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Permit (24) 1111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00051 T I A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 C; Parcel: 1 S 135AA03800 Jurisdiction: Tigard Site address: 8883 SW ELENA LN Subdivision: OAK STREET CONDOMINIUMS Lot: Project: Oak Street Condominiums, Lot 21 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 550 sf Basement: 114 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 536 sf Garage: 450 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1200 sf Value: $164,295.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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: 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: 3 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'l 500 sf: 2 201-400 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 SFA VB R-3 1200 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 2 1-Hour Fire Proofing 3 2-Hour Fire Assemblies PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $22,388.56 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 95 -001-00 0. Y- may obbin a •py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r / Issued By: Permittee Signature: cr.-4°r' c!/�� 7/ . 7 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 Residential .: ',. ) FOR OFFICE USE ONLY City of Tigard Received �+�� ` III1� 4 °t "� Date/B �� � �• `� s ll 13125 SW Hall Blvd.,Tigard,OR 972 G Cl E9 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 8 1„i.,1 61i %`, . i Inspection Line: 503.639.4175 1 T]G A I:D P CiTY� C. I �` i Date ReadyBy: rias El See Page 2 for Internet: www.tigard-or.gov BUIL )i1,ii r 1v , , Notified/Method: Lf /a /` Supplemental Information t 1#9/L Clitc.S 6,. . ,Y r . ..„. , O,`RiORK ' ,. ,` t. , :., :g-o::,REQ ,IREII DATA .�, F�Y�i�'LI.I IlY ll f.' ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the fi �' E '� asr � work indicated on this application. plication. j !17.S" _ - - .i .. CATGORYOF COUCTO a . , 0 1-and 2-family dwelling ElCommercial/industrial Valuation: $ ErAccessory building ®Multi-family Number of bedrooms:2 1 ❑Master builder 0 Other: Number of bathrooms:X 5 JOB'SITE. NFO IO AND LATIOtI O 1 Total number of floors:3 .-i��J� Job site address:8883 SW Elena Lane New dwelling area: 1200 square feet 5-3(0 City/State/ZIP:Tigard, OR 97223 /ha !/' sJ e - 7 Garage/carport area:Myo square feet 5So �� Suite/bldg./apt.no.: Project name: Oa Covered porch area: square feet 1 i („1 Cross street/directions to job site: Deck area:t'i ', square feet (( Other strut re area: square feet REQTJJRED,DAT g*:94 CTA1-USEtRE! ,IST r. Subdivision:. Lot no.:21 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the �DESCRIPLOI OF WORK work indicated on this application. NSFR attached Valuation: $ Existing building area: square feet New building area: square feet P °_,. ta . ;; ,. ?�:> ',4-'„'I',:::: ..� ... [; ,1 Number of stories: Name:Lennar NW Inc. Type of construction: Address:11807 NE 99th St. #1170, Occupancy groups: City/State/ZIP:Vancouver, WA 98682 Existing: Phone:( 360)258-7900 Fax:( ) New: ro '`A.PP7 CANT tt... JJ:, CONTACT PERSON a. x z .t A. ie._ ., a.._..,, , -6 t �,01 BUn:DIrTG�tMLT BEES (Pleas efer:to.eeeschedute r ., Vis., ,:.0.47;-;',E.-1, Business name: Lennar NW Inc. Structural plan review fee(or deposit): Contact name: Juls Call FLS plan review fee(if applicable): Address: 11807 NE 99th St.#1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Amount received: Phone:(360)258-7906 Fax::( ) J @ ROTOI'OLTAIC SO ANEr SY EM FEES* E-mail:'uls.call lennar.com 4 . -* _e_. ,} ., 1 -. x. ;k . .N i_ „4,CO4 OR 1 ` Commercial and residential prescriptive installation of r 7.- 4. :_ ..�,' „. „,,,,w,', ,:, . .i �, ,, .. u 'i roof-top mounted Photo Voltaic Solar Panel System. Business name:Lennar NW Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:SAME AS ABOVE Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:195307 Total fee due upon application: $201.60 Authorized signature: 46, , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Juls Call Date: 1/28/19 *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 City of Tigard Received g Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 501718.2439 Fax: 503.598.1960 T I G A R I) 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1''s No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 121 0 ❑ 3 Verification of approved plat/lot. © 0 ❑ 4 Fire district approval required. Name of district: 121 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ ❑ 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 121 ❑ ❑ 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 l ' 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 g ❑ El 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 El El and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- El ❑ ❑ 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 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ ❑ 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 21 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 0 ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ 0 architect licensed in Ore Ion and shall be shown to be ap.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 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 ❑ ❑ El 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, 0 0 ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Augt_914tacE1VED rt>Iz t)rrlt"l: I Sl: t)�l.l City of Tigard Received !t, Date/By: Permit No.: `w ct , u 13125 SW Hall Blvd.,Tigard,OR 9724p R 1 2019 Plan Review vw Phone: 503.718.2439 Fax: 503.598.14�b Date/By: Other Permit: Inspection Line: 503.639.4175IIG CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information „ .• , - - TY1PE QF WQRK . _ �s I.- Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 8883 SW Elena Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or 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:Cornerstone Condominiums Lot no.:21 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas NSFR attached fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 1:3 Environmental exhaust and ventilation: Name:Lennar NW Inc. Range hood/other kitchen equipment 33.39 Address:11807 NE 99th St. #1170 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver, WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(360 )258-7900 Fax:( } Attic/crawlspace fans 23.32 AI'F I AI .- �f S9It6,,. Other: 23.32 Fuel piping: Business name:Same as above $14.15 for first four;$4.03 for each additional Contact name:Juls Call Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax: :( ) Fireplace Range E-mail: juls.call@lennar.com Barbecue CON RACFt Clothes dryer(gas) Business name:HeatGuy, Llc. Other: MECHANICAL PERMIT FEES*" Address:5215 NE 282nd Ave Subtotal City/State/ZIP:Camas, WA 98607 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360 253 4822 Fax ( ) State surcharge(12%of permit fee) CCB lic.:187461 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: �� * Fee methodology set by Tri-County Building Industry Service Board Print name:Corinna Fri Date:04/15/2019 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. I:\Building\Permits\MEC_PermitApp_040I 13.doc 2 Electrical Permit Application RECEIVE 1 I'O R()FF►( I': ► s►:(I\►.\ City of Tigard APR 1 5 2019 Received DateB IIIII q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TI GAR D Date/B : Related Permit#: Inspection Line: 503.639.4175 BUILDING D IVI S I O Ready DateBy: Juris: ® See Page 2 for T I G A R D Internet: www.tigard-or.gov Notified Method: Supplemental Information TYPE OF `ORK FLAN< VIEW 0 New construction ❑Addition/alteration/replacement Please check all that apply(submit J sets of plans w/items checked): 0 Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 211-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family 0 Master builder 0 Other: amps form all other installations. Inbustallation ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 8883 SW Elena Lane ❑Addition of new motor load of system. 100HP or more. ❑"A","E","l-2","I-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Cornerstone Condominiums Lot#:21 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential NSFR (with above sq.ft.) 1 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 TENANT 0 PROPERTY OWNERServices or feeders installation,alteration,and/or relocation Name:Lennar NW Inc. 200 amps or less 100.70 2 Address:11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360)258-7900 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0 APPLICANT 1 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name:Juls Call B.Fee for branch circuits without service or feeder fee,first Address:Same as above branch circuit 56.18 2 City/State/ZIP: Each add'I branch circuit 7.42 2 (360 )258-7906 Fax: : Miscellaneous(service or feeder not included) Phone: ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:juls.call@lennar.com Reconnect only 67.84 2 ,.... ". x' " ti ,n4 '^'t ., -.., _.,..__ : ,..p ate' _.. -_..., .,'-„„ Pump or irrigation circle 67.84 2 Business name: Three Phase Electric Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy El See Page 2 2 11490 SE Jennifer St panel,alteration,or extension. City/State/ZIP: Clackamas, OR 97015 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503) 908-8058 Fax:(503 ) 762-1823 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permits@ThreePhaseElectric.com Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 6379S specifically listed('/z hr min) Suprv.Electrician signature,required: ` t(3.,,+ �,, c— �- Subtotal: Print name: Robert Lane I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total I 3' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) '''COMMERCIAL.,WORK ONLY: ELECFRI AL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enteron Page 1): y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 J Plumbing Permit Application Building Fixtures R ,,, a . FOR OFFICE 1 sSli ON1.1 1 City of Tigard 2019 ReceivedtPermit No ffSr�j o9�D�s/ { IN I/ *0 13125 SW hall Blvd.,Tigard,OR 97 2 Date/By: Plan Review Phone: 503.718.2439 Fax: 503.5981%0 a._ Dat�y. Other Pewit No.: i TIC;A R t) Inspection Line: 503.639.4175 a Date Ready/By: Mr Bt See Page 2 for Internet: www.tigard-or.govBu;e-_,, ,c,,, s_. ;€ .;'1 Notified/Method: Supplemental information TYPE OF WORK. FFEE*.SCHEDULE ®New construction D Demolition For special information use ehecklist, Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling 0 CommSFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 1 500.32 ❑Master builderEach additional bath/kitchen 25,02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Jobsitcaddress: 8883 SW Elena Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg/apt no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear It.:`) Page 2 Water service(no.linear II.: ) Page 2 Subdivision:. I Lot no.:21 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ... DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0:PROPERTY`OWNER.s . 0 TENANT -` Expansion tank 12.51 Name:Lennar NW Inc. Fixture/sewer cap 25.02 Address:11807 NE 99th St.#1170 Floor drain/floor sink/huh 25.02 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)258-7906 Fax:( ) lee maker 12.51 AO APPLICANT ❑ CONTACT PERSON Interceptor/grease tort rease traP 2502 Business name:Lennar NW Inc. Medical gas(value:$�,,,_,) Page 2 Primer 12.51 Contact name;JUTS Cal! Roofdrain(commercial) 12.51 Address:SAME AS ABOVE S]nk/basinliavatory 25.02 I City/State/ZIP: Solar units(potable water) 62.54 I Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 j E-mail:juIS.call@lennar,com Urinal 25.02 I CONTRACTOR Water closet 25,02 Water heater 37.52 Business name: Q l G 04-1-- 5 Pi('01.C.---C...5 J ( ! Water piping/DWV 5629 Address: 1 ©-7 We57- 1-Y >Jer,CC01. r. +,�' vee 40/ Other: 25.02 j City/State/ZIP: Tax, -pct(e [jf2-. 0170 60 Subtotal I Phone:($0,5) la 7 -1 1g , Fax:(jo 3) GG -7_"t q'' Minimum permit fee: $72.50 i 1 Plan review(25%of permit fee) CCB Lie.: (! 2 2-2.0 Plumbing Lic,no.:2,6_1,221 p P - I 2 .a _ _ State surcharge(12%of permit fee) Authorized signature: , ^ r TOTAL PERMIT FES -- Print V v Print name: y, 1 (A_-el / e ,7-e. Date: I Z 5""1(C} This permit appticatian expires ire permit is not obtained within 180 days T'"! 1 !L t after it has been accepted as complete, "Fee methodology set by Tri-County Building Industry Service Board. istlluildiagwPermits'PLMU-PcrmitApp.doc 10/01/09 440-0616Tt10O2FCO.\UWED) f 3 1 ' Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-I"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Se�srer-Est 100' 62.54 3,601 to 7,200 $233.20 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 Otlterinspectio>t>ys or Fees Qty. Fee(ea) Total. each additional$100,00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the 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". Quantly by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. %York Performed: Capped Added Relocate Please check all fiat apply. g Baptistry/Font Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thu • ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR9I8-780-0D4D, Dishwasher -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 OAR9I8-780-0040. Eye Wash Floor Drain/sink -2" Submit a sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain Garbage Domestic—pan-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial—food related -Industrial-food related tee Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -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: C:1Users1,1uCall\I)owuloads\PLMF_PermitApp.doc 2 City Of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IIIBuilding Permit Review — Residential _ Building Permit #: At 5 - .. �::47 ..,-,7-7-,s 1,- ���L.;._::::..�mss: ,:� : ,: TpD i1 600,^7 Site Address: e ) -> _ k_ c Project Name: (oi -C2 2r. ( jjK g9i- gr_e, ( .< ' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: .Q,2) Planning Review Proposal: A iLiii 3,49//*': //9 / 41 15 Verify site address/suite#exists and activ - permit system. ►'►!°River Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: ee(3)copies of site plan Existing structures on site iir. .qShe plan mut ke on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) floor elevations arrow \V( Utility locations&easements(required for new and additions) ,�Si address,project or subdivision name and lot number IL plicant information(name and phone number) Sidewalk/driveway approach Location of wells/septic systems Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree in Square footage of buildings to be demolished protection measures \0(0 Lot area,building coverage area,percentage of coverage and eet 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? IVJYes❑ 4 foot differential) If yes,is a storm water quality facility shown?WYes Mo OrClean Water S rvices—Service Provider Lettof platted prior to 9/10/1995): quired: Yes,applicant was notifiedVIT o Received: \ ublic Facilities Improvement(PFI)Permit Yes 0 No Required: 0 Yes,applicant was notified IV No Applied For: 0 Yes 0 No,stop intake Use /A'//Case#: M ,2.0,'//r///(��J —/966...2 S ponin aired Setbacks: Front 0 Rear O Side r Street Side 1FiGarage f•\. -- dscape Requirement ,20 t Coverage Maximum: 7rJ() % Building Height Maximum Height —9, — Visual Clearance Actual Height -:-/ \3\\*CC Sensitive Lands: ❑ Yes '� 0 No Type ❑ 4 ban Forestry Plan icaConditions ` , et" .rior . iss ce of buil.'•_ • p .. Notes: •t- A,/ ' jpi C c1 i-gr?. i c S /1 f, .moi -" ria%C'-0! C;��i` 9 Approved By P P. .: -. . ___,___2316__ Date: Revisions (after B,ilding Submittal only) Revision 1: a Approved 0 Not Approved �_ w to � Revision 2: 0 Approved 0 Not Approved ���� Revision 3: 0 Approved 0 Not Approved I:\BuildineFormABIdgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: , Site Plans: Building Plans: # Building Permit#: la''nter building permit#above. En eerie ermit Coordinator )..-Building Workflow Routing: ��'lanning � $'m g 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. bBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: I "FAIR Date: i� /f'A 'V��' il4,- By Permit Technician: ,, 117 Engineering Review 27 0 .❑ Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat I;3—Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes l No Assess Water Quantity Fee in-lieu: 0 Yes FtNo LIDA Facility on lot. 0 Yes (9 No ❑ Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: ]'Approved by Engineering: L- ‘--- Date: 2. 1 "; / Revisions(after Byilding Submittal only) k IReNlew et at Revision 1: 4 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved mammisesimuraminnuErmommw Permit Coordinator Review O Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant R • ion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tag: Yes 0 N/A Tigard Trans SDC: y s 0 N/A Parks SDC: gr Yes p2,/.A q LIDA ❑ Yes A 1{/ )// OK to Issue Permit I Date: fi q if Approved by Permit Coordinator: i I:\Buildings'orms\BldgPermitRvw_RES 010118.docx City of Tigard 71 ® COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A iz o Building Permit Review — Commercial - With Land Use Building Permit #: Mc57j/q—Grl S Site Address: ,g['-' E-7,,,„, 4,..,,,,_ Suite/Bldg#: l Project Name: 0 ��1"-4%4- (Name of commercial business occupying the space. If vacant,enter Spfc ac .) Planning Review 5/6 kq P. p6"/ /,S i a1v S. Proposal: 40 a� rniniu�t,g ���c7'/01a�1 ��cy/ L74 V- •fy site address/suite# exists and active in permit syste . 'I ':ver Terrace Neighborhood: ❑ Yes No 7 nd Use Case#: Mi A,2()i —0,Q0-2_ Plans '• atch Approved Land Use: Si Si - PlanAd ndscape Plan I1 tier: 41. rban Forestry Plan [1 Elevation Plan wilding Height: Ma um Height -' 1 Actual Height / 1`---/ '' iCJ Conditions Met: Prior to Submittal 0 Prior to Permit Issuance Okusiness License: Exists: 0 Yes 0 No,applicant notified to obtain business license Il r ublic Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified No Applied For: ❑ Yes 0 No,stop intake Notes: Approved by Planning: _ s---ArI, Revisions (after Building Submittal only) Reviewer Date: 0 Revision 1: Date ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: #y/`y/C c/ 6241A, ,4" 9/Q7/m9 6,,,, ,,,,-(,) Site Plans: Building Plans: # 3 Building Permit#: P�'' nter building permit#above. � Workflow Routing: ,, E g l�1✓ngineering Cl Permit Coordinator (~].$ilirdg Workflow Sign off: � off for Planning(include notes from planning review) Route Application Documents: �,��Building. original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Carr-cc-1 s,'* /24„i / ,Lr-.,,, s- t.i By Permit Technician: !IP Date: 7ilkS __' I:\Building\Forms\BldgPermitRvw COM_WithLandUse 060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes 0 No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: ate Revisions (after Building Submittal only) eviewer5_/ ay q Revision 1: pproved ❑ Not Approved 7 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: 5114-{ — pr-L, Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: 0 Yes 0 N/A Parks SDC: ❑ Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: ATA/J (A9`' Date: 5 114 V9 I:\Building\Forms\BldgPernvtRvw_COM_WithLandUse_070915.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 8883 SW ELENA LN, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2019-00051 Inspection Type: Inspector: 295 Misc. inspection David Young Result: PART Comments: 1st layer of Dense glass at exterior front cantilevered soffit lid and front exterior perpendicular wall within 3' of assumed property line. Violation Summary: Inspector Contractor