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Permit (22) CITY OF TIGARD 'f'tratigirMASTER PERMIT 71 44,7 COMMUNITY DEVELOPMENT 4� Permit#: MST2019-00057 . 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2019 T j�'' "D 9 Parcel: 2S115AB08000 Jurisdiction: Tigard Site address: 11155 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 25 Project: Willow Brook, Lot 25 Project Description: New SF. 8/28/2019: REPRINT permit to add irrigation backflow. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1706 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 643 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1706 sf Value: $236,491.70 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 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: 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: 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'I 500 sf: 3 201-400 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 1706 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) -Tt81511E 9911fi5T STE 12do 112f1S NE 99TH STW1200 1 Ersn C11M 5O3-839•4I75 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $29,996.35 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-s-R 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. f. Issued By: ‘10-4 OA/Signature: "' �f /`�e�l� 7O/V 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. t CITY OF TIGARD MASTER PERMIT :PrP ° COMMUNITY DEVELOPMENT Permit#: MST2019-00057 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2019 Tr ''�j�.`O 9 Parcel: 2S 115AB08000 Jurisdiction: Tigard Site address: 11155 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 25 Project: Willow Brook, Lot 25 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1706 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 643 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1706 sf Value: $236,491.70 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 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 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: 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'I 500 sf: 3 201-400 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 1706 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: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $29,961.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through A 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5*3.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: u o •Li. . 4 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Building Permit Application Re dential FOR OFFICE LSE ONL\' City of Tigard Received i Permit No. (� /� c Date/By: �-17J11\'_ S�..r. T'U PJ .1114 '� 13125 SW Hall Blvd.,Tigard,OR 972 a 4 Plan Review e Phone: 503.718.2439 Fax: 503.598.16 . R. '" Date/By: /�- ( Other Permit � _ (g�� T 1 C ,1 I:t> Inspection Line: 503.639.4175 Date Ready/By: T Jury: ® See Page 2 for Internet: www.tigard-or.gov FEB 14 2019 otified/Method,1 `�"t /1 Supplemental Information s /it �. .1ice. r f$ j ,ixy fr, th i'1Y:;t r.;;s$ tr art �-;�. f :.., .?' r,8 �+ ,' r ,,,; F' 1 „ £#1�. eZ'ir� %=,, ei,`,*,-.,!' ;: ;Y 1 ,,,;10,''f ,i 9 "1$' 3 ! �'.r. �"s ? Permit fees*are based on the value of the work erformed. ®New construction ❑'r e b ifion � � P Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the 7xr .r,,':1,S r,'R d,orl. ". Y 4 el.r,&l3�r 1 6 ''�y�,f 1'' 4 work indicated on this application. A .41 'I F v f �9 ,ern,E'a.., r< -16'2r" '. ,. ,: :<,,.�'r',`' :,,'r;a''''.,'„r, Yr �,^` 10�j i ® 1-and 2-family dwelling El Commercial/industrial Valuation: ✓y�/'I 111Accessory building El Multi-family Number of bedrooms: 3 1=1Master builder 0 Other: Number of bathrooms: 2 r f � r � 4 r� f.�' 1 r Total number of floors: 1 a3 t19 ,;� ,y ''.E:4 7�l, ,,, .1 I 1a it L1Sb ,- # !I 'a,,,.0 rr''' 's#t(f x .d Job site address:11155 SW Gabriel St New dwelling area: 1706 square feet 17 City/State/ZIP:Tigard,OR Garage/carport area: 643 square feet Suite/bldg./apt.no.: Project name:Willow Brook 25 Covered porch area: square feet Cross street/directions to job site: Deck area: / square feet t aV.*.6./I pd-v1) Other structure afeasquare feet 1. i'” f !� i fi r. !'a 1,l .i 4� e's t�, l Subdivision:willow brook Lot no.:25 Permit fees*are based on the value of the work performed. Tax map/parcel no 2S115AB08000 Indicate the value(rounded to the nearest dollar)of all �� ,49',10p equipment,materials,labor,overhead,and the profit for the 1 s„�,;�1 -4,p, y!, . t f '' i r.,r f ?#V Pf4... ' .:. ,,fit:f.:',r� r ,,"` i.,i , , 3.i f ! f a!t t 1; y „.,, work indicated on this application. SFR 3 bedroom 2 bath with a 3 car garage.Also has a covered patio and entryway. Valuation: $ Existing building area: square feet New building area: square feet °-,,,,,--'- '' r1 3' t ,' r . 'r" Y ,, ,, , y Number of stories:0v,..4-�� re..,. �f/6 f :,, A g Name:Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99th Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax (360)574-6401 New: .. ` %; B . " "lJ - s M z�rf s 9, tr3" ` 5'4 . rf : A! 'y � 4', At ix14 7 rF . '• ; � � {,7,1171111171•71717':-11,, ; rq r . ts , i ?E; , , r, ,t " , „. ,. Business 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 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)573-8081 I Fax: :(360)574-6401 Amount received: xt J cwvi ;w r , x{ E-mail:permits@buildplh.com -oma ,, 7, Commercial and residentialprescriptive installation of J� # t�` ss ;, + j ..,, !�# a !t, y ✓ ' �A 1 ;r��,-"..,�,F,:'�,��, ��;,�,,,.,� ;%r�'�-'44""''''''''"i'42/)4- �,., , ,s„«' i.,"4„ ,' '4'44'z �,, , ”1. ��„w �„,,?�f-„�,,� �� 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 i CCB lie.:173524 Total fee due upon application: �0 Authorized signature: i y ?. f % This permit application expires if a permit is r � -E-// /1 L C ( � � within 180 days after it has been accepted' *Feg 1no¢gl9ey set by Tri-County Building Prnfi....Summer Duna Date:2119/19 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 FSE ONE\ 4 City of Tigard Received Permit No.: ae/By4 13125 SW Hall Blvd.,Tigard,OR 97223 Associat Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: tIt, AG_D 24-Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No N/k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. El 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 El El 3 Verification of approved plat/lot. El El El . 4 Fire district approval required. Name of district: El ❑ El 5 Septic system permit or authorization for remodel. Existing system capacityEl ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ 0 El 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 El 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ El El 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 ❑ El 0 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 ❑ El ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ El El 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. ❑ ❑ ❑ 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 El El 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El ❑ 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 ❑ ❑ ❑ 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 ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be a..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". 0 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El ❑ El 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. El ❑ El 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ El ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 ❑ 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, ❑ ❑ ❑ 1 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 ❑ 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. ing\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit Application FOR OFFICE USE ONL\' City of Tigard Received Date/By: Permit NOVO , a_ -e5. 13125 SW Hall Blvd.,Tigard,OR 97223 `%r---i �� 1 Phone: 503.718.2439 Fax: 503.598.1960 ,,r-- v r b o Other Permit: Inection Line: 503.639.4175 T I G A K D p 0 ate Ready/By: Jur s: ® See Page 2 for Internet: www.tigard-or.gov FES Notified/Method: Supplemental Information �. , t b E � fie s a ... ,1 .�,- $,. �si a 9 es ,.4� : • Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/rep acem r �� 1%19ll performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials, equipment,labor,overhead,and profit. 0 Demolition 0 Other: ¢ �� %`rr-."fiE" i 7` .'irm 1"+' A P:`,f r.,�` ,^ Y�,pgrk4Y X1y,'t's^t "t/ts'fi r x r , �, ,.. f �� ,+ �(� �,r�' r° �r� Value:$ :leir'' fW� ;,.rr t' *" ?� '::$ :,t; '� g b r r rr"'f -fir 4V• ;;r. �` 1 ;',� 3;4 /'?',,f„F, t re.fr ' .,6,- r ''F ,,/k. ,,At ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family ❑Master builder ❑Other: Description I Qty. l Ea. I Total r`3A40f ,„„x4„ r,r'y r $ i L, ! 9 9 r �$,, t/ rYY'�"x t.est r'. " HeatlnWCOOl' Air conditioning 1 46.75 Job site address:11155 SW Gabriel St Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 1 Project name:Willow Brook 25 Heat pump 61.06 Duct work 1 23.32 Cross street/directions to job site: Hydropic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Willow Brook I Lot no.:25 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2S115AB08000 Water heater 1 23.32 ,f s r 94001E00.041( �." f'rrf,,'ir f, Aro,,,,,,,,,,,x-,.4.-A,,,,, r ? r r eta...I/4'4,4 err �;rr =t i' a 1 ',$i k 0•, 7 s ::: ^� *.r. r Gas fireplace/insert 1 33.39 < r " ''` `4/ "' Flue vent for water heater or gas SFR 3 bedroom 2 bath with a 3 car garage.Covered patio and entryway. fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r . l $ '-'''''÷''', � Other: 23.32 r � ; " $` " ' / r' � Yf fe5 'x''''' r/`'?„ 8a fi y��'•'''514'41.'"'"'y r '' rrf -4.- . ,, Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen Address: 11815 NE 99th ST Suite 1200 equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(360)573-8081 Fax:( ) r � ,, Attic/crawlspace fans 23.32 x r 'Ar'r4f @ 4 Y"' „f'IKy vYj Y „*,`='fr .,',y`; �4°;*$'t aA "''4 li,,rY x%," Other: � r.r.-.0.. .x, �- . .. 4:.. _,r w,,w`�'� 23.32 Business name:Pacific Lifestyle Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator Furnace,etc. Address: 11815 NE 99th Street,Suite 1200 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater 1 Phone:(360)573-8081 Fax::(360)574-6401 Fireplace 1 Range 1 E-mail:permits@buildplh.com ID1' $ y . ,. Barbecue 1 , :ParWulf- % ii`$ '; a $ rJr 4;rje;?A / r tp': Clothes dryer(gas)0` T , V.V.grrUf'jtfOr;/o :.',.,', x. , ri.,,,,.M u, ,x:-4. ; ,,/ , Business name:Area Heating+Cooling Other: Address:2721 NE 659'Ave Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Phone:(360)737-0811 Plan review(25%of permit fee) Fax:(360)737-6946 State surcharge(12%of permit fee) CCB lie.:64801 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: Lk _ ��, ) , Print name:Summer Dowel Date:2/13/19 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-Famil Fee Schedule: 4 $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 P . . . , _ . ._ . Electrical Permit Ap, L.,p ttiotlt FOR OFFICE USE ONLY Received Permit i City of''I'i at Date/IW _ '' '\ T_ s�- III `a V 13125 SW Hall Blvd„Tigard,OR 97223; , 'u P,an Review b v Related Permit It_ Phone 503.718.2439 Fax: 503.598-19Ct f' , � ,,,, oate/By: Inspection Line: 503.639.4175 Ready Date/By. lurk See/'age 2 for TIGARD Nolilicd/Method: J d Supplemental Information Internet: www ligan/-or.gov FEB 01(� _ — -- TYPE OF WORK PLAN:REVIEW ®New construction ❑Addition/alteratiolGI c nt t d!Gr ARD Please check all that apply(submit a sets of plans wlitems checked): I E ❑Service or feeder 400 amps or more 0 Building over three stories. El (�eniolitioil 11 Other: 3.J . 9 `a l ' ' where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ______ less to ground,or exceeds 14,000 0 Commercial-use agricultural ® I-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building amps ligan oiler installations. buildings. ❑ Multi-farnily ❑ Master builder ❑Other: 0 Fire pump 0 lusianation of 150 E VA or JOB SITE INFORMATION ANIS LOCATION • 0 Emergency system. larger separately derived ❑Addition of new motor load of system ! 1 - ` 1001-1P or more. ❑ A" "fi" "I-2" I-3" lob 1!: 1:lob Site address: I J� ( L' '1��: 1 t �c_.� ' occupancy. — "', �*. Six or more residential aids. C it1/State/IIP: \ I C{C;U . 1...1' - �'"V_ ❑Health-care frcilities Recreational vehicle parks. J ❑ 1 � r '\ - - � ❑Hazardous locations. ID Supply voltage for more than Salle/bldg./apt. 4: I Project name: l,L. IA DL�- �T l C u _— 60o volts nominal - --- ❑Service or feeder 600 amps or more. __. Cross street/directions lo,job site: FEE SCHEDULE Description i QtY• I Bach I Total---..1_^_._ New residential single-or multi-family dwelling unit, . ,Th Includes atlacited garage, Subdivision: Lk_,-- I (l.C C V __ Lot 4: )J n�� 1,000 sq.It.or less I 168.54 I tp?�9 4 Tax map/parcel#.Lc.---_,I I�' l L�l / 7'l'�1 ------ Ea.add'/SOU sq.R.or portion �21F8 33.92 c') 52- k DESCRIPTION OF WORK Limited energy,residential 75-UU 2 -- �--fp .� _� / � � _(with above sq.fi.) cJa{C� L E7LL� L - Lt rr21.J C'LZPG{ - i Limited energy,multi-family 75.00 2 / ' residential{with above sq.Il.) _...._Cr NIt(cGL T)l C 4' --fes LbL�l.t' ' i,�� J r Renewable Energy. ❑ See Page 2 ® PROPERTI OWNER I El TENANT Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 Name'LS I '' — f201 amps to 400 amps j 13356 hri`>k 2 Address: A)C; ��q � (,,,',1--., ��C-! I /2-07, 401 amps to 600 amps 200.34 2 City/State/ZIP: i . 4 C` 601 amps to 1,000 amps 301.04 2 Phone: '--WO C- 3 7 } i 41 Fax: Over 1,000 amps or volts 552.26 2 ._. 7- J Temporary services or feeders installation,alteration,and/or Email: /)�)i <- ( i t ��C - t Et /�Z relocation Owner ins 7,allation:This installation is being made on properly 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 Branch circuits-new,alteration,or extension,per panel ® APPLICANT ® CONTACT PERSON 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 without .......-_...__.. - service or feeder fee,first Address: 11815 NE 991h Street,Suite 1200 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98682 Each add',branch circuit 7.42 2 Miscellaneous(service or feeder not incinded) Phone:(360)573-8081 Fax: :(360)574-6401 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permits@buildplh,com Reconnect only 67.84 2 CONTRACTORPump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting _ 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 2920 SE Brookwood Ave,Suite A panel,alteration,or extension. - - Each additional inspection over allowable in any of the above - C'ity/State/IIP: Beaverton,OR 97006 Additional inspection(1 hr min) _ 66.25/hr — Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr ---..- Industrial plant(1 hr min) 78.18/hr Email: mtnorato@garnerelectric.colnInspections for which no fee is �- 90.00/In CCB Lie.: 121159 -1 Electrical L'•.: •-305C Suprv.,Lie.:7,1 b1 s specifically listed('Va hr min) -.411: ELECTRICAL PERMIT FEES Suprv.Electrician signature, require Subtotal: " :;- �.. ' 7J f I C ❑Plan Review Required(25%of permit fee): Print name: Chuck Garner s :AT' L)ate. f /? State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized si'mature: /L 4 /'Print nal; cm • within 180 Date: '� clays after it has been accepted as complete. AM �� `/ j ' Nui ben of iuspectinns allowed per permit. I nuilding�.l'ennfrs\El.0 PenrraAnst Ills /ilii)due Rev 06:0/2015 440-461510 V05ICOM/WEli 1 Electrical Permit Application --City of"Tigard Page 2---Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE.SCIi .I)ULE Fee for all residential systems combined: $75.00 Description in Eadr 1Total 14 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less R)0.70 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:B• urglar Alarm 25.01 to.50kva 301.04 2 Garage Door Opener* 50.01 to 100 kva 55226 2 >100 kva(fee in accordance with OAR 91)1-309-0040) 552.26 2 H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 I V• acuum Systems* >100kva-noadditional charge 0.0 3 Each additional inspection over allowable in any of the above: O• ther: Each additional inspection is 66.25/hr - charged at an hourly(1 hr min) —- — Inspections for which no fee is 90.001 hr specifically listed(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES • Fee for each commercial system: $75.00 Subtotal(Enterermit. Page I): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work involved: Audio and Stereo Systems n B• oiler Controls I I Clock Systems II Data Telecommunication Installation Fire Alarm Installation HVAC I I Instrumentation Intercom and Paging Systems I I Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* I Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I'nuildiug\t'ennits'd:LC„penniIApp-ELR ERE chic Rev OS/171'2D1S Plumbing Permit Application Building Fixtures FOR OFFICE LSE O'Lv City of Tigard Received permit No. •114 13125 SW Hall Blvd.,Tigard,OR 97223 ,i::::" T.ST�v\Ci-0��-a' ■ Phone: 503.718.2439 Fax: 503.598.1960 t B I , '•r � y t eW Other Permit No.: I I C A R[) Inspection Line: 503 639.4175 Date Ready/By: Juns. ® See Page 2 for Internet www tlgard or gov ( 191 ified/Method Supplemental Information i 40,4,::::.:,tir`_, t: wow ti ,c--,i,�� ,,.,��{' _.,� lite*"cn+-'l1mV�~� : 'a{i. ..- e r1! ' 7 For special information use checklist ew construction 0 Demoliti § a- ' t,r-. t no r t 4)3 7)!N(r t-) , ": '^ Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other:°` New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 FPI 2'"� -7 t-and 2-family dwelling ❑Commercial/industrial SFR(2)bath / 437.78 J SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB$!T1I INFORMATION AND LOCATION r Site utilities: Job site address: ) ( 1 SS 'L 7-? ;r ,s--1- . Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 lV Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.:" Proj l t name:li) I Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 110 Page 2 Storm sewer(no.linear ft.:CJ60 Page 2 Water service(no.linear ft.:‹10 Page 2 Subdivision: I 1 I D )\ C.) 11_ p� I Lot no.::2.... -- Fixture or item: Tax map/parcel no.: 2-S C) 0 (.1 0 Backflow preventer 31.27 x Backwater valve 12.51 1.° s, ' '' ON of WORK ,. 3l r - Q� J '- : Clothes washer I 25.02 V1 ," Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e�' 4'A- '� Expansion tank 12.51 Name: -� � 2 f� Fixture/sewer cap 25.02 Address: (moi /�f uFloor drge oor sink/hub 25.02 1�' J I" ( i?-cs2D Garbage disposal 25.02 City/State/ZIP: GZ..- J 5,(k/(r) . LJi ' 8 ?_9- Hose bib 25.02 Phone:y , j '- 3* Dc8 I Fax:( ) Ice maker 12.51 . PLICANT 0 CO ACT PERSON. Interceptor/grease trap 25.02 Business nam : noL, Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: / hQi� -1..\.\ 1 j Com"" 1 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CON RA l OR Water closet di" 25.02 t Water heater I 37.52 Business name. f' ,fde, .s'll �.r�yi(jp�7 - Water piping/DWV 56.29 Address: i � I'v lC 6< S 1 Other: 25.02 City/State/ZIP: 6 o, t.rt� co, ?op-7 Subtotal Phone:(77 l) 41011.-.70/Z Fax:( ) Minimum permit fee: $72.50 CCB Lic / `,j S---, -2 ( `2 Plumbing Lic.no.: / / Plan review (25%of permit fee) s State surcharge(12%of permit fee) Authorized signature: ,�hi�,Jai„, p� TOTAL PERMIT FEE J ��fJ jj/ 1'I ,, _ This permit application expires if a permit is not obtained within 180 days Print name: kli Date: after it has been accepted as complete. eemei ..00gyse .y n- our :m.mg n.us. ervice :.: .. 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 Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty,. Fee t ) Total Square Footage: Per M t"Fee: 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 Valuation: Feer 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 +'.' Qty Fee'fr Total each additional$100.00 or fraction thereof,to Other Inspections or Fees and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (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 accuratelyreport fixtures could result in increased sewer fees*. ' p an Review: i>< t.lug tris tions Quantity I ,Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 4 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\BuildingTermits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard • It COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: S-`(-—\C)l-- Site Address: 1//s - . n',( ,„ --- Project Name: 4 )11/0k) rpc)A-- Lot #: z (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /Verify site address/suite#exists and actio permit system. 0 River Terrace Neighborhood: "1J No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: 4 ee(3)copies of site plan • A sting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper • ootprint of new structure(including decks)with finished IZ awn to scale(standard architect or engineer scale) or elevations Srth arrow B 'ty locations&easements(required for new and additions) V.address,project or subdivision name and lot number ri Sidewalk/driveway approach plicant information(name and phone number) I1 *i,�c tion of wells/septic systems n Lot dimensions and building setback dimensions p ling trees to be retained with drip line,and tree hUtt e footage of buildings to be demolished otection measures i► .t area,building coverage area,percentage of coverage and Iii eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replac I% .? Yes❑ lidd 4 foot differential) If es,is a storm water •uali ' facili , shown', ti■Yes o ill Ei lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: 0 Y s,applicant was notified No Received: 0 Yes ❑ No ✓ Public Faciliti s Improvement(PFI)Permit: equired: Yes,applicant was notified 0 No Applied For: 4d Yes 0 No,stop intake md Use Case#: -cIGieo..2_0/ , ing: 2 — + ICJ equired Setbacks: Front /5" Rear overage Maxmum: �s' Side ( Street Side 1p —Garage 0 lndCscape Requireiment: ft..2( % —F,95-1 % l Luiltdin Height Maximum Height S---. Actual Height /S N i.isual Clearance VA sensitive Lands: ❑ Yes 0 No Type �) l -9-- �/ rban Forestry Plan 1a Conditions "Met"prior to issuance of building permit Notes• Approved By Planning: ��— Date: I 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 I:\BuildineForms\BldgPermitRvw_RES_061417.docx 1 Building Permit Submittal Original Submittal Date: a 114 IGi Site Plans: # Building Plans: # 7 Building Permit#: fif Enter building permit#above. Workflow Routing: Er Planning ErEngineering a Permit Coordinator R'Building Workflow Sign-off: RI'Sign-off for Planning(include notes from planning review) Route Application Documents: R'Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. ErBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ? L.--� Date: i a5 11G( Engineering Review [5-Slope at building pad: 4. a Conditions"Met"prior t issuance of building permit Er Easements (encroachments)per engineering conditions of a proval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot 0 Yes No [Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: ,pp Approved by Engineering: 1).4 R. ..I _ Date: 2 •X..7 • /7 Revisions(after Building Submittal only) ��// Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance 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 Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: s 0 N/A VOParks SDC: Yes 0 N/k LIDA 0 Yes SYN/A K to Issue Permit �/ q Approved by Permit Coordinator: Date: 2 O i l I:\Building\Forms\BldgPermitRvw_RES 010118.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111111 2 Transmittal Letter r c;A l is 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION �!.kaax A 7 Y3"q � •� 77 n J h FROM: 1 MA I P 2019 COMPANY: kl f'1 U'2Ai OaL E,. _ ..__ PHONE: &It 0 • .--1-.3 - &Oil I By RE: 1 (15 54 7 c er( ( A�O2ul9--- S-7 (Site Address) (Permit Number) IAD i11oO\w0L 4 -- 2-5 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies:`I`fescriphon: I Copies: j Description: Additional set(s)of plans. 1 v r -Int,S-6 fvs .c( , ,� J Revisions: -Int"' 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: Routed to Permit Tec ... ��Date: 3 -z_17 (/ Initials: M Fees Due: Yes k . No Fee Descriptio : Amount 0 ue: y 11\p...)- ----- $ !h 't $ o2$ LO . Special Instructions: Reprint Permit(per PE • I ❑ Yes I Pa No ElDone Applicant Notified: Date: /2, /l q Initials: 1/ L•\Buildiag\Forma\T msmittalLetter-Revisions 061316.doc ......:,_,.,.. :.,_,..1, Electrical Permit Application ' — -.-- FOR 0111(1.1 ISF tiN1.1 . DRe:eefiBveyd, 1Per, ,r, _ 7,_0005'7 City of Tigard AUG 7 2019 13125 SW Hall Blvd.,Tigard,OR 97223 _ _ j1;; ------- . " ' Phone: 503.718.2439 Fax: 503.598.164 I Y t'ff.- ,,,. ,.':r,;.:2,.:\r, .; Datigav: Related Pen"I - Inspection Line: 503.639.4175 'a LI/ ','')/.y,,t-',: n , ,,,J.::,-,T.c.,,.:„.Ready bare/By: ----- hirir—— 11, fil ScePage 2 for ;A It D Internet: www.tigard-or.gov ' ---- -: '--11' '::--:--; - Notified/Method! Supplemental Information .......— --- — ._._ kf.':rif'25iiiVfAEZi,..t,'ei.'Cztiliiri741.7ri. .,,AMIN. iiizadr,L,Z1iNit!t1 6, ,,-:,.',.L.O.M.17:-#P,,,,I.„!,,',..) New construction ID Addition/alteration/replacement. Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories 0 Demolition 0 Other: , where the available fault current 0 Marinas and boatyards T17,4I:-1.i'04I'Aile ',11‘FIIII,..'!"-'"Ill, liMill:I.ils-'15I2M.III.8,01841C _fat' -',Vert:" ti exceeds 10,000 amps at ISO wits or D Floating buildings 1. 1-and 2-jamily dwelling 0 Commercial/industrial 0 Accessory building less to bmound•or exceeds 4 000 0 Commercial-use agricultural amps for all other installations buildings n Multi-family 0 Master builder Ej Other: 0 Fire pump 0 Installation of 130 KVA or separately derived °'''''‘':'° ' ''lit.,et31:4*'''' '''''I''''''' ''' '°'''!.' 0 AdriiL ofy t-ne'tem w motor load of largersYistein Job 4:90-18-0025 Job site address: 11155 SW Gabriel Street i 00HP or store City/State/ZIP: Tigard,OR 97224 HeaRS 0 Recieationai vol dc parks Suite/bldg/apt.#: - — 1 Project name: 0 Hazardous locations, :-: -- 0 Service or feeder 600 slops or more. 614 volts nominal. .. . Cross street/directions to job site: SW Durham Road,south on SW 113th Ave I' h,i1.," uttseinnult t, I Ksett 1-.....-Ett,ALT,..... ...... New residential single-or multi-family dwelling unit. „ Subdivision: Willow Brook Lot 4: 25 Includes attached garage. -"' - - i,000 se! it,or less 168,54 4 Tax map/parcel#: 2S115AB08000/R2209685 Ea.add'1500 sq ft or portionI_ 33.92 1:1 55 .y (.4J1I11:„1/J.,10,7.-:'.i://,:,.....s11,- --,-4tgrt.,t: .,,,,let,, r't ..e4ji.0' ::::4 Limited energy,residential 75 00 7 7 (with above.sq, 11.) C(//f7V-._ CO Ar772"tC--7-erg--- ___„_ _ , Limited energy,multi-family 7 i PO 1 2 . I residentialiwith above N.,,A1 ' 1 4. '',,mx,i"-zw.t.!..tt:',,° ',I.',:'-...°M.'',..!ta,t''Vt-tttt‘tItUtst'-'.tAterr,'.'t-r7kr!ltNe. .StIleTS..'','IVY'-',Vattie.-'''':ate _25ervireSt Or feeders installatiot4 alteration.a rity,9„1-,relocatino_ Name: Pacific Lifestyle Homes,Inc. 200 atop: or less 1 :11 100170 1 ... 1 2 11815 NE 99th Street #1200 Address: ' — mamps to 400 amps i I 133 56 3. I 2 .401 arinesfo 600 amps * 1 _200..34 4 I City/State/ZIP: Vancouver WA 98682 i • 601 snips to 1000 amps , 301 04 I , „.. . _ phone:( 360 )213-0813 Over 1000 amps or volts 1 552.26 _____„______________-__ - ' Temporary services or feeders installation,alteration,and/or rEmail: permits@buildplh.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less _ m 59 Jo 1 i I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 7(11. , 201 amps tio 400 amps li ,11_125 08 1_ 2 Owner r. $ignature: ....__„„„„„....... __........_,„„_._.__,„ Date ..„„.„...„...„„.„.„.„_„„„.............. 401 ampsps t°.,..29,...`11!-Ts____ - _I ,I„,,,t 68 54 , - _- 2 „,„,.,,,i.„0...„,,,,„,,,,,„,..,,Is.t..,,,,7,77.77; Jyanch_ertsnits”.7newiltteration,Jr_extension,.pleLpame_t_.„, ,,,,,,. :....v,„. ••,•,,,_,,..nur,••-,,: • 14,,,,,-„,II,.;,,,i,,,,-,,A,,i,,' ,,„.,,,,„,e,tee,. tnt:82M484. ,.'"Ft.otolw"-'ttattttt- 'ttr. A.Fee for branch circuits with [ 1 ' 1 Business name:Pacific Lifestyle Homes above service or feeder fee, :.----- each branch circuit Contact name:Permit Coordinator B.Fee for branch circuits without Address (1815 NE 99th Street e 1200 _ _ ___ - service or feeder fee,first '1 .,,.( 18 1 7 : Suitbrancn cireunt I 1 -' 1 - — City/State/ZIP:Vancouver,WA 98682 Each add1 _1 branch circuit 742 - Nlisceittine91. Lervice or feetkr,not Included) I Phone: (360)573-8081 i F ' •(360)574-6401 [ I "I • - ' Each manufactured or modular 67 84. I. i 2 F"--" -- — ' .,dwelling7service and/or feeder Email:permits@buildplh.com Reconnect oniy 67 84 tt t::::;31ttItitt:11 ..titaiakt."'tttetatttat tttleittjkitLititLt-t0:22,77,418e-tt -,1:Wift: t'tttr.tttt t.'"trstitnt' t Pump or irrigation circle 67.84 Business name:Garner Electric WA LEX Sign or outline lighting 67.84 1 I 2 : ---------- ------- _ . -17 See Page 2 .. ..._ tnk --- --------- ------ - - ' ---Adit.reS-S:462 VaitefATie NW Ste ..,,,,- _paael,nueiahuoorixtension ..,,,•,,,,,,,„,,,,,,•,,,..,,•,,,,•,,,,,•,...„,....„,____,,,,,,,,,, ' 1 -- ------, Each additional inspection over allowable in any of the above 1 City/Stare/ZIP: Puyallup.WA 9837l Aud,,,,,„,,11„„p„,,,,,„,0 1,,,,,i ) 1-(56,25fla I Phone:(253)872-6051 ...„_____...„„..„_„......__ ...,. Email:egentele@gweusa.com ____ _ Fax:(253)872-1801 Investigation(1 hr min) 90 00/hr Industrial lant I hr mm) 78.18/hr P ( ) i _ ____. Inspections for which no fee is 1 ..rs,,‘,, 90 00/hr 1 CCBLic,: 208174 1 Electrical Li .: CI 158 I Suprv. ..1 ‘Lic'.42.2_5" s 7„.. t''Al.., .!'!' r ,1.: ! 5,'!T!n,', —... Suprv.Electrician signature,required: „,,il , --1,t,;!4,,z;•,,. 74:.•t„' Sr Subtotal: _ ______ Print name: Russell Magnuson ,_„_,,,----------------___,,,, Date: 1_0 Plan Review RequIred(21u/nofiermitfee): - e- -------- - ''''',-- ----"m—" State surcharge(1.2%of permit fee): C • ' "). - ' 1 „ , TOTAL PERMIT FEE : Authorized signature: ,, ---. _, ' ANL ‘_.... .:: ." This Permit application expires if a permit is not obraineti within la° I Print name: Bill Daniels Imi.;;;---- days after it has been accepted as complete. I\BuildingTeconits\ELC_Pamir App_EL,R_Ekki dor.Rev 06/17/2015 440.46151111/05/COMPATII City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11155 SW GABRIEL ST, TIGARD, OR, 97224 September 10, 2019 at 1 :21 :00 PM Record Type: Record ID: Residential - Master Permit MST2019-00057 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11155 SW GABRIEL ST, TIGARD, OR, 97224 September 10, 2019 at 1 :19:03 PM Record Type: Record ID: Residential - Master Permit MST2019-00057 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11155 SW GABRIEL ST, TIGARD, OR, 97224 September 10, 2019 at 1 :23:25 PM Record Type: Record ID: Residential - Master Permit MST2019-00057 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. Violation Summary: Inspector Contractor