Permit (104) •
` Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard. RECEIVED Received 22 \ate Pemi � � (�1
Date/By: �7 L79 00 07
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / . J n
s Phone: 503.718.2439 Fax: 503.598.1960 AUG 2 3 2023 Date/By: f� (1"; At
(I,� othet00 (Z�Qcv.3 - 24 D
Inspection Line. 503 639 4175 Date Ready/By: l nl N to: i®_See Page 4 for
T II;Ai1U hn
Internet: www.tigard-orgov CITY OF TIGARD Notified/Method: ,U`�h0'14. 0 h�, Supplemental Information
TYPE OF WO REQUIRED DIVISION �rrIWti4 /YM U. o
REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction D 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 pro t for the
CATEGORY OF CONSTRUCTION work indicated on this application.
$423,856.53
0 1-and 2-family dwelling 0 Commercial/industrial Valuation:
_.__
❑Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 a•7(p2-
Job site address:12196 SW WINTERVIEW DR New dwelling area: 2341 square feet k- 03
City/State/ZIP:TIGARD, OR 97224 Garage/carport area: 421 square feet I 63A5
Suite/bldg./apt.no.: Project name:Heights at Bull Mountain Covered porch area: 122 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Heights at Bull Mountain I Lot no.:10 Permit fees*arc 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.
Valuation: $
NSFR - JADE MODERN 2_50M
Existing building area: square feet
New building area: square feet
❑ I'ROPI:R'I Y OWNER 0 TENANT Number of stories:
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 ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer w fee 3'ehe eta le)
Business name:LENNAR NW LLC Structural plan review fee(or deposit):
Contact name:TR IS HA SAUERS
FLS plan review fee(if applicable):
Address:SAME AS ABOVE
CitylState/ZIP: Total fees due upon application:
Amount received:
Phone:(360 ) 601-1860 Fax: :( )
E-mail:TRISHA.SAUERS@LENNAR.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR ,„..'' roof-top mounted PhotoVoltaic Solar Panel System.
Business name:LENNAR NW LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:SAME AS ABOVE Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 1A Ua I„1" vs'• V�111 Total fee due upon application: $201.60
Authorized signature: 4a, ,,t, s"--1 Y This permit application expires if a permit is not obtained
�[JUUd within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:TRISHA SAUERS Date:8/15/23 Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(I1/02/COM/WEB)
- Mechanical Permit Application FOR OFFICE USE ONLY
w
eived
- City of Tigard 1EI Pennr'j1- —d.o ya
13125 SW Hall Blvd.,Tigard,OR 97223 aan Rev
Phone: 503.718.2439 Fax: 503.598.1960 DPlan Review
Sv j� Date/By: Other Permit.
T IGARD Inspection Line: 503.639.4175 1IJU L Date ReadyBy: 1wis 16 See Page 2 for
Internet: www.tigard-or.gov ��.�.�OF T�G+1AQF�otifed/Method: Supplemental Information
TYPE OF WORK. BUiLDIN�DIVISION
COMMERCIAL FEE*SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF.CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
® 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: 12196 SW WIN'I'ERVIEW DR Furnace 100,000 BTU(duets/vents) 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 2332
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.:10 Other: 23.32
HE1GFiTS AT BULL MOUNTAIN
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
,44 DESCRIPTION OF WORK e( ..., Gas fireplace/insert 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
El PROPERTY OWNEROther: 23.32
0 TENANT Environmental exhaust and ventilation:
Name: IFNNAR 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: VANCOu VER,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone( 36(I)601-1860 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® 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 SAVERS Furnace,etc.
Gas heat pump
Address: SAME AS ABOVE
WalUsuspended/unit heater
City/State/ZIP: Water heater
Phone:(360 ) 601-1860 Fax: : ( )
Fireplace
TRISHA.SAUERS!)LENNAR.COM Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
• Other:
Business name: - ZiYGhfi tit d Nea}inl d c. o\inl MECHANICAL PERMIT FEES*
Address:pe 'sGv w/ Subtotal
City/State/ZIP: hiba l o qn 3 1 Minimum permit fee($90.00)
q I O 1� Plan review(25%of permit fee)
M
Phone:(vp .. 1 -14 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: %t el • TOTAL PERMIT FEE
S+ „�f 1�1`�,l�S This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Trisha Sauers Date:8/15/23
1.\Building\Parmlts1MEC PermitApp_040113.doc 440-46171'(I 1/02/COM/WEB)
Electrical Permit Application RECEIVE FOR OFFICE USE
ONLY`^ �}
1 ` v Received t/IA`7 t/"6/� -1
City of Tigard , .q; .y qg Receive P�nr 3 o a a7
• 13125 SW Hall Blvd.,Tigard,OR 97223 A�G LLJ Plan Review
IN I. Phone: 503.718.2439 Fax: 503.598.1960 f • DatWB : Related Permit#:
Inspection Line: 503.639.4175 pCIf T ' �, Ready Date/By: lads. El See Page 2 for
TI GARD Internet: www.tigard-or gov n iga! i + Notified!Methud. Supplemental Information
TYPE'OF WORM' ` x PLAN REVIEW
®New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked).
❑Service or feeder 400 amps or more ElBuilding over three stories
El Demolition 0 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 IDCommercial/industrial El Accessory building less to ground,or exceeds 14,000 0 Commercial-use ag cultural
amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
AJob 4: Job site address: 12196 SW WINTERVIEW DR ❑I00HPOHP o mforwmoto load of system
or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard,OR 97224 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldgJapt.#: Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations- 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I "
New residential single-or multi-family dwelling unit.
Subdivision: heights at Bull Mountain Lot#: 10 Includes attached garage.
1,000 sq.ft.or less 1 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq ft or portion I 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
NSFR Limited energ
y,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: LENNAR NW I.I.C. 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/Z1P: 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@LENNAR.COM relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,le e,� r exchange. to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: (/� C�S Date:8/14/23 401 amps to 599 amps 168.54 2
El APPLICANT. El 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, 7.42 2
each branch circuit
Contact name: TRISHA SAUERS B.Fee for branch circuits without
Address: SAME AS ABOVE serviceranh it feederitfee,first
branch circuit 56.18 2
City/State/ZIP: Each add'I branch circuit 7.42 2
601-1860 Miscellaneous(service or feeder not included)
Phone:(360 ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: TRISHA.SAUERS@LENNAR.COM Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: T4 `LI, ngt �p Sign or outline lighting 67.84 2
�� �w li 'et� —C Sigtalt(s)or limited-energy 0 See Page 2 2
Address: _panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(l hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: Electrical Lie.: Suprv.Lie.: specifically listed(Y hr mm)
ii'ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Stt Q,1-(QC.h.LI� LtPpllf.m.lAM Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:"ate' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: TRISHA SAUERS Date: 8/15/23 days after it has been accepted as complete.
F Number of inspections allowed per permit.
I:BuildinglPerMts\EEC_PerieiiApp_ELR_ERE.doe Rev 06/17/2015 440-46i5T(11/05/COM/WEB
Electrical Permit Applicatif3ECEIVED
FOR OFFICE[ISE ON7.1
City o Ti and SEP 18 2023 Received
MS1'4t1ti� gii
1111
f �' Dale By: Perm!!a: i
• 13125 SW Hat Blvd.,Tigard,OR 97223 Plan Review
g Phone: 503.718.2439 Fax: 503,598,A'% ,OF,9F ARD Dateny. Related Permit e.
1.1(;-�, Inspection Line: 503.639.4175 lll�IrI r.� DIVISION
Rady Date/By: l.rn I ® 8n Page2for
Internet: www,tigard-or.gov BUILDING U1N1011`JP^l Notified/Method 8upplemm:ai Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement rl<ase check all that apply
pply(submit j sets of plans w.'items checked)
0 Service ar feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other:
CATEGORY OF CONSTRUCTION where the availabk fault sweat ❑Marino and boatyards.
exceeds 10.000 amps at 150 sons or 0 Floating buildings
® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less 10 ground,a rsccedt i4,000 ❑Comme c aI•uu ag ulimal
❑Multi-family ❑Master builder amps for all other installations. buildings.
❑Other ❑Fire pump, 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job#: I Job site address:12196 SW WINTERVIEW DR ❑Addition of new motor bad of ysrcm
100HP or more. ❑"A" "E""I 2_'i 3'
0 Six m snore residential units. occupancy.
City/Slale/ZIP: TIGARD,OR 97224
( t.#: El Health-carefacilities 0 Recretionsl vehicle parks
StutGbld
8 aP I Project name: HEIGHTS AT BULL MOUNTAIN 0 Hazardous locations 0 Supply voltage for snort than
Cross street/directions to job site: ❑Service or feeder 600 amps or more.
600 wits nominil.
FEE SCHEDULE
bearnaiw I Qry. J C.ck I Tor.l I •
Subdivision: New residential single-or multl-family dwelling unit.
HEIGHTS AT BULL MOUNTAIN I Lot#: 10 Includes attached garage.
Tax map/parcel#: 1,000 sq.l.or less 1 168.54 4
DESCRIPTION OF WORK Fa.add'I 500 HI.ft.or portion 4 33.92 I
Limited energy,residential 75.00 NSFR-ELECTRICAL (with above sq.II.)
Limited energy,multi-family
residential(with above sq.R.) 75.00 2
® PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ Sec Page 2
Name: LENNAR NW LLC Services or feeders installation,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
` p 601 ampsto I,000 amps
° Phone:(360 )601-1860 I Fax ( ) Over 1,000 amps or volts 301.042 2
552.26 2
+, Temporary services or feeders installation,alteration,and/or
Email: PERMITPORTLANDQa LENNAR.COM
relocation
14
Owner installation:This installation is being made on property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 59.36 2
Owner signature: CAMERON NEWKIRK 163.54 2
Date: 9/15/2023 401 amps to 599 amps 161.54 I
2
® APPLICANT I ® CONTACT PERSON Branch circuits—new,alIerattIoi,or extension,per panel
A.Fee for branch circuits with
Business name: LENNAR NW LLC
above service or feeder fee,
Contact name: CA�1IERON NEWKIRK each brand circuit 7.42 2
B.Fee for branch circuits without
Address: SAME AS ABOVE service or feeder Fa,first
City/State/ZIP: branch circuit 56.18 2
SAME AS ABOVE Each add'I branch circuit 7.42 2
( ) Miscellaneous(service or feeder not included
Phone:(360 ) 333-2513 I Fax: )
Each manufaonlred or modular
Email:CAMERON.NEWKIRK@LENNAR.COM dwellineserviceendorfeeder 67.84 2
Reconnect onl
CONTRACTOR y 67.84 2
Pump or tnigation circle 67.84 2
Business name: PC El zr f/i? Sign or outline lighting
67.84 2
PO Box 517 Address: Signal circuits)or limited-energy
_panel,alteration,or extension, ❑ See Page 2 2
City/State/ZIP: Newberg OR.97132 Each additional inspection over allowable in any of the above
Phone:( 5(13 ) 538-6033 Additional inspection(I hr min) 66.25/ +
I
I Fes'( ) Investigation(I hr min)
9000/hr
Email; perob20@gmail.wm Industrial plant(l hr min) 78.1&hr
CCB LiC.: Inspections for which no Cee is
187490 I Electrical Lie.: 36-1 I4C I Suprv.Liu: 50I2s specifically listed(v,hr min) 9000/lir
—
Suprv.Electrician signature,required y — ELECTRICAL PERMIT FEES F'
Print name: Steve Peppmeier
tDate: Subtotal
9/15/2023 ❑Plan Review Required(25%of permit fee) '
Authorized signature. CAMERON NEWKIRK
Statesurcharge(12%ofpermitfee):
TOTAL PERMIT FEE:
Print name: l D
CAMERON NEWKIRK This permit application y a erained wlWlo tall
Date: 9/15/2023 J • days aner itexpir hn beenif a�ep(cdmil6 as ccant obtampkte.
1.'RddaytPermn.�EIA'PrmmApp_ClR_ERE doe Sc,W/lrriol5 Number of unmet ions allowed per permit
44LL5n1511I lNbCOWWEB
•
. ' Plumbing Permit Application
Building Fixtures RECEIVE, FOR OFFICE USE ONLY
City of Tigard q DatRece/By:
y: P a 4.r 7
Pr
13125 SW Hall Blvd.,Tigard,OR 97223 ZULJ ed
Date/By: O - t7p a
r� L LJ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960AUG 2 Date lay: Other Pemvt No.:
Inspection Line: 503.639.4175 y ia See Page 2 for
TIGARD Date Ready/By: .rods:
Internet: www.tigard-or-gov CITY OF TIGARD Notified/
t��f� C Netbod: Supplemental Inform alion
TYPE OF WORK BUILDING O)V(SIOt�I FEE* SCHEDULE
El New construction El Demolition For special information use checklist
Description 1 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
El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
ElAccessory building El Multi-family
SFR(3)bath 1 500.32
Each additional bath/kitchen 25.02
❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 12196 SW WINTERVIEW DR Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: HEIGHTS AT 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: HEIGHTS AT BULL MOUNTAIN I Lot no.: 10 Fixture or item:
Tax map/parcel no.: Backflow preventer I 31.27
DESCRIPTION OF WORK Backwater valve 12.51
-- Clothes washer 25.02
NSFR-PLUMBING
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ;❑ TENANT Expansion tank 12.51
Name: LENNAR NW LLC
Fixture/sewer 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 25.02
Phone:(360 ) 601-1860 Fax:( ) Ice maker 12.51
11 APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name: LENNAR NW LLC Medical gas(value:$_) Page 2
Primer 12.51
Contact name: 'I'RISHA SAUERS Roof drain(commercial) 12.5l
Address: SAME AS ABOVE Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:(360 ) 601-1860 Fax::( ) Tub/shower/shower pan 12.51
E-mail: 1RISHA.SAUERS@LENNAR,COM Urinal 25.02
CONTRACTOR Water closet 25.02
rI Water heater 37.52
Business name: jI� , 4 G I)V1M1Qi11Q Waterpiping/DWV 56.29
Address:Ib0sn S R.lf1y Wa Other: 25.02
City/State/ZIP: Or ri.�ey t og_ 4-10g5 Subtotal
Phone:(%OA) 1ti Q3et4 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: 1666 Q 10 ws4 Plumbing Lic.no.: p%5 - ,,c 1 IIY►ta State surcharge Q 2°/n of permit fee)
Authorized signature TOTAL PERMIT FEE
Print name: TRISHA SAUERS Date:8/15/23 This permit applicatioaexpirea ifperuuiitia not obtained within 180 days
after it has been accepted as complete.
°Fee methodology set by Tri-County Building Industry Service Board.
I:1BuildinalPermits1PLMU-PenmtApp.doc 10/01/09 440-4616T(10/02/COM'WEB)
s Building Division
One & Two-Family Dwelling
TIenRD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION 1 J1 Zd2?j
Permit#: IY\S`fZCZ- - oby'2-,-1 Plan #: � /�/) Floors:
Valuation: -I"/Z3 S� S3 Covered Porch: 1 a Basement
I
Bedrooms: L( Deck: 1"Floor 103'a6
WC (toilets) 3 Deck Cover: 2nd Floor 1 303
Lavatories 9 Patio Cover ---- 3`d Floor
Tub/shower It Accessory Struct. �— R-3 Total Z9
Laundry Tray - ll Water Heater l / !0/ Elec Garage 1
Exhaust Vents s Gas Flue Vents Total for Elec. a
��Le 1- '
Backflow Prey. ` ,....Af� '1. - / Heat Pump genrillib # for Electrical
BBQ J • Gas Fireplace / sj-� #Fuel Lines 9
f
FEES: Description: Fee Ap : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) ,3
Info Proc/Arch: Sm$.50 (up to 11x17) 51
Metro CET: Residential Use
School CET: District: lq
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee: V'
12% State Surcharge /` /
Erosion Control: w/Permit- Ping ��t7
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: \l lg SM t ffifliIJJ O'(
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II
r Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Kenny Fisher DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: CAMERON NEWKIRK OCT 1 9 2023
COMPANY: Lennar NW LLC CITY OF TIGARD
BUILDING UIVISII
PHONE: 360-333-2513 By:
hrij
EMAIL: CAMERON.NEWKIRK@LENNAR.COM
RE: 12196 SW WINTERVIEW DR MST2023-00427
(Site Address) (Permit Number)
HEIGHTS AT BULL MOUNTAIN
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
3 Additional set(s) of plans. 3 Revisions: Added Deck
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 2 Engineer's calculations.
Other(explain):
REMARKS:
Removed the patio from old plans and adding deck
FOR OFFICE USE ONLY � �L
Routed to Permit-- echnician: Date: ) I - G • Z� mi
Initials: ` l
Fees Due: ❑ Yes No Fee Description: Amount�un Due:
�--
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: ,J Date: II J1 ,7, Initials:
1
City of Tigard
11111 G
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: _it/1/• -r c033 - 00L-p-7
Site Address: 124e4 Ce SSA/l h1 Air b l4 D Verified in Accela
Project Name: On(art 1h ''L[, I f'1-ia)/0 Lot/Unit #: /0
Proposal: gad CIGaLI- PC-TA' - .5 Zone: R , 'C / T
Housing Ty SFR Single Detached ❑ Duplex❑ Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU DQuad ❑ Other
Requ ed Site Plan Elements: th-tAA1* .
co ' s of site plan on max 11x17"
ptawn to standard scale l� p,vteLtion
d firth arrow Street and site trees shown / labeled
‘,14017'C.,r�fi Er e address, project name, lot # a maturity
�' S et names (N/A for SFR)
o �, ' plicant name and phone # U Cuu,lya rectangle dimensional of applicable)
L and setback dimensions I Ch rn 1.11cc tnunyiu' .
g ruc u ge • it locations &easements
otprint of new structure and FFE P perry corner elevations
S' walk/driveway dimensioned , ce)
of area and lot coverage percentage rosion control
Required Elevation Plan Elements: . •
(For gRI calcs needed only on street-facing) Su5rnary table with calculations for:
Cd'-;Ir awn to standard scale Tptal facade area
'iIding height dimensioned2-Total window and door area
rCade dimensioned
dows and doors dimensioned
@I Garage doors dimensioned
equired Floor Plan Elements:
(No ❑ Summary table that includes
❑ Each story dimensioned ea
❑ Each story floor area calculated ❑ Floor area per sto
Planning Review
The following standards have been met:
Setbacks ❑ Front: l Rear: �v I Side: S / Min/Max Street Side: IL/ / Garage: 'NI `_
Height ❑ Max. Height: Proposed Height:
❑ Yes gk, Landscape
❑ Y N/A Screening (Quad only)
vrrvsstt_ ❑ N/A % Window Coverage
2 ❑ N/A Garage (SFR Only) Parking (Other Res)
es ❑ /A Entrance (SFR, Rowhouse, Quad only)
❑ YesA Other building design standards (Rowhouse only)
❑ YesA Accessory Structure Standards
❑ Yes ib No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes N/A Unit Count:
❑ Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
❑ Yes N/A Fence
■
❑ Yes ❑ No Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
I ❑ Yes El No �1V/A Public Facilities Improvement (PFI) Permit:
I" Required: ❑ Yes ❑ No
Applied For: ❑ Yes�1 ❑ N�et6p intake
Se tive Lands: El Yes
o
Land Use Case #s: (' 7 ❑ Coniditiorys met
IXHpplicant notified of land use expir=*i nA 11-2. l0 2 ,- L3 f rINl41, OCR IO/Z-/ZS
Approved By Planni g: Date: /1Z/2 3
Notes fttvSOA Z :C P,�.l-to cdc. w,A NI i' roc. r 4..rirl- PAD
Revision 1: Approved ❑ Not Approved llt-L L Date: 10 ()or ta.o2--1
146
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: �a31 a ' ,
Site Plans #:
Building Plans #:
Building Permit #: 11-Building permit # entered on page 1
Workflow Routing: 4 Planning II:1 Engineering It Permit Coordinator 4, Building
Workflow Sign-off: VI,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.
V Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technici n: Date: 'g( 3/a-3
Notes: -OU4 Y(iUi,)1,O1%-4, ON- 101311q —AP
Engineering Review
FI Permit: feel,•011, —00
, lope at building pad: ..0
2-Conditions met prior to issuance of permit
Zi'Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes 211-10
Assess Water Quantity Fee in-lieu: ❑ Yes 71'10
LIDA Facility on lot: 0 Yes El No Add Fee: ❑ Yes El No
Jinal Plat Recorded
❑ NOT Approved: Date:
Notes:
r 3
Approved By Engineenn�� TT• (/"!5 (�� �� Date: 8^ 202
Revision 1: [G/Approved ❑ Not Approved --..-� Date: // /7?.'3,
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
0 ENG Revisions Required: _ Date notified applicant:
'SDC Exemption: ❑ Applied for ❑ Received ,e'6oes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ,Ves El N/A
Tigard Trans SDC: .[(Tres 0 N/A ❑ Deferred
Parks SDC: s ❑ N/A ❑ Deferred
LIDA ❑Yes .F'r/A 1,
/OK to Issue/Approved by Permit Coordinator: Date: l
Revision 1: Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: