Permit CITY OF TIGARD MASTER PERMIT
IIIII ' ' COMMUNITY DEVELOPMENT Permit#: MST2020-00136
Date Issued: 05/28/2020
T I,,; A I_.I', 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110BC12800
Jurisdiction: Tigard
Site address: 12010 SW VIEWCREST CT
Subdivision: ESTATES AT ASPEN RIDGE Lot: 3
Project: Estates as Aspen Ridge, Lot 3
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 4 First: 2963 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 22 Bathrooms: 3 Second: 0 sf Garage: 798 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2963 si Value: $414,212.96 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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 Noes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 at or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All
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 2963
Owner: Contractor:
LEE,ERIC&MICHELE ODYSSEY DEVELOPMENT Required Items and Reports(Conditions)
9933 SW MORRISON ST 9933 SW MORRISON STREET 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97225 PORTLAND,OR 97225
PHONE: PHONE: 503-730-2760
FAX:
Total Fees: $39,880.13
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 -001-0090. You ay obtain a copy oft rules or direct questions to OUNC by calling 503.23 7 or 1.800.332.2344.
Issued By: ermittee Signature: `� ep*
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
Residential f"q FOR OFFICE USE ONLY
City of Tigard ffGGPP_EiVED Received ei _
Date/By: 7 Permit `/
i 13125 SW Hall Blvd.,Tigard,OR 97223 p Plan Revie �j �� �/������10
.11114
_ Phone: 503.718.2439 Fax: 503.598.196�P 1 2020 DateBy: S� 7,4 Of Other Pe W'0A°-01:9,3
TIGARD. Inspection Line: 503.639.4175 T`{ ,g/'�n Date Ready/By. Ions: Et See Page 2 for
Internet: www.tigard-or.gov CITY i OFI tGMf D Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION : work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ L 1, I( Z12
ElAccessory building El Multi-familyNumber of bedrooms: 4
0 Master builder El Other:
Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 1 3.--AP I
Job site address: 12010 SW VIEWCREST CT New dwelling area: 2,963 square feet 2.943
City/State/ZIP: TIGARD, OR 97224 Garage/carport area: 798 square feet
Suite/bldg./apt.no.: Project name: ODYSSEY DEVELOPMENT Covered porch area: t square feet
Cross street/directions to job site: Deck area: 1(OS square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ESTATES AT ASPEN RIDGE Lot no.: 3 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 110BC 12800 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 SINGLE FAMILY RESIDENCE Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: ERIC & MICHELE LEE Type of construction:
Address: 9933 SW MORRISON STREET Occupancy groups:
City/State/ZIP: PORTLAND, OR 97225 Existing:
Phone:( 503)730-2760 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: RAE DESIGN &ASSOCIATES (Please refer to fee schedule)
Structural plan review fee(or deposit): 7$ iI, 3 I
Contact name: RICH EISENHAUER y'..7n�J C
=f��/ FLS plan review fee(if applicable):
Address: 6925 SW NETARTS COURT
City/State/ZIP: BEAVERTON, OR 97007 J� Total fees due upon application:
Phone:(503)310-5583 Fax: :( ) Amount received:
E-mail: RICH@IKEINC.NET j PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
1 5 �" y Commercial and residential prescriptive installation of
CONTRACTOR _ ! -"€;r* roof-top mounted PhotoVoltaic Solar Panel System.
Business name:ODYSSEY DEVELOPMENT, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9933 SW MORRISON STREET Solar Installation Specialty Code checklist.
City/State/ZIP: PORTLAND, OR 97225 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 503)730 2760 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 204951
Li Total fee due upon application: $201.60
Authorized signature: (-I This permit application expires if a permit is not obtained
�L�+�" within 180 days after it has been accepted as complete.
Print name: RICH EISENHAUER Date: 4/10/2020 *Fee methodology set byTri-County Building Industry
Service Board.
I: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
City of Tigard Received
III Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated
I Phone: 503.718.2439 Fax: 503.598.1960 permits:
24-Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing El Mechanical
TIGARD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: . ❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 ❑
6 Sewer permit. 0 ❑ 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ El ❑
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 ❑ 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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 ❑
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 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 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 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 ❑
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 ❑ 0 0
architect licensed in Oregon and shall be shown to be ap plicable 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 ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ 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, ❑ 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPemitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
b Mechanical Permit Applic � FOR OFFICE USE ONLY
Received
City of Tigard APR 21 2020 Date/By: Permit Noyt�5732 .2c 6/3W
e 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review r!
Phone: 503.718.2439 Fax: 503.59e ty GF ii1GHRD Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 �p �wr Date Read/B Janis.
Internet: www.ti rd-or. ov t ` DIVISION'ON' y o Supplemental See Page 2 nr
ga g �lJ�L:F�. ", t NotifieoUMethod: Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION HcatinglcoolinQ:
Air conditioning 46.75
.lob site address: 12010 SW VIEWCREST CT Furnace 100,000 BTU(ducts/vents) I, 46.75
City/State/ZIP: TIGARD, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: ODYSSEY DEVELOPMENT 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: ESTATES AT ASPEN RIDGE Lot no.: 3 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 2S1108C12800 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert l 33.39
Flue vent for water healer or gas
INSTALL NEW GAS FURNACE WITH ALL DUCTING fireplace 23.32 ,
AND INSTALL BATH FANS DUCTS DRYER VENTS Log lighter(gas) 23.32
Wood/pellet stove 33.39
RANGE VENT Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: ERIC & MICHELE LEE Range hood/other kitchen
equipment 33.39
Address: 9933 SW MORRISON STREET Clothes dryer exhaust 33.39 .
City/State/ZIP: PORTLAND, OR 97225 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32
Phone:(503 )730-2760 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: RAE DESIGN & ASSOCIATES $1
SI4.t5 for first four;$4.03 for each additional
Contact name: RICH EISENHAUER Furnace.etc.
Address: 6925 SW NETARTS COURT Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: BEAVERTON, OR 97007 Water heater
Phone:(503 ) 310-5583 Fax::( ) Fireplace
Range
E-mail: RICH@IKEINC.NET Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: RITE WAY HEATING Other:
MECHANICAL PERMIT FEES*
Address: PO BOX 1815 Subtotal
City/State/ZIP: HILLSBORO OR 97123 Minimum permit fee($90.00)
Phone:( Fax:( ) Plan review(25%of permit fee)
503 693 3161 State surcharge(12%of permit fee)
CCH lie.:71242 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Qdays after it has been accepted as complete.
Authorized signature: / • Fee methodology set by Tri-County Building Industry Service Board
Print name: ROBIN WAY Dale:4/15/2020
t:\Building\Permits\MEC_PermitApp 040 I13.dor 440-4617r(I II02/COM/WEB)
•
Mechanical Permit Application - City of Tigard
t Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional $100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC_PetrnitApp_040113.doc 2
t �� '~GI '
Electrical Permit Applicat '—` FOR OFFICE USE ONLY
City of Tigard APR 21 2020 Received Penult, �T�o
y• 13125 SW Ifall Blvd.,Tiger OK 7223 Date/By. �{7 ^Qj/3 ro
Plan Review
•
11.1 Phone: 503.718.2439 Fax 503.59 {yy " i [•y Related Permit e.
� � '+�J� �:'l+tf Al !ea Date/By-
Inspection Line: 503.639.4175 1 f I 1 c'(r Ready DateBh `kms.
See Page 2 for
TIGARD Internet www.tigard-or.gov �9 .,'--' ,s i---'"i NotificdiMethod: 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 Demolition El Other. ❑Service or feeder 400 amps or more 0 Building GATT three stories.
where the available fault current 0 Marinas and boatyards.
1t�'�� CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
L.I r-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings
❑Multi-family 0 Master builderOther.
0 Q Fire pump. Q Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: l 2 t)!O s W tern Addition of new motor bad of system
C Chet.1 CoCouF,� 1001-19 or more.
City/State/ZIP: 77 J O a,cle, 0 ie t ? 7 2 Z Y ❑Six of more residential units. occupancy.
❑❑Health-care facilities. Recreational vehicle parks.
Suite/bldg./apt#: (Pmject nameODYSS EY DEVELOPMENT ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. GOO volts nominal.
Cross street/directions to job site: FEE SCHEDULE
E
Description 1 Qtr. I Each f Total f
New residential single-or multi-fattily dwelling unit.
Subdivision: e S 4'4-iv/ of .1 A r p e.it a eip e Lot#: 3 Includes attached garage.
Tax map/parcel#: (,a 1 3 2S110BC12800 Ia.asd'I5oosleas 168.54 4
Fa add'I 500 sq.
II. P
.or onion 33.92 1
DESCRIPTION OF WORK
Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: ERIC & MICHELE LEE 200 amps or less 100.70 2
Address: 9933 SW MORRISON STREET 201 amps to 400 amps 113.56 2
401
01 l
City/State/ZCity/Stale/DRPORTLAND, OR 97225 6ampsto .0 amps 200.34 2
01 amps to ,000 ps 301.04 2
Phone:(503) 730-2760 Fax:( ) Over 1,000 amps or volts 552.26 2
Entail: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per Panel
t APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name: RAE DESIGN & ASSOCIATES above service or feeder fee, 7.42 2
Contact name: RICH EISENHAUER eachornchrci circuits Fee for b brsranch without
Address: service or feeder fee,first
6925 SW NETARTS COURT - branch circuit 56.18 2
City/State/ZIP: BEAVERTON, OR 97007 Each add•l branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
Phone:(503) 310-5583 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: RICH@IKEINC.NET Reconnect only 67.84
CONTRACTOR Pump or irrigation circle • 67.84 2
Business name: (Vet.{ re.c 4 C-(e c-it/d c Sign or outline lighting 67.84 2
Signal eircait(s)or limited-energy
Address:
3 939 ,v e.tJ Jo s Fat/41 e 54 panel,alteration,or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above City/State/ZIP: „..-4 a s iv i l 9 g 60 7
Additional inspection(1 hr min) 66.251 hr
Phone:(36 e) 9(0- O( Y 3 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: 1e r/f c c tie 4 ma f(. Industrial plant(I hr min) 78.18,'hr
a7 Inspections for which no fee is
CCB Lie.: 2 2 IS-l'6 Electrical Lic 2 ey JS 1 Suprv.Lie.: 6 2 6 y S specifically listed('i hr min) 90.00f hr
Suprv.Electrician signature,required: �,/tia. , ,P. ELECTRICAL AL PERMIT FEES
Print name: a Subtotal:)
Ali �o L�Y Pe (y� /�� Date: 3/Z �Z O ID Review Required(25 0 of permit fee):
/) State surcharge(12%of permit fee):
Authorized signature: V 2�a •'1 , �`� TOTAL PER iT FEE:
a d' This permit application expires if a permit is not obtained within 180
Print name: IY N A 7-0 L/y E L y U kNmu0 Date: 1/2/2 Q days after it has been accepted as complete.
* Number of inspections allowed per pe,uut.
Latudingkhnuizs,ELe PernatApp ELR ERE.doc Rev06/1792015 440-4615T(il05iCOM/WEB
• Plumbing Permit Application` y `�
` Building Fixtures " eC �i P FOR OFFICE USE ONLY
City of Tigard Received
APR 21
g 2020 Datei6. Permit Nojtii ST..Wo D0/3(P
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / O
C ' Phone: 503.718.2439 Fax: 503.598.1960 Ty rF IuU i, Date/By: Other Permit No.:
.
TIGARD Inspection Line: 503.639.4175 -, Date Ready/By: 7uris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction CI Demolition For special information use checklist.
Description Qty. I Ea. I 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
11-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
ID Accessory buildingSFR(3)bath 500.32
❑Multi-family
Each additional bath/kitchen 25.02
['Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION ,", Site utilities:
Job site address: 12010 SW VIEWCREST CT Catch basin or area drain 18.76
City/State/ZIP: TIGARD, OR 97224 Ehywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: ODYSSEY DEVELOPMENT Manufactured home utilities 50.03
Cross street/directions to job site: Manholes . 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: ESTATES AT ASPEN RIDGE Lot no.:3 Fixture or item:
Tax map/parcel no.: 2S1 10BC 12800 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve • 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:ERIC& MICHELE LEE Fixtwe/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 9933 SW MORRISON STREET Garbage disposal 25.02
City/State/ZIP: PORTLAND, OR 97225 Hose bib 25.02
Phone:( 503)730-2760 Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: RAE DESIGN &ASSOCIATES Medical gas(value:$_) Paget
Primer 12.51
Contact name: RICH EISENHAUER Roof drain(commercial) 12.51
Address: 6925 SW NETARTS COURT Sink/basin/lavatory 25.02
City/State/ZIP: BEAVERTON, OR 97007 Solar units(potable water) 62.54
Phone:(503)310-5583 Fax::( ) Tub/shower/shower pan 12.51
E-mail: RICH@IKEINC.NET Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: a c-iJ, C P( u IM1 ,3 V Water piping/DW 56.29
Address: S Other: 25.02
City/State/ZIP: tI J 0 U f� �� �� 11AO Subtotal
V 5 1\ Minimum permit fee: $72.50
Phone:(5O3))ye z0 Fax:( ) yogi/
CCB Lie.: /C / I Lk.9 Q/ Plumbing Lic.no.: vV��l I --t 'p Plan review (25%of permit fee)
I I l0 1 1 State surcharge(12%of permit fee)
Authorized signature: 4 �Q/' TOTAL PERMIT FEE
Print name: G.t D Date: ({.rs,�� This permit application expires if a permit is not obtained within 180 days
[Js t1 Q after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
1:1Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/C0M/WEB)
_t •
• 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 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any attic following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-3" Isometric or Riser Diagram
4 ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Maeh./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for theincrease be paid before the
Water Extractor sewer must
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
i .
6
71v COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: h S T o.o - OO 13 Co
Site Address: l ZOl0 Svg V lew/ c*ccd- c.- -.
Project Name: ESie l- 44 P Rld.v Lot #: 3
Planning Review
Proposal: Neel) ham{,
Verify address/suite#active in Accela. In River Terrace: rck No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: (11 rosion Control
R3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper NARetained trees with drip line and tree protection measures
'brawn to scale(standard architect or engineer scale) gfootprint of new structure(including decks)and FFE
.North arrow q tility locations&easements(required for new and additions)
:1 Site address,project or subdivision name and lot number 11 :rdewalk/driveway approach
el pplicant information(name and phone number) h, .cation of wells/septic systems
K"�L ►:ot dimensions and building setback dimensions � .. et tree size,type and location
1' quare footage of buildings to be demolished I L.treet names
JV `xisting structures on site 'Comer elevations(2'contours if more than 4'differential)
Iot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? filli No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? n es No
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: 0 Yes 0 No
• Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Requited: 0 Yes,applicant was notified No Received: 0 Yes 0 No
SDC - .UECE2 2/a-L applied for: ❑ Yes M No Received: ❑ Yes 0 No
• Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified J) No Applied For: 0 Yes 0 No,stop intake
'Land Use Case#: 5\J Q2k5'CCOI O ,f3"Zoning --4,S
Required Setbacks: Front 20 Rear: \S Side: 5 Street Side: N/ Pr Garage: ZO
jif Building Height: Max. Height: 3D Actual Height: t 22-
- Landscape Area: % -Lot Coverage Max: °/u
Entrance g Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less
Windows IR,Minimum 12%of area of all street-facing facades `30/a
Garage a—Garage door is behind widest street-facing wall , Yes 0 No,one of the following is met:
O Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
0 Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2ad floor.
.. "-Garage door width is 0 12'or less 1i-50%or less of facade 0 60%or less and includes 7 of following:
O Covered porch 0 Recessed entrance 0 Wall offset ❑ 1'Roof eave 0 Roof offset
O Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer
0 Accent siding 0 Window trim 0 Window recess 0 Window projection 0 Balcony
Visual Clearance C_1 Urban Forestry Plan
17. Sensitive Lands: ❑ Yes . No Type:
COonditions met prior to issuance of building permit
Notes: Ilee4 condt-htis ?heir -to v1,SVa,vo-r .
❑ Approved By Planning: Date: 1 123120
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
I:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: y,A//a-0
Site Plans: # 3
Building Plans: #
Building Permit#: [ 'Enter building permit#above. ,,,,, `
Workflow Routing: [•I�Planning Ei--f gineering ®hermit Coordinator gegUilding
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
o al plan review routing form.
Building. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � } Date: '//'Z%/2o
Engineering Review
,,,��./// I
e at building pad:
Conditions "Met"prior to issuance of building permit
IS Easements (encroachments)per engineering conditions of approval and plat
eater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: le Yes 0 No
LrJ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Permit Coordinator Review
'Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
cSDC Exemption: 0 Received Does not apply
❑ SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: 0 Yes 0 N/A
LIDA 0 Yes ❑ N/A
LK OK to Issue Permit
Approved by Permit Coordinator: Ateav ( � Date: 412..A( 2.0
I:\Building\Forms\BldgPennitRvw_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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.Roy
TO: 7-0 + ' �� �Z•✓�k iit/l/�-f�l �-- DATE RECEIVED:
DEPT: BUILDING DIVISION
MAY 1 8 2020
FROM: CITY OF TIG ARP
COMPANY: p C-,e74-.
.��e /e/ -e7e,7i /Z., <i `3U LD NG Dr
PHONE: `/ 6'e2 By:
RE: 72O1� SA/ A' /C&57 ( 1/Zt Number)
(Site Address) (Permit
Aff,„ r
roject name or subdivision name an of num
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: / �e V Sez.A /Fo4-A /72Lff5& S 4-. m e.mo Rze2A7
mi l 1- 1'<91Z7A
Ab)bk. — r205e7`37eP(J
FO)R O7ICE USE ONLY
Routed to Permit Tech ' ian: Date: �j/� 7024 Initials: / t:
Fees Due: Y Q No Fee Descripti n: Amount Due:
1/2— ctipoc..c.L0 $ Lis
$
Special
Instructions:
Reprint Permit (per PE): El Yes No [ Done /t
Applicant Notified: V Date: clot, 20 Initials:`S
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012