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Permit (78) CITY OF TIGARD MASTER PERMIT 11111 II • COMMUNITY DEVELOPMENT Permit#: MST2018-00299 Date Issued: 11/21/2018 T r[;A I:r-+ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01400 Jurisdiction: Tigard Site address: 16293 SW 113TH AVE Subdivision: WILLOW BROOK SUBDIVISION Lot: Project: Willow Brook, Lot 18 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1814 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 2 Second: 0 sf Garage: 433 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 1814 sf Value: $235,565.70 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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: 3 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: 3 201-400 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 1814 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: $30,109.75 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati•n Center. Those rules are set forth in OAR 952-001-0010 through OAR 2-001-0 0. Yo ay obtain a py of the r es or direct questions to OUNC by calling 50..232.1987 or 1.800.332.2344. Issued By: Permittee Signature: _ /; , y 0 1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE LSE()NI.) City Of Tigard CE <Received / " 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ` /71 �� iuJl Plan Review /7 1^ / _ Phone: 503.7182439 Fax: 503.598.1960 Date/By: (( `d �t Inspection Line: 503.639.4175 rjj X11" 2 9 2_018 e Page for �� T I G A R D �J k Date Ready/By: / Jura. nee Page 2 for Internet: www.tigard-or.gov Notified/Method /�..4S— Supplemental Information Tr*Or ING DIVISiON RE ,A:I-. 44 11J LUNG ®New construction U Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the +Ir work indicated on this application.e�TIGOttY,"�F CQIi($ i;tT�`CL�1I3 Valuation: 000 ® 7i2j 7 1-and 2-family dwelling ElCommercial/industrial ' ❑Accessory building ElMulti-familyNumber of bedrooms: 3 ❑Master builder ID Other: Number of bathrooms: 2 OB SITE.INFORMATION AND LOCATION Total number of floors: 1 OD (1 7 Job site address: (I(f29 3 5- J I t►� E; New dwelling area: 1814 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 433 square feet Suite/bldg./apt.no.: Project name:Willow Brook lot 44'15' Covered porch area: square feet Cross street/directions to job site:99 west to SW Durham Rd Deck area: / square feet R on SW 113` AVE,R on Gabriel Rd Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:willow brook Lot no.: 18 Permit fees*are based on the value of the work performed. t c 0 Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: Tv equipment,materials,labor,overhead,and the profit for the DESCRIPTION OE WORK work indicated on this application. SFR 3 bedroom 2 bathroom with 2 car garage.Covered patio and entryway Valuation: $ Existing building area: square feet New building area: square feet €2 PROPERTY OWNER 0 TENANT Number of stories: 1 Name:Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99''Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax:(360)574-6401 New: f14 APPLICANT eem" `ONT CT PERSON Business name:Pacific Lifestyle Homes � ctrl67r/�k Structural plan review fee(or deposit): Contact name:Permit Coordinator FLS plan review fee(if applicable): Address: 11815 NE 99th Street,Suite 1200 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)573-8081 Fax::(360)574-6401 Amount received: E-mail:permits@buildplh.com 'PHOTOVOLTAIC SOLARPANEL STES FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Same Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:Same 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: / / � This permit application expires if a permit is not obtained — within 180 days after it has been accepted as complete. Print name:Summer Dowell Date:10/18/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE LSE ONL1 City of Tigard Received 1 Permit No.: r 13125 SW Hall Blvd.,Tigard,OR 97223 y g Associated permits: 11 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 El Electrical 0 Plumbing 0 Mechanical 1'CARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e 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. ❑ ❑ ❑ 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: • 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 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 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 ❑ 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 ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ 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 ❑ 0cl 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 ❑ 0 ❑ over—t0 feet long acidla3 anv beam/joist carrying a non-unifoiuukvad._ 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 CI 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 ❑ ❑ ❑ 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". 0 ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 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 ❑ 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-RESPeimitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE U SE (LSI\ Citylc l'of Tigard ved g / � 4By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960Other Permit: Inspection Line: 503.639.4175 OCTate/By: T I G A R D OCT 2 9 l U 1 8 Date Ready/By: Juris: Id See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information cu TIGA wit IINL]f"DIVISION -Mechanical permit fees*are based on the value of the work New construction ❑Addition/alteratio rep acement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATS:}R it OF,CC1'NS TJf I It N IDE$TL4L LQVWMENT J SYS'T`EMS VUS* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total ;TOR'SiTE-IENFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: i Lc"Zq 3 5lA) I l AFurnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name:Willow Brook Duct work 1 23.32 Cross street/directions to job site:99 West to SW Durham Rd Hydronic hot water system 23.32 n Residential boiler(radiator or R on SW 113 AVE,R on Gabriel Rd 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:Willow Brook Lot no.:18 Other: 23.32 �^ Other fuel appliances: Tax map/parcel no.: J1 S— -13 0140© Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas SFR 3 bedroom 2 bath with 2 car garage.Covered patio and entryway 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 Other: 23.32 sa PROPERTY OWNERTENANT - Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 Address: 11815 NE 99th ST.Suite 1200 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32 ►+ APPLICANT , 0.4 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Pacific Lifestyle Homes $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: POCIIMICAL`PERMIT FEES* Address:2721 NE 65th Ave Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Phone:(360)737-0811 Fax:(360)737-6946 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:64801 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Wim- days after it has been accepted as complete. Authorized signature• * Fee methodology set Tri-County Building Building Industry Service Board Print name:Summer Dowell Date:10/18/18 I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(1 t/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi Family Fee Schedule: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PennitApp_040113.doc 2 Electrical City ><I�t� pl�c ti�ai>t ilv(1 , (Et FOR OFFICE USE ONLY MIf g ,( . L. _ U 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ------ 'htte. 503.718.2439 Fax: 503.598.1960 )1 /ate Permit JJ:By: Related Permit 0: inspection Line: 503.639.4175 T 2 9 2 Amy Date/Bye orris i Q see Page 2 for TIGAItD Internet: www,ugard-or.gov Notified/Method: Supplemental Information TYPE OF WORK •'t r - PLAN-REVIEW - ®New construction ❑Addition/alteration/re3n1I {@Tt Please check all that apply(submit 2 sets of plans wlitems checked) ❑ Demolition ❑Other: F..U'CJ '' ❑Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 1.50 volts or p Floating buildings. A, I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 p Cominerci;d-use agricultural amps for all other installations. buildings. Ell Mulli-hitnily E Master budder ❑Other: I:Firepump. 0 Installation of 150 K VA or JOB SITE INFORMATION AND LOCATION - 0 Emergency system. larger separately derived /� ^z �l 0 Addition of new motor load of system. Job II: .lob site address lY�'7•✓ vV 13 i n i v)' 1001-P or more, -•-�-� occupancy. City/State/ZIP: - ) In _, _jt Q� �1 -J�Z _ ❑Six a more residential arils 1< Y J(�Li health-care facilities. ❑Recreational vehicle parks, Sltile/bldg•/apt.#I: Project name: 1 i 1 ) J 56}'U �___ ❑Hazardous locations. ❑supply voltage for more than p Service or feeder 600 amps or more. 600 volts nominal. C'ross street/directions to job site:99 fse t -to pl,ti'h y,C-P _ FEE SCHEDULE 22 ��,./1�t,_"' P--)10 � ' y��.� Description l QtY. I Each Total __..•_�_,_ CjVIJ _ v l ) tF-'b✓-. F�L l • New residential single-or multi-family dwelling mill, Subdivision:y3 1 I>i l�t„,..)'l't Q , Includes attached garage. 1,000 sq.R.or less I, 16854 4 Tax}nap/parcel 4: )Gj; 01 ti — @a.add'!500 sq.R.or porion �j 33.92 1 DESCRIPTION OF WORK Limited energy,residential �-G, , _ { ,/= p , y�1 gyp, , {with abuve sq.R.) 7500 2 .__ fes _ r - 2-1"`J 2-Ca � ,M - • ' Limited energry,multi-family VVV residential nee above sq.11.) 75.00 2 � � �� � , 4 Renewable Energy ❑ See Page 2 ® PROPiIRTY OWNER , I J TENANT Services or feeders installation,alteration,and/m•relocation N ame7pQ CR T1 �.-;e . - / ' Y-v"T r,,s 200 amps or less 100.70 2 • /� C, 201 amps to 400 amps ` 133.56 2 Address: (1 s-1 S 1)G/ S+. � fe ) f r2 Y V q �/f {/ , a Q p 401 amps to 600 amps 200.34 2 City/State/ZIP: vfT �1hd/vim'/I,j ' ( v` 'I U (p4�� 601 amps to 1,000 amps 301.04 • 2 Phone:GO)512�.•gog) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: PewTh,),-}-c, G2./ I. j ) relocation _ — Owner installation:This installation is being rna.e on properly that I own which is not 200 amps or less 5936 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 El 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 withal', rancceh circuit Address: 11815 NE 99th Street,Suite 1200 bnufee,Inst 56_18 2 brat _ _ 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 manutitctured or modular 67.84 2 Email:permits@bnildplh,com dwelling,serviceand/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle I_ 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Q Sec Page 2 2 Address:2920 SE Brookwood Ave,Suite A panel,alteration,or extension. City/State/ZIP:Beaverton,OR 97006 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr — Phare:(503)648-4552 Fax:(503)642-7925 Investigation{I hr min) 90.00/hr Email:mmorato@garnerelectric.eom Industrial plant(l hr ruin) — 78.18/hr - Inspections for which no fee is 90.0(1/hr CCB Lie.: 121159 Electrical L'•.: -305C Suprv.Lie,:31 bi s specifically listed(h hr min) _ ELECTRICAL PERMIT FEES Suprv.Electrician signature,require ' Subtotal: Print Warne: Chuck Garner ..e " ,:47' Date: to-I 9-f Y 0 Plan Review Required(25%of permit fee): tS .:,: State surcharge(12%of permit fee): Authorized signature: �L ilAi,., "fO FA",PERMIT FEE: Authorized !!l��t t This permit application expires if a permit is not obtained within 180 I Print name: ei } I fp, 1i �,/f di Date: (0 -r q_t clays after it has been accepted as complete. Y ! ' Number of inspections allowed per permit. I 13nitding'.PennirslEf.C_PennitApp itta Iiili doe rev unit 7/20/5 440-40157(I Ii05iCOhVWti3 Electrical Permit Application--City of Tigard Page 2---Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE - _-nr.scc.iporai ¢IY. Each Total I ^ 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 I Wind generation systems in excess of 25 kva: f1 --- — Burglar Alarm 25.01 to 50 kva 301.04 50.01 to 100 kvn 552 26 2 Garage Door Opener* >100 kva(lee in accordance 552,26 2 r with OAR 918-309-0040) — — — I -I H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System" Each additional kva over 25 7.42 3 Vacuum Systems* >100kva–noadditional charge 0.0 3 Each additional inspection over allowable in any attic shove: Cl O• ther: Each additional inspection is 66.25!hr I charged at en hourly(I hr min) — Inspections for which no lee is 9(100/hr specifically hated(Ye hr min) COMMERCIAL WORK ONLY: —� ELECTRICAL PERMIT FEES SubtoFee for each commercial system: $75.00 allowed pler peer on Page 1): ' Number of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: I I Audio and Stereo Systems ❑ Boiler Controls j Clock Systems Data"Telecommunication Installation I I Fire Alarm Installation HVAC 1 I Instrumentation U Intercom and Paging Systems —___-_- ---- - _ Landscape Irrigation Control* I Medical Nurse Calls Outdoor Landscape Lighting* Li Protective Signaling ❑ O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I t1aitdwg5Pennius.ELk,.i oInd App__ELR_ERE doe Rev 06/17/2011 1 Plumbing Permit Application Building Fixtures FOR OFFICE 1SE O`1.\ City of Tigard r EIN el.. Permit Permit No.: U 13125 SW Hall Blvd.,Tigard,OR 97223 • Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 f 12 9 , i ate Ready/By: Juris See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information E W .CITY OF TIG.ARD 5. , I ❑New construction 0 De For special information use checklist ittDING DIVISION Description I Qty. Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGQRT OF COI TRVt TION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 0 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:SE t,1 E,__ I Lp 2)9'2 C�,� ,i VIC,AVE7 Catch basin or area drain 18.76 'J / %J V G Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Willow Brook Manufactured home utilities 50.03 Cross street/directions to job site:99 West to SW Durham Rd Manholes 18.76 Rpm SW 113th AVE,R on Gabriel Rd 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 1 Lot no.:18 Fixture or item: Tax map/parcel no.: '2s 1c' j i 1 Backflow preventer 31.27 DESC H ON OP`�K Backwater valve 12.51 Clothes washer 1 25.02 SFR 3 bedroom 2 bath with 2 car garage,covered patio and entryway. Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 >: PRopERTY ?,' NER ❑ 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)573-8081 Fax:( ) Ice maker 12.51 tl APPLICANT as CONTACT PERsoN 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 990i Street,Suite 1200 Sink/basin/lavatory 3 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 2 12.51 E-mail:permits@buildplh.com Urinal 25.02 Water closet 2 25.02 CONTRAC'I;QR �. Water heater 1 37.52 Business name:Lippold Plumbing and Heating INC WaterPS/ ip m DWV 1 56.29 Address:PO Box 895 Other: 25.02 City/State/ZIP:Borning,OR 97009 Subtotal Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:201597 Plumbing Lic.no.:PB1416 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized si: a 4'/ / / - e..,(_. TOTAL PERMIT FEE Print name' 4( �" w 4/` 0v rii J e 1 ) Date: 10/18/18 This permit application expires if a permit is not obtained within 180 days i_" 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: e e al Fire Suppression em �t � �, u F �#oge T Footing drain-1"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' 37.52i tion ' Pelrmit ee• 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 each additional$100.00 or fraction thereof,to Qty. a Iea) Total Ot*r �, 4 #i 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*. QuantiV_V Fixture TypePlan`Review for Plumbing Installations Fixture Type for Replaces Plan review is required for any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font pp y Bath Tub/Shower CI 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 0 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. 4„ Riser Diagram � aarol Car Wash Drain ❑ 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 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:Uob Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 18\Perits 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: caul k Int 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 ■ City of Tigard * , Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 bra ndent@tigard-o r.g ov 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 Shannon 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<TigardBuildingPermits@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 q City of Tigard s • Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503}718-2449' brandent@tigard-or.gov From: Shanon Cherveny [mailto:ShanonC@BuiIdPLH.com] Sent: Friday, November 16, 2018 11:29 AM To: Branden Taggart<brandent@tigard-or.gov> Cc: Summer Dowell <SummerD@7buildplh.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.PacificLifestyleHomes.com www.GarretteCustomHomes.com 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 11111 City of Tigard 4 COMMUNITY DEVELOPMENT DEPAR'T'MENT T 1 G A R ti D Building Permit Review — Residential �� 1al i�- _my u -. s Building Permit #: Site Address: ° et() Project Name: J ` -e/0 &Dv Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Akio suite IC1 Verify site address /suite#exists and activejn permit system. 0 River Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached Sits Plan Elements: my ree(3)copies of site plan Vl F sting structures on site Drrite plan must be on 8-1/2"x 11"or 11 x 17"paper it ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) I�Ftrth arrow .,fl r elevations �!f v ty locations&easements (required for new and S address,project or subdivision name and lot number additions) lg plicant information(name and phone number) �q idewalk/driveway approach tl %t dimensions and building setback dimensions P` cation of wells/septic systems ,In uare footage of buildings to be demolished •testiting trees ato be retained with drip line,and tree Lot area,buildingcoverage4 •tection measures area,percentage of coverage and ri igtpervious area(applicable if R-7,7R-12,R-25&R-40) 0-Street tree eize,type and location roper corner elevations(2 foot contour lines if more than > Street names 4 foot differential) 1,000 sf of impervious area created or replaced es ❑No If es,is a storm water PIT° lean Water Services-Service Provider Letts of platted prior to 9/10/1995�uah facili shown? ►/•`eyes No wired: 0 Yes,applicant was notified No ): Public Facilities Improvement Received: ❑ yes ent(PFl) Permit: 0 No equtred: Yes,applicant was notified PFPo/3- -OCW G ❑ No Applied For: tlYes ❑ and Use Case#: -gNo,stop intake 0/zoning: /— �equired Setbacks: Front Rear andscape Requirement: .15.: <—<— Street Side // Garage -� it Coverage Maximum: 3_71 % EP Building Height: ) Maximum Height / j/ �� isual Clearance Actual Height [e IG sitive Lands: IPPYes 0 No Type ..e.;,, a Urban Forestry Plan t i .1..'1_,f- , A _ 0 Conditio s "Met" 'nor to issuanc of buildin• ermi i/'L ....7-re Notes: L � P drefrivarilifrAMAIr. 0Approved By Planning: L s ��• ' vi... _' Revisions (after Building Submittal only) R ie Date: �(� i Revision 1: 0 Approved ❑ Reviewer Date Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:lBuildingTonns\BldgPennitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: 0 411 nter building permit#above. Building LEn eere Permit Coordinator Workflow Routing: !I Planning � ig Workflow Sign-off: ►. Sign-off for Planning (include notes from planning review) Route Application Documents: Er 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. I Notes: �� _ lr' limy ��� , Date. __ZZ Technician: /t��%/moi By Permit Engineering Review [3—Slope at building pad: , 6VO [2C`onditions"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: 0 Yes p' NoNo Assess Water Quantity Fee in-lieu: 0 Yes 0. No LIDA Facility on lot: 0 Yes t-�i [[]�Fina1 Plat Recorded: 1�4 S ..if FU'ti�� c. h�0,�t.. oNv -r6,JA- of Date: 0 NOT Approved by Engineering: Notes: 4 ► ,r $ . , - Date: �-P�-�B E.--Approved by Engineering: . • MIDate Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: ❑ 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: /<63Wash Co Trans Dev Tax: Yes 0 N/A C Fees Entered: Tigard Trans SDC: F. es 0 N/A Parks SDC: ti.9.Yes 0 N/A LIDA 0 Yes 9.,N/A OK to Issue Permit �! 41 (-- Approved by Permit Coordinator: Date: I:Building\FormaildgPermitRvw_RES_010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16293 SW 113TH AVE, TIGARD, OR, 97224 March 12, 2019 at 9:30:49 AM Record Type: Record ID: Residential - Master Permit MST2018-00299 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16293 SW 113TH AVE, TIGARD, OR, 97224 March 12, 2019 at 9:30:47 AM Record Type: Record ID: Residential - Master Permit MST2018-00299 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16293 SW 113TH AVE, TIGARD, OR, 97224 March 14, 2019 at 10:19:01 AM Record Type: Record ID: Residential - Master Permit MST2018-00299 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide permit and approved inspection for landscape irrigation Backflow devise installed without permit. Provide approved plumbing final inspection. Provide city required documents for final inspection. Street tree certification Moisture content form High efficiency lighting form Any others with permit packet Provide missing street trees per approved site plan. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16293 SW 113TH AVE, TIGARD, OR, 97224 March 14, 2019 at 10:18:11 AM Record Type: Record ID: Residential - Master Permit MST2018-00299 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Corrections for gas and water tight cleanouts not done As noted on previous inspection. Remove condensate drain piping assembly collecting water underground next to foundation. OPSC 301 ,310,311 .1 Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16293 SW 113TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00299 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Condensate drain piping assembly removed. Backflow devise for landscaping ok. 1 " febco model 850, serial # HE27259 located left of driveway. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16293 SW 113TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00299 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 for contractor. Violation Summary: Inspector Contractor