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Permit Support Document (33) Building Permit Application 7/26,4g K4 " Residential ' `ECEN '"`..'"'° FOR OFFICE USE ONLY City of Tigard DEC 1 2018 Received Date/By:/2 //)---_ .`167 /T---66 X360 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review // p� il II Phone: 503.718.2439 Fax: 503.598.1960CITY OF TIGARD Date/By: � l 1C• 1 4'A. • .e,,4:,, G U g1 TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: 4�f ► H See Page 2 for Internet: www.tigard-or.gov Noli$ed/Method:w( 4. ce z Of Supplemental Information ied....ELLIGAilla it/ r '— TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION ' =� ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: , 00 �y w/.(0/ I=1 Accessory building 0 Multi-family Number of bedrooms: 0 3 7Cii l8 [J Master builder 0 Other: Number of bathrooms: �� JOB SITE INFORMATION AND LOCATION Total number of fi)ors _-:4j '.' 7 Job site address:SW tabrieiCourt ° 1,61 G"r3 616316--t1 St New dwelling area: 2893 square feet b (2.2 City/State/ZIP:Tigard,OR q2 Garage/carport area: 678 square feet ( 1 U Suite/bldg./apt.no.: Project name:Willow Brook lot 1 Covered porch area: (square feet Cross street/directions to job site:99 West to SW Durham Rd. / l square feet Right on 113th AVE,Right on SW Gabriel Court Other structure area: mere feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:willow brook Lot no.: 1 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2.5 I 167\--.7)0 140 0(, Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. SFR ,4 bedroom 2.5 baths with 3 car garage,covered patio and entryway. Valuation: $ Existing building area: square feet e ._ se�ire. o �,v bk — bLl x 11 _ CSO2.f6S--- New building area: square feet ® PROPERTY OWNER El TENANTNumber of stories: Name: 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: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:Pacific Lifestyle Homes (Please refer to fee schedule) 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 dud upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)573-8081 I Fax: :(360)574-6401 Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permits@buildplh.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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 a 'nistrative fees): Phone:( ) Fax:( ) a State surcharge(1 /o of permit fee): $21.60 CCB lic.:173524 Total fee du t upon application: $201.60 Authorized signature: Alin /a/Vita This permit applica$ion expires if a permit is not obtained CCC/// \within 180 days atter it has been accepted as complete. Print name:Summer Dowell Date:10/18/18 *Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) wimmon Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: a Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 El Electrical El Plumbing ❑ Mechanical I I G n K D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 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. ❑ 0 ❑ 3 Verification of approved plat/lot. ❑ 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. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ 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- ❑ ❑ ❑ 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,fireplaet construction,thermal insulation,etc. 15 Elevation views. Provide eletions for new construction;minimum of two elevations for additions and remodels. 0 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide lans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 as.licable to the sro'ect under review. JURISDICTIONAL SPE( I FICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ 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 Applicatagn \� FOR OFFICE USE ONLY CReceived City of Tigard Permit No. 13125 SW Hall Blvd.,Tigard,OR 972 NanRe Date/By: ■ Phone: 503.718.2439 Fax: 503.598.1 C 1 2 2018 Plan Review Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juns H See Page 2 for Internet: www.tigard-or.gov CITY OF j IGARr) Notified/Method: Supplemental Information BUILDiNG TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: tl 1 �'A)�? + t 4 Air conditioning0 ,01 46.75 Job site address: Y ! UV Q-,1 t Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name:Willow Brook Duct work 1 23.32 Cross street/directions to job site:99 West to SW Durham Rd Hydronic hot water system 23.32 Right on 113th AVE,Right on SW Gabriel Court Residential boiler(radiator or Ri g � hydropic) 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 Lot no.: 1 Other: 23.32 C Other fuel appliances: Tax map/parcel no.: "�•J 1 J.1301 4 Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas SFR 4 bedrooms with 2.5 baths,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 Oth ® PROPERTY OWNER 0 TENANTS' 23.32 Environmental exhaus,and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 Address:11815 NE 99th ST Suite 1200 Clothes dryer exhaust ; 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(batrooms, toilet compartments,utility rooms) 5 23.32 Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 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 Phone:(360)573-8081 Fax: :(360)574-6401 Fireplace f Range E-mail:permits@buildplh.com Barbecue 1 CONTRACTOR Clothes dryer(gas) Business name:Area Heating+Cooling Other: MECHANICAL PERMIT FEES* Address:2721 NE 65th Ave Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)737-0811 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 �n� Q days after it has been accepted as complete. Authorized sit tare: r i l>v► ul * Fee methodology set by Fri-County Building Industry Service Board Print nam-• Date:10/18/18 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) 15 . 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 tieCir lit l81R-...Ap 1 cbiL1C!tr FOR OFFICE USEONLY ��� " ,. CityO �'I dt't� Received Permit b: f Date/By. Er 13125 SW Hall Blvd.,Tigard,OR 97223 ED n Plan Review Phone: 503.718.2439 Pax: 503.5i�.��t?0 12 2018 Date/Bv: Related Permit N: Inspection bine: 503.639.4175 heady Date/13y: Juris ( 0 See Page 2 for TICARll _ Notified/Meihod'� J Supplemental information Internet: www.tigard-or.gov �_- --- CITY OF i I GARIJ TYPE flUVIANNG DIVISION PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑ Demolition ❑Other: 0 Service or feeder 400 amps or more p Building over three stories where the available fault curresrl 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling IDCoumnercial/industrial ❑Accessory building less to ground,or exceeds la,000 pcommercial-ase.Igrit:aln}rat amps for all other installations. buildings ❑ Multi-family ❑ Master builder ❑Other: 0 Fire pinup 0 Installation of 150 K VA or JOB SITE INFORMA"l'ION AND LOCATION ❑Emergency system. larger separately derived • ❑Addition of new motor load of system Job If^:_ 1.1ob site address: 4 510 bai9rld _ I00M'or more. ❑"A" "F"' "i-2' "I-3 , ❑Six or more residential units occupancy. City/State/ZiP: ✓ 0 Recreational vehicle parks. -----------...___._ 1 ( _F� �1 �� _ -,-_.__ ❑IicalOrarc facilities.5- Suite/bldg,/apt.#: Project name: 0 Hazardous locations. ❑Supply voltage for mate than _ 600 volts nomimd. ❑Service or feeder 600 amps or more Cross street/directions to job site: !/ t,,1Q 7 k, FEE SCHEDULE //�J�) ` ' 1 W Description i Qty. i Each I Tot i [ " l ILDQYX.I 1� t_ �� r- -pYI '.. New residential single-or multi-family dwelling unit ',rota � __-._.... Subdivision: 1/0 1" , v Ok_-� I,ol 4: j Includes attached garage. _ - � ' 1 S 2 14DD 1,000 sq,li.or less 168.54 I( 4 Tax map/parcel#: (� -_.-,--, Ia.add'I 500 sq0 or portion _�;I�} 33 92 06,2-11 DESCRIPTION OF WORK Limited energy,residential 75.00 2 ((__ � p (with_ above sq.0..).) ��,_� I:X �`c�' I%�7�VL J 2 g�� .� Limited energy,multi-family 75.00 2 p,NIf. 0 residential(with above sq.t.) t.t7y CnT7 Renewable Energy 0 See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:--PQ G �g�j{� ' rn�S- 200 amps or less 100.70 2 Address: ( 'VS-- V qqa 4E, • Sw,,(,( :e.., 12_.00 201 amps to 400 amps I♦ 13356 13351p 2 + � vp� 401 amps to 600 amps 200.34 2 City/State/ZIP: Lilu 1, -€Yj,1,4 l SLP '2 1 601 amps to 1,000 amps 341.04 2 Phone:te)) 4-• ©S\ 7 Fax:( ) Over 1,000 amps or volts 55226 2 ��� Temporary services or feeders installation,alteration,and/or ;-� Email: 'm l �i,t.:A �rn relocation _ Owner installation:This installation is being made on property that I own which is not 200 amps or less 4 5936 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 ® APPLICANT ® CONTAC"I' PERSON Branch circuits--new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Pacific Lifestyle Homes above service or feeder fee, 7 42 2 each branch circuit `4 Contact name:Permit Coordinator B.Fee for branch circuits with Id service or feeder fee,first Address: 11815 NE 9911'Street,Suite 1200 branch circuit 56.18 2 _ 4-- City/State/ZiP:Vancouver,WA 98682 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)573-8081 Fax::(360)574-6401 Each manufactured or modular 67.84 2 Email:per build Ih,com dwelling,service and/or feeder P P Reconnect only 67.84 2 CONTRACTOR Pump ur irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67 84 2 — — - Signal circuit(s)or limited-enclgy ❑ Sec Page 2 2 Address:2920 SE Brookwood Ave,Suite A panel,alteration,or extension. City/State/ZIP:Beaverton,OR 97006 Each additional inspection over allowable in any of the above -.-_ Additional inspection(t In min) 66.25/hr Phone:(503)648-4552 Fax:(503)642-7925 Investigation(I hr Irtin) 90.00/hr Email:nnnorato@garneretectric.coru - industrial plant(I hr min) 78.18!hr _- Inspections for which no fee is 90,00/hr CCB Lie.: 121159 Electrical L'..: -305C Sup fv.Lie,:.3-7 in 5 specifically listed('Fu hr thin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,require . Subtotal: Print name: Chuck Gamer x'' Date: lv-1 -!-j y CI Plan Review Required(25%ofpermit fee): -- , -,iii," .. State surcharge(12%of permit fee): Authorized signature: JA - "I'OT'A],PERMIT FEE: ///��� i 'this permit application expires if a permit is not obtained within 180 [ Print name: C�.n,/s,o / `k'- Gif Date: (0 `f q—1 y days after it has been accepted as complete. inspections per permit.Number nber of of inspections allowed allowed per permit. I nuilding't'ermil'OFl.0 Pennil:lpp 1)1.R ERR doe Rev Cm17/2015 440-4615T(I Il05/COMAVEn Electrical Permit Application—City of Tigard Page 2---Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: _ RESIDENTIAL WORK ONLY: FEE SCHEDULE ne5cri lion =Er Each _I Total I ` Fee for all residential systems combined: $75.011 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 PI --------------.-�_..__...__._-------------------- Audio and Stereo Systems* 15.01 to 25 tea 200.34 2 Wind generation systems in excess of 25 kva: I Burglar Alarm 25.01 to 50 kva 301'04 Garage Door Opener* 50.01 to 100 kva 552.26 z.... >100 ken(fee in accordance 552.26 2 with OAR 918-309-0040) — [1 H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* ---- Each additional kva over 25 7.42 3 I 1 V• acuum Systems* >100 ken—no additional charge 0.0 3 Each additional inspection over allowable in anynl'the above:_ [ i Other: Each additional inspection is 66.251 hr 1 charged at an hourly(1 hr min) Inspections for which no lee is 90.00/hr specifically listed(A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: I I Audio and Stereo Systems ❑ Boiler Controls Li Clock Systems I I I Data"Telecommunication Installation Fire Alarm Installation HVAC I Instrumentation U Intercom and Paging ystems hI L• andscape Irrigation ontrol* Medical ❑ Nurse Calls I Outdoor Landscape Lighting* 1 I Protective Signaling ri O• ther: Total number of commercial systems: _w *No licenses are required. Licenses are required for all other installations I'd5uildiag\t enniieJ LCjet mil App_ELR_ERE doe Rev Oa/17:2015 Plumbing Permit Application 1 Building Fixtures RECEJ 'I FOR OFFICE USE ONLY City of Tigard Received Permit No.: 14 _ III13125 SW Hall Blvd.,Tigard,OR 97223 201 Date/By: Plan Review 1 ll Phone: 503.718.2439 Fax: 503.598.1960 CITY Other Permit No: Date/By: _ Inspection Line: 503.639.4175 (''F IGAR�3 Date Ready/By: pus: ® See Page 2 for TIGAKD Internet: www.tigard-or.gov BUILDING DIVISION Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath .5 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Q 12)14- 61,0 63l�PJ h 4 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.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Willow Brook Manufactured home utilities 50.03 Cross street/directions to job site:99 West to SW Durham RD Manholes 18.76 Right on 113th AVE,Right on SW Gabriel Court Rain drain connector 18.76 Sanitary sewer(no.linear ft.:<100) I Page 2 Storm sewer(no.linear ft.:<100) 1 Page 2 Water service(no.linear ft.:<100) I Page 2 Subdivision:Willow Brook I Lot no.:1 Fixture or item: Tax map/parcel no.: 2.5 1 'S ®1411) Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 SFR 4 bedroom 2.5 bathrooms with 3 car garage.Covered patio and entryway Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11815 NE 99th ST Suite 1200 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)573-8081 Fax:( ) Ice maker r 12.51 ►1 APPLICANT I CONTACT PERSON Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator j Roof drain(commercial) 12.51 Address:11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 4 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax: :(360)574-6401 Tub/shower/shower pan 3 12.51 E-mail:permits@buildplh.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name:Lippold Plumbing and Heating Inc. Water piping/DWV 56.29 Address:PO Box 895 Other: 25.02 City/State/ZIP:Boring,OR 97009 Subtotal Phone:(971)404-7012 Fax:( ) 7t/f L Minimum permit fee: $72.50 CCB Lic.:201597 Plumbing Lic.no.:PB141,7 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: _ / f / / 00 TOTAL PERMIT FEE Print name: SO/MO `'V ) . 1,t1!_A2_? /Date:10/18/18 This permit application expires if a permit is not obtained within 180 days t after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Perntits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) I Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1s`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: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 111 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thni ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram isrequired for new buildings Garbage -Domestic-non-food gg 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 Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:\Job Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot l\Periits and Inspections\PLB_PermitApp.doc Dianna Howse From: Dianna Howse Sent: Friday, July 26, 2019 2:30 PM To: Summer Dowell Cc: Samantha Zimmer;#Building Permit Technicians Subject: FW:Willow Brook, Lot 1 - Plan Review Fees Due on MST2019-00342 Attachments: MST2018-00342.pdf Importance: High Hi Summer, Just a reminder that the plan review fees for review completed prior to voiding this permit on lot 1 are still due in the amount of$754.26 (see attached invoice). You can pay the fees online at https://aca.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2019-00342 under the Building tab, or in person Monday-Thursday, 8:00 am to 4:00 pm. Thank you and have a great weekend! Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Dianna Howse Sent: Monday,July 1, 2019 4:40 PM To: Summer Dowell <SummerD@buildplh.com> Cc:Samantha Zimmer<SamanthaZ@buildplh.com>;#Building Permit Technicians<TigardBuildingPermits@tigard- or.gov> Subject: Willow Brook, Lot 1 Importance: High Hello Summer, .. .,S;`1 In our system we show where permits were submitted for lot 1 in 2018 (MST2018-00342/SWR2018-002 Brand 2019 (MST2019-00094/SWR2019-00077). The 2018 permits have now been voided for the plans that replaced it in 2019. The 2018 had plan review completed before the 2019 replacement plans were submitted, therefore plan review fees are still due on the 2018 permits (see attached invoice). These fees can be paid online at https://aca.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2018-00342 under the Building tab, or in person Monday-Thursday, 8:00 am to 4:00 pm. Please note that there were demo credits for transportation and parks applied to the 2018 permit that need to be redirected to another lot after the balance due is paid for the plan review fees. Please let us know which lot number or permit to apply these existing demo credits towards. Thank you. Dianna L. Howse 1 k i Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503'718'Z430Direct | SO3'718'J439Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule," 2 CITY OF TIGARD FEE AND PAYMENT HISTORY ' 13125 SW Hall Blvd.,Tigard OR 97223 1111 ' 503.639.4171 TIGARD MST2018-00342 - 11314 SW GABRIEL ST, TIGARD, OR 97224 Willow Brook, Lot 1 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Additional Plan Review 230-0000-43106 $45.00 $45.00 $45.00 DC Provision Review, SF-Ping 100-0000-43112 $98.00 $98.00 $98.00 Plan Review 230-0000-43106 $1,356.85 $1,356.85 $751.34 1/14/2019 Check 420957 $605.51 Plan Review 230-0000-43106 $5.75 $5.75 $5.75 Totals for Fees $1,505.60 $1,505.60 $751.34 $754.26 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 420957 Check 26793 Pacific Lifestyle Homes, 12/31/2018 $751.34 Inc. Total Payments: $751.34 Balance Due: $754.26 ,' -' City of Tigard 1,.',,t t COMMUNITY DEVELOPMENT DEPARTMENT ,; Building Permit Review — Residential Building Permit #: AS 70+0( ----00c311.4 Site Address: I13)4 SVV 6abYu f aree.f' Project Name: WAIL"j 8roo L (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: 1 Planning Review Proposal: New 6,p12-' 'Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: 'j No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan MAExtsting structures on site ictl.Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations SkNorth arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number XI.Sidewalk/driveway approach Applicant information(name and phone number) �.ot dimensions and building setback dimensions Fcation of wells/septic systems xisting trees to be retained with drip line,and tree j quare footage of buildings to be demolished IP .tec s.i ii- c.ot area,building coverage area,percentage of coverage and " impervious area(applicable if R-7,R-12,R-25&R-40) see size, r a and locatio treet names Lroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Y ❑No 4 f of differential) Ip�1 If yes,is a storm water quality facility shown? e�'"esl ONo EV Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: Igi Public Facilit,ie Improvement(PFI)Permit: ❑ Yes ❑ No Required: I Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake [ and Use Case#: Sv6�j6.—000i1 - -os Ly' Zoning: `�i ��"� �� ��bp equired Setbacks: Front S Rear � Side IS Street Side �� Garage zo ________ 1 -L %andscape Requirement: C of Coverage Maximum: i V� coil Height: Maximum 7 Visu Clearant:e Height `�S Actual Height 1 ii• :ensitive Lands: iSrYes ❑ No Type� gLow Mhz Iv 1-L UrbanForestryPlan INV Vl V Conditions "Met"prior to issuance of building permit ores: PD N0 I.SS1,16 WJTLL ?LANNLPIG Hciey hs kuIRC. (° 1 ELTED PLAT N"ds i C. hi �,-ict c Approved By Planning: 'kr Date: 1 2,-II-[s) Revisions (after Building Submittal only) Revision 1: ❑ Approved 0 Not Approved Reviewer Date Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 2- 0 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering 'P.-Permit Coordinator ,,Building Workflow Sign-off: Sign-off for Vianning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1)site plan, (1) building plan and original plan review routing form. **Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: n /I. , . teapor Date: � By Permit Technician: //.�, =' Engineering Review slope at building pad: 3%4 Conditions"Met"prior to issuance of building permit easements (encroachments)per engineering conditions of approval and plat E Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes [ No Assess Water Quantity Fee in-lieu: 0 Yes a-No LIDA Facility on lot 0 Yes ©'No a Final Plat Recorded: Date: 0 NOT Approved by Engineering: Notes: J -A rovedEngineering: I�f vJ r e:A. */L. Date: l— 5-/9 PP by 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 0 Approved,NOT Released: Date: Notes: ow.I" / , _L" , ;va _..., F ,Ilrl Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revis., Notice 2: Date Sent to Applicant: : -vision Notice 3: Date Sent to Applicant: VA SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: ,� ❑ N/A Parks SDC: Yes ❑ A LIDA 0 Yes VN/A A VOK to Issue Permit �/ Approved by Permit Coordinator: Date: y IABuilding\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 N41 s Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigardwor.gov ATO: t t 3m, DATE RECEIVED: DEPT: BUILDING DIVISION ED FEB 7 019 FROM: curY\YY1 f', 91-y ARD COMPANY: ` Gi ct C.aU-1 e_ PHONE: U� 7 By: RE: ) 13 S1-4) ` 7467n `i. 1i st 7" 1 0031-2— (Site Address) (Permit Number) VUlk-) 4v- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 2- Revisions: b,10- k.,\ 5 ;s (,, b( Cross section(s) and details. Wall bracing and/ol laferal analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFF/CE USE ONLY Routed to Wit Tec ian: Date: a/ (f1 1 Initials: AA- Fees Due: Y I No Fee Descnption. Amount Due: 7 f c�� I $l00vn 14s- Special f5Special Instructions: Reprint Permit(per PE): ❑ Yes Nov n Applicant Notified: VDate: �(02--_ / Gj Initials / I:\Building\Forms\TransmittalLetter-Revisions_061316.doc o GENERAL NOTES 1. TOPO LINES AND ELEVATIONS ARE STREET TREE PER APPROVED APPROXIMATE. CC`- TREE MITIGATION PLAN m (FLOWERING DOGWOOD, GRAPHIC KEY `Q S.W. GABRIEL STREET _ _ _ _ MINIMUM 1Y2"CALIPER) El WATER OR WELL CONNECTION H� T I ON-LOT TREE PER APPROVED O SEWER OR SEPTIC CONNECTION (V I 30'-0" (R TREE MITIGATION ASH, ION PLAN O E ELECTRICAL CONNECTION CD 4tN i o E W J ; o 1 I MINIMUM 1Y2"CALIPER) (SW) STORMWATER CONNECTION N W ImoE CLU ❑WN / j AREAS �mPo a _= m b \ L=21.99' LOT AREA 6,324.28 S.F. N m E F i 2'o N N = a �.` R=14.0' ROOF DRAINS&LOW BUILDING COVERAGE 2,749.08 S.F. ic;= S 89°58'02"E. w° F' 0/0/ 47.38' l 1 C- + POINT DRAIN TO CONNECT % COVERAGE 44.09 Z o Z 158' t 158' �' TO STORM LATERAL _ IMPERVIOUS AREA 610.00 S.F. �,00ac? W V A Z,,,3 3 / - m,_<--.- .->115 a 5 S j Q L=3—.66'— ; o CONCRETE o' \�- -. \i'' SIGHT-DISTANCE W W d `' DRIVEWAY . TRIANGLE 28'-0" PP H O ."- T - W WI Y 10 1l, r 0' rigw/ 0 I I I I Z 0 I I I I I W Iib O Z' L---i I 1 „„ r� 1- CO** O L J Qcz r n V 0 5'-0" 50'-0" ;0'-0 2"" 27'-0" = V --.-...1 M Et: v_ H t_ _w Ea 2893 Uj o F.F.E.=158.0' o •11-+ z o a) " W 8'-0"P.U.E. J 12'x6'COVERED I I V 0 PATIO •— _ -1' r 0' 2'V 1es L, I 41.i z `sJ 'ci, T-0"R.O.W. Q43 m J O c 156' N 89°42'00°W 65.05' 156' N Co b I cn05 CITY OF TIGARD g W J Approved by Planning oo � Date: 17.11-t SCALE: 1"=20' initials: S(.,.