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Permit (103)
CITY OF TIGARD MASTER PERMIT 1114. .• COMMUNITY DEVELOPMENT Permit#: MST2017-00253 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Oct 5 2017 12:00AM T i[.;;�It 9 Parcel: 2S112CD00800 7 3/ 42 Jurisdiction: Tigard Site address: 15974 SW 76TH AVE Subdivision: DURHAM ACRES Lot: 1 Project: HSU Project Description: New SF. Demo credits applied from BUP2017-00088. 3/28/2018: REPRINTED to remove(1) shower for a total of(3)showers. 7/30/2020: REPRINT to add A/C &gas piping for barbecue. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1086 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1406 sf Garage: 418 st Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2492 sf Value: $299,825.54 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bcktlw 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: Y Vent Fans: 5 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 addl 500 sf: 4 201-400 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 2492 Owner: Contractor: TENHOUSE PROPERTY LLC LVI CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 5978 SCHEEL TER 2103 NW 3RD AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 BATTLE GROUND,WA 98604 PHONE: PHONE: 503-544-9811 FAX: Total Fees: $8,810.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:/) ô Permittee Signature: 94/ 4rFU Cam'7c%", Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ADP licatr(�� Vrr FOR OFFICE USE ONLY a•••CEI v L® Received 7 z�3 City of Tigard Date/By: W' /7_, 4 d Permit No.M ST O,n i 7-DO • 13125 SW Hall Blvd.,Tigard,OR 97223 JUh 2 3 2020 Plan Review �tl Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: Inspection Line: 503.639.4175 CITY OF TIGARD Ready/By: Page I C I A I:.17Date Read /B 3uris: ® See Pa e 2 for Internet: www.tigard-or.gov BUILDING DIVISION visON Notified/Method: 7/3 d/24) 10d Supplemental Information L l/L 43-wvw ilt-i..) TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction Mechanical permit fees*are based on the value of the work ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ,E3 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder 0 Other: Description Qty. Es. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 1( 15 Job site address: I5 r74F Sc.. 766-t AVQ. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -11.5,ckndls O 7._ 97 22-4- Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: M5T2C>AI -- ooz93 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: 345U StiVCSion Lotno.: Other: 23.32 -tA Other fuel appliances: Tax map/parcel no.: ZS 112 C_ CO ti?1C)0 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas 1. A IC urns* irtskcsJA. fireplace 23.32 Z. QQ5 line osckaetsion tb deck (gar SB4) Log lighter(gas) 23.32 ^ff _ ` Wood/pellet stove 33.39 /`T/�t.i 71) bYi/-C77/r[& /1572-0V/ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: Tam FICIUUS$ P3,lpl~"'CY 9 Jae. Range hood/other kitchen equipment 33.39 Address: S`cg'Z8 (J1.0 Clothes dryer exhaust 33.39 City/State/ZIP: c+ica A, Og_ 472_29 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503) Ii8 C- "1 1'71J.1. Fax:( ) Attic/crawlspace fans 23.32 El.APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: TFr..%t3Ou.5E PaoP.R.T`(, LL.Q $14.15 for first fo , '.03 fo-each additional Contact name: Andret o 4142171-% Furnace,etc. Address: sortsSet-NeelSctg -Ter Gas heat pumpWaWsuspended/unitheater City/State/ZIP: PO ti{(Qra, OlZ 9'l2.Z9 Water heater Phone:(503) 1-i 81 -7 19.11. Fax::( ) Fireplace Range L/, 03 E-mail: aea1-t9"1C c3rnotll-Q?Crt Barbecue I VA'15 4il'45- CONTRACTOR Clothes dryer(gas) Other: Business name: LV I G uSTOr,,JI CO NS-C(Zf..CCT1O OJ MECHANICAL PERMIT FEES* 50 t leer Address: T$Z.,1 S'�. 163 rd Pore_ Subtotal AO la City/State/ZIP: Qot-1q , Oa- 97 ZC.C. Minimum permit fee($90.00) Qrites:r Phone:( 3 C) 544 - 4( Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) le/ CCB lic.: 195z'13 TOTAL PERMIT FEE tom_ This permit appncation expires if a permit is not obtained within 180 days after it has been accepted as complete._$ ,„rfi 7 Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: AM/DREW 14g-ll,14 Date: 7/22/2o22.. I:\Building\Permits\MEC_PermitApp_040I 13.doc 440-4617r(I1/02/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. L:\Building\Permits\MEC_PermitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT N �� COMMUNITY DEVELOPMENT Permit#: MST2017-00253 Date Issued: 10/05/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S15/2017 800 Jurisdiction: Tigard Site address: 15974 SW 76TH AVE Subdivision: DURHAM ACRES Lot: 1 Project: HSU Project Description: New SF. Demo credits applied from BUP2017-00088. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 1086 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1406 sf Garage: 418 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2492 sf Value: $299,825.54 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 4 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types . Air Conditioning: N Vent Fans: 5 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr. Occupancy Group: Square Feet: NEW SF VB R-3 2492 Owner: Contractor: TENHOUSE PROPERTY LLC LVI CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 5978 SCHEEL TER 2103 NW 3RD AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 BATTLE GROUND,WA 98604 PHONE: PHONE: 503-544-9811 FAX: Total Fees: $8,562.53 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 throu•• •A: •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344. / e:..--------- ----' Issued By: t �" r r`'--- Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application •ResiClential I R()FFlcl: L'Sl:Oy1.1 City of Tigard Received /4/I ?l y Permit No.:/ 5 /7_6x.:,,253 1,1 f 13125 SW Hall Blvd.,Tigard,OR 97223 E�� .•. ' plan Review Other Permit: v W^� = Phone: 503.718.2439 Fax: 503.598.1960REG Date/By: �j* )7 '' /eit/i—(70.144-1 kris- See Page 2 for TIGAKD Inspection Line: 503.639.4175 27NDaotetifiReedaMy/Byo:d: / / 7Internet: www.tigard-or.gov 'UN B41 � 1 , /lip I Supplemental Information i t a .t a i , Z TYPE OF WORK '''El DcrCtlIQIO1�4 REQUIRED DATA:1-AND 2-FAMILY DWELLING gge�t,,1�ton PIISIG Permit fees*are based on the value of the work performed. New construction 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. Valuation: ....0K-..."-1-and 2-family dwelling El $ ��p Commercial/industrial iJ SA. IDAccessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: a a9 1 o Job site address: I(<• ']Li -W`(' , New dwelling area: 41.4943. square feet City/State/ZIP: A \ 11J t%� SI:7 2 LGarage/carport area: 9) 13square feet Suite/bldg./apt.no.: Project name: Covered porch area:a cag, square feet j (06 Cross street/directions to job site: Deck area: square feet J 0 86 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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.no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet tg PROPERTY OWNER 0 TENANT Number of stories: Name: ( D ;„,I,e) C�; r c--t �s Type of construction: Address: 5-9 G1 7 � v 'Z 4t, -'�'� Y^ Occupancy groups: City/State/ZIP: O Y:-t lel,`cit 0 ) . ' 1t"L'-L') Existing: Phone:( t 7 ) 5 3 S 2....i v Fax:( ) New: APPLICANT ---17.-CONTACT PERSON BUILDING PERMIT FEES* Business name: °- C,,; f (Please refer to fee schedule) �`_1- �" l Irl . (i5" z; t C.t l 4 Structural plan review fee(or deposit): Contact name: \i„'I r"yl 4L .Vtit.'v>L 1,1 r��_ FLS plan review fee(if applicable): Address: -1, 2 I Ali j(:);ti t — Total fees due upon application: City/State/ZIP: '1c; - .{ --] — — Amount received: Phone:( J ) '-f—_ 1\ Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* - E-mail: -Al j,.(". 'a ur,(1 c ;,,,.,lt {a t'c.N. Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: „__ iAAA. .. Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 1`I 73 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. f_ *Fee methodology set by Tri-County Building Industry Print name: \j ,,, 1_,\,, :,,,,,,,..„:,,..� k Date: 7 i ) Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist , One- and Two-Family Dwelling FOR OFFICE I:SE OyI.1 AI City of Tigard Received ligPermit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated ated Associatt es permits: = Phone: 503.718.2439 Fax: 503.598.1960 T.I G A I) 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es yo N 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ■ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 ' 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. A A ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to theproject under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . Mechanical Permit Applicati q-,L. 1 FOR OFFICE USE ONLY City of Tigard Received Permit No/ 7T ,7-00 A.5:3 , ii, 13125 SW Hall Blvd.,Tigard,OR 97223 ti C I 2 (1)1, Date/By: Plan Review 1 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 TIGARD (try .0 fg ill t,, 7 Date Ready/By: Juns. Fll See Page 2 for Internet: www.tigard-or.gov ' '- 't-'"`"' Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ...kNew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ...ING-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: , JOB SITE INFORMATION AND LOCATION Air conditioning 46.75 Job site address: 159114 sw •7(04tk Aye, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: —1—fiA(ct i 0 le, 9722 Li Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Li Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 33.39 iiiatturrtojsi 00. WORK „,-f,z,„ 7-- ---, ‘,4 Gas fireplace/insert Flue vent for water heater or gas HVAC tU Or fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 0 PROPERTY acYka 4.- - l' '1•4'0:4NANr 'Ic 4„ Other: ' Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 p fl,t p APruc;kW * _,.w'.-,, z-let, 063 ,N,.. ,pERsQN. at.' Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CO ' ,(TOR4 , Vt‘' A ,r- Clothes dryer(gas) Business name: 50 r\C kt,,ext 4..te,A.Li 4-, e Aci;4-1 q n i'(1)/..,Le— Other: te , MEcTIANIW FE`,4 F,3'* Address: .wgos svd, o s ,,,,x,,,L+ Lcop Subtotal Minimum permit fee($90.00) City/State/ZIP: .-1730trJ 1 Oa 17Z2H Plan review(25%of permit fee) Phone:(go3)720 ..... g Li 10 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 12-7 )(45 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ,,,,,. m, . Fee methodology set by Tri-County Building Industry Service Board Print name: V "1 c_tior g NM-4 ,J Date: 10/2//7 I.\Building\Permits\MEC_PennitApp_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_PennitApp_040113.doc 2 • • Electt-><ca! Permit Application IY71t Orrin: {'sr 0NI ) ' City of Tigard C T 201 Received 13125 S W Hall Blvd-,Tigard,OR 9223 Pian R : Permit rt:.;;-c ,,orf./' •-x:67,:53 ` a Phone: 503-7182439 Fax: 503 SS1f$0,Q i: i a+,..2,'''.:0',"..,l; Plan Review �-I i Inspection Lina 503.639.4175 ' t "` c,, ., Datr1I3, Related Permit#. Internet: www.tigard-or.gov f Ready L?ste By. lurts: ®See Page 2 for Notified'Method: Supplemental information TYPE OF WORK 0 New construction p Addition/alteration/ la PLAN REVIEW mP went Please check all that apply(submit is sets of plans w/items checked): ❑Demolition Other: CI Service or feeder 400 amps or more Q Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION ❑ 1-and 2 falnil exceeds 10,000 snaps at 150 volts or 1:3 Floating buildings. y dwelling ❑Commercial/industrial 0 Accessory buildingless to ground,or exceeds 14.000 0 Commercial-use agricultural 13 Multi-family 0 Master builderamps for all other installations. buildings. ❑Other: CI Fire pump. 1:3Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived x:- Job#: I Job site address: /3-' �� r c/ . t ®Addition of new motor load of system. City!$tatclZlP: '` t IDOIIPormore ❑Six or more residential units. occupancy. Suite/bldg/apt.#: ®Health-care facilities. ❑Recreational vehicle pada. I Project name: CI hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: D Service or feeder 600 mops or more. 600 volts nominal. FEE SCHEDULE dawn Ana ru'. Fit\ Tow BM Subdivision: New residential single-or multi-family dwelling unit. I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.fl.or less 168-54 4 DESCRIPTION OF WORK add'I 500 sq.ft,or portion 33.92 1 Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.II.) 75.00 2 ❑ PROPERTY OWNER I 0 TENANT Renewable Energy ❑See Page 2 Name: Services or feeders installation,alteration,and/or relocation Address: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 City/State/ZIP: 401 amps to600 amps 200.34 601 amps to 1,000 amps 301.04 I22 Phone:( ) I Fax:( ) Over 1,000 amps or volts 552_26 2 Email: Temporary sersices 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 20159.36 1 amps to400 amps 125.08I = Owner signature: Date~ 401 amps to 599 amps ❑ APPLICANT I ❑ 168 54 2 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel Business name: A.Fee for branch circuits with above service or feeder Fee, Contact name: — each branch circuit 7-42 2 B.Fee for branch circuits withouw Address: service or feeder fee,fire branch circuit 56.18 2 City/State/ZIP: Each WI branch circuit l 7.42 2 Phone:( ) I Fes:.( ) Miscellaneous(service or feeder not Included) Each manuthetured or modular Email: dwellin! service and/or feeds 67.84 2 CONTRACTOR R,econeclonly _© Pump or irrigation circle Business name: 67.84 r© ,d-SS 0 r-e �►`.�c71k j LL-C-- L Sine or court h r ting IIII b7.84 _© 7pineal circutt(s)or limltedionergY Address: 1 3 g Mai,./� 1.4"...,...)-e._ p See Page 2 �II f!!— � pallet,alteration,or extension. 8 City/State/LIP; .50.1eM , �/�( G�X173 0 i t9 Each additional inspection aver allowable In an of the above / Additional inspection(1 hr min) 66.25/hr 7 1111 Phone!( 3) g 7!— y{3Fax: r � ( ) Investigatiexr(lhrmin) 90.00/he CI III Email: e 11 � 'Ll C ( nduetrral plant(1 he min) - 7g,18/hr II CCB Lie.: �� / - inspections for which no fee is /d62o/ I Electrical Lie.: Suprv.Lie.: 6 specifically listed t'hhrmin) 90.00/hr I Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Print name: /19/C � Subtotal: Z/fh 0—. ii' /0/,,.3//7 0 Plan Review Required(25%of permit fee): �+ State surcharge(12%of permit tee): Authorized signature: TOTAL PERMIT FEE: Print name: I Date: This permit appikation expires if a permit is not obtained within 180 days after it has been accepted as complete. • Plumbing Permit Application, . a Building Fixtures `•.,kit„- ,City1- of Tigard Received 7 g Date/By: Permit I�i�S% i/ 0 lig13125 SW Hall Blvd.,Tigard,OR 97223 (�(,I 2 1 i.t 1 Plan Review : Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Date/By: T I G A R D Inspection Line: 503.639.4175 f a ) r i 11. a t ti yt Date Read/B Internet: www.ti and-or, ov ; x '' k s Ready/By: Jure H See Page 2 for g g , ,,l,,. r, ..Notified/Method: Supplemental Information TYPE OF WAlhaLtJiN' lit 1�ISiO1�I FEE* SCHEDULE 60New construction 0 Demolition For special information use checklist Description Qty. I Ea. Total ❑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 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION ,AND LOCATION Site utilities: V Job site address: t cOt-7L{ S --7(o ( fl JC Catch basin or area drain 18.76 1 jl Drywell,leach line,or trench drain 18.76 City/State/ZIP: \ \11(.1 0' `�1 2_2_14 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: v I Project name: 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 Stone sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION F WOR ; Backwater valve 12.51 :',. sa ,. , ,.; , . ' Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 • 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: G CO /-"Z_k Ji rjV/6- 41_,C____. Water piping/DWV 56.29 Address: / 7/ O 0476-"-/ �- S f Other: 25.02 City/State/ZIP: X i 6Ge----�E -b/ A/t9 5?/ , 44:2___ Subtotal Phone:(35-etel-,e)) S % Fax:( ) /O Minimum permit fee: $72.50 fi ,q Plan review (25%of permit fee) CCB Lic.: p?/6,(1• 2 7 j /'/ Plumbing Lic.no.: P6 7Y42:2- State surcharge(12%of permit fee) Authorized signature: -7/40/c20020 TOTAL PERMIT FEE Print name: V I✓1!l t Date: /c/'z/I 7 This permit application expires if a permit is not obtained within 180 days -�ti S v ` after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PemiltApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site IJ ' fies Qty. Fee Oa) Total ware Footage: Permit Fee: Footing drain ls`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $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:olr.Fees Qty (ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $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 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: 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* MU Review for'Plum Jug Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric",Or Riser Diagram 4" 0 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 -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Sery/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 IIlL CITY OF TIGARD FEE AND PAYMENT HISTORY illil 4 `- 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TFGARD MST2017-00253 - 15974 SW 76TH AVE, TIGARD, OR 97224 HSU Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Building Permit-New Construction 230-0000-43104 $1,751.54 $1,751.54 $1,751.54 Plan Review 230-0000-43106 $751.34 $751.34 $750.00 6/28/17 Credit Card 411485 $1.34 12%State Surcharge-Building 100-0000-24001 $210.18 $210.18 $210.18 DC Provision Review, SF-Ping 100-0000-43112 $90.00 $90.00 $90.00 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $22.00 $22.00 $22.00 11x17) Info Process/Archiving-Sm $0.50(up to 230-0000-43135 $38.50 $38.50 $38.50 11x17) Metro Const. Excise Tax 230-0000-24010 $359.79 $359.79 $359.79 Tig-Tual School CET-Residential 230-0000-24102 $2,990.40 $2,990.40 $2,990.40 Permit Fee-Elect(per dwelling unit) 220-0000-43103 $304.22 $304.22 $304.22 Limited Energy 220-0000-43103 $75.00 $75.00 $75.00 12%State Surcharge-Electrical 100-0000-24001 $45.51 $45.51 $45.51 Furnaces< 100K BTU 230-0000-43102 $46.75 $46.75 $46.75 Water Heater 230-0000-43102 $23.32 $23.32 $23.32 Gas Fireplace 230-0000-43102 $33.39 $33.39 $33.39 Range Hood/Other Kitchen 230-0000-43102 $33.39 $33.39 $33.39 Clothes Dryer Exhaust 230-0000-43102 $33.39 $33.39 $33.39 Single Duct Exhaust(Bathrooms, Toilet, 230-0000-43102 $116.60 $116.60 $116.60 Utility Rooms) Fuel Piping 230-0000-43102 $14.15 $14.15 $14.15 12%State Surcharge-Mechanical 100-0000-24001 $36.12 $36.12 $36.12 SFR-Baths 230-0000-43101 $500.32 $500.32 $500.32 Laundry Tray 230-0000-43101 $25.02 $25.02 $25.02 ik. Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due 12%State Surcharge-Plumbing 100-0000-24001 $63.04 $63.04 $63.04 Erosion Control w/Development 100-0000-43134 $311.40 $311.40 $311.40 Plan Review 230-0000-43106 $387.16 $387.16 $387.16 PFI Permit Fee(LIDA) 100-0000-43114 $300.00 $300.00 $300.00 Totals for Fees $8,562.53 $8,562.53 $750.00 $7,812.53 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 411485 Credit Card Chingtai Hsu 06/28/2017 $750.00 Total Payments: $750.00 Balance Due: $7,812.53 t1 3S (si-vg LIN 5pe(. j�1`4v P"7,$,17. 53 ),Cle. c_rve.4.r tS e -fit e-d! 6.411-v (3 W,2o/7--Oa) City of Tigard I/ p COMMUNITY DEVELOPMENT DEPARTMENT T rc A R o Building Permit Review — Residential Building Permit #: �,, _ Site Address: 1 97 • S to 764 ,4,eh of Project Name: i Su 'F'R Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: iUe W <FR 2 Verify site address/suite# exists and active in permit system. 2-River Terrace Neighborhood: 21"- o ❑ Yes,See River Terrace Review Addendum Attached rSit lan Elements: ree(3)copies of site plan e • xisting structures on site 2te plan must be on 8-1/2"x 11"or 11 x 17"paper )ootprint of new structure(including decks)with finished Pili n to scale(standard architect or engineer scale) floor elevations N.-. arrow Utility locations&easements(required for new and additions) -.2..; e address,project or subdivision name and lot number Sidewalk/driveway approach 41*.licant information(name and phone number) KR-1-9,cation of wells/septic systems ' dimensions and building setback dimensions �LiExisting trees to be retained with drip line,and tree N l'••Duquare footage of buildings to be demolished protection measures "`. .t area,building coverage area,percentage of coverage and (Jjtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names JE(Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ArYes El No 4 foot differential) If yes,is a storm water quality facility shown? .'Yes ❑No * Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: X Yes,applicant was notified ❑ No Received: Yes ❑ No Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified ,No Applied For: ❑ Yes ❑ No,stop intake Iiii" Land Use Case#: N j A, 'T. Zoning: R-12- -4- K N-quired Setbacks: Front 15 Rear 15 Side 5 Street Side IV . Garage Z01 ri Landscape Requirement: 20 % 't Lot Coverage Maximum: TO— 1 + X Building Height: Maximum Height 9j Actual Height —2,..7 Visual Clearance('(Pc 1 i. Sensitive Lands: Yes ❑ No Type LevqX vikU& k(141 + (JUrban Forestry Plan 14 Conditions "Met"prior to issuance of building permit r otes: IB:?P� 'f :o >�l l�t77O,1- �ytL7 lt- • •`LTl �S 5r -A-T -7 reek t_ Approved By Planning: rj Date: /gFA7 Revisions (after Building Submittal only) ' - 'ewer Date Revision 1: ,Approved ❑ Not Approved // 7//7//7 Revision 2: CI Approved CI Not Approved ` Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_061417.docx Building Permit Submittal / Original Submittal Date: 1p/olaf1 j 7 , .�, Site Plans: # /.3 Building Plans: # 3 Building Permit#: I—ter building permit#above. Workflow Routing: Manning Gi eering —Anit Coordinator 3-Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: C—rigineering: (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 applicable,etc. Notes: By Permit Technician: / Date: 614 7 Engineering Review a-Slope at building pad: 2— E1 ❑ Conditions "Met"prior to issuance of building permit • ❑ Easements (encroachments)per engineering conditions of approval and plat b Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes s X( No • Assess Water Quantity Fee in-lieu: e4'"� $ No ' LIDA Facility on lot: Iles ❑ No or ,NOT Approved by Engineering: ix I K • S N I Date: i 7 Notes: N7s 4 5 or f ie---5 rat. T Ot t- INC 5 c- 2-2 f ga, ck7X` A 15f.. A • 11/431-4- 7t7 11-ov[ttt,. LIDA . AI • a o'a - • of 4, stet-.'1 Approved by Engineering: Date: Revisions (after Building Submittal only) jt. evtrA •fcl Reviewer Date • CI 1: Approved vt Not Approved , (j M(, Revision 2: /X_Approved ❑ Not Approved in f C53 J' 4j, Revision 3: ❑ Approved ❑ Not Approved • Permit Coordinator Review • ❑ Conditions "Met"prior to issuance of building permit • CIApproved,NOT Released: Date: • • Notes: Rol.(7 /: I , ,r►i✓ i\- 4t` REV(51014. e_>_ (4 i t-- s • Revisions (after Building Submittal only) • Revision Notice 1: Date Sent to Applicant: 1p/P'' Revision Notice 2: Date Sent to Applicant: )i ( i`Y / G / Revision Notice 3: Date Sent to Applicant: L SDC Fees Entered: Wash Co Trans Dev Tax: ' yes 1:1 N/A (( Tigard Trans SDC: es ❑ N/A Parks SDC: Yes ❑ N/A LIDA .iFiYes ❑ N/A Plf OK to Issue Permit Approved by Permit Coordinator: /1/7//// Date: Y' /'�" I:\Building\Forms\BldgPermitRvw_RES_061417.docx 1 Kenny Fisher To: Albert Shields Cc: Dianna Howse Subject: Permit MST2017-00253 15974 SW 76th Ave. Albert, I had Khoi look at the drainage report. Mike had asked for the LIDA detail that they are using and I do not see it in the paperwork. The questions at this time are 1) Is the LIDA to be 100% infiltration Facility.? 2) Is an overflow required?3) Does the overflow go to the creek? 1 Albert Shields From: Albert Shields Sent: Tuesday, August 01, 2017 3:53 PM To: 'LVICustom@gmail.com' Cc: Mike White; Khoi Le; Kenny Fisher Subject: RE: MST2017-00253, 15974 SW 76th Ave. Vadim, I apologize for the delay in our response to your 7/17 submission of revised documents. We were very pleased to see the setback and sewer corrections on the site plan. However,we still need some information about LIDA details. Specifically: 1. Will the LIDA to be 100%:of the infiltration facility? 2. Is an overflow required? 3. Does the overflow go to the creek? Please answer these at your earliest convenience. Thanks,Albert Shields From:Albert Shields Sent:Thursday,July 06, 2017 6:24 PM To: 'LVICustom@gmail.com'<LVICustom@gmail.com> Cc: Mike White<MikeW@tigard-or.gov> Subject: MST2017-00253, 15974 SW 76th Ave. Vadim, on reviewing the application and site plan for MST2017-00253, Engineering has noted three issues that need to be corrected on the site plan: 1. The front setbacks must be measured and shown starting at a line that is 27 feet from the 76th Ave. centerline, as shown in red on your site plan, attached. This is required because the ultimate width of 76th Ave. will be 54 feet, 27 feet on eachy side from the centerline. See Tigard Development Code 18.703.040. 2. The proposed water quality facility needs to have all required LIDA details provided. Given the slope of the lot you might want to consider placing it to the rear of the house. 3. The sanitary sewer connection can show connection to the existing 8 inch lateral, clean out, and 6 inch line in the NW corner of the property instead of the new line shown connecting to the manhole on 76th Ave. Because of the setback issue discussed above we cannot approve this application and plan at this time. Please revise the site plan to reflect the above comments and re-submit. Please let me know if you have any questions. Albert Shields 503-718-2426 1 Albert Shields From: chingtai@comcast.net Sent: Friday, August 04, 2017 2:16 PM To: Albert Shields Cc: Vadim Laty Subject: LIDA for 15974 SW 76th Attachments: FullSizeRender jpg;ATT00001.c Hi Albert,this is homeowner, Diane. I have turned in a copy of geologist report which should be with site plan. On page 2, you could find the Field infiltration rate information ( I paste a photo of page 2 in the bottom). Sand soil could infiltrate 16 inches of water per hour. Based on the test result, I believe overflow is not required for this single house. On page 3, there is also a conclusion "the sandy soil is suitable for subsurface discharge of storm water" by geologist. The rain garden we design is 100%sufficient infiltration facility. Please let me know if city has other concerns.Thanks. l� M/ (t !? _ M/P✓Z Y- 0 71/5 d* te-S 1 r Vadim, on reviewing the application and site plan for MST2017-00253, Engineering has noted three issues that need to be corrected on the site plan: 1. The front setbacks must be measured and shown starting at a line that is 27 feet from the 76th Ave. centerline, as shown in red on your site plan, attached. This is required because the ultimate width of 76th Ave. will be 54 feet, 27 feet on eachy side from the centerline. See Tigard Development Code 18.703.040. 2. The proposed water quality facility needs to have all required LIDA details provided. Given the slope of the lot you might want to consider placing it to the rear of the house. 3. The sanitary sewer connection can show connection to the existing 8 inch lateral, clean out, and 6 inch line in the NW corner of the property instead of the new line shown connecting to the manhole on 76t1' Ave. Because of the setback issue discussed above we cannot approve this application and plan at this time. Please revise the site plan to reflect the above comments and re-submit. • Please let me know if you have any questions. Albert Shields 503-718-2426 1 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e- mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 Albert Shields From: Albert Shields Sent: Thursday,July 06, 2017 6:24 PM To: 'LVICustom@gmail.com' Cc: Mike White Subject: MST2017-00253, 15974 SW 76th Ave. Attachments: Site Plan full - 07-06-2017.pdf; Site Plan short - 07-06-2017.pdf Vadim, on reviewing the application and site plan for MST2017-00253, Engineering has noted three issues that need to be corrected on the site plan: 1. The front setbacks must be measured and shown starting at a line that is 27 feet from the 76th Ave. centerline, as shown in red on your site plan, attached. This is required because the ultimate width of 76th Ave. will be 54 feet, 27 feet on eachy side from the centerline. See Tigard Development Code 18.703.040. 2. The proposed water quality facility needs to have all required LIDA details provided. Given the slope of the lot you might want to consider placing it to the rear of the house. 3. The sanitary sewer connection can show connection to the existing 8 inch lateral, clean out, and 6 inch line in the NW corner of the property instead of the new line shown connecting to the manhole on 76th Ave. Because of the setback issue discussed above we cannot approve this application and plan at this time. Please revise the site plan to reflect the above comments and re-submit. Please let me know if you have any questions. Albert Shields 503-718-2426 1 Clean Water Services File Number CleanWaterN Services 00 , Sensitive Area Pre-Screening Site Assessment RECEIVED 1. Jurisdiction: --1-16 A 0-T7 J U L 17 2017 2. Property Information(example 1S234AB01400) 3. Owner Information , • Tax lot ID(s): /C.5//2„ .p 00 800 Name: CAI 1 tJC,T t BU' 'N , ,I5 � • Company: Address: 5`i l Mu) 6-ke rz\ `Cq.,r- Og Site Address: 15470 SLO 1Gt-" City,State,Zip: ?orklcx,-icd off- `''n 22 i City,State,Zip: Ti Zara- C) 2-2-1+ Phone/Fax: x9'1 .10 Nearest Cross Street: 37urkctrrrn E-Mail: c)Y1 ru34kat .4 tht 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: — e3ckerk e ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium U Commercial Condominium • Address: ❑ Residential Subdivision I❑ Commercial Subdivision LISingle Lot Commercial ❑ Multi Lot Commercial City,State,Zip: Other mot`Sk 42"�5 � rv'€, Phone/Fax: build neW • E-Mail: 6. Will the project involve any off-site work? ❑Yes 18:1 No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am - familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name C PrJG`c 40. Print/Type Title 64;NEe Signature Date 3/" FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. This Service Provider Letter is not valid unless I CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. // Reviewed by 7�.- e- i --��%�/ Date +2 ' / 7 Once complete, email to: SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 Revised 2/2015 r li LEGEND: • 6000988 0(5 IMO AS HOED (831970 COME 9601910 91 60(000 SA ES 909070(01 37 a I 1F (0. MUSS 801691 E0MPH 001100 WOW SANT E00O5 U. 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I{ 4.t , 1 ior 0MT !7( MEP ,961.116 i o i r 1 rA 0161 12ti I I • VI 91-ss() n.9'WI) I 5tl1r108 3140V ill) 214O9i() '13 Vi I ~ S WHIR■ 11.4(01 H1.a9Q) i 1 .7.4. 16 05 (ASS or DENIMS) (( 16.8591 M00(SE MINK W1 71 I 16 910. /001910 TO M FA WWI 0K N •0YY (( MB 10701E EAS016 NW 908$00191E (KING MOM TO E ROU10 E61D0 00191 I ' RIKV14IL Q STW NNW 1901 NNE 9061 UE 8808)Or 11N91E 0T 310 TO01E1 01 TOW 6UO96 PINT ,60,:16z-1-n-4100-1 GRAPHIC SCALE :But ZTEC ENGINEERS INC. REGISi0E) VADIM LATZ 0 10 20 40 NOTE: scut: 1'.70' 7090 1E.NM N.E.,SUITE 160.POPHANO.09.97101 BONA 0[W00R PAM NI anti-9CNU 91 DRAM 7101 PH:(503)235-8795 rIo:(503)173-7919 LAND __.. 111W AS OSC NO IT AI90(0110 (0 oar) O'SN IAN AN.Ala 000 SE COON CCF 15970 S.M.760 AYE I PRM.1b Tur EWA.HAN LOCATED IN THE 5.91.1/4=CRON 11. OREGON LIS.RAW..WH..IN THE CITY OF HOMO, 1 ,1A • 0114:ti-116•-1010 NASIANGION gAMOY.OREGON 1 Datil' I HOME REPLACEMENT PLOT: ]-16-17 PRELIMINARY PLAN_.._._ .. / so..DAIe,nn9t Ahy ela. a ro11&'i/diN,�,�5Mvefo li rey't( 5 new 5e►r5ce Pr.,rJw 6etucr• Approved r Clean Water Set-view., y t)n1t; � ?a_'1.7 I face /0t /... „- {7.000isg$ FOR OFFICE USE ONLY—SITE ADDRESS: 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 al Transmittal Letter 1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: y1lt �w DAT/ DEPT: BUIL NG DIVISI6N 1 MAR 12 2018 FROM: _! c' € P k CITY OF TIGARD COMPANY: T o i� � � L ( BUILDING DIVISION PHONE: qi to 3 S. 2 1 RE: I q4 5 -7 6 --6( 74-v,p, MST 201i -00253 (Site Address) (Permit Number) (PrOject name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 Revisions: L I >4 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: Cl/10(415P- `_C rum o^ ft FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑Yes El No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard 4i.,_: IIIa COMMUNITY DEVELOPMENT DEPARTMENT T ARD Building Permit Review — Residential c,:', Building Permit #: /r S7`dol --rx) 5 Site Address: i 5q 711 S W 76 ,.I very,ve Project Name: iiSu S9FR Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 13 Z O t woo?— Proposal: it)e 44i SFR J t Verify site address/suite#exists and active in permit system. 12—"River Terrace Neighborhood: Ell o 0 Yes,See River Terrace Review Addendum Attached Si ,Plan Elements: lJ ree(3)copies of site plan Flxisting structures on site . Site plan must b_c on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished JdN to scale(standard architect or engineer scale) floor elevations arrow Utility locations&easements(required for new and additions) 7,c,*,* e address,project or subdivision name and lot number Sidewalk/driveway approach r-G3��'•licant information(name and phone number) tifALcjeation of wells/septic systems dimensions and building setback dimensions "--..WE' trees to be retained with drip line,and tree I P.:"'•quare footage of buildings to be demolished protection measures "7`.....t area,building coverage area,percentage of coverage and NI/Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) "''"Otreet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? .fYes ❑No 4 foot differential) If yes,is a storm water quality facility shown? .IWYes ❑No EClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified 0 No Received: Yes 0 No Public Facilities Improvement (PFI) Permit: Required: 0 Yes,applicant was notified No Applied For. 1?P 0 Yes 0 No,stop Ail- Land Use Case#: N/A ' Zoning: R_l2- 4 jit, ',quired Setbacks: Front 15 Rear 1 5 Side 5 Street Side NA Garage 10' !1 Landscape Requirement: 2.O 'V' Lot Coverage Maximum: l7V— % K Building Height: Maximum Height ] Actual Height±2 N'-Visual ClearanceN( dig Sensitive Lands: lErYes 0 No Type Looltff YAW& IIVA,I�t-1t " NUrban Forestry Plan go Conditions "Met"prior to issuance of building permit l tes: I B:)0 3 :o )( 77O ,fl- jT L�K'k- • . 1,7154.,..„,5 �7�yF S -T -7 rP_uw Approved By Planning: /,�r' Date: 6/wig/J-7 Revisions (after Building Submittal only) 'ewer Date Revision 1: ,Approved 0 Not Approved 7//7//7 Revision 3 Approved 0 Not Approved ir'l9'‘--'-'--� i^- - 3 /2-'1 / 19 `YRevision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES_061417.docx FOR OFFICE USE ONLY-SITE ADDRESS: 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 _ ~ Transmittal Letter T G A R C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard_or >v TO: ,//// DATE RECEIVED: DEPT: BUILDilING DIVISION RECEIV D JAN 2 2020 FROM: !/CSS t t-t j_ _Se l4 r U cP CITY 'i F TIGARD COMPANY: � V� BUI % NG DIVISION PHONE: Sr-e2 <co g /t 2 0 By RE: /53 7 Su/ F6 A 20/1 - 00 23 (Site Address) it Number) 1'1 s K Lor (Project name or subdivision name and lot number) I ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: C '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. t Engineer's calculations. Other(explain): REMARKS: h (cc -{Zf FCOR O FICE USE ONLY Routed to Permit Technic'. : Date: I 2l 2.62.i> Initials: AMr- Fees Due: ' Yes IC No Fee Descript on: Amount Due: ��Z P CLO $ S-t(C) $ Special n/C' .` Crit r57 7,40 rte/6 F-6-E3" /0 d ' eFa Ins ' ions: /N C16-r776-1-77 t/ / ` r Sr"/C_E /0/7/v' /1 %i -i r HCl 'eprint Permit (per PE): ❑ Yes 'No ❑ Done Applicant Notified: i/4SDate: /�/, Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY—SITE ADDRESS: 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. EriCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT s Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: cfc1„J DATE RECEIVED: DEPT: BUILILG DIVISION RECEIVED JAN 7 2020 FROM: (/&5 4'F, pe( Wer CITY OF TIGARD COMPANY: j/ BUILDING DIVISION PHONE: 50 So - j( 7° RE: ('53 7 ( S IA) 6' /%75 / 7—00 (Site Address)((`` (Permit Number) (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. d Other(explain): 1-/j24 p fitHfe-& /at e,2/// ca/cI/a tf PH LiAtkznie,silh REMARKS: FOR OFFICE USE ONLY Routed to Permit Tec ician: Date: itials: Fees Due: ❑ Yes o Fee Description: Amount Due: _ $ :CY ✓ $ Special �t / �?Cr Instructions: Reprint Permit(per PE): ❑ Y-_ ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc