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Permit (205) CITY OF TIGARD ,e MASTER PERMIT 1 COMMUNITY DEVELOPMENT (l /,�� Permit#: MST2019-00301 1E T 16 A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2019 Parcel: 2S115AB06300 Jurisdiction: Tigard Site address: 11489 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 8 Project: Willow Brook, Lot 8 Project Description: New SF. 8/28/2019: REPRINT permit to add irrigation backflow. 10/9/19: REVISED to remove second washer and add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1971 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1242 sf Garage: 708 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3213 sf Value: $427,964.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 2 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 6 201-400 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 3213 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: $35,780.50 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 i uance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi on Center. Those rules are set forth in OA 952-001-0010 through OAR , 01-0 . You obtain a cf py of the rules or direct questions to OUNC by calling 3.232.1987 or)1.8800.33322..23 /} Issued By: L ,�2'� Permittee Signature:L it-k ik i 1_ ".e 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. CITY OF TIGARD f MASTER PERMIT IIIa '; COMMUNITY DEVELOPMENT /tet /y Permit#: MST2019 00301 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2019 T t '�1�. g Parcel: 2S 115AB06300 Jurisdiction: Tigard Site address: 11489 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 8 Project: Willow Brook, Lot 8 Project Description: New SF. 8/28/2019: REPRINT permit to add irrigation backflow. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1971 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1242 sf Garage: 708 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3213 sf Value: $427,964.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 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 3213 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) -.—_—Items te-toxret ST STE 1200 ,-_ _ — - VANCOUVER,WA 98682 VANCOUVER,WA 98682 1 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $35,780.50 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 j 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 throu AR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.199,d/503.232.1987 77—or 1.800.332.2344. Issued By: �e' Permittee Signature: UOA/ ` �� 7 e� 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. 11,1 I . CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00301 T I G A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2019 Parcel: 2S115AB06300 Jurisdiction: Tigard Site address: 11489 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 8 Project: Willow Brook, Lot 8 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1971 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1242 sf Garage: 708 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3213 sf Value: $427,964.82 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 6 201-400 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 3213 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) --1/8/5 NE VIM STE 1200 VANCOUVER,WA 98682 1181b NE'99TH ST#1200 1 Ersn CnM 503-639-4175 VANCOUVER,WA 98682 PHONE: 360.573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $35,745.47 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t e rules adopted by the Oregon Utility Notifi -ion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You y obtain a py of rules or direct questions to OUNC by calling 03.232.1987 or 1.800.332.23' Issued By: Permittee Signature: ,41 .ii 'L. / / 6 Call 503.639.4175 by 7:00 aI'‘‘ .m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential •= '` a"' FOR OFFICE USE ONLY Received City of Tigard PermitNo.. "� g Date/By: t S. 5\ .3��'USJL� 13125 SW Hall Blvd.,Tigard,OR 97223 o! 1 q °�' (ii 19 Plan Review q Phone: 503.718.2439 Fax: 503.598.1960 i° e Date/By: I 1 1 ' Other Permit-A 0 1-I G n R t) Inspection Line: 503.639.4175 t t r. Date 'eady/By: / i,,Juris: See Page 2 for Internet: www.tigard-or.gov a ied/Metho�II �`i t, Supplemental Information SRI �»-.mw ms r ,a x rr' // r 7777; `7,77.. :-. �, s °" ,/. - r¢: , � �° ; :lb 9 p{s,,, 5J 0, #4 i ' „ ,f*' x' r+ r'' o„r fv r:� ,s''� F ✓f:&4,f,^} u' ..,"' 1 ,F r;f`,F'$�^" �`, .n,fF�^rr r, F 9�a# „,. $$ 9 �' .a.;,? A�,a �'��e.�.,,.'Gbr.��'ilc'.':� ,.��,��,::a,� -s,�a,+��:.,��ri��,fiE„x..k � ,..r,rFs�F��... ..^,r,,r}�„^, .;�r..«. ,l-, Fn Y.�`�r r,. �r.rt .,,.;=%�r^r, h;�.r .. . a:;;.�"��,.�.. ..,r ;:;'..,..� ®New construction El Demolition 7 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the of 4p,Aw„ F % �,or,f t r,F��F , i:' � b 4 ,, !` 4" . r 4', work indicated on this application. i'" Valuation: .S36011(gr 1127,'((oH _ 1-and 2-family dwelling El Commercial/industrial ElAccessory building El Multi-family Number of bedrooms: 4 0 Master builder ❑Other: Number of bathrooms: 3 r r io r 1 0 B°r!'1: :'i'; :t Ri � ,f Total number of floors: 2 31 Job site address: 11489 SW Gabriel St New dwelling area: 3213 square feet t�,y a„ City/State/ZIP:Tigard,OR Garage/carport area: 708 square feet 1 CI„ Suite/bldg./apt.no.: I Project name:Willow Brook 8 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 44 •i ! 1X11 s i I Is9 l i Subdivision:Willow Brook Lot no.:8 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S115AB06300 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the F f J m re..04 f r 'r''Y,S Ar , ',' f rl,” m; Z" 4/ ^5 Fl r r �, i ,,, t. tt ., # i r r work indicated on this application. ,. ^., �. , „� a��',': �sa�f..�ir�`�� r�;.,u „,uel�..!;,i„„'f,,,.,r. ��'��.:.r^F.Y^,,,,Ff�;.� rr,�F�,. New SFR 50'x 57'4 bedroom 2.5 bath with a 3 car garage.Covered patio and Valuation: $ r' covered entryway Existing building area: square feet New building area: square feet r ?' , r 7,:e�f,Y, /.'i;V � ax ..: r ft ,'' r„ �r, g , v�, r Fs, *rVt OrA:� �yrWur � TP:; MIIII Number of stories: 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: 1 7� r7t;r� rrfny" "1r ' itg F' r sem .Fy ^,Ass r . n1" r // , tl.,�, a s �`II N rsx �, f, , � � e^,:^ � z , s, ,„7,..:&,,,,,,4k,6,--.7. 1,,t r,. rrs � � t) ,4 UN * r t s %1 ' rnr �; r,te' "sf" �'z, 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 Fax: :(360)574-6401 E-mail:permits@buildplh.com e A0 #,-.1! s 1 , , °�w sr 4 :: {P� . ,fi, ;�, t1- c. Commercial and residential prescriptive installation of ;^/,x' :fs,f, rlr ,'J Fr 74 s r �1 X17 1r sir a 'i'1 f CA rrr ✓-`gr.7fI ,, ^^ „^ �� ,,^,�, �r „rf ,. � �,� _ y ., xrr ��,, ^�;f , �,,,,;,,r, ,,��,�, „,, ^,,, 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 CCB lic.:173524 Total fee due upon application: $201.60 Authorized signature: . iL- ;l( �� C within 180 days after it has been accepted as complete. L rint name:Summer Dowell Date:7/22/19 *Fee methodology set by Tri-County Building Industry Service Board. Building\Permits\BUP-RESPernutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONE\ Cityof Tigard Received gan Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: _; Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing 0 Mechanical T f G A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les 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 0 ❑ 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: . 0 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ 0 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ 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 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, ❑ ❑ ❑ 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- 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 NI and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ 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 ❑ ❑ 0 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 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 ❑ 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 ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ ❑ 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 Applicata s ' � ; FOR OFFICE USE ONLY City of Tigard Received Permit No:c�^ - Date/By: c ; `� t y 13125 SW Hall Blvd.,Tigard,OR 97223 j id 2 3 2 U 19 Plan Review V�3 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 , � Date Ready/By: Jur s: See Page 2 fnrTlGARDInternet: www.tigard-or.gov t � _ � Notified/Method: Supplemental Information rmation ��,d'd'' f��i'� f'� Jjj� x� ,r,frY fW:��l;' ,;l fr....:' .t!r„f�'lflf,r s. ,f'' ?v�`q.,, 744,0 ,',/f7'',,11,0:: s .'f/i 3 , "�,�. :ii..curt`,, a,€‘t 3+'' 5:i f #.P M'j',,-;g1l,,%ri; a sIll:W '71-. .WW/w P 9 .w �y m rn dt!'Y9Y0� �, 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 mechanical materials, equipment,labor,overhead,and profit. 0 Demolition 0 Other: Value:$€ �Mk �� e d tl �}p ff 5ar rfs � " 4�ll�� :•-,..*:‘,,---x i �. 2.+� r ”, "A 'Px � ,0"„f0f �"�/ �1�00.4e.rL,; :�.�.,r< ,";".,::,. , : � qkit-x9 „ey, Je : „ ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description 1 Qty. 1 Ea. I Total r Heating/cooling:r ' WC,e6 rig 1 4 $ v Job site address: 11489 SW Gabriel St Air conditioning 1 46.75 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.: I Project name:Willow Brook 8 Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Willow Brook I Lot no.:8 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2S115AB06300 Water heater 1 23.32 r ,,, „f 4 r , ,f Gas fireplace/insert rt 1 33.39 y,5,.,,.r.0 r_",..,�., .yJ..:,,,, `l xr,Ff N ....�x`,r1",�'", New SFR Flue vent for water heater or gas 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 /Wl �-' ,4,rr ; lr fyt. � , !r , rot i ' 2Other: 23.32ri, Fa „„r, „.,,r f,ri4, y,4,i4:1n " , ,b,rW , 45,i Environmental exhaust and ventilation: Name:Same as applicant Range hood/other kitchen Address: equipment 1 33.39 Clothes dryer exhaust 2 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 Phone:( ) Fax ( ) Attic/crawlspace fans 23.32 Gf f ^ r ,..,. ,'''''..."12,:,,,,,..:4.'4," p M ,. xNrfi, 66 ' .. f r , Other: 23.32,61A lw v ,,, . .�, ✓ 4oziee g ...4.;,,,,,,,,,,,,,,,,,,,,f,-4,„, t , l Business name:Pacific Lifestyle Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator Furnace,etc. 1 Address: 11815 NE 99th Street,Suite 1200 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Phone:(360)573-8081 I Fax::(360)574-6401 Fireplace 1 E-mail:permits@buildplh.com Range 1 .4 ', -,,,44,-;..,-e., Barbecue 1 ,,r c ;�� , 1' t4/r � xr a r , 0 + f rlt / � s 'rClothes dryer(gas), r' i ,.4Xks „ ,o : <,xr , ,, Business name:Area Heating+Cooling Other: Address:2721 NE 65th Ave 2, fi ,0,A,:i°a � .,A„.,„,,.,„( ,r s, ,., ,.:,,,r ; , 1 t 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 lac.:64801 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 G "r ) �`-',/ days after it has been accepted as complete. Authorized Signature:y t i'/''' `i (_,� C ! �'(.f -)L--,.- ....x.- * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date:7/22/19 61: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: $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 cz r; Electinwilli.ti Hon City of Tiga rd JUL2 3 1 019 -',ere:',;',e‘ permit# --,,--c ‘c,k- II.....- .. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review $ Phone: 503 718 2439 Fax. 503 598 1960'l'i.',' ' ),1: ' ';',. '' •'' : Dat.13 Inspection line. 503,639.4175 -:? i i ;-', , ,-,, ',. ,i .,..-, ,-.,-%; .Ready Date By Inns FZI See Page 2 for I I i i A P 11 Internet. www ogard.or gov -'-- . ..... ':- - '' '- -- :r NniiticdtMelliod Supplemental Information ricAtRXMMIKRintgaZ;:::'17;;;.:17.7,Y, ZSOaRSEVIAMMIESialtal Watfter*Z6W.:{.0::;M:r:= 1;(Agt.filcii0pSt., Eg New construction 0 Addition/alteration/replacement Please check all that apply(subnut 2 sets of plans%lams checked): 0 Service or feeder 400 amps or more 0 Building over threc stories 0 Demolition 0 Other: where the available fault current 0 N4srtna,s and boat-raids -::PJ' ,..,:.''.1..,:i.:,"3,7,Vki.03:<44:iiiiiikiiiiniMia exceeds 1d-000 amps at 150 volts or °Floating buildings 1 El 1-and 2-family dwelling 01 Commercial/industrial 0 Accessory buildingless ‘ amps for all othe nstallatonv buildings El Multi-family 0 Master builder 0 Other: 0 Fire pump 0 instillation of 150 kVA or taninejAgrEnrilMriegiliFrriiirrialraffrilOKINA 0 Emergency system tat get seParareiX: loved 1 Job#: Job site address: ''/\t(s 1 7:-. .', .--1(3, .%: 0 Addition of new motor load',j m 100HP or more 0-A-.-E","1-2","(-3", City/State/ZIP: ,--!,-i () 'y' .--) note resdetil ails occupancy Suite/bldg./apt,if, ' Project name:'' :.„, - - , a , -, --;-,-! !: ; ,;--- al-lazardons locations 0 Supply voltage for more than I o Serxice or feeder 600 SnspS or sore 61)1)volts nominal Cross street/directions to job site: I 'ne:enfini;(i ' ' '4t;. E*di total E4 _ New residential single-or multi-family dwelling unit. Subdivision: - ''' ' ''•; ' , ,.. "; :-': ' ' ' 1,ot 4: r'')',' Includes attached garage. ....... . .. ---- —— 1.000 sq it or less 168 54 4 i Tax map/parcel#: - '.!-.„ --- ! •_--2-, ' ' - -2 ; - Ea.addl 500 sq ti or portion MI 33 92 I 1 75 00Limited energy,residential 2 (with above sg Ii) * - ‘--‘- ' residential(with above sq to 71' 2 i/.:AligniY;?:,,;,t2,,,,,,;y7";:n) . 107:RiriggiRINVASN'i_ff- illrir_rb-WC37 ' Renewable Energy MSee Pa,e, 2 Services or feeders installation alteration,and/or or rel„cationName: ( . 711)I1 (a" , I . _ 300ampsoriess0070 IIM 2 Address: 201 amps to 400 amps 133 56 2 , 401 amps to 600 amps 200 34 .,, City/State/ZIP: 601 amps to 1,000 amps 301 04 2 — - Phone:( ) Fax:( ) (her 1,000 fauns or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: J relocation 1 ...... Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 5936 — -- 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 549 amps _168 54 2 1/3‘r tFee C for c ibranch -c-Irncewt:ii att:ration,or extension,per panel _I Business name:Pacific Lifestyle Homes above service or feeder Ide, , each branch circuit - .. - Contact name:Permit Coordinator B.Fee for branch circuits without Address: 11815 NE 99th Street,Suite 1200 5.6 18 2 City/State/Z1P:Vancouver,WA 98682 Each addl branch circuit 7 42 " 2 _ — ' ,Miscellaneous(service or reed 'mit includc_q_ Phone:(360)573-8081 Fax: :(360)574-6401 Each manufactured or modular 67 84 I 21 dwelling,service and/or feeder ' 1 Email:permits@buildplh.com ' Reconnect only 67 84 2 War AzietadeiaNa NEIV14 n;12 K Migiliall4r2WA:VA ' P u m p or irrigation circle 67.84 2 Business name:Garner Electric WA LLC Sign or outline VAIN 111. 67,84- . Signal ctrcuit(s)or limited-energy _. Address:402 Valley Ave NW Ste 106 .anel,alteration, ror extension City/State/71P:PuysollucL WA 99371 Phone:(253)872-6051 Fax:(253)872-1801 hr min) Email:cgentele@gweusa.com ' 0 See Page 2 2 Each additional inspection over allowable in any of the above Investigation(4 90 00/hr III — inimin 78.18/hr amil _ . AMIN :::::::,'n'shri=1,',:hainiroi)fee-rs-- En mil i CCB Lie.: 208174 INEMEIMIN Suprv. Lie , iMilligiatilL7, :i2AMEGgliE215.2111:4;47L Suprv.Electrician signature,required: i / : Subtotal: Print name: Russell ., Magnuson am— ------„„___ Date: --(7/,.--,--/,I;.: 0 Han Review Re aired(25%of termit fee). r------- -,..., ' State surcharge(12%of permit fee): / Authorized signature: ' t FOTAI,PERM FE FEE. -I This permit application eapires if a permit is not 0hsom,d within 150 'I , Print name: Bill Daniels Date: /1,,,.„}j-:I i Li ' days after it has been accepted as complete. Plumbing Permit Application BuildingFixtures s i FOR OFFICE LSE ONLI' City of Tigard ,. Received 1111 a 13125 SW Hall Blvd.,Tigard,OR 97223 U 2 2 i t L.' D' Plan Review • Phone: 503.718.2439 Fax: 503.598196¢. :. /By: Other Permit No.: Inspection Line: 503.639.4175 s TIGARD ' ' Date ,_, See Page 2 for Internet: www.tigard-or.gov - ' Notified/Method: . �. WParceVgtrfP l ' '111Q,00 .,.✓.. ...w,.,., .140 a ,., Supplemental Information « -...;: L:�% . ' ., . t.7„.:ro.. K.:�,t 7.:,......,:7 sa„ ,.t ■ New construction ■ Demolition For special information use checklist. Description Qty. Ea. Total ■ ■ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) f r,,., ffr # f a }m ,1 Xrf SFR 1 bath ›� 1,' r,. W ;W� 4rl /�.' . " 312.70 0 . dwelling ■ ustrial SFR(2)bath 1 437.78 ■ I•ulnl1BgTrn SFR(3)bath 11 Each additional bath/kitchen 1 ■ Master builder ■ Other: Fire sprinkler( sq.ft.) Page 2 :'-',0:300,11,047g4„.',#)„ , X. ,} ,,AV-9/4/2Z:-.,,,V-',I g , ', ',.32.,, f `,W 67 Site utilities: Job site address:11489 SW Gabriel St Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Willow Brook 8 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:<100) 1 Page 2 Storm sewer(no.linear ft.:<100) 1 Page 2 Water service(no.linear ft.:<100) Page 2 Subdivision:Willow Brook I Lot no.:8 Fixture or item: Tax map/parcel no.:2S115AB06300 Backflow preventer 1 31.27 0 1 1 0 4 r . "" ,r , rr *'1r r Backwater valve r,`^ 1.04,-�iN`lrl'f`,.'f7i' y l„r', � �6 1 ,, 1 ,,t ✓ 1 ,�' `.,, ys'`'.. 12.51 Clothes washer 2 25.02 New SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 - s1tA, ,=4x a , # 'lg s tr 7: ,1 Oy u {lf`'V lfrl r' Expansion tank12.51 Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Add - Floor drain/floor sink/hub 1 25.02 Garbage disposal 1 25.02 Hose bib 2 25.02 Ice maker 12.51 0;44,0:.r ,4 fid. °`-' if '1 M. 1, elf .y 2 ' rr,f' > Y) 1 t s r Interc tor/ rease tra Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 CoordinatorContact name:Permit Roof drain(commercial) 12.51 Address:11815 NE 99'Street,Suite 11 Sink/basin/lavatory 7 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 E-mail:permits@buildplh.com Urinal 25.02 r `K%;;rif:n'fi 1. M VaVi�gAt VZ':,.t71,.. rl , ,4 r/ er t;v� ltWater closet 3 25.02� , rg4 , ot.'l1 y� , „ „ ♦ "t, iK a% , 4AV Water 1 37.52 Business name:Lippold Plumbing and heating Water heaterpiping/DWV 56.29 Address:PO Box 895 Other: 25.02 City/State/ZIP:Boring,OR Subtotal Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:201597 / Plumbing Lic.no.:PB1416 Plan review (25%of permit fee) _ /j State surcharge(12%of permit fee) Authorized signature: t :. -- �---X t �) ` �, ��_lr.-)r---- - � =�/ � I.!- t TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Summer Dowell Date:7/22/19 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard ' ' ' , Page 2 - Supplemental Information Fee Schedule Residential Fire Su I I ression S stems: ',, ✓,'f'p'``"rs�,? -� �y..t•,u 1,�g„ „ ' '" �J ° # S '. 3 b -4, '-'f,r 4 9` R '.`,if,,:.. '�, :" �:'ae .' � e � !+�P_,� .�s.!.fs'.;�i.,.�tr;�„��, '�'��F? �� .rr��6.� .. e � . . Footing drain-1'100' 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 ,' ` 1r ;wifirrali* A r 4; , 0% ,; 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 f,,�s,. ,,�'% ;,C. ` .; .f,P w" - f `„;y , each additional$100.00 or fraction thereof,to T 1 1 ekr% Pa; ,-',14...,,� AW5 . ff ', f, 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*. . Ty 11; {;ekori �k# S,''® ", �° k,3 8 :: 1811 .t. FTyr lute ; Plan review is required for any of the following. Please check all that apply. Pp Y• Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive,I,hru ❑ 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" - P 4„ 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/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:Uob Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 8\Pert2iits and Inspections\PLB_PermitApp.doc City of Tigard 111Iq COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A RD Building Permit Review — Residential Building Permit #: \\Ns-r aeplct- C . I Site Address: (,1 LI N ,N Gabe S\. Project Name: With.) bZ,L Lot #: g (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review i Pr I •osa1: 4(i,11 SPZJ flan ** 3213 lL Verify address/suite#active in Accela. In River Terrace: PrKo ❑ Yes,River Terrace Review Addendum Site Ian Elements: t osion Control 13# copies of site plan on 8-1/2"x 11"or 11 x 17"paper Ir R ained trees with drip line and tree protection measures l awn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE F • arrow liJ.Kility locations&easements(required for new and additions) A e address,project or subdivision name and lot number f&'dewalk/driveway approach I6 Applicant information(name and phone number) n . ation of wells/septic systems t dimensions and building setback dimensions treet tree size,type and location NS are footage of buildings to be demolished 10'treet names 'sting structures on site tI corner elevations(2'contours if more than 4'differ ntial) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'Wes ❑No im rvious area(applicable if R-7,R-12,R-25&R-40) 7If yes,is a storm water quality facility shown? Et No Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): Lirr41 c-vi PI wired: ❑ Yes,applicant was notified / No Received: ❑ Yes ❑ No9, b Public Facilities Improvement(PFI)Permit: ` (f)e equired: ❑ Yes,applicant rwas notified f No Applied For: ❑,p Yes ❑ No,stop intake and Use Case#: U �-U� ��( Zoning: (�'1- Ur equired Setbacks: Front: lc Rear: 1 S Side: Street Side: 10 Garage: 2-0 I/ Building Height: Max.Height:_avActual Height: 2.z, [andscape Area: 2,0 % Lot Coverage MaxJ go Entrance C et back no more than 8'from street-facing wall 70 Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades Mb Garage Garage door is behind widest street-facing wall ❑ Yes VNo,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 wand there is a 12 sq ft.window above garage on 2nd floor. Garage door width is ❑ 12'or less IVJ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset tre s glis ..___."171—ZipSiding —Et Roo#p3fc1`i __ ,i5;wgarritsret'rtrof`_.._ 1=1Accent siding Window trim E1Window recess 1=1Window projection 1=1Balcony [ 'visual Clearance yrban Forestry Plan ` L d LAG Sensitive Lands: r Yes ❑ No Type: U1tI clJ -4(^l "'7t''1` t.,,,, cl Conditions met prior to Li- of b ding p rmit of s: l,`0�i- Lz NA- r _��(L t i✓ka ar Approved By Planning: itiAlL CV`- Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: -.+1:)--- CI Site Plans: # 3 Building Plans: # �� Building Permit#: 1N/Enter building permit#above. Workflow Routing: Planning Engineering 1Y-Permit Coordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: ["Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ['Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: i-` P`kCk Engineering Review E? Slope at building pad: ?% [''Conditions "Met"prior to issuance of building permit ErEasements (encroachments)per engineering conditions of approval and plat CJ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ®'No Assess Water Quantity Fee in-lieu: ❑ Yes ErNo a- LIDA Facility on lot: CI Yes [ l�lo L� Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: eApproved by Engineering: .4Date: 7/2147 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El 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: /Revision Notice 3: Date Sent to Applicant: id SDC Fees Entered: Wash Co Trans Dev Tax: Q y,s CI N/A Tigard Trans SDC: es ❑ N/ Parks SDC: Yes El 111A LIDA ❑ Yes N/A OK to Issue Permit //ate: 41/i9)2'?' Approved by Permit Coordinator: f%;� � D I:\Building\Forms\BldgPermitRvw_RES_022819.docx