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Permit _ CITY OF TIGARD MASTER PERMIT 4 COMMUNITY DEVELOPMENT permit: MST2020-00161 Date Issued: 07/09/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135AD07400 Jurisdiction: Tigard Slte address: 8821 SW THORN ST Subdivision: GRAHAM ACRES Lot: 2 Project: Thornwood, Lot 2 Project Description: New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 436 sf Basement: 0 st Left 5 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 653 sf Garage: 240 sf Front: 15 Smoke Dwelling Units: 1 Third: 699 sf Right: 5 Detectors: Yes Total: 1768 sf Value: $230,653.68 Rear: 15 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 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furne100K: 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'I 500 st: 3 201-400 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+am p/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 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 SFA VB R-3 1788 Owner: Contractor: THORNWOOD HOLDING CO LLC SCHMIDT EXCAVATING INC Required Items and Reports(Conditions) 16615 SW MAPLE CIR 514 DAYTON AVE 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97034 NEWBERG,OR 97132 PHONE: PHONE: 503-538-3567 FAX: Total Fees: $25,585.17 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 OAR 95 001-009 Yo ay obtain op the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: tee...... ..v--[r v 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. , cl F Cr-1E APR 30 2020 } ui3t F tr it Application (, i Y'�Jt T� ii';'f -- ' • VA)al R s eIItia3 6 H D?i G DIY; t � £ City of Tigard tK01i5o /6, <1/1" I i'c''" ti / G- --DCVO I . 1i1t552SHxll 243 1i 503£.'22 i9 Fha A sss' /E1 to TA.es2fJ?O''4 /.0. !s Piwts. Ski 713 A FAA 5{l3 57a.94fx5 tTateYrt imp/ max Lmc 302 6314175 Bane:p.44 �� .» 1 :44 r.2....1 6ex 'K7GARG? e. 9n.£. --Mctt33vt a ',PtMr,rnta?faraNe03Arn3 btatratt ceua 3eflriar.{A4 - A. t TYPE OP WORK :BE. nSR.Fi'DATAr a_ ,YD2,,PA lILY DWELLING e>r 3301333e113310,.t 0 t?emlint,a __ :.._, £'crnut fees*arc.aav^d tan£! ‘al_of the amtvk Pelf wttatcf. _ _ £rxlicale the rabtr octon,10.1 to tire nr rcht&PAP rnfall ItIbticu.altcr.4®tx replasronttni 0Othcr, cntipment,nuct,•,is,Inhor,ws ertt_sr£,a+'d the peaztzt for the CSTEGORY'Ot'co,ss Ruch°:' uaakinLhC�1�`v3,Al'1knu,xpfizAsatFl. YSkrattcan S 2,2 1-anti 2-2ohnly,WeIIiflg ® i' ©C+urntrcohnduttrtal �"- Nhonther ofbedromrs. 0 Arerooty buntIthg iM Pulp-foamy 0 Mastro btaidrr 0(Arr. Nuntho rribaty ms .. 4429— 2O13 SITE I'4VORMA`L'lO' AND 101 'C'7&\ Ta31 manlier of Ilna.-s 3 2 OZ Job s€tcclintr>.YCZ�✓ Z� 'S * c5f I t 'rin+xl£itidare .I1S2 bi; rr#'tct ko e; C16(Stabotilt' g -f �...+ , t 1 Z Oangefor pries 2, 0 sgtiarofeel(O Smtctldg..apt nth.: Projohlmown '' V1 Cpvrreu{parch arra 4 in.oh... +puurofitt I Crr315 str&Vdttcxiaatts tujob hurt t.4' LV MO,tutu: 0 Aietare feet 1 t °dirt siren ttro arc a: rslusrt fcct RE01 1Rkt)n1A'TAi,2 COMMER+;IAL«LSE CliECIsI M 1 3 Snbds tston y-ii—t-. wwy ,,,-E—ANYA i Int not 2., Ponat fors*arc hued on the x nit of elan svesk trrrtrett,zd. 1 Ins hop',parsct t 1 5 136 ADp-TIOD R ZZQ 9(1 iodiMte the value 1n62126.16)the a arnst do11,30 of obtbrnott r3262 alx labca',mt.-06 1,anti thr.rota for do I)' .1.R I'.1111X UI i.0116 '.. ,.;i. trork and,cat=vi am tilt/app£ieabort Ew oedz! ...5-fhi— �-, `:31uoUvil, S EGO op6616hg own a 3quarcf€cd lies+;buttnog trca: itfuarr fret -E Pno'RERTT Ciji.'"'fi L.. 'a:TENANT' ?urtlbet at 1111r8Cl Rantct7"3't4.Z t- 01-iOr nab Lt_C.. isitatut15 LS!-e>11..v'n)2) Tyltr ofconsinctinn- Adarrss:i.,.6I7 r.i Ar'f-.c,: 4..4/1 CLG: tAcuy tc?statops C10 S013tal:'.:3-,--3.1.C.G L..%), tAiCht f 0/1--,. 6 9?103�9"1 t� k:.<tstfngtt S{APILICA_1T /��/}� t_1ts3 TALT�.,Pk•,''"I . E& :'l'.G PERMIT 2E664 $(w bor 3e, A�k1ZT'i7 rt' Pkau Mrr try free h� (justness nano y Steucvurat MA/rrttltrYv fee lrr&^pasts. C hrttrcx I.I':44 ._ 621r; T r�h � EIS plait r hteu c,.Of apptr abltrt attont = .. . ce x Ciq'Stata/ 1,46 ,a ./40/- 7 -/3 , _ i a.Photo.{ 97YJ3] 7i/4 Ammo rrvety chirDavol isaL EhvsriFEES* F-heaG/ 90 Maid ez eyvvrif,c vvi fCnrnmc-cut nail residchthat prco-ertpttrt Inats[ean.f o _ CO'N'T t.I 10k awf-thps taotuetrd Phetu'iaitatc'Solar 1'sr i Sysmrh .. S'ubmit as a l'-7 secs of rcuf plan 610 Sot antv^l idn derails £juso,+:SS name- 262 tun drinttnxnt naps.Wong with the 2910 Oroi et ` Anntro4 Tatar IA as 1,Y 7«hn 1par#rtn CottAt doth31tst ....__...m. I'rrattTcetimatuh_roplmnrisScsr i SIB .Cfd1 Ctt} tateZlP. _ Ishii altsihnesanbc fsrse: ?how t 1 ��--ff.. Fax 4,...,..J-..._,,,, 4 'Stsac 1=3euee€i?fl of prroa fecal; S21.6C3 L.Calltc.: .1 ._ 'i;ns• Ee�:dur upuna 4c .iura: :a S(St ,0.uttrwrixal sa roIsisi .`.�.. A.m,J r'T ,v1,... Inn,penrdt argatcatidn rxgirrro it a prrnti.h not.utaiwIt G d"�'u• Y +y6 math:ISO finys ahcr 3I bsa krm axerptxri erra�wrtak. �g ,, �,b pJ ,, [}. w^- I - thott ttSiOnt,te bj`16-Ctot§lip 1thttntrg F.�tihr6 1 Putt rarm I VI-A'y Ps.n W C t '2 1..V+ fate ( y} a'"�+.4 CA :+--rotr lSaaW t t7dutSdthg9'a^nnIN SIP 12t:SiSrr_CLAgpnon.tt's;aZ'ofit 1 31346-i5i33 1 t'Ttt-CO?.LWit 8; Building Permit Application Checklist One-and Two-Family Dwelling b City of Tigard 1 i,_:r w a 3125 bW WO Biel Triad UR. 97213 � Ce . lie 5 71Y2431 tic c;335 .15 3 x"petmeaa. r a o- ,.r 24-Mae tasportawn lino ,0-3.639.4175 0 t,'.-.°a;a'a 0 rlwrb=:cy 0 moans est LwdT.+O tt / rf T � C�ITEMS 7'sn�s�ARE i\�.r� se :' _..a y0 ... . , i Low u'~c K11or.suuaplded- Set jUnsdichoe criteria gnieai-tini4ni,_nx-=.'_ _ `d; ' i ' ( 1 2 fainin-, flood.lain solar balance onus)seismic soils Mai*ratios,Catsgnnc diatieta,eat G :'. 3 %crificatton of a roved plaukat. d Fire district a*+royal r .abed. Name of S St tit system portrait of autiotrosiuon£ear remodel rictstuip system i npatac 6 Sevier wrmit- 7 Water dists act is royal. S Soils report) must c` otiainat a limbic stie :card stomatate ore life nr with ar batman. 1 pw carts ._ 9 loins ion control $plan a permit required. Include drainage-way motevion-sill levee design end 1oaatinit vt cxcb- 1 I tiaras Venom etc ' 10 3 C:omplcte sets of legible piano. Must be ifrawn to scale, wrong conformance to applicable itnal andstate trra i Molding codas. Lntcrnd design detail s and r aanr,ect'dns must be incorporated into tIld plans or ona salivate full-suet suet attached to the plans with cross roferentes hetsveen plan lax wide god details. Ian w:ew.txtrmoi Ire evlIpfetetl if II Site;ftivt plan drawn to stale- The plan must shoo lot and bolding setback dmmoswns,poverty comer devotions li t' ' Li iU niv rt u morn than a 4-fC elevation differential,plan most show contoaar line,A 2-ti.inten ads),toc,uion of ea;emenes andetriveaay„„footprint of structure(including decks);location ofstellsis tacsystems;intim location:,direction indicator;lie area„building;coserage area,perrentags ufeow cu re;uriPernoaxs urea,existing suuctures wl sits:;a+ad cottage drama:c. 12 1 oundation plan. Mans dtmenstons,anchor bolts,any hold-doom and remtbrtrng pads,connection details,cord ssat 1 and fix-anon 13 Floor plans- Slam all dirrtersacias-room,d.afilicaL On.titatadoxv sire.locstttoir of smoke:dttecenrs,water heater, 1 II a furnace vensdaaon teas, hosting fixtures,balconies and dceks 30 Inches those grades,etc. 14 Cross settionts)and grassier. Shwa al Cinmtng,-memtrtr sizes and spacing such as Pout beams headerstrotas,sob- ,e----- 0_ tlaot,wail artostmetwn,roof construction. Afore than ore cross section may beregmrcd to clearly portray construcuun Shoo details of all waif and roof sheathing,roofing,roof snipe,ceiling bcagtie siding;r,aenial-footings and foundation,senses fire LaceroDdruetinn.thertnnl imulaawn,at 15 Epsilon views, Ptostdealestautnsforneysconstructinn,nm-niniuinMiw'eetasatturaforcrichtiansandremodels_ F« I l xterror deage otu muss reflect the actual gee&if ale thine in grade.Li greaser than roar ft,m tit banding envelope. Full-size sheet addendum%bourne foundation c£evntions sv th cross rcrest:was are accc table 16 Wall bracing Ipresenptive path)andarrar lateral analysis plans. Must indicate&tarts and locaivass)for WTI- M. I * . 17 Frinortroor tratmi Prcn ide de s estimations nod Isis for all floors'aiaof mhlier,indicating m suuadards tMIMI ng- p � member wing,spacing.and bowing � � ' focal ions Show attic ventilation 18 basement and retaining yvalii.Pro+iad cross scita<nns and 3:tads showing pincunent ofr:bar, hot ca rater r NMI i,stern,se..item 22."Ens meax-s cuiadaticane" 19 Beam calculations. Provide two sets of calculations using current code dkw.gt malucs for ell beams and multiple Joists Si Id f,.4 tout 00raan haan out car in*ra non-uniform load, 21) lIanufacimrtil Ilaurtroortruss deli in details. 21 E nerdy Code compliance- Mandy the presailotise pant of provide milcul;ninns, A gas—piping sehcntatte is required fir four car mono a li:ancos. a 22 Engineer's s caitutarions., ben required ar providdd,to e,shear nail,root miss,shall be stamped by on engineer or i archttccl In,.,,:din Orr tan and sivat)be ihnww In 9,.ao tbcalde£u th nt,teo toilet rcvt.in a n i i, ` pe)`, ., qa URISl Q al«art t s ti l i;u a at4u a .lstu..I an las°ein 11 . nic "it.11 uarvtd L,s I2 ;, I1• e„ ."s.£"' .-- ,J..1 J_, — , ta,24._ 13 fr fop I>i sits cunt tic required to.Items 16,19 20 and 22 abase 25 EJutldang piano shall not commit red lines or£ai' ems. "Mirrored'buittl`sng piano moil not be accoptcd. 34 ')ttsarsed",knti£d'rng p14no moor man cr nyna maimed an the Permit&System Do's upozni 1"e,cs document, .�h.�... i 37 "Drawn to%cote"'indicates standwd architect or engineer scale. 28 Site plan to inch;de rree size,type and location per sprained pruned$riot net plan ill apphcab£,:),and City or Tigard , Streit Tree din 29 `side plan to include trews and tree fl tcetion mtaautes as reaaa,red by conditions art approval. lr,x Vaginas,dripl nos. iiE ) 0 0 and proem-toe measures most be drawn to wale and must imitate;kprojvel arborast`s modern.or approval t 30 A Clean Wake Ser.,ms'Sensithv Area sere-Se.ee ang Sete Assess.rrenr Cana is aequired for nil budding addikms, `J CI Ci including gods,patio castes{ascr n©n-uupaaiota autf cej and accessory structures to existing re>adtnttal dyscllingo on a In;of record approved prior to September 9.1995 1 I II -i40n•Pzm,,niA.;f>S P .d.Ap¢,st o2.F4=6at1 440-461331tli30344 ilkeNk e.6) '1 ' i� y r"'k"'°s Mechanical Permit Appllc*i 4 ' l t; , e.. City of Tigard APR 3 0 2020 r`.n��t fIsrw -pvlh :.. • k 3125 SLY Hail Blvd,Tigard,OR 90229 T 1111 It N550/5:503 14 2.434 Nth 50139E ibM: _y 1i a n .1 1 ac.13s ikFnPorta- RO lns{+actirm Liar 599.434 4173 i 9 F" I,L7�i1 1 9nae Grsasy a (�Sae Psce 3 Gar 3 t t:=t"x' inn,..3p,e-d air r1 s. A a z.. as: hero mrnM I¢furmai nm j _— a 4a1t31R ijF /0W4//1 `tReCtiKC,'rviW 7� -11 i 3/3 33 ;0/ �. 1 _ _ .__. _ -, 4 44..hzmrat peres01 fah'arc havod u;+the. vise of the 0/./k { (perfarmst.L-sdsrzze she ealue 03-funded to 100 ntaem dallaa 0"50 rt 1 009�u,n i *rti ile,ovroprrohnt,labae,nncnn ati,hod pmS2 __..._ Stalin S (AEIti:O4\ OF C[3`wc3333 r 110h kl„&1bT.'+Ti il:::£ikL, 3i«14'Tx'SYST'Kh1S FM, . 3 0 I-and 2-fami1}du-011ing Q Co tt ithoo intius s al 0 Aorrthots builduts. f e0,uthvallithirertithemet usr sknnklat 1 n 4.14411 arnii} 0 heIastet builder 0 Other 130,nn,is I i ^ EIMEIMIll y001 : .cuo0n»r -- A`r t....rdt4inesa Jobc =t s 51,�Zs♦(n����Su ` y�og 5 lvm44e1MA0t t3TC 6[crveuto City Sro 7 P• -r 3 H'Fa' jog.. all z2 J7 Furnace,100 ElTti ihxnnernl lint Dump 1.. SdSJb i Susr.`bid8 apt_cro.a I Proje,-irar i :,,32' € Gssca urrk i fimassttreti;directians to jab site• AMA., VD fivdnmic hot nrscz a}irsm . 23,33 . ,a huhialo-mat hulks itsiliamzm thiinhikt I 23.32 Unathe.:'sri lFscl-i}y.r,nuzskdnc). I rzwaoH,ni 6.5.0,nub-".Leto- € 46.15 ? Eluehar+t Enr ay of shore l 23.32 Sulx.tisisw "ec "" RA W C. 1 Lotun.- Z i Other 12'i 3? ._ _....._.. 1 Other fuel appitatiar Tax m , - Si 7qc RZ.2.. 0 a�trr>., l 23,32 I ..•. --.y co rnccoLuutt o- i 33.t9 DTSCAtIPTCCt4 OF 140RKj. Flue ves.6 to serer hearse or pa, t*76.W tG7yi µ_ fiRDlaa"s 23 52 Leg lsghtn igasl :112 j Wood:eastoNt 34 444 it woai ftt-etarthinver I .2.332 I Chrnun:liner-t'.uuvete i 2332 ;. s fhtuw; 1 2312 W PROPFRTV 01 � , l r �rY.- 7�h.rd�,a.e�_._..... �y Environmental mhauut and Nr.0.Hra: \err: ; T atoort Cl.i.ei3: 1 [ tocutJ S V “/"V heads ivakit.inen A0475h5 I(tit&t5 j Ak.„,e.„,e� c.ri.,,�,(�y4 q734, /y CkT33Ca.1hC•eaba„. 1 33.'.4 cily,sW6u7.iP: Z Ak oSa.0T+9O ( 09G.• 0 544Rii-[1uS hasvl(bathroom. �q �" tatiricoat ein.ears,milt ram# 2152 Phar:u t y, ) A l�10a fh.V 1 1 Atsa5chivith, elms ' p 23- 2 z... rONE, 2`REERpsis Other. i .,. ., 233 p,,�� �,) --' � Fuel piping' Resit'4i,^anve: Myatil�tfea""a(r,,��D'yr-*��,.+�/l�ti,+e tp}+ 1 1 `�" � . F ST0.15the Orax f we 5d A}i'nr era adQiNmeoE i Contact nano' ,4 e "2O F-14_AVE`m furnace-sir . MON Address: 5l*l OpKroJE Cues hum porli _ 4"ulEwc *ees.kd'utlt he.atu C3rytSsateZIPe 66Tq o R"713 .i Warr, s.� Phor5 tp,,,35 f Fah-4 3 i R Fireplaer p ,. _ Other Arian snsmc. tiP,.t•ut'',NCI INSULATION&t\TRGY SERVICES ' j j jhj i jllEXClEAhRli, FIFEEFIEFEEES.,,,.' i' Address. 13939 SW TUALITIN.SHLRWOOL1 RI) 1 _.. __.. Guhtrotai CStSIStatza2W1555 SHFRWOOD Oft 97140 1 7dEsu5Tuni5utmuf th9000t' PRA I 1 Sweeht Mare t i2a».of Nevi Fro More:$5Gt 598-$ilia 1 Fah.{ ') �' CCS fir.: 1494448 TOTAL PERMIT FEE j 3 S05 penal appYeaaLn tepfttsi1 s prrmit h Ant hhhi wd htshla ISA /} days Anal ti has boo henthhi ascaapfeve A€1t1tGflTed ni`bi< er aLJFf ' YEa nxs'kh ^F s.Wsc1:Y YMAicy l3n>^.,n&trass"'g'vra.m ldwuti4 Prin threw re Our 4/�''eS..2D d .Ishh P..434FnM1,55 5,sr.n tpv.,v.4u)1Y.a, 4an.i$1 1. t ee0%L0 es T...... i' 55 s, I -. Electrical Permit ApplicationnE:C17,1V E.0 APR 3 0 ZULU .::,". ,.i;1..,,:x..,/1/624.4//t2..xt/zt./..:j,4,..t.. a,,,,„leihavvattatttrarar 66aarataaar atratrarrt n n n .:-'1-1 fe il.tt re-!.:.rMNS:1!;:i1,9M-Itttirat,2"MIN.!-,N-455.ri:': city of Tigard 1 .4774755744x/IS 472,-)5* -5)...QV&/ t 555 9 47157.$Sw 11411 BOIL TRRE-4,OR 9122t r t (\;,--; , /,__.,rt. , : . ?Tsar IC3 7132439 a,. 5124•244.2464 Jr I I Cto4g I,- , t ratalarti PrZalla t"' ---4-- ,- - tropzatto 1.44c- 503 434.4 I 75 t i\r..,olv iq irarttitta I. , e%.stir 2 tis r AP'R Stisrsitt. 66'6 '‘1112664.6. ' aLr'''"fgsVaMr'ak° 1 i ExxxxixdopxxxxxxXIM5157.!tlag TS No24 wastructcnt 0 Miitiiiiiitaitershiss'Mpiateistett ------- P1/40e arra"'r'-a're riarar taall.aatta tt paratat-Zrtrata e-pl,r4;:: - LI Rosso o fetiox 4451 Tom ot toot CI utaitsgt ow too sot= ' 0 Demohum 0 othcr . ...hem 6r tx451/5,5x 6.x.57 rtartataaa (3 Mnfl m,elleo,,vg,-, I ' _. CATECORIR OR COPPPTRoCOOn .: , -. , - 1 ppotp 54,xxxxj.,xxx,,,„,g m,x5,Lx.ex- a sisitogsitssmr. i isms piss;st aims&12.200 a OrarMtaaararrar Wetted 1 0 is tad 2 dwaimg, 0 Cocunt.Tcialittaustita 0 AOSTostont bralanz I aat b4-a 5451554,mar.17x75,74,7 tx,5714X515/4 1 15 Ncm,f...1, 0 ft#2421Te Wad= a Othcr. 1 . 0 PPPoPp, a'...1,..qzna,a sl KVA a ,.., i -00a.STYR iITTOITRIATION AND LOCATION - 4 4 222 f577757/47‘7 5705777 11774 X5-17447.5747 41074741 ”sx..5555xxx - I q-itz3 11:1404422 24 Rott stims kW at , 2020412.2 attil SLA„) Nogg ST 1000P itz mem _ . , esismis r-.;ty,'SuPplOP., 12Crr,842.0 i pia„. t 0 Su ex 66,6 ar-16166tata Wart 0 poopoo ppoo a Ittaatart6atati arta,"6 6,66 a 6666a vatraapt 64 aratrt alaraa 1 Suitribid.g„4/74 T. I Projecf name 424., 0 X4xtrxxxxxl4sex 57.5c477..,555..,4 til...._.. _ a Stews or issie Siiii rims sr sties 2222"'esseese" I 2 e - .......— --- (sass garb,&amass to pb sae 144..ute.. lb,i vb ;. _a Sciii isiellistial Sinks Rt 002220-2502022,2 itissifist wet. i Subdiofstortt -No 4451_ LW,4 .2„ Incicsio stiostesti gammas .2,MI si ft..or tx5xxx Li 122:2-0 . t,..1.d4l5Vit st-22 te tele* , 3192 t .2_ i 2'5 00 i .1 ram(1.172,7.11.)-urray : 75 a4444 _ 5 xx5x5./m5X5.1.1{with at,47774754 R _1 . _ _ i----------4 -- -- — , ------ Rro"P!4'.1 r."'110 aalar-Q S.*4 2 f trit o rEttrt-OWNER. " fr.i W442.117' Streiffooritfokof itktaRTettot.,..4terzoito4 ovier otiaratiott i NRITR rI4C.4041,--0°01 1404Arosks 4.14r. TIIII 1 TX woo ortsto ,. ' 1 Ko.70 7. ...- 1 A-44"s' 1 ....1...._rni=hte 1"-f GE ', rfoi....woo 400 amps 23236 ' :-3..-1 .2 401 iiiss us 000 sem . .2C4•1,1 "i..,1 , City,StaissiaP:LAtl.,,./40„)t.(242 i c/a,... 9703.Y _......... 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( Too! ❑Adthsa3alteruScmrsplasonent aOtter NESIY2-famBP dwelling"(monde,ICC It for each otdxy arm' ) CATEGORY OP CONSTRUCTION SFR 1)b }t.�-?3I 777 !•and'•Txmi& tlutlhn rr--�� SFRI2)Nth k37.7g p g 1 a CornmG[e4Vmd+rst"al y 5t'13:32' aAccesorb ash 2hftk. may F&E3)Ml Erich addltiona3 bathietchte 2502 _. a Masts bander al Other Fos smirker t so fi) Fagg 2 I� JOB SITE INFORMATION AND LOCATION Site e8'iirla; lob sled address: :'i I S C+t� Ti4 ORN/ S"�'. Catch brae or arcs craw, 111.75 itgfStakZ1P C3 Tit -Drywep,Stash hoe,or Rosh drain 1 a 36 C i.a-'�4 ,O,� , 7 Wye - Fortes dram(no linear&.:._,) Par 2 Star-N.40m no: 1 Projtct cams:Z't41oa+1l ram. M46654cto641 horns adzes. 5001 Cross stretch itestra s io job erns Manholes IS 75 JKa} vY )q� .'i 1d Rain drain sonneteer 7a Santry sever(no.[War d.*_,_,J Pegs Seam stwv{no.linen:ft ,_...„) , Page' Soto son ies(no.Low ft ___.) hags '7- ta1c.�, grliE US $UbC1��iai9+i e1.. /�-f Lot no Fixture or item Fix malwparcel no 15I 354 a r a 7 1m /e.G. 7 L Q Baskflow Psevemo 31,27 8acknotcr 3nIve I2.S1 DESCRIPTION OF WORK Cheats aria. 23t32 NtW 140filk D„n,aaaher SS CO Dnnkmg(*taw 23.02 ... Owes/swop 25 02 �.., E4 PROPERTY OWNER f a TENANT Expenstn rank_.. 4254 _. s'`��ae,,t.�om FNIerdscwe*caa 2502 Nett ....-, a _+.1....la_o.: Lt. ilifiRJU5 �48 Floor draiNeanr selelWb 2S M I Addreaz r wI5 �iri' ,�{{te�r� �y+c2i'a'W /� ^� Gasbags disposal 25 01 . CytStIWZIP.L,Atte _C (1)E O 4703 ' New 1;4 - 2602 1 (luau.( 0 ) 1*.w Faso 3 letmakva 1251 $APPLICANT 7 ,.• ,..we,, Mtttcerwor;grgse trap 2507 . St�#/fz 1 fXCithis i 6 INS- h�sa1�a:t a, ti—a $ Rusfous name ._....._...er- _ _ h:xnrr 1239 . Cancan Ilene; Alt.+AA} (10f-flia &cassette+,Rommwcinl) 4251 Addrcis:.5 iq D ?o Ave Sin,aaas; , or, 2502 rsw NthlsIZIP N . ,2 1 oft, Q 1 t3Z Solar wits tNaaahlt weseD 62 54 Pho°erep7 6 9 .r Fnx-.I t TabiaMwatahovw pop i2.Sii 1 tyC1 Usual 25t9? E-mail y g• fyt.0QP a irsl€ii _ X1 Mars slots 29 03 CONTRACTOR Water heater 37 53. Buurltsa cm.Edward Mullen Plumbing Woorpip;npEDwv 5629 nd. cas::1601 SE River Rd Other Otg(SlaterZlP.Hillsboro,OR 97123 Swbtwal Moe.i503-640-0113 Pas::t503-5404483 %%earn Remo sec S72 66. Plnmbin Liz.no..34-260P$ Mee rewew 125%of pent(1st) CCS Len.92689 /"r g _.. Sure r.rctaarTe ri TOTAL PERM FEE Att9dnnced 5igna[ur '. Jl .-•+ TC3TAL PERMIT FEE 1,Punt nmY'a Jeremy Crace 1 Dite Tan positagyJmbo..apex d n 4 so paei1 Oto664 wirkiv 3ta3aya M afor6 lreawepidaxaa,*r <n- .Fee mmfasakt r ere Trs-Como BOON;Woos-Soma Spool I uwtios`ovo.dM66,66,'xa,p` Sy 1.6o364 4ws5f.3ivr6xCOswear 1.11.1111111111111111111111 h. Plumbing Permit Application -City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Sup session Systems: ' Site Utilities Orr. fee lea/ Tool Square Footage: Permit Fee: locoing lbw•17 I W' 5003 0 m 7.000 512190 fetona enm•lost additional IOU' 3752 2,f01 to 31:130 Siter69 3,601 to 7.2W 31332o Sewer-1 n 100 61.54 7,201 rout males 5127 54 Suer-mat ridluonal IOW $7 52 Water Se/Nice.1st 100' 62 54 Medical Gas Systems: Warm Sersrce•each addMtw110P' 3752 Valuation: Permit Fee: Storm R Ram[kale•iet lop' fa2_54 4 S t.00 to S51.0000 Miturnoaf fee 57250 Morn a Rain Dorm•each acblai(vW 103' 17 52 55t01 oo to S I o,000 01 572.50 fee rho first S5,000.00 and a s2 for _ r«tul T UI each ailauons)510003 or fraction thereof,to Other Inspections ^or Fees as mcladrna51o,0200n Into sson of manna Mum berg or for 510.001 CO w 523,000.OP 5I49.50 f«the irss S10,07002 and 51.5a 1st *Rosh no lie<s 1peerlRaliy rocketQt 901133.1hr each addai«N 510000 or fruuan thereof,to leinimam Marge-1f2 trawl and Incl,ding S15,00000 insperrons outside of normal Sunnrsg 90 0010 S:S,00100 to S5l3 000 00 SIN 30 far the first 125,n0000 and 51 45 for haws immimam drupe-2 hound _ each Mrissonal 1102100 orfraction thereof,to Reropertson fees 90 CUM .M indudina 550,000 00 AddniemI S50,g0100 and up 574200 fa.Me lino SS0,tp000 mei S1.20 far able review Yes revisgna W OQ'hr mien additional 51 W 00 or fraction thereof _ffuni mien dune—IR crown Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report Gstures could result in increased sewer fees;. Plan Review for Plumbing Installations Quantity.by fiatere Type Plan review is required for any of the following. Fbare Type for ' Rapid New cheek cal that apply, Week Performed: Capped Ad/oil A"°eme ❑ Any new commercial building with water sees is 2"and '•, Reoc uyrFau greater,escepl systems designed and stamped by licensed 8•oh -TublSMxa engt%cer. 11 3acuaJWTvlpud 0 New exterior plumbing Elie utilities for any complex structure Car Wash. .Each Stall es defined in OAR91 a-7t0-o040. ,Tutnye ern' 0 Medical gas and vacuum systems for health care faclfties. CespidonWater Aspirator ji D¢lAwa>har. •Comms>aal — 0 Any multipurpose fits sprinkler system, a Any complex structure as damned in CA0.919490-0040 A«nmttc DnnkUg Samara Submits sets of plane with soy or Ilse above. Eye Wash Flom DnuNmk' - •3• Isometric or Riser Diagram ❑ Isometric or riser diagram is requited for new buildings -Car wash Drop that meet the qualifications above. Garbage -Dommnnc resumed s Unspofal. •Domettsc fond Maros -Commermil food relayed { `I Drains'food Ri°'"/ — lee Mach nixing Commenrs regarding fixture work: 5g Ibu Ql Separator(Gas Slaaronl , - lice.vehicle Dum p Se on Slarer -firma - -Soli Sp* -!-avatar nor rood reteed •Brdley .0 ororSonNlil fed relates -Ser.nce y *Note; If the fixture stork under this permit results in an Swimming Pool Filter exits-nanea increase of ices er EDUe,a sewer permit will be issued and ter fees assessed far the sewer Increase must be paid before the Ili Ww barmierCiosq-Tarp bluer plumbing permit can be issued. Urinal Other Forams. I Build ineemlits1P1.M F_PennitApp:doe 0844f201 i 7 City of Tigard q 111 COMMUNITY DEVELOPMENT DEPARTMENT T]c A R D Building Permit Review — Residential Building Permit #: P 1 S T Zd 20 —00/ (c, ( Site Address: - Z( S\Ai hOYvI S-►YCe-i- Project Name: Th orr .jood ANS Lot #: 2— Planning Review Proposal: ,(l M hODUC. -f g M Verify address/suite# active in Accela. Igi In River Terrace: Iga No ❑ Yes,River Terrace Review Addendum Site Plan Elements: aErosion Control ' 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ORetained trees with drip line and tree protection measures 12Ittrawn to scale(standard architect or engineer scale) $fFootprint of new structure(including decks) and FFE lNorth arrow XlJJtility locations&easements (required for new and additions) Site address,project or subdivision name and lot number X$idewalk/driveway approach Applicant information(name and phone number) t Loration of wells/septic systems S,ot dimensions and building setback dimensions AgtStreet tree size,type and location iSquare footage of buildings to be demolished "Street names n xisting structures on site Corner elevations(2'contours if more than 4'differential)y��� lei of 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? MYes ❑No VClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Requited: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No VWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No KLINSDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: 0 Yes,applicant was notified g No Applied For: ❑ Yes ❑ No,stop intake V. Land Use Case#: PD.20l'0- 000kO x Zoning: Q—I.Z Required Setbacks: Front: 15 Rear: 15 Side: S Street Side:N/ Pr Garage: 20 Building Height: Max. Height: 35 Actual Hei ht: t35 Landscape Area: 2.0 % ❑ Lot Coverage Max: e5 % Entrance 1111 Set ba k no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows III Minim 12 °of are of all street-facing facades (� Garage II arag, door is behin 'dest street-facing wall pu Vey 0 No,one of the following is met: III I oor xtends ore than 5'from wall ea.4 a cove ed porch extending beyond garage. • ,oo extends o m re than 5'1l1 .i and the�jk� ,,a .$11 /.window above garage on 2nd floor. II Garage d r widths ❑ 2'¢Gless or l s`rof facade 0 60%or less and includes 7 of following: ❑ Co red pot h ❑ ecessed ce ❑ Wall offset 0 1'Roof cave ❑ Roof offset ❑ F. shingle ❑ p Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ A ent si ' g ❑ dow trim ❑ Window recess ❑ Window projection 0 Balcony $ Visual Clearance Urban Forestry Plan ,®'Sensitive Lands: 0 Yes No Type: 12t Conditions met prior to issuance of building permit Notes: 171 Approved By Planning: F Date. Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: L//30/ZO Site Plans: # ,3 Building Plans: # Building Permit#: Lk-Enter building permit#above. Workflow Routing: Planning $Engineering IS-1 ermit Coordinator Erliuilding Workflow Sign-off: a-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. IC Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: e,,..,..4.4_____ Date: -S`iVZ0 Sneering Review Le Slope at building pad: ..X" Vd Conditions "Met"prior to issuance of building permit VEasements (encroachments)per engineering conditions of approval and plat girWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No � LIDA Facility on lot: f Yes ❑ No L7 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Ci A/pproved by Engineering: Date: .Shi 26 Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review rigi 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: Vil Yes 0 N/A LIDA 'I Yes 0 N/A g OK to Issue Permit Approved by Permit Coordinator: yv5 (2 — Date: S I ICI 122 1:\Building\Forms\BldgPermitRvw_RES_122419.docx