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Permit 111111 CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2020-00138 T I G A R.I.-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2020 Parcel: 2S115AB06800 Jurisdiction: Tigard Site address: 11437 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 13 Project: Willow Brook, Lot 13 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1482 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 20 Bathrooms: 2 Second: 0 sf Garage: 404 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1482 sf Value: $203,780.23 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 1 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer. 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckt9w Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Noes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1482 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: PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $33,100.82 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 it work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon require you follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 2- 01-0 ._You m obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /( /144' Permittee Signature: el- '-e-r-iep• 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. Building Permit Application ' +t-- 4,4 ', ' 1_. 4 - 7,111 `C. / i C. FOR OFFICE USE ONLY Residential y� y APR 27 2020 Received P/ a) A V Permit Na 57_7 _ .19li.2 p City of Tigard Date/By:-7 13125 SW Hall Blvd.,Tigard,OR 97223 ('•r Plan Review Other Permt dC!TYOFTiraARD bZO /gy`y�y tic>R�o�o f00 6 Phone: 503.718.2439 Fax: 503.598.1961 ' hh;;��'++ `S' �` p Date/By: S 7�2 /J/ S Inspection Line: 503.639.4175 B W I L O!NG D!U ISlO!` ate Ready/B : r I ,,° s: ld See Page I for 1 1 G A R U No ied/Method: �/ . �o, Supplemental Information Internet: www.tigard-or.gov TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. [2]New construction ❑ Demolition Indicate the value(rounded to the nearest dollar)of all D Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION ^I��/ G� Valuation: $250,000 0< 7 CJ ® l-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: 3 ❑Accessory building 0 Multi-family 0 Other: Number of bathrooms: 2 El Master Master builder6�12(_ JOB SITE INFORMATION AND LOCATION Total number of floors: V Vx/! 7 tL<v Job site address: 11�SW Gabriel St ! IL 4. � New dwelling area: 1482 square feet 1_ City/State/ZIP:Tigard,OR _ Garage/carport area: 404 square feet Suite/bldg./apt.no.: Project name: Covered pqrch area: 24 square feet Cross street/directions to job site: - ee a {*"Fo 83 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Willow Brook Lot no.:13 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.:2S115AB06701 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New SFR 35'x 60'3 bedrooms and 2 baths with a 2 car garage,covered entryway Existing building area: square feet and covered deck. New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name:Pacific Lifestyle Homes Type of construction: Address:11815 NE 99m Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax:(360)574-6401 New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name:Pacific Lifestyle Homes Structural plan review fee(or deposit): f 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 Amount received: Phone:(360)573-8081 Fax::(360)574-6401 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:permits@buildplb.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:Same and fire department access,along with the 2010 Oregon Address:Same Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/Z1P:Same and administrative fees): Phone:(360)573-8081 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:173524 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: . i! U Y lx/t e n J//VVV ��� within 180 days after it has been accepted as complete. "' Date:4/27/2020 *Fee methodology set by Tri-County Building Industry Print name:Summer Dowell Service Board. I:\Building\Pemtits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd., DateBy: Permit No.: Tigard,OR 97223 a: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGARD 24-Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No \/,% 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ El ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 El6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control0 ❑ ❑ ❑plan 0permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ D ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,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- ❑ 0 ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 Or-•on and shall be shown to be a.r 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 ❑25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 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:1 Building\Permits\BUP-RESPeimitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) C Mechanical Permit Applica E I ' FOR OFFICE I. O\I.1 Cityof Tigard Received APR 2 r 2020 Date/By: Permit No.'`21 Tavpe-00/ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1 __ Other Permit: • TY OF T IG R Date/By: TIGARD Inspection Line: 503.639.4175 �1/+ f-1 �, Date Ready/By: kris: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIMS#1')?'9 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 performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ r. CATEGORY OF CONSTRUCTION RESIDENTIAL.EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address:11449 SW Gabriel St Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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 Lot no.:13 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2S115AB06701 Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas NEW SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/inset 23.32 Chimney/liner/flue/vent 23.32 it PROPERTY OWNER ❑ TENANT rar' 23.32 Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 Address:Same as applicant Clothes dryer exhaust 1 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other. 23.32 Fuel piping: Business name:Pacific Lifestyle Homes $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 Water heater 1 Phone:(360)573-8081 Fax: :(360)574-6401 Fireplace l Range 1 E-mail:permits@buildplh.com Barbecue I CONTRACTOR Clothes dryer(gas) Business name:Area Heating+Cooling Other: MECHANICAL PERMIT FEES* Address:2721 NE 65th Ave Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)737-0811 Fax:(360)737-6946 State surcharge(12%of permit fee) CCB lic.:64801 3 4 0 /LL TOTAL PERMIT FEE This permit application expires If a permit is not obtained within 180 `. days after it has been accepted as complete. Authorized signature: '`` s�,J.�,Q� * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date:4/27/2020 I:\Building\Permits\IvIEC_PermitApp_040113.doc 440-4617T(I 1l02/COM/WEH) 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 fast$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_0401 I 3.doc 2 -- EVE Electrical Permit Application �- ofTigard 2 7 2020 Received Pennii a' �' tyAPR Dated3y. MS�,pe 49. y. ' 13125 SW Flail Blvd.,Tigard,OR 9722. kpy,,, plan Review r� ` :n. Phone: 503 718,2439 Fax: 503.598.1 �-� �f Y1 t' Related Permit it. qy `( Lkt dB , Inspection Line. 503.639.4175 pi 1i,1 l�i r�i 4'!e�"`il)t}F�udy yDatelulc luris QI See Page 2 for .4"IGARD Internet. www,ligard-or.gov ' .n Notified/Method: Supplemental Information J TYPE OF WORK PLAN REVIEW — ®Newconstruction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whims chuckwl). ❑Service or(cede,400 amps or more ❑Building over three stones. ❑Demolition ❑Other: where the available fault emreni ❑Marinasaad boatyards- CATEGORY OF CONSTRUCTION exceeds 10,000 amps at I50 volts sr D Floating buildings, El and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or cseceds 14000 pConnnerciafuse egr;cnlna:d amps foe all other installations. buildings. ❑ Multi-iarnily ❑ Master builder ❑Otlrec 0 File pump. 0 Installation of ISO K VA or JOB SITE INFORMATION AND LOCATION ❑Emergency sysiem larger sepal ateydenvcr .._ r system, )uhll: sup 6br Drie,,C� ❑Additioomfoewnmtorlordof flub site address: vg•^1•�' r v laoHp onnorc. ❑•yv,•:•f.. .y-Z...,I-j., ---"---- 'n ❑Six or taunt residential units occuµmcy. City/Stale/ZIP- J� 0VC� -- ❑health-rare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.4: --- I Project name: ❑Hazardous locations. ❑Supply voltage lot store than ❑Service or feeder 600 snips or more G00 volts nominal. Cross street/dit•eclions to job site: FEE SCHEDULE Description Qty. l'otal _IL_ New residential single-or multi-family dwelling unit. Subdivision: ��(� Lot#: (3 Includes attached garage. _--- -. '�v -'-�Q+ � ./- }�- �t 1,000 sq.R.or less t 168.54 4 Tax map/parcel#: �S l 's_'1 `., N Q /o Ea.add'I SUU ale R or pot(on 1� 33 92 1 DESCRIPTION OF WORK Limited energy,residential 75 W 2 STle, (with above sq.ft.) Limited energy,multi-family 7500 2 residential(with above sq.II.) ----- - Renewable Energy ❑ See Page 2 ROPERTY OWNER El TENANT Services or feeders installation,alteration,audio•relocation Name: ( 200 amps or less 100.70 2 Address: lat, I S P- V 201 amps to 400 amps 10034 2 201 amps to 6W amps 200.34 2 City/State/Z �'l �uv ti,.4) a 82 601 amps to 1,000 amps 301,04 2 Phone:TJIe ) i -7 . 1309) Fax:it ) Over 1,000 snips or volts 552 26 2 y Temporary services or feeders installation,alteration,and/nr (:mail: � bow �( � L{-+, tarn Temporary Owner ins allation:This installation is being made on properly 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 [ APPLICANT I ® CONTACT PERSON . Branch circuits-new,alteration,or extension, er panel A.Fee for branch circuits With above service or feeder fee, J (y/ ' Business name: Pacific Lifestyle Homes ( 7'v 742 2 each branch circuit Contact name:Permit Coordinator B.Pee for branch circuits trillion/ ----_-- m service or feeder fee,first Address: 11815 NE 99 Street,Suite 1200 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98682 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)573-8081 Fax: :(360)574-6401 Each manufactured or modular 67 s4 2 dwelling,service and/or feeder Email:permits@buildplh,cum Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 -- Business name:Garner Electric Sign or outline lighting 67.84 2 -------- Signal circuit(s)or limited-energy Sec Page 2 2 Address:2920 SE Brookwood Ave,Suite A panel,alteration,or extension. Cits/Slate!"J,IP: Beaverton,OR 97006 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(I hr min) 90.00/hr Industrial plant(1 hr min) r Email:mmorato@garnerelectrie.com Inspections for which nu fee is• 90.00!br C'CB Lie.: 121159 Electrical lj{C.: -305C Suprv.Lie.: 3.-7 Di 5 specifically hated(P:hr min) l ELECTRICAL PERMIT FEES Suprv. Electrician signature,require f y Subtotal: Print name: Chuck Garner , p- 7_ Date:4�7 1wO ❑Plan Review Required(25%of permit fee): S r�x'. 111"`�""" Stale surcharge(12%of permit fee): Authorized signature: 1'0'fAL PERMIT FEE: h /� t �•-, This per mil application expires if a permit is not obtained within 180 Print name: f' IA �A 'G Sate..- I i days after it has been accepted as complete. 1�III��� x Number of inspections allowed per permit. 1'.Ihcldingd'ermitoFLC-permilApp I11.R 111th due Rev U6it7Q015 440-4615Tt nits/COhp'Clt Electrical Permit Application —City of Tiga rd Page 2---Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE • lion aenr Ends 7alnl Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work involved: s kva arloss 10070 2 • sal 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_ • 11 Burglar Alarm 25.01 to 50 kva 301 04 2 • I 50.01 to IOU kvn 552.26 --� 2 • • Garage Door Opener* >I00 kva in accordance — wi II) 91 8-309-0040)r 552.26 2 I Heating, Ventilation and Air Conditioning g Solar generation syslemx in excess of 25 kva: _`--_--- • System* l Each additional kva over 25 7.42 3 I 1 Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any or the iibuve: I I Other: Each additional inspection is 66.251 hr ------ charged at an hourly(1 hr min) Inspections Ihr which no tee is -'-90.00!hr specifically listed(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 SWAMI(Enter on Page I): I • Number of inspections allowed per permit (SEE OAR 918-309-0000) • Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation Fire Alarm Installation n HVAC • instrumentation I I Intercom and Paging Systems • I I Landscape Irrigation Control* Medical I Nurse Calls • • Outdoor Landscape Lighting* I I Protective Signaling j Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I•nuildiag\deuaitstLC PermiIApp_ELR_EAE doe Rev CHI'7/2015 Plumbing Permit Application. 'i lc- & ilding Fixtures "' 6 City of Tigard APR 2 7 2020 Received Date/By: Permit No sT� -Do IMII .1 13125 SW Hall Blvd.,Tigard,OR 97223. .. Plan Review Phone: 503.718.2439 Fax: 503.598.1060 C°�OF-MARL - Date By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 1 11,1�;t-� �(d f,.�'�16^" Date Ready/By: Juris: El See Page2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demo li lion For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION l Site utilities: Job site address:11449 SW Grabiel 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: 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) Page 2 Storm sewer(no.linear ft.:<100) Page 2 Water service(no.linear ft.:<100) Page 2 Subdivision:Willow Brook I Lot no.:13 Fixture or item: Tax map/parcel no.:2S115AB06701 Back low preventer 31.27 DESCRIPTION OF WORK Backwater valve • 12.51 Clothes washer 1 25.02 NEW SFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 11 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:same as applicant Garbage disposal 1 25.02 City/State/ZIP: Hose bib 2 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address:11815 NE 99ta Street,Suite 1200 Sink/basin/lavatory 3 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax::(360)574-6401 Tub/shower/shower pan 2 12.51 E-mail:permits@buildplh.com Urinal 25.02 Water closet 2 25.02 CONTRACTOR Water heater 1 37.52 Business name:Lippold plumbing and heating inc. Water piping/DWV 56.29 Address:PO Box 895 Other: 25.02 City/State/ZIP:Boring,OR Subtotal Phone:(971)404-7012 Fax:( ) 7///71.0 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:201597 Plumbing Lic.no.:PB1416' State surcharge(12%of permit fee) Authorized signatur TOTAL PERMIT FEE Print name:Summer Dowell Date:4/2 2020 This permit application expires if a permit is not obtained within l80 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:U3uilding\Pesmits'PLMI1-PertoitApp.doc 10/01/09 490-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information 'A, Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-ls'100' 50.03 0 to 2,000 $121.90 Fooling drain-each additional 100' 37.52 2,001 to 3,600 S169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 '1 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 S148.50 for the first S 10,000.00 and S1.54 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 S25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional S 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 5742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for.Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font Bath -Tub/Shower ❑ 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 Thu ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4„ Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food g q Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:\Job Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 131Peknits and Inspections\PLB_PermitApp.doc Plumbing Permit Application RECP Building Fixtures u ' ' 320 City of Tigard MAY 1 eceived Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 De c,t3y: a Phone: 503.7182439 Fax 503.598.1960 G,�( G1 l j Wah Review Other Permit No.: �t� n Ati4sr l I C A R D Inspection Line: 503.639.4175 (1 LU `� J Dale Ready/f3y: Avis. ® See Page 2 for Internet: www.tigad-or.gov Notified/Method: Supplemental Information TYPE OF WORK PEE* SCHEDULE ®New construction 0 Demolition For special information use checklisr. --- Description I QtY. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwelli.gi(includes 100 ft.for each utility conneclion) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ElI-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional batMdtchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 11449 SW Gabriel St Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Willow Brook 13 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear(1.:_) Page 2 Subdivision:Willow Brook I Lot no.:13 Fixture or item: Tax map/parcel no.:2S 115AB06701 Backfow preventer I 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Back Bow preveater for landscape irrigation. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Same as applicant Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 . ® APPLICANT It CONTACT PERSON interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator , Roof drain(commercial) 12.51 Address:11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax::(360)574-6401 Tub/shower/shower pan 12.51 E-mail:permitsbuildplb.com Urinal 25.02 @ Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Trademark Landscapes,INC. Water piping/DWV 56.29 Address:PO Box 2410 Other 25.02 • City/State/ZIP:Oregon City,OR 97045 Subtotal Phone:(503)631-3893 Fax:(503)631-4737 Minimum permit fee: 572.50 CCB Lie.: / Plumbing Lic.no.: Plan review (25%of permit fee) 7 State surcharge(I2%of permit fee) Authorized signature: +C /') C l i, l,t /_ �( TOTAL PERMIT FEE ✓ -'', I} Print name:Summer Dowell Date:5/13/2020 This permRapplication ert ha bfInaccepted is notcompete. within 180 days after It has been accepted as complete. *Fee methodology set by Tri.County Building Industry Service Board. :l&rilding\PenniuWLMU-PermiiApp.doe 10/01,09 4404616T(10102/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental information , Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty Fee(ea) Total Square Footage Permit Fee: Footing drain•1"100' 50.03 010 2,000 S 121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 S 169.69 3,601 to 7,200 S23320 Sewer- 1st 100' 62.54 7,201 and greater S327.54 Sewer-each additional 100' 37.52 Water Service-Ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 - s> Storm&Rain Drain-1st 100' 62.54 Valuation: Permit ee: $1.00 to$5,000.00 Minimum fee S72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to S10,000.00 S72.50 for the first S5,000.00 and$1.52 for Other Inspections or Fees QtY• T l$00 °'Talal each c iaddditi nal S10000 or fraction thereof,to anuInspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first S10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional S 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 S 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 S742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional S 100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font Bath Tub/Shower El 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 9hru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash • Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain ❑ isometricriserdiagramis required for new buildings Garbage -Domestic-non-food or q g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:Vob Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 51Pcn2iits and Inspections\Irrigation app.doc City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT 1 T► .A x D Building Permit Review — Residential Building Permit #: MC. T 20 20 D© i 3 k Site Address: 11 4 31. SV`I Czi,�Inc.i Street Project Name: VJ j U.fl 1j b1% Lot #: 3 Planning Review Proposal: weisiq kurei 'a.Verify address/suite#active in Accela. In River Terrace: . No ❑ Yes,River Terrace Review Addendum Site Plan Elements: $rosion Control 160 copies of site plan on 8-1/2"x 11"or 11 x 17"paper fr Retained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE North arrowJtility locations&easements(required for new and additions) rte address,project or subdivision name and lot number S dewalk/driveway approach 1pplicant information(name and phone number) ViLocation of wells/septic systems ;Nrot dimensions and building setback dimensions ,KStreet tree size,type and location N4eVquare footage of buildings to be demolished treet names i�,.� xisting structures on site Corner elevations(2'contours if more than 4'differential) . Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? eiLNo ,X-Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ,k No Received: ❑ Yes 0 No M. Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified K No Received: ❑ Yes 0 No SDC .DEGE2i/3-1.- applied for: ❑ Yes X. No Received: ❑ Yes ❑ No ,li'Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified 'No Applied For: ❑ Yes 0 No,stop intake a,rr Land Use Case#: 5U S20L(P—OCZ2( I Z Zoning: R —, X Required Setbacks: Front: 15 Rear: 1 5 Side: 5 Street Side: ►` /P- Garage: ' ' i Building Height: Max.Height: .3S Actual Height: *?-C) Landscape Area: 2-0 % ❑ Lot Coverage Max: SD Entrance . T Set back no more than 8'from street-facing wall ,Parallel to street or offset 45 degrees or less Windows 0 Minimum 12%of area of all street-facing facades Garage 1Fr Garage door is behind widest street-facing wall -"Yes 0 No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°a floor. .lir Garage door width is 0 12'or less .K50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance 0 Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding 0 Window trim ❑ Window recess 0 Window projection ❑ Balcony ►"Visual Clearance g Urban Forestry Plan • Sensitive Lands: X, Yes 0 No Type: LDW Value Ir7 Ia1011ti t Conditions met prior to issuance of building permit Notes: n Approved By Planning: C -.9'1-, Date: 4120120 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: y/-7/P Site Plans: # 3 Building Plans: # `� Building Permit#: 0-Enter building permit#above. Workflow Routing Planning `Engineering r it Coordinator -Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 2-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o al plan review routing form. ,Id�Buil iding. original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,c_e Date: S//20 Engineering Review LY'Slope at building pad: ®'Conditions "Met"prior to issuance of building permit 2-Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes �No Assess Water Quantity Fee in-lieu: 0 Yes I No � LIDA Facility on lot: ❑ Yes / IQ No IA rinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 14.0„. r Sr{£/Z_ Date: 2e 2D Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 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: .SDC Exemption: ❑ Received Does not apply 'SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A 'VI OK to Issue Permit Approved by Permit Coordinator: f A I „ Date: 5/5 l20 I:\Building\Fortes\BldgPennitRvw_RES_122419.docx