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Permit (32) CITY OF TIGARD MASTER PERMIT INV t j R 1� Permit#: MST2019-00107 3: ' COMMUNITY DEVELOPMENT �rA<, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • %,• ‘(;�� Date Issued: 04/17/2019 TtifSR Ck \‘11 Parcel: 1S134BD07200 Jurisdiction: Tigard Site address: 12044 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 14 Project: Summerbrook, Lot 14 Project Description: New SF. Model home. DEMO CREDITS FROM BUP2019-00046 APPLIED TO THIS PERMIT. 9/18/2019: REPRINT to add backflow device. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 5 First: 2430 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 589 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2430 sf Value: $321,962.70 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add']500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2430 Owner: Contractor: WILLOW CREEK LAND LLC WEEKLEY HOMES Required Items and Reports(Conditions) R- PO Bt IOW 1S06 t4W tssaT 4-14.ACE SUITE 102 _ . , 1: Ersn 0'111503-639-4175 WOODBURN,OR 97071 BEAVERTON,OR 97006 PHONE: 971-235-5003 PHONE: 503-213-4415 FAX: Total Fees: $9,057.77 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /� Cir.. c, Issued By: �j v--k,__.. 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. Plumbing Permit Application Building Fixtures '` FOR OFFICE USE ONLY City of TigardReceive (� �y e i1 "•' Date/Bya\\ci I,d: ..1r Permit No.�1-v-t^JL C.1_`,,,, 111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 J Plan Review m Phone: 503.718.2439 Fax: 503.598.1960Date/By: , Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: tuns: El See Page 2 for Internet: wttnv.tigard-or.gov Notified/Method: Supplemental Information TYPE Or WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: s'( if. " t� New I-2-family dwellings(includes 100 ft,for each utility connection) CATEGORY.OF,:.CONSTRUCTIONt,�SPR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/indk std \�- SFR(2) bath 437.78 Accesso buildingSFR(3)bath 500.32 0 ry 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB;SiTE INFORMATION.AND LOCATION =, Site utilities: Job site address: 12044 SW Summerbrook 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.: ( Project name:Summerbrook Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW 121'Avenue 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:Summerbrook 1 Lot no.: 14 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Irrigation and backflow for lot 14 landscaping Irrigation P g Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY'.OWNER I '' 0 TENANT Expansion tank 12.51 Name:Weekley Homes,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1905 NW 169th Place,102 Garbage disposal 25.02 City/State/ZIP:Beaverton,OR 97006 Hose bib 25.02 Phone:(503)213-4415 Fax:( ) Ice maker 12.51 0 APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:David Weekley Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Hannah Scharer Roof drain(commercial) 12.51 Address: 1905 NW 169"'Place,102 Sink/basin/lavatory 25.02 City/State/ZIP:Beaverton,OR 97006 Solar units(potable water) 62.54 Phone:(503)718-4742 Fax: :( Itibtstowerfsbawer t31 E-mail:hscharer@dwhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Gro Outdoor Living Water piping/DWV 56.29 Address:5800 NE 88th Street Other: 25.02 City/State/ZIP:Vancouver,WA Subtotal Phone:(360)727-5974 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:193268 Plumbing Lic.no.: C.It : l2(� AState surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE //A This permit application expires if a permit is not obtained within 180 days .7A., '" Print name: � t„!, / Date: /(6I W/ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. C`-.Building`.Per mits\l'LMD-PennitApp.doe 10/01,09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su$ $ression Systems: ,y�,".fir s r�.,'�.;Y" t�"h�n�e '� 'S" �.,+ � r a.��s. �u,r.,�,.�'.,, - '��Y'fik77'";'"f`�E74'� �" ;��"�'rt A '.r d�i4kr'+�fa: Int,,� - , ;Q p, c 4,Y;,�, t 'w� , ,Qtf Fee(ear 1 �l ofal rl '$flu$ Ot age �`,"� Celmuk t'ee. ', t VAORRIWi :M^i� Y&�. !+! #a l+, i14,�v 14,1.44 � it“„,A41,� .,k v, i{'u° a4ti 7 .i Nt ,r a o.,;a ,a`d5ee�,'i'�°..r ,ilW Footing drain- l"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 `,V4-11.410411,0.1.14;',' 4- lgaho ..� 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 " oda' ' t Qty Fee(ea) otal each additional$100.00 or fraction thereof,to QerghOln , rkFees„ rfi , � 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$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. p Quantity by Fixture Type '� �F' d , > ! b1 ,InstA1lt$ Q Sa ! FixXure Type for r r �C liep�aed ' Plan review is required for any of the following. WorkPerForroed PPed Added Itetgcste Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 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 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" -4" �+�` � ��, ,t' I° 1 11 'k" .�er Dla ay �5 Car Wash Drain ` U; ,�. , Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic—food related that meet the qualifications above, -Commercial—food related 4ndasirlat= r'efated .. - Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\hbrecken\Downloads\PLMF PermitApp(1).doc 2 CITY OF TIGARD MASTER PERMIT `7 I •• ' COMMUNITY DEVELOPMENT Permit#: MST2019-00107 T I I-,A i.r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2019 Parcel: 1S134BD07200 Jurisdiction: Tigard Site address: 12044 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 14 Project: Summerbrook, Lot 14 Project Description: New SF. Model home. DEMO CREDITS FROM BUP2019-00046 APPLIED TO THIS PERMIT. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 5 First: 2430 sf Basement 0 sf Left 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 589 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2430 sf Value: $321,962.70 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2430 Owner: Contractor: WILLOW CREEK LAND LLC WEEKLEY HOMES Required Items and Reports(Conditions) PO BOX 1060 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 WOODBURN,OR 97071 BEAVERTON,OR 97006 PHONE: 971-235-5003 PHONE: 503-213-4415 FAX: Total Fees: $8,821.15 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co•-s a d 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 issua ce, 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 enter. hose rules are set forth in OAR 952-001-0010 through 0 52-001-0090. ou may obtain a copy of the rules or irect questions to OUNC by calling 503.2 2.1987 0/.800.332.2344. Issued By: /f/(bri Permittee Signature: At rA_ Call 503.639.4175 by 7:00 a.m.for the next available inspection da e. Ni This permit card shall be kept in a conspicuous place on the job site until completion o pr•ject Approved plans are required on the job site at the time of each inspection. Building Permit Application UIT 1 Residential FOR OFFICE USE ONLY Received City of Tigard �w Date/By: �' I (�� S''7— Permit No.:Mti�;") Ct CL‘C+ q 13125 SW Hall Blvd.,Tigard,OR .'L [mwIV'EF Plan Review �w��'` Y� ' ■ Phone: 503.718.2439 Fax: 50 3.598.1960 Date/By: !�Z1 Other Penin ��_»! ` 1 TI C A R 0 Inspection Line: 503.639.4175 MAR 21 2019 Date Ready;By: 7 /p' Ji 's: 0 See Page 2 for Internet: www.tigard-or.gov otified/Merl l c Supplemental information CITY OF`' �ICaINN�3 TYPE 1. `�1GDIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ` el ii CATEGORY OF CONSTRUCTION 7 Z ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $388699' 4-,14e,, • ❑Accessory building 0 Multi-family Number of bedrooms: ,,t1",54—' ❑Master builder 0 Other: Number of bathrooms: 3 Total number of floors: 1 Q) JOB SITE INFORMATION AND LOCATION �� 1 Job site address:12044 SW Summebrook Ln New dwelling area: 2430 square feet .ati b-p City/State/ZIP:Tigard/OR/97223 Garage/carport area: 589 square feet Suite/bldg./apt.no.: Project name:Summerbrook Covered porch area: 105 square feet Cross street/directions to job site:SW 121st Ave and SW Summerbrook Lane Deck area: esquare uare feet � 9q Other structure area: 145 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Summerbrook I Lot no.: 14 Permit fees*are based on the value of the work performed. no.:TBD/AwaitingPlat f t � Indicate the value(rounded to the nearest dollar)of all Tax map/parcel 1 St 'T } �V� J equipment,materials,labor,overhead,and the profit for the .. DESCRIPTION OF WORK work indicated on this application. New Single Family Home to be built-2430 SQFTj4iedroom,3 Bath Home with 589 SQ Valuation: $ FT 3 car garage, �} -- Existing building area: square feet �" New building area: square feet '-10 PROPERTY OWNER ` - 0'TENANT ..Iv°_, '--' _'' Number of stories: Name:Willow Creek Land,LLC Type of construction: Address:PO Box 1060 - Occupancy groups: City/State/ZIP:Woodburn/OR/97071 Existing: Phone:(971)235-5003 Fax:( ) New: -- 0 APPLICANT - ® CONTACT PERSON ' BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:David Weekley Homes , Structural plan review fee(or deposit): Contact name:Michele Schiedler FLS plan review fee(if applicable): Address: 1905 NW 169th Place,Suite 102 Total fees due upon application: City/State/Z1P:Beaverton/OR/97006 Amount received: Phone:(503)213-4415 Fax::( ) E-mail:mschiedler@dwhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169th Place,Suite 102 Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Beaverton/OR/97006 $180.00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:213653 Total fee due upon application: $201.60 Authorized signature: iThis permit application expires if a permit is not obtained 4/ within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Michele Sc I er Date: 'L 1 d` Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application f� 8 FOR OFFICE USE ONLY n ` City of Tigard I\Js Received Permit No. 13125 SW Hall Blvd.,Tigard,OR 97223 ®®® DatelBy: cscy� �CA- �\ Plan Review "77 Phone: 503.718.2439 Fax: 503.598.1960Zo�� DateBy: Other Permit: �p21TI G A R D Inspection Line: 503.639.4175 MAR Date Ready By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF 'IGARD Notified Method: Supplemental Information TYPE OF wag LONG DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work /1 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. , Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:12044 SW Summerbrook Ln Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Summerbrook Duct work 23.32 Cross street/directions to job site:SW 121'Ave and Summerbrook Lane 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 Subdivision:Summerbrook Lot no.: 14 Other: 23.32 Other fuel appliances: Tax map/parcel no.:TBD/Awaiting Plat Water heater 23.32 DESCRIPTION OF:WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New single family home to be built-2430 sqft,4 bedroom 3 bath home with fireplace 23.32 598 sqft 3 car garage Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Z `PROPERTY OWNER Other: 23.32❑ TENANT Environmental exhaust and ventilation: Name:Willow Creek Land,LLC Range hood/other kitchen equipment 33.39 Address:PO Box 1060 Clothes dryer exhaust 33.39 City/State/ZIP:Woodburn/OR/97071 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(971)235-5003 Fax:( ) Attic/crawlspace fans 23.32 .� APPLICANT ;.... '1 CONTACT PERSON Other: 23.32 Business name:David Weekley Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Michele Schiedler Furnace,etc. Address: 1905 NW 169th Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 Water heater Phone:(503)213-4415 Fax::( ) Fireplace Range E-mail:mschiedler@dwhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:David Weekley Homes Other: MECHANICAL PERMIT FEES* Address: 1905 NW 169th Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) (503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lie.:213653 TOTAL PERMIT FEE /..,,‘,fri This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: I * Fee methodology set by Tri-County Building Industry Service Board n Print name:Ken Puttm Date:2-/ 17-111 \B I: uildinglPermits�MPEC_ermitApp_040113-doc 440-4617T1 (II,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_040113.doc 2 ��I i� 1 PSI°>rrli ��I� $➢0Y1 �+ .FOR 014ILL USE I. NIX . _._. 6� ,- ' ' ._.. �� City of Tigart� ReceivedDatePermit N;�v I �It GAEIV 'r 13125 SW Hall Blvd. Tigard,OIt 97223 --_ , li-, MAR 21 X01 Pla�taetie,� ,a Phone: 503.718 2439 Fax 503.598.1960 Date/By: Related Permit ll. ' inspection Line: 503.639,4175 CITY OF �� Ready Uatc113y: inrs. E1 See Page 2 for TIC3AIs","0 interne'. vv'vvw.Iigard-or.goV 66�� 1 E otitieditvtethod: ___� Supplementallnformation — r,. BUILDING DIVISION TYPE OF %% PLAN REVIEW._.. .... . .• ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plats w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. � less to ground,or exceeds 1.1,000 ❑Commercial-use agricultinal M/ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. 0 Multi-family ❑ Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ` ❑Emergency system. larger separately derived - ❑Addition of new motor load of system. Job II:68020014 Job site address: 12044 SW Sumrnberbook Ln iVIE IPor more. ❑"A""E" "I.2""I-t" —^ ❑Six or mote residential units, occupancy. City/Slate/ZIP:7_igaril(Clrt/97223 _— — [Health-cure facilities. 0 Recreational vehicle parks. Suite/bldg./apt.if: I Project name:Summberbrook ❑tIseardous locations. 0 Supply voltage for more than -- ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW 121st Ave and Summerbrook Lane FEE SCHEDULE __Description f qty. I Earls f Taint I--- -- New _New residential single-or multi-family dwelling unit. Subdivision:Summerbrook Lot II: 14 includes attached garage. _ _ . 1,000 sq.ft.or less 1 168.54 1 168.54 -4 Tax map/parcel It:TBD/Awaiting Plat Ea.add')500 sq.0.or portion 3 33.92 107.76 t DESCRIPTION OF WORK l.,imited energy,residential 75.00 2 New single family home to be build-2430 sqft,4 bedroom 3 bath home with (with above sq.ft.) Limited energy,multi-family 75.00 2 598 sqft 3 cat'garage residential(with above sq.ft.) ►Z/ PROPERTY OWNER ❑ TENANT Renewable Energy I 0 See Page 2 1 Services or feeders installation,alteration,and/or relocation Name:Willow Creek Land,LLC 200 amps or less 100.70 2 Address:PO Box 1060 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/Slate/ZIP:Woodburn/OR/97071 601 amps to 1,000 amps 301.04 2 Phone:(971)235-5003 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 I intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature _-_ Date: 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel kit APPLICANT' ®'CONTACT PERSON A.Fee for branch circuits with Business name: !)avid Weekley Homes above service or feeder fee, 7.42 2 each branch circuit Contact name:Michele Schiedler B.Fee for branch circuits rrirhow service or feeder fee,first Address: 1905 NW 169t1i Place Suite 102 branch circuit 56.18 2 City/State/ZIP:Beaverton/OR/97006 Each add']branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4415 Fax: :( ) Each manufactured or modular 67.84 Email: asettiedlet'tcr)dwhontes,com dwelling,service and/or feeder 2 Reconnect only 67.84 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address:2920 SE Brookwood Ave panel,alteration,or extension. City/State/ZIP:FlillsbOt o,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)523-9060 Fax:(503)64 -7925 Investigation(1 hr min) 90.00/hr Ernai1:andr'eap�r�gar'ner'electrie,com industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCR I,ic,: 121159 Electrical Lie.: 3 05u '3707 specifically listed(Y:hr min) — -- p'' '"T,it" ELECTRICAL:PEY21tiIIT.FEES r .. Suprv. Electrician signature,required: ,, - Subtotal: PI 4ffr Print name: Charles Garner Date: 2/12/2019 0 Plan Review Required(25%of permit fee): State surcharge(I2%of'permit fee): Authorized signature: TOTAL PERMIT FEE: 'This permit application expires if a permit is not obtained within 180 Print name: Andrea Phillips Date: 2/12/2019 days after it has been accepted as complete. --- -•-- ' Number of inspections allowed per permit. I:I.Balidingwennitst.LC-PermitApp ELK.ERE.doe Rev 06/17/2015 440'4&lST111/o5/COM/WEli Plumbing Permit Apglieation _ -Building Fixtures RECEIVE 1((i( (nil( 1. ( SI: ()NIA City of Tigard y 1(� Received -�,` g 20!J Plan y Review Permit No.POST ��.s II a 13125 SW Half Blvd Tigard,OR 97223 ` �✓<'��t' Phone: 503.718.2439 Fax: 503.598.1960. Other Permit No.: 1 c.-, It ti Inspection Line: 503.639.4175 OF fM /ARD�+e �ate Ready/By: Inds. ® See Page 2 for Internet: www.tigard-or.gov 3UiW NG D VtSIO1�totifiedIMethod: Supplemental Information TYPE OF WORK 1 FEES"-SCHEDULE... , 0 New construction 0 Demolition Far special information use checklist Description i Qty. I Ea. ( Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) I CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ' !! ►A 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: ; Fire sprinkler( sq.ft.) � I Page 2 JOB.SITE INFORMATION AND LOCATION Site utilities: Job site address:12044 SW Summerbrook La Catch basin or area drain 18.76 Dry,well,leach line,or trench drain 18.76 City/State/ZIP:Tigard/OR/97223 Footing drain(no.linear ft.:230) Page 2 87.55 Suite/bldg./apt.no.: Project name:Summbrbrook Manufactured home utilities 50.03 Cross street/directions to job site:SW 1.21"Ave and SW Summerbrook Lane Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) I Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: _) Page 2 Subdivision:Summerbrook Lot no.:14 Fixture or item: Tax map/parcel no.:'IBD/Awaiting Plat I Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New single family home to be built-2430 sqft 4 bedroom,3 bath home with Dishwasher 1 25.02 : 25.02 598 sqft.3 ear garage. Drinking fountain 25.02 Ejectors/sump 25.02 121 PROPERTY OWNER 1 [] TENANT Expansion tank 12.51 Name:Willow Creek Land,LLC Fixture/sewer cap 25.02 • Floor drain/floor sink/hub 25.02 •• Address:PO Box 1060 Garbage disposal i 1 25.02 25.02 City/State/LIP:Woodburn/OR/97071 Hose bib 2 25.02 50.04 Phone:(971)235-5003 i Fax:( ) 1 Ice maker 1 12.51 12.51 1 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25,02 Medical gas(value:$ ) Page 2 Business name:David Weekley Homes i Primer 1/.51 Contact name:Michele Sebiedler Roof drain(commercial) 12.51 Address:1905 NW 169th Place,Suite 102 Sink/basin/lavatory 4 25.02 100.08 City/State/ZIP:Beaverton/OR/97006 1Solar units(potable water) 62.54 Phone:(503)213-4415 Fax::( ) ! Tub/shower/shower pan 3 12.51 37.53 E-mail:mschiedlerrdwhome.com ' Urinal 25.02 _._..02 _ CONTRACTOR Water closet 3 j 25.02 75.06 Water heater 1 37.52 37.52 Business name:Malmedal Plumbing ; ! Water piping/DWV 1 5629 56.29 Address:PO Box 207 j Other: 25.02 City/State/ZIP:Banks,OR.97106 Subtotal I 1250.85 Phone:(503)324-0759 I Fax:(503)324-0759 Minimum permit fee: $72.50 1 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I Print name:Carolina Malmedal I Date:2/14/19 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1.Building\PermitstPLMIJ-PermitApp.doc IW011U9 440-4616T(10/02/COM/WF.B) Plumbing Permit Application - City of Tigard P,,age 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1'100' 1 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 1 37.52 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer- 1st 100' 1 62.54 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 1 62.54 62.54 Valuation. Permit Fee: $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 ',Other Inspections or Fees Qty. Fee(ea) Total each additional 8100.00 or fraction thereof,to and including 510,000.00. 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*. Quantity by Fixture Type Plan Review for„i lumbing Installations'. Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3„ _4» Car Wash Drain Isometric or Riser Diagram 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 Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an 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: U:\Communities\68029999-POR-2017-Summerbrook,Tigard OR\SB14 61020014\SB14 68020014 Plumbing Permit.doc City of Tigard 114 a COMMUNITY DEVELOPMENT DEPARTMENT T 1 A R D Building Permit Review — Residential Building Permit #: `(\S-T2GAq_ «1 , A am,( Site Address: 12-OT1 :�„ , P/ / ,i,, r,t,-�-IJL LtAt � UhIVt AD Project Name: .�Mr,�s./dk S,,ci'ivi�v�r Lot #: N (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal:� �`e„� �r �t a �c,,�,�rar�7 J-4( 1 cn t 4- ia.t LsJ/Verify address/suite# active in Accela. Lv1" In River Terrace: ErNo ❑ Yes,River Terrace Review Addendum Sit Ian Elements: 'r. ion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper Vained trees with drip line and tree protection measures D wn to scale(standard architect or engineer scale) tprint of new structure(including decks)and FFE rth arrow L[ U ity locations&easements(required for new and additions) ie address,project or subdivision name and lot number WSidewalk/driveway approach [\ plicant information(name and phone number) OLo ation of wells/septic systems Iot dimensions and building setback dimensions et tree size,type and location atS are footage of buildings to be demolished ftSt $ g t names inKxisting structures on siteorner elevations(2'contours if more than 4'difffer tial) 4Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Lld"{es ❑No pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No Clean Water Services—Service Provider Lettttee of platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified Ly' No Received: ❑ Yes ❑ No 'L'( Public Facilities Improvement(PFI) Permit: Rquired: CI Yes,applicant was notified EJ No Applied For: ❑ Yes CI No,stop intake L' and Use Case#: S�CZI "0O()G� ' Tv14—U(�dI� / J I L� Zoning: �_y quired Setbacks: Front: 2-c Rear: S Side: S. Street Side: lv4 Garage: lo iEle3uilding Height: Max. Height: —5 0 Actual Height: 1 b 1:1/Landscape ea: lo % Lot Coverage Max: t) Entrance p' t back no more than 8'from street-facing wall [i Parallel to street or offset 45 degrees or less Windows ' um 12%of area of all street-facing facades j g<G Garage NE/Garage door is behind widest street-facing wall ❑ Yes [VN. V lo,one of the following is met: LAY Door extends no more than 5'from wall and there is a covered porch extending beyond garage.1,a,;,-. _/ ❑ Door extends no more than 5'from�waj and there is a 12 sq ft.window above garage on 2nd floor. (2d Garage door width is El12'or less L�}'50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony isual Clearance Urban Forestry/Plan C?J Sensitive Lands: ❑ Yes L' No Type: Conditions met prior to issuance of building permit C.a,.;k—ci 1v ,to w4- i ' G.,il t4l 116-J- iUU„a'ce F2)o)6: Approved By Planning: i,2 Date: 3-2 q �1�1t Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal' Original Submittal Date: 3(a1 k k C Site Plans: # 3 Building Plans: # 3 Building Permit#: �/ Enter building p rmit#above. _/ l�/ Workflow Routing: 2 Planning Engineering [ Permit Coordinator Building 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. Eff Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: J Date: 31 I kq Engineering Review 72/Slope at building pad: Z: conditions "Met"prior to issuance of building permit 4/ E ' asements (encroachments)per engineering conditions of approval and plat Itti 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 eNo b Final Plat Recorded: El NOT Approved by Engineering: Date: Notes: PI Approved by Engineering: Date: 4A,9 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Pe it Coordinator Review onditions "Met"prior to issuance of building permit IYI Approved,NOT Released: CDM 11\ovvs Yc me -----/ed. - Date: LI (13 I 1 q 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: X SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: is Yes ❑ N/A Parks SDC: gr Yes ❑ N/A LIDA ❑ Yes X N/A OK to Issue Permit Approved by Permit Coordinator: Date: WA v 7'!7 I:\Building\Forms\BldgPermitRvw RES_022819.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT '- Ili II "1 Transmittal s ttal Letter i ,,n Et n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 17.0k1 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 8 ?...; FROM: DkV'L1 j (IDM CITY OF TIGARD �^ BUILDING DIVISION COMPANY: I ` 1 CA-t- ,Sc--- - i PHONE: --.3Li-6i-(Z?' 1 B i RE: I2i°'-A'I -lik) S tit IA fornegente., A S70L00/O 7 (Site Address) (Permit Number) . ti s - / le---- 4._i l 4 _.0 (Project name o subdivision name and lot numb ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description. Copies Description: j-- Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS:3 S$ " 1)-t' MT —tilli r✓i SS tA,1/1 C � 3 S� .��- j l'1.a�'1 Yl� G SD2 2 � tiu etiCs 2C-c-, U eitt` v&1 ujftt Routed to Permit Technic. _ ., 1• . ll -0 $ , , ,i,_t___,.„ f__.,,,,,, / ian: Date. It 9 ( Initials. j ') Fees Due: ' Yes ❑No Fee Desc pti Amount Due: VI-- $G \ $ $ Special Instructions: 17-` Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: Date: Initials: V I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12044 SW SUMMERBROOK LN, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2019-00107 Inspection Type: Inspector: 275 Framing David Young Result: FA I L Comments: All hangers truss to girder at 2 car bay missing. Missing truss clips at exterior wall locations per detail 12/SD2 front and rear locations per engineers requirement pg FRM1 Missing bottom 2x6 blocking and A35's same locations. A35's appear to be missing at gable braces per 2/SD2 detail, braces framed and spaced incorrectly per engineers design. Stub intake and exhaust vent piping for water heater to exterior. Violation Summary: Inspector Contractor