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Permit (26) CITY OF TIGARD .` „ '# MASTER PERMIT P II : .: COMMUNITY DEVELOPMENT 19 0 • Permit#: MST2015 00307 T R iARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2016 Parcel: 1S136AA01201 Jurisdiction: Tigard Site address: 6919 SW OAK ST Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Care Home Project Description: New group living facility(5 or fewer residents). 7/19/16 REPRINTED to correct square footage due to addition. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 8 First: 4915 sf Basement: 0 sf Left: 10 Parking Spaces: 0 Height: 0 Bathrooms: 9 Second: 0 sf Garage: 486 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 10 Detectors: Yes Total: 5487 sf Value: $590,942.29 Rear: 15 PLUMBING Sinks: 1 Water Closets: 9 Washing Mach: 2 Laundry Trays: 2 Rain Drain: 1 Urinals: 0 Lavatories: 10 Dishwashers: 1 Floor Drains: 1 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 4 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 10 Clothes Dryers: 2 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 2 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: 9 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 5487 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD 1 Ersn Cntrl 503-639-4175 RD SHERWOOD,OR 97140 SHERWOOD,OR 97140 PHONE: PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $30,286.88 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. A= ON:---.Q,,regon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 9527e i 1-0010 through OA' . -'11-#X90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ssued By: — L���� -ice�J Permittee Signature: fri/ T 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 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015 00307 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2016 Parcel: 1S136AA01201 Jurisdiction: Tigard Site address: 6919 SW OAK ST Subdivision: 2007-031 PARTITION PLAT Lot: 2 Project: Oak Street Care Home Project Description: New group living facility(5 or fewer residents) BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 8 First: 4915 sf Basement: 0 sf Left: 10 Parking Spaces: 0 Height: 0 Bathrooms: 9 Second: 0 sf Garage: 486 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 10 Detectors: Yes Total: 4915 sf Value: $590,942.29 Rear: 15 PLUMBING Sinks: 1 Water Closets: 9 Washing Mach: 2 Laundry Trays: 2 Rain Drain: 1 Urinals: 0 Lavatories: 10 Dishwashers: 1 Floor Drains: 1 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 4 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 10 Clothes Dryers: 2 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 2 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 add,500 sf: 9 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4915 Owner: Contractor: BARE LLC BRITTANY HOMES INC. Required Items and Reports(Conditions) 22275 SW SCHOLLS SHERWOOD 22275 SW SCHOLLS-SHERWOOD RD 1 Ersn Cntrl 503-639-4175 RD SHERWOOD,OR 97140 SHERWOOD,OR 97140 PHONE: PHONE: 503-628-3518 FAX: 503-628-5421 Total Fees: $30,286.88 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. ATTEN : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0, 0 through 0.- •.- 00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issue. By: / /r / 4 Permittee Signature: 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 , Building Permit Application Residential . ' a`,'r' FOR OFFICE USE ONLY � � `� FOR City of Tigard Permit No.: 2 Date/By: �:L � !� M �p�l��Jd7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196Q' Date/By- �9 �� f Other Permit �Q ra p/5-._06A 3 _�C 302015 y Inspection Line: 503.639.4175 Date ReadyBy: Juris: &I See Page 2 for T I GARD Internet: www.tigard-or.gov n Notified Method:�/7/ Supplemental Information TYPE oilitlRI I,III =1 1j 7�QUIRED DATA:1-AND 2-FAMILY ILY DWELLING `New construction ❑Demolition 'ermit 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 work indicated on this application. CATEGORY OF CONSTRUCTION fx1--and 2-family dwelling ElCommercial/industrial Valuation: ,c590. 94,3i.,) D Accessory building ❑Multi-family Number of bedrooms: $" 7�� 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: V 1 0 Job site address: /�� 5:',.> e24014-9 5, .S'7- New dwelling area: id"` square feet City/State/ZIP: L-7> y 47.'572-2 97 Garage/carport are - ,: square feet Suite/bldg./apt.no.: Project name:9• g f "'.-,y,�e`s _ Covered porch area square feet Cross street/directions to job site: -- Deck area: 71.,S square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: i<1 361114 6/2,v/ 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. �J) ,I '- ,,---.7;-- -z---., ...,. Valuation: $ /vc 4V - /L i e- - , 1 / -- - h ie. r�)i, _4 i/1e(,l Existing building area square feet ` ` New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: 3A-1Se L Type of construction: Address: 2:2_-2_-7 5 S 5--tI:9t(<-</, 0 f)1 Occupancy groups: City/State/ZIP: S' ;Z `,- .1 �..5 7 7 / (7Existing: Phone:(5"03) -4,2_?-tJ 2....i Z Fax:( );) A.2-® ..- S-`l Z-/ New: X APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 1-' 177 � Structural plan review fee(or deposit): Contact name: ---e Z 4.4.- f _ �i FLS plan review fee(if applicable): Address: 7-2-2-15" 5-i_.-.) _. ::-.79.1:4(i-5jcc..- .v ‘41. Total fees due upon application: City/State/ZIP: 5— .m-� r fp '77/. .e.) -co Phone: ' Fax: : Amount received: 7� .) 3y�- y3.7 a )ems-1'77-, ' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: .a" ,� / tT.r.�f j?Ho,1 5-/i4.t, , Go .-rte 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: 4 ,, u 5- 1�`0c- and fire department access,along with the 2010 Oregon ' Address: Solar Installation Specialty Code checklist. 1 City/State/ZIP: /T` . `"" " - Permit Fee(includes plan review $180.00 and administrative fees): Phone: 3 ) 3 vi.- "12-6 Fax:( 3 ) b 2..y. -5 y 'J State surcharge(12%of permit fee): $21.60 E- 1 p CCB lic.: 3 l 2_C A Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained _ within 180 days after it has been accepted as complete. name: t JJJ�/� *Fee methodology set by Tri-County Building Industry Print IL name:_.! 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Date Ready/By: Juris: l ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPEtWI +i s,'t 4 g COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*arc based on the value of the work V i New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Al_and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. D Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 2. 46.75 Job site address: 9/ �- Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP: `�' G 1 /1---_ 7 _X Furnace 100,000+BTU(ducts/vents) 54.91 � Heat pump 7,.... 61.06 Suite/bldg./apt.no.: Project name: 1.1, _ Duct work 23.32 Cross street/directions to job site: . 69 4" 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 _2. 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: / s' / 36. 94 40/20/ Water heater y 23.32 DESCRIPTION OF WORK Gas fireplace/insert / 33.39 Flue vent for water heater or gas • 5-,//< le -3 j2 ._l4.-- e' fireplace 3 23.32 / Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 a-PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: ZR,¢7 ' 4l-C.-- Range hood/other kitchen //; ' equipment 33.39 22.27 S StJ ,c.I ' 6 ) Address: l / 0 /e Clothes dryer exhaust 2.. 33.39 City/State/ZIP: 544,,,, . �,X. 97/Yo Single-duct exhaust(bathrooms, n toilet compartments,utility rooms) w 23.32 Phone:(. ....e.:)_:0 6,G y•-35.0S5 Fax:(50 j) 42? SYL / Attic/crawlspace fans 23.32 AL APPLICANT 0 CONTACT PERSON Other: 23.32 /1' Fuel piping: Business name: ��� '� i1'i ��`E�k.,.....- $14.15 for first four;$4.03 for each additional Contact name: '" J Furnace,etc. Address: 2i7-7 r `,'� `c .i/f. _s em ,p 2' Gas heat pump C WalUsuspended/unit heater City/State/ZIP: clt.¢4,, c-vr, G,A-, 7/Y47 Water heater I Phone:( ) -35 r g; Fax: : j) 6 cyl....../ Fireplace Range E-mail: , 7r 47 ,Z.._.,1,_.,. . ' i. -re-Ax- . c--or.- Barbecue 'C II' ` Clothes dryer(gas) IBusiness name: 6-/it, "�'/ � -.F Ai-> 4/46Other: �L MECHANICAL PERMIT FEES* Address: G, 4� `e2S Subtotal City/State/ZIP: ,5-j�tA , 9?l- ra Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5,,}> 645') S' -6?.:18 Fax:(,(„0-i ) 6 2_c 9Wir, State surcharge(12%of permit fee) .-j, CCB lie.: / j 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: * Fee methodology set by Tri-County Building Industry Service Board Print name:-73- --en (;�� Date: //� I:\Building\Pnits\MEC_PermitApp_040113.doc 440-46171(1 IAf12/CO`M/WEB) L J Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Val. 'o . ,, mit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PennitApp_040113.doc 2 1 Plumbing Permit Applicat CEIVEi) Building Fixtures FOR OFFICE USE ONLI City of Tigard F'' =) 2 n.- Received �t / Permit No.: 7 III. 9 Date/By: t7�9 kl, /ao/5-o030 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 50345 Date/By. Other Permit No.: T I G A R D Inspection Line: 503.639.4175 II 11' i ItTAl(l) Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov if If!dll 'P fig T!(I 'Q Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction 0 Demolition For special information use checklist. Description I Qty. [ Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 A.1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath / 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 7 25.02 0 Master builder 0 Other: Fire sprinkler(0-eAq.ft.) Page 2 - JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /9/ 9 x-� 0,A. �►i Catch basin or area drain 18.76 tG� Drywell,leach line,or trench drain 18.76 City/State/ZIP: A0� Gam, 9724', �� Footing drain(no.linear ft.: b(a) Page 2 Suite/bldg./apt.no.: Project name:0,4,-e 04.g><ih,.-.e Manufactured home utilities 50.03 Cross street/directions to job site: cf....) 6 L9 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:/if-a. Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear OP) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: / S ,7 6. AR O/.2_0, Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve / 12.51 Clothes washer 2 25.02 45'ii_ ,e- �u",/`Q�"f '7 Dishwasher / 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 -PROPERTYOWNER 0 TENANT Expansion tank 12.51 Name: ems !". lFixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1_2,75 5;...- , QCs-9 o /J. Garbage disposal / 25.02 City/State/ZIP: -lu-✓a,aaa 02., Hose bib 4/ 25.02 Phone:(..5.p.)) .75 7,5° Fax:(! ) , 5''Z.-/ Ice maker / 12.51 l-APPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02 Business name: Z? i, 9t�t// � S- � Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 �k�"eY'aFi Roof drain(commercial) 12.51 Address: 222275 $o c6Cf^Siirsnax40,lL. Sink/basin/lavatory if 25.02 City/State/ZIP: cit-u✓L.,„,00 411-i Solar units(potable water) 62.54 Phone:(5ad) 6,z,_ S`g Fax::($ ) („ 'p / Tub/shower/shower pan .3 12.51 E-mail: .��� ei k IT.�f-,vt,,k.i.e›/tJG L a pvti Urinal 25.02 AR r Water closet 9 25.02 GO (-r, -3. . . Water heater Z 37.52 Business name: .C,- /e-�"vz (71 /64-$.4t.4-c Water piping/DWV 56.29 Address: /r9.35• s G"f4:11./ 7I /� ik , Other: 25.02 City/State/ZIP: 17).1(.00,} C...„:1-7 4,1Z._. 97 0115' Subtotal • Phone:(5.03) L4/ya _O 7 6 3 Fax:(9 7 f) 250„.3?o Minimum permit fee: $72.50 CCB Lic.: /9y 505 Plumbing Lic.no.:eg, (©Nri5 Plan review (25%of permit fee) State surcharge(12%of permit tee) Authorized signature: TOTAL PERMIT FEE Print name:--1-e..-mai [ �(/4JO�f% Date:.7...,_./251/‘„ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. Ir Building'Permits,PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/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- 1'1100' / 50.03 $' j 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' J 62.54 47A. i 7,201 and greater $327.54 Sewer-each additional 100' 37.52 'Z 7 5 Z Water Service-1st 100' 62.54 6'2 Sy Medical Gas Systems: Water Service-each additional 100' / 37.52 3151 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 6Zc. $I.00 to 55,000.00 Minimum ice S72.50 Storm&Rain Drain-each additional 100' ,, 37.52 .7s-c../ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other ec InS tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspections _ 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: 501 :73 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 reeiew is required for any of the 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 engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall D New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ 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 ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related -Bradley -Com/Sery/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 the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Perrnits\PLMF_PermitApp.doc 08/04/2011 2 Albert Shields From: Albert Shields Sent: Monday, January 04, 2016 4:14 PM To: jeff@brittanyhomesinc.com Subject: MST2015-00307, 6919 SW Oak St. Jeff, a PFI permit for sanitary, storm, and utility connections on Oak St. is required before we can issue MST2015- 00307. Please let me know when you have applied for a PFI. 171 Albert Shields CityoFT and ; Permits/Projects ' Coordinator ,, 2 Albert bgard-or.gov 1%503) 71a-2426' (5 3)624-3681 131255''01 Hall Blvd. Tigard,OP 97223 1 4 dolor °71r • AN Irmo at - Senior Livin "It is in the shelter of each other that people live" 2/29/16 To Whom It May Concern: This letter is in reference to the property located at 6919 SW Oak St in Tigard. It is my intention to be the operator of the Adult care home which will be located at this property once it is constructed. This home will only be licensed for 5 residents which is the maximum allowed by the state of Oregon. The reason for the additional bedrooms would be to provide bedrooms for the live in resident care managers children. Please feel free to contact me if you have any questions. Yours truly, Amanda Shields, MSN, ANP-C Nurse Practitioner/Owner Magnolia Innovative Senior Living 503 819-0308 www.innovationinseniorliving.com 1 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 -4 Transmittal Letter PS 6- 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATE I. 1-14 y D. Dt VE1) DEPT: BUILDING DIVISION FFB 18 2016 FROM: j G-=ice- Lu,-Eo L-0 r CITY Y Of 1'�IiAKU BUILDING DIVISION COMPANY: g(2.-L 77-A tis v 5 PHONE: 3 - 34-15' 4 3 z By: di RE: g I 15_c03o (Site Address � � � ' 61:44( S`�v-u�t- Cscrc_ ltrx roc_ euum er) ( 4 ► ZG1 -(Project name or subdt isio name an of number) ATTACHED ARE THE FOLLOWING ITEMS: a. i i.t.1, k ' x`'10 0 y`i a T2 . ..�j�jy9�y�7 ' ;.,. r At :A ✓ Additional set(s)of plans. Revisions: (.- Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. c Beam calculations. s, Engineer's calculations. Other(explain): REMARKS: A A A eJ 2 Gel?K.m r•--(�-c- ( -6:-.t.,-e..1._ ( -L_ 0 r... S__, '_ 1/4...4).1 ter, E "T 0 o•..._<..e____- ` ( '' 1 1.1 '4 ) 1H +'',;f Routed to Permit Technician: Date: . a,.(1)141111111111111111111EM111111111 Fees Due: ►:1 Yes • No Fee Descri stion: - Al _r • I. ./ Amount Due: $ qi°' '' $ $ $ Special Instructions: Re.rint Permit .er PE : • Yes ❑No • Done A• .licant Notified: Date: Initials: I.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 , City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT IIIII Building Permit Review — Residential .1IC;ARI) • Building Permit #: 114?Tdc/6 ,p0 7 Site Address: 4'9/9 SAD e C -- Project Name: ,ham�' kLot #: (New dwelling1 Aivision name;Addition or, lteration=last name of owner) 191 Planning Review / /? Proposal: /1i-P,tc J rti,,:9 /Vitt G is/ ( c Or ,4 ec- r--e2i�4P d2AJcvislcrt #accic(vJ cis -4v.a.t ate i'l.cJ- rt (o .Ft,df Se-44" n a tg Verify site address/suite#exists and active in permit sysre P P lover Terrace Neighborhood: ❑ Yes !�f No Sit lan Elements: ree(3)copies of siteplan • . .isting structures on site e plan must b�on 8 1 f 2"x l i"or 11 x 17"paper !!'l notprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations Orth arrow locations(required for new,may apply for additions) � i o address,project or subdivision name and lot number cation of wells/septic systems j phcant information(name and phone number) rosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions 4.ign,location of catch basil,etc.)04 area,building coverage area,percentage of coverage and et names pervious area(applicableifR-7,R-12,R-25&R-40) et tree size,type and location ropern corner elevations(2 foot contour lines if more than is it'isting trees to be retained with drip line,and tree 4 foot differential) protection measures 0 Clean 11'ate�r S vices—Service Provider Letter(lot platted prior to 9/1(1/1995): Required: (l1 Yes,applicant was notified 0 No Received: 0 Yes 1/No 014ublic Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified No Applied For: 0 Yes 0 No,stop intake Land Use Case#: Toning: E s Setbacks: Front 0 Rear / ----,_ l() Street Side /S` Garage r^� ) iiihandscape Requirement: °'v of e BuxildCitnovgeIrIa egige hMt: aximun: 0 Maximum I leight 30 Actual Height .„,...26)iisual Clearance Easements ensitive Lands: 0 Yes No Type (urban Forestry Plan Okonditions"Met"prior to issuance of building permit Notes: Approved By Planning: ------r" 7 �, Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: A Approved 0 Not Approved 41 oil,:z- i`?t tc%r,x `270.v) 'it 4 Revision 2: AT Approved 0 Not Approved 04..6 � a. ra„ a, 1 - /9 -( Revision 3: ❑ Approved 0 Not ;lpproved �� 1:`BuiWing.Forms'BldgPcnnitRvw RES (170915.doe x Building Permit Submittal 1p/jSOriginal Submittal Date: /, ,10/5"— Site ite Plans: # 1 Building Plans: # Building Permit #: D'linter building permit# above. Workflow Routing: 2"-Planning E,kingineering :41ermit Coordinator ut ding Workflow Sign-off: If—Sign-off for Planning(include notes from planning review) Route Application Documents: 12-Engineering: (1) copy of permit application,(1) site plan, (1) buildingplan and ,priginal plan review routing form. dBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review /Slope at building pad: ;t, Conditions"Met"prior to issuance of building permit .r Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No I.1DA Facility on lot: 0 Yes 0 No 0 NOT Approved b Engineering: Date: Notes: /C/f1.1----;1,40,-1,10,7'.40 _ ,�Gatlr10 .40 61Gd".•r ,G-,.e_-->1� ' i 4e Approved y Engineering: 2 12 Date:/z 5f Revisions (after Building Submittal only) vie\' Date Revision 1: Approved 0 Not Approved t, Revision_. AiApproved 0 Not Approved 014V 1i —lb Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit pproved,,. 0,gt5-A"-------- ,NOT Released: �F /jC,G6�� * e: _A6_ Notes: ter:1722l10—oao 30 .2�-9/,4 Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 171ASDC Fees Entered: Wash Co Trans Dei-Tax: p Yes 0 N/A 'l'igard"Trans SD(:: 0 Yes /A Parks SDC: , Yes 0 N/A XOK to Issue Permit - l A owed by Permit Coordinator: /�/�' D- -: V I'�/ r�' / 1 -7/1 9//4• I:.Building:.Rams+t3ldgPermit Rm_RES_1)709 I S,dms 1 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 LISTransmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: ( v DA •``t fa I. DEPT: BUILDING DIVISION JUL 1 8 2.016 CITY OF Ti AHI) FROM: 3 G tet% l lel ° i�' DIVISION COMPANY: f _ - PHONE: 3 • 2 By"5: RE: & dr r `s�za �l i'- r /2ZS7-0160(s-- Oc ?a 7 ( rte d ess) (Permit Numer (Project name or subdivision name an 7,-r) ATTACHED ARE THE FOLLOWING T S: 3 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: Z,c,, v.� j� �'� �� ./UCOG r,47/S 7,gJc�' a.--7C"- Pc I \rr c.‘,) I 0- 4-- - Routed to Permit Tec cian: Date: 7— — jc i Fees Due: V, Yes ❑No Fee Description: , e. e: J-)r Q) ce re i' e-' q4� Special Instructio' : Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: 7'- Date: 7/A L Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012