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Permit (99) CITY OF TIGARD MASTER PERMIT i Permit#: MST2018-00246 I . COMMUNITY DEVELOPMENT + 0 3 9!! Date Issued: 10/23/2018 T (i_l.1 Ii t� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ", 11, Parcel: 1 S 125DA03700 ,,_) Jurisdiction: Tigard Site address: 6616 SW WALNUT TER Subdivision: WALNUT TERRACE PARTITION Lot: 2 Project: Walnut Terrace, Lot 2 Project Description: New SF. 5/6/19: Reprint to add backflow preventer. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1310 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1826 sf Garage: 587 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 3136 sf Value: $404,297.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 4 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: 4 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: 6 201-400 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 3136 Owner: Contractor: KOVALEV,VITALY&ANITA GLOBAL HOUSING INC Required Items and Reports(Conditions) 6990 SW CANBY ST 4111 SW 52ND AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 PORTLAND,OR 97221 PHONE: 503-313-4259 PHONE: 503-315-4259 FAX: 503-477-4444 Total Fees: $34,003.51 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 0 952-001 90. Y i may obtain a py of the r.les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: Permittee Signature: CfcfiA(// ��'"� 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. lir , . ., ,p. i i . 1., .... , , ..- 1 a 4.4 it 04 ..trP AN., a , ii.,-- oa , . ' '' " ii-11 . '111 k . .r.--: -. • ii of g ' , ' ' ' `# 4 .., i 1.i -- p.• i ,.• -.: : 1 .!H11111 . .. ...t.- .: rfe I - - - "-IIIIIIIIIIIIIIIIMIIIII -2.• -1 ..4 ..-.: :: ._., , r . ) I ' I V,i 7 1 1 it 4,1 i ' , i 11 t 1 , 11 I id-itii , ‘-'`till 11 -5'\11111 1 1 t IL 1 i . t , - , , . I , , . , , it I. i‘itIc _, 1 -4 t:j 111 % 11. 1 - 1 171 ' u _ ,.... .. - , t.. . it, ...,v, - ,„ - •ig.,c ......1 , i vi,,,k. Li, N • , Egg ' ' ‘"' I a ' k tu .• . , . ,, 0-- .. , st 11101111•116 1 . 3 1 u .. .. .. ‘ 14 1c1 ‘ $ ' h riot r ::. , fk x kiN .1 .-3 kiN NI I N 111 ' , >c ,...„ 7s,'t ... k'''''''''''.."' 1 .i. '\D 4 ,,, ' \ ' tC. ,,.. , ,t,, ii N t..1., - .4 a ‘N) '. 0 , , 4 ,t‘c,11....g Is .„:' I, a .5) v , , Q kik . ,e 1•%N ,ii c,, ' ‘141k1 '44 LA.( #12i if:7 • i 2 i 4 . ko% 1 '''' :4::: ' i 1 . ' C - I # tic , 16' $..s. 114 ' =3 .. 4 /1 i ., " •k4 i4=4 ,. ,A. °41 ire, ea 4 _ :I:::,,, ••• -4• /i/.e, ,4. 55,,,,,/ sw.,7 z,,,,Izz / e/ 2, t.....6, , ,v ?' , P-2zoki -5/ * CITY OF TIGARD MASTER PERMIT IN • ' COMMUNITY DEVELOPMENT Permit#: MST2018-00246 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2018 T!i ;E I<D9 Parcel: 1S125DA03700 Jurisdiction: Tigard Site address: 6616 SW WALNUT TER Subdivision: WALNUT TERRACE PARTITION Lot: 2 Project: Walnut Terrace, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1310 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1826 sf Garage: 587 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3136 sf Value: $404,297.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 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 Drains: 0 Tubs/Showers: 4 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: Y Vent Fans: 4 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: 6 201-400 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 3136 Owner: Contractor: KOVALEV,VITALY&ANITA GLOBAL HOUSING INC Required Items and Reports(Conditions) 6990 SW CANBY ST 4111 SW 52ND AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 PORTLAND,OR 97221 PHONE: 503-313-4259 PHONE: 503-315-4259 FAX: 503-477-4444 Total Fees: $33,968.49 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 9/101140.JYo ay obtain a py of the lesaor direct questions to OUNC by calling 50 p2.1987 or 1.800.332.2344.1. .32. Issued By: / Permittee Signature: Wri ►'T V Y4'-���✓/jV 9 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. , Building Permit Application 11 r r -; AIL-, t 2:1Residential FOR UI I 1 I: I si:o'i.' ece City of Tigard `( RDate/Bived: GiS‘lg „' Permit No.: 1 ., -CX.�-"tl 13125 SW Hall Blvd.,Tigard,OR 97223 7,4 Plan Review 0 All I Phone: 503.718.2439 Fax: 503.598.19 "y f 1' Date/B �j Other Permit t c Inspection Line: 503.639.4175 ''n - ' ' ),s,,? ,- V �`or 1 I G A R p P Date Ready/By: 7uris: ® See Page 2 for Internet: www.tigard-or.gov 1,,,,,1:i DINGt e y f E dt`i,7Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ,XNew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. x1-and 2-famil y g dwellin Valuation: $ !D' ( • / ❑Commercial/industrial ElAccessory building ❑Multi-family Number of bedrooms: Lj CI Master builder ID Other: Number of bathrooms: 5 JOB SITE INFORMATION AND LOCATION Total number of floors: i �3 "37 �/ Job site address: 66/G 5.66 w44/1/6( 1 Ten- New dwelling area:_331��quare feet l9L 49 City/State/ZIP: �/Ga R D OR ' 2. ,3 Garage/carport area: 5g--7 square feet (31 a Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: 200 square feet 5(0 eq. 71‘' 5&J (Ai/U/(/u C 7e I'LL Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 2..... 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 OF WORK work indicated on this application. Ne 1.Q CO S TRu c.6dlit Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BEyILDING PERMIT FEES* Business name: ' (Please refer to fee schedule) �L�aAGdGl��ccesCt Structural plan review fee(or deposit): Contact name: 14,1cc 6 k V uovAcEt1 FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( 5 ) 4 f'4 iersi Fax::( ) Amount received: E-mail: 6' PLjfOu PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* s(NG Y ?NCO a�.00.corM CONTRACTOR _ Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: GLOB/7Z �Du S f�G CNG Address: ,9GSubmit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon �//il SL) 52 ha' 1� City/State/ZIP: Solar Installation Specialty Code checklist. Permit Fee(includes plan review Pa RTLRN� ZZ f /3 4fand administrative fees): $180.00 Phone:( ) � � Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Cl/ Total fee due upon application: $201.60 Authorized signature: qg/, (/fj�n �J This permit application expires if a permit is not obtained CCC���'-i !h l�lr> !z (f within 180 days after it has been accepted as complete. Print name: j✓1 JW?I"( (s/(0Vb4 (/ Date: "Z7 q//5" *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist , One- and Two-Family Dwelling FOR OFFICE 1'4. 011.1 City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T I G A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW'' les 1° 1/,1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • IN 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 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 ❑ over 10 feet long andfor any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code commence. 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 theproject 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 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 ❑ 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 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) RECEIV '1' Electrical Permit Application t(:al<()i rig e 1 ,1 0.i-\ City of Tigard AUG 3 0 2018 ,o, , 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 Phone: 503.718.2439 Fax: 503.598.19(ef 1 I OF Tic . :y: Other Permit Inspection Line: 503.639.4175 r Ready/By: c B See Page 2 for Internet: . -orgov BUILDING DIMS Supplemental �a�e. TYPE OF:WO KNew construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whrems checked below): ©Service or feeder 400 amps or more 0Budding over three stories. ❑Demolition 0 Other: where the available fault cuaent 0 Mtuinas and boatyards. CATEGORY OF CONSrRXJC2'ION1'. exceeds 10,000 amps at 150 volts or D Floating bhangs. less ar1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building to ceexoxds 14,000' ❑Comms,�cial.use amiedt sal 0 Multi-family 0 Master builderamps forail owerinstet d's` 0 Other: Die 1>wnhnhP. ❑Installation of 75 1CVA or JOB SITE INFORMATION AND LOCATIONO �cy syr larger separately derived sysrsm. ❑Addition of new motor load of ©"A",13","1-2","1.3", Job no.: Job site address: (/.1(.9 ' 56) (�RL/(lGC( i 100HP or.more_ o y. Q six err mea residential units. D Reaeadonal vebide parks. City/State/ZIP: '7 g#9AD b 22. ' DHeal h-oast fatalities. n supply voltage f«more than Dlfaaaodous Mations. 600 volts nominal. Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more. Cross street/directions to job site: FEE'SCHEDULE Description I Qtr. I We. . 1 Tad 1 ' �/ r , , New residential single.,or multi-family dwelling unit. 5(0 l-4 ,- Cc)rG t�Z/t/a C -Fefr'. Includes attached garage. Subdivision: Lot no.: 1,000 sq•ft•or less I I68.54 4 Tax map/parcel no.: Ea.add't 500 sq.ft or portion e j 33.92 1 Limited energy,residential DESCRIPTION OP WORK_ (with above sq.R) I 75.00 2 LimitNi t-1 CON51 R�c?7o d may,multi-family 75.00 2 f residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER j 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 • 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/StateJZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:(: ) 200 amps or less 59.36 ' 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 • Branch circuits—new,alteration,or extension,per panel Owner signature: Date: ,d, A.Fee for branch circuits with 0 APPLICANT 0 CONTACT PERSON above service or feeder fee, 742 �o / /� / TL Y each branch circuit 2 Business name: 1yLo8 fL if 2h,5 /V g. C, B.Fee for branch circuits without service or feeder fm,fust 56.18 Contact name: mg ogk U 0(4)zg y branch circuit 2 Address: �� S(J (/ Eads add'I branch circuit 7.42 2 f 5 2 hce h�U�' Miscellaneous(service or feeder not included) City/State/ZIP: /vb b 9 22 o Each manufactured or/nodular 67.84 I2 '' �l/v/f dwelling service erratics feeder Phone:(9!);)3/-; /I(2 ') j Fax::( )/J Cern a Reconnect only 67.84 2 E-mail: 64a,64a,6/74/rbCl Iit/G PPX ( Verb CO.C ? or irrigation circle 67.84 2 CONTRACTOR Sign or collars lighting 67.84 J j / j_ Signal circuit(s)or limited-energy Business name: `j o lit 1 t 1 4- , (.e0 c-h4 c ,.:I_f. panel,alteration,orextension. Page 2 12 Address: ,�` e'L i it Each additional inspection over allowable is any of the above 2 20 4' /V - C I .e.. ► Additional inspection(l hr min) 6625/hr InvestigatiCity/Statel/Tr'i,P,: /�a./�1 t� l/-Pi!<i'. jW4. 9�[C C/'/ an(1 hr mitt) 66.25/hr �6a ,�1d — 7-51 , 3 p) SG-V-- J'6jb 0 ha Induslant trial hr fen is 9000/hr Phone: Fax: CCB Lic.:/ 2,6.— .9 I Electrical Lic..CZ 3O Sup specifically listed(b hr min) 90 E S rv.Lic.: /79s s ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal:[.. Print name:�r// Plan review(25%ofpermit fee) [.h 6-s is arrf Date: State sur (12%ofpennit fee): Authorizedsignature: f TOTAL PERMIT FEE: This permit application expires if a permit is act ebtalaed within 180 Print name: I Date: //1//g days after it ins been accepted m complete./ ` Number of inspections allowed per permit r:tia ulaamrer,ninvo c ;uw 440-4615r(1aro5tcOM/WEB Plumbing Permit Application RErEIV,- , ,,d,�Building Fixtures .: ` AOR DFFICEliSP`'=oiel.,�e"` ` city of Tigard AUG 3 0 2011 �I Na: r 13125 SW Hall Blvd Tigard,OR 97223 6 Phone 503.7188..2439 F . 503.59$.T9b0 CITY e/ �, trha ttevirw flEtitrPtrntit Na: TICAi`i� Inspection-Lim 303654A.1.73 ` Ny`Reed lino in SeePap ifer Internet: www.tigand-or.gov t T c i 'Method: m., rat Information TYPE O WORK FEE* SCHEDULE V. New construction ❑Demolition PA,special'3nfonrrohon:use vireel ❑Additionlalteration/r lacement Description i cly. } E s. Total �Othtr.: New 1-3-fitttll}dwellings(*Wes 10011.for each ImIIT�cOnnntIOTh) CATEGORY OF CONSTRUCTION SFR(1)bath: 312.70 V-and 2-family dwelling 0 Commerciall'industriai SFR(2)bath 437.75 Q Accessory building 0 Multifamily SPR(3)bath V 500.32 Master builder Each additional bath/kitchen 25.02 El Other Fire sprinkler(, sq.ft.l Page 2 JOB SITE INFORMATION AND LOCATION Site trtilititrc:: Job site address:G,,.61 C,,. 5L) )A`GN IA ! TE RR Catch basin'i r area drain 18;'76 CityiState2lP: TI GRRD 0 P 7 ZZ Ii,leach line,or trench drain 10.76 aFooting drain Mo.linear R.:_,__) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 30:03 Cross street/directions to job site. _[�4/ t Manholes 111,76 54) CC— Y.L 'CX[ Nu( ;+drain convector 1876 Sanitary sewer(no.linear ft.:V..) 1 Page 2 ' Storm sewer(no.linear ft.:_,_,_) Page 2 Subdivision: Vater eerier ono tine;ft.; 1 I Page 2 Lot no.; 40. Fixture or item: 327 3: Tax map'paseei no.:: Backtlotu:priwenter I DESCRIPTION OP WORK Backwater 12 51 Backwater valve NEW C Ol5TRGt c7/0c• r ! " 25.02 t 23.02 Dishwasher _ . Drinking foaatain; 25.02 Ejectors:su tg 25.02 0 PROPERTY OWNER 0 TENANT i tank 12.51 Name: Fixtur+estwercap 25.02 Address: Floor tha ntfloorsinhab 25.02 Garbage dispps�sf y+/State/ZIP: 25.2 Cit ' ;Hose bib 2. 25.02 Phone:( ) Fax ( ) maker 0 APPLICANT 1 12.51 0 CONTACT PERSON inter ceptorfgt+�ase torp 35:02 Business name: 6 L 0 43AL Medical gas(value:5 J�/D�l s/N6 1N� ) . .• 12.51 Contact name: r-i7 p v kw z&V Primer /r Address: till SG) 5- "' h ea Roof drain(c©mtoercill) III 12.31 SinkAtasitalavatory 25.02 City'StalZJP: Portri AAl OR W2-2 Phone.(P3) 3/3 7 2 55 Fax::( ) Soar mils otable wa8ttwater)) MUM rls o l6 Z.SI.. E-mail;� � G e aLI' u iAf PDX ctKao, con MIN 25.02 CONTRACTOR MIN �am:ri flan*: 23.02 fi�r-1 uJor k t ovtsI�1E -;Dort SE' ess Wa Water l>rater Address: • e . 2 S E /)t S •, ris4wii Water piping p*,yy City/State/ZiP: rp p t 0 R 2Z ` t : Phone:(f O;) R 75- 4S5.j Fax: - t 68041 - _ - :, CCE3 Lic:: .ingLic.tta-, p8.tz.( Authorized si., ,, Statesurcharge(12%of pc:mit fee) -Farm.F'ER/i41T FEE n8tYty e. "Rr t' licittikDoc "W T permit application axptEas if a.prrmlt is ant.fl a rithie ISO da ys Aker h limbless aeeeptpd s tete**. NC/,LC ..# 5T _ f c. c7 CGG c-icUf` /4C /!•Sre"( *fee melhodotogy set by ItrditX 5eerice Beira t3ui13;at➢omxYt.s.n t.o,:..,.,«..w._ uw � f b<ti5- o (laC4- •ti-1:4)/114- 275 is/)3//i, OP • ti1 r 1 Permit Application Building Fixtures FOR OFFICE USE ONLY „rite * .. 13 1131 •,Tblvi,O8 7" .. ettone 603.718,2439 Fa: 933. .1 , �J 0 /i ,4a Oexe Peale we,: Impaction Lite3 6 4'17 its r sae f+ it Internet R, I:,r:'b i A t r '° T * , '1tif1 . r t11 1i New C X D 11it E<iE WR(t)beett III 31270 AditionialtertionireOacernent Otto: SF11 4 bath 4,3778 - . 1- 1d 1it X C s�1elJ# e! width:oat hitt G2 ACS 1€ tig t,�ta - Are s x1 It) 2 favely Mister builder Other Oath twiner area than 18.76 ,.6/a 5&) GelflLNG(T �R wthin n r�o•lineai,: 2 p 7 1ttt �t41 500 Citi 1P, T/6/4 b OR 17zz, Machetes anuomrsi Sui ;•ras.: 8 trx 18.7t'r Cron streateareetions to Joh site: it: 34.041.-seevartaxai ::) Pege 2 , ,) StAteivislatILot no: 2. , 1281 *AtiltTax reepipereel no.: _:. I cta t., k t - \r ,: •.--1-,,,:,,,,„,,y43..,44,..--'3 S' -4! a A,z prI Dl ` I 1 a Y ,. • '',°N,.,':',0.--c°'°,:,- x.��f.� � L3 , <testi all ' SArZ NEL.1 COhs ct/o ". t2 , ..,�-. . 1Z 1 Fi ---4 a .s ..r, ...., ai „ ..:,,k=1.,-.2.:•.,l % 3M1p 1xE ' fi 53 ii,-,.,......',..&;;;„.. x �. . .ru' .. amme Name: City/State/ZIP p Fax 0 } '^ f YyT . ._-f;�2 4 � $5 , may'. pp KW�<'/n H �. ,.Ea.' .. Vii.. �.,z. ., • ....., •,.i.t .. � ,r. R... v..- � dy - .. 31 Sim 6 zoBRL /(O (si,(I G 1 Avc , _ . 1 a9 Contact 2502 'VARkmvkDU'A4v . �. .._tl :�. Ay/// 5tcJ 5 ho( RUe 7 i . si Carythea 2S02 , foh7 .�� Ut� _ m ::ice: 53 3f; yZ5? 2102 E-tosil: 7.€ ie ._ ', 8 a . ' h ' 1 "� $72.50 L. City 21 Q A ,.q 7 f„,$ ) 97 Z�-- 5 7 41,77:4) .. N .�(12%of permit fee) TOTAL KRAUT FEE CCS Lie: t 6 1 AS� fel ti8L . . 8 ThiteeraftageStederiegieveteparea isaetabtateetteades ee dses Ptit'at i$ 4. - A Data:/0 /Silt Aar It babes,eeesested secompliste *Feerradedokee,set Ity Id-Carry Oulkerejtreketry Savior Soled. • r , a4 .'... za.tt.tae_ ./_ t t.- �t 4ttlt�ftettit3-t tteep t t tia 101)-3 //F ?g(- Clean Water Services File Number 18-002664 ClcanWaterr Service Sensitive Area Pre-Screening Site Assessment 1. ,Jurisdiction: WASH/N&TTNI COa4/7' 2, Property Information(example 1 S234M O14OO) 3. Owner Information Tax iof ID(s): 1 S125DA03700 Name: V/'FAL Y komEt/ Company: Address:6?5'O 560 CANBY ST QE Site Address: 6616 SJ RLNar 7E0? City,State.Zip: F'r T4 ,1l1 L' oZ 9?2z3 City.State:Zip: 7/ Z? OR (0223 la 2 Phonr;JFax: 5b3 52Z— 7/-17 Near est Cross Street: 54) E-Mail:XI V4LLEY '• 45* ' /4aC • 4. Development Activi check all the!apply) 5. Applicant Information Q Addition tt ngle Family Residencr::(rooms,deck,garage) Name: HARk_ V AeioyzEV Lot Line Adjustment i Minor Land Partition C1 Company: 6149g1 itCtCiS!"tf/fs ..L�+'VC, Q Residential Condominium Q Address t Commercial Condominium juI/j $� 5 hd e Q Rcs.dential Subdivision Q Commercial Subdivision ( Single Lot Commercial Q Multi Lot Commercial City;State:Zip: r • 44off ` 7.2.2f Other A/6(06) IOU. E. Phone/Fax: 9)3 ..1/3 '(2��? }r EAAad tea "' 'Lyl i�o 'c 11I ) P5/41400.C647 6. Will the project involve any off-site work? Q Yes No Q Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project NE k 3� s*cc> -a, tc Sf11lt 4P /i,1 . /7fe_ This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, DEG 1200-C Permit or other permits as issued by the Department of Environmental Duality,Department of State Lands and/or Department of the Army COE. All required permits and approvals most be obtained and completed under applicable local,state,and federal law. B, t� '- r sfarm,Ma rimier u s 't ri'citrje i f rca esc i ref tiC acknowledges.rid agrees that'npl Tei' 'Clean Wnttr Services rvive authority to nr,ir the.r.lrOjeCt site at all re=sc.title tm es t'.:t"a r,.rpSac Ct protect etc conditions aro rdathartng'i:.r ,ltvn ret tes fo U=e p,plece Tito- I nertay tat 13w, ,ant liar with.I-ia int,rrn..d:;.earttaine,,I in thi tO the>�� f c e t1Wt.. thy knowledge n(�i, ls$,this !,317"3atiJr:?r�(Tilt !,,<.,�.le etnii ft,(Xlfi3iC. Print/Type Name MAW< VK ,4ZEt PrintfType Title P. > 5rc>(.r l Signature ,Wk V*OM V Date ;Vie/7S FOR DISTRICT USE ONLY ,;,j Sensible areas p_,arnafly asst en site or wing 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. if Strestfive Af eas e ,:t on the SiLnr wit 2��feet,Ji!;dc ^i'tu -,,io5,a Natural Rersprurces . iiLF't=rl may be requited, _j disco on review rho,submitted.naterialn and best ataffable it`arma2 Cn Sensitive.areas did not appear rd exist on s to or Witten 200 of the citi.,This Sensitn's toed t'-SC F4?I t'Site A csiemit dues NOT alit ti a e'A306ei f t eval'aat dile prA0 hra C quality sensitive areas if Prey are subsequerPly dtsuovereardoc u er t II serve Service P wider fester as required,y Reso&L1 c'r,an,..Order 17-05, Se-bort 3,02,i, All required permits and approvals rrrst be i:wramee and completed del applicable le t State and federal law, XEased on review.of We subntrasd rnate,rials and hest available frifsurnatiun the above rete,rmfrekt rip4scr will net s,gn'f r^tly impact existing on potentially -ons yr-years;ears; "d near die site This Sensaltve Area Pre-Scro-rn ,ksenmerti does NOT el(mina e.the need Is evaluate ann¢tutee'additional water©eialiry $.9ntIve a e s EIthey are subsequently dt.,6rovere=cr. this;JCU.'1ent will net ve>S y,,v Sanere „4i,.er trotter as sequ':real hf Pesoli o•e.and O'clor?r'-05, 3.02. . Al1 nidi ad pa h ills and approvals must tie obtained and-completed unger applicable local,stale and t oral law.. =j This Service Provider Letter is not valid unless CWS approved site plan(S)are attached. Tne,rproposed activity loos rot oileet ills.den itio)of development Or the ISI was platted after 9.9/95 UR 92,ilA�tli N� SITE._ASSESSM1i'r_tji.OR:EK41CF PROVIDER LITTER IS REQUIRED, Reviewed by �.�, Date 8/28/18 Once complete,email to:SPLReviewa@deanwaterservices.org • Fax: (503)681.4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway,, Hillsboro, Oregon 97123 City of Tigard 1111 IR COMMUNITY DEVELOPMENT DEPARTMENT L T 1 c u.D Building Permit Review — Residential Building Permit #: M`\l; k _ 1 Site Address: G6t6' SV A J CrraCe. Project Name: :trg9-;- p parr-,-„ Lot #: 2_ (New dwelling-? bdivision name;Addition or Alteration=last name of owner) 1A/4°1'1\1'19T G Planninggl2A- Review Proposal:Pro p NAL/ 5I'l ,Cl/Verify site address/suite#exists and actio 'permit system. LAY River Terrace Neighborhood: lid No ❑ Yes,See River Terrace Review Addendum Attached Sit lan Elements: ree(3)copies of site plan hsting structures on site S plan must be on 8-1/2"x 11"or 11 x 17"paper LLSFootprint of new structure(including decks)with finished N P rawn to scale(standard architect or engineer scale) 96or elevations ID► orth arrow OM/nifty locations&easements(required for new and additions) 0 S e address,project or subdivision name and lot number Lld'Sidewalk/driveway approach plicant information(name and phone number) C mil ;cation of wells/septic systems It dimensions and building setback dimensions A xisting trees to be retained with drip p line,and tree quare footage of buildings to be demolished votection measures of area,building coverage area,percentage of coverage and [VS et tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) l treet names itaProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? s ❑No �4 of differential) If yes,is a storm water quality facility shown? { Yes ❑No LtiI Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ yes,applicant was notified Received: 1=1 Yes ❑ No Public Faciliti Improvement(PFI) Permit: lequired: Yes,applicant was notified ❑ No Applied For: [Yes ❑ No,stop intake and Use Case#: ttL' 2.416 --00O( { f F 1_10[7-0013S Ir oning: R-4.S ORequired Setbacks: Front 2,0 Rear 1 S Side S Street Side lam* Garage II Landscape Requirement: t ri' of Coverage Maximum: uilding Height: Maximum HeightActual Height() 2 5_,� L: isual Clearance �/ nsitive Lands: 0 Yes [ I No Type If 4 rban Forestry Plan E Conditions "Met"prior to issuance of building ermit ,gyp �h� `ote s: C^-k)-n"b ', k ^-ti- C r r II e v'""''„ ( Approved By Planning: Lj - Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: AT—Approved 0 Not Approved 1.1116 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: # ' \,\% Site Plans: Building Plans: # -6 Building Permit#: Ir Enter building permit#above. Workflow Routing: Ei Planning 1 /Engineering ['Permit Coordinator EBuilding Workflow Sign-off: 2/-Sign-off for Planning(include notes from planning review) Route Application Documents: 2'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Ti Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 1/4-,._ Date: °l`. K En: ' eering Review C : op t building pad: L. 2$/i L• onditions "Met"prior to issuance of building permitcements (encroachments)per engineering conditions of approval and plat (Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Y 0 No 4LIDA Facility on lot: es 0 No C"F' lat Recorded: NOT Approved by Engineering: 7 0//Jr Notes: S/f ac,J ACCs$5 -( A-V i Mf ' Ss w Elc. c•-s6.A4 vtls' Approved by Engin ering: Date: Revisions (after Bu' ing Submittal only) er at Revision 1: Approved 0 Not Approved ? is'1 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Co ons "Met"prior to issuance of building permit Approved,NOT Released: �� P�CGt % ate: "7) 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: ifqDC Fees Entered: Wash Co Trans Dev Tax: J Yes 0 N/A Tigard Trans SDC: fYes 0 N/A Parks SDC: 0 N/A LIDA Yes 0 N/A OK to Issue Permit9 ..er )L,E -fIre Approved by Permit Coordinator: ' ' Y�j%i_ 'ate: I:\BuildingWorms\BldgPermitRvw_RES_010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Corrections from previous inspection not done. Re schedule inspection after corrections complete. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Not ready for building final inspection. Provide approved Lida final. Provide approved erosion control final. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Tempering valve installed at water heater location. No final Lida Inspections done at this time. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections complete from previous inspection. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6616 SW WALNUT TER, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00246 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Duct seal test report checked. Insulation certification checked. Violation Summary: Inspector Contractor