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Permit (34) IN CITY OF TIGARDMASTER PERMIT COMMUNITY DEVELOPMENT (� Permit#: MST2018-00115 1101�� 0 • to Issued: 05/09/2018 TfG \ il.7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AA12100 Jurisdiction: Tigard Site address: 8915 SW INEZ ST Subdivision: GREENSWARD SOUTH Lot: 15 Project: Greensward South, Lot 15 Project Description: New SF. 7/18/18: REPRINTED permit to include(1)additional laundry tray. 7/30/18: REPRINT to add(1)gas one for BBQ. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2691 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1967 sf Garage: 876 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4658 sf Value: $578,516.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 2 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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: 5 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: 10 201-400 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 4658 Owner: Contractor: H&H HOMES LLC H&H HOMES LLC Required Items and Reports(Conditions) 19305 SUNCREST DR 19305 SUNCREST DR WEST LINN,OR 97068 WEST LINN,OR 97068 PHONE: PHONE: 503-784-9198 FAX: Total Fees: $36,472.96 r This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C••-s and . •her applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issu= .-, or if • ' is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification = ter. • e rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m y obtain a co y of the r les or direct questions to OUNC by calling 503.. „87 or 1 :1 r c 32.2344. fit- Issued By: -.G'eal� Permittee Signature: Iliad" A. i/ Call 503.639.4175 by 7:00 a.m.for the next available inspection dat= wJ This permit card shall be kept in a conspicuous place on the job site until completion of the proje. . Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY 'r Received / City of Tigard _ ,y Date/By: 7/3i�/J 3--4 Permit No.: L,�!„'/y,��/As 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ((( 6t ate'/^C ! Phone: 503.718.2439 Fax: 503.598.1960 J U L n 0 2013 Date/By: Other Permit: Inspection Line: 503.639.4175 `' T I G A R D p Date Ready/By: Juris Fd See Page 2 for Internet: www.tigard-or.gov err,' . Notified/Method: Supplemental Information {g r. mv. • TYPE OF WORK - , COMMERCIAL. FEE*' SCHEDULE�. USE fLA CI{I.IST Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF:CONSTRUCTION ,� tESIIE,NTIAL EQUIPMENT I s 11I ; ES*' 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family El Master builder 0 Other: Description Qty. Ea. Total ren Heating/cooling: ITE 6B SINFte 1 fAiibN L - TIO4 ��, ,i r---, Air conditioning 46.75 Job site address: SI / 4,-14 C-2- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -lit cr ) ail 7 2 z - • Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: 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: rik\ f1'-&-s`3 C Other: 23.32 Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 x DES a IOF L t Gas fireplace/insert 33.39 ti Flue vent for water heater or gas fireplace 23.32 I 70..i) 6ry„ _ ., ' Log lighter(gas) 23.32 A—ticilkA / f ( I �✓y'LL Ill Wood/pellet stove 33.39 V Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 © CROP YER �h Other: Environmental exhaust and ventilation: Name: i t (,G'Y�c CL _ Range hood/other kitchen Address: Iail:— .� equipment 33.39 / , 5 rC�.,,� ,I' 401 Clothes dryer exhaust 33.39 City/State/ZIP: �M./L W L G706 Single-duct exhaust(bathrooms, G toilet compartments,utility rooms) 23.32 Phoney 79 it, 1 12 f Fax ( ) Attic/crawlspace fans 23.32 ,-.,� Q APPyANT ' ; e . .rt s Via`'. ',...i---..„' Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump 171 Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace E-mail: Range Barbecue1111 CO RAC FbR Clothes dryer(gas) Business name: Other: Address: . ''CAC l< r '.::!' , Subtotal City/State/ZIP: ' Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: - TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 wins. days after it has been accepted as complete. Authorized signature: j * Fee methodology set by Tri-County Building Industry Service Board Print name: 6 4 . i Date:? I:\Building\Permits\MEC_PermitApp_040113.doc 44-4617T 11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Viluatiqu: TerPermit F : . $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_PermitApp_040113.doc 2 CITY OF TIGARD MASTER PERMIT 1114 ' COMMUNITY DEVELOPMENT Permit#: MST2018-00115 Date Issued: 05/09/2018 T[G AB.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 s Parcel: 2S111AA12100 1, , ' Jurisdiction: Tigard Site address: 8915 SW INEZ ST Subdivision: GREENSWARD SOUTH Project: Greensward South, Lot 15 Project Description: New SF. 7/18/18: REPRINTED permit to include(1)additional laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2691 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1967 sf Garage: 876 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4658 sf Value: $578,516.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 2 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 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: 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!500 sf: 10 201-400 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 Y Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4658 Owner: Contractor: H&H HOMES LLC H&H HOMES LLC Required Items and Reports(Conditions) 19305 SUNCREST DR 19305 SUNCREST DR WEST LINN,OR 97068 WEST LINN,OR 97068 PHONE PHONE: 503-784-9198 Ai i / FAX: Total Fees: $36,468.45 I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code_ - • - oth' 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 '-suanc= •, ork . suspended for more the 180 days. ATTENTION: Oregon law requires you to • ow the rules a3i3ptel� by the Oregon Utility Notific.tion C= : rules are set forth in OAR 952-001-0010 throu• •AR 952-001-0e- •• - ••t-' -copy of the rules or dlr.ct questions to OUNC by calling :03.23.1: ^�? hos:, Issued B .- - -- - ______ Perm' e- -ture: �d '.39.4175 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. Plumbing Permit Application . ' Building Fixtures 1011 Oil l( 1 1 .1 t)\11 Cityof Tigard '? Received Permit No.: ;: w 131SW Hall Blvd.,Tigard,OR 97223 Plan Re. r►>S�Sat�'z1d�!S'� Plan Review I Phone: 503.718.2439 Fax: 503.598.1960: Date/By: Other Permit No.: r I li A R I) Inspection Line: 503.639.4175 • Date Ready/By: June: ' H See Page 2 for Internet: www.tigard-or.govNotified/Method: Supplemental Information TYPE OF WOW'-' { ^ FEE" SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I 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 1-• and 2-famil SFR(2)bath 437.78 ® y dwellin g ❑Commercial/industrial 1 1:3 Accessory buildingSFR(3)bath x 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 • JOB SITE INFORMATION ANI) LOCATION Site utilities: Job site address:8915 SW Inez Street Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 , $, Drywell,leach line,or trench drain 18.76 I, iillagrj os Footing drain(no.linear ft.:100) Page 2Suite/bldg./apt.no.: l Project name: Manufactured home utilities 50.03 • Cross street/directions to job site:89t"Ave Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:__) Page 2 Water service(no.linear ft.: ) Page 2 . Subdivision:Greensward South I Lot no.:15 Fixture or item: Tax map/parcel no.: Backflow preventer 3127 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New Single family Residence Dishwasher 1 25.02 / / 7 l 8 / , /eve (L) ` .„vvii y /r2.7 -4.- ``..A*, Drinking fountain 25.02 '� tc� tom) !! Q Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:H&H Homes,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:19305 Suncrest Drive Garbage disposal 1 25.02 City/State/ZIP:West Linn,OR 97068 Hose bib 2 25.02 Phone:(503)784-9198Fax:( ) Ice maker 12.51 ® APPLICANT 1 ❑ CONTACT PERSON Interceptor/grease trap 25.02 - Business name:SAME Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 5 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:(5-63 76-4-et(g k Fax::( ) Tub/shower/shower pan 2 12.51 E-mail: �s-pt-Q,'" 4Nln) ca,.....4.4%."-t-. Jv L ( Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name:H&H Homes,LLC and Edward Mullen Plumbing Water piping/DWV 56.29 Address:19305 Suncrest Drive Other: 25.02 ' City/State/ZIP:West Linn,OR 97068 Subtotal Phone:(503)784-9198 I Fax:( ) Minimum permit fee: $72.50 CCB Lic.:209960 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ii i' TOTAL PERMIT FE> . l Print name:Gary Henin ' . _ Date: I k This permit application expires if a permit is not obtained wi(((bbbin 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingTefmitelPLMU-PermitApp.doc 10/01/09 440-1616T(10/02/COM/WF.6) CITY OF TIGARD MASTER PERMIT v �' COMMUNITY DEVELOPMENT Permit#: MST2018 00115 T E GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2018 Parcel: 2S111AA12100 Jurisdiction: Tigard Site address: 8915 SW INEZ ST Subdivision: GREENSWARD SOUTH Lot: 15 Project: Greensward South, Lot 15 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2691 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1967 sf Garage: 876 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 4658 sf Value: $578,516.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Drywell-Trench Drain: 0 Other Fixtures: 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: 10 201-400 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 4658 Owner: Contractor: H&H HOMES LLC H&H HOMES LLC Required Items and Reports(Conditions) 19305 SUNCREST DR 19305 SUNCREST DR WEST LINN,OR 97068 WEST LINN,OR 97068 PHONE: PHONE: 503-784-9198 FAX: , Total Fees: $36,440.43 / This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes - • -,I other applicable I-n. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, • work is suspende• r more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen Those . le =r- forth in OAR 952-001-0010 thro 1OAR 952-001-0090. You may obtain'copy of the rules• direct questions to OUNC by calling 503.232.1 .r 1.800.3 f t. ---_ Issued By: - _ Permittee Signature: '�/; J,jaw- - : .•39.4175 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. Building Permit Application ",T°- Rest ential 3, FOR OFFICE: l SE O\l.1 i ` City of Tigard Received t DateBy: df 3 Permit No.i '7"--,776/ ,2) ., et 13125 SW Hall Blvd.,Tigard,OR 97223 1`'�c'. Plate/By:n w /r _ ■ Phone: 503.718.2439 Fax: 503.598.1960 / 1 Other Permit: 6Aol a1 } 1-1 t A R l) Inspection Line: 503.639.4175 Qptc•.I eadyBy: Juris: gl See Page 2 for Internet: www.tigard-or.gov r • ;ilotIl _ 'led/Method: Supplemental Information TYPE OF WORK ,Y . IP' REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit 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 profi • e CATEGORY OF CONSTRUCTION work indicated on this application. MY ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 5?$ "7 ❑Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 5 J'5 l Job site address:8915 SW Inez Street New dwelling area: 4658 square feet 101(41 City/State/ZIP:Tigard,OR 97224 Garage/carport area: 876 square feet 20C I Suite/bldg./apt.no.: Project name: Covered area: <5 square feet Cross street/directions to job site:89th Ave Deck area: 0 square feet 11/01)(1 ir . 6LIe10 LAI /l St.,'.W—zi ye-c.','64-4 S,}-,- Other structure area: square feet 2c/n/ ji'`"w''f e-er6e&v.j—p- ,i, yv etc,a,;j JpREQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Greensward South Lot no.:15 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Single Family Residence Valuation: $ Existing building area: square feet New building area: square feet i PROPERTY OWNER 0 TENANT Number of stories: Name:H&H Homes,LLC Type of construction: Address:19305 Suncrest Drive Occupancy groups: City/State/ZIP:West Linn,OR 97068 Existing: Phone:(503)784-9198 Fax:( ) New: '. U APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:SAME (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: ?J.) ZS44^ct �Q ( ) Amount received: Phone: Fax:: E-mail: 611•4.`t R.-,,,,,�a C t,�,„,�s t- - A,errPHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:H&H Homes,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:19305 Suncrest Drive Solar Installation Specialty Code checklist. City/State/ZIP:West Linn,OR 97068 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)784-9198 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:209960 1 1i 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. I L Print name:Gary Henin Date: L(2- /',r' *Fee methodology set by Tri-County Building Industry L[[[/ Service Board. wilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T 1l/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FoR OFFICE t SF ON Ll Received 4� City of Tigard DateB : PermitNo.: INr 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 " 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical I I G A R D Internet: www.tigard-or.gov 0 Other: THE FOLLOW. INC ITEMS ARE REQUIRED FOR PLAN REVIEW les So y/.1, 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application I.OR Ol FR I: I SF Oy 1.1 City of Tigard Received Permit No.: - di 14 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I: Phone: 503.718.2439 Fax: 503.598.1960 j' '' .' Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: kris: &I See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK `., a--X\y s COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning 1 46.75 Job site address:8915 SW Inez Street Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site:89th Ave 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:Greensward South Lot no.: 15 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New Single Family Residence fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:H&H Homes,LLC Range hood/other kitchen equipment 1 33.39 Address: 19305 Suncrest Drive Clothes dryer exhaust 1 33.39 City/State/ZIP:West Linn,OR 97068 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503)784-9198 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:SAME Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(13 ?s4{-9 t s Fax:':( ) Fireplace /�� Range E-mail: v Pct 't &"Wvki & C '4 CI ST . ACT Barbecue CONTRACTOR • d Clothes dryer(gas) Business name:H&H Homes,LLC and Comfort Air Other: MECHANICAL PERMIT FEES* Address:19305 Suncrest Drive Subtotal City/State/ZIP:West Linn,OR 97068 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)784-9198 (Fax:( ) State surcharge(12%of permit fee) CCB lie.:209960 ii 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: ' ' e'r/ P t * Fee methodology set by Tri-County Building Industry Service Board Print name:Gary Henin r Date: ��J/ �� 3 ildin�Petmits�MEC PecmitA 040113.doc 440-46 7T 11/02Y u 8 pp ( COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information � Y Commercial& Multi-Family Fee Schedule: Total Valuation: Permit 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_PermitApp_040113.doc 2 V .., t.. , 'Electrical Permit Application 's .1)11 u r r I(.1.1::.1.:( \1.1 City of Tigard ; k�- Penstit 4: j,/ •-OJ •-- IIII13125 SW Hall Blvd.,Tigard,OR 97223 plan Review • C Phone: 503.718.2439 Fax: 503.598.1960 Oat. .> Related Permit P: Inspection Line: 503.639.4175 'early Date/By: Adis la See Page 2 for 1 <;;\':1) Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ] New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories, ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. Jief-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,orexceeds 14,000 0 Commercial-use agricultural amps❑Multi-family 0 Master builder 0 Other. 0 form nstaings. pump. °tner;nstalhalions. El Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived Job#: Job site address: t sets'G � d. ST-. Adeition of new motor load of system. 100HPor more. ❑"A" E"-1-2""I-3" City/State/ZIP: �'-{ ❑Six or more residential units. occupancy. ` ` 07 2�4 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. ❑Supply voltage for more than ' ' 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: „1,0%3 El. Sr l' 141t: • FEE SCHEDULE Dearripriao 1 Orr. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: �S d 'a VA--L—k- Lot#: ` Includes attached garage. Tax map/parcel#: 1,000 sq.R.or less 168.54 4 Ea add'I 500 sq.R.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential t�t� `` t-- (] (with above sq.ft.) 75.00 2 NI 5 \ "e s LA.e�« Limited energy,multi-family 75.00 2 residential(with above sq.ft.) { "WtOPERTY OWNER 0TENANT Renewable Energy 0 See Page 2 `` Services or feeders installation,alteration,and/or relocation Name: 1..k. k l-. -owLa-S LLC 200 amps or less 100.70 2 Address: 19,E S J� c c-c--� 201 amps to 400 amps 133.56 2 0 p 401 amps to 600 amps 200.34 2 City/State/ZIP: WQ,� L i . v(L t ) Q(5 ) 601 amps to 1,000 amps 301.04 2 Phone:(51.5)''6 78-4 '9l,�1 ,�cia Fax:( ) Over 1,000 amps or volts 552.26 2 `,L�l� e �M.L.A(. A3 T Temporary services or feeders installation,alteration,and/or Email: 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 —APPLICANT � ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel 14.>< L _ A.Fee fore branch cfeeder with Business name: above service or fee, each branch circuit 7.42 2 Contact name: • B.Fee for branch circuits without service or feeder fee,first Address: Q g.).-11:bg.).-11:bbranch circuit 56.18 2 City/State/ZIP: 5 Cuer.e4 , .. Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular 67.84 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Elite Electric Group,LLC Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy See Page 2 2 6150 NE 92nd Dr.#104 panel,alteration,or extension. City/State2lP Portland,OR 97220 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 503 432-8845 Fax:(888)901-7914 Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr office( eliteelectricpdx.com Inspections for which no fee is CCB Lie.: 191274 Electrical Lie.:C639 Suprv,Lie.: 5762S specifically listed('h hr min) �• hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name:I^/ i : .-� Date: 0 Plan Review Required(25%of permit fee): ,i G �-Z�-- - Statesurcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires it a permit is not obtained within 180 Print name: Date: L� ' days after it baa been accepted as complete. • Number of inspections allowed per permit. 11BuildinglPermitstELf PermitApp_ELR_ERE.doc Rev06117/2015 6��157111/6 OM/WEB Plumbing Permit Application BuildingFixtures rolz orrl( 1. lsl: O��l.l ' City of Tigard Received Date/By: Permit No.. / 13125 SW Hall Blvd.,Tigard,OR 97223r'►LsTie�e �O l g Phone: 503.718.2439 Fax: 503.598.1960 � Plan Review ; Date/By: Other Permit No.: T I G A R U Inspection Line: 503.639.4175 Date Read B suis: ® See Page 2 for Internet: www.tigard-or.gov Ready/By: � c Notified/Method: Supplemental Information TYPE OF WOW= FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist Description ] Qty. I 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 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath x 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:8915 SW Inez Street Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:100) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site:89th Ave 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:Greensward South I Lot no.:15 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New Single family Residence Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:H&H Homes,LLC Fixture/sewer cap 25.02 Address:19305 Suncrest Drive Floor drain/floor sink/hub 25.02 Garbage disposal 1 25.02 City/State/ZIP:West Linn,OR 97068 Hose bib 2 25.02 Phone:(503)784-9198 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:SAME Medical gas(value:$ ) Page 2 Contact name: "k Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 5 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:(473 'Z -et(¶ ir Fax::( ) Tub/shower/shower pan 2 12.51 E-mail: 6.-pcg.`t N„�) & C,,p,,,,,,,A0-r, N L ( Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name:H&H Homes,LLC and Edward Mullen Plumbing Water piping/DWV 56.29 Address:19305 Suncrest Drive Other: 25.02 City/State/ZIP:West Linn,OR 97068 Subtotal Phone:(503)784-9198 I Fax:( ) Minimum permit fee: $72.50 CCB Lic.:209960 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) / State' surcharge(12%of permit fee) Authorized signature: ' __...----.'"---"--- TOTAL TOTAL PERMIT FEE i/i) Print name:Gary Henin . Date: / /r This permit application expires if a permit is not obtained within 180 days (/ t after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pemuts\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-Is`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 Valuation: 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 Qty. Fee(ea) Total 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower -Jacuzzi/Whiripool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains , Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related . -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: Macintosh HD:Users:garyrhenin:Downloads:PLMF PermitApp.doc 2 dlr.211_ '-'eer6P City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 c R o Building Permit Review — Residential Building Permit #: K91'2oLc 00 I I Site Address: got 1 s Sw Tne-z S-- - Project Name: a 1-e.,2_1-1cwc1r-d. so 0.4i.„ Lot #: 1,5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N P.A,u S c-(L Verify site address/suite# exists and active in permit system. ✓Lfl River Terrace Neighborhood: VI No ❑ Yes,See River Terrace Review Addendum Attached f tte Pre lecoenests: c S Thn ootxistipng structures on site Site pla(n n3Emustmpibe oofns8ite 1pla/2"x 11"or 11 x 17"paper Frint of new structure(including decks)with finished C�Drawn to scale(standard architect or engineer scale) oor el u; orth row 1 ty locatievationsons &easements uired for new and additions) Site addarress,project or subdivision name and lot number Sidewalk/driveway approach (req Applicant information(name and phone number) ELocation of wells/septic systems �I,ot dimensions and building setback dimensionsxisting trees to be retained with drip line,and tree �re footage of buildings to be demolished protection measures ❑Lot-area,building coverage area,percentage of coverage and An Street tree size,type and location P,iimpervious area(applicable if R-7,R-12,R-25&R-40) 1 'Street names roperty comer elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced?,ZYes ❑No 44 foot differential) If yes,is a storm water quality facility shown? ZYes ❑No SUB Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): / Required: ❑ Yes,applicant was notified ❑ No Received: CI Yes ❑ No �/ Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified CI No Applied For: 7 Yes FT0 No,stop atake `V/ LandUseCase#: SV(3Z,D14 - 00010 Zoning: L S I� Required Setbacks: 1 Front 20 Rear 1 S Side S Street Side 1 5 Garage Zo 'tandscape Requirement: of Coverage Maximum: Building Height: Maximum Height 2 0 Actual Height D INV isual Clearance ensitive Lands: ❑ Yes I "No Type Urban Forestry Plan cConditions "Met" rior to issuance of building permit Notes: GCt,� Jc��H Na,\ (Wes( exlt .� s in) • hni h ��1r� 1) �, ( (} /b Approved By Planning: lam' Date: I/23/re Revisions (after�Buing Submittal only) (�Re 'ewer Date Revision 1: LIQ'Approved ❑ Not Approved / �`(/ I- Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: /2 3 l i r Site Plans: # 3 Building Plans: # Building Permit#: nter building ermit#above. Workflow Routing: Planning Engineering I7Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /Ot f6/1('GT(,,�I'rofA4 �YliPd!,, if-Kitv 4oie-• �, By Permit Technician: " , ,/6;i44 4 Date: 'WA S //r- Engineering Review Slope at building pad: Conditions "Met"prior to issuance of building 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 ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Aer / �4. Date: Li:,_____O"' .� visions (after B ding Submittal only) �+`-v:ewer at� Revision 1: A ,; C� proved ❑ Not Approved 17/' Approved v�� 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) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: Z.SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes 2Q N/A OK to Issue Permit / Y Approved by Permit Coordinator: AlG v'Z/�`� 'Date: U( l'3D I:\Building\Forms\BldgPermitRvw_RES_010118.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 • Na Transmittal Letter r:c ;\r< I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /U"' DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAY 012018 FROM: q-OcC2-5-, an'OF TIGARD COMPANY: e -O Oto-43S U C PLANNING/ENGINE:: PHONE: 7g-1 g By: � RE: � 5 uo - ✓�3 . '�fi�� S1'20&E 00 1 f (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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: YJi (QL ( cin tuC4 4L-b31rJ V o\FiLeri .cCD f(44"-) FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLstter-Revisions 061316.doc 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 Ns Transmittal s ttal Letter FIG A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: / DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: - (4- 1,4 APR 3 2018 CITY OF TIGA ON COMPANY: w BUILDING DMS PHONE: 78 L( cr LC By: � RE: S9 t c SL) G S 1 Mete— 0Q 1 1, 5 (Site Address) (Permit Number) u--04441:1 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Co ies: Description: Additional set(s) of plans. Revisions: ,$..S ?LAWS 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):pc REMARKS: b he� "4c s Q U-v S c rC Co usole, FOR OFFICE USE ONLY Routed to Permit Techni ' : Date: Initials: Fees Due: ❑Yes No Fee Description: Amount Due: 0 - $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc 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 Transmittal Letter 0;1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 73A1DATE RECCEIVEED:: DEPT: BUILDING DIVISION RECEIVED MAY 012018 FROM: qpv(z.9-, \'�1'V 3 CITY OF TIGAFiD COMPANY: P "A -{AOkkx. LLC PLANNINGtEI`3GtNEER1NG PHONE: —1S-7:),_ 7 k`� �7 g By: cC RE: S LJ /�3-�1 5rT ���t S o ST�-2o t E O© f (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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: V SITE= Qom. 1 1N -1iAK9 ' ,1 FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: 17c1Yes ❑No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: 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: 8915 SW INEZ ST, TIGARD, OR, 97224 November 1 , 2018 at 10:03:42 AM Record Type: Record ID: Residential - Master Permit MST2018-00115 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8915 SW INEZ ST, TIGARD, OR, 97224 November 5, 2018 at 10:06:14 AM Record Type: Record ID: Residential - Master Permit MST2018-00115 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8915 SW INEZ ST, TIGARD, OR, 97224 November 5, 2018 at 10:05:41 AM Record Type: Record ID: Residential - Master Permit MST2018-00115 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: A/C install complete Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8915 SW INEZ ST, TIGARD, OR, 97224 November 7, 2018 at 9:13:05 AM Record Type: Record ID: Residential - Master Permit MST2018-00115 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor