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Permit (85) CITY OF TIGARDII MASTER PERMIT COMMUNITY DEVELOPMENT 1 ""'7, Permit#: MST2019-00245 "'`' Date Issued: 07/11/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 -•. Parcel: 1S134BD13200 Jurisdiction: Tigard Site address: 12074 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 15 Project: Summerbrook, Lot 15 Project Description: New SF. 9/18/2019: REPRINT to add backflow device. 11/4/19: REPRINTED permit to include A/C unit. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2081 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 581 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2081 sf Value: $277,779.55 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: 2 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 Drywell-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: 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2081 Owner: Contractor: WILLOW CREEK LAND LLC WEEKLEY HOMES Required Items and Reports(Conditions) PO BOX 1060 1905 NW 169TH PLACE SUITE 102 WOODBURN,OR 97071 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $31,000.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling�/5503.2322.1987 or 1.800.332.2344.2.2..2, Issued By: _�/ 'T /t\� %` 71��I// �,.� � Permittee Signature: Y k 1 3.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard # ,'(.4 �,! Date O. Received By: Permit No.:fy III II 13125 SW Hall Blvd.,Tigard,OR 972 �+^' s' aU`y— ©a k Plan Review Other Permit: _ Phone: 503.718.2439 Fax: 503.598.190' �1 p Date;By: T I G A R D Inspection Line: 503.639.4175 `�®\I _Ida Date Ready/By:B furls V 4 y y: 0 See Page 2 for Internet: www.tigard-or.gov ,r",e."°t Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*arc based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition ❑Other: ."no!,ly or mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRtJ(iFlON 1 cj .',a'. RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling 0 Commercial/industrial f ccessory building For special information use checklist. ❑ Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: 12074 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 121st 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.:15 Other: 23.32 Other fuel appliances: Tax map/parcel no.:TBD 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-2081 sqft,3 bedroom 2.5 bath home with fireplace 23.32 581 sqft 3 car garage Log lighter(gas) 23.32 Wood/pellet stove 33.39 Ate )Oo(f`—a),2.1j ' Wood fireplace/insert , 23.32 . Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER Other: 23.32 ❑ TENANT Environmental exhaust and ventilation: Name: David Weekley Homes Range hood/other kitchen equipment 33.39 Address:1905 NW 169t6 Place Suite 102 Clothes dryer exhaust 33.39 City/State/ZIP:Beaverton,OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 ►:1 APPLICANT ® 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 169tt'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 169'Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Phone:(503)213-4415 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:213653 TOTAL PERMIT FEE S) This permit application expires if a permit is not obtained within 80 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Hannah Scharer Date: 11/04/19 I:\Building\Pernvts\MEC_PemvtApp_040113.doc 440-4617T(I1/02/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. 1:\Building\Pernuts\MEC_PermitApp_040 1 13.doc 2 CITY OF TIGARDMASTER PERMIT 11111--- : s Permit#: MST2019-00245,. COMMUNITY DEVELOPMENTr,, v 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 -j All Date Issued: 07/11/2019 TIGARD \ Parcel: 1 S 1348 D 13200 Ok \ Jurisdiction: Tigard Site address: 12074 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 15 Project: Summerbrook, Lot 15 Project Description: New SF. 9/18/2019: REPRINT to add backflow device. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2081 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 581 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2081 sf Value: $277,779.55 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 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 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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: 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2081 Owner: Contractor: WILLOW CREEK LAND LLC WEEKLEY HOMES Required Items and Reports(Conditions) O SOX 1850 44305-NW 488TH PLACE SUITE 102 WOODBURN,OR 97071 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $30,947.88 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ` Issued By: �.7��`�_ Permittee Signature: Z \\`G ,{N 1 �y� 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. 4 Plumbing Permit Application Building Fixtures trw FOR OFFICE USE ONLY City of Tigard . Received [� '' N- Plan ,/� Dale/By: -\i .CAC\tCt T Permit No. - 1�- e 13125 SW Hall Blvd.,Tigard,OR 97223 1 m Phone: 503.718.2439 Fax: 503.593.1960 Plan Review Other Permit No.: Date/By: Inspection Line: 503.639.4175 TIGARD Internet: www.tigard-or.gov Date Ready/By: hvis: 0 See Page 2 for Notified/Method: Supplemental Information .TYPE OF'WORK wt -,.:.-,::_. .1.c.'-.12,',,REE CHC)iJLE .,���,tii.Y.._� . . - � u�.�v� �e �. _. � ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: e.4% 'il-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY'OF-"CONSTRUCTION ;'.t U 1, 1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial - `b-)bath 437.78 0 Accessory building ❑Multi-family CA\7.7cSFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 t JOB.'SITEZINFORMATION 1ND LOCATION x,a Site utilities: Job site address: 12074 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.: I Project name:Summerbrook Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW 121"Avenue Rain drain cotmector 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 I Lot no.: 15 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Irrigation and backflow for lot 15 landscaping Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 " ® PROPERTY'OWNER ,-❑ (FENANT.,'. "4"1,;,,,,,A41;,.. Expansion tank 12.51 Name:Weekley Homes,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1905 NW 169"'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 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 169th Place,102 Sink/basin/lavatory 25.02 City/State/ZIP: Beaverton,OR 97006 Solar units(potable water) 62.54 RhtS j ti 3T>f1 Z -_ . Fh)(H -4-' 1 lits 1 p 1Z.5I ..- E-mail:hscharer@dwhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 q,i , .v� r. „ . . ,,. 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 Lia:193268 Plumbing Lic.no.: `a" i State surcharge(12%of permit fee) Authorized signature: �� 11-1 )1 I IS TOTAL PERMIT FEE Print name:/r- rr' ,�v.-, /tt]7//n / This permit application expires if a permit is not obtained within t80 days `�,/v Date:(J7�//moi (� after it has been accepted as complete. / *Fee methodology set by Tri-County Building Industry Service Board. I,Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COM/WEB( Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire ` . Suppression 1S. ystem ',ne . S .: Y,` xp � forea) paid-T, x ,, 1k mak', t ; Y1% p,„ mite- ,Sr ` s` , . . . ..3.r i :: �l ,t1, . .. . arfluare oq..,gea ,G '4,4cr ,� �_ :, fill44,t 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' 3752 Valuatloii* r44 gknit PeiLf 3, ' a i'64:e "'AM Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain each additional 100' 37.52 $5,001,00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for a ,, .W,,.��}, t a ee r { oa+ t each additional$100.00 or fraction thereof,to Oiii �nspec iOlit'�nXt� eIr t;* ,;r.. tai !War' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000,00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees* uanti b Fixtu Fa; r r Ill t ,tx ,Orlw, v *+*tPlan._on ..f.? , . g - ,.i.n , . .-r e' ,19 Sin, i 4,?°'r�,4. I S Replace/ r, Future Type for Plan review is required for any of the following. ,Wo�k'Performed: , b`r.{t `; is ql, °''pda`d Rclo,Ote. Please check all that apply. Baptistry/Font 0 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 -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuas defined in OAR918-780-0040. Dishwasher her Aspirator 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. -4.e ? "* � �i) er nfr� , “--4k114,444 sr e 4t� pl w!, , te.M , l..,.---44,r4v4, ,t; ,r,. Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related __ Ice Mach,/Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec,Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Closet-r Toilet Water Closet- 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 I COMMUNITY DEVELOPMENT Permit#: MST2019-00245 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2019 T lC;;l[if) 9 Parcel: 1S134BD13200 Jurisdiction: Tigard Site address: 12074 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 15 Project: Summerbrook, Lot 15 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2081 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 581 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2081 sf Value: $277,779.55 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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: 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: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2081 Owner: Contractor: WILLOW CREEK LAND LLC WEEKLEY HOMES Required Items and Reports(Conditions) PO BOX 1060 1905 NW 169TH PLACE SUITE 102 WOODBURN,OR 97071 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $30,912.86 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 y•u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR -001-009 Yo 'ay obt•' a cop of the rules or direct questions to OUNC by calling 5032.1987 or 1.800.332.2344. r Issued By: . A Permittee Signature: 'tee Ri % CEP x all 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 9 Residential FOR OFFICE USE ONLY City of Tigard JUN 1 7 2019 Date/Bea ���e 'ii1g 13125il hnSW Hall Blv.24 9 Tigard,OR03 97223 Iiii II 19 - Plan Review/_Mira ,�� Phone: 503.718.2439 Fax: 503.598.1960 t: Date/B : l ,EM 'L ice'i�„L I'I G n R I) Inspection Line: 503.639.4175 DU; . ,, ,, . ,r,;,) Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK >� • UV 1 t '10 t I'll ' t 1' ®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 CATEGORY OF CONSTRUCTION work indicated on this application. ' D-11,� ® 1-and 2-family dwelling Valuation: 0 ❑Commercial/industrial ElAccessory building ElMulti-familyNumber of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms:)3 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 'Z VOS Job site address:12074 SW Summebrook Ln New dwelling area: 2081 square feet City/State/ZIP:Tigard/OR/97223 Garage/carport area: 581 square feet Suite/bldg./apt.no.: Project name:Summerbrook Covered porch area: 87 square feet _ Cross street/directions to job site:SW 121°t Ave and SW Summerbrook Lane Deck area: square feet Other structure area: 60 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST= Subdivision:Summerbrook I Lot no.:15 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 ! 'v. . `DESCRIPTION OF WORK t.---**-°4-- , _ work indicated on this application. New Single Family Home to be built-2081 SQFT 3 Bedroom,3 bath with 581 SQ Valuation: $ FT 3 car garage, Existing building area: square feet New building area: square feet ® PROPERTY'OWNER .- ❑}TENANT;;. :. .. Number of stories: Name:David Weekley Homes Type of construction: Address:1905 NW 169th Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: Y 0 APPLICANT OCONTACT PERSON ` BUILDING PERMIT FEES* *"'.,', Business name:David Weekley . .'(Please refer tofeeschedulee) 0. .. '" y H omes 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/ZIP:Beaverton/OR/97006 -- - Phone:(503)213-4415 Fax::( ) .: L ,A_ EPHOTOSTAIC SOLAR? STEM S E-mail:mschiedler@dwhomes.com ,. CO, --+ + . Commercial and residential prescriptive installation of P .. „. 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. City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $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: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Michele Schigdle Date:5/22/19 *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 ReceivedDate/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 IIPhone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 '4 Electrical ® Plumbing D Mechanical 1 IGARI) Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es N° yia 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ® 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. Z 0 0 3 Verification of approved plat/lot. ® 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. Z 0 0 9 Erosion control ®plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ►1 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size attached to the plans with cross references between plan location and details. Plan review cannot be completed i sheet P I copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if Z 0 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 ® 0 0 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- Z 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Z 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- Z 0 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 Z 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 El systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ® 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ® 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required Z 0 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_on and shall be shown to be a.I 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. Z 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. Z 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. Z 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. ® 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 El 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, 0 0 El including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigardd Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: t> Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK" ,-,COMMERCIAL FEE*;SCHEDULE–.USE CHECKLIST �.�.., . _n e. ... �.... Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION ` RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Z 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:12074 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.:15 Other: 23.32 Other fuel appliances: Tax map/parcel no.:TBD 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-2081 sqft,3 bedroom 2.5 bath home with fireplace 23.32 581 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 .. Other: 23.32 PROPERTY OWNER ❑ TENANT, < Environmental exhaust and ventilation: Name:David Weekley Homes Range hood/other kitchen equipment 33.39 Address:1905 NW 169th Place Suite 102 Clothes dryer exhaust 33.39 City/State/ZIP:Beaverton,OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)2134415 Fax:( ) Attic/crawlspace fans 23.32 ®',.PLICANT ® CONTACT`pPERSON 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/Stat /ZIP•Beaverton/OR/97006 — --Water heater- — — Phone:(503)213-4415 Fax::( ) Fireplace Range E-mail:mschiedler@dwhomes.com Barbecue CONiR.1( 'OR' Clothes dryer(gas) Business name:David Weekley Homes Other: . ., MECHAINIC,AL PERMIT FEES* Address:1905 NW 169th Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lic.:213653 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:Ken Puttman Date: ( L 1 I:�Building�Permits\MEC_PemvtApp_040113.doc 44-4617T(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_040113.doc 2 Electrical Permit Application Fol%oFFR•h: t st:ON I.). City of Tigard Received : Permit#: IN • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 it Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: T I G A RD Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ;.i*OE>DE.WORI+r. '_ .. t'LA' REj'IEW .. , . \� J ®New construction ❑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. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. -':;.:CATEGORY OF:CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or • JOB SITE INFQ1RMATIt?Ai'AND.I.:OCATIOIY=. i,," 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#:68020015 Job site address: 12074 SW Summerbrook Lane 100HP or more. ❑"A"."E","t-z","1-3 Cit /State/ZIP:Ti ard/OR/97223 ❑Six or more residential units. occupancy. y g 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Summerbrook 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:SW 121st Ave and Summerbrook Lane : 'FEE SCtIEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision:Summerbrook Lot#: 15 Includes attached garage. Tax map/parcel#:TBD 1,000 sq.ft.or less 1 168.54 168.54 4 Fa.add'l 500 sq.ft.or portion 3 33.92 107.76 t DESCRIPTIQN OF WORK ' Limited energy,residential (with above sq.ft.) 75.00 2 New single family home to be build-2081 sqft,3 bedroom 2.5 bath home with Limited energy,multi-family 75.00 2 581 sqft 3 car garage residential(with above sq.ft.) . ., Renewable Energy 0 See Page 2 PROPERTY OWNER Services or feeders installation,alteration,and/or relocation Name:WEEKLY HOMES LLC 200 amps or less 100.70 2 Address: 1111 N POST OAK ROAD 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:HOUSTON TX 77055 601 amps to 1,000 amps 301.04 2 Phone:(503)213-4415 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 APPLICANT. : . 'f CQ1 `1C`P.PERSQN A.Fee for branch circuits with Business name:David Weekley Homes above service or feeder fee, 7.42 2 each branch circuit Contact name: Michele Schiedler B.Fee for branch circuits without sAddress: 1905 NW 169th Place Suite 102 branch cit feet fee,first b 56.18 2 brat City/State/ZIP:Beaverton/OR/97006 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4415 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: mschiedler@dwhomes.com Reconnect only 67.84 2 >. ...:.CONTRACTOR -: Pump or irrigation circle 67.84 2 r 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, panel,alteration,or extension. City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)523-9060 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr Email:andreap@garnerelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 121159 Electrical Lic.: - ,5C Suprv.Lic.: 3707S specifically listed(4 hr min) :`EI ECTIttCAL PERMIT'I"EE$ Suprv. Electrician signature,required: Subtotal: Print name: Charles Gamer ,,1147/ . . 6/4/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: %S TOTAL PERMIT FEE: `'�f This permit application expires if a permit is not obtained within 180 Print name: Andrea Phillips Dat : 6/4/2019 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(II/05/COM/WEB Plumbing Permit Application • Building Fixtures IOIt 1/1 rl( 1 I ,I OvI.1 City of Tigard Received Permit No.: ill III13125 SW Hall Blvd.,Tigard,OR 97223 PlanReview Date/By: Plan Re Phone: 503.718.2439 Fax: 503.598.1960Date/By. Other Permit No.: 1 1 t. \It a Inspection Line: 503.639.4175 Date Ready/By: Juris: 65 See Page 2 for IInternet: www.tigard-or.gov Notified/Method: Supplemental Information '' .. . .... . ..... . . _...TYPEOFWORK - .... .. . ........,. .. _ . . _.. ... . .. FEE'..SC ..-...... .-. .. ..:........ .. • ®New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I 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 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 437.78 buildingSFR(3)bath 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 1 25.02 25.05 0 Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:12074 SW Summerbrook Lane Catch basin or area drain 18.76 City/State/ZIP:Tigard/OR/97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:230) Page 2 87.55 Suite/bldg./apt.no.: Project name:Summerbrook Manufactured home utilities 50.03 Cross street/directions to job site:SW 121st Ave and SW Summerbrook Lane Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Summerbrook I Lot no.:15 Fixture or item: Tax map/parcel no.: 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 2081 sqft 3 bedroom,2.5 bath with 581 sqft 3 car garage Dishwasher 1 25.02 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:1111 N Post Oak Road Garbage disposal 1 25.02 25.02 City/State/ZIP:Houston TX 77055 Hose bib 2 25.02 50.04 Phone:(503)213-4415 Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:David Weekley Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Michele Schiedler 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 Solar units(potable water) 62.54 ---Phone:-(583)-213•4415- - fax:-:-( - T 12.51 25 024 E-mail:mschiedler@dwhomes.com Urinal 25.02 CONTRACTOR Water closet 2 25.02 75.06 Water heater 1 37.52 37.52 Business name:Malmedal Plumbing Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks/OR/97106 Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: (:),./t it/1.I A /t/1 ttal- . / /I 'ate: i/141 j C 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. 1:1Building\PermitstPLMU-PermitApp.doc 10/01/09 4411-4616T(10/02/COMIWEB) City of Tigard illiq COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 G A D Building Permit Review — Residential ' BuildingPermit #: 7;�sjl?— p2115— Site Address: 12,47 Si ,it,,r r.^Uml(- Ln Project Name: SUMi.‘vvb.zzit Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Piro sal: Jt+„i SF`s " Lodi “IFT e3 64, 3 ,4k t,,_,,_i�A ¶ SCCT 3 -(4,r Jar49e Lt" Verify address/suite# active in Accela. Tem River Te •-: L No ❑ Yes,River Terrace Review Addendum Sit Ian Elements: 1 �p.osion Control opies of site plan on 8-1/2"x 11"or 11 x 17"paper ained trees with drip line and tree protection measures I/. P awn to scale(standard architect or engineer scale) lot .•tprint of new structure(including decks) and FFE 5 •rth arrow 1! a.ty locations&easements(required for new and additions) IP je address,project or subdivision name and lot number I idewalk/driveway approach E pplicant information(name and phone number) pPi,: ation of wells/septic systems la •t dimensions and building setback dimensions �,lt treettrtree size,type and location re.:.are footage of buildings to be demolished [l, $ t t names M Existing structures on site Ntorner elevations (2'contours if more than 4'dif_f_er tial) 1 ,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? LKYes ❑No ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ]No LTJ Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): b /atti LA 1-4 quired: CIYes,applicant was notified Xe d LJ No Received: ❑ Yes ❑ No a At L'� Public Facilitie)Jmprovement(PFI) Permit: V. Required: NV Yes,applicant was notified ❑ No A p,i d For:rT•r t 'Yes ❑ No,stop intake r2Land O11Q1i0 ot (� � ��'�y4vUse Case#: 1� 1 ,' U 3 la 17- l� Zonin �` 'i ,� g� quired Setbacks: Front: Rear: ( Side: .S Street Side: I S Garage: 1 c I1 Building Height: Max. Height: '0 Actual Height: i C. "Landscape '.ea: % Or Lot Coverage Max),,� Lam Entrance P t back no more than 8'from street-facing wall " Parallel to street or offset 45 degrees or less Windows 0 ).. um 12%of area of all street-facing facades 12.,4S Y. J ..It 5 1 Garage L G door is behind widest street-facing wall ❑ Yes No,one of the following is met: Door extends no more than 5'from wall and there is a covered porch extending beyond garage. / ❑ Door extends no more than 5'from w U-and there is a 12 sq ft.window above garage on 2nd floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset 0 Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer -- .e ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony ual Clearance ►I, Urban Forestry nsitive Lands: ■ Yes No Type: 0oConditions met prior tip issuance of building permit Li.411-11‘, tn' (S- tr\t-Pt 4v ..liutANt LU' Approved By Planning: Cl -- Date: 6-41' 1-1 "7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: Site Plans: # _ Building Plans: # Building Permit#: nter buildin permit#above. Workflow Routing: X'-'Planning Engineering ermit Coordinator uilding Workflow Sign-off: )-Sign-off for Planning(include notest from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 7 . Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: 'if' AArid", Date: / Enineering Review i /Slope at building pad: Z LJ �Gonditions "Met"prior to issuance of building permit [Easements (encroachments)per engineering conditions of approval and plat X/ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes V-No Assess Water Quantity Fee in-lieu: ❑ Yes CIrNo LIDA Facility on lot: D Yes Z...-No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [Approved by Engineering: Date: ��1� Revisions (after Building Submittal only) / Reviewer Date Revision 1: ❑ Approved ❑ Not Approved 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: Revision Notice 2: Date Sent to Applicant: Rev sion Notice 3: vDDate Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: zY Yes ❑ N/A Tigard Trans SDC: es ❑ N/A Parks SDC: E Yes ❑ /A LIDA ❑ Yes Er N/A OK to Iss;: ordinator: Permit I� Approved by Date:"/2ilhr 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 III Transmittal Letter r!G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: )i,d y Permit-f- TCG S DATE mem DEPT: BUILDING DIVISION JUL 3 2019 CffY OF TIGARD FROM: 5c4-qrr-✓ BUILDING DIVISION COMPANY: fvrd , " t' . PHONE: (5 '3') .7 r ilo By: a� RE: i Q0-7/-1 SWf(dn irei r k Lan P( T Cq—CrIDLI5 (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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): 045-c,.,J 7,--pts,, s REMARKS: Routed to Pit Te ician: Date: -) '`j ti Initials: ''' Fees Due: YK0 No Fee Des' -p on: Amount Due: $ .bb (-- 2 kr-t-n ILIA,c.s, $ 14,S . $ -0e✓' ,---- Special Instructions: 4.----- Reprint Permit(per PE): 0 Yes No 0 Done Applicant Notified: Date: 7 & 5 Initials: ikk1 I:\Building\Forms\TransmittalLetter-Revisions_061316.doc