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Permit (174)
CITY OF TIGARD MASTER PERMIT IN ' COMMUNITY DEVELOPMENT x { Permit#: MST2019-00067 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 7 ;1/ /9 Date Issued: 04/03/2019 T[ \ L� g Parcel: 2S115AB07200 Jurisdiction: Tigard Site address: 11337 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 17 Project: Willow Brook, Lot 17 Project Description: New SF. 5/23/2019: REPRINT permit to add laundry tray. 7/24/2019: REPRINT permit to add irrigation backflow and NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First 1357 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 770 sf Garage: 390 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2127 sf Value: $274,528.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea 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 2127 11 Owner: Contractor: PACIF PAOIF___,s____Ei�FFc,YT;,_FaiOMES-_ _ Required Items and Reports(Conditions] _ ' 11815 NE 99TH ST STE 1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $31,127.05 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. RC1=� �_ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE l_SF()NEN Cl of Tigard �q ED Received �j �j �p `J g �`(v_E`v Date/BY: 7 ' /7 410 Permit Nq /S%rrZG� r / Od 6,7 13125 SW Hall Blvd.,Tigard,OR 97 � Plan Review Phone: 503.718.2439 Fax: 503.598. 960Date/By: Other Permit: p 1-�c,A 12 n Inspection Line: 503.639.4175 JUL p 3 201 Date Ready/By: Jur s: ® See Page 2 for Internet: www.tigard-or.gov TIARD Notified/Method: Supplemental Information CITY nN SION . ; TYPE tip Ck r , , - i t ST eta ['IAI. FEE* ULE vsE a ---,-------M, _: r-.-____ - -, {=.A •......._.,_-, - ----- Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OFCONSTRiJC3ION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 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 tM Heating/cooling: Air conditioning ( 46.75 Job site address: ' I✓f7 / 6'G t� S- - Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: --at) i Ole...„...) v Furnace 100,000+BTU(ducts/vents) 54.91 1 _ ���,,����� Heat pump 61.06 Suite/bldg./apt.no.: Project name: VA.) 1 I kot�ij�TL'uk/ (—'1 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: l ' lti 1.6,0-D lt_) '�]Lot no.: i ` Other fuel appliances: Tax map/parcel noi.: Water heater 23.32 'k D ON,G wOIu Gas fireplace/insert 33.39 `1 t Flue vent for water heater or gas N e, d At, iLtut 16#1 t t fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 - PROPERTYOWNER ; Other: 23.32 Environmental exhaust and ventilation: Name: n / C `, Range hood/other kitchen`� �'C" i�S ( J equipment 33.39 Address: i c VL• S '",L t em,I )C1) Clothes dryer exhaust 33.39 City/State/ZIP: l"e Low;t el; r`0 if 615341 c L Single-duct exhaust(bathrooms, a_if.‘ `�'� W toilet compartments,utility rooms) 23.32 Phone:( )51 .C2(")2'1 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT [3 CONI ACT PEI SO i i Other: 23.32 Business name: '''[...t-Ti / j �,�� �/ Fuel piping: /�� `� �� `�'i / `�' $14.15 for first four;$4.03 for each additional Contact name: saALnekiriAk4 (4. t Furnace,etc. Address: v _bele. `'I S eD Gas heat pump ``l Wall/suspended/unit heater City/Stat l7.1P `- .. ____ Water hcatcr Phone:( ) Fax::( ) Fireplace l Range E-mail: i l/`,� 'L° 12.•1` (( PDA• L°I1/1 Barbecue CONTRA OR Clothes dryer(gas) Business name: Other: MECHOII .,.:PEIIMIT VE S*, Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 s L )et& . days after it has been accepted as complete. Authorized sig�natfurLe;'�n �A / y }�, ! j * Fee methodology set by Tri-County Building Industry Service Board Print name: (. *-{6 s' N�'t "l,�/i�''`�.� 1 Date: 71 Z.I ' �f I:\Building\Permits\MEC_PertnitApp_040113.doc 440-4617T(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: hermit Fee., $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONL\ City of Tigard RECEIVED Received 7 423/, Permit _5Ci//c. 7 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ' C�C/C)6 / °: a Phone: 503.718.2439 Fax: 503.598.1 2 3 2019 Plan Review Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: loris: H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information ®New construction 0 Demolition For special Information use checklist. Description I Qty. I Ea. I Total O Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) PO ? ' i ,,,,,,,,////)".4:0,' t../ri. `#7g 0,, 0SFR(1)bath '-raY .. '; Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su• •ression S stems: Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 Y Medi 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 , , a q ,. r 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 hours minimum char'e-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: 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*. vwfiwympwwererviwytioxfiv ."4", ,P)0#4, Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 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 Thio ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ 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" n Car Wash Drain "74,,144-,U,41 ' t s # Garbage -Domestic-non-food ❑ 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 Sinldlav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under thisermit results in an Washer-Clothes p 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\Jurisdiction Docs\Tigard,City\Applications\PLB_l rmitApp.doc I CITY OF TIGARD P Sid < MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00067 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 04/03/2019 T E �,,\IC3 9 Parcel: 2S115AB07200 Jurisdiction: Tigard Site address: 11337 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 17 Project: Willow Brook, Lot 17 Project Description: New SF. 5/23/2019: REPRINT permit to add laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1357 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height 22 Bathrooms: 3 Second: 770 sf Garage: 390 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2127 sf Value: $274,528.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 2 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 Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2127 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 99TH ST STE 1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $31,039.67 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati n Center. Those rules are set forth in OAR 952-001-0010 throug AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 .232.1987 or 1.800.332.2344. Issued By: _ ,y-L-e---- Permittee Signature: tilTh 1 farki re Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �s This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Applicat' Building Fixtures HECEI VED City of TigardReceived MAY 2 3 2019 Date/By: Zr //Q permit Sf�_ zc)�y-U®11 I7 IR II 13125 SW Hall Blvd.,Tigard,OR 97223 (1 C'1 / Plan Review Phone: 503.718.2439 Fax: 503. rycoF tlCiRD Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING DINT DIVISION-. Date Read/B - Internet: www.tigard-or.gov V 1 1�I y y 1� H See Page 2 for sem_ Notified/Method: Supplemental Information Mme.✓nom„r .ls c.�: ""ia;A�,� w.t`?�'.u.Sf�d..'�.,,: .-., �,. _, : � ,c:,5,. � „ F, :7 � Y .%sy 0 New construction ❑Demolition For special information use checklist. 0 Addition/alteration/replacement 0 OtherDescription I Qty. I Ea. 1 Total f'd vrN y�' f ¢. New 1-2-family dwellings(includes 100 ft.for each utility connection) , f,'t, f, ,. ,,' '' i t 4,:ii.,-4 ' , a`, b4 ,Vs x, '`$',44, SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 ❑Other: ✓ �, k,_,;, ✓,,,�.rs � +'�✓ Fires sprinkler sq. s rs ; S' tf sir �Tt'11 Ga ✓ i 44.mow✓ �,r p ( ft.) Page 2 f,,' f,.✓,v;... it l .f 1 r;r s.9''„ r;,, .,✓r.,'✓:�n 4,,,,-,�, ,,✓. ✓✓,2 fly f '" ,,;1F A, t Site utilities: Job site address: 11337 SW Gabriel St 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.: Project name:Willow Brook 17 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Willow Brook I Lot no.: 17 Fixture or item: Tax map/parcel no.:2S115AB07200 Backflow preventer 31.27 MVN: /! ff " ✓i° :$ ' d'f lrn/4k./,;F ✓ s f '041, Backwater valve 12.51 ✓`il,,5vrr ,AV Ist L , . ,gf Adding a sink in the Laundry room for inspection that wasn't on the original Clothes washer 25.02 Dishwasher 25.02 plumbing application.Please attach to MST2019-00067 Drinking fountain 25.02 Ejectors/sump 25.02 1 1.4...4r-014,A,ir ; f � s Expansion tank 12.51,v .,, rr >r1f 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 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)573-8081 Fax ( ) Ice maker �,�, ,f hr r 12.51 �, o,✓, „�,,, , , ,; ,L.., �f,ra", �,.,, ill f,o�„ f , :.,,,w: ✓ r:.°t r s.r,�4:8 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 99th Street,Suite 1200 Sink/basin/lavatory 4ALINLS/4',�j 1 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 12.51 E-mail:permits@buildplh.com Urinal 25.02 i ✓, ixoz fyF '✓teNof f ,✓h i. ✓,'.' f '/ f✓�,.,✓ ��,1, r Water closet 25.02P� '=A.V r4A4, 6, 1t l67;.iis '> , ✓fy4 CI'' Water heater 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.:PB1416 Plan review (25%of permit fee) Authorized signaturet 'State surcharge(12%of permit fee) ,,.�` IL � L' r L � � TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Summer Dowell Date:5/22/19 after it has been accepted as complete. "Pee Methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/vEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su i 4 ression S stems: '� f�..1 , 0f �'" r., . ^ ,1 ` " f 3 i , . , ' , , i.1,- a': eale, r0 „ Z�� �ttiA, rr� l mss" 1.4 �1, i 4:4 .I,,y, ,x �. .� Y . ,_ ro ,Y !.fs�,�, r,; Footing drain-1' 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 S stems: Water Service-each additional 100' 37.52 e: r 1 , „ d' ` `r, "�'" `f'; '�^ i"f r .. .0 �,, '� o f.' ,,w 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 k o,, ,�,f, ,,,f. 0 � 5r each additional$100.00 or fraction thereof,to t,,,:':,,,,,:.1 ;,;„2,7'19-, rry,,1;"r W f .1, Md c ?.. 4,',40140 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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr 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*. r'rn ® aii,9l9 V5e Fore IysPlan review is required for any of the following. Work Derr to .; ' ,c Pe' ' A Please check all that apply. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Cuspidor/Water Aspirator Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ 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" 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 17\Pemits and Inspections\Additional Sink plumbing permit.doc CITY OF TIGARD MASTER PERMIT N . . COMMUNITY DEVELOPMENT Permit#: MST2019-00067 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2019 T I i,a I:1) g Parcel: 2S115AB07200 Jurisdiction: Tigard Site address: 11337 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 17 Project: Willow Brook, Lot 17 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1357 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 3 Second: 770 sf Garage: 390 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2127 sf Value: $274,528.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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 Types Air Conditioning: N Vent Fans: 4 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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2127 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 99TH ST STE 1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $30,921.65 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 52-001-0090. You may obtain a copy of the rules or direct questions to OU NC by calling 5 .232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 'l.!'G`li`—"L-al/O 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 Resiential City of Tigard RECEIVE® Received `'f g Date/By: A1�7 6i Permit No.: ILI ,.1 IN .1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J/S--- Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Perini. ' FEB 2 7 2019 i`i A'A' ��,�,NZti�t-�:::�� 1.I C I`D Inspection Line: 503.639.4175 Date Ready/By: Jugs: la See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD ified/Metho,, i /t , Supplemental Information RING DIVISION xx ,1 ��,�' 1r r '4 5i,^x ,, err {i x" r r 'r�irM .,.,,lex.,�d_...... I/ A';',,,:,,,,..-. dfx ,x; '?,, 7. ,„ fx t y 'r r'k,,, 'r i1g w.'?,F*, liefi ✓' r r-%' 'k •.'I ! § l ,, 89 `r- l r ,. .r< r „",%i �, Y f'fi �. '. .%'.-;�t.4,45,c?,_''f�"4'., '. 1:4, :' ,/,', I ;Ar,,,,,,,,,,,„-, 1 �l, $ is 9 e`v�f`�,.✓r'` ®New construction El Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ' l, xk ,,4 fr rtWi r " / if , � work indicated on this application.sVI ,„ ,-;47-: ;,� .. , ;a, ,% g ® 1-and 2-familydwellingaluation: 0,000 ❑Commercial/industrialommercial/industrials p(��1 Sp� ElAccessory building El Multi-family Number of bedrooms: 3 El Master builder El OtherNumber of bathrooms: ..26.---3 ; r Sfy ' tr , l r ... ! #1 'f 7 f fio ,n.fifi Total number of floors: 2 ' „ a>ffiV . lfi � . �. v� r,„r .: E rvrr4 r,rf H" !f 0xir �4"4 'fir h Job site address:11337 SW Gabriel St. New dwelling area: 2127 square feet 7 7 V City/State/ZIP:Tigard,OR Garage/carport area: 390 square feet �7 Suite/bldg./apt.no.: Project name:Willow Brook lot 17 Covered porch area: 102 square feet ` Cross street/directions to job site: Deck ea:e �pp � square feet er structure area: 63 square feet FrflIfi/1 0 "3 twit r- � �'t :a8 6 4�a . 'i 9' , Subdivision:willow brook Lot no.: 17 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S115AB07200 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the .,6xS *i ., s ` #' t 4 r ' ' iwork indicated on this application.L. i., 'V/c Afit`- FY' W'Flm r, erCAr_”. *x .a. 1 r„ d,r ,Ff' SFR Valuation: $ Existing building area: square feet New building area: square feet r t � rT "; Y r „ t' ,-ra . 5rnrfeAs Number of stories:.,, �„' , L.,,,,,,,,://6-, rfV0 _ . ..r ,. fi1 „F ,f f, , >,;6,,k, ..,,4,. . rf 'Yr fg Name:Pacific Lifestyle Homes Type of construction: Address:11815 NE 99"'Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax (360)574-6401 New: fi ls µrf+ V' f /f r � {f f '''''''''V''';''''''-';13°;-2;`:4' ^+ t ',r' rr r � 9# 2 e . ` y1 ' . � .i;( ,Anofx .a :,+„x °;fix y/v r 4,,, ,2 .r-w, fit „ rx,.b": frr, ,, w-, 4'r�,.,N„.,r „ a ,, fir fi '�t i� :) f f , . <.P,^`: . �fixBusiness name:Pacific Lifestyle Homes Structural plan review fee(or deposit): Contact name:Permit Coordinator FLS plan review fee(if applicable): Address: 11815 NE 99th Street,Suite 1200 application:app City/State/ZIP:Vancouver,WA 98682 Total fees due upon j; Phone:(360)573-8081 Fax::(360)574-6401 Amount received: y� r ,fiw r 9,„N r': r 3,,•r r+. , �” d ;v,r:� E-mail. ermits build lh.com �� a°t ','t' $' e. $ I f oaf s ” r x 9AARY4Wlr f ^ ffi Commercial and residentialprescriptive installation of * fif xA0 ,TI� O r t1e , r fir x f : 1, �r roof-top mounted Photovoltaic 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 ;t Total fee due upon application: $201.60 Authorized signature: / / 7 This permit application expires if a permit is not obtained `-' ex f / 1• .l'. /,, I L) - �,. within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Summer Dowell Date:2/27/19 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE LSE ONLv e City of Tigard RecDateived Permit No.: . 4 13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits: i` Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical l t'^ ll Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v'CS NO IV, 86. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. El ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ El El 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: • 0 ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacityEl ❑ ❑ 6 Sewer permit. ❑ ❑ 0 7 Water district approval. 0 ❑ El 8 Soils report. Must carry original applicable stamp and signature on file or with application. El 0 ❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ El basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 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 ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, El El 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- El 0 ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. El El 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- ❑ ❑ El 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 El 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 ❑ El El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ El 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 ❑ ❑ El 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". El 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ El ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ El 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ El 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ El 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 El 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ El ❑ 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(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY ' City of Tigard Received Permit No.: 1 /� G�II(✓T j 3 : Date/By: �5 13125 SW Hall Blvd.,Tigard,OR 97223 1Plan 14 _ Phone: 503.718.2439 Fax: 503.598.19 Other Permit: Inspection Line: 503.639.4175 V E® Date/By:Review T I G A R D Date Ready/By: Juns: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information FEB 2 7 2019 ,,,, „,,,, 0567r50,4,7,1:,,ap `� r w' , -', g r a nyr Print name:Summer Dowell in . „,krrr; rgp,, asf r. , zg ,i „1 ,a £; rxr ®New construction ❑Addition/alterat J ia}VISION t Jy! a,i9 t .= 1 ;3• n a r,F. ❑Demolition ❑Other: Mechanical permit fees*are based on the value of the work Mfr rn rr F�� l�J rJ J performed.Indicate the value(rounded to the nearest dollar)of all .��.'r.,�r'';521 ,2 , 1r, ,-( r ,',,.�,,,. *d : � .5:: ., 1 tBI Mfr rxn„ ��`'�4.,rtf`,,f `` r ;� �� vM J” �" � � ; ;�`�� � � �'J mechanical materials,equipment,labor,overhead,and profit. ® 1-and 2-family dwelling CI Commercial/industrial ID Accessory building Value $ xi'r' 2' i,A,l it aN'1� iy 0 4al�p 4 N e 3h'1]''''':•?--41':.:, r a %; ❑Multi-family ❑Master builder ❑Other: ...., .., �_ <..,u .,�z..a J rti 1 1 For special information use checklist. iwo;r� eaA F , .• ,,n.... ., .,,..,,,..,—-,,,a,,,,,,,•:,,,,,,..•,,,,-.0,-,.L,.. Desc4. ription I Qty. I Ea. I Total Job site address:11337 SW Gabriel St Heating/cooling: City/State/ZIP:Tigard,OR Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 Suite/bldg./apt.no.: 1 Project name:Willow Brook 17 Furnace 100,000+BTU(ducts/vents) 54.91 Cross street/directions to job site: Heat pump 61.06 Duct work 1 23.32 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 Subdivision:Willow Brook 1 Lot no.: 17 Flue/vent for any of above 23.32 Tax map/parcel no.:2S115AB07200 Other: 23.32 ' , ne,r J � fi , , V Othefuel appliances: : Jy �,4 .c' ; 5(kr uJ , .1.. „ . 5tr „ tJ e,, , ,"5w:Iv e,v,, Water heater 1 23.32 SFR Gas fireplace/insert 1 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ',04400.4,,,0",,W,0' .4, ,,W,fi 4,, s V i _V' " 6 ' ,l `� `., 5 „'” ',, r � V1 1f < ����_ � Chimney/liner/flue/vent 23.32 Name:Pacific Lifestyle Homes Other: 23.32 Environmental exhaust and ventilation: Address:Same as Applicant Range hood/other kitchen City/State/ZIP: equipment 1 33.39 Clothes dryer exhaust 1 33.39 Phone:( ) Fax:( ) Single-duct exhaust(bathrooms, Ai, r e, '? J ''''...'. .7.17.1., `'' ''''.'''`:-. ./C.,%; toilet compartments,utility rooms) 4 23.32 4riJ k� �tr "<:'' ;r 'r f. f , y,'1" . :s ,. , r ' ,, ,t: _ , Attic/crawlspace fans 23.32 Business name:Pacific Lifestyle Homes Other: 23.32 Contact name:Permit Coordinator Fuel piping: Address:11815 NE 99th Street,Suite 1200 $14.15 for first four;$4.03 for each additional Furnace,etc. City/State/ZIP:Vancouver,WA 98682 Gas heat pump Wall/suspended/unit heater Phone:(360)573-8081 I Fax: :(360)574-6401 Water heater E-mail:permits@buildplh.com Fireplace � rt %' r r a zJi rg .,I � vJ WRange`�! i . p Business name:Area Heating+Cooling Barbecue Clothes dryer(gas) Address:2721 NE 65t''Ave Other: '7v°16;04:',04:::1 h J City/State/ZIP:Vancouver,WA /J° 9.1 g r/ 4n 0 t. ,' r Subtotal Phone:(360)737-0811 Fax:(360)737-6946 Minimum permit fee($90.00) CCB lic.:64801 Plan review(25%of permit fee) I State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: (/21/21_,e.F� "(" ! l;e --� �' .Y' 1: /�� 7 t This permit application expires if a permit is not obtained within 180 / / days after it has been accepted as complete. 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB) * Fee methodology set by Tri-County Building Industry Service Board ' i I:\Building\Permits\MEC_PetmitApp_040113.doc 2 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial J & Multi-Famil Fee Schedule: 1.444 $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 3 Electrical Permit Aiplica>ti IVSD,dlFOR OFFICE USE ONLY City Df Tigard r_ Received 2019 RDare/By: ivePenult ft e 13125 SW Flan Blvd„Tigard,ard,OR 9722 8 2 7 G - 57�vt t....- Related t c flan Review Related Permit ti: ITI1 Phone: 503.718.2439 Fax: 503.5)8.1964 Date/By: TIGARla: inspection Line: 503.639.4175 6iYOF TIGARD Ready Date/By: hats. LI See Page 2 for 0 Internet' www tigard-or.gov aiwlC€.. IMG DIVISIONNotified/Method: Supplemental Information TYPE OF WORK •- -PLAN:REVIEW- - •® New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wliicros checked): 0 Service or feeder 400 amps or more ❑Building over three stories. El Demolition ❑ Other: _ where the available fault current 0 Marinas and boatyards_ CATEGORYOF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑Accessory building less to ground,or exceeds 14,000 ❑Connrercial-use agrieultartl ® I-and 2-family dwelling ❑ Commercial/industrial amps rix all other installations. buildings. ❑ Multi-family ❑ Master builder Other; _._.._._. � ❑hire trump. ❑Installation of 150 K VA or JOB SITE INFORMATION AND LOCATION • 0 Emergency system. larger separately derived ❑Addition of new motor load of system. lob 4: Job site address: 13 ] �1t _�) 1- tc 100FIPor more.❑.:F�„ :,f,„ ,.I 2„ :,1 3„ ( rt1/Slale(7If' i J ❑Sixormoneiesidentialunits. occupancy. 1 L -t i �-I-i !�'' �..._ ❑Health-care Gtethties. 0 Recreational vclnicic p:irks Suite/bldg•/apt. 4: J _ I Project name:L,. 1 `rC,L '. 0 Hazardous locations. ❑Supply voltage for more than III --_-' �' i- _ 0 service or feeder 600 amps or more. 600 volts nomnmd. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each [ Total---_,.L„_`_.- New residential single-or multi-family dwelling unit. Subdivision: L '.1 -4 ��'S ' Lot 4: [ Includes attached garage, I). 1� t � t 1L-t ` Tax reap/parcel t! �_` i 1,000 sq.It or less 1 168.54 I(l (,,14 1 j e. �. 17 'r,( Ea.add'I 500 sq.ft.or portion '.2.-2-2.-) 33.92 V qk, I DESCRIPTION OF WORK Limited energy,residential 75.00 2 Ct /2 ' (with above sq.It.) ---- _ Limited energy,multi-family 75.00 2 residential(with above sq.0.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: ( C..1;11 'J ‘ ,..1-1.j) - 11 / 204 amps or less 100.70 2 201 amps to 400 amps I 133.56 .53,-3-v Address: 2 401 amps to 600 amps 200.34 2 City/State//1P: _ 601 amps to 1,000 amps 301.04 2 — Phone:( ) 1 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeder's 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 54.36 I intended Ibr sale, lease, rent,or exchange, according to ORS 447,449,670,and 701. 201 amps 10400 amps 125.08 2 Owner signature:__ ' 401 amps to 599 amps 168.54 2 ® APPLICANT ® CONTACT' PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits 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 Tritium/ sAddress: 11815 NE 9911'Street,Suite 1200 branch cie rcuit t feeder tee,first 56_18 2 __ (Ay/State/ZIP: Vancouver,WA 98682 Each adcl'I branch circuit 7.42 2 Miscellaneous(service or feeder not inchided) Phone:(360)573-8081 Fax: :(360)574-6401 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:perrnits@buildplh.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Address: 2920 SE Brookwood Ave,Suite A Signalnel, alterations)or limited-energynsi ❑ See Page 2 2 _--_-_ — ---- _panel,alteration,or extension. City/state/IIP: Beaverton,OR 97006 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)648-4552 I Fax:(503)642-7925 investigation(I hr min) 90.00/hr Email: mmorato(u7garnerelectric.corn hrdustrialplanl(I hrrnin) 78.18/hr �_ — inspections for which no fee is CCB Lie.: 121159 7 Electrical L••.: -305C Suprv..,Lic.:'31 Oi S specifically listed(y,hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,require Subtotal: Print name: Chuck Garner , ;� ❑Pian Review Required(25%of permit �`..„ ,,,, - Date: `_.� �. cal op fee): ,, ra State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: ///��� j rJ Q y j This permit application expires if in permit is not obtained within 180 Print name: +' 1/I�/,l s A ��13�/1 d t Date: :.f—�1 7/1 C� days after it has been accepted as complete. (tit �tV 7 e� l t J * Number of inspections allowed per permit. I`.nuildingtl'enna F.t C t'erraiting Ii1.It,liRli doe Rev 061117/2015 440-4615T(I I/OS/COht'WEB Electrical Permit Application--City of Tigard Page 2---Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE.SCHEDULE - •- - __nescri tion Qi . Each 1_—Total Fee 1— ee for all residential systems combined: $75.00 Renewable electrical energy systems: 70 Check Type of Work Involved: s kva or I«5 —�_--` — 1133 56 2 5.01 to 15 kva 133.56 2 Audio and Stereo Systems* 15.01 to 25 kva 20034 --__ 2 Wind generation systems in excess of 2S kva: [1 Burglar Alarm 25.01 to.50kva 301.04 2 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(lee in accordance Y� with OAR 918-309-0040) 552.26 2 17 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 Vacuum Systems" >100kva–noadditional charge 0.0 _ 3 Each additional inspection over allowable in any of the above: I Other: Each additional inspection is 66.25/hr charged at an hourly(I hr min) —,_ ----.-- _.--.--- Inspections for which no lee is 90.00/hr specifically listed(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page I): Fee for each commercial system: $75.00 Ntiiiiber of inspeelions allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: I Audio and Stereo Systems Boiler Controls Clock Systems 1 1 Data Telecommunication Installation Fire Alarm Installation 1 I HVAC I Instrumentation I 1 Intercom and Paging Systems I I Landscape irrigation Control* Medical I Nurse Calls Outdoor Landscape Lighting* ❑ Protective Signaling I I Other: Total number of commercial systems: ____ *No licenses are required. Licenses are required for all other installations I',nu itdingTermitSTL( Penna App_ELR_ER£(tee Rev 06/1712015 Plumbing Permit Application Building Fixtures RECEIV: FOR OFFICE USE ONLY 4 Cityof Tigard .eceived g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 7 2019 5Ti3vt q-r.�� 7 II Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T 1 GAR D Inspection Line: 503.639.4175 CITY OF TIGAR I Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov I. till I J r� otified Method: r t xr',z rr r. :n>w Supplemental Information 4,4773:1 ;', ',&94,,,, r `, .°'" .:1�X'�' 1�,!"d.l,+„Ff'm , i,•. , `/�f' .�`,r>'Y ,ir,�X..,, +d,, ,, o; , r',,, ^ F, r9' y 4:h y+t*ar s,e„,„l J gJ' ,-`.'J 7,# r�.X�"ri' ?,ik,'.�:;r,1: ,5:0„7„.',4,',V,„::,. f •.r .0; �• �, ,;Al,.S��. }ro,�.z .�- „ {.f lore- f nF F`s�/l 3 rn se. /H,ed+lf , .,r..,;,* / .y: ,;;,n X., 1, t .� ,, rt � , � ,r , ' l x y f � x� �� t "r r 3§6 1 r t <d r, a._ ''_ 4,,,, ... , X»,.:, , ,,,f,, .,,..�„ ,'r i rr :., 'r.44.1.%.,., o ,,, . r' , r f - -.3 ,, st. {t.. .,. . ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) `; rr X r r r X �s r ?' X 4 ,4 6 XXL 312.70 $F fis `f rf "" i � .'#>#� 4try '*') t':, f S0 f SFR(1)bath ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen .5 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 9 rxr x s '' ;'%; Y r' ! Sr/""_'as isX r Y%? C ,3 r x :X r X Y s.y.„7, TtX f ,., r„ .< sir 0 .; a,:;0''':',..: fi"oc,,.,,. .7.;,,,,,'„,r u�,',, ,, r f Site utilities: Job site address:11 7 SW Gabriel St Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Willow Brook 17 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Willow Brook I Lot no.:17 Fixture or item: Tax map/parcel no.:2S115AB07200 Backflow preventer 31.27 r rir{t , r Backwater valve 12.51 gy ,r4r>:r r .-s r yet;., ., r +, } s {`„r,",�m �s;',,,r '�,;. U. X ,f.Xr6X4,,1 ¢) ..� hl )fls.,,WA, d4 i *:, , 14,.04,,,i' ''� f ,� ,2. ....,,,. ,r.,.., w x{ . r� Clothes washer 1 25.02 SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 X ,+Xr b: r; r1X r� X .7,' r,d7'„"--v;;I „-, ; .'/ ,,,,r; %/yr r ^0 „{ EX Expansion tank 12.51ry x � 4 :„.:,:,it � r . r . ,. « Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:Same as applicant Garbage disposal 1 25.02 City/State/ZIP: Hose bib 2 25.02 Phone:( ) Fax:( ) Ice maker 12.51 M" ,vr� ', ,'.MarginW:i „fx :l'':f` y ,.! ;-.*;, ; ,.,,�.,,�.t�, ._. .. `.,``, ', X „�` Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address: 11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 4 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 2 12.51 E-mail:permits@buildplh.com Urinal 25.02 f,Xt `�r'"f t/XX ,, ' '` ,,1, ,r 3 fr.r .;, �,f I y -.,`a /r,,'', y�.` Water closet 3 25.02 Vb:40 f. r,4 f fir , ,,n',.<.f ,;.-../.,� ,..,,w r.,. . '{, ,. :., %.,° Vis. r', Water heater 1 37.52 Business name:Lippold Plumbing 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 Lie.:201597 Plumbing Lic.no.:PB1416 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ` LJ`1 l L L ���� TOTAL PERMIT FEE J. This permit application expires if apermit is not obtained within 180 days name:Summer Dowell Date:2/27/19 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information 41. Fee Schedule: Residential Fire Su I 'ression S stems: f- f4` Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems Water Service-each additional 100' 37.52 "'N,1 tw r fi V 'P"°'A " � 74 /4, ,4' '" $. aid ;>! ab '`' .� ". 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 I each additional$100.00 or fraction thereof,to 4,;11 ,,.., a .,� -��;t 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: 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*. ® ad Flas s ,, rrFn t.s: ' E quatitY bY nit' ere TYPO 'S,'s;, ._,. ir id8 ° di. s, �a ^�,.: �` t'e�` for � r aA£Pi" ,� d:ra Plan review is required for any of the following. WOrkPerformedt' C*P l ate Please check all that apply. Baptistry/Font pp y ElBath 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 1:1 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. CIDishwasher Commercial Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain CIAny complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 4» ✓ a 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 MachiRefrig.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 17\Pe nits and Inspections\PLB_PermitApp.doc t , IIICity Of Tigard 14 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential y Building ... 1.-r-1�.� Y�.. ... Permit #: 17,57- - i`I-oest)&7 Site Address: Ir:S} Si Gq(),,t( SI Project Name: vi,V' vA irk S',.) ' .1 4,1 Lot #: 1 7" (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1\1.LJ S Frc E /Verify site address/suite#exists and active permit system. aVRiver Terrace Neighborhood: [ 'No 0 Yes,See River Terrace Review Addendum Attached Sit Ian Elements: ee(3) copies of site plan sting structures on site S. a plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) i,or elevations rth arrow roa h.9 ility locations&easements(required for new and additions) ire address,project or subdivision name and lot number Sidewalk/driveway approach [A plicant information(name and phone number) `ilio, ation of wells/septic systems tIIN' t dimensions and building setback dimensions 401P xisting trees to be retained with drip line,and tree iare footage of buildings to be demolishedtection measures area,building coverage area,percentage of coverage and 't S eet tree size,type and location ' pervious area(applicable if R-7,R-12,R-25&R-40) [ trees names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ ' s�❑No 4 ff of differential) If yes,is a storm water quality facility shown? ❑v4lil❑No P Clean Water Services—Service Provider Lettofatte ldprior to p e 9/10/1995):e �c l,�equired: ❑ yes,applicant was notified No Received: ur'}/ ❑ Yes 0 No Public Facilitie provement(PFI)Permit: , t1�L Required: Yes,applicant was notified ❑ No Applied For: ,., � / PP ib�' Yes 0 No,stop intake L. Land Use Case#: 5LCLO(61)0011 i' SLf LO R-OCUOg CZ oning: R-1- L✓1 Required Setbacks: Front +C RearSideStreet I 5 Side 1,14 Garage Zo (_ p'/Lot Requirement: go 1 '/Lot Coverage Maximum: / el yuilding Height Maximum Height 3S ,� Actual Height �.Z Di isual Clearance ii nsitive Lands: 'Yes 0 No Type 1�g�,_ lir-� r' GG�I 5 rban Forestry Plan �v " 7114-11k �1 .., Conditions "Met"prior to issuance of building permit otes: ,,,,,,,,, �, , , ,, � �� � ficial—i- ski, • " }� al� �;.1 L'�� .� ( Zi r �, Approved By Planning: ii. "ra r' "tc 04 w`1i Jam" Date: -2 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:\BuildingTorms\BldgPermitRvw_RES 061417.docx 3 Building Permit Submittal Original Submittal Date: a\DTA-\tct Site Plans: # 73) Building Plans: # 3 Building Permit#: d Enter building permit#above. Workflow Routing: Ef Planning a/Engineering a Permit Coordinator ❑ Building Workflow Sign-off: [Y Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. GI Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ..-' Date: ,l,,)�-1 ect, Engineering Review lope at building pad: 0.2% (--Conditions"Met"prior to issuance of building permit l3TEasements (encroachments)per engineering conditions of approval and plat mater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes allo Assess Water Quantity Fee in-lieu: 0 Yes a-No LIDA Facility on lot: 0 Yes Er No C Final Plat Recorded: 0 NOT Approvedb Engineering: Date: Y � �: Notes: [ "Approved by Engineering: L i,,, 6 s,ta., 14_,--- __„.. ...._ Date: ---...s.--/q 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 a__Conditions"Met"prior to issuance of building permit 0 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: is.PDC Fees Entered: Wash Co Trans Dev Tax: II�J' Y�s 0 N/A Tigard Trans SDC: it./"Ye 0 N/A Parks SDC: es 0 N/A LIDA 0 Yes /A OK to Issue Permit Approved by Permit Coordinator: Date: 3/51) 1 I:\Building\Forms\BldgPermitRvw_RES 010118.docx Adopted Code Amendments Effective Date.113112019(OR© 18 23 andOIC101848) 3. The total maximum width of all garage doors or carport entrances may be increased to 60 percent l of the total width of the street-facing facade provided that a minimum of 7 detailed design 1 elements from the list below are included on the street-facing facade with the garage door or carport entrance. a. Covered porch: a minimum depth of 5 feet, as measured horizontally from the face of the building wall,and a minimum width of 5 feet. b. Recessed entrance area: A minimum depth of 2 feet, as measured horizontally from the face of the building wall,and a minimum width of 5 feet. 4. Wall offset: a minimum offset of 16 inches from one exterior wall surface to the other. d. Dormer: a minimum width of 4 feet that is integrated into the roof form. Roof eave: a minimum projection of 12 inches from the intersection of the roof and the building walls. t4-.' 1• Roof offset: a minimum offset of 2 feet from the top surface of one roof to the top surface of the other. g. Roof shingles: tile or fire-resistant roofing material. ti. Roof design: gable roof,hip roof,or gambrel roof design. i. Roof pitch: a roof pitch of at least 500 square feet in area that is sloped to face the southern r sky and has its eave line oriented within 30 degrees of the true north/south axis. V.1.- Horizontal lap siding: a minimum visible lap width of 3 to 7 inches once installed. The siding material must be wood,fiber-cement,or vinyl to meet this standard. i/ k. Accent siding: brick, cedar shingles, stucco, or other accent material that covers a minimum of 40 percent of the facade. 1. Window trim: a minimum width of 2.5 inches and a minimum depth of 5/8 inches around all windows. m. Window recess: a minimum depth of 3 inches, as measured horizontally from the face of the building wall, for all windows except where a bay window is proposed that meets the standard in Subparagraph 18.290.040.C.3.n. n. Window projection(e.g., bay window): a minimum depth of 2 feet, as measured horizontally from the face of the building wall,and a minimum width of 5 feet. o. Balcony: a minimum depth of 3 feet and a minimum width of 5 feet that is accessible from an interior room. 18.290.050 Accessory Structures A. Accessory structures are allowed on all lots with single detached houses subject to the following standards: 18.290 Single Detached Houses Page 4 of 5 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 IN Transmittal Letter I GAR!) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION " �, xw `' OW MAR19 CGS9 FROM: :° COMPANY: -----et CI Tl l_2 kLi1-ta� lim,10 PHONE: `Cl . q-7.-2 .RIS( BY' RE: ( 3 • ¶S ) (Xt& I c/ ,4t5 7 11 -ce_. > ite Address (Permit Number) I I tv/D 3rDp t2 11-- CI (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. )6 3 Revisions: rOaHru,S.c .-"f/Pi (IMid. Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calc1 ti ns. Engineer's s calculations. Other(explain): REMARKS: ( Hirt!SS FO OF CE USE ONLY Routed to PeTit Tec ' Ian: Date: '> 11 Initials: Fees Due: Ye ❑No Fee Desc ption. Amount Due: ib(f) 0,- ., ra-ci,..; $ \4s,--- $ $ Special Instructions: Reprint Permit(per PE): ❑Yes ❑ No ❑ Done /pc_ Applicant Notified: Date: Lb: fr// Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11337 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00067 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Not ready for final inspection. Finish downspouts, not complete at this time. Provide permit for landscape irrigation Backflow devise. Install missing T&P overflow and extend pan drain to concrete floor. Not a complete inspection. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11337 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00067 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide permit for ac installed without permit. Not ready for final inspection at this time. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11337 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00067 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide permit for ac installed without permit. Not ready for final inspection at this time. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11337 SW GABRIEL ST, TIGARD, OR, 97224 July 29, 2019 at 8:58:00 AM Record Type: Record ID: Residential - Master Permit MST2019-00067 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Insulation certification verified. Duct seal test report received/verified. C of 0 left on counter. Note:Febco irrigation backflow device model 850 ser#he81914 located by water meter approved with test test report. Violation Summary: Inspector Contractor