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Permit (61) CITY OF TIGARD MASTER PERMIT ` " ' • COMMUNITY DEVELOPMENT Permit#: MST2016-00283 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S 111 AA07500 Site address: 14480 SW 90TH AVE Jurisdiction: Tigard Subdivision: GREENSWARD PARK NO.4 Project: Greensward South, Lot 12 Lot: Project Description: New SF BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1742 sf Required Height: 25 Basement: 0 sf Left 5 g Bathrooms: 3 Second: 1920 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 480 sf Front 15 Third: 0 sf Smoke Right 5 Detectors: Yes Total: 3662 sf Value: $440,598.06 Rear: 20 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Lavatories: 5 Laundry Trays: 1 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 4 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 1 0 Storm Sewer: 100 FootingDrain: 0 Water Lines: 100 Drains: Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 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 Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 BranchSvcodr: 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 3662 Owner: Contractor: GP4 LLC H&H HOMES LLC PO BOX 1577 Required Items and Reports(Conditions) PE AVER TON,OR 97075 19305 SUNCREST DR 1 Ersn Cntrl 503-639-4175 WEST LINN,OR 97068 PHONE: PHONE: 503-784-9198 FAX: Total Fees: $32,528.39 A, ) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other icable 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 f work is days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification -nter. Those/ s are set forth i OAR 952-001-0010 through OAR 952-001-0090. You mayobtain a co pended for more the 180 copy• •- - or direct questions to OUNC by calling 503.23 .19: rr 3;� :44. Issued By: ,/L �— I , r1.800. _ _. ••'tee Signature: .19/6: ,,r 9.4175 by 7:00 a.m.for the next available inspection date. y This permit car.sept 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. V Bui�ldin2 Permit Application Residential City of Tigard t ` FOIL OFFICE I SE ONL1 '" 13125 SW Hall Blvd.,Tigard,OR 97223 ' Received Date/B 7 7 l = /6, �.% Pennit�Vo. IN Phone: 503.718.2439 Fax: 503.598.19601 2 Plan Review r��r, o,—eV a g T I C A R D Inspection Line: 503.639.4175 JJ UU 7 Date/B : 1°. ^ ) `) 6 Other Permit: ee v0,6_covi/g Internet: www.tigard-or.gov Date Ready/By: 25 i"',f ` r: [ a� ,ifg}w; Notified/Method: ® H Sle ental Inf ��',l {d q ,i t iv,v.. v 1 a. '`•L J+� Supplemental Information i leNew construction RE i UIRED DATA:I-AND 2-FAMILY DWELLING': ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 0 Indicate the value(rounded to the nearest dollar)of all Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION ,� work indicated on this application. tDl I-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building © . '`'i ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Job site address: ; � 8 3 - Total number of floors: L .) •t� A ,,� - New dwelling area: 3 2 9/ 2.2, i Z square feet Suite/bldg./apt.no.: I Garage/carport area: 14 square feet R lk Project name: 6 r' 0.'-t:� Jr) t Cross street/directions to job site: �J Covered porch area: SO square feet C f Deck area: r Lt : square feet 1 - Other structure area: square feet Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST • ' Lot no.: I . 's Tax map/parcel no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all RI DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the work indicated on this a.plication. i _•r Valuation: $ Mr.3111 Existing building area: square feet .r�PROPERTY OWNER New building area: square feet IIII 0 TENANT Name: - � Number of stories: tt4 ( Type of construction: Address: 0 ,a t City/State/ZIP: ®®�� `�, Occupancy groups: as) 4.401 L t f t V (96 i IIIICEINININIIIIIIIIIIII ti a Phone: MMIIIIIIIIIII ' •, ❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* sl/y Please re er to ee schedule + Contact name: Structural plan review fee(or deposit): 11111111111 Address: FLS plan review fee(if applicable): MOM ( Total Phone:( ) Total fees due upon application: IIIIIIIIIII Amount received: 7� •� • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTORACTOR Commercial and residential prescriptive installation of ��R � roof-top mounted Photo Voltaic Solar Panel S stem. Business name: CUA (—k, Submit two 2)sets of roof plan w' .-. Address: i t3 ['`� Z * and fire depart nection details J`�'••V p t acce ong with the 2010 Oregon City/State/ZIP: r.14"4/4 Solar Installation 11s,�yQl Code checklist. Phone:Zi b 7 -q1 ? � ee(include ,an review and administrativ= --s): $180.00 CCB lic.: ♦ p 0 ��� State surcharge 12%of permit feeFily ): $21.60 Authorized signature: Total fee due upon application: AF/IM. $201.60 This permit application expires if a permit is not obtained Print name: f _ i, within 180 days after it has been accepted as complete. Date: 7�� *Fee methodology set by Tri-County Building.Industry IA I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 Service Board. 440-461 T(11/02/COM/WEB) r a Buildin Permit A lication Checklist FOR OFFICE Ill( 1' l SE oil One- and Two-Family Dwelling Received PennitNo.: Date/By: NI City of Tigard Associated permits: 13125 SW Hall Blvd.,Tigard,OR 97223 0 Plumbing 0 Mechanical ■ ill Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical 24-Hour Inspection Line: 503.639.4175 ❑ Other: 1 16 ARD Internet: www.tigard-or.gov 1 c \o \ : THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 0 V 0 I Land use actions coin s leted. See'urisdiction criteria for concurrent reviews. 0 0 0 2 Zonin.. Flood Main,solar balance •oints,seismic soils desi:nation,historic district,etc. 0 0 0 3 Verification of a s s roved I lat/lot. 0 4 Fire district a royal re•uired. Name of district: 0 0 00 0 5 Se i tic s stem 8 ermit or authorization for remodel. Existing system capacit _ 6 Sewer d is riott. 0 0 7 Water district a royal. 0 8 Erosion o Must caorio0 permit required. Include drainage-wayfprotect on,siltlfence design and location of catch- 0 0 9 Erosion control 0 plan0 0 0 basin protection,etc. 10 Cocodes sets r legible plans. detail andMust be drawn connections must be incorporated scale,showing conformance i to the plans on ae local separate full-size buildingucodes. Lateralhdesign sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if 0 co. right violations exist. 11 Site/plot plan drawn to scale. The plan must show lot t shownd tcotn our setback nes at 2-ft.intervals);location corner of elevations ments(tf 0 there is more than a 4-ft.elevation differential,plan m and driveway; structure lareaaperrceentage of coverageing decks);location of;impervious area;existing structures locations; direction and indicator;lot area;building coverage0 0 0 surface draina_e. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,ibinfixtures,balconies window 30 size, nches abase smokef:rade,etc.detectors,water heater, 0 0 furnace,oventilation fans, 14 Cross section(s)and details. Show More thanber onetzes and cross section may be required bo clearlyeams, eaders,portray joists,sub- c nst ucti construction,howroconstruction.o construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings 0 0 0 and foundation,stairs,fireslace construction,thermal insulation,etc. 15 Elevation views.omust elevations actual tif the changestruction;minimum grade stwo elevations for additions and great r than four foot at building envedels.lope. Full-size ulelevations must reflect i grade0 0 0 sheetnartpath):foundation and/or lateraleanalysis planscross Mu tindicate details and locations;for non- 16 Wall bracing oath (prescriptive0 0 0 •rescrietive path anal sis provide specifications and calculations to en standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 00 0 0 s stems,see item 22,-En tineer's calculations.'' 19 Beam calculations. Provide two sets sot ccalculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet Ion• and/or an beam/ in: 0 0 20 Manufactured floor/roof truss desi:n details. schematic is required 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping ❑ ❑ ❑ for four or more as sliances. 22 Engineer's calculations. When shall be shown to be ast licable to the roof act nnderrevbewtamped by an engineer or architect licensed in Ore_ 0 JURISDICTIONAL SPECIFICS 00 0 23 Three 3 site clans are resuired for Item 11 above. Site dans must be 8-1/2"x 11"or 1r x 17". 0 0 0 24 Two(2)sets each are re•uired for Items 16, 19,20 and 22 above. 0 256 "Reversed" • dans shall not ns must meet criteria outlined ired lines or taie-ons. n the Permit&System Develo,ment Feeirrored-buildin: e lans will not be s document. 00 0 26 Buildin. plan 0 27 "Drawn to scale"indicates standard architect or en:ineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 00 0 Street Tree List. yl0 29 Site plan to include trees and treeprotection measures as drawn to scale and must include thecroaeot arbor sts approval. ••nature of a..troval driplines, 0r all building additions, 0 0 and prate ate measuresicmust be is 30 A Clean Water ,patio (over non-impervious surface)and accessortive Area Pre-Screening Site Assessment y struct required es to existing residential dwellings including decks,patio covers(o on a lot of record as'roved ,rior to Se,tember 9,1995. 1:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) f . Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard . �.t— Received s - /- r 13125 SW Hall Blvd.,Tiga �2f .. Date/By: Permit No.: -�l �C)�CP p I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review a Date/By: Other r Permit Line: 503.639.4175 JUL t 2016Date Ready/By: mr s:Internet: g .gov Notified/Method: See Page 2 for ®pplemental 2 for InterCYCI- I ;( L) . sN x : L J't z 4,.1.4,....:,2 . ' ' t s a y� , r s "A, ' 4* �, 6 + t ,At�fbased14 *the E b O 10 New constructionMechanical permit fees*are on the value of the work 0 Addition/alteration/replacement : performed.Indicate the value(rounded to the nearest dollar)of all El Demolition ❑Other a mechanical materials, ..uipment,labor,overhead,and profit. . s ti ...;‘,4 �a'® �,RUt 'I01 and 2-family dwelling 0 Commercial/industrial �` '' I TfiL �° ` ti ` 0 Accessory building As F On ❑Multi-family For special information use checklist. ❑Master builder 0 Other: ��`� * _� � �._• eff , ' Description Qty. Ea. Total A:T r �, ti . - . ..m ION ik 3 TOIY u. t A V . Heatin. coolin.: .. > u ,s $_, .A. ��.m.V Vis; �, • - Job site address: Ste, ,-'` \ Air conditioning a v `L`v )1 46.75 Furnace 100,000 BTU(ducts/vents) # 46.75 1 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project n.me: C�-e. i-3S INN _`r 61.06 Cross street/directions to job site: Duct work 23 32 Hydronic hot water system 23.32 _ Residential boiler(radiator or h dromic) 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: Other: _ ".'._ Lv Lot no.: AL 23.32 Tax map/parcel no.: Other fuel a liances: Water heater sin23.32 ./.,: is ce _ • .-33E .° ki*1 .;3F'WORK, ' . .":1, , ��^^ 1• Gas fireplace/insert 33.39 — �7 �- �W/V S'Te � ,n . Flue vent for water heater or gas �A) fir place 23.32 - Lo. li_ ter(_as) — 23.32 Wood/pellet stove 33.39 Wood fireplace/insert _ 23.32 _ Chimney/liner/flue/vent 23.32 _ ;7: E tar i r..6>I� <` v ) ,=.i ' Other: 23.32 _ Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 1 33.39 Clothes dryer exhaust . .39 Single-duct exhaust(bathrooms, +1- ( ) toilet corn.artments,utilit rooms) tii Phone:( ) Fax �� re 23.32 a � -4 a az9z^ � da- a* 9Other: 23.327 ., .,aux .,' x °.'W. x( r * 4 IMII Contact name: l h l �►+�. i $14.15 for first four;$4.03 for each additional '?3 r Furnace,etc. Address: �� , City/State/ZIP: r / t ,, e OIL. c 0 _ ESEE Water heater unit heater Phone: i3 ��j+V �-"� Water heater ME E-mail: y78y--��0 914„vi Fax::( ) . . s' ,;:07.,,..f.. ,, t' ' ;@ 8 e a-�+. :'i'' r,,... ., •°;***** Barbecue . . . a: a '8z .� Mikiirfl'�"at�R Other _ Address: .' �� V`1+� _ r =1,i ",:, City/State/ZIP: 1 104h- Subtotal _.4,—. ' / a` Minimum permit fee($90.00) Phone:( )3 �_, Fax:(ii , 3 V�3 f { i.„,C3 Plan review(25%of permit fee) CCB tic.: State surcharge(12%of permit fee) TOTAL PERMIT FEE y .�p� This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Date: 7iirir 1:\Building\Permits\MEC PermitApp 040113.dor 440-4617T(11/0202 ,COM/WEB) 1 � Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: w; L. � tll a 1at10 $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the 500.00 and $3.07 for each addirst tional $100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $2 .21 for the first$5,000.00 and $2811 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 $2.92 for each additional$100.00 or .71 for the first$100,000.00 nd fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PennitApp_040113.doc 2 " ` p7572v10 _ etc) Xf Cf` Electrical Permit Applicatio�t ' —�-^.� {"as/tntgtnn County.155 N. I"AV,Suite 350..AIS 12 tti Isp OR 97I24, Current Planning Ott„_ Phone: 503-846-3470,Fax: 503-846-3993, AI93 . i C-y-i Project# Inspection Requests 503-846-3699,,,,.,, c,,.,,ashtm ti 1t Project# TYPE OF WORK : -- ❑\etc constnlctilln ❑addition alteration replacement . yrs •,.t . PLAN REVIEW — 1 y y 1 fi ,"7 1 (-4,c J10-ti(11111141414h: � u� rzl.'4.. ❑ Set-,ice n leeder 400 Imps 0 (Irird u. rcarion, i CATEGORY OF CONSTRUCTION °I'n,+h r the i u!Ible — — Orth cur utt sc ut ❑ 1-tinct fanulydurllin� i cLY e n,,. 4r,i�� t 1't(t')u1p .�ei ❑Commercial industrial ❑ + — —� Itlrnut ❑ \i.rtrn ncrthrcc n:c5 1r«„or� guile in unp ,I 1�u,ohs or❑ ❑Multi-thein.. ❑ \taster budder \t:nin:i and tircuyircl� lc-,tr g i .and.or I,uOr r ❑Other. 1{.INIU nn1� for. ltacr ❑ Floating hui'din�. JOB SITE INFORMATION AND LOCATION ,tallauuus. 0 (r mmciu rl-use at cunt al .10b 110.: Job addrrss:i ye l ❑ Fire pun11, uildin� _ its State ZIP: �w-l""'r� I ❑ [ ncr_ci cc seacm 0 lit tallau 1t 1� 150 IsA \ t r.g.r� LI(. O(2.- '272_2_ - ❑ \ddnion of ne„ moan rime:d r,,1 : t n State bldg.apt.n' Prosect ram .,iload of IU0H1 or more 0 V....1.,.../.2... k u,lanc, e� �-0❑ smcurntot re-id Inulunit, 0 R ueation'zl cchie( pal II ( r,as,YteeCdircCLuns to job site: ❑ 11ea1111-cak. ISaillc, ❑ Supplti ha_c,ur 1 ore t11an it 60(}cults nominal FEE SCHEDULE Suhdici>ior,: e I Description tis I I_�ot no.: Q[>- Fee i Total Residential single-or multi-Famih dsselling unit. 1,i,�map parcel no.: Includes attached garage. — — 1.000,q.It.or Ics, -- --DESCRIPTION OF WORK — Ga :rdd'!500 a.1t.or portion 4,,,,c� l united cn r ,.re identlal -- wdt:ihovc,q.It_i oOnn i Limited muse.muni-Ihmils re_identiain,nhaboyemi It I ?us nn 0 PROPERTY OWNER - 1 — -200,inrps or les,. 1 ;0:nu a e"ru[iiss- 201 Imps to 400 amps I to �1 401 arms to(,011 amp, -- (licStttcl[P: r,Olamp to 1.000 amps cls. .Beta Occr 1.000, Phone I has:l _ 1 t-Temporan sers ices or feeders installation,alteration,andrirr� 1 Ow ncr rnu.11lah,n I ,-•r , relocation r ,.11 r 1 r ti: torn,pirrr,rti,r,,iir I rt. n. ,� ttittiii1 m},11,1,1,:t,!, r I ni,pr pcm -.r t i ndcd �r 't I(i,unp,or I +a c esc 1,,.e o -em.r1 IRS I,/ lar 11 ,.,u,' ee+ - O,cnct slvlatme. ^01 amps 100tmps _4L ,cnu Date. -- _ —' -iJl au1pt>,)ylnp, Iru7 7 _,-1 ❑ APPLICANT ❑ CONTACT PERSON t_ ±! T!!Strct21l5 nos,alteration,or extension, `— a.re,:hog branch circuit,with p Panel I i Bn,me„nitrite:: abo“.. nice or feeder lee. 1 "'' (-illlld C[❑time: each branch ci tit B.lee Ir r branch circuit. — \dettess nithout'errro of ieedet City State 11P r,Ilrst branch circuit � f tier add'!branch circuit — Phe-zttc-f )a�:i Miscellaneous(sers ice or feeder not included) 1 I i ma i l: j--- —__ Lich m(mutichit d or modular d„ellu ser ice and or ceder Reconnect o CONTRACTOR0111.). 1i, I Business name:Elite Electric Group LLC Pi1171pirrigation crreie ,_ -� a Si4r oroutline'lighting r5 un � j Address:PO BOX 823026 Signal eirenirr,1 ur limited- _ cncr��panel.alteration.or Circ State ZIP:Vancouver WA 98682 — e,lcn,u n.[J ,crih : !�I�n„ i Phone:t 503 1277-3788888 1901 7914 — av( Fach additional inspection oxer allossable in tins of the abuse E-mail:eIiteelectric rot 191274 --� Per i,1.,p e ricin 9 P@gmall.0 CCB lie.no.: u�u�i hl,ew,atiut t.,,,,,,,,,,„. j F.Iectrical he.no.:C639 Cite or metro lie.: ghee 1 HTIIr ELTRICAL PERMIT FEES Supcn ising electrician _ Subtorilfeature,required: ti -���T Prim name:Bob Armendariz I Date: Plan--_--->- -- , 1 1uthonzed — - ---- 1i�naturc. �'. Suite surcharge(1 of permit lee) I s . -- "` 10'1 SI PER\I I l {F F l Max PanfitOv Print earns: This permit application(spires if a perma is not obtaimd— j D te: Hithin 180 days after it has been accepted as complete \"t',c '''ped''''''., ,ha dp. l>t'rrr1,,. h.•,:.!r,r,.,is 4 Plumbing Permit Applic tion g H � �i' Bu�ldin Fixtures „n , . Itq FOR OFFICE. USE OyLV City of Tigard �ff Received .11111 'I13125 SW Hall Blvd.,Tigard,OR45723 7 2016 Date By: Permit No.: /L.15 Ila--610, g 2 Phone: 503.718.2439 Fax `°5V}.594 96U Plan Review 7 3 t ! Date ByOther Permit No.: .1 1 G A It.D Inspection Line: 503.639 ( r t`°4 Internet: www•tigard-or. . 1f..1). t' 1 a r,,.,-,,, Date Ready/By: ho s. H See Page 2 for a., ' !� ,as., NotifiedMethod: Supplemental Information �/' TYPE OF WORK FEE* SCHEDULE k! New construction ❑ Demolition For special information use checklist. Description 1 Qty. 1 Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Vi.l-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t, L-t`t 51 0 5 j 4O 41-. Catch basin or area drain 18.76 City/State/ZIP: 11 A j,_ f 0 A p 7 1L Dtywell,leach line,or trench drain 18.76 ''"�"� h Footing drain(no.linear Ii.: ) Page 2 Suite/bldg./apt.no.: I oject name: (,..5-re.e_1.3.4.043 C.1741 �)1,., 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: 6c-e,p2,3,1-„ 5,,„„,k-Ark, I Lot no.: 1 D Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 CONN Clothes washer 25.026 Ft J1/4 �( 3r ) C„ � Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: IA-4 (�cr e�e� / ' /' Fixture sewer cap 25.02 • V ,C/vNVV ""'` Address: l3 b 5- SJNI-C- 1- pi-. Floor drain/floor sink/hub 25.02 1"-- ��/V.+ d ao �g Hosdisposal 25.02 City/State/ZIP: '1 EJ(� Hosee bib 25.02 Phone:(5h37iily,--ci 1 18 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 Contact name: V i� RN I Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin,Iavatoty 25.02 City/State/ZIP: t.ti.. - CiLii Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 C Water closet 25.02 Water heater 37.52 Business name: f�..i t /a/4/(0341/y Water piping/DWV 56.29 Address: ^ 1 Other: 25.02 City/State/ZiP: iii 4� e (If et -7/1-3Subtotal Phone:(5 ) //--i,,,1 �+' Fax:( ) Minimum permit fee: S72.50 �i� td3 [J _ _ CCB Lic.: Plumbing Lic.no.: Plan review (25%of pennit fee) A4 / State surcharge(12%of permit fee) Authorized signature: Allis _ �� TOTAL PERMIT FEE mow Print name: etc/1.-‘e C, N(i�,i Date: r(t) This permit application expires if a permit is not obtained within 180 days !! '�(('"'�t ` `f after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.Budding Permits PLAtl-Permit App.doc 10 01 09 4-10-10101(10 02 CONI 5FB) , f Plumhint Permit Application - City of Tigard Page Supplemental Information Residential Fire Su s i ression S stems: Fee Schedule: Qty Fee(ea) Toral S,uare Foota e: Permit Fee: Footing drain Site Utalitiesin-l'' 100' 50.03 0 to 2.000 S121.90 2.001 to 3.600 $169.69 Footingwdrain-each additional 100' 37.52 3,601 to 7,200 S233.20 S327.54 62.54 7,201 and:seater Sewer-1st 100' 37.52 Sewer-each additional162.54 Medical Gas S stems:100' Water 1 Service- 1st 100' Permit Fee: Water Service--each additional 100' 37.52 �7alua�iOII: Storm&Rain Drain-1st 100' 62.54 51.00 to S5,000.00_®_ 55,001.00 to 510,000.00 S72.50 for the first S5,000.00 and$1.52 ta- Stone&Rain Drain-each additional 100 S7ch afor the 0 or fractionnthereof,to Qt,, Fee tea) Total and includin• S 10,000.00. Other Ins i ting plumbing Fees $10,001.00 to S25.000.00 S148.50 for the first SI0,000.00 and S1.54 for Inspec which noon fofee existing a for 90 00/hr each additional S 100.00 or fraction thereof,to (minimuminfee ise—l'2 hour)indicated ■ and includin• S25,000.00. — i2 OO.UO S379.50 for the first$25.000.00 and S1.45 for Ins tour e 1 90.00 hr - S25,001.00 to 550.0 hours(minns outside of normal business each additional S 100.00 or fraction thereof,to hours Reinspection char.e 2 hours) 90.00/hr _ and includin• 550,000.00. Reinspection Fees 550,001.00 and up S742.00 for the first$50,000.00 and 51.20 for Additional plan review for revisions 90.00)r - each additional S 100.00 or fraction thereof. (minimum chane 1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accuratelyreport fixtures could result in increased sewer fees*. Plan replaniRs reeq requiredr py iuthembi following. gstallations Quantit•by Fixture Ty;'e Replace! Please check all that apply. Workor Performed: Capped` Added Relocate ❑ Ani;new commercial building with water service 2-and Work greater,except systems designed and stamped by licensed Ba.tist /Font — — engineer. Bath: -T cuzzi/whi Tub S irwhirl pool ��� ❑ New exterior plumbing site utilities for any complex structure -Ja Car Wash: -Each Stall as defined in OAR918 780-0040. Cus %dor%Water Aspirator -Drive Thru � ❑ Medical gas and vacuum systems for health care facilities. ——— 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial — 0 Any complex structure as defined in OAR918-780-0040. Domestic Drinkin• Fountain Submit 2 sets of plans with any of the above. MIN Floor Drainsink: 2 1111111111Isometric or Riser Dia r ram =M ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain --= that meet the qualifications above. Garbage -Domestic non-food --� Disposal: -Domestic food related -Commercial food related MIIII�� -Industrial food related == Comments regarding fixture work: ice Maeh.IRetrig.Drains Oil Vehicleor (Gas Station) ��� Rec.Vehicle Dwn Station 1.11111111 Sink: -Braille r non-food related --- -Bradley --- -Sevice ul food related ==_ *Note: If the fixture work under this permit results in an Service -_- increase of sewer EDUs,a sewer permit will be issued and swimn,;n Pool Filter MINI fees assessed for the sewer increase must be paid before the -_== plumbing permit can be issued. =Other Fixtures: MIN = - 1:ABuilding\Permits\PLM F_PermitApp.doc 08/04%2011 2 City of Tigard ■ 1111 q COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n iz D Building Permit Review — Residential Building Permit #: H' i c(1. _DO an 3 Site Address: 1 HLk(?)d Sv.) q lI e--- Project Name: l22/3 c (/i k' 4 ) Lot #: 12- (New dwelling=subdivision name;Addition or Alteration last name of owner) Planning Review Sr'`'. Proposal: > Verify site address/suite# exists and active in permit system. <L.I River Terrace Neighborhood: ..2-"No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: l'hree(3)copies of site plan /rd_RExisting structures on site .,2Site plan must be on 8-1/2"x 11"or 11 x 17"paper 'Footprint of new structure(including decks)with finished ,2<raven to scale(standard architect or engineer scale) floor elevations orth arrow Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number Mr--B Location of wells/septic systems 4pplicant information (name and phone number) Erosion control(including drainage-way protection,silt fence SLot dimensions and building setbA6 dimensions de ign,location of catch basin,etc.) 4,/ ,ot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations(2 foot contour lines if more than /MB-Existing trees to be retained with drip line,and tree 4 foot differential) protection measures ....2--Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): t/S't-V- )/Ui$('I' Required: ❑ Yes,applicant was notified .❑ No Received: ❑ Yes ❑ No 5—Public Facilities Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: -O"'Yes ❑ No,stop intake "Land Use Case#: c,./6 )/( 6.ob/ 0 E Zoning: R_1y` S 1"Setbacks: Front y 0 Rear j 5 Side 5 Street Side /,c-- Gara e �ti -Q Landscape Requirement: % g .2_,Q1 J✓j Lot Coverage Maximum: - Building Height: Maximum Height 30 g Actual Height 2 7 )2_ 0` <Er Visual Clearance 2. Easements {Sensitive Lands: ❑ Yes it---No Type --CJ Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ' / 'I Ai ;L/ " .._.4-- ,A4 _ Date: / # Revisions (after Building Submittalonly) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES 012116.docx Building Permit Submittal Original Submittal Date: 7(7 Site Plans: # 3 Building Plans: # 3 Building Permit#: 0"Enter building permit#above. �Buildin Workflow Routing: 13—Planning12Engineering ®Permit Coordinator g Workflow Sign-off: Ek-Sign-off for Planning(include notes from planning review) Route Application Documents: ❑- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if ap licable,etc. ��/^ I r Notes: V t�� LAA_ �� ►9�- `acr� ►�V� —a e_/ ��-' � --Gi 47_ � Date: 7�`�'� By Permit Technician: 61.1_\.) C wA-a---( i Engineering Review Slope at building pad: ti`TD Conditions "Met"prior to issuance of building 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 Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4,11 Date: 7-47.„—Al., Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: 5Yes E N/A t"( Tigard Trans SDC: Er Yes ❑ N/A Parks SDC: i.Yes ❑ N/A EOK to Issue Permit Approved by Permit Coordinator: Alti� Date: .-//. ate: v / Yik 1:\Building\Fonns\B1dgPennitRvw RES_012116.docx Building Permit Application Residential _ _ REGEIV ►.O►Z OFFICE 1 SE 0.A1.1 City of Tigard 3@ Received ({ 13125 SW Hall Blvd.,Tigard,OR 97223 111 il "' Date/B 7 7 /(p ,./ Permit No.:�l�r� a p ?= Plan Review Other Permit: o *vce6" aIk Phone: 503.718.2439 Fax: 503.598.1JUl 7Date/B :Inspection Line: 503.639.4175 Date Ready/By: mr s: ® See Page 2 for www.tigard-or.gov OF r'G"R Notified/Method: Supplemental Information TYPE 150410G DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING , New construction 0 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. O1-and 2-family dwelling ❑Commercial/industrial aluation: $ ❑Accessory building 0 Multi-family OC Number of bedrooms: ' ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION G Total number of floors: Job site address: t Li L( 8 3 $ LJ Qo'C'(' 1� New dwelling area: 3 b 4 Z square feet City/State/ZIP: I 2 ' / 2 l kf Garage/carport area: 4180 square feet Suite/bldg./apt.no.: Project name: 6 Q,4f" c.,....j JO v c4. Covered porch area: SO square feet Cross street/directions to job site: Deck area: a Lt $ square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: c. A®a v1 �T�.J J Lot no.: la 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. Ft-k- - /�Y /A-c`� ) cr+ J Valuation: $ Existing building area: square feet New building area: square feet $P�R+OPPEERTY OWN ER .� `I 1❑ TENANT Number of stories: Name: v7 k' 4- L.A-[�IW t tY / ft ti (-tot („� Type of construction: b Address: i Ci- c W c ? ,t ' Occupancy groups: City/State/ZIP: kkat' LtaMA ,Q� 67 O b 8 V V ! V Existing: Phone:6-1,1) 7€ t f 8 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (P/ease refer to fee schedule) 15411.9_ a S 646� Contact name: Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) I Fax::( ) Amount received: 757) '� E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel S stem. Business name: Z�..c ,['0„ 1 a,.p ( Submit two 2)sets of roof plan w' • -. ection details Address: �` ,—=��,•, `v, pW`'s�'Jnl�s r and fire depart - t acce : ong with the 2010 Oregon �+`1 ds , Solar Installation ;a .al Code checklist. City/State/ZIP: (4.1e11--- L , _ p�_v 02 ,. o 663 Permi ee(include , an review -�/�'V iT $180.00 Phone:Zbb t f--q L i i F : ) and administrativ s): q A q D State surcharge 12%of permit fee): ib $21.60 CCB lie.: AU`,� (p Total fee due upon application: $201.60 Authorized signature: s/ . 4//• This permit application expires if a permit is not obtained / ,, within 180 days after it has been accepted as complete. 1. ` r tm Date: I Print name: 7/5"7/b I *Fee methodology set by Tri-County Building.Industry 1 Service Board. 1:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-461 /02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14480 SW 90TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00283 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor