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Permit CITY OF TIGARDIN MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2020-00162 Ti GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2020 Parcel: 1 S 135AD07500 Jurisdiction: Tigard Site address: 8815 SW THORN ST Subdivision: GRAHAM ACRES Lot: 3 Project: Thornwood, Lot 3 Project Description: New SFA BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 436 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 33 Bathrooms: 4 Second: 653 sf Garage: 240 sf Front: 15 Smoke Dwelling Units: 1 Third: 699 sf Right: 5 Detectors: Yes Total: 1788 sf Value: $230,653.68 Rear: 10 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 Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100Catch 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 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+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 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: 503-538-3587 FAX: Total Fees: $25,666.67 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fol•w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-0 -0090.,j•u may o,,n a c..'"of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � Permittee Signature: /%7 L^ • Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. ..1 y 1 .`1‘,k Via. Building Permit Applicati its r ";.T I. 6'1UY'e1 4 , ab f3,j Resldentia! 0 2020 _ 1' AFi� 0 � rt City of Tigard _ l T^t �� '��') ,,. • Hatt SW list!raid.,TSgzrti,OR t)2 d `,, 6Ia-t+i'- PonS 02Alp _r) @ (�t'r ,Pon ///J/n�77JJ i thins E' f�/�/fJ 0 �V1/9 � T`kNxiM ` -'7t$.3}P Yae .1 ' {� 'i IR ir�tl'3 it ,S`fJ6lc2'.i �� y • Inuit:o itt.ine 3€l3 sands?3 Dl.! tµ :m^i, OtitiStop 2y / mir '7tl Ser TaSr.iilr TIGARD Ritmo slata'tassr„Litt gist. 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Y ��� ys�ess��t� GssgcicarpArt area 2, . xyu ;€err , Stuic'btdCsapt rut._ c Pt2ajtici,f>uxn:. f oott4%_L JD C(rvsry rbnRea ��\... x9fprs d:cz �-' Cass street.'dfrexxdnms as job stici; l.( it.,_SC.VL"`+ Ikisl.wilt: Q iignars feud REQUIRED f1,3.T,uCf74114ruCL'fi.WY`SE CtifrtJGi.i -', s.64,,wonr4 f1„fyj, t oi.Eietti,C(44 1 i3Or au�3 Permit RAN s r ha 3 wit tiw taint.of the.irk pin5'nrmeti. I Tag rtaprPurcciau:I5I .6ADO1 '�'5QQ � 090.-�.I .. Indicaw!1,.t't Mite irewwArti to ate nuam;t;WWI of all ccturyrrcaf ti oteroIs Otto,in sriRwil,21'1,1 the prof Or the { lih.SC'R71"1 ION..Oh 14 CtRh ,: rl itaf,catccxitra� c e(A) 4omE S G /— Neu building,ans:: u}uasc feet PRO? HTY of',t.a a 0 11-2iart, i,p , Nainat l-UO' t. ;; t) i)o LC),&(. L I. -i ic 5 }ivt) Add.),a L.,,in) `ypc of cousubccino: _. . .. " AdinA 3661,S—N# PLL t_.t O,CLt-. 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Powlit Pa i tswlwks pin rat C'*f}-`SealerZS$: aiiat.a.^araEsuaint facsT: ';t .txx Phance[ t FDA t _..,..1- Star susfeax 41..'y4,oiixmvr fir] �1uflwrr8ac*d sEgnsnt ,. lbka pow&oplixytios axptrrs Oa pernni ii osl abut-mot dp`��+ .1�_. 'r`A f.+v. +�., wifhaa ISO dxys aPier it imp bees ame{rtet9 as cnxsr},fett. .a1. , 14... 1,0 ,0t;t S.,Ltr,x. "} f)au:: ..2 ,.2,02 `r ar�.tla+sta-t,-ti%ai t,OtiCtitett;Bolding 3rt3aratry Priaf rsme, " , i `sett trc b�. I sd3uaxlang`Pe_*tat:tx@fie'-ttt.N7err..;r:lp.s ittx uZ24'91-i4 d3tt-dGI lit il P'd'r}N41APit) k Buiiditi .Permit Application Checklist One-and Two-Family Dwelling waive 4( City of Tigard =.x: a 131.15 SW)fall h frame,th( 97223 tax, am,ra;,_._ nome 50371a7J3Q Sax, sntSea �[ 'a-liedhope-wowLinz; <is,3(ilia 4173 0 t Cd photo C oboe ,.1 oe mo woo upeot-etr go, 0 coo, 'R��e, LLowiN uittecif , dam, 'd�,,{ `�5 �� ... _ r �. ..�&.:, 1. arid tor aettoa5eotnpletcd, `+.e;e>'.lto.poo 'r�teisako-rc��o-,tr�rier'r firming. at toad plain,solar b000cc points,stoning soils& tgaataost, itArici,etc 3 Verification of appportal ptaulat. t 0 f Fire district approval required. Nome ofdastrrc __ Se tic sastem erMit or autlaornrattan for remodel Omani=s stem car a:uV ti Se we permit.,...... __.. ..._.... r. 7 'Water district approval. at. WWI 8 Sans upon. Must cam n ink applicable stamp Ind 5tpnawun art fie ar 4'ith appticrenon $ 9 Erosion control plan pennit requited, include drataage-was pro€cerise,atlt fence armpit and iesanon of catch- z € basin protection.de 10 ii complete sets of legible pans, btu l be drawn to start,showing con ortnancc to amnia-4We local anu cuts ;W a a tul[ding codes. Lateral design details and comitcrams must be€tceetporaied tato the plans Or O a separate fall-s x eltcci A.uched to the plans with erns referances betwacen plan limed ton and details. Ilan rewor ea nni La tumpleted I r'd a:OF 1°Zt»1fal w ens)_ i l Siteipiot pion thyme to state. ;ite plan must show lot and budding tctbssk dhnensateras property comer elevations(Jr ® ❑ there IS More than a d-ft,elevation dit"fers:abed,plan must show confuter huts at 2-ft,inierialst Inc tuon Of casements and driseway;footprint of simian=(including decks):location of stetlstsepaic systems,uftlity locations;direction indicator;lot t building insecage urea,pert ntage ofanerrgie;im en'intts area,existing s2rutauzes on sin;;and set face drainage 12 Foundation plan. Shaw dimensions,anchor bolts.aaw flat-dons and min Miami pads,connection details,vent sine S Li Li and location 13 floor plans. Salm sit dimensions,room idenlitiradon,w3nttow srsC,in cation°Tarn of c detectors,wader heater, 25 0 0 furium.,ventilation fans.plumbing Heroic;:,balao ter and decks 30 inches ahctse grade,cat 14 Cross section(s)and details, how ail framnng-member tires and spacing each as floor beams,ircadcrs.i u'ts sob- 0 four,wad construction,roof construction. More than one cress seinen resat,be mowed to clew;t} portt.w constnucriin. Show details of all wall and roof sheathing,reefing.,roof scope,waling height,siding materal,ttii imps and loundannn,wash,fireplace citnensi liar,thermal insulation,eta: rs� IS Filtration stems, Prosaic elevations far new construction;natnimum of TWO elevations for additiotu and remodels.. eta 0 E 0 . Ester-tor desalinise most retina ilia actual grads dike change in grade is grater than lour firm to huiidint envelope. €toil-Pre sheet addetadums showin=foundation elcv tt oiss with eras rc(cueuces ate acceptable, 16 % UJI bruiting tpreacripiis=e path)andoor lateral analysis plansa Mast indicate details and tncatuue:kit non- 0 0 • ransictignitepathat;dssisprosrdespeeiCreationandeas,tonita,anstoenrmeenegstaud 17 1'looriruof framing. Provide plaits the all floors/roof assembles,tint rating,tnsmaher riding,spacing,and bearing g 0 0 locations. Show ante sent:tatron. 18 Basement and retaining walls. Provok wets sections and details shoring placement of team, Fut engineered 4 ` 0 0 si,stcins,sec.gem 22 "bniixcr's ciilculataons.°' 19 Swim calculations. Preside is afcalculations t sing turf ui ntde amigo sedum for ell Dana and utttpte oissa ( s �; asvent)feet long and;or ssi boa s foist carrying a non-umiorm Wad 20 Manufactured floor/roof trues design detail*, 21 f nerd Code compliance. Ideality the prescriptive path id preside calculations, A gas•piping schematic is taspired ide four or more appliances 2.2 Engineer's calculations, 4b i,n retuned or prodded,ft r,shear nail,root truss)steal be staved by art engineer or ( , 0 ED architect lreensed in(action aid shag he sheriff Ott he art+raticabte to the ,red myna' } rSnrca°r°rcaltA� 23 three(3)site plans are r,4,1a .,l let Ion t tototo tee.fta i' r>r,€sn bu t+ I:1 a It curl"s,17, -11,2 tt,1 I fun(21 sets each art teamed for hors 16, I ig 20 and 22 above r 25 B i 3 nitdmg plans shall not contain red lines e n ripe-onsisltrtnrcd"bu,tdnn sl ins es731 not by accepted. 26 -Restage Wilding late moist meet mituun nudataed in the knout&8sctem Deselo me.nI Fees docomcttt 27 'Drawn to scale-indicates standard acdsiteci or endear scale_ 28 Site plan to inehttie tree=ire,lipe card locattcin per approved protect street tree plan lit applicable),nod law oft ward Street Tree Iasi. , 2i3 Site plant to urciese trees and tree protec Eon:maraca as reaairul by conditions of apprcoal tea Isz:a hires dope:nes, ° 0 t atad protection as asures Masi be drawn to scale and oiosi inctutie site no 1t"Ct abut,t s et,7aadtuce ot1`asogtt al —30 A Clean Water Samaras'Saaceistse elrea 3 rya Screerao wStrr'lstrssdeu€form is required for oh bulldog additions, ` ,) C.�.-.e., iacclue trig decks,patio x t tta(area etott-tinpers ions suttace toad accessory strietwes to arsons residential dnailings on ai hit of record approval prior to September 9 14=13 I tie tins:,man.nte litap.ti t'beJs.rTrtic pia_ce i'.lilt,13 450461315,t'9?(CAI V4flit r • a T-"'i't ,.., Mechanical Permit Apilfititi -:„.I ti 17 L , Ftill Of Elf LI ,.1.1 ON 1.1 /41 City of Tigard - "-- Perow21 ram 8, l'3"-,11115,7;250-00-.10101412532- • "., P35hos3 SW 11.41I B0E,'Tot/Ed,OR 41Vion o a (UyL U FRP 1225522, Who 23-222t 152u;t3 2 „ TR:Al:II lInntc"‘L''''. 59-3 659 4199rule PeRRP32 -232 0 S.-2 rap 2 R2 3213222322;www.up22 zr ra‘ i .;Tio..i rwrqs*rxested 1aitam#15.A — --- 41\1 ,„,,,ii,;1,i, - — ,—, , 22-,5-999 -;%1, A ,vac!taarthrtr,t-usecorcwsr , -1` 51.223232325232R-rtrat tom'Ert bassi 4,E.TE402 tth the herr ; Isa Nov con21232213023 0 A2ERIERLEITEratios, rEplacantrt 1 perforrrod PitiEWX 2332 2-2,22e 023332212-21 P2 RR F3252r22322•311221 34,.1 0 Orenat12333 0 Other 41 /n32‘112,32221 23,2R21212 RpoppRW,125223,0•M'YdgEgi.l.i/d132>112 I I V2142 01ki,Arrico Naraorrgi'i; Jot:SEMNTIAL£QPIEMETEITC/STUPMPE/rS29 1 1 0 i.lad 2-firmly 64E/Eng 0 ConsnercE150Rastral 0 Actetwas buSIIRE • For veratt ioforotatioo oso therktitd. a Muill.,farrstly 0 MaRs-SWEET 0 Other p&rettrthth 1 Qty. 1 /24 I TO21 .0.c",scrii,,*,,kilimiatos A.,.,0,,*4----iiszei., ,i,,;i,: ..„.: ::,..; ,...i„, Beading:0:1,01111W, Arrgaa1A2iRowne S. 1 216 35 lob sito 24.2.223 13114 Sw 1r1.1,DitLe4 s-r f TREE.=BMX°BEL(4,2044,2,40 46 75 C3s,State,7210, 219S6 AO_ C11223 P2232.222 04340004 BTU Esess/E4.0 tt 54.912 , 1 Tfest swop , PI 25 R23325224,apt 22 i Project marnc 24:12 l EE2TE wErk Cross arrevd1rEcuens.t010-14444' 4 Ma.. $./....,vt, IlRfrostE Es 3EREE syvein t 23 22 REsultsmal PARE tracMoor or , hydorkE) 23 22 liriltheatrE411.241,type.ER ESNIERT 1 03-E2411.is-EER,Espos4M,est I 46 3-5 I-ke..Nnt Alr any of above 1 23 52 1 Othrr 1 2.4 32 I Lot-3....__._ Other fuel uppliEnter , rtix mArteharet't',' l51 35 A0-75,c0 i2.12-0 ti'I Ruler Ra=322 3 23 132 1 3134 DESCRIPTION OE WAR (1440R-T000I44413 4 Flue TR" few Ewer seatEr or ga, _ _14 6A_&_). J01.0,0 ....I0.30.00 23 32 Log 13-2133v,433; 23 32 i Wood:152PR Row 33.311 / WoRd RroR22-223222c32 2-3-35 1 i '0223.232y 1PRR111223,2313 23 32 r E PROPERTY AS ' '''ET 112242.52-1 ---1 thher t t t ,, 23 . 31 TEREEEEnEentai tAsSatlit tag agsgrit es-rumg —_ _ .-- . l'ALOguojoe.2-D 1.404,DT.41 L_LA, rivisprs 4 jj.ird7,,,,,D Pang32.132o1L22133223R213.225 1 1 v 3..53'-'15-5 213opm253 33 315 5331321t55- 110(0(5 WI 4Pc. Carg.4.4.6. i C1231222 222er 2-th awl 13:533 , 1 City3S2P2:7123 1,,,,,g1k 1 , 0$‘06‘,0 i al-• Q-1039 ' Stng12-2320 Waaaabt I batigroaga%., /3250,23 COMMI.RIE1-4.5„.Lbltry P30£71,4} 11( i tiv. Fu-( ) 1 Mato clawkNze.Lam 7 23 32 g a japtIcArigrgggggNagtOtOtirtiOofi f-trh, g(•)ThCr;; -- , Fuel enteer gxtlitikfroZ) i X1•1C., S32,15 ter tint a'Mfg Sigaa3 inr each Add'i2nal Cflaggag.c'ran. Furnace 2R- = IIIIIIIMIIIIIIIIIIIIII C2211222 33.2-R .'1. 11100011111111 Add., 5 i Pt rot.) wz., 'Rai 62220 1.111.1111110. t Ore_ ri-7 ii3L, 1322222 3-.22122 .„—15 WIN 1!.'`` '5P3•'._. 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' 91Yit w bus punt- �. a?..Jk 4 rFx. 415t35�Da 5a� p Z ok _ ; y}t ',,-*P �i� 1 fe.uohl50014 k a"Sva,me { 3'02 1 r ta3{+nt,stacrrtlex R} > „t 1-1 .,_ . t---7 ._ Y4Tr ptth.'F3{ '..(. _ 0 TENANTL... 00 t eeian adaiACtae,ahrraiaus,sndiow ridoc46", haavr, " ' ( 'j' �1 _ i {�d ti, i 2 % w ;�.,.,i f�a Fo _ ? i 201 ow%xrd:'tF ssr�ps 1 1 133.36 Z. t��fabt 5 r+�,�}tL>? r s u.t Z d4Staco toAF4amp t :L p ,4io oft. 9 703{t ra: t r Q ) dp `I er 1,999 i t f is$vaxvt ( .-ikt �I tt ""��nnd_.... / 6 7"emgsys,gcsr.0caarcc04kmiaarairtiaa.,att¢rstsea,.soblos § e31 Pel Z cri31,a7t„4}iipici 6:I A a 3l,Le/Y9 11 a®t,,c-1 am _r__ s .2&E Owner iru ilation:This instate:ma a ban m prepey ihat Y'ham which is cot se as a w 099 t ..._a 0A.fi)rula,tessr,rem00exzkasnc.,09,09r^s.0r1 ORS 447 44�9,.679,and 701, t of 90099 004,0 i ; a§tr34- `- ' 4©i argntaStB asrx 1 I tA6Sr 'c.. i _ tun Ile= `$s a0"itt6 Calto-t .atteasiian,eftzSesm'ae, stp:o¢et ' 5l. � icANT �d ` ;,CMTAG4`Y£RSClti s3 i :oE 00-9 1 fiuzab nas'"„t: _ asx!., cr sr Ckz.mac 7,t2 SCtI►t�oT u+4Vf4 r {1 — > :ad =i / � �, 5q a Co taa xsx�;'0,. l"lil L"L�� Y . D.Fee kalrw-'6 elsrr,r mr'a.be i k sP^n.lo.z or 1.,00£st.fell 1 wit , z ci P4trod AME _ :.i, �� C'vt}F5sate?7I`: ^'{,.d "6 art Z %f r Ai&rtr8aamealtrrmiee so Coale'mt inekz4.0) k. tc}eardansur wnaaluSaa { Fax,.d 7 61Y4 plume 4$p 3cae4fin Wo tuatfae .. he eveawtam 7� anrq tJ r-q} 'N ry NO 'ate eue.4sjch'SiYrke Create 1 0 Ada§FCS3��- � At ahcmYom,egr RWol*F E tbi §. q _,-- -s ...,.- ^��p�i ------^-qy9§( tuts a8dm»nat n a�nnm+a0kk to aae ui t3sx gum* E '(C,`2t"j dt&tGr11P' V`nn(X°i, , 5••. �4-h"'t _____.. h Ad st ir.,,twnKron di hY xnrsl b6Lt`ka f Pht,ot:t 505) SSA, tAt\tA I Pam( ) zawm 1 t ie.>maY YuQ,d h i __ --- ...-.,...._ Za3setisai 010s74 it reinF 1 e& t it emit- �}{1�1�cLc>'PD Q n�:1 G t�ri f..._. $. _._..,�.... y fael .i�4r wffiu.A re xs 9U 4a3 ^: ..,_.. Lkzueral1a:_CO1"?1 a Sa,0prx.Lk, $:3 ` 0900 a°3 ax mssi car, , ,i? 7 . . -- _� ' r,Lt�CTKICM IOKmtT a b'a{.nv L.leaidicyyippnn m asterc.tmgaurad "or ,*a",, Ss.`.r xa� 1,YF-0.1" o v3"CT�' r.. f I Vase 41/1.1,'IL' 0'%1,kr cc^.r +Milt"ar.s t porn.taa q} j t _.__ h'reaes ti'avrc 4E'*r.nfgrraP Ycd , 4artAibrvcd e9 dRt___ ten._ This itr,*IIagprenair vapares t,a FoortoA a naa mdunhsea w¢&kgikA 1 'AF-awar, Elt y ' Da1 :L0E71200 does atEtz a tut law aaWti as anw_aPdMx. 1 �_ .u-F�2-raw,,.aE3ns at5.,.a>t:e-�saa)w'wrn a:v3.. 'Fsit.Cr .>, n* I. 1 1 . r ,F-rt Plumbing Permit Apulickaon-'- '-'•--1 4 '' .. 1 Building Fixtures APR 3 0 2020 k I SR 01 I 1‘I I"I 0"1 :Iir.sri:i [ City of Tigard Resivied I Dewar. Lakialeat" I% '0, 12115 SW Hal Disit,Tispa.rd.OR 972:3 kias.,114.*e* ' 0 ' PhOrit SO3 213 2439 Fos 507 595 1260 0166.Roma No Tic pit,,, Impassion Line ND 639 4 l',. Winne %sox tiitatiSsis piss EEMIIIINIIIIIIijiliFEEBMIM TYPE OF WORK FEE' SCHEDULE rgf Nees constrottiosi 0 Deitsiihaion liiiganag=2=f225221321/111/111 , DeUro on 11011111 Ea Tote a AdithOoNsiberatianireplsument 1 0 ORIN sit*I-24isa1ly&MID s otgiu4a 100 ft for eta LIU cOmatiAlon) CATEGORY OP CONSTRUCTION SPR si)baili IMO= DI.and 2-fansily dsstliong, 0 CairnmorcraVinibsstrisi SFR OP bath IINIIIESEIIIIIIIIIIIII SFR OS bath ION 5co)/ MINI 0 A6ctssory bulidiog lit Multsifemily Esch selditionsibithiatchen IIIIII 23 62 MIN 0 Slum biliklier 0 Other F iris.sprinkta6 N4 11) OIIIIIICSOIIIIIIMIB ICIE SITE INFORMATION AND LOCATION Site istibilts: Job site address 4.,7 11114013 Criairt1r6.1tjll.IIIIIIII -Cast bp1,110 DY 4SCU dran't INIMIIIIII Drywei3 too I me,or smith ilesin an 18 76 ClisiiStaftiZIP .. , en ,1 6 --s Footing.&Ain Do(micas R ....-.) Minenatimi .,„_,,, 30 03 NMI 111111011031111111111 IIIIIIIIIIIMIFM- VIPSOMMININIIIIII Ra'A drl'n""'"`v'''' IIMINIIEMMNIMIIIII IMIIIIIIIIIMIIIIMIIIIIIIMIIIIIMIIIIIIIIIIIII111.11C53111111111 MINI NV 2 1111.11111111111111111.1111111111111111111111111111 St6 "g*gr(r'''hnt"-----i g=r=eisEMZMEIIIIIII Page:' S6631+6,066 ,,,...A.L......air7.214900-, ....M. L64 66 F mars of item Twit Mapiplitt8 BO I InHIPTIt 11101:11WiTM.PTRIVA7111111 1 Rackfloss prestattr 3 i 27 Bad.water whist /2.51 DESCRIPTION OF WORK IIIMININERMFMNINE11.1111111101 Cl°tht"illwr 23 02 Dishwasher 23 02. Cind mg tasuitain 25 02 IMIIMIIIIIIIIIIIIIIIIIIIMIIMIIIIIMIMIIIIIIIIIIIIIII Et'"V"I'P 25 02 [8 PROPERTY OWNER 0 TENANT Evanson isinli 12 3) Risi3reississer6a2 25 02 11161- _ 14..A.AV-T=.1-...dra 5 Dor Namirtoor aids/Nub 23 02 , ; IMEDIEIC 4,4 .S. .:,' . Garbage disposal 25 02 : CityiStscriZIP , ..... 4.,..t. z.. , 0 t 703 1 4405t blb 25 tr2 Phorw 60 ) , i•,, EEIIIIMIIIIIIIIIIIMIIIII 12 St IIIIIIIIIIIIIIMEEUEESNIIIIIMIIIII Iit CONTACT PERSON 16NrsePtorlr6666 bap 23 tD. Medioat wis 0411.6 5 ) Page 2 Business tame S ...ntro1 il.. ,. Prime 12 51 Com161n4rm ' .IQ ss if).1 I" 4,..„..A.AL Rod Omit trominental) 12 St Address i 0 Tor,j / SimitisismAssialory 23 el IP N ow ' , „ # . ' / z„.. 64...Imeeb1eNWT) 62 S4 Note($0 ,,st ,,, FIN t. ) ..1 iiiiNstiosserishowee pen 1251 Urinal 25 02 unirymmo A.„....r, 4 ad - 41‘ , Water closet 25 02 .ir Ns oR Wilier hisiater 37 52 Roimcs$name,Edward Mullen Plumbin. w666 pipingliRSY 56 29 Address 1601 SE River Rd Other Coy/steer/JP Hillsboro,OR 97123 Sobtolti Mont(503440-0113 Fax(5034340-4483 Stinionoss sierrnii fee 572 SO Plan man.CS6.iN 66-6“NO CCH Lie 92689 Plumbing Lie no 34-260PB Su%surcharge 02%iir penis*its) Aisibiztil swim i 41-iril .60116036, TOTAL PERMIT FEE ,....- Print name'Jeremy Crece Date This pwroad appli,tatms c,p,r*gf a mines eat abtatood,roddc 165 vlarE after It ha I ttelt ox t tie ta Ikt xampista. 'Fos dAre aet*Tel,C*,*ReArLas Indam*Smeme Board t IknitogrfPwer,70.11,2-Pa,*04.04,, " 444.*itrc smiirosysvisi Plumbin¢Permit Application-City of Tigarti Page 2-Supplemental Information Fee Schedule: Residential Fire Sup�Sression Systems: ' Site Utilities Q4• Fee Oa) Tool Square Footage: Permit Fee: r-om a,drain-I'I00' 5003 0tozp:o • '312190 f coma dorm.ash additional 100' 37.52 3,031 to 3100 516969 301 to 7,200 S23120 Sewer-Ist 100• 62.54 7,201 aM grimier _5327 54 "Sewer-rash adamueta1100' - 3752 Water Ser.loc.1n 110 62.54 Medical Gas Systems: Weer Serviu•each rta natant IW' . . 37.52 Valuation: Permit Fee: Scam a Rain Dram•1st 100' 62 54 S1.0010$5,t9000 Minimum Fee ST.50 Storm&Rain Dram•eaat aiutionI 100' 3752 S5,00100o$10,000.CO S.7250 for the first$5.000.00 and S1521or .Fenger) , Tool each additioral S100 W or fraction Meteor,to ether Inspections or Fees Qty. W includnrg 510,000W leweu,m off nlnp plumbing or:or 510AD1 CO to 525,C05 CO SI4S.SO for the first S10,000.00 end SI 3a for water,o or is spec,fcaay it.4Katee 90 CAhr each addn,orm15100.CO or frcl,nn thereof,to Imermen charge-1+2 hour) and inel,aling 525,000 CU Inspechont Wade of normal basins 9000/hr : S25oo1.cow ISO.00000 $379.50 for the Pint S25,Ce0.00 and S143 for talus tenimum Charge-2 WOW • tech tddilional$10000 or fraction thereof,to Reinspeuaon Fe© 9000/hr and including 4,50.00003 Additional phn mica'ivr revivons 90 Ottihr $50,00100 and up f7420obr the guy S50,000 CO and SI.20 fee tact,additional S106.00 or fraction thereof (elaimtaet chase-It?how) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing natures? If'yes". please indicate work performed by nature. Failure to accurately report futures could result in increased sewer fees*. Plan Review for Plumbing Installations ' Queried by Flamm Type Nan rer:ew is required for any of lbe following. Faun Type for aaplacd Please cheat all dial apply. Work P.olorarre: Carts itdw n•t`•ra , 0 Any new commercial building with water service 2"and Bapusln+Fonr greater.except systems designed and stamped by licensed Bath -Tu6Shower engineer. -5ac.uuAChulpael 0 New exterior plumbing site utilities for any complex structure Car Wah •Eact Stall as defined in OAR918•780-OO40. -0,1.411+ro - 0 Medical gas and vacuum systems for health tare facilities. Cusp,dnrrWater Aviator Dlsh+wsher: -Cmmercul ❑ Any multipurpose tire sprinkler rystem. „ 0 Any complex structure as defined in DAR91SJg0 0O40. �r - Orvnamg fountain - Submit 3 sets of plans with any oldie above. Eye Wash Floor Drasnrunk r Isometric or Riser Diagram 0 isometric or riser diagram is required for new buildings -Car Wash Drain - Oar meet the qualifications above- Guoaae -Donalsc norv,ad Disposal -Domestic rood Mato) -Commercial rood related •Inchennal food related tor Moen Acing Dram Comments regarding fixture work: al Sepn,aior(Gat Simon➢ Ree.tlm,cle Dump Station Showy •Gang -Sul( Sinn. -1as+Bar nen-rood relmed _Wadley -COmn3erot l]peat hiatee - Service *Note: little nature work under Ibis permit results in in Swimming tool Face increase of sewer EDUs,a sewer permit will be issued and washer-Caches fees assessed for the sewer increase must be paid before the Water Extractor t plumbing permit can be issued water Cto n-rode Urinal Other Fnalarel 1.:l0uilding4'ermitill,MF_PermilApp due 0841/201 I 1 City of Tigard 11111 a COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n R D Building Permit Review — Residential Building Permit #: MS% .v-O — OD/4, Z Site Address: g g 15 svi -11'ovvl St ee- Project Name: ThorhW Dud MeMONS Lot #: 3 Planning Review Proposal: Ata C1rlid UM 14' ' t. 1g Verify address/suite#active in Accela. 'L In River Terrace: 1g1 No ❑ Yes,River Terrace Reviea'Addendum Site Plan Elements: 5aFrosion Control lit copies of site plan on 8-1/2"x 11"or 11 x 17"paper jagetained trees with drip line and tree protection measures ,IXDrawn to scale(standard architect or engineer scale) OFootprint of new structure(including decks) and FFE AINorth arrow ''Utility locations&easements (required for new and additions) `iZSite address,project or subdivision name and lot number Sidewalk/driveway approach %kpplicant information(name and phone number) ('Location of wells/septic systems j$Lot dimensions and building setback dimensions r4 Street tree size,type and location NSquare footage of buildings to be demolished treet names 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?,liS'es ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 1 'es ❑No so Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No IV Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified 3ir No Received: ❑ Yes ❑ No fQ7eSDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No Si6 Public Facilities Improvement(PF1) Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake 9 Land Use Case#: 2D�220kt- DC010 gl Zoning. Q-t 2 "g..Required Setbacks: Front _ IS Rear: 10 Side: S Street Side: N f/- Garage: 2-D Building Height: Max. Height: �J5 Actual Height: 33 '®. Landscape Area: '2-0 % 'Lot Coverage Max: O Entrance Set ba no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows 12 0 of are of all street-facing facades Garage axa doo is behin idest street-facing wall ] VP ❑ No,one of the following is met: oor tends ore than 5'from wall e‘a a cove d porch extending beyond garage. 0o extends o m re than 5'' .y and theA a .Window above garage on 2nd floor. Garage d r widths ❑ 2 bless '�or s o facade ❑ 60 A or less and includes 7 of following: O Co red pox h 0 ecessed e ce ❑ Wall offset 0 1'Roof eave ❑ Roof offset ❑ Fir shingle 0 p Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ A ent sid' g ❑ dow trim ❑ Window recess ❑ Window projection ❑ Balcony ,Et'Visual Clearance 'Urban Forestry Plan ..iSir Sensitive Lands: 0 Yes 0 No Type: Er-Conditions met prior to issuance of building permit Notes: X Approved By Planning: - Date: 5f4I2.0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved L\Building\Forms\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: y/./d/f 0 Site Plans: # 2 Building Plans: # Building Permit#: ['Enter building permit#above. ,� JJ Workflow Routing: Er-Planning Engineering -Permit Coordinator Building Workflow Sign-off: CYSign-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. R.-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: `'� -�d -- Date: ,1/6/2l1 Engineering Review S,ope at building pad: A,47/0 41. E '� onditions "Met"prior to issuance of building permit L..4'/!Easements (encroachments) per engineering conditions of approval and plat (!Y�Y/ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: C❑ s ❑ No LIDA Facility on lot: Lid'Yes ❑ No ri Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:�te L✓d Approved by Engineering: Date: e-® Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ 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: 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: 11 Yes ❑ N/A LIDA VI Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: / , �,�- Date: s ��( 1-\Building\Fonns\BldgPermitRvw_RES_1224I 9.docx