Permit (79) CITY OF TIGARD MASTER PERMIT
' 11 COMMUNITY DEVELOPMENT Permit#: MST2018-00300
Date Issued: 11/21/2018
T 1 C..A R.C7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01400
Jurisdiction: Tigard
Site address: 16309 SW 113TH AVE
Subdivision: WILLOW BROOK SUBDIVISION Lot:
Project: Willow Brook, Lot 20
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1100 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1578 sf Garage: 530 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2678 sf Value: $342,543.10 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: 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: Y 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: 5 201-400 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2678
Owner: Contractor:
MISSION HOMES NORTHWEST LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
PO BOX 1689 11815 NE 99TH ST#1200 1 Engineered Soils
LAKE OSWEGO,OR 97035 VANCOUVER,WA 98682
PHONE: 360-573-8081 PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $32,393.10
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 -001-0090. You m obtain a copy of the rules or direct questions to OUNC by calling 5 3.232.1987 or 1.800.332.2344.
Issued By: /:... AP/il
41d Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. X'
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
Residential N„ xx C FOR OFFICE IJSE ONLI'
City of Tigard 3� ., Receivey.LO/� ! l� �' Pe ..4,, c,/,,,,,,„6
Date/B
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' i Phone: 503.718.2439 Fax: 503.598.1960 OCT 2 9 2018 1 Q /'I /�
Date/BY: (7 � �� D V atr,..,,,,-(6,25,OV�5,
T I t.A K D Inspection Line: 503.639.4175 Date Ready/By: Juns: H See Page 2 for
(fr
Internet: www.tigard-or.gov CITY OF FIGARD No'ied/Metho • Supplemental Information
as s
3UJLD!NG DIVISI 4 3 �
TYPE OF WORK REQUIRED DATA:I-AND 2:F LY 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 ,rofit for the
CA ECOR'Y OF CONSTRUCTION work indicated on this application. _ i
Valuation: i 10 ,, � f. '3
® 1-and 2-family dwelling ❑Commercial/industrial ii
❑Accessory building 0 Multi-family Number of bedrooms: 3
0 Master builder 0 Other: Number of bathrooms:?
JOB SITE INFORMATION AND LOCATION Total number of floors: 1 3-2_0e,
Job site address:16309 SW 113''AVE New dwelling area: 2678 square feet 157$
City/State/ZIP:Tigard,OR Garage/carport area: 530 square feet l(OQ
Suite/bldg./apt.no.: Project name:Willow Brook lot 20 Covered porch area: X square feet
Cross street/directions to job site:99 West to Durham Rd Deck area: ` - square feet
R on 113e AVE Other structure area: f$Q. square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:willow brook Lot no.:20 Permit fees*are based on the value of the work performed.
(rounded to the nearest
Indicate the valueof all
Tax map/parcel no.:TBD dollar)
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK - work indicated on this application.
SFR 3 bedroom 2.5 bathrooms with a 2 car garage,covered patio and entry way Valuation: $
Existing building area: square feet
New building area: square feet
®'.+ 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:
CI APPLICANT r i CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Lifestyle Homes
(Please refer to fee schedule)
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
Phone:(360)573-8081 Fax::(360)574-6401 Amount received:
E-mail:permits@buildplh.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR CTQi. Commercial 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: , , joThis permit application expires if a permit is not obtained
C. 1.. (x�/ within 180 days after it has been accepted as complete.
Print name:Summer Dowell Date: 10/26/18 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY"
Received '
CityOf Tigard Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
! Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 El Electrical 0 Plumbing ❑ Mechanical
T[GARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ . CI
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ CI CI
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. 0 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ❑ ❑ Cl
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 ❑ ❑ ❑
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- ❑ ❑ ❑
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 ❑
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- ❑ ❑ ❑
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 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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 ❑
over 10 feet long and/or any beam/joist carrying a non-utLorm 1nad.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be a 1.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". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
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-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE O'L\'
City of Tigard Received
Date/By: Permit No.:
1,1 13125 SW Hall Blvd.,Tigard,OR 9
Phone: 503.718.2439 Fax: 503.59 F I\ Plan Review
.z'� �:, Date/By: Other Permit
T I G A R D Inspection Line: 503.639.4175 Date Read/B runs:
Internet: www.tigard-or.gov Ready/By: See Page 2 for
C 2 9 2018 Notified/Method: Supplemental Information
TYPE OF OF' I IGARCD COMMERCIAL"FEE*.SCHEDULE'—USE CI CXLIST
New constructionJ G DIV St N Mechanical permit fees*are based on the value of the work
D Addition/1U11.0 teraion rep acemen " 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 I SYSTEMS FEES*
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder
❑Other: Description Qty. Ea. Total
JOB SHit INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:16309 SW 113th AVE
Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Willow Brook Heat pump 1 61.06
Duct work 1 23.32
Cross street/directions to job site:99 W to SW Durham Road Hydronic hot water system 23.32
Right on 113'AVE 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:Willow Brook Lot no.:20 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:TBD Water heater 1 23.32
DESCRIPTION OF WORK; Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
SFR 3 bedroom 2.5 bath house with a 2 car garage,covered patio and entry way fireplace 1 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
re PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
Address: 11815 NE 99'ST Suite 1200 equipment 1 33.39
Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 6 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
h,.4 APPLICANT ►e CONTACT PERSON Other: 23.32
Business name:Pacific Lifestyle Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Permit Coordinator Furnace,etc.
Address: 11815 NE 99th Street,Suite 1200 Gas heat pump
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)
Business name:Area Heating+Cooling Other:
MECHANICAL PERMIT FEES*
Address:2721 NE 65th Ave
Subtotal
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: 0014,4e.30e._,... Fee methodology set by Tri-County Building Industry Service Board
Print name:Summer Dowell Date: 10/29/18
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-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
t?Iectrical Permit riApplicatitalInformatioon--City of Tigard
Page 2---Sitppleinn
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
•
msertroon Q1Y. 1 Each 1 Total 1 ^
Fee for all residential systems combined: $75.00 ikenewattle electrical energy systems:
S kva or less 100.70 2
Check Type of Work Involved: — —
5.01 to 15 kva 153.56 2
F-1 A• udio and Stereo Systems* ISO!to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
I-1 B• urglar Alarm 25.01 to 50 kva 30104
50.01 to 100 kva 552.26 2
I I Garage Door Opener* >loo kva(Cee in accordance 552.26 2
with OAR 918-309-0040) _ —,
[1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
Vacuum Systems*
>10Okva—noadditional charge 0.0 3
Va
Each additional inspection over allowable in any of the shove:_
riO• ther: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 9(.00/hr
specifically listed{%hr min)
--- ELECTRICAL pawn FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page I):
Fee for each commercial system: $75.00 Number of inspections allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
I I Audio and Stereo Systems
I I Boiler Controls
Clock Systems
I Data Telecommunication Installation
I Fire Alarm Installation
f1HVAC
I Instrumentation
Intercom and Paging Systems
ri Landscape Irrigation Control*
I 1 Medical
Nurse Calls
I I Outdoor Landscape Lighting*
I I Protective Signaling
Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I'd3ui1J1nglPennits`.LiLC_PermilApp_ELR_ERE Joe Rev 06117.2015
Plumbing Permit Application
Building Fixtures FOR OFFICE l SE ON1.1'
City of Tigard., ReceDate iived
13125 SW Hall Blvd.,Tigard,OR 97 Bve Permit No.:
I Phone: 503.718.2439 Fax: 503.598.1960 PlanReview
7 2 Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 fl C l Date Read/B
Internet: www.tigard-or.gov Ready/By: Jug Supplemental See Page 2 for
ti Notified/Method: Information
N
TYPE of WO Il YY OF 11t3A E*.
❑New construction �IL litiNO Dt1 IO For special informatSCHion useEchecklist
f Description Qty. Ea. Total -
D Addition/alteration/replacement El 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 D Commercial/industrial SFR(2)bath 1 437.78
111Accessory building El Multi-family SFR(3)bath 500.32
ID Master builder Each additional bath/kitchen .5 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:16309 SW 113°i AVE Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: l Project name:Willow Brook
Manufactured home utilities 50.03
Cross street/directions to job site:99 W to SW Durham Rd Manholes 18.76
Right on 113th AVE Rain drain connector 18.76
Sanitary sewer(no.linear ft.:<100) Page 2
Storm sewer(no.linear ft.:<100) Page 2
Water service(no.linear ft.:<100) Page 2
Subdivision:Willow Brook I Lot no.:20 Fixture or item:
Tax map/parcel no.:TBD Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
SFR 3 bedroom 2.5 bath with a 2 car garage,covered patio and entry way Clothes washer 1 25.02
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER f 0 TENANT Expansion tank 12.51
Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02
Address:11815 NE 99th ST Suite 1200 Floor drain/floor sink/hub 25.02
Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682
Hose bib 2 25.02
Phone:(360)573-8081 Fax:( ) Ice maker 12.51
0 APPLICANT 1:1 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2
Contact name:Permit Coordinator Primer 12.51
Roof drain(commercial) 12.51
Address:11815 NE 99'Street,Suite 1200
Sink/basin/lavatory 5 25.02
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
E-mail:permits@buildplh.com Urinal 25.02
CONTRACTOR Water closet 3 25.02
Water heater 1 37.52
Business name:Lippold Plumbing and Heating Inc
Water piping/DWV 56.29
Address:PO BOX 895 Other: 25.02
City/State/ZIP:Boring,OR 97009 Subtotal
Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50
CCB Lic.:201597 Plumbing Lic.no.:PB141,7 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature:
�/ /� (1611 I TOTAL PERMIT FEE
Print name:Summer Dowell Date: 10/29/18 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.
I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
PPagelumbing2S
upplemental Permit ApIplicationformation- City of Tigard
- n
Fee Schedule:
Residential Fire Suppression Systems:
Site Utilities cam•, Fee fro 'out Square Footage: Permit Fee'
Footing drain-l' 100' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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
Qt3each additional$100.00 or fraction thereof,to
Other Inspections or Fees ) 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Reptacel Plan review is required for any of the following.
Work Performed: Capped Added Relocate
Please check all that apply.
Baptistry/Font
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
Dishwasher
Cuspidor/Water Aspirator
Diwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 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„
4,, Isrnuetric.or Riser Diagram
.. .^
Car Wash Drain ❑ 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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
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 20\Pc wits and Inspections\PLB PermitApp.doc
Branden Taggart
From: Branden Taggart
Sent: Wednesday, November 21, 2018 10:07 AM
To: 'Shanon Cherveny'
Cc: Summer Dowell; #Building Permit Technicians
Subject: RE:Willow Brook permit statuses?
Attachments: Branden Taggart2.vcf
Shannon,
You are welcome. I was reviewing your permits for the Willow Brook subdivision, and there are three demolition
permits that are currently open. The final inspections for each of these demo permits needs to be scheduled and passed
before we can apply demo credits to your new single family permits. The demolition permits are as follows:
� 'e � tea' -° ..
to y�a �m .... F.
BUP2017-00283 16285 SW 113th Ave
BUP2017-00284 16325 SW 113th Ave
BUP2017-00285 16380 SW 113th Ave
If you were intending to apply the demo credits to the three permits that we are currently post reviewing,you would
need to schedule final inspections for each of demo permits right away, and the soonest inspections, as of right now,
would be on Monday, November 26. Assuming the inspections pass on Monday,the soonest we could likely apply the
demo credits and issue the permits for lots 18, 20, and 21 would be on Tuesday, November 27. Furthermore, we could
also apply these demo credits to future lots if you choose, but you would need to inform us which lots to apply the
credits to. Lastly, please note that we can only apply demo credits before the permit is issued, so you will need to take
this into consideration. If you have additional questions, please let me know.
Thank you,
Branden Taggart
w City of Tigard
11,4 $ ;a, Senior Permit Technician
Community Development
ARIO`
13125 SW Hall Blvd
Tigard,;OR 97223
(503)71B-241,49
brandent@tigard-or.gov
From: Shanon Cherveny [mailto:ShanonC@BuiIdPLH.com]
Sent: Wednesday, November 21, 2018 8:22 AM
To: Branden Taggart<brandent@tigard-or.gov>
Cc:Summer Dowell <SummerD@buildplh.com>; #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Willow Brook permit statuses?
Thank you, Branden,for that description! Tigard is a new jurisdiction for most of us, so that is very appreciated to help
us understand the process.
1
Shanon Cherveny, LEED AP
Lead Drafter
Pacific Lifestyle Homes, Inc./Garrette Custom Homes
www.PacificLifestyleHomes.com
www.GarretteCustomHomes.com
360-213-0827 I shanonc@buildplh.com
"Our Mission is to create an exceptional new home experience."
From: Branden Taggart<brandent@tigard-or.gov>
Sent: Wednesday, November 21, 2018 8:17 AM
To:Shanon Cherveny<ShanonC@BuildPLH.com>
Cc:Summer Dowell<SummerD@buildplh.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Willow Brook permit statuses?
Hi Shanon,
I apologize for the delayed response. We have had a really busy week. I checked on your permits, and we will try to
have post review completed today for all of these permits. Regarding the processing status,the status of them is always
correct, but I would disregard the due date, as the due date is not the target completion date for post review. The due
date is usually the date our permit coordinator signs off on each permit. Once he signs off on the permit, our system will
change the status to Post Review, but we still need to do a few things before we officially begin post review. Regarding
the plan review timeline, plan review normally takes between two and three weeks for us to complete. We are
currently on the third week at the moment, and with the two holiday weeks, it has taken us a little longer than
usual. We apologize for the delay, but we should be able to make your permits ready to issue today. Julie with send you
guys an email when your permits are ready to issue. Thank you for your patience.
Thanks,
Branden Taggart
City of Tigard
..• Senior Permit Technician
TIG
Community Development
ARD
13125 SW Hail Blvd
Tigard,OR 97223
(503)718-2449
branden€@tigard-or.gou
From:Shanon Cherveny [mailto:ShanonC@BuildPLH.com]
Sent: Friday, November 16, 2018 11:29 AM
To: Branden Taggart<brandent@tigard-or.Rov>
Cc: Summer Dowell<SummerD@buildplh.com>
Subject: Willow Brook permit statuses?
Hi Branden,
We are curious about the status of our Willow Brook subdivision permits that were submitted on 10/29/18. Online, I was
able to get an overview status on 3 of the 4 applications, but I'm not sure how accurate that is, or what it means on
timing for us being able to pick up the permits.
Willow Brook
2
• Lot 18 MST2018-00299—in "Post Review" due 11/08 - Pay Fees Due (for plan review)
• Lot 20 MST2018-00300—in "Post Review" due 11/08- Pay Fees Due (for plan review)
• Lot 21 MST2018-00301—in "Post Review" due 11/13 - Pay Fees Due (for plan review)
Do we need to do anything to keep these three moving?
• Lot 1—MIA
This could not be found online. I searched via address, applicant, parcel number, etc. I know we had a few revisions to
the site plan, but that shouldn't prevent it from being found in Accela, right? Regardless, can you provide a status on this
one as well?
Also, I noticed GIS is still not updated with the subdivision lots. I'm not sure if you have anything to do with that, but it's
just an observation I want to pass along.
Again, please let us know if we need to do anything or provide anything.Thank you!
Sincerely,
Shanon Cherveny, LEED AP
Lead Drafter
Pacific Lifestyle Homes, Inc./Garrette Custom Homes
www.PacificLifestyleHomes.com
www.GarretteCustomHomes.com
360-213-0827 shanonc@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."
3
City of Tigard
IN 4 COMMUNITY DEVELOPMENT DEPARTMENT
T l G A R D Building Permit Review — Residential
Buildin Permit
g #: 7725�? a 7---,°
Site Address: I(Q a0g Si4 1 1 '1111.414/
Project Name: w )HON ►*wV- Lot #: SO
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: NMVsI
XVerify site address/suite#exists and active in permit system.
IN'River Terrace Neighborhood: 'tel,No 0 Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
lerhree(3)copies of site plan Pxisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper XFootprint of new structure(including decks)with finished
4Drawn to scale(standard architect or engineer scale) floor elevations
*North arrow Utility locations&easements (required for new and additions)
Site address,project or subdivision name and lot number
.sidewalk/driveway approach
Applicant information(name and phone number) AiAlLocation of wells/septic systems
JR'Lot dimensions and building setback dimensions IMExisting trees to be retained with drip line,and tree
O Square footage of buildings to be demolished protection measures
}Lot area,building coverage area,percentage of coverage and Ilifstreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) 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? ❑Yes ❑No
..Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Di No Received:
❑ Yes ❑ No
jit Public Facilities Improvement(PFI)Permit:
Required: Air Yes,applicant was notified ❑ No Applied For:
Yes ❑ No,stop intake
Land Use Case#: Sl)f32OHo-CODI
% Zoning: -1 Q�12011-001 IS
l', "-Required Setbacks: Front 1S" Rear is Side S Street Side 10 Garage
18 Landscape Requirement: 213 %
NI' Lot Coverage Maximum: SO
0 Building Height: Maximum Height Actual Height*24
zr Visual Clearance
•
IS—Sensitive Lands: .k Yes 0 No �
* Urban Forestry Plan Type !(�qq'w-`•values -�
Conditions "Met"prior to issuance of building pe t
otes: WQedc -11) hire CAvIci i 4001 1)ni140 Chane,( flirt- W VIwea rea-
Approved By Planning: __________t , Date: JO S
Revisions (after Building Submittal only) Reviewer
Revision 1: 0 Approved 0 Not Approved Date
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\BuildineFonns\BldgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: i
Site Plans: # , _
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning pirEngineering 7 Permit Coordinator 9-13uilciing
Workflow Sign-off: 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.
'i4 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
/A 4, ATA' /..&„,‘,6%_41d/ Date:
Engineering Review
la-Slope at building pad: v2 D
Er-Conditions "Met"prior to issuance of building permit
I--Easements (encroachments)per engineering conditions of approval and plat
[ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes .12—No
Assess Water Quantity Fee in-lieu: 0 Yes Er No
LIDA Facility on lot: 0 Yes ErN° trA4 w e S 7' S,. i o ec
Final Plat Recorded: t,...at-r, r,,,, ati INT ice..., c'l c'r T+cc 'r
$ � ' N'.w P✓ts,Tz&Q
❑ NOT Approved by Engineering: Date:
Notes: _4j )/Lt$5 b .j ii3`4, n1vr Ga.hutc -r a iLt Jr4r f >> t «'N &--
Er-Approved by Engineering: K , 6,s t44.A. - Date: / I- 1 -/8
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Conditions"Met"prior to issuance ofd permit_ -
building� -
_
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
rc:RDC Fees Entered: Wash Co Trans Dev Tax: =Pe es 0 N/A
Tigard Trans SDC: i Yes 0 N/A
Parks SDC: ?El"Yes 0 N/A
LIDA 0 Yes ?''N/A
711°OK to Issue Permit �
Approved by Permit Coordinator: Date: , (a✓ i 0/
I:\Building\Forms\BldgPermitRvw_RES_010I 18.docx
r
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16309 SW 113TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00300
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Landscape Backflow devise 1 " febco model 850, serial # HE94339 left rear
property corner.
Note: cleanout to be gas and water tight at front porch. Will check at building final.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16309 SW 113TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00300
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
No ac installed
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16309 SW 113TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00300
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
No ac installed.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16309 SW 113TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00300
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Corrections from previous inspection complete.
Final erosion control approved.
Moisture content form received.
Moisture barrier form received.
High efficiency lighting form received.
Duct seal test report checked.
Insulation certification checked.
C of 0 left on site with approved plans.
Violation Summary:
Inspector Contractor