Permit (204) rr CITY OF TIGARD 7711 crk r ,. MASTER PERMIT
a
g COMMUNITY DEVELOPMENT - Permit#: MST2017-00167
' Date Issued: 09/12/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136AA15400
Jurisdiction: Tigard
Site address: 6923 SW LOCUST ST
Subdivision: OAK WOODS Lot: 8
Project: Oak Woods, Lot 8
Project Description: New SF. 12/13/17: REPRINTED to add(1)hose bib.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1585 sf Basement: 974 sf Left: 5 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 0 sf Garage: 414 sf Front: 20 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors:
Total: 2559 sf Value: $313,890.57 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bcknw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 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
Fum<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 addl 500 sf: 4 201-400 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: NI Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2559
Owner: Contractor:
BIGGI CONSTRUCTION LLC BIGGI CONSTRUCTION LLC Required Items and Reports(Conditions)
11605 SW NORMANDY LN 11605 SW NORMANDY LANE 1 Ersn Cntrl 503-639-4175
WLSONVILLE,OR 97070 WLSONVILLE,OR 97070 2 GEO Tech Required before
foundation inspection
PHONE: 503-682-7292 PHONE: 503-682-7292
FAX:
Total Fees: $29,873.61
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 160
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throug AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5033..232.1987 or 1.800.332.2344.
Issued By: C/Permittee Signature: /97°,°L e.42-77 D'll
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
Thls 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.
Plumbing Permit APnlica aCEIVE
Building Fixtures FOR oFFICI 1 sl 10.1.1
City of Tigard DEC 12 2 017 d fi Pmmti
M 13125 SW Hall Blvd.,Tigard,OR 97223 F'yd' q y� f'a"'By' l �l,f//7 $ �i7-�'.jyl
Phone: 503.718.2439 Fax: 54$3 6 of l IGAr..,paletBy otnm Permit No:
Inspection Line: 503.639.4J 75 �I.• 7
D ReaayBy tone ®gee Page 2 ter
Internet'
www.tiganTYPE OR Fig '(pI rG IvISI fied/Mmhod: FEE*$CfIRDU1pl me.m t.roroetien
New construction Q�❑R71Demolition For special information use checklist
Descr
iption 2-n
New 12-family❑Addition/alteration/replacement 0 Or.the O. Ern I Total
N2-familydwellingsR dwellings(includes 100 for each ut0iry connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.76
(-1
❑Accessory building 0 Multi-family SFR(3)bath 50032
❑Master builderEach additional bath/kitchen 25.02
0 der: Fire sprinkler(_sq.ft) Page 2
JOB SITE INFORMATION+ �( 4J J AND LOCATIONC Site utilities:
Job site address: 69 a3 Sl.J 1 T , Catch basin or area drain 18.76
City/State/ZIP: f l�l.(1_ Footin •ran line,or bench drain 18.76
G�aa3 Footinggrai (
drain(no.linear ft.: 1 Pagee 2
Suite/bldg./apt no.: I Project name: Ca (c_ Ls)a e,ti♦ Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18 76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear I:_) Page 2
r\ f Water service(no.linear ft.:_J Page 2
Subdivision: (Durk- t,,paaS I Lot OO" Z Fixture or item:
Tax map/parcel no.: Backfbw preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25 02
a A,,I I artA:4inn,I N✓ hL 6 Dishwasher 25.02
ad -1-o De4 vv.:I- MSTao11- ooIG-7 Drinking fountain 25.02
w.,� l Ejectors/sump 25.02
Ly rROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: I� h // 11 /I Fixture/sewer cap 25.02
/�M f+.5, C.oh/�trt.c i7fir--• LL.�-. Floor drain/floor sinkbub 25.02
Address: I I IDO S 3L �o rm.AL L
Garbage disposal 25.02
Cily/State/ZIP: LA.)I I a in Di 11e/ O& 7 0 Hose bib 25.02
Phone:LSO) `616 -3 4 3 Fax:( ) Ice maker 12.51
APPLICANT ❑CONTACT PERSON Interceptor/grease trap 25.02
Business name: /' Lpp Medical gas(value:$_) Page 2
st 5C-t l.o in s4yu J.7�-'--.. L / c_- Primer 12.51
Contact name: 1 nee��t e •
I �, )) Roof drain(commercial) 1251
Address: 11(pn S �� oYM(Lnd L.-. Sink/basin/lavatory 25.02
City/State/ZIP: LAY,;� 1., ,h 1.i I l�`7 Q. o'Z o soar units(potable water) 62.54
Phone:( 3) �'i 110_Z4 q 3 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Ur Id` c (.an e Cy�u..1•.0.-- Wateral 25.02
S J CONTRACTOR Water closet 25.02
I^^ f /� Water heater 37.52
Business name: f Y lt~I w e-cL . t)(u y' Waterpiping/DUN 56.29
\ 1�
Address: P t CD 0 k C c>-] Other: 25.02
Cky/SlalerLIP: l�ay.ks (gat g7 I(, Subtotal 25�2
Pam'693).3 may- 07SC1 Fax:( ) Minimum permit fee:$72.50
CCB Lie.: ILA a 5-3� Plumbing Lic.no.: Plan review(25%of penult fee)
State surcharge(12%ofpermit fee) s
Authorized signature: TOTAL PERMIT FEE A .02.._
r 61,y) This permit emigration expires if a permit is rot omained within 180 days
Print name: J hut., Date:/a//a/J 7 alter it has bees accepted es complete.
'Fee methodology set by Tn-County Building Industry Service Board.
PaluildingPenna LMUTwmitApy.doe I01011w 4Io*I6roIWYCOWWEa)
CITY OF TIGARD MASTER PERMIT
;i 1 COMMUNITY DEVELOPMENT Permit#: MST2017-00167
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2017
€ I i;;�I I:r g a� Parcel: 1 S136AA15400
els Z /j Jurisdiction: Tigard
Site address: 6923 SW LOCUST ST /�
Subdivision: OAK WOODS /� 8
Project: Oak Woods, Lot 8
Project Description: New SF. 12/13/17: REPRINTED to add(1)hose bib. 3/22/2018: REPRINTED to add backflow
irrigation. 5/17/2018: REPRINTED to extend deck 155 sf,for a total deck area of 255 sf.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1585 sf Basement: 974 sf Left: 5 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 0 sf Garage: 414 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 2559 sf Value: $317,350.17 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1
Drywell-Trench Drain: 0
Other Fixtures: 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!500 sf: 4 201-400 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 2559
Owner: Contractor:
BIGGI CONSTRUCTION LLC BIGGI CONSTRUCTION LLC Required Items and Reports(Conditions)
11605 SW NORMANDY LN 11605 SW NORMANDY LANE 1 Ersn Cntrl 503-639-4175
WILSONVILLE,OR 97070 WILSONVILLE,OR 97070 2 GEO Tech Required before
foundation inspection
PHONE: 503-682-7292 PHONE: 503-682-7292
FAX:
Total Fees: $30,112.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 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 f work is suspended for more the 180
days. ATTENTION: Oregon I-w requires you to follow the rules adopted by the Oregon Utility Notification n r. Those rules are set forth in OAR
952-001-0010 through OAR : 001-0090. You ma btain a copy of the rules or direct questions to OUNC by calling 503.2 . $7 or 1.800.332.2344.
Issued By: 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.
FOR OFFICE USE ONLY-SITE ADDRESS: j r,3 Se,..) 60 c, 7 ,P/
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
111 a Transmittal Letter
I i);\1<i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE I�
DEPT: BUILDING DIVISION
�L'1 � �
MAY 10. 2018
FROM: ih, - /� ;' CITY OF TIGARD
COMPANY: / , ,- (0„),,,,- DIVISION
PHONE: (s2T ) g-1 to - 301-/-t3 By:e-7
RE: 6/.23 x� Gr��.t._s 7L-St /193770 i 7�-W 167
(site Address) (Permit Number)
al 1( &Gkedre.41 , L61-- r
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. 02 Revisions: .L...`4f G)rT-r...4.Arl'u„)/'lavj
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:
J SSN nevi ib deck' a.S` o- eGt e_� dI�
100151 d ee.k 4t dec.k co\er OI d
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: \c"'- J-7— j g Initials:
Fees Due: 1N,Yes ❑No Fee Description: Amount Due:
. ..c )-jr Plc, req; e,..1 $ ' -
/ j7 $ /7. 6 ,
— en-"✓ /L&-70 zz J $ //, S- r7
PL �„®,�s 7"ir,.sv x a J $ 09— -
Special 7-2-2a .- ,77 ,_t—, , : . / 71...
Instructions: l 77-r 3a
Reprint Permit(per PE): N Yes ❑No ❑ Done
Applicant Notified: K' 7W Date: s�j,Ae Initials: g: /,,
7i 4/7.1..-
1:\BuildingTonnsUransmittalLetter-Revisions
L._I:\Building\Fonns\TransmittalLetter-Revisions 061316.doc
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-
00167
T I C;A R:I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2017
Parcel: 1 S 136AA 15400
Jurisdiction: Tigard
Site address: 6923 SW LOCUST ST
Subdivision: OAK WOODS Lot: 8
Project: Oak Woods, Lot 8
Project Description: New SF. 12/13/17: REPRINTED to add(1)hose bib. 3/22/2018: REPRINTED to add backflow
irrigation.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1585 sf Basement: 974 sf Left: 5 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 0 sf Garage: 414 sf Front: 20
Smoke
Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes
Total: 2559 sf Value: $313,890.57 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1
Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain
0 Storm Sewer 100
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains:
Bckflw Prevntr: 1 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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
Fume100K: 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: 4 201-400 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:Y Square Feet:
NEW SF
VB R-3
2559
Owner: Contractor:
BIGGI CONSTRUCTION LLC BIGGI CONSTRUCTION LLC Required Items and Reports(Conditions)
11605 SW NORMANDY LN 11605 SW NORMANDY LANE 1 Ersn Cntrl 503-639-4175
WILSONVILLE,OR 97070 WILSONVILLE,OR 97070 2 GEO Tech Required before
foundation inspection
PHONE: 503-682-7292 PHONE: 503-682-7292
FAX:
Total Fees: $29,908.63
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 -001-0090. You may btain a c y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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.
i Vi
Plumbing Permit Applicatio r _ `f'
Building Fixtures FOR OFFICE USE ONLY
Cityof Tigard Received
g Permit Nom 7 Q�
U 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: / /// ,��5 �, 7 Uv!(r,
Plan Review
_ Phone: 503.718.2439 Fax: 503.59§.1940%;lig
Other Permit No.:
A., $ ) Date/By:
Inspection Line: 503 639.4175
T 1 G A R D r? ,4 Date Ready/By: kris. ® See Page 2 for
Internet: www.tigard-or.gov I L Il, o i a o Notified/Method: Supplemental Information
TYPEOF WORK `" FEE* SCHEDULE
)New construction 0 Demolition For special information use checklist.
- Description Qty. Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,',-,i. CATEGORYOF CONSTRD ON r5- :.;.v,< SFR(1)bath 312.70
] 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 500.32
0 Accessory 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATIiO$ AND DATION Site utilities:
Job site address: Co q'd- 5 0.) 1 0(._,L,_ _,..-- Catch basin or area drain 18.76
City/State/ZIP: �i`q c c),-1 q Drywell,leach line,or trench drain 18.76
J Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: Qci_V_l,Ud rt7Iz1� Manufactured home utilities 50.03
Cross street/directions to job site: �1 Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: 0 G�\e„._.W 4 I Lot no.: b Fixture or item:
Tax map/parcel no.: Backflow preventer ( 31.27
Backwater valve 12.51
` •.� "ESCRIPTION OF WORK 4
' /1' `'` Clothes washer 25.02
3 , 4F/(, <_)`� -1:4 of 1 I -aod 7i, "(-1.57--AD/7-Oa 7 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
' k.:4• 43". "PERTY OWNER ❑ T `" Expansion tank 12.51
l sem.
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
' .. mac t PPLICANT x 'r 0 CONTA "ON ' Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
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
`Yj P ;Ir--,-- 6 TRACTOR mow Water closet 25.02
CON
:.%_ �� ', Water heater 37.52
Business name: 5 0,..A4,b1iLA I C,, 4 S!:4fes- I I L - Water piping/DWV 56.29
Address: f P 0 t, c9Ab/0 Other: 25.02
City/State/ZIP: Fri( I b 0-,. q:?/)-3 Subtotal 3/, ,,2 7
Phone: Minimum permit fee: $72.50
(5 0?) 3 0'- qf�1 Fax:( )
t ; Plan review (25%of permit fee)
CCB Lic.: bingLis--nex.t(j r/i57 .
7
�� State surcharge(12%of permit fee) 3,
Authorized signature: -. �\ TOTAL PERMIT FEE 35;0,2'
i
Print name: This permit application expires if a permit is not obtained within 180 days
�6,1 13 A-��ti Date: 0.4./e after 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)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
tiFebea Total
Site tlli es Qtr � ) Squire Footage: 'mit flee•
Footing drain-1s1100' 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 kValuation ;., 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
,�« or each additional$100.00 or fraction thereof,to
tia
ec
Ins ns Fees Fee tea) Total"
}� and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge 1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Ian Review r Plumbing IStall 4s
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
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial
0 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" 'Isomelw or Riserr, s,
4"
0 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 MachlRefrig.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:\BuildingTermits\PLMF_PermitApp.doc 08/04/2011 2
City of Tigardl ..
q COMMUNITY DEVELOPMENT DEPARTMENT
1
T I C A R D Building Permit Review — Residential
Building Permit #: /Pi 5 , 17-
Site Address: 63Cic0S ,2k) 4 OCAS
Project Name: C%ie G(, jc Lot #: e
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /I ) j ailed ea'-ei.c D,1 11 r-44L-
Verify site address/suite#exists and active in permit system.
ever Terrace Neighborhood: ❑ No 0 Yes,See River Terrace RevietvAddendum Attached
0S' a Plan Elements:
ree(3)copies of site plan 01 sting structures on site
ite plan mist�g on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
lY it
'arawn to scale(standard architect or engineer scale) oor elevations
7n 'orth arrow Utility locations(required for new,may apply for additions)
FA to address,project or subdivision name and lot number t cation of wells/septic systems
pplicant information(name and phone number)If
ie'Pi sting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions .rotection measures
,� area,building coverage area,percentage of coverage and vI•treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) V4 treet names
OA Property corner elevations(2 foot contour lines if more than Storm water quality facility,if>1,000 sf of impervious
i 4 foot differential)
area is created or re.laced. On site .lan: ❑ Yes D No
1o1 % -an Water Services-Service Provider Lett- (lot platted prior to 9/10/1995):
equired: ❑ y ,'applicant was notified It No Received: ❑ Ye 0 No
V Public Facilitie mprovement(PFI)Permit:
/equired:
Yes,applicant was notified ❑ No Applied For: Yes 0 No,stop intake
Use Case#: S'e(/�'j, 2OI. (•7l/
oning: /2' S"'
( equired Setbacks: Front a d Rear /, Side '" Street Side .,c"Garage �0
1 e.
t�andscape Requirement: % 1-� j . �I4� 0� /��
i►.t Coverage Maximum: % •
V.
TA : •ding Height: Maximum Height /50 Actual Height //,
03 • sual Clearance
a/Easements
ensitive Lands: 'yeS 0 No Type ) 0lv_,� t
/` f� -
Urban Forestry Plan
❑ Conditions "Met" ort issuan�e of building permit
Notes: f �'Ol _,l L I0-/ _ ./ii '4e . i,, , •," 4, ,/ S - 1•
Approved By Planning: - i Date: IN
z.
Revisions (afterB ding Submittal only) Review ate
Revision 1: Approved 0 Not Approved _ l`= ` � s/ .
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Forms\BldgPennitRvw REs 042017.docx
Building Permit Submittal
Original Submittal Date: S—/47/0
Site Plans: #
Building Plans: # ? ,
Building Permit#: Enter building permit#above.
Workflow Routing: Planning f ''Engineering Permit Coordinator Building
Sign-off: Sign-off for Planning(include notes from planning review) /
Route Application Documents: )%1 Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Z. Building: original permit application,site,plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: .�C1//7
By Permit Technician: /44^/ri Date:
En y. Bering Review f /'
7/ __C-rte-dr74",--3
f6 Sl building pad:
Conditions"Met"prior to issuance of b •ding permit
Easements (encroachments)per engineering conditions of approval and plat
;21'
(Water Quality/Quantity Facility: l
/Water
Water Quality Fee in-lieu: 0 Yes i\To
" o
Assess Water Quantity Fee in-lieu: 0 Yes
LIDA Facility on lot: ❑ Yes o
Date:
0 NOT Approved by Engineering:
Notes: / j/ 7
Approved by Engineering:
G� SIJ Date: 5�l, �
Revisions(after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 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:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: 'Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A
Parks SDC: Yes ❑ /A
, LIDA 0 Yes Jb1 N/A �� d
'4 OK to Issue Permit , J
• pproved by Permit Coordinator:
/7 d" Date:
I:\Ruilding\Forms\BldgPennitRvw_RES 091216.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . Transmittal Letter
c,,,,, t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 773711 DATE
DEPT: BUILDING DIVISION ►� iTv
�
MAY 10 2018
FROM: 1yl/c2- �r
' CITY OF TIGARD
COMPANY: e /o va,-s-cw BUILDING DIVISION
PHONE: Cs-7)-g) r1 6 — 3:?./-t 3 I By: :77.
RE: /a3 Nw Zdl-�� M C y�/
(Ste Address) , '(Permit ~W 6 r0
t Number)
Oa G)2 'ti i z4t- Cr
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: I Description: I Copies: I Description: I
Additional set(s) of plans. 02 Revisions: �!,k Gi�tt j"
Cross section(s) and details. tlr,/�ltv✓3
Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
2 Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date:
Initials:
Fees Due:
❑Yes ❑No Fee Description: Amount Due:
$
Special £q/°,tis `/A S?7 k a j $ d23;
Instructions: I
Reprint Permit(per PE): ❑ Yes 1 0 N I ❑Done
Applicant Notified: J Date:
Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 8, 2018 at 12:39:08 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Appliance protection Ballard in garage to be filled with concrete. M1307.3.1
Cap unused sleeve for future lineset by furnace, seal other floor penetrations. G2416.4
No ac installed at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 8, 2018 at 12:40:20 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Remove smoke detector covers for testing.
Outlet not finished at kitchen backsplash.
Not ready for Inspection. R109.3
No ac installed at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 12, 2018 at 9:22:52 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Correction for cleanout cap at back patio not done as noted on previous inspection dated
6/8/18.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 12, 2018 at 9:13:25 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
House locked, no access for inspection.
Provide access for inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 12, 2018 at 9:15:53 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
House locked, no access for inspection. 9:15 am.
Provide access for inspections. R109
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 14, 2018 at 12:29:15 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
No A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 14, 2018 at 12:20:04 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Corrections completed.
No A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 19, 2018 at 9:54:51 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous Corrections completed
Irrigation backflow device test report received.
Water pressure = 75 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 20, 2018 at 2:24:00 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide duct seal or blower door test report for duct work in crawl space.
Provide approved site plan for final inspection.
Contractor to adjust grade by entry to less than 30" from porch edge.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6923 SW LOCUST ST, TIGARD, OR, 97223 June 29, 2018 at 10:13:27 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00167
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Corrections complete from previous inspection.
Final erosion control approved.
Street tree certification received.
Moisture content form received.
High efficiency lighting form received.
Insulation certification checked.
Blower door test report checked.
C of 0 left on site with contractor.
Violation Summary:
Inspector Contractor