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Permit (173) 114,..„ qCITY OF TIGARD MASTER PERMIT A. COMMUNITY DEVELOPMENT _ Permit#: MST2018-00361 T iGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2019 Parcel: 2S115AB00500 Jurisdiction: Tigard Site address: 11131 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: Project: Willow Brook, Lot 27 Project Description: New SF.7/30/19: REPRINT to add backflow preventer. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1357 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 3 Second: 770 sf Garage: 770 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2127 sf Value: $280,145.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2127 Owner: Contractor: PACIFIC LIFESTYLE HOMES PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11$15 NE 99TH STREET SUITE _ - -11818 N€99TH 8T#1200 1200 1 EfstTGntli 583-639-4475 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $31,185.34 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ��� � Permittee Signature: E-�- V k c' C\ 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. Plumbing Permit Applicatioip . , Building Fixtures FOR OFFICE USE ©NEI' City of Tigard Received Date/!3 \... Permit No.: `-y, ® 13125 SW Hall Blvd.,Tigard,OR 97223 y' \C � JT �� r 12.E t s $ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: TI G A R t� Inspection Line: 503 639.4175 Date Read/B Juris: El See Page 2 for Internet: www.tigard-or.gov hoo kk--.1 -� Notified/Met d: Supplemental Information ,, Iv ,-;,,-,L1,,,,, „ ° s ," , C a -- s a ,.µ i E New construction 0 Demolition For spedal information use checklist. 8rsffi Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: a ' , ew 1-2-family dwellings(includes 100 ft.for each utility connection) ii � c OCOTRU ,N < FR(I)bath 312:70,r ,2,6„p" 0GR ® I-and 2-family dwelling 0 Commercial/indust - \(') FR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.it.) Page 2 -a d . ITE" 1 Ii - L tau ''"2:14k6:-.�� , ,a O1t141[,.?y i A, ,a7ff 1 i5I (,, Site utilities: Job site address:11131 SW Gabriel St Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Willow Brook 27 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ♦) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Willow Brook I Lot no.:27 Fixture or item: Tax map/parcel no.:2S115AB08200 Backflow preventer 1 31.27 4 :�w° �d�r ro �ui,�. tills , - _ � :ill���P Backwater valve 12.51 uirSill� SC;LI ' .t OF C-,�',I CQIIt*'i1 `' �� "� Clothes washer 25.02 Back flow device added to permit Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 tip,; pit: � '.r ��� >.4,ji OP'ERTY 9..n �.-R ��m'm 10t C T 't � _.. Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Pacific Lifestyle Homes Floor drain/floor sink/hub 25.02 Address: 11815 NE 99th ST Suite 1200 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)573-8081 Fax:( ) Ice maker 12.51 _ u ..� �®i re � r" „ aP(�^ ;s F - "PBRSOh ; Interceptor/grease trap 25.02O , � ....Hto ' , _ i 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 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 --F4x::-060)-5744401 1241 E-mail:permits@buildplh.com Urinal 25.02 ^'�� iii2 ,. rRa illilMd� r6�L Water closet 25.02 5k"ih H -- vii' it '''...63WIL: �i6nm�.,: � �', ro� ,w"k.:- Water heater 37.52 Business name:Lippold plumbing and heating inc. Water piping/DWV 56.29 Address:PO Box 895 Other: 25.02 City/State/ZIP:Boring,OR Subtotal Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:201597 Plumbing Lic.no.:PB1416 Statesurcharge(i2%ofpeimit fee) Authorized signature:, ,_..?,f//t t,/Ill.f.,,C I,./l.i i(,i( ,,(', TOTAL PERMIT FEE 7' This permit application expires if apermit is not obtained within 180 days name:(:)"-lit '\,,n l k c k ` } v(" Date:7/30/19 P pis' p after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board, i/Viuilding\PcrmitalPLMU-PennitApp.doc 10/01/09 440.46 16T(t0/02/COM/wEn) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Sup•ression Systems: xis§Ite ti ,,,l' ,,,An', 0 1 ti's 1 y_ Total S444474 r 17 ° � ,,-t tree:-: Footing drain-le 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems Water Service-each additional 100' 37.52 } £ p ( . X11 uatll �l i�4�o �P,,OTT ttego �°�I�4 N :, �����II��I�I, �� '! 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 S72.50 for the first$5,000.00 and$1.52 for m� 4' ��� each additional$100.00 or fraction thereof,to lti%e>t ? Qty.: Itae(ca) ,�T Tatal;�, 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 t fixtures could result in increased sewer fees* Quantr fix,ture Typo � � � �4le�f0��]Olt12ng botallinll3_, ...e: fixture Type Replace/ Plan review is required for any of the following. Work Performed; Capped Added Relocate Baptistry/FontPlease cheek all that apply. Bath Tub/Shower 0 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 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities: -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 4ilmtletrig taker iia r'kir ry '477; Car Wash Drain Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food relatedthat meet the qualifications above. -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 t 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 27\Peknits and Inspections\Backflow added to permit.doc 74CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00361 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2019 T t c;A It f) g Parcel: 2S115AB00500 Jurisdiction: Tigard Site address: 11131 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: Project: Willow Brook, Lot 27 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1357 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 3 Second: 770 sf Garage: 770 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2127 sf Value: $280,145.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc!Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2127 Owner: Contractor: PACIFIC LIFESTYLE HOMES PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 99TH STREET SUITE 11815 NE 99TH ST#1200 1 Ersrt Cntrl 503-639-4175 1200 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $31,150.32 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 OA1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344. Issued By: Permittee Signature: / � 06)J Call 5 .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. Bailding Permit Application ' \IP D Residential .3 jFOR OFFICE LSE ONL\ D E C 2 38 Received Q City of Tigard Date/By: !a/3 /1-// / I O 9 I '/ III13125 SW Hall Blvd.,Tigard,OR 97223 CITY . .'GAR Plan Review y ' ® Phone: 503.718.2439 Fax: 503.598.1'1;Q�1'LL, e d+�. !tE'V°£'i v Date/By: kk liL T t G A R D Inspection Line: 503.639.4175 Date Ready/By: j" J� :0 See Page for Internet: www.tigard-or.gov gotified/Metho.. / 4l Supplemental Information l'J K'./!`"' fi S X $ '� li. f}. �l' Y fj { p :.F ,./ ., +: mr ,, `t,.'l{ „ fw,t4 x ifakf0 `qWI ''s'a?'u.-'' � `� `,,', ti i. ;,'e', A: µ, f �.. ' `l� i 8 ,.a.. A11 i 5 7 ,, {ger; �� v d-:::r'r'fi;`rTf ��-,; F��' f„;: hi>�{,8:/r � � .,v,. .,. �t„ y a �e .t'�,. :^,.'sf r.f, �,r5.' ,. ' � ,�`;,���, ,. , %�: , F ®New construction ❑Demolition Permit fees*are based on the value of the work performed.f Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the r 'Fr, F t � �- y! s i ' work indicated on this application. ® 1-and 2-family dwelling 111Commercial/industrial Valuation: El Accessory building El Multi-family Number of bedrooms: ?J El Master builder El Other: Number of bathrooms: 3 � , , e27/ Total number of floors: 2 ,.,,F ,,,.z r .,f,,,.a�, r,F.,,.. ..�, .,,. ,�„ ,:':,.., ,,,, .: .. . „r,..,,,,;,,,,,,,,,i, „-;,c,..,..-,-:/ ,..,,,:::',w „ Job site address:11131 SW Gabriel ST New dwelling area: 2127 square feet 77 b City/State/ZIP:Tigard,OR Garage/carport area: 590 square feet 136-7 Suite/bldg./apt.no.: Project name:Willow Brook 27 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area square feet 1' 'it_ l DAT toi`I is lry ® z. Subdivision:willow brook Lot no.:27 Permit fees*are based on the value of the work performed. Tax map/parcel no TBD Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the a 1 t ' a work indicated on this application.j, py , ox , SFR 4 bed 2.5 bath with 3 car garage.covered patio and entryway. Valuation: $ Ltr!; Dern° i:Irp 4, .�. Existing building area: square feet ll 00.29 E,�u New building area: square feet ' f � s{r ,,i ,,,,3e ,, NT Number of stories: Name:Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99th Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax:(360)574-6401 New: L,m 'a # ',A ' , ,€ �� .., �•aACT .., . ,, , , ';� ,, d t,1 . F �. ,,, t � Business name:Pacific Lifestyle Homes ' • ' 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 i,# Q i Viz: E-mail:permits@buildplh.com f £ # 1 Commercial and residential prescriptive installation of ' % . , , 0 s, 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%o of permit fee): $21.60 CCB lic.: 173524 Total fee due upon application: $201.60 Authorized signature: ✓ >> v`r/ /AA to /S�_ )�� This permit application expires if a permit is not obtained ��(J/L/ within 180 days after it has been accepted as complete. Print name:Summer Dowell Date:12/3/18 *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 USE ONLY City of Tigard Received Permit No.: INDat13125 SW Hall Blvd.,Tigard,OR 97223 e/By: _ Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical [WARD Internet: www.tigard-or.gov I=1Other: 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 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 ❑ 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: . ❑ 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 ❑ 6 Sewer permit. El ❑ 0 . 7 Water district approval. 0 ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 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, ❑ ❑ ❑ 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. I" 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ ❑ 1Exterior 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- ❑ ❑ ❑ 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 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss desig'—n details. 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 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 ❑ ❑ ❑ 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 ❑ ❑ 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. ❑ 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. ❑ ❑ ❑ 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. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 CIincluding 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-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY c City of Tigard Received Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Iii Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: kris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information g,%;,r' t x ey, t .. r".1''ak' 9` w1 8% ' x ' k` ,^".sal r: : r r .r ,t' P W/0.,•144,1,;,,,,,.* Y ',t F:,d .I S aiskoi �,� 'I' '� t*.` ' r �` Mechanical permit fees*are based on the value of the work ®New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. -^ Value:$ 7' g ° / off* QTM4,� � .04 �{e. •$ r4+ 0„,,,,,-4,,,,,/,,,--, IF.�s;.� . -.r n,,�.. a .,,. t . sz r e ' '@!�” 8 ES i1' "'31,'i1. ✓^'; ® 1-and 2-family dwelling El Commercial/industrial El Accessory building For special information use checklist. El Multi-family El Master builder ❑Other: Description Qty. Ea. Total l t"'4 dal✓ Heating/cooling: ..<,, Air conditioning 1 46.75 Job site address:11131 SW Gabriel ST Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump � 61.06 Suite/bldg./apt.no.: Project name:Willow Brook Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Willow Brook Lot no.:27 Other: 23.32 Other fuel appliances: Tax map/parcel no.:TBD Water heater 1 23.32 i dd i4 Gas fireplace/insert 1 33.39 ` " `"`" ''''''''x'''"" "' Flue vent for water heater or gas SFR 4 bedroom 2.5 bath with a 3 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 ;t f 7 ''' Other: 23.32 : ', ,, '14.1 1",, .M !;''''','''':'1::;'4'4:;:':-; Environmental exhaust and ventilation:, : Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 Address:11815 NE 99t'ST Suite 1200 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32 e O , 4iR 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. 1 Address:11815 NE 99th Street,Suite 1200 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater 1 Phone:(360)573-8081 Fax: :(360)574-6401 Fireplace 1 Range 1 E-mail:permits@buildplh.com Barbecue 1 '%r,',4:Z-,5.j':'::?,::'.i'q:;!W:aq'::F1,M.Pt'4's:::;'<:''q/V':''''r'i'l':-Vq'';i '. !:'MeNit /i';'Y'R'IeI Clothes dryer(gas) Business name:Area Heating+CoolingOther 2, ) ut r ai ' 3Cl .03ClAddress:2721 NE 65"'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 j q days after it has been accepted as complete. Authorized signature ,..• / / / / �C * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date: 12/3/18 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: $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 Electrical Permit Ajjapi FOR OFFICE USE ONLY City ity Of Tigai'ti Date/By Permit i! `t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review — ---_—._ ti S Phone: 503.718.2439 Fax: 503.598.1960 Received Date/oy: Related Permit ft: TIGARD Inspection Line: 501639.4175 Ready Date/By: Curls. LSI See Page 2 for Internet: www.tigard-or.gov Notified/Method „—T Supplemental Information TYPE OF WORT{ PLAN:REVIEW- ® New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked). 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Deniolitlort ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® I-and 2-family dwelling 9 Commercial/industrial 9 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps Mr all other installations. buildings. 9 Multi-faintly 9 Master builder 9 Other: ❑Fire pump. 0 Installation of 150 K VA or JOB SITE INFORMATION AND LOCATION • 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job)!: .lob site address: I00HPor more. 1 7 ❑Six or more residential units. occupancy. C Ill/Sl lte(Z I1" '( ------ 4_01 ----. ❑Health-care facilities. 0 Recreational vehicle parks, .__. .._a Project (A.)t 1 1 �roo L. •- — 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg,/apt. 0: I tujcct name: vv " L j ------------ — 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE • Description _...1_ 5101 1 "_,- New residential single-or multi-family dwelling unit, Subdivision: Includes attached garage. Suhthvtston: 1 � � NC—, Lot 0: �,� W _4�...`.-'_ — — 1,000 sq.R.or less i 168.54 4 Tax map/parcel#: tD ]a.add't 500 sq,ft.or portion~v_? 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 0 (with above sq.ft.) / 75.00 2 ��Y ,?� -' Z' :�. _ cur _ Limited energy,multi-family e ' 0 '. � l - residential(with above sq.0.) U v Renewable Entergy D See Page 2 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: , >_ CAd 'L / �� 200 amps or less 100.70 2 Address: �, � ); 4 ) 'f C3�. & -�-Q D-07) 201 amps to 400 amps 133.56 2 S -4\) 9 401 amps to 600 amps 200.34 2 City/State/Z1P: n-�L _� ii— 601 amps to 1,000 amps 301.04 2 Phone:( ®) i 9- -gpg t J Fax:( ) — Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Finan: relocation _ Owner installation:This installation is being made on properly that I own which is not 200 amps or less 59.36 I intended for sale, lease, rent,or exchange, according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: __..._Date: 401 amps to 599 amps 168.54 2 ® APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Pacific Lifestyle Homes above service or seeder fee, 7 42 2 _. each branch circuit Contact name: Permit Coordinator B.Fee for branch circuits hideout service or feeder fee,first Address: 11815 NE 9911i Street,Suite 1200 branch circuit 56.18 2 City/State/ZIP: Vancouver,WA 98682 Each WV branch circuit — 7.42 2 Miscellaneous(service or feeder not ineluded) Phone:(360)573-8081 Fax: : (360)574-6401 Eaeh manufactured or modular 67.84 2 Email:permits�buildplh,eorn 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 ❑ 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(1 hr min) 90.00/hr Entail:mmorato®garnerelectric.com Industrial plant(1 hr thin) 78.18/hr _— Inspections for which no fee is 90,00/hr CCB Lie.: 121159 1 Electrical 1.'l.: -305C Suphv..Lie.:'31 o1 S specifically listed(V/hr min) - . ELECTRICAL PERMIT FEES Suprv. Electrician signature, require 1 Subtotal: Print name: Chuck Garnert‘..6,-- ` $ Date' )` Qr 0 Plan Review Required(25%of permit fee): �) .1-00, N � f L/� . �,•, Stale surcharge(12%of permit fee): Authorized signature: 'L `,4 _ I'O'fAl,PERMIT FEE: r /� j ^ ' ` _ This permit application expires if a permit is not obtained within 180 I Print name: I• lA/ j5jk T a y 1 di Date: 1 L'�! 1 t days after it has been accepted as complete. !!! { MMM___SS3....0 l 1 I 1 Number of inspections allowed per permit. f nailding'Permits\ELC_PerinttApp tali._ERH doe Rev 06:1712015 440-461 ST(I Ii05iCOM Vlin Electrical Permit Application--City of Tigard Page 2--•Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: - FEE.SCHEDULE ez pillion QIY•� Each 1TIMM 1— Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less _— — 10()70 2 5.01 to 15 kva 133 56 2 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 ken: ----Burglar Alarm 25.01 to.50 kva 30104 2 50.01 to 100 tea 552.26 2 Garage Door Opener* >too kva(lee in accordance 552,26 with OAR 918-309-0040) 7 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: J Other: Each additional inspection is (16.25!hr —_..._ charged at an hourly(1 hr min) _- - Inspections for which no lee is 90.00/hr specifically listed(%lir min) COMMERCIAL WORK ONLY: ELECTRICAL PER)ViI'I' FEES Fee for each commercial system: $75.40 Subtotal(Enter on Page I): (SEE OAR 918-309-0000) Number or inspections allowed per permit. Check Type of Work Involved: Audio and Stereo Systems n Boiler Controls I I Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC Instrumentation Intercom and Paging Systems II Landscape Irrigation Control* I I Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I tding\permits.LLC„per mit App_L-LR_ERE doe Rev 05/17)2015 a Plumbing Permit Application • Building Fixtures FOR OFFICE LSE ONEv Cityof Tigard Received gPermit No.: Y 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Pl Phone: 503.718.2439 Fax: 503.598.1960 an Review Date/By: Other Permit No.: D T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information "- r? E ,, rr f`%k f^ x r f f3 f s r r r x r ,,.>xx mt%... v3y r"'C ytt r" &;�S rf bi` �; 2 „ ! if fi5 f .f � f %" :/ l ,"`^vk�I/,.:,�X'.' � r�W 5' olirr„ w.� '{'` ...s;1: W,2 Y ' ,,, l'h fy`z ;v'�d3 .1 , ; ;x # r ,i r4.; t � +91rt'.,'�;': r rf ? "r O New construction 0 Demolition For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) r� ;-? Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: b Jsy 1 7 irf1e.1 , -;°1:00,--54'515'50140445.141. . Footing drain-ls`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 r e � 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 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*. Fixture Typefor 9uantity by Fixture T , ° ! RePlace Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 111 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 0 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. -3" Car Wash Drain . ., Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 27\Pe knits and Inspections\PLB PermitApp.doc Agnes Lindor From: Agnes Lindor Sent: Monday, October 29, 2018 11:06 AM To: 'Summer Dowell' Subject: RE:Willow Brook Hi again- Lot 1 the site plan needs to be revised.The site plan needs: - Correct number of street trees and species, - Correct square footage - Vision clearance triangle. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tigard-or.gov From:Agnes Lindor Sent: Monday,October 29, 2018 11:03 AM To:Summer Dowell<SummerD@buildplh.com> Cc:Albert Shields<albert@tigard-or.gov>;#CD PoD<CDPoD@tigard-or.gov> Subject:Willow Brook Hi Summer- Please make sure that all of the site plans have all of the required items: - Required street trees, on-site trees including species for each listed - Vision clearance triangle on the corner lots - Correct addresses(either off of 113th or Gabriel) - Finished floor elevations - Correct lot area square footage We took in the ones that were submitted today and added the items listed above to the plans, but please make sure that they are included on the plans next time.Also,we are going to hold these until we get the revised recorded plat with the correct street name. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 1 Phone: 503.718.2429 Email: AgnesL@tigard-or.gov 2 Sorry,everyone is leaving for the day. I will try tomorrow when I am the Planner on Duty; if there is a time tomorrow that works for everyone,then I can bring this up in an impromptu meeting. Sincerely, Sam Copelan Assistant Planner City of Tigard; Community Development 13125 SW Hall Boulevard Phone: (503)-718-2450 Email: Samuelca,tigard-or.gov From:Summer Dowell<SummerD@buildplh.com> Sent:Wednesday, December 5, 2018 4:40 PM To:Samuel Copelan<samuelc@tigard-or.gov> Subject: RE:Willow Brook Lot 1 Thanks for the heads up, I appreciate you helping me consolidate my trips! Q Any chance one person can give you the go ahead, instead of waiting for the meeting, so that it's not sitting for a week? Summer Dowell Permit Coordinator Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestyleHomes.com www.GarretteCustomHomes.com 360-213-0813 I SummerD@buildplh.com "Our Mission is to create an exceptional new home experience." From:Samuel Copelan<samuelc@tigard-or.gov> Sent:Wednesday, December 05, 2018 4:37 PM To:Summer Dowell<SummerD@buildplh.com> Subject: RE:Willow Brook Lot 1 Every jurisdiction differs in the way that permits are routed,and in Tigard, Planning is the first to sign off on a building permit application.Once Planning is able to sign off,then we can route to Building. I will notify you when Lot 1 is ready to be routed to Building so that you can hopefully consolidate your trips. Sincerely, Sam Copelan Assistant Planner City of Tigard;Community Development 13125 SW Hall Boulevard 2 4 ib Phone: (503)-718-2450 Email: Samuelc(atigard-or.gov From:Summer Dowell<SummerD@buildplh.com> Sent:Wednesday, December 5, 2018 4:31 PM To:Samuel Copelan<samuelcCa@tigard-or.gov> Subject: RE:Willow Brook Lot 1 That sounds great! Any chance you can let me know if it's still proceeding with the building review while we wait to verify the tree issue? Thanks, Summer Dowell Permit Coordinator Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestyleHomes.com www.GarretteCustomHomes.com 360-213-0813 I SummerD@buildplh.com "Our Mission is to create an exceptional new home experience." From:Samuel Copelan<samuelc@tigard-or.gov> Sent:Wednesday, December 05,2018 4:23 PM To:Summer Dowell<SummerD@buildplh.com> Subject: RE:Willow Brook Lot 1 Hey Summer! Unfortunately I won't be able to have everyone convene until Tuesday during our staff meeting. I can then give you a call or send you an email on Wednesday morning.Will that work for you? Thanks, -Sam Sam Copelan Assistant Planner City of Tigard;Community Development 13125 SW Hall Boulevard Phone: (503)-718-2450 Email: Samuelc@tigard-or.gov From:Summer Dowell<SummerD@buildplh.com> Sent:Wednesday, December 5, 2018 4:01 PM 3 To:Samuel Copelan <samuelc@tigard-or.gov> Subject:Willow Brook Lot 1 Good afternoon Samuel, I know you wanted to follow up at a meeting in regards to the trees on this lot making sure the root system wouldn't impact the patio.Were you able to do that today?Also can you let me know where this lot is at in the review process? Thanks, Summer Dowell Permit Coordinator Pacific Lifestyle Homes, Inc./Garrette Custom Homes www.PacificLifestyleHomes.com www.GarretteCustomHomes.com 360-213-0813 I SummerDPbuildplh.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." 4 City of Tigard IIr COMMUNITY DEVELOPMENT DEPARTMENT e T 1 c n la Building Permit Review — Residential Building Permit #: 57"- 0/ C---- 7 3 7 Site Address: 1 l 131 S V G-0‘64 d cf• Project Name: \11I Ai 61r2.:11/4-1' Lot #: - (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review q h I l Proposal: �t, �� 1.. I , l.c bel-11 ,3 S Car �ar"It. Ce:rvt1 f1A f1 c^,J .-A-\r7 1,.1 yerify site address/suite# exists and active)n. permit system. R' River Terrace Neighborhood: o ❑ Yes,See River Terrace Review Addendum Attached Sitelan Elements: ree(3)copies of site plan 'sting structures on site S. e plan must be on 8-1/2"x 11"or 11 x 17"paperFootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) fl..r elevations rth arrow f/ ,tility locations&easements(required for new and additions) address,project or subdivision name and lot number T4 Sidewalk/driveway approach .plicant information(name and phone number) Location of wells/septic systems Pi Lot dimensions and building setback dimensions Xxisting trees to be retained with drip line,and tree I&. uare footage of buildings to be demolished protection measures QCot area,building coverage area,percentage of coverage and Street tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) XStreet names 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? e ❑No �4 foot differential) If yes,is a storm water quality facility shown? s ❑No 1:1 Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified L1 No Received: ❑ Yes ❑ No L/I ublic Facilities Improvement(PFI)Permit: Required: V/Yes,applicant was notified ❑ No Applied For: [i Yes ❑ No,stop intake uf,Land Use Case#: SUi?2,016"-00011 L--9 Pr/,2,2l1_OOa Int Zoning: 11.4 pRequired Setbacks: Front dJ Rear IS Side S Street Side fv j- Garage 2,0 121 Landscape Requirement: 2o % 0 Lot Coverage Maximum: 8 0 /I4 Building Height: Maximum Height 5 Actual Height ZS Visual Clearance Sensitive Lands: X Yes ❑ No Type I.2v040 .p�.i-.G VA lute/VIG1 lirti- 0❑ Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /1/1 L r1 ,. V\ -!--- Date: 1 2-/ ?I / I S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved I:\Building\Forrns\BldgPernutRvw REs 061417.docx Building Permit Submittal j // Original Submittal Date: / /3 f ((1 Site Plans: # Building Plans: # �. Building Permit#: I, rater building permit#above. Workflow Routing: ►e+'lanning Engineering 0 ..,. .1.- mit Coordinator , B ilding Workflow Sign-off: i Sign-off fo lanning(include notes trom planning review) Route Application Documents: i Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ■ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: //A . c,I. ,, Jji Date: 7 i Engi eering Review IL'ArSlope at building pad: C)% 2"-Conditions"Met"prior to issuance of building permit LJ/Easements (encroachments)per engineering conditions of approval and plat al-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2--No Assess Water Quantity Fee in-lieu: ❑ Yes C3'No LIDA Facility on lot: ❑ Yes 217No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Er-Approved by Engineering: i s y-,e- Date: /-cj -i q Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: R *sion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: I�Yes ❑ N/A Tigard Trans SDC: 2 )Ls ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes VN/A OK to Issue Permit Approved by Permit Coordinator: Date: //CV,/ I:\Building\Forms\BldgPermitRvw_RES_010118.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 01 III Transmittal Letter r',JAR Il 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION t 1 i,,:' ' _' J MAR I 9 2019 FROM: —.— t Cts U ( -e LC i 40.4i?)--; ' COMPANY: 4, -4 / / at ,,,,,__ ,ezn,A , „_ _,1 PHONE: 111 0 ' c3- 5 • V ) C) ( By' /G " RE: 1/3 1 .511 6 e 4 0 At st,L0/1-'P0 l (Site Addr s) (Permit Number) POI I lata l'IYO, t 2-'1 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. ) & Revisions: D SS ' kilk,13 , Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FO OF CE USE ONLY Routed to P echnician: Date: 3/-42;:. ( Initials: /�'U^1" Fees Due: Yes ❑No Fee Description. Amount Due: $ ( ( S �- ��' Q--t� $ t 5.-oo $ S <P 5k .i. C$ Special tr....._ R ksx,,^S t Instructions: Reprint Permit(per PE): ❑Yes ❑No ❑ Don- Applicant Notified: Date: g/?1lGJ Initials: m I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11131 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00361 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11131 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00361 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No ac installed. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11131 SW GABRIEL ST, TIGARD, OR, 97224 August 9, 2019 at 11 :53:54 AM Record Type: Record ID: Residential - Master Permit MST2018-00361 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Insulation certification verified. Duct seal test report received/verified. C of 0 left on counter. Violation Summary: Inspector Contractor