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Permit (10) 1,1,0„.. , CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT x Permit#: MST2017-00171 - � ., 13125 SW Hall Blvd.,Ti Date Issued: 06/28/2017 TIGARD and OR 97223 503.718.2439 9 /, /I/ i7 Oft- "S-T. Parcel: 2S1126D08100 Jurisdiction: Tigard Site address: 7819 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 17 Project: Brittney Meadows, Lot 17 Project Description: New SF. 8/30/2017: REPRINT permit to correct number of lays from 3 to 4(no change to number of bathrooms). 12/14/2017: REPRINT to add irrigation backflow. 12/14/17: REPRINTED BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1536 sf Basement: sf Left: 5 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1972 sf Garage: 746 of Front: 20 Smoke Dwelling Units: 1 Third: sf Right: 5 Detectors: Yes Total: 3508 sf Value: $431,371.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 1 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 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 Furn>=10OK: 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 add]500 sf: 7 201-400 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 3508 Owner: Contractor: OLSON,GRANT L&GINA M WESTLAND INDUSTRIES Required Items and Reports(Conditions) 7787 SW HANSEN LN 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97223 2 GEO Tech Required before foundation inspection PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $32,348.36 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 Not i.: •- Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma ' a_cop. f the rules or direct questions to OUNC by calling . , . •: • 1.800.332.2344. Issued By: �� sa Permittee Signature: Cal 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 c•••. - • o e projec. Approved plans are required on the job site at the time of ea h inspect'.n. Plumbing Permit Application Building Fixtures J;.:7 City of Tigard i Recei al 13125 SW Hall Blvd.,Tigard,OR 97223 11111 Date/By:ved /ca. ,7 Permit N �T- e /7 t>(:),../7/_, Plan Review Phone: 503.718.2439 Fax: 503.598.I9Ktl`` Date/By: Other Permit No.: Inspection Line: 503.639.4175 t 1 T 1 C A R D .` ,, Date Ready/By: Jury: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ri TYPE Or.,WORK ,r- FEE* SCI EDyLE ONew construction 0 Demolition For special information use checklist. Description Qty. Ea. j Total ❑Addition/alteration/replacement 0 Other: ili ,, New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION Y ' 7SFR(1)bath 312.70 X1 and 2-family dwelling ❑Commerct. /Iri' u'• ' FR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: .'7 j �l Catch basin or area drain 18.76 �� U I""�= Drywell,leach line,or trench drain 18.76 City/State/ZIP: (6, ^ 67---71,?-3 ll[ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 - i'(`" (f YY����ei,J /(Z,47. e)vV Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 � Storm sewer(no.linear ft.:_) Page 2 _i:4-/ /7777/17 _Je;74.-/-5GT / Water service(no.linear ft.:_) Page 2 Subdivisio I. _ _ ' - Fixture or item: Tax map/parcel no Backflow preventer 7 31.27 3/,a 7 Y ESCR1PTI C>F. '®ds. 74.' 4 h Backwater valve 12.51 1 Clothes washer 25.02 l 6 -�C/S 77,J C �C t-'6_-_-.72-,-7/ T Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY vOVI'1 R ,©:TENANT Expansion tank 12.51 Name: ‘"' 7 71 /'�/ Ar Fixture/sewer cap 25.02 Address: J �`t �� Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ' j❑ r1,PPL1 ` ��AN1"`� � 0:CONT}CT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 C Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 n -; Water closet 25.02 xCONA R ,,, Water heater 37.52 Business name: ir�� � n �, �J ,7( /06.„... J /i�� _ Water piping/DWV 56.29 Address: t%4)-.c /1/4)- ---e-:JE7)/.-CV (7 Other: 25.02 City/State/ZIP: ti `36 ]eL� C .( ��L/ Subtotal 3/, A 7 Phone:( ' _ �(0,( / Fax:( ) L ] Minimum permit fee: $72.50 CCB Lic.: '„� U l�L 1' g Lic.no.: gi-j v Plan review (25%of permit fee) State surcharge(12%of permit fee) 3,, '7s Authorized sip, ature: TOTAL PERMIT FEE J .s', Or Print name: , Date: /)_ / . /7 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. I:\Building\Permits MU-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: $ �tl • Qt'►,', Fee(en) Total &P1ar =FoOtag : 3 erlipit Footing drain-1s`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 Valua ion: 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 � dotal each additional$100.00 or fraction thereof,to Other-Inspections or Fees � 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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*. A, ,,,AtTlim,Revie*y for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped -Added Relocate 0 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 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator -Commercial 0 Any multipurpose fire sprinkler system. Dishwasher: - ommerommerc El Any complex structure as defined in OAR918-780-0040. -D Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" isometric or Riser p><agrtptk 4" 0 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 Mach./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 the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT sIN s Permit#: MST2017-00171 COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2017 TIGARD / i Q jr ,1.7' Parcel: 2S112BD08100 Jurisdiction: Tigard Site address: 7819 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 17 Project: Brittney Meadows, Lot 17 Project Description: New SF. 8/30/2017: REPRINT permit to correct number of lays from 3 to 4(no change to number of bathrooms). 12/14/2017: REPRINT to add irrigation backflow. 12/14/17: REPRINTED BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1536 sf Basement: sf Left: 5 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1972 sf Garage: 746 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: sf Right: 5 Detectors. Total: 3508 sf Value: $431,371.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 1 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 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 Furn>=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 add'I 500 sf: 7 201-400 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 3508 Owner: Contractor: OLSON,GRANT L&GINA M WESTLAND INDUSTRIES Required Items and Reports(Conditions) 7787 SW HANSEN LN 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97223 2 GEO Tech Required before foundation inspection PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $32,348.36 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notjfi.- •• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma • .f the rules or direct questions to OUNC by calling .-.- - 1.800.332.2344. Issued By: ..-',--- ...----..-''.-•=0--/-c-0 -- r_� _ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until c•••. . • o e projec. Approved plans are required on the job site at the time of ea h inspecti'n. Mechanical Permit Applicati ( ,I — FOR OFFICE USE OM.) / C1of Tigard Date/By: Permit No.�'`7��o�ll/��C�O/''''7/Other Permit: 13125 25 S W Hall Blvd.,Tigard,OR 97223 ; E C 1 4 t`01;i Plan Review C Received ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 t .i 1 ; s . - Date Read/B Jure ® See Pae 2 for TIGARD Ready/By: S Internet: www.tigard-or.gov , ;a h F 1 s o Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE -- USE CHECKLIST Mechanical permit fees*are based on the value of the work s-A?..INew construction 0 Addition/alteration/replacement is s 4k y performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,andprofit. ❑Demolition ❑Other: .. I . , ` P' Value:$ CATEGORY OF CONSTR al r p ° RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling 0 Commercial/industrial/_ •ccessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total --.�.JOB SITE INFORMATION AND LOCATION Heating/cooling: 51 G� �� &J" L Air conditioning0 ,046.75 1�(p 75-- Job � Job site address: 7Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:' 6-), e f`- ( f d1', Furnace 100,000+BTU(ducts/vents) 54.91 ( ( Heat pump 61.06 Suite/bldg./apt.no.: Project name: /�fr" l �J /L !7 Duct work 1 23.32 Cross street/directions to job site: ,✓ l 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 Other: 23.32 Subdivision: Lot no.: ' 7 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF,WORK Gas fireplace/insert 33.39 ' Flue vent for water heater or gas b ti/e- 7--- "."--?.----/S 77,\J"6- 7 -7,--r/`f/ "7 fireplace 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 <; fl PROPERTY OWNER 0�TENANT Environmental exhaust and ventilation: Name: 1 �� L 4 .7 77)i/`ft Range hood/other kitchen C �� `vequipment33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: --f(6,70D u`--' 6-i 7)--7- / Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) 23.32 Phone:( � , 7 O • 0 j5 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT KQ CANT T PERSON. Other: 23.32 Business name: t f7 - Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: C Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue '-';',4". .;"-" x '''. CONTRACTOR . .. Clothes dryer(gas) to 1!•I(1 �� ti {��-- Other: Business name: l L MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) S. (6' CCB lie.: TOTAL PERMIT FEE 56' 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: tO ��,` () / (� - Date: j , �� (/�/J 1:\Building\Permits\MEC_PermitApp_040113.doc 1440-4617T(11/02/C B) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: 'ota Valuation: `ermit 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 CITY OF TIGARD ,, , �" . MASTER PERMIT 14 go ' COMMUNITY DEVELOPMENT Permit#: MST2017-00171 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2017 Parcel: 2S112BD08100 Jurisdiction: Tigard Site address: 7819 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 17 Project: Brittney Meadows, Lot 17 Project Description: New SF. 8/30/2017: REPRINT permit to correct number of lays from 3 to 4(no change to number of bathrooms). BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1536 sf Basement: sf Left: 5 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1972 sf Garage: 746 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: sf Right: 5 Detectors: Total: 3508 sf Value: $431,371.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 1 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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 Types . Air Conditioning: N 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 Srvc/Feeders . 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: 7 201-400 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 3508 Owner: Contractor: OLSON,GRANT L&GINA M WESTLAND INDUSTRIES Required Items and Reports(Conditions) 7787 SW HANSEN LN 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97223 2 GEO Tech Required before foundation inspection PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $32,260.98 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 . k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica'. C-. - . Those rules are set forth in OAR 952-001-0010 thr.ugh• ' •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin. • .3 7.r 1.800.3.2.2344. . i" ' Issued By- Permittee Signature: I.�` � r<'' Call 503.639.4175 by 7:00 a.m.for the next available inspectio rte. 11"w- This � This permit card shall be kept in a conspicuous place on the job site until co I•letion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT `. II: COMMUNITY DEVELOPMENT Permit#: MST2017 00171 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2017 T[ 9 Parcel: 2S112BD08100 Jurisdiction: Tigard Site address: 7819 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 17 Project: Brittney Meadows, Lot 17 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1536 sf Basement: sf Left 5 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1972 sf Garage: 746 sf Front: 20 Smoke Dwelling Units: 1 Third: sf Right 5 Detectors: Yes Total: 3508 sf Value: $431,371.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 1 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Types Air Conditioning: N 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 7 201-400 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 3508 Owner: Contractor: OLSON,GRANT L&GINA M WESTLAND INDUSTRIES Required Items and Reports(Conditions) 7787 SW HANSEN LN 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 TIGARD,OR 97223 2 GEO Tech Required before foundation inspection PHONE: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $32,260.98 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 folio i- -s adopted by the Oregon Utility Notifi > ion i en hos- rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You..- -'fi a copy of the rules o act questions to OUNC by callin. 503.23 1.800. 2.2344. Issued B / Y• Permittee Signature: � �� Call-" 4175 by 7:00 a.m.for the next available inspectirte. This permit card shall be kept in a conspicuous place on the job site until co pletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE, FSE 0\1.1 City of Tigard Received --iIN n « 13125 S W Hall Blvd.,Tigard,OR 97 ? Date/By: 5 if/ 0 Permit No.: y+� Phone: 503.718.2439 Fax; 503.598. A Plan Review / �!/ 'l 7� Inspection Line: 503.639.4175 Date/By: 3/4/1'7 Other Permit< i o TIC ARD P Date Read B Tunsl J Internet: www.tigard-or.gov Ready/By. 7) �_ I S See Page 2 Information u le TE'`dl"'WORK c 'TIG REQUIREDIF1 TA*1 AND 2-PALMI:'i`DWELLING ew construction M ons, g yet Permit fees*are based on the value of the work performed. I J Addition/alteration/replacement 1�G g 1` Indicate the value(rounded to the nearest: dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Nfi(l-and 2-family dwelling 0 Commercial/industrial Valuation: $ (131 i 3'7 l ❑ ❑Accessory building � Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 • RMN.ANDLLOCATION Total number of floors: (,/n- U Job site address: /t_(qJOR SITEy� et New dwelling area: 5--a square feet/ 7 City/State/ZIP: �^ �y t },� Ci� 1`r? �/ q9. 22i-5 Garage/carport area: 7 1 to square feet I S S(0 Suite/bldg./apt.no.: Project name: �_�/ � i Covered porch areaauare feet Cross street/directions to job site: 7900a r LL77 " De area:j 101 square feet atier stru a area: $-- square feet Subdivision: �j ('" / �,_ps I 17 REQUIRED DATA COMMERCIAL-usicoLetaiST VP�1 N7jC1J Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION tF ' " work indicated on this application. 5 Valuation: $ Existing building area: square feet New building area: square feet RSR"G Number of stories: Name: OLC �on Type of construction: Address: ^ ('� City/State/ZIP:ZIP: t '/ SW o� Occupancy groups: d �( C 72- Existing: Phone:( ) Fax:( ) New: APP ICANT 0 CONTACT PERSON. UILDING PERMIT PEES* Business name: E t(� u S (A4 1 f + r e 1 � L Structural plan review fee(or deposit): Contact name: 1.,t►►11/1 Address: ( 7p 5,` b( )1 �}IR--tS FLS plan review fee(if applicable): City/State/ZIP: 6.1//J,^� � )ee /�7. 12V _ Total fees due upon application: Phone: iAr ,va ``' ,.. CJS Flax::( 111 •-- �7--e_ cog/ Amount received: r`( fq"N.P d Aoc- _ U r TOVO IC sties PANEL SYS ES* E-mail: Commercial and residential prescriptive installation of 1 roof-top mounted Photovoltaic Solar Panel System. Business name: tAJ c14.7,1"-- `I � oe_ Submit two(2)sets of roof plan with connection details Address: C �► �� ','! and fire department access,alon with the 2010 Oregon • i t'�' �v Solar Installation Specialty Code checklist. City/State/ZIP: "-jl 4 // ve Permit Fee(includes plan review Phone: i I ( . 7X--",,.,,, and administrative fees): $180.00 _ r F 111"' �(j State surcharge 12%of permit fee): CB fie.: g ( P } $21.60 .. Total fee due upon application: $201.60 zed siP t �� This permit application expires if a permit is not obtaine within 180 days after it has been accepted as complet „........1,,i0 Date: �O •. 1/ *Fee methodology set by Tri-County Building Industry Service Board. 'IP-' SPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE: l SI ONl.l City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223III DateBy: Permit No.: , 1: Imo`- A Phone: 503.718.2439 Fax: 503.598.1960 �, Other Permit: [1 G.� D Inspection Line: 503.639.4175 - '1 cy-Nyi l A;` Internet: Line:www.tigard-or.gov � Date Ready/By:/Meth7uris: See Page Supplemental2 for �}q} Notified/Method: Information OF.WORK , ct3,1cIA�,'i�� #� �} SCHEDULE -USE c�l�Isx ew construction • l 4��. Mechanical permit fees*are based on the value of the work 0 Addition/alteration/repla t g� } performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: D INISIOS mechanical materials,equipment,labor,overhead,and profit. <- [CATE0OF. O �;" QhtS/'�2[;: Y i l ` .,, Value:$ '1-and 2-family dwelling 0 Commercial/industrialRESIDENTIALEQVIP1►MEli(1'1SY 7;11 EES* 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SIT WORM/4:110N-'A lt. A3CA to I Heating/cooling: Job site address: Air conditioning 46.75 �y > �) I 0 tit Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: � I Les, O A e?-72.7.4). J i yy3 Furnace 100,000+BTU(ducts/vents) 54.91 6 Suite/bldg./apt.no.: I Project name: I'CJ�Q� ", v Heat pump w�, l./Y` ' / � �' Duct work A 23.32 Cross street/directions to job site: l (!1' 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: �� f ,►A T�V 1v, 0) i Lot no.: l� Other: 23.32 Tax map/parcel no.: 1` Other fuel appliances: Water heater % 23.32 u c s, Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 „PROPER I I' {)i [ I EN 'c i Other: 23.32 Name: /�'��� Environmental exhaust and ventilation: v Range hood/other kitchen Address: -f-i--7 07 S �w` ( c„) equipment I 33.39 el)r 1 ', "�I�•1 Clothes dryer exhaust t 33.39 City/State/ZIP: V D q77-2-9 Single-duct exhaust(bathrooms, Phone:( ) I - toilet compartments,utility rooms) 23.32 Fax ( ) Attic/crawlspace fans 23.32 APM ICAN T I`C O1�lT CT" oN Other: .., ., 23.32 Business name: 1■ A9 Fuel piping: Contact name: W,,/� •,-,"V � $14.15 for first four;$4.03 for each additional J rr► dS- t f CFurnace,etc. Address: l?407 G s t� b Q .i Gas heat pump City/State/ZIP: ^hc D� Qi7 -3 Wall/suspended/unitereater heater Phone: �/ Water heater I �v'7 06 2.a J Fax::( 633 gts 4081 Fireplace 1 E-mail: C.A . ( L /f ' ` Range t Barbecue CONTRACTOR` Clothes dryer(gas) Business name: v - AA 1IK ... ��yry,� Other: Address: 6`0 9. Q cT)t1 `�, /l_ _���/ MECIiA1�17CAT P1 ttl4titilT"kE * . " J F'1�f a RJ Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( __t Q , 0 1 1 Fax.( ) Plan review(25%of permit fee) C! t State surcharge(12%of permit fee) CCB lic.: 59 8 TOTAL PERMIT FEE J_, This permit application expires if a permit is not obtained within 18P CL_ 1� days after it has been accepted as complete. Authorized signature: ,( � ,�,�_ v_` • Fee methodology set by Tri-County Building Industry Service Be I Print name/t,- , u.t. I Date: 6-•,d I'7 I:\Building\Permits\MEC PermitApp_040113-doc 440-4617T(11/02/COM/WEB) Electrical Permit Application FOR Of FILE t 'F ONEN City of Tigard f i:C` N ,,j,,,. ed aateBy: Permit#: -r- . M 13125 SW Hall Blvd.,Tigard,OR 97223 ,�\' A �,i �S/ 0 7"Ck)1�/ pti- Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Related Permit#: telly: T I G A R D Inspection Line: 503.639.4175 ady Date/By: tuns ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF,WORK i - - 0�. �y "C�.. r..�`"� �Raw, New construction 0 Addition/alter dtion/replac l l 'TIS 1� Please check all that apply(submit 2 sets of plans w/items checked): 5 ❑Service or feeder 400 amps or more 0 Building over three stones. Demolition 0 Other: At),— where the available fault current 0 Marinas and boatyards. ial- ' ' - CATEGORY`OF CONST 4J�� : „ ,, exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1 and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 ❑ amps for all other installations. buildings. Multi-family 0 Master builder Other: ❑Fireum P P- 0 Installation of 150 KVA or JOB sin INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: �e^� 0 Addition of new motor load of system. rl(1 5 vs n+5� 100HP or more. ❑"A""E" "1-2""1-3" City/State/ZIP: ri ( '&t) O 4/17,1. 0 H x It more facilitie. units. Recreational c ation. i�'"`iu 1 f�v ❑Health-care facilities. ❑Rrvehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than q ❑Service or feeder 600 amps or mote. 600 volts nominal. Cross street/directions to job site: -/ SE Description I Qty. I Each I Total I * yam New residential single-or multi-family dwelling unit. Subdivision: eNey �'C_""{✓(J.. 1 g Lot#: (1 Includes attached garage. Tax map/parcel#: UU 1,000 sq.ft.or less 168.54 4 Ea.dd'l 500 sq.ft.or portion 33.92 1 DRSCR, "[ON OF WORK' Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 7500 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2.PR PIRII 'OWNER LIA- Services or feeders installation,alteration,and/or relocation Name: 0 .70, 200 amps or less 100.70 2 Address: ---7 1 7 g 7 5u3 ,,Tf t+k_111✓✓✓1 �� 201 amps to 400 amps 133.56 2 ( 401 amps to 600 amps 200.34 2 City/State/ZIP: ' 1 r�'1 ti] D� C�Z/� 601 amps to 1,000 amps 301.04 2 Phone:( ) 1 ` Fax:( ) Over 1,000 amps or volts 552.26 2 Email: 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 APl'# CAk �1 QCT pE s Branch circuits-new,alteration,or extension,per panel , t �� A.Fee for branch circuits with t Business name: WigerA evi.)i'1 above service or feeder fee, Contact name: M G��"' rki� N each branch circuit 7.42 2 tf I ' CO-..- B.Fee for branch circuits without Address: ' 6.7 D ( W (p g 1 "+c)abranch circuit— service or feeder fee,first 56.18 2 City/State/ZIP: v—11 L1.� z?ol /172 3 Each add]branch circuit 7.42 2 Phone: }� ,, Miscellaneous(service or feeder not included) ( �4 • v,..z.epoo c ax::( ) Each manufactured or modular 67.84 2 Email: dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: i o up C�.c6.eigi c Sign or outline lighting 67.84 2 Address: G C� 1 Signal circuit(s)or limited-energy /✓S 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: 45 i L V /n Q n n 60 ' Each additional inspection over allowable in any of the above Y (J e._. "t / 7 Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( -2/_2 t 2 1(4 Investigation(1 hr min) 90.00/hr Email: e kpl aeI c, ,� € /1 /YJ_ w (/�/ Industrial plant(1 hr min) 78.18/hr F G. (J{�l� ,�rj�1( ray) Inspections for which no fee is 90.00/hr CCB Lic.: ' Electrical Li�r.37� Suprv.Lic.:'S f 066.- specifically listed(V2 hr min) Suprv.Elec t ire " / ® KU CFRIcAL;amyl:11' .)� Subtotal: Print name: ''f l,r E N D cm, I Date: C. )(�. '1 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized s' m:��e: P TOTAL PERMIT FEE: Print name: This permit application expires if a permit is not obtained within 180 m Date: S s,0. `� days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PennitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(i1/05/COM/WEB . Electrical Permit Application–City of Tigard Page 2–Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: r"RESIDENTIAL WORK ONLY: 'EE SCHEDULE Fee for all residential systems combined: $75.00 Rene1a (Qty. I Each i Total Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 0 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 (1 BU glar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 rrizG age Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 2 Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva:552.26 Each additional kva over 25 7.42 3 E Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is _ specifically listed('/2 hr min) 90.00/hr COMMI+:RCIA ,+ ! ONiLY.._ ELEC C L atter PEES Fee for each commercial system: $75.00 subtotal(Enteron Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls O Clock Systems ❑ Data Telecommunication Installation E Fire Alarm Installation O HVAC ❑ Instrumentation (l Intercom and Paging Systems 0 Landscape Irrigation Control* • Medical O Nurse Calls O Outdoor Landscape Lighting* ❑ Protective Signaling • Other: Total number of commercial systems: — *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application • ' Building Fixtures FOR OFF l( F F SF OAF.) City of Tigard , "1 w7`�� teBy: Permit No.,./.47,57-do 7 i 7/ 13125 SW Hall Blvd.,Tigard,OR 97223 1 II Phone: 503.718.2439 Fax: 503.598.196 . � Plan Review Other Permit No.: DateBy: T I Ci A K U Inspection Line: 503.639.4175 4 I 1 Y� Date ReadyBy: Juris. 10 See Page 2 for Internet: www.tigard-or.gov Notified/Method; Supplemental Information TVTI OF WORK `,, E*..3GfIi7: i�iew construction ❑Demo Ti For special information use checklist. u Description Qty. I Ea. Total p liN New 1-2-family dwellings(includes 100 ft.for each utility connection) 0 Addition/alteration/replacement ❑Othe/110, CATEGORY OF CONSTRUCTION SFR(1)bath t 312.70 and 2-family dwelling 0 Commerciallindustrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ' JOB SITE INFORMATION AND`LOCATION Site utilities: .7 (3/s r A C Catch basin or area drain 18.76 DrJob site address: { 1J��! - � � O 63-7),2� owedrain line,one trench drain 18.76e City/State/ZIP: ( ' Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: `3.r. 1ef M c Manufactured home utilities 50.03 Cross street/directions to job site: l QEF , `�� 1,• Manholes 18.76 ll Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) t Page 2 Storm sewer(no.linear ft.: ) l Page 2 Water service(no.linear ft.: ) t Page 2 Subdivision: .rr,,,, --7 mer-An t c.s.1 I Lot no.: `7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 1 12.51 DESCRIPTION of WORK . Clothes washer i 25.02 NCS ct e-e Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 mt PROPERTY 0 R t .; Ij ` E ANr Expansion tank 12.51 Name: b US() Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: -7-7 ; Q� � Garbage disposal ` 25.02 City/State/ZIP: T((� 4t�A ttr� ©p.-. ` 1734 Hose bib i 25.02 Phone:( ) Fax:( ) Ice maker 1 12.51 ligt APPLICANT. ❑ CONTACT notwii. Interceptor/grease trap 25.02 Business name: E L,,q.�i� 'T.�-e-,,.v''Q,gs .2,,r,. Medical gas(value:$ ) Page 2 -�"�"1✓V �^ Primer 12.51 Contact name: (3'101Roof drain(commercial) 12.51 Address: ' l0 49 6 t )(°61 Sink/basin/lavatory g 25.02 City/State/ZIP:11(;::-, e) 0 Ar q 77-7%3 Solar units(potable water) 62.54 Phone:( 22 .1 (!4 Fax::( �3.. s sip, lv0 i Tub/shower/shower pan y 12.51 E-mail: '/ 4 /�.1,s L Urinal 25.02 �*" Water closet 25.02 CONTRACTOR " Water heater 1 37.52 Business name: et, ecugpL-rij" i IOC,,, Water pipingfDWV 56.29 Address: i i .1_S �� 11 f P-9 . Other: 25.02 C. ,� City/State/ZIP: 1 �� of' I tiV Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 6ii(e. 'L0 Plumbing Lic.no.:3 40 65 Plan review (25%of permit fee) .- State surcharge(12%of permit fee) Authorized signature: ,.4.2-•• TOTAL PERMIT FEE Print name: g,, t go-in ,..--- v Date: 5404 '/ This permit application expires if a permit is not obtained within 180 days 11'��•`'` 11''��//')iafter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of TfdtP l ., 41ICOMMUNITYigard DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: /`Z '7-0)/ 7/ Site Address: --?e/c? ) 1-n ,i L Project Name: igr? 7�n d,C,p>2IO�f Lot #: JR-. (New dwelling ubdivision name;Addition or Alteration=last name of owner) Planning Review fi Proposal: /Vc) /2 e l/1Seee cik S/2c/17 Verify site address/suite#exists and actio t �� n permit system. Iver Terrace Neighborhood:: No 0 Yes,See River Terrace Review Addendum Attached Sita Plan Elements: xee(3)copies of site plan •0 '. .ting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper I.Footprint of new structure(including decks)with finished Vrawn to scale(standard architect or engineer scale) or elevations orth arrow Utility locations(required for new,may apply ce 1 for additions) to address,project or subdivision name and lot number ation of wells/septic systems pplicant information(name and phone number) Olfting trees to be retained with drip line,and tree g Lot dimensions and building setback dimensions otection measures Di '.t area,building coverage area,percentage of coverage and V reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) et names Vii Property corner elevations(2 foot contour lines if more than 14 i n water quality facility,if>1,000 sf of impervious 4 foot differential) area is created or re.laced. On site elan: 1=1 Yes o .1 lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): '111 •� , ,1, /4equired: 1:1y applicant was notified Lefty Received: /c� Public Faciliti Improvement(PF]) Permit: ❑ Yes 0 o equired: Yes,applicant was notified ❑ No Applied For: Yes CI No,stop intake R. and Use Case#: 400 efac-- oning: l j /5-.Required Setbacks: Front 0 o Rear � Side Street Side i( Garage ,Q0\l►'ndscape Requirement: % �--+ � ,.t Coverage Maximum: % Building Height: Maximum Height �`�C e S O-,-� / !1 Actual Height �'%7i7 IA 'A'isual Clearance �.sements rensitive Lands: IYes 0 No Type Vi 'rban Forestry Plan ►! Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ,.—.-. .- �.� -- _ Tf�,� Date: fiz Revisions (after Building Submittal only) Reviewer Revision 1: l�°Approved 0 Not Approvede _- t -3 Revision 2: 0 Approved 0 Not Approved J/ Revision 3: 0 Approved 0 Not Approved I:\BuildingWorms\BldgPermitRvw RES O42017.docx Building Permit Submittal Original Submittal Date: . :/�7 Site Plans: # j Building Plans: # 3 j Building Permit#: ter building� ,per�mits#above. __._fig Workflow Routing: rm aing Liigtneering �rtnit Coordinator Workflow Sign-off: � t^gn- (include for Planninginclude notes from planning review) Route Application Documents: [c]-, ,ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes:. ' Date: ,����� � By Permit Technician: ��� �.. ,/ _ Engineering Review 5/70 eat build p 4 . Slo in ad: building Conditions"Met"prior to issuance of ' ding permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approv:a by Engineeri Arei ,' Date: 'VA/ Notes: � '--' ,.;" —(:'.._.e •.. -- ''' — �/ C _ice... L .i _� Approved by Engineering: Date: view ;e . it 7 Revisions (after Building Submittal only) Re � 5Da � Revision 1:,,,Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) > //� �;�4� Revision Notice 1: Date Sent to Applicant: � /�Cli Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: f? DC Fees Entered: Wash Co Trans Dev Tax: iYes ❑ N/A Tigard Trans SDC: t'Zi Yes ❑ N/A Parks SDC: !k Yes ❑ N/A LIDA ❑ Yes ❑ N/A :: ornator: o Issue Permit � 3v 1 "�-� ate: I:\Building\Forms\BldgPermitRvw_RES_091216.docx Albert Shields From: Albert Shields Sent: Wednesday, May 17, 2017 4:48 PM To: 'JSWestland@aol.com' Subject: MST2017-00171, 7819 SW Hansen Ln. Jim, in reviewing the application and plans for MST2017-00171, Engineering finds that the plans need to be revised to show elevations at corners, driveway approach, and callouts. I'll put this application on hold until you submit the needed items to Engineering. Please let me know if you have any questions. Albert Shields. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 January 9, 2018 at 10:45:41 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved mechanical final correction and plumbing final inspection prior to building final. Provide vent wells and slope away from house at rear, bark dust in foundation vents. R401 .3 Seal penetrations in garage at HVAC and lawn irrigation control box area. R302 All else appears ok. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 January 9, 2018 at 10:28:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 January 9, 2018 at 10:28:09 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Provide tag for net aggregate length of dryer venting, will check at building final. M1502.4.5 All else appears ok. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 January 9, 2018 at 10:43:30 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Water pressure appears to exceed 80 psi maximum allowed by code. Gauge shows 90 at laundry box and outdoor hose bibs. Provide pry and thermal expansion devise. 608.2 Fix leak at right Lay in master bath. Secure loose hose bib at washer box. 313.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 June 6, 2018 at 9:45:49 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide correction from plumbing final inspection. Other previous building final corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 June 6, 2018 at 9:43:41 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Pry located under home, with thermal by pass provision. Water pressure to be reduced to 80 psi maximum. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 June 7, 2018 at 9:20:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Correction complete, water pressure 60 psi. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7819 SW HANSEN LN, TIGARD, OR, 97224 June 7, 2018 at 9:25:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00171 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Moisture barrier form received. Insulation certification checked. Blower door test report checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor