Permit (103) CITY OF TIGARD MASTER PERMIT
11 . . COMMUNITY DEVELOPMENT Permit#: MST2018-00251
Date Issued: 10/04/2018
T 1 GAFt.L3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AA13000
Jurisdiction: Tigard
Site address: 14459 SW 88TH AVE
Subdivision: IRMA DELL BUTTERFIELD PARK Lot: 8
Project: Butterfield Park, Lot 8
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1858 sf Basement: 220 sf Left 5 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1509 sf Garage: 863 sf Front: 20 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors:
Total: 3587 sf Value: $466,131.55 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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!500 sf: 7 201-400 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 3587
Owner: Contractor:
LWD LLC FOUR D CONSTRUCTION Required Items and Reports(Conditions)
FOUR D CONSTRUCTION CO PO BOX 1577 1 Ersn Cntrl 503-639-4175
5740 SW ARROWWOOD LN BEAVERTON,OR 97075 2 Geo Tech Report Required
PORTLAND,OR 97225 Prior To Pour
PHONE: PHONE: 503-720-7445
FAX: 503-590-1751
Total Fees: $34,980.82
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 -r. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a of the rules or direct questions to OUNC by calling 503. •s7 1.800.3 44.
a
Issued By: ,err Permittee Signature: "
all 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 o' e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application .I
Residential114 11
':4� ',1 l °i
City of Tigard Received v
13125 SW Hall Blvd.,Tigard,OR 97223 h Date/By: Permit No.: 7 �0'dv
11111 II/ g 1(� Plan Review
e Phone: 503.718.2439 Fax 503.598 1960 gg�d Date/B : l3 1 ?) r* a �'b..R. ,1 r-064 _
Inspection Line: 503.639.4175 p ..M l i" j` t,) Date Re B m ee age 2 for
1 It..:AkD ��c aY Y g
Internet: www.tigard-or.gov DINa $ ^#� Notified/Method: / �•, ' i --{^ Supplemental Information
°� Lam.«! I�A_
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
j`New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for '-
CATEGORY OF CONSTRUCTION work indicated on this application. ' /
[X 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ q;�iQ�1 �� '
El Accessory building 0 Multi-family Number of bedrooms: �.47 ✓
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION
Total number of floors: L`li� U
Job site address: I i--J 59' S. w c3 g -t-1.} .rAv c New dwelling area: 358-7 square feet 'S-041
City/State/ZIP: i (,A c-T) 0 R. 9 72-2-9 Garage/carport area: 863 square feet 1 858
Suite/bldg./apt.no.: Project name: Covered porch area „>4 square feet 22._b
Cross street/directions to job site: Deck area: ---
square feet
HA tr(.. $LVD `• 6 g.G-eNSto rwo La►v - 9 0 7`"1/-
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: i) ..` - ( Lot no.: 0 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.: 4`.. sr16 Cam i\oz._ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
4/614-) 5,il/CIce PA.tyi I t v RES i D h't c Valuation: $
Existing building area square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: ME /IS RC-Low" Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
CKAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Fou I1 D C o 14.5 TRU CT/C3/-3
StructuralP lan review fee(or deposit):
Contact name: D PV vs:, 1)c_ 4 14.124::,P.,{t-
FLS plan review fee(if applicable):
Address: G- Box
i S 7 7 Total fees due upon application:
City/State/ZIP: $EI ve-g.ro h.3 epcam' 7 p_7 S
Amount received:
Phone:(5o3) 7 {} 7 y y s Fax:: 590 17s j
PHOTOVOLTAIC SOLAR PANEU PANELSYSTEM FEES*
E-mail: F au r-n Ca o/5 7'e r 1`J JC." , C.O/`n Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
U 1.T and fire department access,along with the 2010 Oregon
Address: eC, Solar Installation Specialty Code checklist.
6 Permit Fee(includes plan review
City/State/ZIP: $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 7/037 Total fee due upon application: $201.60
Authorized signature: J��- f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: v' ]l p 2p �H., Date: *Fee Board
methodology set by Tri-County Building Industry
Y1 �� Service Bo
I:\BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Perm', A t •lication �� _ roi OFI:1(l. I SI:OyI.A
' � '�I 4 Received
City of T%.ark a '. z -
Date/By: PermitNo.://s � ��e„ �L
et 13125 SW Hall i'Ivd.,I igard,OR 97223' Plan Review D
= Phone: 503.718.2.i 39 .ax: 503.598.1960 -, Date/By: Other Penult:
T i G A RI, Inspection Line: 51 .63'.4175 ')E P "11 18 Date Ready/By: Juris: H See Page 2 for
Internet: w w.tig -.gov Notified/Method: Supplemental Information
TYPE OF vrpf ..c u:- 2 iv,i 1 l0,i COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
tirNew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT t SYSTEMS FEES*
1 pt 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning / 46.75
Job site address: ,Li Li Sq' S. Yt S 8 r14- /v&- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1---,,,„42.4) 0 i v_ 9 .7 2_2_4./ Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
14-A t-L B t-v b &R e E ms“A Etta LA/ — 9.O )--/-f 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: -6,..4":=311-2,1:: .,,r.r.1_ Lot no.: 9 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: i:.>` t i l e j z ?i c....,:_..‘.1...ID h ILK..., Water heater . 23.32
DESCRIPTIONOF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
_ Log lighter(gas) 23.32
N&LA.I 5 i so G,t”C P M i Ly 2-s 1 D t= Ll✓ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
cif PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 5 A KC f_c 13i El Oma; 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
lit APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: POLL R 'I) C(110 S-1 tic ri 0 iJ $14.15 for first four;$4.03 for each additional
Contact name: ` )Av.i P D E pi-v-P Pow r Furnace,etc.
Gas heat pump
Address: i 0
ox I s.-i-7 Wall/suspended/unit heater
City/State/ZIP: ik\/ef2 C , 9 7 0'7 S Water heater
Phone:(S03)3) "7 A 0 '7.1.l 5 Fax::(5o3 5 70 .. i 7s + Fireplace
Range
E-mail: Fo“.i2-o(A)JJ S'T`0..-L.ttit. A), (j MI Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: t' E -r A ) j--ou Other:
MECHANICAL PERMIT FEES*
Address: f I o i Bo>c 4/33 Subtotal
City/State/ZIP: �'� 0 ( 5 Minimum permit fee($90.00)
cg-Am PS l Plan review(25%of permit fee)
Phone:(53) &S'6... / 9.0,8,-- Fax:(... .„.3) 65-0_3gCf "' State surcharge(12%of permit fee)
CCB lic.: /'763 6....)--2,, 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: * Fee methodology set by TrCountyBuilding Industry Service Board
Printname: 7)p✓%i c. j" 6 ate: 9...6 -r
1:1Building\PennitslMEC PcnnitApp_040113.doc I/ 440-4617T(Il/07JCOM/WF,H)
Electrical Permit Application 4 f /
City o Ti andT'r 'veil Permit#: /11
c790 it 00.2v /
13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
Phone: 503.718.2439 Fax: 503.598.1960 `%t�y late/By;
) F Related Permit#:
Inspection Line: 503.639.4175 � Ready DatetBy: Jaris 0 See Page 2 for
T t c',\i?i> r ified/Method:
Internet: www.tigard-or.gov i $... k ctir .i 1, Supplemental Information
TYPE OF WORKgg a i a,;ri�, •,, PLAN REVIEW
KNew construction 0 Addition/alterati , It 'ghee Please check all that apply(submit;i sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑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.
iti3,I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
5/,,5 S` 5/y. 8,9 t ❑Addition of new motor load of system.
Job#: Job site address; iT- IOOHP or more, ❑"A","B">"i-z","t-3",
Ci /State/ZIP: y— (_ t-� Z ❑Six or more residential units. occupancy.
ty i ' +4� ` 0 Health-care facilities. ❑Reereational vehicle parks_
Suite/bldg./apt.#: Project name: 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 '
N A LL 2)i..V D (:'s R L:.L NS w t t L.A1 — ?b 7-/4 New residential single-or multi-family dwelling unit.
Subdivision: . "':1" ��'"` Lot#: 0 Includes attached garage.
g 1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 41IT E„:;.�t.f=-I LI) f'"A IL S.:.._. Ea.add't 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
�1 (with above sq.ft.)
IVeid� 6-1' 1i L•
/ 'L t F A 1"°I/L / ( $i 1.)67A/Ce. Limited energy,multi-family
residential(with above sq.ft) 75'00 2
Renewable Energy 0 See Page 2
YI PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: S A Ml6 /4-s 13 L t 200.34
201 amps to 400 amps 133.56 2
401 amps to 600 amps 22
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) 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
I�APPLICANT 0CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
W A.Fee for branch circuits with
Business name: 'fru vz,.. ) tom,ici5 T7zu Clio Ki above service or feeder fee, 742 2
each branch circuit
Contact name: b p,:U I d I)G)414124,,F02_--r- B.Fee for branch circuits without
service or feeder fee,first
Address: g( Box 15'7'7 branch circuit 56.18 2
City/State/ZIP: BE P V 2_'rom C,v„ 9 70`7 s Each add'l branch circuit 7.42 2
J Miscellaneous(service or feeder not included)
Phone:(�t1,3)-720 .7 y v s Fax: :(5-03 )jc7o --t 7 5 l Each manufactured or modular 67.84 2
{� dwelling,service and/or feeder
Email: jr O U f` D C 2I3 7" 4►'i5 eL:, co 1,1 Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: .L re- L,e- r/Li(..., gulp Sign or outline lighting 67.84 2
, / Signal circuit(s)or limited-energy 0See Page 2 2
Address: 4,' /s j a /t k. % ,4/ ) 7 ' g
A) `ti panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
t5/ ; o IQ I t/ ./Q CVZ. 7 22Z 0 Additional inspection(1 hr min) 66.25/hr
Phone:(503)3) L 7 7 -- 3 789 Fax:(35.:i3 ) 1// -' ' 97- V. Investigation(t hr min) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Email:
G67-&! 46-c rirziL tj goct P C`�'.C Milt t L.- , .) / Inspections for which no fee is
CCB Lie.:/C-7/2.7V Electrical Lie.:C 3 i Suprv.Lia:$76 Z
specifically listed(%a hr min) 90'00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 7,,/'
Print name: R o 13 e ,4A =/./fl /2i Z Date: 4_5.-/g 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): I
✓ / TOTAL PERMIT FEE:
Authorized signature:
.-. This permit application expires if a permit is not obtained within 1801
Print name: j Date: 47-1--/® days after it has been accepted as complete.
* Number of inspections allowed per permit.
t:1Building\PermitsxELC PermitApp ELR ERE.doe Rev 04/21/2014 4404615T(11/05/COM/WES
Plumbing Permit Application
,Building Fixtures l(1R til I I( I I l (i
I(
City of Tigard Permit No.:
111 I13125 SW Hall Blvd.,Tigard,OR 97223 i E P ° 0 y Date/By: �S`;k;rj` Z.vZ s7
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ether Pelnrit No.:
Date/By:
1-1 ,k r i Inspection Line: 5(3.639.4175 Date Ready/By: roan: SI See Page 2 for
Internet www.tigard-or.gov C i i'l,• 1; • , ' t,Iotified/M�o: Supplemental Information
TYPE OF WOR1{,. 4 3 FEE* SCHEDULE
iON
air New construction ❑]demolition For special information use checklist
Description Qty. 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
A 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 1
❑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:
Job site address: /y Vs 9 S. i g8 -7-14 .44,C Catch basin or area drain 18.76
• City/State/ZIP: Drywell,leach line,or trench drain 18.76
/� 0 R 7 Z L V Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
I-I a Lt. II LV 17 -- C9 RE SNS ikA Yc.D Z,rv'. - 90 ro-
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_J Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: 6 ° _„ - D - - Lot no.: 8 Fixture or item:
Tax map/parcel no.: 3 - -- r i �_.. ) pf�ll„4� Backflow preventer 31.27
✓ DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Jr:A- $/A s'-6 -i4.1.„.,1 t 1/ AR a .S/) 'i✓[' Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: S/ W1 E 4-S Br-4)w Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
(j APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: r6 Gt}2, D �A/5']-z jJ cr i b/t r Medical gas(value:$ } Page 2
,1 Primer 12.51
Contact name:
favi fl D&-i7 g p Put'-- Roof drain(commercial) 12.51
Address: ?, O, ebx J s ---7 7 Sink/basin/lavatory 25.02
City/State/ZIP: Z3E>4 vvRR)Al ® R 9 7 IJ ),s Solar units(potable water) 62.54
Phone:.51 ) -7,,/0--7 v y 5 Fax::($ 3)5-96.-1 75/ Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: A 0(112-1`= I)Cb A/s r CL t'Vj,5%'l< c.:6,40,7 Water closet 25.02
CONTRACTOR
Water heater 33.52
Business name: 1-f E M 1.4 LL A/ AA Pig1 1 Water piping/DW V 56.29
Address: /66/14 5, . i v e 12 Rd Other: 25.02
City/State/ZIP: 14.& t+ Diel 74/2.3
Subtotal
I Minimum permit fee: $72.50
Phone:(,So 3 ) Lh w /.. Fax:( ) Plan review (25%of permit fee)
CCB Lic.: /2 6 g 9Plumbing Lic.no.:,3V-26011.63 State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: p �ji, I i 7 0 /L�-- Date: 2."- This
m it application expires if a permit is not obtained within 1811 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Pamiu\PLMLJ-Pere itApp.doc 10/01/09 440-46I6T(10/02ICOM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
IllC
T l c a- D Building Permit Review — Residential
Building Permit #: /7jts/ `t'O)d-1
Site Address: 199S1 r-
SSW �3 )YI/L'-,
Project Name: Ireu G4( Lfl ,1,1 1/41< Lot #: ,q
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: IUty J r1
E Verify site address/suite#exists and activejo permit system.
II/River Terrace Neighborhood: Ld'No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ee(3)copies of site plan Id 'sting structures on site
ito plan must be on 8-1/2"x 11"or 11 x 17"paper P. ootprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale)
LIZ .or elevations
rth arrow I! : .ty locations&easements (required for new and additions)
eaddress,project or subdivision name and lot number N Sidewalk/driveway approach
plicant information(name and phone number) 17l • lion of wells/septic systems
DVLot dimensions and building setback dimensions [Ii'xisting trees to be retained with drip line,and tree
iLquare footage of buildings to be demolished .rotection measures
0. et area,building coverage area,percentage of coverage and reet tree size,type and location --,Sta. kr:MA
r ty` 011
14A
}t'npervious area(applicable if R-7,R-12,R-25&R-40) !6 Street names
®/Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes ❑No
4,foot differential) If yes,is a storm water quality facility shown?
[�/Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995 : ❑Yes ❑ o
equired: ❑ Yes,applicant was notified No Received: )
El Yes ❑ No
Public Facilitie Improvement(PFI) Permit:
quired: Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake
l and Use Case#: `
IV/Zoning: K.
S
Lr Required Setbacks: Front C) Rear IS Side E Street) Garage Per
021 Landscape Requirement: % jS L�
(, --;,of Coverage Maximum:
Mr/Building Height: Maximum Height ght
Actual Z .
IV/Visual Clearance
JL Type
rban Forestry Plan
Conditions "Met"prior to issuance of building permit
�otes: Car,4,i- 1.1 4
N-A � C i),;AiE (1,14,>,,q- i3b✓�tv[.Q
4G Approved By Planning: Lirt-a i-v. Date: "6-0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: t
Site Plans: # _
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: frPlanningEngineering Permit Coordinator 'Building
Workflow Sign-off: p-Sign-off forPlanning(include notes from planning review)
Route Application Documents: p-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 Permit Technician: - I ate: _ i
Engineering Review
C( Slope at building pad: 4'yo
Ei Conditions "Met"prior to issuance of building permit
1:1 Easements (encroachments)per engineering conditions of approval and plat
2'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes l No
Assess Water Quantity Fee in-lieu: ❑ Yes d No
_/ LIDA Facility on lot: ❑ Yes No
LJ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
CSApproved by Engineering: 15,,.17 -13....-41.:-.1-......• Date: 9'• / 7 • 18'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Rev. 'on Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: •CI Yes ❑ N/A
Tigard Trans SDC: El Y ❑ N/A
Parks SDC: Yes ❑
LIDA 0 Yes 62 N/A
OK to Issue Permit 4V2f)
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_010118.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
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ekplv,11.,tN2_- DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAR 21 2019
FROM: DPW CITY OF TIGARD
BUILDING DIVISION
COMPANY: ' vcF YZ- C.,;)' /0s1
PHONE: � �f ! �1'
BY.
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RE: y 4 Sq S'.4--0 . gg -7-1/ Yc /457-20/0 -002-5 I
(Site Address) (Permit Number)
r e _E-'?,wk p. Lt-- Fx-crteRf c-L p j
(Project na/ne or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 .064__ Revisions: D pLpc r�. PAr(o
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: V,EFL._P AT-1 CD vie-IT 1=l D E.C._1c-- LE S S 1-4eI
3 1A'Pa0 V r✓. F iel>b
FOR OFFICE USE ONLY
Routed to Pe s it Tec 'cian: Date: • Initials:
Fees Due: II: ❑No Fee Description: Amount Due:
rW
Special t,114l7 WY Aro( 'o /e/(('/•
V
Instructions:
Reprint Permit(per PE): ❑ Yes / /I El Done
Applicant Notified: - Date: 3 ��Gf h Initials: �%
f .
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14459 SW 88TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00251
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Water pressure 79 psi at garage hose bib.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14459 SW 88TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00251
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Seal line set and condensate penetrations to exterior.
Will check at building final inspection.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14459 SW 88TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00251
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14459 SW 88TH AVE, TIGARD, OR, 97224 May 29, 2019 at 10:27:22 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00251
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - CofO
Comments:
Final erosion control approved.
Moisture content form received.
Moisture barrier form received.
High efficiency interior lighting form received.
Blower door and/or duct test report received.
Insulation certificate verified.
C of 0 left on kitchen counter.
Violation Summary:
Inspector Contractor
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
4
! _ Transmittal Letter
r i A Ei 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: %2 LySo A/ Aa /? 12°iL v DATFInt P
DEPT: BUILDING DIVISION TO
OCT - : 018
FROM: hiav k0 DEQ Jp P r GiTy t i-IGARO
BUI t NG DIVISION
COMPANY: FULA D NST P 0 c.( /O ,dam /R //
PHONE: �� 3 "7.� 0 -7 � y s By:
RE: /I1LfSq 3" ) P' )T 44St—� '
0/ — OOZS/
Site Address) (Permit Number)
-1:?-11/t W DELL EL-t-Ecz-fl G' P 1L
(Project name or subdivision name and lot number) .1.,
,I
ATTACHED ARE THE FOLLOWING ITEMS: A
Copies: Description: opies: _ Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. .. p 1 Wall bracing and/or lateral analysis.
Floor/roof framing. fp
Basement and retaining walls.
Beam calculations. \ Engineer's calculations.
L Other(explain): (�( 6 'j-L=cE+ L
REMARKS:
FORO FIC USE ONLY
Routed to Permit Te ici : Date: `p (2 f C6 Initials: Aft-
Fees Due: ❑Ye No Fee Descrip ion: Amount Due:
/ .- ° C---- --..- $ 71 .$
Sp al
Instructions:
Reprint Permit(per PE : p Yes El No ❑Done
Applicant Notified: Date: /d/ith Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
' OFFICIE COPY
GooPalcilic
'Engineering,Inc,
Real-World Geotechnical Solutions
Investigation•Design•Construction Support
October 8, 2018
Project No. 16-4328
Alan DeHarpport RECEIVED
LWD, LLC dba Solstice Custom Homes
5740 SW Arrow Wood Lane 61 C j - 8 2 01 8
Portland, Oregon 97225 CITY OF TIGARD
SUBJECT: FOUNDATION SUBGRADE REVIEW BUILDING DIVISION
LOT 8—IRMA DELL BUTTERFIELD PARK
TIGARD, OREGON MST Z O/$-- 0 oz.S/
References: 1. GeoPacific Engineering, Inc., Geotechnical Engineering Report, Irma Dell
Butterfield Park 8770 SW Mountain View Lane, Tigard, Oregon, September 21, 2016.
2. GeoPacific Engineering, Inc., Summary Report of Earthwork Observation and
Testing, Irma Dell Butterfield Park 8770 SW Mountain View Lane, Tigard, Oregon,
October 11, 2017.
GeoPacific Engineering Inc. (GeoPacific) previously performed a geotechnical engineering
investigation of the site and provided recommendations for site development. We also conducted
on-call density testing and construction observations services during site development. This letter
addresses the single-family home foundation subgrade on Lot 8. We understand that the proposed
building is a two-story garage under home.
As part of this evaluation, GeoPacific visited the site today to observe the subgrade foundation
preparation. At the time of our site visit, the foundation excavation was complete and extended 1 to
8 feet below existing ground surface. The foundation bearing soils generally consisted of medium
stiff, native, sandy silt soils. Probing efforts with a %-inch soil probe resulted in 6 to 12 inches of
penetration into the subgrade soils, indicating medium stiff consistency. Footing-to-wall and footing-
to-slope setbacks appear adequate; although some structural backfilling is likely necessary.
Based on observed conditions, foundation subgrades as prepared are considered suitable to
support the planned allowable bearing pressure of 1,500 psf. Estimated settlement under the
allowable bearing pressure is 1-inch total, and%inch differential, measured over a horizontal
distance of 20 feet.
Care should be taken to avoid saturation or disturbance of footing subgrade soils during and after
excavation. If footing bearing soils become saturated or disturbed, any softened soil or slough
should be removed and replaced with crushed aggregate or additional concrete. In general, footing
excavations should be cleaned such that no more than approximately'/-inch of loose soils are
present prior to pouring concrete.
14835 SW 72nd Avenue Tel(503)598-8445
Portland,Oregon 97224 Fax(503)941-9281
GeoPacific Engineering, Inc.
Project No. 15-3744
Lot 8 Irma Dell Butterfield
Construction should include typical measures for controlling subsurface water beneath the homes,
including positive crawlspace drainage to an adequate low-point drain exiting the foundation,
visqueen covering the exposed ground in the crawlspace, and crawlspace ventilation (foundation
vents). The homebuyers should be informed and educated that some slow flowing water in the
crawispaces is considered normal and not necessarily detrimental to the home given these other
design elements incorporated into its construction. Adequate crawlspace drainage is not something
that geotechnical consultants can verify; the purpose of our visit is for observations of foundation
bearing conditions only. Appropriate design professionals should be consulted regarding
crawispace ventilation, building material selection and mold prevention issues, which are outside
GeoPacific's area of expertise.
This report should not be relied upon by third parties without consulting GeoPacific. Within the
limitations of scope, schedule and budget, GeoPacific attempted to execute these services in
accordance with generally accepted professional principles and practices in the fields of
geotechnical engineering and engineering geology at the time the report was prepared. The
conclusions and interpretations presented in this report should not be construed as a warranty of the
subsurface conditions.
No warranty, expressed or implied, is made. The scope of our work did not include flood hazard
evaluations, environmental assessments, the presence or absence of wetlands; or potential
hazardous substances in the soil, surface water, or groundwater at this site.
We appreciate this opportunity to be of service.
Sincerely,
GEOPACIFIC ENGINEERING,INC.
:\fc.�,rcO PROF4s,
IN�� /per
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7147 /
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,4k ‘465
444. 140#
sl .►
EXPIRES:WB130/20a
James D. lmbrie, G.E.
Geotechnical Engineer