 0 N/A 0/0Window'Coverage Only) Parking(,Other Res)-Sz°'. allar..ed, e 610S19" 51-416614 . t.I. (Su 5l ° o'- P6"4.e l 'Yes ❑ N/A rance (SFR, Rowhouse, Quad only) 0 Yes4 N/A Other building design standards (Rowhouse only) ❑ YestiZ"N/A Accessory Structure Standards 0 Yes1 No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards or Courtyard Units, Cottage Clusters, Rowhouses, and Quads: Yes ❑ N/A Uni ount: ❑ 0 N/A Width and Size ❑Yes N/ Pathway Addltio standards for Courtyard Units and Cottage Clusters only: ❑ Yes Unit Area: 0 s ❑ N/A Floor Area (per story) Yes 0 N/A ourtyard 0 Yes 0 N/A F ce y ❑ Yes ❑ No v'1 /A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) , Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ No, stop intake 'Sensitive Lands: ❑ Yes No 2(Main Land Use Case #s: Si,Jf2)7.152.1 -C1x03 /Conditions met la Applicant notified of land use expiratipn date:S_L.:+ r WrviaS lO/2:7 . -3 Approved By Planning: r,�✓f�.5d "�� Date: t./i 5 / �o a Notes �j Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: s/ IS/. Site Plans #: �l Building Plans #: Building Permit #: A.Building permit # entered on page 1 Workflow Routing: Ir.Planning tig Engineering 01.Permit Coordinator Building Workflow Sign-off: .Sign-off for Planning (include notes from planning review) Route Documents: 0-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. LII‘Building: original permit application, site plans, building plans, engineer and L�7 beam calculations and trust details, if applicable, etc. // Permit Technician: Date: 8/ !5/ a,3 Notes: Engineering Review R-PFI Permit: IPlv 1 1 - O a 2—Slope at building pad: ,2,1%) 0/0 i-Conditions met prior to issuance of permit basements (encroachments) per engineering conditions of approval and plat .....Er ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes .r No Assess Water Quantity Fee in-lieu: ❑ Yes XlNo LIDA Facility on lot: ❑ Yes ziNo Add Fee: ❑Yes ❑ No jalcial Plat Recorded ❑ NOT Approved: Date: Notes: Approved By Engineering: ,(t Stffi re_ Date: .6 -1 7 - 27_3 Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved Date: Permit Coordinator Review ,leConditions met prior to permit issuance ?1'a.54. I ank`'\ ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: ..CI SDC Exemption: ❑ Applied for ❑ Received -lE'boes not apply ,12'SDC Fees Entered: Wash Co Trans Dev Tax: ,0-Yes ❑ N/A Tigard Trans SDC: Yes El N/A ❑ Deferred Parks SDC: es ❑ N/A ❑ Deferred LIDA ❑ Yeess , 1'N/A ,e'OK to Issue/Approved by Permit Coordinator: its Date: b 12-[ /6°2 7 Revision 1: ❑ Approved 0 Not Approved - Date: Revision 2: ❑ Approved 0 Not Approved Date: