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Permit (80) CITY OF TIGARD MASTER PERMIT P COMMUNITY DEVELOPMENT Permit#: MST2018-00301 Date Issued: 11/21/2018 T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB00500 Jurisdiction: Tigard Site address: 11297 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: Project: Willow Brook, Lot 21 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1185 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1714 sf Garage: 507 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2899 sf Value: $367,621.15 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 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: 5 201-400 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 2899 Owner: Contractor: MISSION HOMES NORTHWEST LLC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) PO BOX 1689 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $32,969.54 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 inOAR 952-001-0010 throe' 952-001-0090, • ma o �- - ••• = .e rules or direct questions to OUNC by calling 5• .232.1987 or 1.800.332.2344. ��--"-�,-- Issued By: �-iii , .�-1 Permittee Signature: �/ / ) jini C'� 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 Residential FOR OFFICE USE()NLN" 111 City of Tigard Received I / , a . Date/By: L i i ��j P ,, 6/ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 y `` 13 i f c :,�;� ti"-- 0,2..57 J& 7 c/ Date/By: V !i l/ T 1 G A R D Inspection Line: 503.639.4175 O r �] Date Read/B ® See Page 2 for J ..,T 2 9 [aI Ready/By: // Juris: Internet: www.tigard-or.gov otified/M .od L L . Supplemental Information .4'.-. a '* .�A - %, TYPE OF "Qv' D IATA:1-.►NT 2- `AMI LY *ELEiNG ®New construction ,emoTition • Permit fees*are based on the value of the workP erformed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORYg CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: ,000 'k,'1 I(../ ‘ 0 Accessory building illMulti-familyNumber of bedrooms: 5 ❑Master builder 0 Other: Number of bathrooms: "�3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 340(e Job site address:SW Gabriel St ( j j-2-9-7\ New dwelling area: 2899 square feet 11 (--..City/State/ZIP:Tigard,OR 97223 J Garage/carport area: 507/ square feet ,14i3S- Suite/bldg./apt.no.: Project name:Willow Brook Covered porch area: ] square feet Cross street/directions to job site:99 West to SW Durham Rd Deck area: square feet Right on SW 113th Other structure area: square feet Left on Gabriel Street REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:willow brook I Lot no.:21 Permit fees*are based on the value of the work performed. Tax map/parcel no.:TBD 26 1)C 0u'��" 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. SFR 5 bedroom 2.5 bath with 2 car garage,covered patio and entryway Valuation: $ Existing building area: square feet New building area: square feet gi PROPERTY OWNER 0 TENANT Number of stories: Name:Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99"'Street,Suite 1200 Occupancy p y groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax:(360)574-6401 New: co, APPLICANT Ae CONTACT PERSON BUILDING PERMIT FEES* Business name:Pacific Lifestyle Homes f1 +�lc+ fee schedule) Contact name:Permit Coordinator Structural plan review fee(or deposit): Address: 11815 NE 99th Street,Suite 1200 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98682 Total fees due upon application: Phone:(360)573-8081 Fax: :(360)574-6401 Amount received: E-mail:permits@buildplh.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* rvuweiirfi( Tf;►R Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Same Submit two(2)sets of roof plan with connection details Address:Same and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Same Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 173524 Total fee due upon application: $201.60 Authorized signature: 4/ / / j / 7 / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Summer Dowell Date: 10/18/18 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 USE ONLY Cityof Tigard Received Permit No.: Date/By: v 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 El Electrical 0 Plumbing 0 Mechanical 24-Hour Inspection Line: 503.639.4175 I t G A l:D Internet: www.tigard-or.gov 1:1 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v es No N/A 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. CI 0 ❑ 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: 5 Septic system permit or authorization for remodel. Existing system capacity CI ❑❑ LI 6 Sewer permit. 00 ID 0 7 Water district approval. ❑ 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 ❑ basin protection,etc. ❑ CI ❑ 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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 ❑ 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. ❑ ❑ ❑ 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 ❑ 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 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carryi anon-uniform load. 0 I=1 ❑ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ for four or more appliances. ❑ 0 ❑ 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Ore•on and shall be shown to be a..licable to the .ro•ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑❑ CI Q 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 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 ❑ ❑ 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 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 FOR OFFICE 1;SF.O\LV City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223Ric Date/By: Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 T I G A R D Inspection Line: 503.639.4175 lisiii Other Permit: Internet: www.tigard-or.gov rt ate Ready/By: Jens. Ea See Page 2 for �� Notified/Method: Supplemental Information Ijr:; 192(1i8. TYPE OF WORK I&L'I¢E1 *SCREDULE - USE CHECKLIST ®New construction , GA RD Mechanical permit fees*are based on the value of the work ❑Addition/alteratiotf/ L 1 c�n performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: BUILDING DIVISION mechanical materials,equipment,labor,overhead,and profit. CATEGORY i1F !CONSTRUCTION Value:$ RESIDENTIAL E(UWMII NT Is s `EES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address:SW Gabriel Street 1 Air conditioning 1 46.75 Ci 2'�� / Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Willow Brook Heat pump 61.06 Duct work 1 23.32 Cross street/directions to job site:99 West to SW Durham Rd Hydronic hot water system 23.32 SW 113th AVE,Left on Gabriel Street 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 1 23.32 Subdivision:Willow Brook Lot no.:21 Other: 23.32 e^ 1 1� 0061:0Other fuelappliances: �4� Tax map/parcel no.:TBD Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 SFR 5 bedroom 2.5 bath with a 2 car garage,covered patio and entryway firUplacet for water heater or gas eP 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 "*'‘I PROPERTY OWNER © TENAI+IT- Other: 23.32 Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen Address: 11815 NE 99'ST Suite 1200 equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32 C4 APPLICANT A CONTACT PERSON Other: 23.32 Business name:Pacific Lifestyle Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator Furnace,etc. Address: 11815 NE 99th Street,Suite 1200 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)573-8081 Fax::(360)574-6401 Fireplace Range E-mail:permits@buildplh.com Barbecue 1 CONTRACTOR Clothes dryer(gas) Business name:Area Heating+Cooling Other: Address:2721 NE 65th Ave MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Phone:(360)737-0811 Plan review(25%of permit fee) Fax:(360)737-6946 State surcharge(12%of permit fee) CCB lic.:64801 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: ' / / / 0)712e, e_.-C__.. days after it has been accepted as complete. III * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date: 10/18/18 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: TOta;Valuation: Per t 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 Eleetrieai PerIlilitxAVAin—i loll' FOR OFFICE USE ONLY MI Received I�� 19/Tigard Permitil: 1 •4 to/Bv: "t 13125 SW Flail Blvd„Tigard,OR 97223 E n Review _ ------ '1, ---'-- Phone, 503.718.2439 Fax: 503.598.1960 l 41 - . Sate/By: Related Permit 0: T)GARD Inspection Line: 503.639.41 75 Ready Date/By: Jnris d See Page 2 fur Internet: }vtviv ligarei-or.gov Notified/Method: Supplemental Information _ TYPE OF WORK _ PLAN REVIEW ® New construction' ❑ Addition/alterationO4 i et>i t t •T IGARD Please check all that apply(submit 2 sets of plans w/items checked): � ❑Service or feeder 400 amps or more 0 Building over three stories. EllDemolitiDemolition ❑Other: j 1."t r ,��.ION�� where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTN1 r exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑commercial-rrse agricultural amps fix all other installations, buildings ❑ Multi-I tinily ❑ Master builder ❑Other: 0 Fire tntutp_ ❑Installation of 150 k VA or JOB SITE INFORMATION AND LOCATION • - 0 Emergency,system. larger separately derived - n �, ., 0 Addition ofnew motor load ul system. lob II: lob site address: 1 12-C1' 511J Ea orb r t d .9: IOOE�h or more. - - - �1 © 0 Six or more residential units. occupancy. ('Ity/Stale/LI[: ( L I L•YU t lZ0 Recreational vehicle parks. --_---.__ ___._.._-__ __..._ 0 Health-care facilities. parks: Suite/bldg•/apt.II: 1 Project flame: 0 Hazardous locations. 0 Supply voltage for more than -------- ---- 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions lo job site: FEE SCHEDULE ___u_._..-._ ___-""-` Description _I Qty. I Each 1 7•out! I —_.. __W. New residential single-or multi-family dwelling unit, f?0 'jf'• Subdivision: (y'�I II s Lot#: O4 Includes attached garage. ry Tax(nap/parcel#: 7-13 t7- • � I S /2,0 1,000 sq.It_or less — 168.54 4- .- f'✓ Ea.add'l 500 sq.It.or portion -2. 33.92 I DESCRIPTION OF WORK Limited energy,residential --- 75.00 2 0.Yiv� s t 6 UV.;1 �(i Ji ice, _(with above sq�ft.) - __ _ Limited energy,multi-family residential(with above sq.ft.) 75.1)0 2 _____ Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Pa)6 t,- 1--1fe,5 '1j12,-, 140 me.-5 q//,� 200 amps or less 100.70 2 Address: 11 0 N6 q61 Sf Sutfe, 1 O 201 amps to 400 amps I 133.56 2 q - 401 amps to 600 amps 200.34 2 City/State/ZIP: Vol lco��.e , A 40441 1 _ 601 amps to 1,000 amps 301.04 2 Phone:(%O)4515-606 1 - Fax:( ) Over 1,000 amps or volts 552.26 2 --'- Temporary services or feeders installation,alteration,and/or Email: �iXIAt a� bLpth Lt I61 , �:OW1 relocation Owner installation:This installation is being made on property that i own which is not 200 amps or less _ 59.36 1 intended lin-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 A.Fee for branch circuits with Business name: Pacific Lifestyle Homes above service or feeder fee, 7 42 2 -- each branch circuit Contact name: Permit Coordinator B.Fee for branch circuits without service or feeder fee,first Address: 11815 NE 99th Street,Suite 1200 __ branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98682 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)573-8081 Fax: : (360)574-6401 Each manufactured or modular 67.84 2 Email:permits@buildplh.eoro dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle / 67 84 2 Business name:Garner Electric Sign or outline lighting 67-84 2 — Signal circuit(s)or limited-energy , Address: 2920 SE Brookwood Ave,Suite A -panel,alteration,or extension. 0 See Page 2 2 City/State/"LIP: Beaverton,OR 97006 EEach additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)648-4552 Fax:(503)642-7925 investigation(1 hr min) 90.00/hr Email:inrnorato�u7garnerelectric.com ludustrialplant(l hr ruin) — 78.18/hr _- _— Inspections for which no fee is 90.0(1/hr CCB Lie.: 121159 Electrical L•;'.: '-305C Sum.,Lie.:'31 b) 5 specifically listed(%hr min) --- - ELECTRICAL PERMIT FEES Suprv. Electrician signature, require 1 Subtotal: Print name. Chuck Garner i`s Date: t('-r /.- i ' 0 Plan Review Required(25%of permit fee): __ j -,y.. State surcharge(12%of permit fee): Authorized signature: ,L 411 TOTAL PERMIT FEE: /� This permit application expires if a permit is not obtained within 180 Print name: t' �it n l S�� `���� Date: (� `(�_1 days after it has been accepted as complete. tit til ti.r, r s Number of inspections allowed per permit. I,tiuildingtl'erni aOOFt.0 peranitApp L'Llt,ERE disc Rev 06117/2015 440-4615T(t I/05,COSt'WGt Electrical Permit Application --City of Tigard Page 2---Supplemental information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE.SCHEDULE • - Description QIY• Each row l_ Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check 'Type of Work Involved: s kva or less - 100.70 2 5.01 to 15 kva 133.56 2 Audio and Stereo Systems" 15.01 to 25 kva 200.34 2 Wind_eneratinn systems in excess of 2.5 kva: — I1 Burglar Alarm 2.5.01 to 50 kva 111. 30L04 2 50.01 to 100 kva 552.26 2 [ I Garage Door Opener* >100 kva(fee in accordance — — 552 26 '_- with OAR 918-309-0040)1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System" Each additional kva over 25 7.42 3 Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: I Other: Each additional inspection is 66.25/hr . ------.--- charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(A hr mil)) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 = Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: II Audio and Stereo Systems B• oiler Controls I I Clock Systems I I Data Telecommunication Installation Fire Alarm Installation I I HVAC Instrumentation I I Intercom and Paging Systems I1 L• andscape Irrigation Control* I I Medical I1 N• urse Calls Outdoor Landscape Lighting* Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations Ahlitdierwennits,.ELC PenniIAp1 ELR_ERE due Rev 05117/1200 Plumbing Permit Application Building FixturesCE City of Tigard RI: eceived Date/By: Permit No.: 14 a ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 T s' Date/By:an Review Other Permit No.: Inspection Line: 503.639.4175 -� 9 j l�^ T I G n R D p Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov cin at 1 otified/Method: Supplemental Information " � � ' °p For s ecial in ormation use checklist ❑New construction o P f Description Qty. Ea. 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-family dwelling 0 Commercial/industrial SFR(2)bath 1 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen .5 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INF'ORMAT'ION AND LOCATION : Site utilities: Job site address: SW Gabriel St / _g 1Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Willow Brook Manufactured home utilities 50.03 Cross street/directions to job site:99 West to SW Durham rd Manholes 18.76 Right onto SW 113th AVE,left onto Gabriel Street Rain drain connector 18.76 Sanitary sewer(no.linear ft.:<100) Page 2 Storm sewer(no.linear ft.:<100) Page 2 Water service(no.linear ft.:<100) Page 2 Subdivision:Willow Brook I Lot no.:21 Fixture or item: Tax map/parcel no.:TBD 2cS 1 I b j-0V Backflow preventer 31.27 DESCRIPTION OF , ORK Backwater valve 12.51 Clothes washer 1 25.02 SFR 5 bedroom 2.5 baths with 2 car garage,covered patio and entryway Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 �4 PROPERTY OWNER" . [l TENANT Expansion tank 12.51 Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11815 NE 99th ST Suite 1200 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)574-8081 Fax:( ) Ice maker 12.51 6 'A.plucANT i$ CONTACT PEEN Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address: 11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax: :(360)574-6401 Tub/shower/shower pan 3 12.51 E-mail:permits@buildplh.com Urinal 25.02 Water closet 3 25.02 COINTRACTOR Water heater 1 37.52 Business name:Lippold Plumbing and heating INC Water piping/DWV 1 56.29 Address:PO BOX 895 Other: 25.02 City/State/ZIP:Boring,OR 97009 Subtotal Phone:(971)404-7012 Fax:( ) 7fi /L° Minimum permit fee: $72.50 CCB Lic.:201597 Plumbing Lic.no.:PB141(>'7 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: 07n/oe_1-.12_. TOTAL PERMIT FEE Print name:Summer Dowell Date: 10/18/18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\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 Su I 'ression S stems: site tjj Qty. F c ) IOW -$410.4 I p ' o remit Fee; ... Footing drain-ie 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' 1 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 "Valuations - Permit Fee: Storm&Rain Drain-1st 100' 1 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 +ether"biSPeetteilS or Fees Qty Fgtea) each additional$100.00 or fraction thereof,to e 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace! Plan review is required for anyof the following. Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower El Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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. 3,> 4,> Isontetrk or Riser Diagralt Car Wash Drain ❑ Isometric riser diagramisrequired for new buildings Garbage -Domestic-non-food or g 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 Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:\Job Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 21\Peknits and Inspections\PLB PermitApp.doc Branden Taggart From: Branden Taggart Sent: Wednesday, November 21, 2018 10:07 AM To: 'Shanon Cherveny' Cc: Summer Dowell; #Building Permit Technicians Subject: RE: Willow Brook permit statuses? Attachments: Branden Taggart2.vcf Shannon, You are welcome. I was reviewing your permits for the Willow Brook subdivision, and there are three demolition permits that are currently open. The final inspections for each of these demo permits needs to be scheduled and passed before we can apply demo credits to your new single family permits. The demolition permits are as follows: BUP2017-00283 16285 SW 113th Ave BUP2017-00284 16325 SW 113th Ave BUP2017-00285 16380 SW 113th Ave If you were intending to apply the demo credits to the three permits that we are currently post reviewing,you would need to schedule final inspections for each of demo permits right away, and the soonest inspections, as of right now, would be on Monday, November 26. Assuming the inspections pass on Monday,the soonest we could likely apply the demo credits and issue the permits for lots 18, 20, and 21 would be on Tuesday, November 27. Furthermore, we could also apply these demo credits to future lots if you choose, but you would need to inform us which lots to apply the credits to. Lastly, please note that we can only apply demo credits before the permit is issued, so you will need to take this into consideration. If you have additional questions, please let me know. Thank you, Branden Taggart a City of Tigard Senior Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449'" brandent@tigard-or.gov From:Shanon Cherveny [mailto:ShanonC@BuiIdPLH.com] Sent:Wednesday, November 21, 2018 8:22 AM To: Branden Taggart<brandent@tigard-or.gov> Cc: Summer Dowell<SummerD@buildplh.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: Willow Brook permit statuses? Thank you, Branden, for that description! Tigard is a new jurisdiction for most of us, so that is very appreciated to help us understand the process. 1 Shanon Cherveny, LEED AP Lead Drafter Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestyleHomes.com www.GarretteCustomHomes.com 360-213-0827 I shanonc@buildplh.com "Our Mission is to create an exceptional new home experience." From: Branden Taggart<brandent@tigard-or.gov> Sent: Wednesday, November 21, 2018 8:17 AM To:Shanon Cherveny<ShanonC@BuildPLH.com> Cc:Summer Dowell<SummerD@buildplh.com>; #Building Permit Technicians<TigardBuildingPermitsCa@tigard-or.gov> Subject: RE: Willow Brook permit statuses? Hi Shanon, I apologize for the delayed response. We have had a really busy week. I checked on your permits, and we will try to have post review completed today for all of these permits. Regarding the processing status,the status of them is always correct, but I would disregard the due date, as the due date is not the target completion date for post review. The due date is usually the date our permit coordinator signs off on each permit. Once he signs off on the permit, our system will change the status to Post Review, but we still need to do a few things before we officially begin post review. Regarding the plan review timeline, plan review normally takes between two and three weeks for us to complete. We are currently on the third week at the moment, and with the two holiday weeks, it has taken us a little longer than usual. We apologize for the delay, but we should be able to make your permits ready to issue today. Julie with send you guys an email when your permits are ready to issue. Thank you for your patience. Thanks, Branden Taggart 111 City of Tigard Senior Permit Technician Community Development WARD 13125 SW Halt Blvd Tigard,OR 97223 (503)718-2449 brandenttrrgard-or,gov From:Shanon Cherveny [mailto:ShanonC@BuildPLH.com] Sent: Friday, November 16, 2018 11:29 AM To: Branden Taggart<brandent@tigard-or.gov> Cc:Summer Dowell<SummerD@buildplh.com> Subject:Willow Brook permit statuses? Hi Branden, We are curious about the status of our Willow Brook subdivision permits that were submitted on 10/29/18. Online, I was able to get an overview status on 3 of the 4 applications, but I'm not sure how accurate that is, or what it means on timing for us being able to pick up the permits. Willow Brook 2 • Lot 18 MST2018-00299—in "Post Review" due 11/08- Pay Fees Due (for plan review) • Lot 20 MST2018-00300—in "Post Review" due 11/08- Pay Fees Due (for plan review) • Lot 21 MST2018-00301—in "Post Review" due 11/13 -Pay Fees Due (for plan review) Do we need to do anything to keep these three moving? • Lot 1—MIA This could not be found online. I searched via address,applicant, parcel number, etc. I know we had a few revisions to the site plan, but that shouldn't prevent it from being found in Accela, right? Regardless, can you provide a status on this one as well? Also, I noticed GIS is still not updated with the subdivision lots. I'm not sure if you have anything to do with that, but it's just an observation I want to pass along. Again, please let us know if we need to do anything or provide anything. Thank you! Sincerely, Shanon Cherveny, LEED AP Lead Drafter Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestvleHomes.com www.GarretteCustomHomes.corn 360-213-0827 I shanonc@buildplh.com "Our Mission is to create an exceptional new home experience." DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 3 Building Permit Submittal Original Submittal Date: di Z. Site Plans: # -- Building Plans: # Building Permit#: Planning �`Ennter building permit#above. Workflow Routing: eer `Permit Coordinator Building $ming � Workflow Sign-off: ��``Sign-off for Planning(include notes from planning review) Route Application Documents: L Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. c 1'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �Li:�r. . � Date: By Permit Technician: / 1° Al .4/ Engineering Review Slope at building pad: /Z [conditions"Met"prior to issuance of building permit tJ Easements (encroachments)per engineering conditions of approval and plat ['Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ErNo Assess Water Quantity Fee in-lieu: 0 Yes -No LIDA Facility on lot: 0 Yes rfErNoS. �� Final Plat Recorded: u 1-nKS tie rL'Lrr 4' Cagfivr Ar~ Wt og Date: 0 NOT Approved by Engineering: Notes: Wi4U r ,4,tyit ick -“-L.s A Z s A% -r74-1- s- t4'I i../4.4 4. I-s 4r+2�t4T 1 Date: / 1-� �8 C�Approved by Engineering: �,. -A—ie,A - 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 ning�flermit 0 Conditions "Met"prior to tssuansg o��k-itd--a Date: 0 Approved,NOT Released: 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: C Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A LIDA 0 Yes AT/A OK to Issue Permit / A �� ) ��Approved by Permit Coordinator. Date: I:\Building\Fonns\BldgPeimitRvw_RES 010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11297 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00301 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: 2 burners on gas range not lighting. Provide protection Ballard for water heater in garage. FigureM1307.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11297 SW GABRIEL ST, TIGARD, OR, 97224 March 28, 2019 at 10:30:16 AM Record Type: Record ID: Residential - Master Permit MST2018-00301 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. No A/C installed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11297 SW GABRIEL ST, TIGARD, OR, 97224 April 5, 2019 at 9:03:47 AM Record Type: Record ID: Residential - Master Permit MST2018-00301 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Correction completed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11297 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00301 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. Insulation certification checked. Duct seal test report checked. C of 0 left on site with approved plans. Note: contractor to fix grade at rear by hose bib for required slope away from structure. Violation Summary: Inspector Contractor