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Permit (194) CITY OF TIGARD !Ir� MASTER PERMIT COMMUNITY DEVELOPMENT . �; Permit#: MST2018-00171 Date Issued: 06/28/2018 Tic it O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 e' y �.'(/e Parcel: 2S 28/201 1400 Jurisdiction: Tigard Site address: 16297 SW 113TH AVE Subdivision: WILLOW-BROOK-FARM Lot: 19 Project: Willow Brook, Lot 19 Project Description: New SF. Model home. 8/28/18: REPRINT to add 96 sf deck and 96 sf deck cover. 10/19/2018: REPRINT permit to correct street address from 16325 to 16297 SW 113th. BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 3 First: 1950 sf Basement: sf Left: 5 Parking Spaces: Height: 17 Bathrooms: 4 Second: 566 sf Garage: 454 sf Front: 15 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: 2516 sf Value: $311,506.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Tvpes Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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'I 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 2516 Owner: Contractor: MISSION HOMES NW LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) PO BOX 1689 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $31,205.00 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 o•-,9 2-0 -0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ©A/ �f L./C'1 'lam OAJ 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. CITY OF TIGARD MASTER PERMIT : 2 . COMMUNITY DEVELOPMENT Permit#: MST2018-00171 Date Issued: 06/28/2018 TIC;r1 It.[7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01400 Jurisdiction: Tigard Site address: 16325 SW 113TH AVE Subdivision: WILLOW-BROOK-FARM ' Lot: 19 Project: Willow Brook Model Home, Lot 19 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1950 sf Basement sf Left: 5 Parking Spaces: Height: 17 Bathrooms: 4 Second: 566 sf Garage: 454 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: sf Right: 5 Detectors. Total: 2516 sf Value: $306,917.46 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 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: 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: Y Vent Fans: 6 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'I 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 2516 Owner: Contractor: MISSION HOMES NW LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) PO BOX 1689 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $31,014.57 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -001-0 0. Y may obtain-copy of the rules or direct questions to OUNC by calling 13.232.1987 or 1.800.332.2344. Issued By: ----/--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 S O Residential FOR OFFICE LSE ONI.I' City of Tigard JUN 1 3 2013 RDate/By x/13 l f ' Permit No,;1/ 01�-06/7/ le 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �'�"� ( w f� A Other Permit O/P— 4. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: kl O 1 I C A IZ D Inspection Line: 503.639.4175 lel J5`� Date Ready/By: /// Juris: ® ee Page 2 for Internet: www.tigard-or.gov Notified/Method: G /(,k ,,917/ .1 Supplemental Information TYPE OF Wo1RI( REQUIRED DATA Iw AND 2-FAMILY DWELLING New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for thee CATEGORY OF CONSTRUCTION work indicated on this application. lit® 1-and 2-family dwelling ElCommercial/industrial Valuation: �,fi259;e0� �� ❑Accessory building ❑Multi-family Number of bedrooms: 3 0 Master builder 1:1 Other: Number of bathrooms: y g 2 s"^ JOB SITE INFORMATION AND LOCATION Total number of floors:,�l"' 1 (� Job site address:SW 113th AVE New dwelling area: 2516 square feet 9010 City/State/ZIP:Tigard,OR Garage/carport area: 454 square feet VA5D Suite/bldg./apt.no.: Project name:Willow Brook lot 19 Covered porch area: )square feet Cross street/directions to job site: Deck area: square feet Pr/yGc r`p j C (DeA, e Other structure area: square feet sGt Gc l r tl t. IL(' !'21I frv( REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:willow brook Lot no.: 19 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. SFR 3 bedroom 3.5 bath 2 car garage with a covered patio Valuation: $ Existing building area: square feet New building area: square feet Im, PROPERTY OWNER 0 TENANT Number of stories: Name:Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99th Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax:(360)574-6401 New: APPLICANT ►a CONTACT PERSON - WILDING pEEKIT FEES* Business name:Pacific Lifestyle Homes {t eq refertoteschedule) Structural plan review fee(or deposit): Contact name:Permit Coordinator FLS plan review fee(if applicable): Address: 11815 NE 99th Street,Suite 1200 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Amount received: Phone:(360)573-8081 Fax: :(360)574-6401 E-mail:permits@buildplh.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTORCommercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Same Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:Same Solar Installation Specialty Code checklist. City/State/ZIP:Same Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:173524 Total fee due upon application: $201.60 Authorized signature: " , 'r .i • ' This permit application expires if a permit is not obtained -Jk.'� � i s ._— within 180 days after it has been accepted as complete. Print name:Summer Dowell Date:6/4/18 *Fee methodology set by Tri-County Building Industry Service Board. L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist . , One- and Two-Family Dwelling FOR OFFICE LSE ONLY _ Cityg of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 D74 ate 503.718.2439 Fax: 503.598.1960 Assssoociated permits: Permit No.: 1IGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/,. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ :-1", 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 10, 4 Sep)ia<sygem permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ lt Sewer permit. ❑ 0 ❑ 7 Water district approval. ❑ ❑ p 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control p plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- jE, ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ 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. II Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if p ❑ ❑ 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 ps ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, - ❑ ❑ 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- 91 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. i 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. �C ❑ ❑ 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 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 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered Q ❑ ❑ 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 J . ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. IZI: ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required IZI ❑ ❑ 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 P ❑ ❑ architect licensed in Ore:on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ►: 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. f ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ El- 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ [!1 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ P Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 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, ❑ ❑ . 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-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Mechanical Permit Applicarign-,- ' . , , ) FOR OFFICE LSE ONLY' City of Tigard Received Permit No.: , Ill 13125 SW Hall Blvd.,Tigard,OR 97223,j Li H 1 3 2.0 1 8 III Date/By: Plan Review : III Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: Inspection Line: 503.639.4175 1 . , .) TIGARD Date Ready/By: Juris: Fil See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE 64 *o/tic -cavonziteta FEE* SCHEDULE----DS"ECHECNLIST'- _ Mechanical permit fees*are based on the value of the work N New 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 I SYSTEMS FEES* El 1-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, 1' JOB SITE INFORMATION AND. LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:SW 113m AVE Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Model Home 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:Willow Brook Lot no.: 19 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas SFR 68'x 40'3 bedroom 3.5 bathroom 2 car garage with covered patio fireplace 1 23.32 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 33.39 Address:11815 NE 99th ST Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 139.92 Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32 41 APPLICANT oit CONTACT PERSON Other: 23.32 Fuel piping: Business name:Pacific Lifestyle Homes $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator Furnace,etc. Gas heat pump Address:11815 NE 99th Street,Suite 1200 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)573-8081 Fax::(360)574-6401 Fireplace Range E-mail:permits@buildplh.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:Area Heating+Cooling MECHANICAL PERMIT FEES* _ Address:2721 NE 65th Ave Subtotal 359.91_. City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)737-0811 Fax:(360)737-6946 State surcharge(12%of permit fee) _. CCB lic.:64801 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: ', .L ,-/// ji L. L 1,4, ) L, L_ (- '4"--- * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date:6/4/18 I:\BuilchnePennits\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 Feer $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 Electrical Permit Application, FOR OFFICE USE OyLv " City of Tigard Date/B:d Permit#: 1,1101 11 13125 SW Hall Blvd.,Tigard,OR 97223'1 ''' r 1 9 1.rN Plan Review '1 Phone: 503.718.2439 Fax: 503.598.19�b Date/B Related Permit#: Inspection Line: 503.639.4175 r. Ready Date/By: orris: ® See Page 2 for it'A k 1) Internet: www.tigard-or.gov ` Notified/Method: Supplemental Information �, mss. E' °v^ •,,. 2 ^c i'efl l. lc.,_.,r eZ -t u'. $ ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. -i "4, -: , , . t #' w, ', 4",i exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi family 0 Master builder ❑Other 0 Fire pump. 0 Installation of 150 KVA or ` 'tiT r:' '1.1 0 Emergency system. larger separately derived stem. ❑Addition of new motor load of system. Job#: Job site address:SW 113th AVE 100HP or more. ❑"A","E","1-2", `t-3", ❑Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Model Home 0 Hazardous locations. 0 Supply voltage for more than J 600 volts nominal. 0 Service or feeder 600 amps or more. Cross street/directions to job site: g z.. ,a< ° ` ) ._r. .:, Description Qty. i Each I Total New residential single-or multi-family dwelling unit. Subdivision:Willow Brook I Lot#: 19 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 '',1; K "< �. o !r w, ,, , ` . t,r_''. , , ,,,1 , .�1 i F' tro r„ v. m „ Limited energy,residential 75.00 2 SFR 3 bedroom 3.5 bath 2 car garage with a covered patio (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) t'',‘;',13$-:,• / aux,.. Renewable Energy 0 See Page 2 ��i, r. ,�, „ �;,� x„; � �f . _ ...., a� 'It Services or feeders installation,alteration,and/or relocation Name:Pacific Lifestyle Homes 200 amps or less 100.70 2 Address: 11815 NE 99th ST 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360)573-8081 Fax:(-) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: 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 Branch ew,alteration,or extension,per panel /e ,; ?° � ,.�< C3)►TTAC ) R5N h _ A.Fee for branchcircuits–circnuits with Business name:Pacific Lifestyle Homes above service or feeder fee, 7.42 2 each branch circuit Contact name:Permit Coordinator B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 11815 NE 99th Street,Suite 1200 branch circuit City/State/ZIP:Vancouver,WA 98682 Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)573-8081 Fax::(360)574-6401 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permits@buildplh.com Reconnect only 67.84 2 , . NTR TOR ., v. � �' �+3' � .;� ; .w>°'. Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:2920 SE Brookwood Ave,Suite A panel,alteration,or extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Beaverton,OR 97006 Additional inspection(1 hr min) 66.25/hr Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr Email: melgarner@garnerelectric.com Industrial plant(1 hr min) 78.18/hr 1 Inspections for which no fee is 90.00/hr CCB Lic.: 121159 Electrical c.: -305 Suprv.Lic.: 3707S specifically listed(A hr min) .ELECTRICAL PERMiT FEES Suprv.Electrician signature,r=••'red: Subtotal: Print name: Charles G.. ner _ Date: 6/4/18 0 Plan Review Required(25%of permit fee): it — State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Melissa Stock Date: 6/4/18 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Description Qty. Each I Total I Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 tov 100 kva 552.26 2 El Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr $ , „ s Ificallsted(%hr min Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits TLC PermitApp_ELR_ERE.doe Rev 06/17/2015 Electrical'Permit Applicat '. Folz 011A(E CSE 011.) iplCity of Tigard Received Permit#: 13125 SW Hall Blvd.,Tigard,OR 97 �' 1 aLU Date/B: Plan Review S Phone: 503.718.2439 Date/B : Related Permit#: Email: TigardBuildingPermits@Tigdrd1er gov -' Ready Date/By: Juris: lii See Page 2 for T I G A R D Inspection Line: 503.639.4175 ibitiktuit s:wievv lig srd-tir.gh1v Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW VP\Tew construction ❑Addition/alteration/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. El Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. p1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 0Accessory building amps for all other installations. buildings. Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: �' .; 1 ^� ❑Addition Hof new motor load of system. Job tti 1 3t.t � t 100HP or more. ��p 0 Six or more residential units. occupancy. City/State/ZIP: � 'SII 1 �,7 p,.- ._. ole-,N-, ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: k\kW.)ay) 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: L^0\\,\OtJ l Lot#: I Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential C f{2 i 2 t _ k r—MW` �.c / (with above sq.ft.) 75.00 2 D I iJ 1'�w w '�'t�t� Limited energy,multi-family p y� residential(with above sq.ft.) 75.00 2 �C Gtr ��� 9' �;� ���� Renewable Energy 0 See Page 2 0 PROPER OWNER TENANT Services or feeders installation,alteration,and/or relocation Name: i}a_u', 7 LA.Q , i,2_, ffp�r 200 amps or less 100.70 2 Address: 1 f �il )1} 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: furl LOIS A/Q�i Wit" "1'6(9 I 601 amps to 1,000 amps 301.04 2 Phone:(2))C'7 3-gtj$, Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: pk i,--(-,(- 0 'k p u-k„L o-h/L 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 izyAPPLICANT ❑ CONTACT PERSON Branch circuits-.new.,alteration,or extension,per panel A.Fee for branch crcuts with Business name: Ci Q S l(h} ^ r -,y above service or feeder fee, 7.42 2 Vn l l 4l!/ `- each branch circuit Contact name: .p (00Y. ACJ-8-y B.Fee for branch circuits without Address: I ( , service or feeder fee,first 56.18 2 Sail/1 �. 4( OLI V t . branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: j�QCAU ) s /� Sign or outline lighting 67.84 2 Address: �JJ Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lie.:'-1?,�L1 Electrical Lic.: Suprv.Lic.: specifically listed(''A hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:r OVUTULA c VC -eil- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: jn.'r CJD AJ e I. ( Date: Cs') (7., f ) days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: 4 too W b 4 } LY" � i E3: S{ IEDULE Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total 3' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('A hr min) 2- t ,wSAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 10/26/2017 • Plumbing Permit Application,, , Building Fixtures 1012 OFFICE LSH, OVl.l City of Tigard J "% r Received ived Permit No.: ■ 13125 SW Hall Blvd.,Tigard,OR 97223 � L, Date/By: Plan Review Other Permit No.: Il Phone: 503.718.2439 Fax: 503.598.1P60 Date/By: i I,,,\R I) Inspection Line: 503.639.4175 I.:,,,,f Y Read/B loris: H See Page 2 for Ready/By: Internet: www.tigard-or.gov Notified/Method: Supplemental Information 1 17 , . »4...�n: ...>� ,,,7!:47,•,,,,,, .: F,_ ., ,,..4•44,r • = r =4. �.� � ;. ,+ter �.:c- �:"na ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a 'k . t *F.:t ut 4;u �,,, M SFR(1)bath 312.70 v and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ® 1- SFR(3)bath 1 500.32 500.32 0 Accessory building ❑Multi-family Each additional bath/kitchen .5 25.02 12.51 0 Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 ice t<I f r,,. ,43:4174:1't' t ' Site utilities: Job site address:SW 113th AVE Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Model Home Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.:7) 1 Page 2 Storm sewer(no.linear ft.:7) 1 Page 2 Water service(no.linear ft.:23) 1 Page 2 Subdivision:Willow Brook Lot no.:19 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ,Tc° I« m o .4 t i. ';:c;;''''''; ---.K'.''''',: Backwater valve 12.51 a", Clothes washer 1 25.02 25.02 SFR 68'x 40'3 bedroom 3.5 bath 2 car garage with covered patio Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 iEx anion tank 12.51 Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11815 NE 99th ST Suite 1200 Garbage disposal 1 25.02 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 50.04 Phone:(360)574-8081 Fax ( ) Ice maker 12.51 - ., " C x � T tEN ' Interceptor/grease trap 25.02 e aICONTA Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address: 11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 6 25.02 150.12 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax::(360)574-6401 Tub/shower/shower pan 3 12.51 37.53 Urinal 25.02 E-mail:permits@buildplh.com Water closet 4 25.02 100.08 CONI KA OR ,. °_� Water heater 1 37.52 37.52 Business name:Lippold Plumbing Water piping/DWV 56.29 Address:P.O.Box 895 Other: 25.02 City/State/ZIP:Boring,OR 97009 Subtotal 963.18 Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50 /y�/i 1Plan review (25%of permit fee) CCB Lic.:201597 Plumbing Lie.no.:PB1417 State surcharge(12%of permit fee) Authorized signature: _ TOTAL PERMIT FEE C/v ' J Date:6/4/18 This permit application expires if a permit is not obtained within 180 days Print name:Summer Dowell after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building'Permits\PLMU-PennitApp.doc 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su pression S stems: cece Footing drain l n 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' 1 37.52 37.52 Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 777: ,3; , E "k Ai.r, ,,; •.VAA•g ,4 .. Storm&Rain Drain-1st 100' 1 62.54 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 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 first$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 char:e-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 char.'s minimum char -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 char_•e-1/2 hour each additional$100.00 or fraction thereof. Subtotal: 102.60 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*. Quandt}'by Fixture Type ..7•M 4 ! ° s k 1(lla:a Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate eq Baptistry/Font Please check all that apply. Bath Tub/Shower ID 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 ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ 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. Iso Car Wash Drain +i"'Ol'Riser-I) IIl'"� GarbageDomestic-non-food CI 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 *Note: If the fixtureunderthis permit results in an Washer-Clothes work 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: P:\Job Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot I9\Peknits and Inspections\PLB_PermitApp.doc • • TPlumbing Permit Applicat f-,,, . u Building Fixtures , FOR OFFICE USE ONL1 J1ug N'a n 01 KJ Cityof Tigard ` Received ganDate/By: Permit No.: ■ 13125 SW Hall Blvd.,Tigard,OR 9'223 ) Plan Review _ Phone: 503.718.2439 Fax: 5031-5t§''1900 Date/By: Other Permit No.: 1. 1,:; L.i d,�,-.�gg T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK .. , FEE*.SCHEDELE ®New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement D 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 ❑Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 1 500.32 500.32 ❑Accessory ❑Multi-family Each additional bath/kitchen .5 25.02 12.51 O Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:SW 113th AVE Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Model Home Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.:7) 1 Page 2 Storm sewer(no.linear ft.:7) 1 Page 2 Water service(no.linear ft.:23) 1 Page 2 Subdivision:Willow Brook l Lot no.: 19 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 SFR 68'x 40'3 bedroom 3.5 bath 2 car garage with covered patio Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11815 NE 99th ST Suite 1200 Garbage disposal 1 25.02 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 50.04 Phone:(360)574-8081 Fax:( ) Ice maker 12.51 it APPLICANT �m CONTACT PERSON, Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address: 11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 6 25.02 150.12 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax: :(360)574-6401 Tub/shower/shower pan 3 12.51 37.53 E-mail:permits@buildplh.com Urinal 25.02 CUNhRACCOR Water closet 4 25.02 100.08 Water heater 1 37.52 37.52 Business name:Pacific Lifestyle Homes Water piping/DWV 56.29 Address:Same as above Other: 25.02 City/State/ZIP: Subtotal 963.18 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) p , State surcharge(12%of permit fee) Authorized signature:/j(�„ it'd i �,� ! >j;/1 ' TOTAL PERMIT FEE Print name:Summer Dowell Date:6/4/18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1\Building\Permits\PLMU-PermitApp.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: siteutilitiesQty. Fee* Total Square Footage: e .r,i „f+ Footing drain-1s`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' 1 37.52 37.52 Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00$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 r > ( o ' Total' .; each additional$100.00 or fraction thereof,to Otherfii` $fy`S ' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr 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: 102.60 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*. Quantity by Fixture Type Plan Ravi n`for Plumbing InstaIations Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Rebate that Baptistry/Font Please check all 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 ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ 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. -3" a" Isometric or Iiiser atu Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food 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 *Note: If the fixture work under this permit results in an Washer-Clothes 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: P:Uob Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 19\Pqmits and Inspections\PLB_PermitApp.doc r Agnes Lindor From: Kim McMillan Sent: Thursday,June 21, 2018 3:25 PM To: Agnes Lindor;Allyson Armstrong Cc: Kenny Fisher; Khoi Le Subject: RE:Willow Brook lot 19 Model Home Engineering is OK for the model home on Lot 19. Kim Kim McMillan I City of Tigard Assistant City Engineer i tLi.tik L KIM(tigard-or,gav 503-718-2642-work 503-866-5784-mobile 13125 SW Hall Boulevard Tigard,OR 97223 From:Agnes Lindor Sent:Thursday,June 21, 2018 11:35 AM To: Kim McMillan<KIM@tigard-or.gov> Subject: RE: Willow Brook lot 19 Model Home Hi Kim- Kenny was going to talk to you about this one yesterday. I am not sure if he did...please let me know.Thanks! Agnes From:Allyson Armstrong Sent:Thursday,June 21, 2018 11:24 AM To: 'Summer Dowell'<SummerD@buildplh.com> Cc:Agnes Lindor<agnesl@tigard-or.gov> Subject: RE:Willow Brook lot 19 Model Home Summer, After sending this email yesterday I realized that planning must have been working on the same permit at the same time. This permit is now showing to be in Approved/Not Released status. There are planning and engineering conditions that need to be met prior to issuance. If you have any questions please contact Agnes Lindor in planning. She has been copied on this email. Thank you, Allyson Armstrong From:Summer Dowell<SummerD@buildplh.com> Sent:Wednesday,June 20,2018 1:31 PM To:Allyson Armstrong<AllysonA@tigard-or.gov> Subject: RE: Willow Brook lot 19 Model Home 1 Thanks Allyson,that's very helpful! Summer Dowell Permit Coordinator Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestyleHomes.com www.GarretteCustomHomes.com 360-213-0813 I SummerD@buildplh.com "Our Mission is to create an exceptional new home experience." From:Allyson Armstrong<AllysonA@tigard-or.gov> Sent:Wednesday,June 20, 2018 1:28 PM To:Summer Dowell<SummerD@buildplh.com> Subject: RE:Willow Brook lot 19 Model Home Hello Summer, Lot 19 is up next for review. I am still waiting for the routing slip from Planning but once I have completed my review which will be tomorrow and have the routing slip from planning it can then be released. Probably Monday. I hope this helps. Thank you, Allyson From:Summer Dowell <SummerD@buildplh.com> Sent:Wednesday,June 20, 2018 1:12 PM To:Allyson Armstrong<AllysonA@tigard-or.gov> Subject:Willow Brook lot 19 Model Home Afternoon Allyson, I was writing to check in on a permit status.The permit#is MST2018-00171 for Willow Brook subdivision lot#19.We submitted the building permit on 6/13 and I was told it could be a 1 week turn around. I just wanted to check in with you and see where you were at with it. Hope you're having a great day and I look forward to hearing from you. Thanks, Summer Dowell Permit Coordinator Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestyleHomes.com www.GarretteCustomHomes.com 360-213-0813 J SummerD@buildplh.com "Our Mission is to create an exceptional new home experience." 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 History View Submit Page 1 of 1 MST2018-00171 -Willow Brook Model Home,Lot 19 Menu Cancel Help Task Due Date Assigned Date Permit Coordinator Review 06/13/2018 06/13/2018 Assigned to Department Assigned to Status Building Approved/Not Released Action by Department Action By Status Date Planning Agnes Lindor 06/20/2018 Start Time End Time Hours Spent 0.0 Billable Overtime Comments No No Planning and Engineering conditions need to be met prior to issuance. Time Tracking Start Date Est.Completion Date In Possession Time(hrs) Display E-mail Address in ACA .f'Display Comment in ACAComment Display in ACA No `,✓All ACA Users ""�1 Record Creator I Licensed Professional Contact Owner Estimated Hours Action Workflow Calendar 0.0 Updated https://ay.accela.com/portlets/workflow/workflowHistoryView.do?mode=view&taskDes=... 6/21/2018 • City of Tigard IIIw COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: ,ASlo)-.0/r-a2/ 7/ Site Address: th. �S-- gl) /jam. Project Name: )/4A) ADj.2- Lot #: /9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /AJ ('i1 DSC `yx __- Verify site address/suite# exists and activ5X permit system. 01•Kver Terrace Neighborhood: LJ No ❑ Yes,See River Terrace Review Addendum Attached Sit. Plan Elements: 'O ree(3)copies of site plan 16 'sting structures on site Pr5ife plan must be on 8-1/2"x 11"or 11 x 17"paper ra Footprint of new structure(including decks)with finished sdawn to scale(standard architect or engineer scale) or elevations i •rth arrow LJ A'ty locations&easements(required for new and additions) TA to address,project or subdivision name and lot number AP 'd-walk/driveway approach 1V/Applicant information(name and phone number) lib 1t ation of wells/septic systems Lot dimensions and building setback dimensions Il ;0. sting trees to be retained with drip line,and tree •1;%uare footage of buildings to be demolished otection measures VA Lot area,building coverage area,percentage of coverage and eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names TVroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes ❑No 4foot differential) If yes,is a storm water quality facility shown?140Yes ❑No O4l lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No VJ Public Facili�tie mprovement (PFI) Permit: PF) jr9- — OOP g Required: [i Yes,applicant was notified ❑ No Applied For: 1 Yes ❑ No,stop intake 4ndUseCase#: UU OA," CCC//, gLItaCO 1(,---(9000 e; -77,40,2_6)A �-0696)/x" oning: le--3-- 0/Required Setbacks: Front /s-- Rear /g— Side S Street Side Oft-Garage o2 d Dandscape Requirement: 7C0 ot Coverage Maximum: —gja % • B ding Height: Maximum Height ' C Actual Height ,,-- A ‘I1 �► isual Clearance 1• ensitive Lands: E4es CINo Type �,p pX C -ndQp — 1% Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit , Notes: Cehvn / -1-,.. nF)7L � � //GQQ1 'e7ldl 9)0AS need 74) _1114.34E___ Approved By Planning: W Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx 4 Building Permit Submittal Original Submittal Date: CG(l 3/ Site Plans: # Building Plans: # Building Permit#: ►: nter building permit#above. Workflow Routing: ► Planning >FR Engineering12—Permit Coordinator Building Workflow Sign-off: 7.9 Sign-off for/Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Date: /" /� Permit Technician: (;7;4/7/,--- Engineering Engineering Review Er Slope at building pad: 3 Xo conditions "Met"prior to issuance of building permit (iBT pito) J4' Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 12r No Assess Water Quantity Fee in-lieu: ❑ Yes LIDA Facility on lot: ❑ Yes 12 No NOT Approved by Engineering: _ Date: Notes: l d�Jcttivj$ /JLfc 4E At 442-T Ala-- 4v an I JruS r- >5 > uwr 1 ..4.., wk E71 S1444— t24 Approved by Engineering: f�1 1 S 14.4_ Date: Y . e- $ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review (Conditions "Met"prior to issuance of building permit %Approved,NOT Released: At, Date: IQ I2DI IS Notes: In-)ed ppt!LAI/It v slim c ( 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: SDC Fees Entered: Wash Co Trans Dev Tax: „El, Yes ❑ N/A Tigard Trans SDC: la Yes ❑ N/A Parks SDC: (Yes ❑ N/A LIDA ❑ Yes , N/A OK to Issue Permit Approved by Permit Coordinator: A-1/ Date: tj 125 (g I:\Building\Forms\BldgPermitRvw_RES 061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16297 SW 113TH AVE, TIGARD, OR, 97224 November 21 , 2018 at 11 :25:58 AM Record Type: Record ID: Residential - Master Permit MST2018-00171 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Inspection Cancelled by contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16297 SW 113TH AVE, TIGARD, OR, 97224 November 21 , 2018 at 11 :23:51 AM Record Type: Record ID: Residential - Master Permit MST2018-00171 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Inspection cancelled by contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16297 SW 113TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00171 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Final inspections cancelled at contractors request. No access for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16297 SW 113TH AVE, TIGARD, OR, 97224 November 21 , 2018 at 11 :22:49 AM Record Type: Record ID: Residential - Master Permit MST2018-00171 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Inspection Cancelled by contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16297 SW 113TH AVE, TIGARD, OR, 97224 November 27, 2018 at 9:19:24 AM Record Type: Record ID: Residential - Master Permit MST2018-00171 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Inspection Cancelled by contractor, not ready for final inspection at this time. Violation Summary: Inspector Contractor