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Permit 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 1 Transmittal Letter Ph T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4/ ✓ DATE RE (� ,_ DEPT: BUIL ING DIVISION RE kD JUL 2 2 2020 FROM: John Wyland CITY OF TIGAFD COMPANY: JT Smith Companies BUILDING DIVISION PHONE: 503-209-7555 /jwyland@jtsmithco.com By: 'P RE: 7409 SW Red Cedar Way MST2020-00063 (Site Address) (Permit Number) Red Cedar-Lot 6 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: ,'r ' ,x>y-,. . . ,• ,.l• 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. X Other(explain): Lower floor plan - finished basement option. REMARKS: We are doing the finished basement option. No engineering changes, all walls to finish basement are non-structrual. Structural walls in basement were� part of the original submittal. Plumbing, electrical, and HVAC will be performed per code. '� F' ` I.\�E t D f et-t.tiU GU - \ \,..rF .k ,=•m r k w GAos& \ 1ez.).) 1 \ -\ = / k VI.J.-A-- FO OF ICE USE ONLY Routed to Permit Technician: Date: `j 3D Z�2� Initials: , Fees Due: ❑ Yes fl No Fee Desc iptio : Amount Due: $ na yOGIll rial.-e-ti $ Special Instructions: Reprint Permit(per PE): es ❑ Done Applicant Notified:,n hi e: ////7y Initials:.a l:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT iill, • COMMUNITY DEVELOPMENT Permit#: MST2020-00063 T[C;A l"1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Mar 10 2020 12:00AM �r/7 74 42,1 Parcel: "IS125DC00600 Jurisdiction: Tigard Site address: 7409 SW RED CEDAR WAY Subdivision: RED CEDAR ESTATES Lot: 6 Project: Red Cedar Estates, Lot 6 Project Description: New SF. 5/1/2020: REPRINT permit to add NC. 8/11/2020: REPRINT permit to finish 1,130 sf of basement including (1)bedroom and (1)bathroom and game room. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 6 First: 1162 sf Basement: 1130 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 4 Second: 1666 sf Garage: 604 sf Front: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3958 sf Value: $520,612.02 Rear: 7.5 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: a 201-400 amp: 0 201-400 amp: 0 W/0 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3958 Owner: Contractor: LFII 74 LLC i JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD STE 171 5285 MEADOWS RD,SUITE 171 1 Geo Tech Required Prior To LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 Pour 2 Ersn Cntrl 503-639-4175 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $43,452.01 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. ATTE ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR a 9-nn1-nnln thrrn, flaRyoo9-nn I_l ,,vn„m-e„n/Main o,nm,"f thu r,doe nr r11roM n„n<rinn<In ni Inic h„ran{nn ono 9'19 10147�nr 1 onn'i49l'Arld Issued By: O ��///111\\\JJJ//L( C✓� Permittee Signature: O� /Tr� 7 C/ ��d f 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 MASTER PERMIT II _ n COMMUNITY DEVELOPMENT Permit MASTER MST2020-00063 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2020 Parcel: 1 S 125DC00600 Jurisdiction: Tigard Site address: 7409 SW RED CEDAR WAY Subdivision: RED CEDAR ESTATES Lot: 6 Project: Red Cedar, Lot 6 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1162 sf Basement 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1666 sf Garage: 604 sf Front: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2828 sf Value: $382,232.22 Rear: 7.5 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: 3 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 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: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V B R-3 2828 Owner: Contractor: LFII 74 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD STE 171 5285 MEADOWS RD,SUITE 171 1 Geo Tech Required Prior To LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 Pour 2 Ersn Cntrl 503-639-4175 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $38,848.45 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 vi expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: 0 n law requires y to folio rules ado the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug 952-00 - 90. You ay obtai e rules or direct questions to OUNC by calling 503.2 2. or k8 0.332. 44. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection This permit card shall be kept in a conspicuous place on the job site until complet n of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY "", Received City of Tigard Date/By. / / r / °;` �t4IOZ'700 4,3 1141 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /t,y� // �I t: ��ary5 I � Phone: 503.718.2439 Fax: 503.598.1960 DateBy: L �i� • � i�a `� Y T C I A I:I, Inspection Line: 503.639.4175 Date Ready/By: � Jens: ' VI See Page 2 for Internet: www.tigard-or.gov Notified/Method. /, upplemeotal Information ,It TYPE OF WORK QUIRED DATA:1-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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overheal.axt the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 3 3 2, a3�. Valuation: $ a 115 El 1-and 2-family dwelling ElCommercial/industrial Egeti ElAccessory building El Multi-familyNumber of bedrooms: 5 ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors:IC 3 Job site address: 740[� � � Ceact,„ �J� New dwelling area: 21 2. , square feet `,1.4(Q� City/State/ZIP:Tigard,OR 97223 Garage/carport area: (,p1,.1 square feet l L°L Suite/bldg./apt.no.: Project name:Red Cedar L c + (may Covered porch area: square feet Cross street/directions to job site:SW 74a'Ave&SW Red Cedar Way Deck area: ` 1 square feet Other structure area: (� square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Red Cedar Estates Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:TBD 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. New home construction Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LFII 74,LLC Type of construction: Address:5285 Meadows Rd Ste.171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: N APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JTSC,LLC (Please refer tofee schedule) Structural plan review fee(or deposit): ' Contact name:John Wyland 7 c Q G C• FLS plan review fee(if applicable): Address:5285 Meadows Rd Ste.171 Total fees due upon application: City/State/ZIP:Lake Oswego,OR 97035 Phone:(503)209-7555 Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:jwyland@jtsmithco.com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:JTSC,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5285 Meadows Rd Ste.171 Solar Installation Specialty Code checklist. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)209-7555 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:200237 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. *Fee methodology set by Tri-County Building Industry Print name:John Wyland Date: Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY fCity of Tigard Received 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 El Plumbing CIn : d :a I I G \k D Internet: www.tigard-or.gov El Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: . ❑ 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ El 6 Sewer permit. 0 0 0 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0 9 Erosion control ❑plan El 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 ❑ 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 ❑ ❑ 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ 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- 0 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 0 ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be applicable 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0 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, El El El 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 Application FOR OFFICE TNT.ONI.Y City of Tigard may: Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 plea Reviewa Phone: 503.718.2434 Fax 503.598.1960 Date/By: Other Permit: T 1 G A R 11 Inspection Line: 503.639.4175 Date Ready/By: June: ® Sec Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement perfoilltd.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* ® I-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 Hestiag/cootirg: 7� Air conditioning 46.75 I Job site address: `I O fj StJ -j-2,. A... ( rArr f. 1.J C: Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: , t5 Q a. t o 9 r 2 Z 3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:i) Ce.,X ay- L&t 1 Duet pump 23.32 `U Duct wok I 23.32 Cross street/directions to job site:SW 74t"Ave&SW Red Cedar Way 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:Red Cedar Estates Lot no.: Other: 23.32 Other feel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New home construction fireplace 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 El TENANT S 23.32 Environmental exhaust and ventilation: Name:LFII 74,LLC Range hood/other kitchen equipment 1 33.39 Address:5285 Meadows Rd Ste 171 Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 5 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawtspace fans 23.32 :r APPLICANT 0 CONTACT PERSON Other 2332 Business name:JTSC,LLC Frel piping: S1415 for first four,54.03 for each additional Contact name:John Wyland Furnace,etc. 1 Address:5285 Meadows Rd Ste 171 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater 1 Phone:(503)209-7555 Fax::( ) Fireplace 1 Range I E-mail:jwyland@jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name;Integrity Air,LLC MECHANICAL PERMIT FEES* Address:16756 SW 72oe Ave Subtotal City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)572-3594 Fax:(5113)598-8498 State surcharge(12%of permit fee) CCB lic.:203869 TOTAL PERMIT FEE ,� This permit application expires if a permit is not obtained within 190 �` days after it has been accepted as complete. Authorized signature: + • Fee methodology set by Tri-County Building industry Service Board Print name:Kyle Simian Date: I.lawidmyWermi1AMEC_PunutApp_040111... 440-4617T(I1/02/Co.M/WEBt 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 FOR OFFICE USE ONLY City of Tigard ReceivedDate/By. Pemlit : IF/ .II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review , i Phone: 503.718.2439 Fax: 503.598.1960 Date/By; Related Permit II: T I GA R D Inspection Line: 503.639.4175 Ready Date/By: is: I RI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®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 ElBuilding over three stories. ❑ Demolition 0 Other: y,� where the available fault current 0 Marinas and boatyards. cAT ORY OF CON5 TRUCT1ON exceeds 10.000 amps at 150 volts or 0 Floating buildings. 1-and 2-familydwelholess to und,orexceeds14.000 ❑Commercial-use a cultural ® g ❑Commercial/industrial 0 Accessory building g° g` s. ❑ Multi-family 0 Master builder ❑Other: Fireamp for allother installations. Inbustallation ['Fire pump. ❑Installation of 150 KVA or JOB SITE/NE9RN ITION,AND LOCATION _ - 0 Emergency system. larger separately derived L(09 ' '1...'1....)'1....) d m�� `CL J 0 Addition new motor load of system.'�Job#: Job site address: . IOOHP or more. ❑"A","E".`t-z••,^t-3^, City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. 0 Health-care facilities- ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:Red Cedar Lo+ ( 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 74th Ave&SW Red Cedar Way FEE SCHEDULE Description l pn. I Earl. I Total 1 / New residential single-or multi-family dwelling unit. Subdivision:Red Cedar Estates Lot#: b Includes attached garage. Tax ma arcel N: 1,000 sq.ft.or less I 168.54 4 P P Ea.add')500 sq.It.or portion 9 33.92 1 :'�DESCRIPT,IONOF: WyDB , Limited energy,residential 75.00 2 New home construction (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) TENANT Renewable Energy ❑ See Page 2 1'S;PROPERTY OWNER Services or feeders installation,alteration,and/or relocation Name: LFII 74,LLC 200 amps or less 100.70 2 Address:5285 Meadows Rd Ste 171 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 _ 2 City/State/ZIP:Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:(503)657-3402 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 "''• r=r' Branch circuits—new,alteration,or extension,per panel 13.114PPOCANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name:JTSC,LLC above service or feeder fee, each branch circuit 7.42 2 Contact name:John Wyland B.Fee for branch circuits without Address:5285 Meadows Rd Ste 171 seabranch circuit _ City/State/ZIP:Lake Oswego,OR 97035 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)209-7555 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:jwyland(::jtsmithco.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Address:2920 SW Brookwood Ave.Ste A Signall,alteration,circuti(s)or)extension. ❑ See Page 2 2 panel, 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)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email:andreap@garnerelectric.com Inspections for which no fee is specifically listed(/hr min) 90.00/hr CCB Lic.: 121159 Electrical Lie.: 34-30 S p ic.: 3707S i: ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: / . Subtotal: Print name: Charles Garn Date: 10/8/2019 ❑Plan Review Required(25%of permit fee): /J ' State surcharge signature. , (/ TOTAL PERMIT FEE: This permit application expires hie permit is not obtained within ISO Print name: Andrea Phillips Date: 10/8/2019 days aver it has been accepted as complete. ` Number of inspections allowed per permit. I:'Building.PcrmitsELC PernitApp ELR ERE.doc Rev 06,17,2015 440-4615T(I1,05.'COMWEB Electrical.Permit Application—City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DescriptioFee for all residential systems combined: $75.00 RenewableTotal electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301 04 2 :�1 Garage Door Opener* 50.01 to too kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) 2.Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 f_3 El Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.251 hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Y1 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Su Fee for each commercial system: $75.00 allowe al(Enter on Page 1): (SEE OAR 918-309-0000) Number of inspections allowed per permit Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:Suilding'Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY II City of Tigard Date/By: I . y Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718 2439 Fax: 503.598.1960 Date/By: Other Permit No.: TIGAILD Inspection Line: 503.639.4175 Date Ready/By: Jude: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE-OF:vWORK FEE*SCHEDULE El New construction ❑Demolition For special information use checklist Description j Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) -d .:; . ei+`)` tP yn e6J`b :to sae' 5 sr447 Vase' SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 v+a ' h3'u a t r Olt Site utilities: Job site address: t t, r,, Catch basin or area drain 18.76 `O� S`'J _ti -aa'r "od Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:A C C: dar tg,} (d Manufactured home utilities 50.03 Cross street/directions to job site:SW 74d'Ave&SW Red Cedar Way Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:100 ) I Page 2 Storm sewer(no.linear ft.:Jam) 1 Page 2 /_ Water service(no.linear ft.: t00 ) Page 2 Subdivision:Red Cedar Estates I Lot no.: p Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 14( , ''' Backwater valve 12.51 � T' F Clothes washer I 25.02 New home construction Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 'l ll:` t x 4 Expansion tank 12.51 Name:LFII 74,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal ( 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib Z. 25.02 Phone:(503)657-3402 Fax:( ) Ice maker I 12.51 G� �f trb k ti+. 4y st1. r %?•". .tlr t � � �cx _, e ''�`�'� :., r ["� ��r _..,. Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:John Wyland Roof drain(commercial) 12.51 Address:5285 Meadows Rd Ste 171 Sink/basin/lavatoty 7 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 7 12.51 E-mail:jwyland®jtsmithco.com Urinal 25.02 Water closet '12 25.02 t �" � - Water heater \ 37.52 Business name:Mullen Company Waterpiping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:92689 Plumbing Lic.no.:34-260PB State surcharge(12%of permit fee) Authorized sign re: TOTAL PERMIT FEE Print name:Jeremy ce Date: This permit application expires if a permit is sot obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 19BuildinglPermittlPLMU-PemmitApp.doe 10/01/09 440-4616T(I 0/02/COM/WEB) • Plumbing Permit Application - City of Tigard • Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: "i r hiffes _ Fee0a) Total SquareFobtage: Perm t4Fee:", 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 Storm&Rain Drain-1st 100' 62.54 Valuation: iimumalifi e$72. $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 4 'FeeS ' ty:' IleaI1 TOt>il"c each additional$100.00 or fraction thereof,to (ea7 - and including$10,000.00. Inspection of existing plumbing or for S10,001.00 to S25,000.00 $148.50 for the first$10,000.00 and SI.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 S379.50 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:Il e'iew far Plii i�Unj iist llrt�fions 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 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ 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" n. : �nilftc�rciin -' Car wash Drain ❑ Isometric or riser diagramisrequired 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 Water x r-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: C:\Users\jeremy\AppData\Local\Microsoft\Windows\INetCache\Content.Qutlook\BTBRFOU6\04 Plumbing Permit-Blank.doc City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT UPI T I G A R D Building Permit Review — Residential Building Permit #: /4 5/� -GP�f� aj Site Address: �- p Su) ,d (p Project Name: �� 0 EQ2h Lot #: (m ? Planning Review Proposal: A,P/) ,� Verify address/suite# active in Accela. In River Tel. • e: ZNo ❑ Yes,River Terrace Review Addendum Sit,Plan Elements: Erosion Control '> copies of site plan on 8-1/2"x 11"or 11 x 17"paper II\lt,etained trees with drip line and tree protection measures yawn to scale(standard architect or engineer scale) _�__ootprint of new structure(including decks)and FFE VJ�dorth arrow ty locations&easements(required for new and additions) 'e address,project or subdivision name and lot number Sidewalk/driveway approach plicant information(name and phone number) cation of wells/septic systems Lo dimensions and building setback dimensions vi eet tree size,type and location %ware footage of buildings to be demolishedeet names 11 i sting structures on site VCorner elevations (2'contours if more than 4'diffe ntial) II 'tot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L s ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? VJYes ❑No Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No O Water Meter Fixture Unit Worksheet—Additj ins,Remodels and ADUs R-,wired: ❑ Yes,applicant was notified P�� No Received: ❑ Yes ❑ No `.DC Exemption for ADU applied for: ❑ Yes No Received: 0 Yes ❑ No ✓ Public Faciliti Improvement(PFI) Permit: Jequired: �� Yes,applicant was notified ❑ No A ed For: Yes ❑ No,stop intake ndUseGase#: �U/ d - 00007- L►1 Zoning: £^� quired Setbacks: Front: /0 Rear: 7-C Side: .. Street Side: G(4 —Garage: •=-2.0 ✓ Building Height: Max. Height: Actual Height: �40 i ROI andscape ea: % Lot Coverage M�a Entrance Vet back no more than 8'from street-facing wall V Parallel to street or offset 45 degrees or less Windows um 12%of area of all street-facing facades Garage a. Garage door is behind widest street-facing wall m Yes ❑ No,one of the following is met: 0 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. iir❑ Door extends no more than 5'from wall and there is a 12 sq ft.wu ow above garage on 2°d floor. Garadoor width is `❑�2'or less ❑ 50%or 1 of facade /o or less and includes 7 following: VCovered porch Ltd cessed entrance AQ Wall offsseett,'V 1'Roof eave lQ Roof offset 0 Fire shingles Lap Siding ❑ Roof pitch L1G Gable,hip,or gambrel roof ❑ Dormer 0 Accent siding F Window trim 0 Window recess ❑ Window projection 0 Balcony 40' isual Clearance Y. Urban Forestry n \1°s.ensitiveLands: ❑ Yes 1.1d No Type: ❑ Conditionsplt pri r o issuance of b ermit Notes:�te L..�077Gf/ T�2-S B7)ll.g �rl ft2'Approved By Planning: _ — r Date: `-'2.2(_ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved I:\BuiIding\Forms\BldgPern itRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: i U/2 Site Plans: Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing. Planning Engineering [ermit Coordinator 9 Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) / Route Application Documents: 1 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 21c.Building: original permit application,site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: Date: EnAineering Review Ite Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ri [ F" asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No t4LIDA Facility on lot: EleYes ❑ No inal Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: VS Approved by Engineering: Date: 2/21//Po Revisions (after Building Submittal only) Reviewer Date Revision I: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Co ttons "Met"prior to issuance of building permit :Approved,NOT Released: J jar 4.GGe of � � 44Qe#)42�,.. — Date7--`2-"//,4-0 Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ❑ S xemption: ❑ Received ❑ Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: A es ❑ N/A Tigard Trans SDC: C "Yes 0 N/A Parks SDC: ❑ N/A LIDA [ 'es 0 N/A OK to Issue Permit Approved by Permit Coordinator: Date:—3/9 20 I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Albert Shields From: Albert Shields Sent: Monday, February 24, 2020 12:17 PM To: John Wyland Cc: Jesse Nemec;Allyson Armstrong;Joe Wisniewski Subject: Red Cedar Estates, MST202000063 & -00064., lots 6 & 5. John, regarding the two above permit applications I have placed them on "Approved (for Plan Review) but Not Released" status pending receipt of a copy of the recorded plat. Plan Review will proceed but the permits will not be issued until the recorded plat is received. Please let me know if you have any questions. Albert Shields i CITY OF TIGARD t • `` ES ( MASTER PERMIT ` / Zo , • ' COMMUNITY DEVELOPMENT Permit#: MST2020-00063 Date Issued: 03/10/2020 T 1 c.A Fi D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S125DC00600 Jurisdiction: Tigard Site address: 7409 SW RED CEDAR WAY Subdivision: RED CEDAR ESTATES Lot: 6 Project: Red Cedar Estates, Lot 6 Project Description: New SF. 5/1/2020: REPRINT permit to add NC. BUILDING Floor Areas Reaulred Setbacks Reaulred Stories: 3 Bedrooms: 5 First: 1162 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1666 sf Garage: 604 sf Front: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2828 sf Value: $382,232.22 Rear: 7.5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker. 1 I-lose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All Other: N Other Description: Ecompasing. V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V B R-3 2828 Owner: Contractor: LFII 74 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD STE 171 5285 MEADOWS RD,SUITE 171 1 Geo Tech Required Prior To LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 Pour 2 Ersn Cntrl 503-639-4175 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $38,945.81 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 OA 2-001-0090. 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: �, -4,211, fE J Permittee Signature: d/✓ <52-14,6/C' jeA./ 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. RECEIVED APR 22 2020 Mechanical Permit Application,„ I ui:(II I it I 1 , nvI , City of Tigard �,I fv NO DTIVISION RD Received �, f n Nu.c 13125 SW Hail Blvd,Tigard,OR 9,� ILDING DIVl51UN D.,�By. O Pp�p��0 , ( Plan Review 1711 Phone: 503.7111.2439 Fax: 503.59E I960 DatdBy, 0she Pamir Inspectioni i A RD Inspection Line: 503.639.4175 Dane Qeady/By: n,,a I3 Set Page 2 for Internet: www.tigatd-or.gov RgjfiedfMethod: Supplemental laformatian TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST Mechanical permit fees'arc based on the value of the wart ❑New construction 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 S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYST'IMS FEES' 1-and 2-family dwelling ❑Comrnercialindustrial 0 Accessory building Pet-special Lwjormmrow use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. I Ea. I Total JOB SITE E4FORMATION AND LOCATR3N Rnti wjeoollug. Air conditioning II 46.75 Job site address: —74 0 er,�tt au.> C\ L.l-Yl� & BM r Way Furnace 100,000 B bisets/vae a) 46.75 City/State/ZIP. Tl q(tYi� O q7 3 I Furnace 100,000+BTU(ducts/mats) 54.91 SuitePol no.: Pm' name: Heat pump 61.06 l (�C�G✓ Duct week 23.32 Cross street/directions to job site:S IA) -)Li r_b A' ..w2 .k. su) p..66,ac)(2,-- Itydnanic hot water system 23.32 Residential boiler(radiator or lAby 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: CQA:10 854 Lot tit.: 19 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplaceArsert 33'39 - � Flue vent for water heater or gas A . A yt�CC -IC I ^ ei6- 4- ,-f. }-7L/✓i1.1.4 fireplace 2332 M�1 a,f1 40" d Log lighter(�) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert23.32 Chimney/iner/0ue/vert 23.32 PROPERTY OWNER i 0 TENANT Other. 23.32 Environmentalexhaust and veataation: Name: l! 1 1 7LJ/ L —c Range hood/other kitchen equipment Address: -5c2 85 µitad }Q ow s zd S , 17I Clothes dryer exhaust 33.39 City/Stater/P: at ixt 6gt,,,.¢G0 IZ q 7035 Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) 23.32 Phone:(I !3)(D57--3410e2 Fax:( ) AtticJrnvAspece fans 23.32 jil AHuraua • II cent A1Cr maim Other 23.32 Business name: . L L.0 Fuel piping: T 514.15 far first totes;f4.03 fur each additional Contact name:-50 h✓1 (A-1 IG re Furnace,etc. • Gas heat pump Address: s e5 Ma►dCJwc, d e. ill Wdususpetded/tmuheater City/StetdZIP: LA OS W t!r 0)Z 9 7Q3 5 Water heater Phone:(50.3).20q- 7 555 Fax::( ) Fireplace Range J E-mail: i 10,1 Iar1Ck/.s//'n.•�/L 1 f-o•4-0^7 Barbecue (/ seer RACYOR Clothes dryer(gas) Business name: Y'"'(�rj C. LLC Other: Address.' J.) s- ( ,l a I ,,.?/ MECHANICAL PERMIT PUS* LiteSabtotal S5 M-¢G,dews T-. Minimum permit fee($90.00) ` ,7� City/State/ZIP: I b Sty f 0 0 -i70?)e� Plan review(2p 5%of permit fee) Phone:(5)3 ) A5 q— 7 5 Fax:( ) State surcharge(12%of permit fee) 5, (, ( CCB Iic.: 020(Sol 3-7 TOTAL PERMIT FEE 5-2,3(ar, This permit application expires if a pert n rt ottdned within ISO days eller It has been accepted as ecmptek_ Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Prim name: r i— I Date:. ,/ ,26 t.�HudaniffonidslhEc PsorApp 113.d a 410-461 (1 14:17/COM/WEB) City of Tigard IIIII 11 COMMUNITY DEVELOPMENT DEPARTMENT ■ T[GARD Building Permit Review — Residential Building Permit #: /vL 5/9ke)20 - ?'-- -& 3 Site Address: D ��' cK. (P Project Name: t 87? ' G Lot #: Planning Review Pr' .osal: /lek.) ' I''A Verify address/suite#active in Accela. In River T e: "No 0 Yes,River Terrace Review Addendum Sitp Plan Elements: Erosion Control ,�Z copies of site plan on 8-1/2"x 11"or 11 x 17"paper 10%etained trees with drip line and tree protection measures VJ rawn to scale(standard architect or engineer scale) ��°ootprint of new structure(including decks)and FFE 1r71)dorth lith—ty locations&easements(required for new and additions) e address,project or subdivision name and lot number Sidewalk/driveway approach Vbi p1icant information(name and phone number) ydi.cation of wells/septic systems Lo dimensions and building setback dimensions • eet tree size,type and location 11`�uare footage of buildings to be demolished et names II 'sting structures on site Comer elevations(2'contours if more than 4''life`(nntial) 1 DI 4,t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Es ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: 0 Yes 0 No VWater Meter Fixture Unit Worksheet—Additj, is,Remodels and ADUs R-.uired: ❑ Yes,applicant was notified 'p1' No Received: ❑ Yes ❑ No ,: DC Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes 0 No Public Faciliti(Improvement(PH) Permit: equired: �� Yes,applicant was notified ❑ No , A ed For. �j Yes .0 No,stop intake and Use Case#: g(,/d2UI� "- 00DU�- Lv1 Zoning: (�— LI equired Setbacks: Front: /U Rear: 7=C. Side: Street Side: 60l Garage: <=-2-0 Mt Building Height: Max. Height: Actual Height: o� e Mk andscape ea: % Lot Coverage May % Entrance 1) et back no more than 8'from street-facing wall [2' Parallel to street or offset 45 degrees or less Windows um 12%of area of all street-facing facades / 3 !�S1� Garage Gaarra e door is behind widest street-facing wall 4T Yes in No,one bf the following is met: gd Door extends no more than 5'from wall and there is a covered porch extending beyond garage. Ur Door extends no more than 5'from wall and there is a 12 sq ft.wir;dow above garage on 2nd floor., )t"' tiara e door width is `❑�'2'or less 0 50%or 1,9e of facade _®i/o or less and includes_ following: Ad Covered porch V ccessed entrance !� Wall offsseet,- 1'Roof eave Id Roof offset ❑ Fire shingles L�!" Lap Siding 0 Roof pitch fl Gable,hip,or gambrel roof 0 Dormer ❑ Accent siding V Window trim ❑ Window recess ❑ Window projection ❑ Balcony it,,1" isual Clearance i• Urban Forestry I)lan Nib ensitive Lands: ❑ Yes Ltd No Type: 0 Conditionviaafft�r o issuance of b ermit 9 ' Notes: LL%�((ll p / a rt.S i1116 1?'ll 71D fLC/hv ) II c Ao lld" Approved By Planning: � � Date: t2/ Revisions (after Building Submittal only) eviewer n 3�25 Revision 1: J.g Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved I:\Bui Iding\Fonns\BldgPermitRvw_RES_122419.docx z :`."ra Building Permit Submittal Original Submittal Date: [4:4U/ Site Plans: Building Plans: # Building Permit#: Enter building permit# above. Workflow Routing: lanning Engineering [Permit Coordinator 1...-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 st details,if applicable,etc. Notes: By Permit Technician: Date: En ineering Review IFJ Slope at building pad: ❑ conditions"Met"prior to issuance of building permit ,Easements (encroachments)per engineering conditions f approval and plat LOC Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: ["Yes ❑ No Ild Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:�� I(G Approved by Engineering: Date: ZIZI//P� Revisions (after Buying Submittal only) Reviewer Date Revision 1: Approved 0 Not Approved ,lr ,s)4 q •Lp�L�r� Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review /f� 0 Co dons "Met"prior to issuance of building permit / ' 01 Approved,NOT Released: / iflie 4c opt 2iseaa>i( 'i t 2-Date: /Z`/// Notes: j/� Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ❑ S xemption: 0 Received ❑ Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: QA'es 0 N/A Tigard Trans SDC: El"-Yes 0 N/A Parks SDC: 0 N/A LIDA [�SCes 0 N/A OK to Issue Permit Approved by Permit Coordinator: I: 1ding\Forms\BldgPer nitRvw_RES_122419.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. It 111111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter ,GAR[) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 7f4 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAR 19 2020 FROM: :;iiii bt/7/4,,f/ CITY OF TIGARD COMPANY: �, /. /7j (� BUILDING DIVISION By:e7: PHONE: 6'Y 4,5-7- 32/0, /03.) 2d7- 75354- . RE: 7'jC) 7 L ) ,1 Cater 0 i� �`2& - a-JoG J (Site Ai dress) P (Permit umber dt (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: _ Copies: Description: ; Copies: I Description: Additional set(s) of plans. Revisions: �. ( S, 4.,,,4.,,,,/, Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: ,6_v,',Is--a ,/ j. e.✓,A c5".-x, -y.;Ne-.075:.,,) — .1 .5,4L/4,,, . FO OFFICE USE ONLY Routed to Per it Technician: Date: 4 LQ 2,4 Initials: AR Fees Due: Yes No Fee Descri do : Amount Due: $ / VC' { 2 V C•� {ej1(,CJ�) $ "1) c $ SpeInstructions: Instructions: Reprint Permit(per PE): ❑ Yes �9,No ❑ Done Applicant Notified: .-Td/hJ Date: `f/9/2.. TTT Initials: I.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 0