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Permit (98) 114 . CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00279 itGAI D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2017 Parcel: 2S 102CA01100 Jurisdiction: Tigard Site address: 9795 SW FREWING ST Subdivision: 1998-081 PARTITION PLAT Lot: 2 Project: Partition 1998-081, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1202 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 668 sf Garage: 428 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1870 sf Value: $240,654.27 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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 add9 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 10001-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 1870 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: $29,517.29 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 a copy of the rules or direct questions to OUNC by calling 503. iimip or :0 r. 32.2344. Issued By: ,tis-.._ .� Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion oft e project Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVEP FOR OFFI('E USE ONLI' City of Tigard Received a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By , ,P / w) Permit No.:. C rpev7– n.e,279 Phone: 503.718.2439 Fax: 508.1612017 IN Plan Review_—, -vv _G�..vV Inspection Line: 503.639.4175 ` Date/By: . 7 Other Permit: �o��-�oa`37 T I G A R D p Date Ready/By. Ia Awls: Internet: www.tigard-or.go J g /� y Notifie th /..... j � Supplemental See Page 2 for ,1I 1'�"�y�FF[ �Igb�T/AR / /J Information ISION REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF,CONSTRUCTION work indicated on this appli •n. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ `a `, ❑Accessory building 0 Multi-family Number of bedrooms: 4/ d4091 G S-^ Number of bathrooms: /^']/� 3 ❑Master builder ❑Other: " JOB SITE INFORMATION AND LOCATION Total number of floors: "D, >2-4/(b Job site address: 9795 Sw 'C'�/+ e.......7.n4 S4• New dwelling area: 18-70 square feet U� City/State/ZIP: "'(;6 f Oa/47.1-).,3 J Garage/carport area: (-1 ,t square feet rix9.- Suite/bldg./apt.no.: Project name: L Covered porch area: ...p.square feet Cross street/directions to job site: Deck area:a03"Vit square feet W — 5 - ' A " frp,vol Other structure area: square feet Subdivision: � REQUIRED DATA:COMMERCIAL-USE CHECKLIST �c`t'k.•i1 Q Q.v–' O I I Lot no.: Z Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1k9J 7q 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. Single Family Residence Valuation: $ Existing building area: square feet New building area: square feet ►e PROPERTY OWNER I 0 TENANT Number of stories: Name:Black Diamond Homes,Inc Type of construction: Address: City/State/ZIP: Occupancy groups: Phone:( ) Existing: Fax:( ) New: ® APPLICANT A CONTACT PERSON Business name:Black Diamond Homes,Inc BUILDING PERMITFEES* (Please refer to fee 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: Phone:(503)201-6304 I Fax:: ) Amount received: ./P7. -p• E-mail:Jeff@blackdiamondhomesinc.coni PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mount-d Photo Voltaic Solar Pane m. Business name:Black Diamond Homes,Inc Submit two(2)sets • sof plan w' • snnection details Address:15685 SW 116th Ave.Ste 290 and fire department access - •i g with the 2010 Oregon Solar Installation S.--'a ty Co,e •- klist. City/State/ZIP:Tigard/OR/97224 Permit - (includes plan review Phone:(503)2016304 and administrative fees): $180.00 Fax:( ) CCB lie.:109542 State surcharge(12%of permit fee): $21.60 ,. • Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained 1 .;1104 within 180 days after it has been accepted as complete. Print name:Jeff Bettinelli i I Dater l J. / ('—.) I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit AppliciCEIVED FOR OFFICE (SE OM.' City of Tigard Received Date/By: Permit No.: airpoi i ]7....60 p`^7 i a 13125 SW Hall Blvd.,Tigard,OR 9722 !f pv 11111' 111 Phone: 503.718.2439 Fax: 503.598.1'W,L 3 2(l 17 Plan Review DateBy: Other Permit: TIG ARD Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Date Ready/By: Juris: ® See Page 2 for $jam 1�j1]�GA(��{q Notified/Method: Supplemental Information TYPE OF WORK ''Iry 11�IIRt.O,�,#, COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ®New constructiont Mechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ I-and 2-family dwelling 0 Commercial/industrial RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: meJ^ S Air conditioning 46.75 �� ,nn 5', Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP: 7,z5ct.� DI/)I q 7��*N Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: c1 / Project name: Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hwt23.32 CV. ,V/ ',,, S _ .o r\ R Residential ot boileraer(radiatorsystem or t;11/ l� hydropic) 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: lc 4.;};oy, Neil- ©8' I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: R-a©7 ss-7qt Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Single family residence Flue vent for water heater or gas — fireplace ), 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNEROther: 0 TENANT 23.32 Environmental exhaust and ventilation: Name:Black Diamond Homes,Inc Range hood/other kitchen Address:15685 SW 116th Ave.Ste 290 equipment 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Tigard/OR/97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)201-6304 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT iff CONTACT PERSON Other: 23.32 Business name:Black Diamond Homes,Inc Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Jeff Bettinelli Furnace,etc. I Address:15685 SW 116th Ave.Ste 290 Gas heat pump City/State/ZIP:Tigard/OR/97224 Wall/suspended/unit heater Water heater Phone:(503)201-6304 I Fax::( ) Fireplace 1 E-mail:Jeff@blackdiamondhomesinc.com Range t Barbecue CONTRACTOR Clothes dryer(gas) Business name:Integrity Air LLC Other: Address:7301 SW Kable Ln,STE 500 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Portland/OR/97224 Minimum permit fee($90.00) Phone:(503)572-3594 I Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:203869 TOTAL PERMIT FEE � A I This permit application expires if a permit is not obtained within 180 1 ( ' , days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Jeff Bettinelli Date: /1(0 I r) I I:\Building\Permits\MFEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permi R✓ (� i FOR OFFICE USE ONLY City of Tigard ` c' Received 13125 SW Hall Blv1(.,�Tigaird OR 97223 -r( ` PlateB : Permit#: or t!'7�0'�? Phone: 503.718.24W L F :d03p��?.1960 Plan Review e' Cv Date/B Related Permit#: Inspection Li 39.4175 Ready Date/By: Ju VI See Page 2 forTIGARU 1VCNotified/Method: Supplemental Info rmationInternet: w � GA [g BUf ' arity iii PLAN REVIEW New construction 0 Addition a e replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-familyamps for all other installations. buildings. 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: Q 4.1.4....3.:1) � ❑Addition of new motor load of system. 17AS SW LW.n Q SF 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: 7;1LiP� /DR /����3 J 0 Six or more residential units. occupancy. ! 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Description I Qty. I Each 1 Total 1 " New residential single-or multi-family dwelling unit. Subdivision: p C i:,.{;On i 44Q"D�' 1 Lot#: Z. Includes attached garage. Tax map/parcel#: R rAp7 g.s 71 1,000 sq.ft.or less 168.54 4 DESCRIPTION OF WORK Ea.add'I 500 sq.ft.or portion 33.92 1 Limited energy,residential Single family residence (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 `TENANT Renewable Energy 0See Page 2 ® PROPERTY OWNER 0 Services or feeders installation,alteration,and/or relocation Name:Black Diamond Homes,Inc 200 amps or less 100.70 2 Address: 15685 SW 116th Ave.Ste 290 201 amps to 400 amps 133.56 2 City/State/ZIP:Tigard/OR/97224 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(503)201-6304 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel El APPLICANT ; A.Fee for branch circuits with Business name:Black Diamond Homes,Inc above service or feeder fee, Contact name:Jeff Bettinelli each branch circuit 7.42 2 B.Fee for branch circuits without Address: 15685 SW 116th Ave.Ste 290 service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Tigard/OR/97224 Each add'1 branch circuit 7.42 2 Phone:(503)201-6304 Fax: :( .) Miscellaneous(service or feeder not included) Each manufactured or modular Email:Jeff@blackdiamondhomesinc.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Hotwire Electric,Inc. Sign or outline lighting 67.84 2 Address:7435 SW 240th Place Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Beaverton/OR/97007 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)572-1317 Fax:( ) Investigation(1 hr min) 90.00/hr Email:Hotwire.electric@frontier.com Li 471E2 Industrial plant(1 hr min) 78.18/hr S Inspections for which no fee is CCB Lic.: I1 _l Electrical Lic.:3 l(-5990 Suprv.Lic.:?"( 21,1G. specifically listed(Y hr min) 90.00/hr L{(,p7:3 Suprv.Electrician signature,required: l/ ELECTRICAL PERMIT FEES Subtotal: Print name: Derek Nab I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: _ I ,dv,, 1 4 // This permit application expires if a permit is not obtained within 180 Print name: Jeff Bettinelli Date.- /{0 /i days after it has been accepted as complete. /( ( * Number of inspections allowed per permit. I.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11(05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 De9e Renewable I em I E$eh Total able electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 toes kva 200.34 2 riWind generation systems in excess of 25 kva: Burglar Alarm 25.01 to 50 kva 301.04 2 54 Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 Heating, Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 Vacuum Systems* >100 kva—no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is specifically listed(V2 hr min) 90.00/hr COMMERCIAL WORK ONLY: LL ELECTRICAL PERMIT FEES Fee for each commercial system: vI I ' $75.00 subtotal(Enteron rage 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: n A• udio and Stereo Systems ❑ Boiler Controls ri C• lock Systems E Data Telecommunication Installation n Fire Alarm Installation E HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* O Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* E Protective Signaling O Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\B"ilding\Permits\ELC_PermitApp ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Appliic 'pc Site Utilities FOR OFFICE LSE ONLY City of Tigard J U L 1 3 2017 Received iv lig 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.:kcrepe/7e404' 79 = Phone: 503.718.2439 Fax: 5e. T9 F TIGARD Plan Review '/ Inspection Line: 503.639.4175 Date/By: Other Permit No.: TIGARD Date Ready/By: Internet: www.tigard-or.gov BUILDING DIVISIONoJuris. ® S¢e Page 2 for Notified Method: I Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacement Description l Qty. [ Ea. 1 Total ❑Other: 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 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath ( 500.32 El Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITEINFORMATION AND LOCATION Site utilities: Job site address: 9795 _5(„0 v .»� Catch basin or area drain 18.76 City/State/ZIP: 73,31 Da. jet 7 ,. .:-.3Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name: Footing drain(no.linear ft.:_� Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: (�(�, - ` G Manholes 18.76 l L(J - c P� v A v Rain drain connector 18.76 Sanitary sewer(no.linear ft.:1601------,--t- Page 2 Storm sewer(no.linear ft.: <A _1 , Page 2 Subdivision: Water service(no.linear ft.:<10oj Page 2 aV\ ,+'0x1 J q -�$1 I Lot no.: ).,, Fixture or item: - Tax map/parcel no.: R�c+y) ZC, Backflow preventer 063,41\ ` 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Single family residence Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Black Diamond Homes,Inc Fixture/sewer cap 25.02 Address:15685 SW 116th Ave.Ste 290 Floor drain/floor sink/hub 25.02 City/State/ZIP:Tigard/OR/97224 Garbage disposal 25.02 Hose bib a 25.02 Phone:(503)201-6304 Fax:( ) Ice maker \ 12.51 XAPPLICANT 140.4CONTACT PERSON Interceptor/grease trap 25.02 Business name:Black Diamond Homes,Inc Medical gas(value:$ ) Page 2 Contact name:Jeff Bettinelli Primer 12.51 Address:15685 SW 116th Ave.Ste 290 Roof drain(commercial) 12.51 Sink/basin/lavatory t0...UN (--\ 6 25.02 City/State/ZIP:Tigard/OR/97224 Solar units(potable water) 62.54 Phone:(503)201-6304 I Fax::( ) Tub/shower/shower pan 12.51 E-mail:Jeff@blackdiamondhomesinc.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Business name:G&B Plumbing&Sons Inc. Water heater 37.52 Water piping/DWV 56.29 Address:P.O.Box 92 Other: 25.02 City/State/ZIP:St Paul/OR/97137 Subtotal Phone:(503)868-1417 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:184372 Plumbing Lie.no.:PB634 Plan review (25%of permit fee) Authorized signature: *. %,k State surcharge(12%of permit fee) i w Vi I TOTAL PERMIT FEE Print name:Jeff Bettinelli I Date: )l l 4 �\ I This permit application expires if a permit is not obtained within 180 days l after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\PLMU-permitApp.doe 10/01/09 440-4e16Tl10/o2/coNuwE6> Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: 4VA Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-Is'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 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: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and including$10,000.00. which no fee is specifically indicated 90.00/hr $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for (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. hours(minimum charge-2 hours) $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: 11- 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 Re lace/ Work Performed: Capped Added Re ocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ 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 ❑ 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 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink 2" Submit 2 sets of plans with any of the above. 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. Other Fixtures: C:\Users\Brandon\Google Drive\Black Diamond Homes\Admin.Documefts\City of Tigard\Permits apps\PLMU_PermitApp.doc City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT • T l c A R o Building Permit Review — Residential Building Permit #: N 6-1'--, 17.-CO X? Site Address: G7 7cps P71' Project Name: 3 j c c k `��0,,( /-/c)/-71 e S t Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review %'e "'"19 .ti_ Proposal: t� / c ,. ,_5 yT, ;/7/7 CFR f/--,ILt v(' Li((, CG `0 it,. ek: ,-; / /61 7Z >rTom_' erify site address/suite#exists and active permit system. River Terrace Neighborhood: al No 0 Yes,See River Terrace Review Addendum Attached Site Ian Elements: rge(3)copies of site planpus g structures on site tte plan must be on 8-1/2"x 11"or 11 x 17"paper 4'o-tprint of new structure(including decks)with finished ❑Drawn to scale(standard architect or engineer scale) floor elevations hlorth arrow ❑ ti]ity locations&easements(required for new and additions) to address,project or subdivision name and lot number tdewalk/driveway approach ..1;1—Applicant information(name and phone number) .,0.1fiec of wells/septic systems E 1 of dimensions and building setback dimensions ZIE,2iitztin trees to be retained with drip line,and tree »rP fnnYage..of buildings to be demolished protection measures �(' of area,building coverage area,percentage of coverage and LQSt eet tree size,type and location /U/4- �7✓V 1� im ervious area(applicable if R-7,R-12,R-25&R-40) treet names y 4 roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area creapk.,vai d or replaced?_.1LlYes ❑No 4 foot differential) If yes,is a storm water quality facility shown? es ❑No lean Water�Se ces—Service Provider Letter(lot platted prior to 9/10/1995): Required: L -YYes applicant was notified ❑ No Received: iii4 Yes ❑ No P'"Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: Pell h I v✓i WI Y -05S I ..0'Zoning: 2 _ it 5 •■mss Required Setbacks: Front D) Rear )S Side 5 Street Side Ai/A Garage ...1 o Landscape Requirement: 1.f6, ei:4 Lot Coverage Maximum: 1\ j' (Building Height: Maximum Height 3 - Actual Height y21 P.-Visual Clearance `Sensitive Lands: yes ❑ No Type Ve, eiceJ /', r-,.Jo.—.. Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: 1 1 3' Revisions (after Building Submit9 1 only) ewe ate Revision 1: k7 Approved ❑ Not Approved ' I' l Revision 2: 0 Approved CINot Approved � - Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal / Original Submittal Date: 7/' 3` 1 7 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Er Planning Engineering 2-Permit Coordinator . - uilding Workflow Sign-off: ❑-Sign-off for Planning(include notes from planning review) Route Application Documents: a-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and e,..eriginal plan review routing form. 0 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: CLN.... .0.4..0a.....$4,...4..44 Date: .V/;/ 7 Engineering Review q STlope at building pad: .2 5/o ©�/ onditions "Met"prior to issuance of building permit iJo Conof,"j;ar 5 [ Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes ❑ + LIDA Facility on lot: 1141*Yes r -= o NOT Approved by Engineering: Date: 7�,2?/7 Notes: may' 54.-1 6.),-19.'"- 0 KA L. F.e&i w:5 IS a /1/o Cur SY,eel. ,4// TvYkc ta$ /H05/ ‘9i' (afrK hed. usr ex b1.1-3 5s IA-1e•-�/ Approved by Engineering: 44F7=' , Date:---9— Revisions ate:-9Revisions (aft;; B 'Ming Submittal ) Reviewer Date / Revision 1. n Approved of Approved h1(1,/,C., ' �� Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit / P A proved,NOT Released: 266---.e/� /r 1 Date: Z 7 (4 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: 41:74fes ❑ N/A Tigard Trans SDC: ! Yes El N/A Parks SDC: b,Yes ❑ N/A LIDA Yes XN/A OK to Issue Permit Date: //4/ Approved by Permit Coordinator: I:\Building\Forms\B1dgPennitRvw_RES_061417.docx Albert Shields From: Albert Shields Sent: Wednesday, August 02, 2017 5:33 PM To: jeff@blackdiamondhomesinc.com' Cc: Jonny Gish Subject: RE: MST2017-00281, 9799 SW Frewing St. Jeff, same story exactly with MST2017-00279, 9795 SW Frewing St. Albert. From:Albert Shields Sent:Wednesday,August 02, 2017 5:28 PM To: 'jeff@blackdiamondhomesinc.corn'<jeff@blackdiamondhomesinc.com> Cc:Jonny Gish <Jonny@tigard-or.gov> 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 RECEIVED CleariWater Services ,I yn[ 3 7 t lI?iil ii.:,.l.!i„t ,l c,,,„. °�IJ ^ �0� CWS File Number AMENDUIVerinfterovider Letter J 15-000501 This form and the attached colidi Pyour 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 Company TECHNICAL ENGINEERING, INC PO BOX 80483 PO BOX 80483 Address Address PORTLAND OR 97280 PORTLAND OR 97280 Phone/Fax (503)819-6494 Phone/Fax E-mail: technicalen ineerin me (503)819-6494 9 g @yahoo.com E-mail: technicalengineeringincCuohoo.com Tax lot ID Development Activity 2S102CA01000, 2S102CA01100 Frewing Street Property Line Adjustment Pre-Development Site Conditions: Post Development Site Conditions: Sensitive Area Present: 1J On-Site Off-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: I I 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 1 i I Conditions Attached C Development Figures Attached(2) P Planting Plan Attached ❑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 1 154)00501 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 R&O 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 15-000501 J 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. CYbair._(1 aerytia/VVOM-- Stacy Benjamin Environmental Plan Review Attachments(2) Page 3 of 5 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9795 SW FREWING ST, TIGARD, OR, 97223 April 20, 2018 at 12:48:32 PM Record Type: Record ID: Residential - Master Permit MST2017-00279 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: 9795 SW FREWING ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00279 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Protection Ballard's in garage to be filled with concrete. Figure M1307.1 No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9795 SW FREWING ST, TIGARD, OR, 97223 April 26, 2018 at 2:18:39 PM Record Type: Record ID: Residential - Master Permit MST2017-00279 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: 9795 SW FREWING ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00279 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9795 SW FREWING ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00279 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 not required. Left C of 0 on counter Violation Summary: Inspector Contractor