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Permit (94)
CITY OF TIGARD MASTER PERMIT 111 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00281 T 1GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2017 Parcel: 2S 102CA01000 Jurisdiction: Tigard Site address: 9799 SW FREWING ST Subdivision: 1998-081 PARTITION PLAT Lot: 2 Project: Partition 1998-081, Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 720 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 916 sf Garage: 441 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 1636 sf Value: $213,201.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!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+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1636 Owner: Contractor: BLACK DIAMOND HOMES INC BLACK DIAMOND HOMES INC Required Items and Reports(Conditions) 15685 SW 116TH AVE STE 290 15685 SW 116TH AVE SUITE 290 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97224 PHONE: 503-201-6304 PHONE: 503-201-6304 FAX: 503-579-3990 Total Fees: $29,016.98 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 952-001-0010 through OAR 952-001-0090. You may obtain- --• . -*eh es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: M *.- Permittee Signature: I �I 1 ,` \ •.. .• .639.4175 by 7:00 a.m.for the next available inspection date. till �f,,'- This permit card shall be kept in a conspicuous place on the job site until completion of the prc' Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVED 1 OR Of l 10E l SE ONL1 City of Tigard Received 1,4 q 13125 S W Hall Blvd.,Tigard,O 72 Q 7��� Permit No.:���� 17-770 /1 _ Phone: 503.718.2439 Fax: 51,1# .1466P 2 01 7 Plan Review iCg, TIGARD Inspection Line: 503.639.4175 Date - ����' �� ' Other Permit:�r�12�f7—OC�Io? Internet: www-tigard-or-goCITY OF TIGARD mate ed/M-ho �- RF Dotitied/M-hod: / %� ® SlePagel for i ILDING DIVISIONArrrAr 1/)l 7i. �� Supplemental Information TYPE OF WORK / N New construction REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the value of the work performed Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORYOF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling Valuation: ❑Commercial/industrial $ - ) • O ❑Accessory building Number of bedrooms: MIMI ❑Multi-family ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of fl Job site address: 417/MI 3oors: ._ a �'rc�`� • New dwelling area: 1 square feet City/State/ZIP: �•_Qr R 417.1.,417.1.,417.1.,‘,33 l _ Suite/bldg./apt-no.: Garage/carport area: �[f square feet Project name: Cross street/directions to job site: Covered porch area: I, square feet iiDeck area: j Co() square feet Other structure area: i� 14 4.:N1 square feet 7 Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST Tax map/parcel no.: I/�� noPermit fees*are based on the value of the work performed. �`��T $7 Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF'WORK equipment,materials,labor,overhead,and the profit for the work indicated on this aeplication. Single Family Residence Valuation: $ Existing building area: square feet 0 PROPERTY OWNER New building area: square feet ❑ TENANT Number of stories: Name:Black Diamond Homes,Inc Address: Type of construction: City/State/ZIP: Occupancy groups: Phone:( ) , p ►Zt APPLICANT ;i CONTACT PERSON Business name:Black Diamond Homes,Inc BUILDING PERMIT FEES* ease re er to ee schedule Contact name:Jeff Bettinelli Structural plan review fee(or deposit): Address:15685 SW 116th Ave.Ste 290 FLS plan review fee(if applicable): City/State/ZIP:Tigard/OR/97224 Total fees due upon application: Milli Phone:(503)201-6304 Amount received: 17 _ l E-mail:Jeff@blackdiamondhomesinc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Black Diamond Homes,Inc Submit two(2)sets of roof plan with connection details Address:15685 SW 116th Ave.Ste 290 and fire department access,along with the 2010 Oregon City/State/ZIP:Tigard/OR/97224 Solar Installation S.ecial Code checklist. Permit Fee(includes plan review Phone:(503)2016304 and administrative fees): $180.00 CCB lic.:109542 State surcharge(12%of permit fee): $21.60 Authorized signature: n Total fee due upon application: $201.60 �i `�6�� 11 ` This permit application expires if a permit is not obtained Print name:Jeff Bettinelli �41,‘>t -1 within 180 days after it has been accepted as complete. Date: fa *Fee methodology set by Tri-County Building Industry I:\Building�Permits\BUP-RESPermitApp.doc 02/24/2011 Service Board. 440-4613T(I 1/02/C I+M/WEB) Mechanical Permit A 1 1 li y; r :1 FOR OFFICE USE ON LI City of Tigard /VED Received 13125 SW Hall Blvd.,Tigard,OR 9723 Date/By: Permit Na: II f2dt 7 --���/ II Phone: 503.718.2439 Fax: 503.598. Plan Review T I G A R D Inspection Line: 503.639.4175 8 2017 Date/By: Other Permit: Internet: www.tigard-or.gov Ct7Y•/-� Date Ready/By: L� L/ // Juris Ed See Page 2 for�� 71�A Notified/Method: PNG ! '`U Supplemental Information TYPE OF WORK 4' : ! COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equi,ment,labor,overhead,and troth. CATEGORY OF CONSTRUCTION Value:$ ® 1-and 2-family dwellingRESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 Commercial/industrial 0 Accessory building ❑Multi-familyFor special information use checklist. 0 Master builder 0 Other: Description JOB SITE INFORMATION AND LOCATION Qty Ea. Total Heatin./coolin.: Job site address: 437q[t C� /� C 1 Air conditioning J �c�°e.W i rt S _ 46.75 City/State/ZIP: \ Furnace 100,000 BTU(ducts/vents) 1111146.75 T1- G ©A �7..U. Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat,ump _ 61.06 Cross street/directions to job site: Duct work 23.32 an Hydronic hot water system 23.32 , ti.. ' Residential boiler(radiator or h dronic fuel- . 23.32 ( type,not electric), in-wallUnitheaters,in-duct,sus,ended,etc. . 46.75 Subdivision: IS 4.4ic% )44 Flue/vent for any of above 23.32 _ g© 1 Lot no.: Other: 23.32 _ Tax map/parcel no.: acS 7Other fuel a t t'lances: Water heater lira23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Single family residence Flue vent for water heater or gas fire glace a 23.32 Lo!li_hter as 23.32 Wood/,ellet stove 33.39 Wood fireplace/insert 23.32 INILE ® PROPERTY OWNER 23.32 ❑ TENANT Other: 23.32 Name:Black Diamond Homes,Inc Environmental exhaust and ventilation: Address:15685 SW 116th Ave.Ste 290 Range hood/other kitchen equipment / 33.39 City/State/ZIP:Tigard/OR/97224 Clothes dryer exhaust �. 33.39 Single-duct exhaust(bathrooms, toilet Phone:(503)201-6304 com,artments,utili rooms 23.32 Atccrawlspace fans 23.32 ii. APPLICANT ; CONTACT PERSON Other: _ Business name:Black Diamond Homes,Inc 23.32 Contact name:Jeff Bettinelli $14.15 for first four;$4.03 for each additional Address:15685 SW 116th Ave.Ste 290 Furnace,etc. City/State/ZIP:Tigard/OR/97224 Wallr heaternded/unit heater =_ Phone:(503)201-630411311.111111111111111111111111111 Water t IMME111111111111111111111111.0 E-mail:Jeff@blackdiamondhomesinc.com Ran:e I Barbecued Clothes er as d CONTRACTOR --_ Business name:Integrity Air LLC Other: Address:7301 SW Kable Ln,STE 500 MECHANICAL PERMIT FEES* City/State/ZIP:Portland/OR/97224 Subtotal Minimum permit fee($90.00) Phone:(503)572-3594 Plan review(25%ofpermit fee)Fax: ( ) CCB lic.:203869 State surcharge(12%of permit fee) �t ���( � TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: �i�Lia��� ��l�ti. days after it has been accepted as complete. lfi * Fee methodology set by Tri-County Building Industry Service Board Print name:Jeff Bettinelli 111111111Date: I:)Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil 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. Note: All new commercial buildings require 2 sets of plans. I:\Budding\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit A li • IV FOR OFFICE LSI:(1.\L1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR lV7 23� 8 DateB : Permit#: �!ti'aor i�Q a j i N .. ' Phone: 503.718.2439 Fax: 503. �9gg 9 2017 Plan Review Inspection Line: 503,639.41��ii T��r1 c t Date/B Related Permit#; Tit ,1 t:" Internet: www.tigard-or.•ov0✓I f T v 1 p IGARD Ready Date/Bo: Tuns H See Page 2 for Notified/Method: Supplemental Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit c' ❑DemolitionI>P Y(submit 2 sets of plans w/items checked): ❑Other: ❑Service or feeder 400 amps or more 0 Building over three stories. {,`A.'I`11�(r0' Ol? ICQNST CJG"I'f(� k where the available fault current 0 Marinas and boatyards. I� 1-and 2-family dwelling o exceeds 10,000 amps at 150 volts or ❑Floating buildings. Y g 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family 0 Master builder r—i amps for all other installations. buildings, 0 Other: `= J�k jT '. ❑Fire pump. ❑Installation of 150 KVA or J3; .. IN1+Q 4:4TION .N '. OCATI IN.. ❑Emergency system, larger separately derived Job#: Job site address: iOtiq 0Addition of now motor load of system. J City/State/ZIP: e St..) _ • - S� 100HP or more. 7!�t ©+` • �� 0 Six or more residential units. occupancy. Suite/bldg,/apt.#: ❑Health-care facilities. ❑Recreational vehicle parks. Project name: 0 Hazardous locations. 0 Supply voltage for more than Cross street!,ireetlons to job site: ❑Service or feeder 600 amps or more. 600 volts nominal, L/ > S > 11I t a two _- d Desert don Km Each • Total la{ Subdivision: PaNew residential single-or multi-family dwelling unit. r'. 4 /99-•©g Lot#: 2 Includes attached garage. Tax map/parcel# 1,000 sq,ft.or less - 168.54 �E/ _` B1SC TPTION Ok`'.WOW( LLimitedadd500energy,sqesft.denor ial 733 92 iriginal 500 SIngle family residence abresidential III 75 with above s..ft. im 75.00 Limited energy,multi-family ■ residential with above s..ft. 75.00 -© C4','PR"tfyE)g' TENT Renewable Name:Black Diamond Homes,Inc Services or feeders installation,al`t'er tion and/or rel • Address:15685 SW 116th Ave.Ste 290 200 amps or less 1111 100.70 _© 201 amps to 400 amps 11111 133.56 _© City/State/ZIP:Tigard/OR/97224 401 amps to 600 amps - 201 04 =© Phone:(5(13)201-6304 601 amps to 1,000 amps 301 04 Over 1,000 amps or volts 552.26 _© Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on ro relocation intended for sale,lease,rent,or exchange,according to ORS 447 449,670,and 701.is not 200 amps or less 36 El - Owner signature201 amps to 400 amps Date: 401 amps to 599 amps 5908 - 125 08 �r :3 ;.wl 01 .A?PL1C P 168.54 i�:�:f� CO 'A�gO Branchcircuits—new,alteration,or extension, .er .snelBusiness name:Black Diamond Homes,Inc A.FeeforbranchcircuitswithContact name:Jeff Bettinelliabove service or feeder fee, .each branch circuit7.42 Address:15685 SW 116th Ave.Ste 290 B.Fee for branch circuits without II or feeder fee,first City/State/ZIP:Tigard/OR/97224 branch circuit 56.18 Each add I branch circuit an 7 42 _El Phone:(503)201-6304 Miscellaneous service or feeder not included Email Jeff@blackdiamondhomesinc.eom Each manufactured or modular dwellin service and/or feeder III 67.84 II :. C© 17f12ACTQR Reconnect only NI 67.84 _© Business name.Hotwire Electric,Inc. PSP or irrigation circle 67.84 _© Address:7435 SW 240th Place Sign or outline lighting NM 67.84 _Ell Signal circuit(s)or limited-energy .ane!,alteration or extension. See Page 2 © Each additional inssection over allowable in an of the above City/State/ZIP:Beaverton/OR/97007 Phone:(503)572-1317 -Additional inspection(1 hr min) 66.25/hr =: Email:Hotwire.electric@frontier.com Investigation(1 hr min) 90 00/hr Industrial plant(I hr min) innazi_■ CCB Lic.: u427S Electrical Lie.: G! /� Inspections for which no fee is III 9 Il Suprv.Lic.:t'l Z r 7,C s. ificall fisted %z hr mm 0.00/hr -. Suprv.Electrician signature,required: 4 ,ifCIRI P `r R11"P Print name: Derek Nab _ Subtotal: /,� Date: 0 Plan Review Required(25%of permit fee): Authorized signature: IN 1 State surcharge(12%of permit fee): •��►u►�W�IIh1�� TOTAL PERMIT FEE: Print name: Jeff Bettinelli "Anna This permit application expires if a Date: days after it has been accepted as complete. it is not within 180 uildingTermits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 * Number of inspections allowed 440-4615T(11/05/COM/WEs per permit. I i Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: I Renewable Energy Permit Fees: `_ SOENT4L..W;QVOK"ONLY Fee for all residential systems combined: �'75 00 Descriwtton Each © Renewable electrical energy systea ms: Check Type of Work Involved: 5 kva or less - 100.70 El Check ❑ Audio and Stereo Systems* 5.01 to 15 kva IIII 133.56 _© 15.01 to 25 kva im 200,34 _© ❑ Burglar Alarm Wind ,eneration s stems in excess of 25 kva: 25.01 to 50 kva 301.04 (� Garage Door Opener* 2 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance Heating,Ventilation and Air Conditioning with OAR 918-309-0040 552.26 2 System* Solar generation systems in excess of 25 kva: "— Each additional kva over 25 7 42 _ co Vacuum Systems* >100 kva-no additional charge 0.0 3 ❑ 3 Other: Each additional ins.• on over allowable in an of the above: Each additional inspection is char•ed at an hourl (1 hr min) 66.25 1 Inspections for which no fee is s ificall listed 1/:hr min 90.00/hr Fee for each commercial system: " ` ' ,a i $75.00 Subtotal (SEE OAR 918-309-0000) (Enteron Page 1): * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation O HVAC O Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical O Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits1ELC_PermitApp ELR ERE.doc Rev 06/17/2015 'Plumliing Permit Applicat' Site Utilities l FOR OFFICE USE ONLY _ City of Tigard JUL 1 8 2017 Received q 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.; �y���,��a�, Phone: 503.718.2439 Fax: 5030411,60F T' /► p� Plan Review TIGARD Inspection Line: 503.639.4175BU'LgyIA1� �/�RLI Date/By: Other Permit No.. Internet: www.tigard-or.gov BUILDING DIVISION DateReadyBy: Notified/method. .i is See Page 2 for TYPE OF WORK Supplemental Information New construction FEE* SCHEDULE ❑Demolition For special information use checklist ❑Addition/alteration/replacement Description her: Q . Ea. Total ❑Ot New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 _ ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 0 Other: 25.02 JOB SITE INFORMATION AND LOCATION Fire sprinkler( sq.ft.) Page 2 - 7 Job site address: 97fct Sc Crew:(�QW;{� .. DryweEnTEMMI Catch basin or area drain _ 7,* 18.76 - 4r k 01 / q ',)3 ootin 1,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Cross street/directions to job site: Manufactured home utilities 50.03 �� Manholes 18.76 9'4'VNkv1 S' Rain drain connector _ 18.76 - Sanitary sewer(no.linear ft.:<Ioe MI Page 2 Storm sewer(no.linear ft.: 410 1` MII Page 2 Subdivision: ypj����� ^ �QQ$` Q 8 t „2, Water service(no.linear ft.: CIO ) Page 2 Lot no.: Fixture or item: '� Tax map/parcel no.: ,k4^)7gg 7g Backflow preventer CAw.,,, DESCRIPTION OF WORD 31.27 Backwater valve _ Single family residence 12.51 Clothes washer Imo 25.02 25.02 Drinking fountain 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank Ejectors/sump _ 25.02 - 12 Name:Black Diamond Homes,Inc 12.51 Fixture/sewer cap _ Address:15685 SW 116th Ave.Ste 290 25.02 25.02 Floor drain/floor sink/hub City/State/ZIP:Tigard/OR/97224 Garbage disposal 11 25.02 Phone:(503)201-6304 Hose bib 'Z 25.02 - 0 APPLICANT i'41 CONTACT PERSON Interceptor/grease trap 111111111111111111111111 11=111111111111111111111111111 1 12.51 Business name:Black Diamond Homes,Inc 25.02 - Medical gas(value:$ ) _ Page 2 Contact name:Jeff Bettinelli Primer _ 12.51 Address: 15685 SW 116th Ave.Ste 290 Roof drain(commercial) _ 12.51 City/State/ZIP:Tigard/OR/97224 Sink/basin/lavatory 5• 25. Phone:(503)201-6304 Solar units(potable water) 62.544 1311111.111111.11 E-mail:Jeff@blackdiamondhomesinc.com Tub/shower/shower pan - 12.51 ■_ 25.02 CONTRACTOR Water closet Business name:G&B Plumbing&Sons Inc. 25.02 Water heater 11111 37.52 Address:P.O.Box 92 Water piping/DWV 56.29 City/State/ZIP:St Paul/OR/97137 Other: 25.02 - Phone:(503)868-1417 Subtotal11211111111111.11111 Minimum permit fee: $72.50 CCB Lie.:184372 Plumbing Lic.no.:PB634 Plan review (25%of permit fee) Authorized signature: `i State surcharge(12%of permit fee) �iiim lI�.rIW I,Itib.\ Print name:Jeff Bettinelli ' TOTAL PERMIT FEE Date: El= This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-permitApp.doe 10/01/09 440-4616T(10/02/C0M/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1't 100' 50.03 0 to 2,000 Footing drain-each additional 100' $121.90 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 Sewer-each additional 100' 7,201 and greater $327.54 37.52 Water Service-1st 100' ' 62.54 Water Service-each additional 100' 37.52 Medical Gas Systems: Storm&Rain Drain-1st 100' ' 62.54 Valuation: Permit Fee: Storm&Rain Drain-each additional 100' $1.00 to$5,000.00 Minimum fee$72.50 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 Inspection of existing plumbing or for and including$10,000.00. $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 Inspections outside of normal business 90.00/hr and including$25,000.00. $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 Additional plan review for revisions and including$50,000.00. 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: N/A hA Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate 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 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 My complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" 3„ Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram 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. C:\Users\Brandon\Google Drive\Black Diamond Homes\Admin.Documents\City of Tigard\Permits apps\PLMU_PermitApp.doe City of Tigard II q COMMUNITY DEVELOPMENT DEPARTMENT T I GA R D Building Permit Review — Residential Building Permit #: HLj j 1`7_ kOa / Site Address: Project Name: : �n Lot #: (New dwelling=subdisision name;Addition or Alteration=last name of owner) -1----- Planning Review Proposal: - �R. � � '.1-;„47,/, `���� 2 =' L ,7�.c=/i,c� 4. ' r' G'/< trl S,%C /c%i Verify site address/suite#exists and active in permit system. y ,gi'"River Terrace Neighborhood: 12-No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan fi�'Site plan must be on 8-1/2"x 11"or 11 x 17" sierFF-Tstructures on site paper ootprint of new structure(including decks)with finished 4brawn to scale(standard architect or engineer scale) 1N rth arrow � floor elevations /CJUtility locations&easements(required for new and additions) r.t. ..pslicant Site address,project or subdivision name and lot number information(name and phone number) �'3'ic{ewalk/driveway approach t dimensions and building setback dimensions cation of wells/septic systems �hxistingtecti trees to be retained with drip line,and tree�/ �tge of buildings to be demolished of area,building coverage area,percentage of coverage and protection measures //��,, impervious area(applicable if R-7,R-12,R-25&R-40) tree size,type and loca n �i^i vq�-'K �roperty corner elevations(2 foot contour lines if more than ! ..t names �r�Vq� 4 foot differential) 1,000 sf of impervious area created or replaced? O"S'es ❑No If yes,is a storm water .uality facility shown? e it es LONo lean Water Services-Service Provider Letter of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: yeS ❑ No ..2--Public Facilities Improvement(PFI) Permit: Required: ❑ yes,applicant was notified ,�; Jam' 1`lo Applied For: ❑ Yes ❑ jeiLand Use Case#: No,stop intake .2"Zoning: R— Front Side (7 Rear _ Side _� % Garage --az Landscape Requirement: Lot Coverage Maximum: .Z Building Height: a-Visual Clearance Maximum Height J Actual Height 'a3 ,a-Sensitive Lands: 2'yeS 0 No1 / / j2'TJrban Forestry Plan Type p�t`�d 6 i/J 4� 5.s„ i�� . Alf, • .2--Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Revisions (after Bui ng Submittal only) �/ Date: 7 Revision 1: Approved 0 Not Approved WeT D to _— — / Revision 2: 0 Approved_ 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\BuildingTorms\131dgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: 7 18' / 7 Site Plans: # Building Plans: # Building Permit#: 2-"Enter building permit#above. Planning �'gngineering [est Coordinator B ig Workflow Routing: _ Workflow Sign-off: [Sign-off for Planning(include nnotes arionna(1�ge plan, (1)building plan and Route Application Documents: 0' Engineering: (1) copy permit riginal plan review routing form. it Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: +VIP", Date: 7 IBy Permit Technician: —=,-� Engineering Review G lope at building pad: ',l s/offliS N Cowl); TI o N S Conditions"Met"prior to issuance of building permit [Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: 0 No Assess Water Quality Fee in-lieu: 0 Yes 0 N I LIDA Facility on lot: �" Assess Water Quantity Fee in lieu: 0 Yes� ,1. Yes __ a _ 1 Date: --7/2 7 I [GJ NOT Approved by Engineering: �- // hM) _Gam' ' 4` tri( • St.) FYes-J:/l S Notes: / v P N?K f �. e .• er. 5 - l ! f,�ktc�.r,3 mu / be "'� b'�'<- , Date: Approved by Engineering: D e Revisions (after Building Submittal only) Reviewer 1� / f 7 Revision 1: .�Approved 0 Not Approved N6//42, ' Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit % Date: 7 Approved,NOT Released: 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: 0 V SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A N/A Tigard Trans SDC: r Yes Parks SDC: Yes ❑ N/A LIDA 14 es ►.4•K to Issue Permit q>l4/! I lif Date: Approved by Permit Coordinator: I:\13uilding\Forms\BldgPermitRvw_RES_061417.docx 1114 in Site Utilities — Plumbing Permit Application T I G A RD Plan Submittal Requirements 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. lei snap& tax lot# ❑ project name ❑ site address ['zoning ❑ a licant name suite number B. North arrow. pP ❑ phone number 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 inco I orated into the •lumbin• lans: 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:1Bui]dinglpermits\PLMF-PermitApp.doc 12/30/05 ` J • I RECEIVED C;leanWitei! Service:, JUL 1 8 7_ 0. L„,., 017 AMENDED Seri ' •” . + ,- CWS File Number i 8h.etter ` 15-000501 This form and the attached conditions will serve as your Service Provider Letter in accordance with Clean Water Services Design and Construction Standards (R&O 07-20). Jurisdiction: City of Tigard Review Type: No Impact . SPL Original Date: April 22,2015 Site Address SPL Amendment Date: June 30,2015 /Location: Tigard,OR 97223 SPL Expiration Date: June 29,2017 Applicant Information: Owner Information: Name Name Company TECHNICAL ENGINEERING, INC Com an PO BOX 80483 P y TECHNICAL ENGINEERING, INC Address PO BOX 80483 PORTLAND OR 97280 Address PORTLAND OR 97280 Phone/Fax (503)819-6494 Phone/Fax (503)819-6494 E-mail: technicalengineeringinc@yahoo.com E-mail: technicalengineeringinc(d),yahoo.com Tax lot ID Development Activity 2S102CA01000, 2S102CA01100 Frewing Street Property Line Adjustment Pre-Development Site Conditions: Post Development Site Conditions: Sensitive Area Present: J On-Site 0 Of Site Sensitive Area Present: a On-Site X Off-Site Vegetated Corridor Width: 50 Vegetated Corridor Width: 50 Vegetated Corridor Condition: Degraded Enhancement of Remaining Vegetated Corridor Required: Square Footage to be enhanced: 2,803 Encroachments into Pre-Development Vegetated Corridor: Type and location of Encroachment: None Square Footage: 0 Mitigation Requirements: Type/Location No Mitigation Required Sq.Ft./Ratio/Cost 0 C Conditions Attached C Development Figures Attached(2) Planting Plan Attached I Geotech Report Required This Service Provider Letter does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered on your property. Page 1 of 5 CWS File Number 115-000501 In order to comply with Clean Water Services water quality protection requirements the project must comply with the following conditions: 1. No structures, development, construction activities, gardens, lawns, application of chemicals, uncontained areas of hazardous materials as defined by Oregon Department of Environmental Quality, pet wastes, dumping of materials of any kind, or other activities shall be permitted within the sensitive area or Vegetated Corridor which may negatively impact water quality, except those allowed in R&O 07-20, Chapter 3. 2. Prior to any site clearing, grading or construction the Vegetated Corridor and water quality sensitive areas shall be surveyed, staked, and temporarily fenced per approved plan. During construction the Vegetated Corridor shall remain fenced and undisturbed except as allowed by R&O 07-20, Section 3.06.1 and per approved plans. 3. If there is any activity within the sensitive area,the applicant shall gain authorization for the project from the Oregon Department of State Lands(DSL)and US Army Corps of Engineers(USACE). The applicant shall provide Clean Water Services or its designee (appropriate city)with copies of all DSL and USACE project authorization permits. 4. An approved Oregon Department of Forestry Notification is required for one or more trees harvested for sale, trade, or barter, on any non-federal lands within the State of Oregon. 5. Prior to disturbance,an erosion control permit is required.Appropriate Best Management Practices(BMP's)for Erosion Control, in accordance with Clean Water Services'Erosion Prevention and Sediment Control Planning and Design Manual,shall be used prior to, during, and following earth disturbing activities. 6. Prior to construction, a Stormwater Connection Permit from Clean Water Services or its designee is required pursuant to Ordinance 27, Section 4.B. 7. Activities located within the 100-year floodplain shall comply with R&O 07-20, Section 5.10. 8. Removal of native,woody vegetation shall be limited to the greatest extent practicable. 9. Should final development plans differ significantly from those submitted for review by Clean Water Services,the applicant shall provide updated drawings,and if necessary, obtain a revised Service Provider Letter. SPECIAL CONDITIONS 10. The Vegetated Corridor width for sensitive areas within the project site shall be a minimum of 50 feet wide, as measured horizontally from the delineated boundary of the sensitive area. 11. For Vegetated Corridors up to 50 feet wide,the applicant shall enhance the entire Vegetated Corridor to meet or exceed good corridor condition as defined in R81O 07-20, Section 3.14.2,Table 3-3. 12. Removal of invasive non-native species by hand is required in all Vegetated Corridors rated ""good."" Replanting is required in any cleared areas larger than 25 square feet using low impact methods. The applicant shall calculate all cleared areas larger than 25 square feet prior to the preparation of the required Vegetated Corridor enhancement/restoration plan. 13. Prior to any site clearing, grading or construction,the applicant shall provide Clean Water Services with a Vegetated Corridor enhancement/restoration plan. Enhancement/restoration of the Vegetated Corridor shall be provided in accordance with R&O 07-20,Appendix A. 14. Prior to installation of plant materials, all invasive vegetation within the Vegetated Corridor shall be removed per methods described in Clean Water Services' Integrated Pest Management Plan. During removal of invasive vegetation care shall be taken to minimize impacts to existing native tree and shrub species. 15. Clean Water Services shall be notified 72 hours prior to the start and completion of enhancement/restoration activities. Enhancement/restoration activities shall comply with the guidelines provided in Landscape Requirements(R&0 07-20,Appendix A). Page 2 of 5 CWS File Number ' 1au1"aU1 . r 16. Maintenance and monitoring requirements shall comply with R&O 07-20, Section 2.11.2. If at any time during the warranty period the landscaping falls below the 80%survival level,the owner shall reinstall all deficient planting at the next appropriate planting opportunity and the two-year maintenance period shall begin again from the date of replanting. 17. Performance assurances for the Vegetated Corridor shall comply with R&O 07-20, Section 2.06.2. 18. Clean Water Services shall require an easement over the Vegetated Corridor conveying storm and surface water management to Clean Water Services that would prevent the owner of the Vegetated Corridor from activities and uses inconsistent with the purpose of the corridor and any easements therein. FINAL PLANS 19. Final construction plans shall include landscape plans. In the details section of the plans, a description of the methods for removal and control of exotic species, location, distribution, condition and size of plantings, existing plants and trees to be preserved, and installation methods for plant materials is required. Plantings shall be tagged for dormant season identification and shall remain on plant material after planting for monitoring purposes. 20. A Maintenance Plan shall be included on final plans including methods, responsible party contact information, and dates(minimum two times per year, by June 1 and September 30). 21. Final construction plans shall clearly depict the location and dimensions of the sensitive area and the Vegetated Corridor(indicating good,marginal, or degraded condition). Sensitive area boundaries shall be marked in the field. 22. Protection of the Vegetated Corridors and associated sensitive areas shall be provided by the installation of permanent fencing and signage between the development and the outer limits of the Vegetated Corridors. Signage details to be included on final construction plans. This Service Provider Letter is not valid unless CWS-approved site plan is attached. Please call (503)681-3667 with any questions. SfraCci Stacy Benjamin Environmental Plan Review Attachments(2) Page 3 of 5 Albert Shields From: Albert Shields Sent: Wednesday,August 02, 2017 5:28 PM To: jeff@blackdiamondhomesinc.com' Cc: Jonny Gish Subject: MST2017-00281, 9799 SW Frewing St. Jeff, in reviewing the plans for your application Engineering has noted that: 1. Water quality facility must be shown. 2. Frewing is a no-cut street and all trenches must be combined. 3. House must use the existing SS lateral. Please revise your site plan accordingly and resubmit. Meanwhile, I will code this application "Approved but Not Released" and put it on Hold until the above issues are addressed. Plan Review will proceed. Please let me know if you have any questions. Albert Shields 1 CITY OF TIGARD MASTER PERMIT 111. _ i - COMMUNITY DEVELOPMENT Permit#: MST2017-00281 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2017 T r c ,ti Ir.f: g Parcel: 2S102CA01000 Jurisdiction: Tigard Site address: 9799 SW FREWING ST Subdivision: 1998-081 PARTITION PLAT Lot: 2 Project: Partition 1998-081, Lot 1 Project Description: New SF. 4/18/18: REPRINT to add 90 SF of deck for a deck area of 190 SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 720 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 916 sf Garage: 441 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1636 sf Value: $215,230.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 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: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!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+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1636 Owner: Contractor: BLACK DIAMOND HOMES INC BLACK DIAMOND HOMES INC Required Items and Reports(Conditions) 15685 SW 116TH AVE STE 290 15685 SW 116TH AVE SUITE 290 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97224 PHONE: 503-201-6304 PHONE: 503-201-6304 FAX: 503-579-3990 Total Fees: $29,178.57 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. Tose rules are set forth in OAR 952-001-0010 through OAR 95 -0090. You ay obtain a co of the rules or direct questions to OUNC by calling 503.232.1•- 00.33 4. Issued By: Permittee Signature: ir1f•/��!t' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. nor 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. Buildint Permit Application Residential1 OR 01 f l t i_ l 1: 0\1 1 Battu Permit No.: v.-- City of Tigard , 4 i t' na/s : 111 r 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Other Permit Phone: 503.718.2439 Fax: 503.598.1%0 Date/B Date Ready/By: Juris: RI See Page 2 for 1_i R 1) Inspection Line: 503.639.4175 t Supplemental information Internet: www.tigard-or.gov t1, � Notified/Method: • TYPE OF WO r/1 REQUIRED DATA:1-AND 2-FAMILY DWELLING t New construction 0 n 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: ° �. i .: equipment,materials,labor,overhead,and the profit for the 11 work indicated on this application. CATEGORY OF CONSTRi3CTI0 +ti + P Valuation: $ /f „ ®1-and 2-family dwelling 0 Commercia iT. '" Number of bedrooms: ❑Accessory building 0 Multi-family — Number of bathrooms: ❑Master builder ❑Other JOB SITE INFORMATION AND LOCATION Total number of floors: New dwelling area: square feet Job site address: q-j qat SG.) 4-040 ^ s# City/State/ZIP: 7:45 Are / a J. /R7.1.a Garage/carport area: square feet Suite/bldg./apt.no.: ` Project name: Covered porch area: square feet Cross street/directions to job site: 9 G ( J — —r- Deck area:At,D (1,C) square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: )34.444:0 irk 1 QQif-CDT i 1 Lot no.: ,. Permit fees°are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel io.: /2.207 es 72 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. V ( ( 'I ) Valuation: $ Single Fami•ly Residence I `` ` �� Existing building area: square feet — pct J-n�:�o �w� � rvit.c5 l Ci — 1)0 tt l New building area: square feet f: PROPERTY OWNER 0 TENANT Number of stories: Name:Black Diamond Homes,Inc Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT SI\CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee wheal!) Business name:Black Diamond Homes,Inc Structural plan review fee(or deposit): Contact name:Jeff Bettinelii FLS plan review fee(if applicable): Address:15685 SW 116th Ave.Ste 290 Total fees due upon application: City/State/ZIP:Tigard/OR/97224 Amount received Phone:(503)201-6304 ' Fax::( ) PHOTOVOLTAIC SOLAR-PANEL SYSTEM FEES* E-mail:Jeff(rt3blackdiamondhomesine.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:Black Diamond Homes,Inc and fire department access,along with the 2010 Oregon Address:15685 SW 116th Ave.Ste 290 Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Tigard/OR/97224 and administrative fees): Phone:(503)2016304 I Fax:( ) State surcharge(12%of permit fee): CCB lir.:109542 ,A ' Total fee due upon application: 1 4 IR,i / ► / This permit application expires if a permit is not obtained Authorized signature: 410 t 4 j►11��1 • `{�to�t s within 180 days after it has been accepted as complete. i ,�'�f,' q .--1 I ( t {� I *Fee methodology set by Tri-County Building Industry IPrint name:Jeff Bettinelli Date: + l4 Service Board. I.\Building\Permits\BUP-RESPermttApp .dor 02/24/2011 440-4613T(1l/02/C®M/WEB) City of Tigard 'PI ~ COMMUNITY DEVELOPMENT DEPARTMENT , ■ Building Permit Review — Residential TIGARD Building Permit #: PI'51 -o l 7—0O X-7/./.... Site Address: (7 7 Fremv;,, Project Name: L3 I a c k 1);1/40,,oeNd go rt7 es' f Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) I--e-ew`nq ti_ Planning Review /<<-G;S .6 i '' ' 4 Proposal: � e LA) SFR . A,6- z, of-c,g_ SCC • 1)r.4- . 1 r/S7Z_ -S rz- / ,:*u, r 'erify site address/suite#exists and actio permit system. ,River Terrace Neighborhood: -I l No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: r.ge(3)copies of site plan •BErresring structures on site ,, tete plan must lie on 8-1/2"x 11"or 11 x 17"paper ,.JJFtsbtprint of new structure(including decks)with finished ❑Drawn to scale(standard architect or engineer scale) floor elevations f.}idorth arrow Dty locations&easements(required for new and additions) „1:;81te address,project or subdivision name and lot number idewalk/driveway approach ..2"Avolicant information(name and phone number) ,Ql;ees 5iri of wells/septic systems l 1 t dimensions and building setback dimensions trees to be retained with drip line,and tree of buildings to be demolished protection measures t area,building coverage area,percentage of coverage and IISsoeet tree size,type and location /./4 r 1✓- im envious area(applicable if R-7,R-12,R-25&R-40) 2 treet names A 64 - t%/ eroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious a crewpi- d or replaced?_?(Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? (...:,'E Yes❑No lean Water Sces-Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified 0 No Received: %Yes 0 No CY1)ublic Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified )2r#No Applied For. 0 Yes 0 No,stop intake Ef/Land Use Case#: PM h 4."1 i g-oiS I • •nirig: R - Li , 5- 11, it Required Setbacks: Front () Rear 13 Side S Street Side A If} Garage Ai, -7 4174, Landscape Requirement: 1.11/)t `.0* % f O.) Lot Coverage Maximum: IJtk_i_g_ (Building Height: Maximum Height 3.5 Actual Height 21 Visual Clearance - l_ r ,Sensitive Lands: 2r-fres 0 No Type e�Q7ed/ ( r-r,C 0� ,P- Urban Forestry Plan v I ,.Conditions"Met"prior to issuance of building permit Notes: f Approved By Planning: OW 1/1., • Dater/1 3' 17 Revisions(after Bui 'ng Submi only) ewe ` s ate Revision 1: proved 0 Not Approved ��,� I I/ Revision 2: Br Approved 0 Not Approved 110.*110 aim Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES 061417.doex Building Permit Submittal Original Submittal Date: 73i/7 Site Plans: # 3 Building Plans: # 3 Building Permit#: ErEnter building permit#above. Workflow Routing: E'Planning GrEngineering 0-Permit Coordinator .B-B-uilding Workflow Sign-off: Ia.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 riginal plan review routing form. DI Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �..Qt _ Date: ,//?4 7 Engineering Review c� SSSlope at building pad: .2 S/, [3 onditions"Met"prior to issuance of building permit 4 /.t o 64, .5 LE: Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 es 0 + LIDA Facility on lot: Yes rs'o ANOT Approved by Engineering: Date: 7/,2 7/7 Notes: Nos' S/i., 6.J...4. Qu,41, . Frtrli w IS a N0 Cur S�eef . 4// r?"cic; /H«S/ k Coh.(rheui. use afs1.l sI L.-ie.-A./ Approved by Engineering: cc)-, Date:-9 -- (a , B 'Ming Submittally) Reviewer Date Revision 1: pproved ,� ot Approved hllL.C. 6A-% ' ' 5/i 2 ®V. Approved 0 Not Approved L AT Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit Approved,NOT Released: ! j,iet t Date: 1/7 '' Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Siitioiorti r Date Sent to Applicant Revision Notice 3: Date Sent to Applicant DC Fees Entered Wash Co Trans Dev Taa: es/a 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: ►:/ es ❑ N/A LIDA Yes RN/A Az :r :ortor: ssue `9/// /1 Apby / 1M Date: 1 /4/.r 1 7– 1:\Building\Forms\B1dgPermitRvwRES 061417.docx FOR OFFICE USE ONLY-SITE ADDRESS: ?7`j 5 SGv -r-ir,(41/0-k— 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 ; _ 14 Ph Transmittal Letter i !is n li n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ,/►., DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: J - (36S;rtiM -A- A APR 11 2018 CIO'' ;LA- iGARD COMPANY: -�`�-btu 6A9 i-( E$ BUILDING DIVISION PHONE: 563 ( 63 b r , Bye) RE: 7 7 7 .S cJ IR"'0,';v r v w -2 - o -ZS)/ (Site Address) (Permit Number)` Pimm- /if r- emLi- - I (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. . Beam calculations. Engineer's calculations. Other(explain): REMARKS: &tip 9t Sc TO 4l i 1- ,4%.-_-..Li as ` ..,Y :i,' A - ii!_ / i- *r nom, P, ,.f FOR OFFICE USE ONLY Routed to Permit chnician: Date: y-- J7- ) Initials: Fees Due: es , No Fee Descri.tion: I Amount Due: $ Special OftC.O. 7-7 Instructions: , Reprint Permit(per PE): Ye r . o ❑ Done Applicant Notified: Date: I-U(1 - Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9799 SW FREWING ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00281 Inspection Type: Inspector: 210 Foundation walls David Young Result: PASS Comments: Finish tying in holdowns prior to pouring per manufacturers installation requirements. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9799 SW FREWING ST, TIGARD, OR, 97223 April 26, 2018 at 2:27:54 PM Record Type: Record ID: Residential - Master Permit MST2017-00281 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9799 SW FREWING ST, TIGARD, OR, 97223 April 26, 2018 at 2:29:14 PM Record Type: Record ID: Residential - Master Permit MST2017-00281 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Seal condensate drain at foundation vent. R408 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9799 SW FREWING ST, TIGARD, OR, 97223 April 26, 2018 at 2:25:13 PM Record Type: Record ID: Residential - Master Permit MST2017-00281 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9799 SW FREWING ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00281 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete Collected Air leakage test report High efficiency lighting form Moisture content acknowledgement form Street tree certification and verified no trees required Left C of 0 on the counter Violation Summary: Inspector Contractor