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Permit (23) CITY OF TIGARD71 a ' MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00052 T I(;,l I I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 Parcel: 1S135AA03800 Jurisdiction: Tigard Site address: 8879 SW ELENA LN Subdivision: OAK STREET CONDOMINIUMS Lot: Project: Oak Street Condominiums, Lot 22 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 550 sf Basement: 114 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 536 sf Garage: 450 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1200 sf Value: $164,295.30 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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 add!500 sf: 2 201-400 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. V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet NEW SFA VB R-3 1200 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 2 1-Hour Fire Proofing 3 2-Hour Fire Assemblies PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $22,388.56 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- 1-0090. You 'ay obtain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.44 Issued By: �.� ./i / " Permittee Signature: lJ('(' GIi�GG (ice, Call 503.639.4176 by 7:00 a.m.for the next available inspection date. I 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 Ap• *,«,,..,,,,..i , Residential FEBOR OFFICE USE ONLY z �F City of Tigard FEB B 2 O` Received DateB /A , ivpm.u>,iy��.. Ill _ • 13125 SW HaII Blvd.,Tig 7223 T4I"7 m N g Plan Review /� Phone: 503.718.2439 9SlJ d9 Date/B : D �_v i�y�orztJ Inspection Line: 503.63 r `."" 91 Date Ready/By: hui,. T I G A R p P Y Y l See Page 2 for Internet: www.tigard-or.gov Notified/Method:9 �Q /7 ��T Supplemental Information?g/I 1 GS rfte111,,i'., .r 4,,i:,-.!.*...:., ..i ..t: ' .-4::,',,,,TYPE Q WORK..g .� a. R�.: ; i: ° , ., iREQLIIRED DA �FAMIL t WELLIPItT ®New construction El 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,overhea ,an the profit for the g ,I fit' work indicated on this application. i kp'' 2q s- , . :, _ ,.,_ .. . CA EGCTRYsOF CO STR Ol41 :. l w°. _:4-.,x'.,,1 PP ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ -4182:ter ElAccessory building ®Multi-family Number of bedrooms:2 ❑Master builder 0 Other: Number of bathrooms 3 1(, 5 ct �OB STTE.:INFORl1I iiiii4 AND d6 3 Total number of floors:3 ilk( Job site address:8879 SW Elena Lane New dwelling area: 1200 square feet 63142 City/State/ZIP:Tigard, OR 97223 Oa !C S 7)-ze. Garage/carport area:) om,Lj5O square feet c b fl Suite/bldg./apt.no.: Project name:Tousl13tCe Condominiums Covered porch area: square feet 1 ` Cross street/directions to job site: Deck area:% ? square feet Other structure area: 7 square feet REQUIRED ATA CO CIAL S CC EECKL,IST Subdivision: Lot no.:22 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all _ equipment,materials,labor,overhead,and the profit for the WJ .i _ DE o I o `WOR ��� 't�.. . :x: .. 14;44,-; work indicated on this application. NSFR attached Valuation: $ Existing building area: square feet New building area: square feet �.. s ,L.,,,,,:„.o : : ,i �] TN 4,-,4 Number of stories: Name:Lennar NW Inc. Type of construction: Address:11807 NE 99th St. #1170, Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:( 360)258-7900 Fax:( ) New: 4 VS, ..:;:4:E,J �PLICANT [,� ONT T PER O : �r ,tete- - _� _e,��4 _- p� p °meek. 3. �._ $C—„,4 P]Elt ES - 7,740:::1E::" (Please efer to fee ceh 31.. .: 4... Business name: Lennar NW Inc. Structural plan review fee(or deposit): Contact name: Juls Call FLS plan review fee(if applicable): Address: 11807 NE 99th St.#1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)258-7906 Fax::( ) Amount received: 1'H Eo1oL3At.411* SYS FE E-mail:juls.call@lennar.com �.._�. -,�.. N.�����. ,.°_� �_3� � :VA;: O x i, Commercial and residential prescriptive installation of . i .- � •:' _ . �. - .;,•, *. 1';•.. roof-top mounted PhotoVoltaic Solar Panel System. Business name:Lennar NW Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:SAME AS ABOVE Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Iic.:195307 Total fee due upon application: $201.60 Authorized signature: i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Juls Call ` Date:1/7/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Peimits\BUP-RE ° tApp.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 Date/By: No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated: ermits: I Phone: 503.718.2439 Fax: 503.598.1960 P I I G A ti U 24-Hour Inspection Line: 503.639.4175 ElElectrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW res 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. © ❑ ❑ 4 Fire district approval required. Name of district: El ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ El 6 Sewer permit. ❑ 0 ❑✓ 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. El ❑ ❑ 9 Erosion control ❑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 Er 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 viol^''-,,,<,v st. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if f ' ❑ 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 D 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ 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 ❑ 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- ❑ ❑ ❑ 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 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 El ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. © ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required Izi ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑? ❑ 0 architect licensed in Ore•on and shall be shown to be a,tlicable 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. ❑ ❑ ❑ 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. ❑ ❑ ❑ 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 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\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applic. 11.1111 CEIVED rOlz Orrl( l: l s, Uyl l City of Tigard Received Permit Date/By: Pit NT? ,C l-" - 14 . A 13125 SW Hall Blvd.,Tigard,OR 9722365 P R 1 5 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.19 0DateBy: Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD Ready/By: Page I C.n K[� Date Read B Jure ® See P e t for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special infonnalon use checklist ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 8879 SW Elena Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:Cornerstone Condominiums Lot no.:22 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OP WORK Gas fireplace/insert 33.39 ' Flue vent for water heater or gas NSFR attached fireplace _ 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent _ 23.32 ,'+'+'-'+----+-2- zwptrir .1 Other: 23.32 Environmental exhaust and ventilation: Name:Lennar NW Inc. Range hood/other kitchen equipment 33.39 Address:11807 NE 99th St. #1170Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver, WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(360 )258-7900 Fax:( ) Attic/crawlspace fans 23.32 " F F Other: 23.32 Business name:Same as above Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:JuIS Call Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax: :( ) Fireplace Range E-mail: juls.call C(�Iennar.com Barbecue 'l"`C1AC1It» Clothes dryer(gas) Business name:HeatGuy, LIC. Other: MECHANICAL PERMIT FEES* Address:5215 NE 282nd Ave Subtotal City/State/ZIP:Camas, WA 98607 Minimum permit fee($90.00) Phone:(360 253 4822 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:187461 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ,_ / _ days after it has been accepted as complete. Authorized signature: ' * Fee methodology set by'Fri-County Building Industry Service Board Print name:Corinna Fri Date:04/15/2019 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: Total Valuation:. Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\'ermits\MEC_PermitApp_040113.doc 2 Electrical Permit ApplicationRECEIVE. 1•014 01 1 SI. ONL) City of Tigard Received 1111 13125 SW Hall Blvd.,Tigard,OR 97223Plan R APR 1 5 2019 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: T 1 G A R p Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUII DING DIVISION TYPE OF WORK PLAN REVIEW.: . . _ , ®New construction 0 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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 8879 SW Elena Lane ❑Addition of new motor load of system. 100HP or more. ❑"A","E City/State/ZIP: 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Cornerstone Condominiums Lot#:22 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4 Ea.add'l 500 sq.ft.or portion 1 33.92 1 ` DESCRIPTION OF WORK Limited energy,residential NSFR (with above sq.ft.) 1 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) la j 0 TENANT 2 PROPERTY OWNERServices orRenewable feedersEnergy installation,alteration,❑ SeePage and/or relocation Name:Lennar NW Inc. 200 amps or less 100.70 2 Address:11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360 )258-7900 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT I 0 CONTACT 'E tSON Branch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name:Juls Call B.Fee for branch circuits without Address:Same as above service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )258-7906 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:juls.call@lennar.com Reconnect only 67.84 2 . . ,i l�,7,.n 7 .i AY z,-•. �.. _ . _.,.-... �._•.... » . . __z_ Pump or irrigation circle 67.84 2 Business name: Three Phase Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 11490 SE Jennifer St panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Clackamas, OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503) 908-8058 Fax:(503 ) 762-1823 Investigation(1 hr min) 90.00/hr Email: permits@ThreePhaseElectric.com Industrial plant(1 hr mm ) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 6379S sPecificallylisted(`/2 hr min) r Suprv.Electrician signature,required: Ve �cv.,,. 't L,._ �� _ Subtotal: Print name: Robert Lane I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY; FEE SCHEDULE '- Description I Qty. ( Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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 kva: ❑ B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n G• arage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ 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: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Y:hr min) CO IME LCIt L WORKO Y. % ICAL PERMIT FEES, :r w 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: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n 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:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Appli 1‘f_-- Building Fixtures FOR OFFICE 1141'. ONL.l' City of Tigard E �' Received /�1J4. III M 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.: iS�00Ps� 0 Phone: 503.718.2439 Fax: 503.(`8 1 'l a` e' " `� PDate/BV. "' Other Permit No.: Inspection Line: 503.6394175 ,em I N. l � DateRe-ad: By:TtcnlD Jtoir. Bl See Page 2 for Internet: www.tigard-or,gov Notified/Method: Supplemental Information : : TYPE OF'WORK. TEE*:SCHEDULE ' ®New construction ❑Demolition For special tufan»ntion use checklist, Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ID 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 43738 SFR(3)bath 1 50032 ❑Accessory building ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ,JOB SITE INFORMATION AND LOCATION • Site utilities: Job site address: 8879 SW Elena Lane Catch basin or area drain 18.76 City/State/Z1P:Tigard, OR 97223 Drywelt,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 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 It.: ) Page 2 Subdivision:' Lot no.: 22 Fixture or item: Tax map/parcel no,: Backflow preventer 31.27 . ... . DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fotmtain 25.02 Ejectors/sump 25,02 ®.PROPERTY`OWN ER 1 0 TENANT'..: - Expansion tank 12.51 Name:Lennar NW Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25,02 Address:11807 NE 99th St.#1170 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)258-7906 Fax:( ) Ice maker 12.51 ,:0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Lennar NW Inc. Medical gas(value:$_ ) Page 2 Primer 12,51 Contact name;,JUls Call Roof drain(commercial) 12.51 Address:SAME AS ABOVE Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62,54 Phone:( ) Fax::( ) Rib/shower/shower pan _ 12.51 E-mail:juls.call@lennar,com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Li t7(z.0-H- 5 eiCUl C-& Water piping/DWV 56.29 ! Address: © J W(54y{crr c 6,1..17,t1 2-;uec . v c Other: 25.02 City/State/ZIP: Tctj .,�.c,i(a(e,_ ()j q 70 6C) Subtotal ($ j) C r 7 .. { i ' (5O3) 6 tJ -7_4' ' Minimum permit fee: $72.50 Phone: d Fax: // p Plan review(25%of permit fee) i CCB Lie.: (4 Z 22.0 Plumbing Lk.no.:7,6-Spis _ State surcharge(12%of permit fee) i 1-g \/4.0/\__ Authorized signature: TOTAL PERMIT FEE Print name: t l (A/'1 e V9-e-,r Date: i Z s( J t t y This permit application expires In permit is not obtained witltln ISO days f after it has been accepted as complete, "Fee methodology sot by Tri-County Building Industry Service Board. I:iDuilditigtPermitsAPLMG-PermitApp.doe 101011t19 410-461o'rt10102/CO\UWED) i E i ! • Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-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' 37.52 Valuation: Permit Fee: Storm 8;Rain Drain-1 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 Other Inspections or Fees Qty. Fee(ea) Total 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to anddincluding$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. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font Bath Tub/Showor 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 OAR9 18-780-0040. 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. -3" -4„ Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagramis required for new buildings Garbage -Domestic-non-food • -food9 Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related lee Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -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: C:1Users\JuCall\Down1oadsWPLMF PermitApp.doc 2 City of Tigard E 1 . COMMUNITY DEVELOPMENT DEPARTMENT ARD Building Permit Review — Residential Building Permit #: 52 .n Y;: -i=-.s Site Address:' ; ) Le,$7,0 kcoil_t Project Name: vi 47 ( r dor PA04;_e c-Ne (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: ,2,2_ Planning Review Proposal: Jhil 3/( /',/,'7 ,.-- --7.0:5 E:,' Si irE-- fil Lithi .6(24-&1/1/6_ lETI Verify site address/suite#exists and activ ' permit system. kl►!�River Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached rSit lan Elements: ee(3)copies of site plan Existing structures on site lUbSate plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished txawn to scale(standard architect or engineer scale) floor elevations arrow \4X Utility locations&easements(required for new and additions) c Si e address,project or subdivision name and lot number 1� plicant information(name and phone number) Sidewalk/driveway approach Location of wells/septic systems Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree []Square footage of buildings to be demolished \n( ❑Lot area,buildingarea, protection measures l�(� coverage percent�of coverage and eet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names ❑Property corner elevations(2 foot contour lines if more than >1,000 sf of imperviousd? NJ Yes ❑ 4 Joos differential) area created or replaced? No( If yes,is a storm water quality facility shown?ry`� Yesit�lNo Clean Water�rvices–Service Provider Lett of platted prior to 9/10/1995): `� No Received: Yes 0 No quired: Yes,applicant was notified \'�� ublic Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified No Applied For: 0 Yes 0 No,stop intake 1d Use Case#: 44Q c polling: M �I �e966,-2_ . lieu aired Setbacks: FrontfrRear j dscape Requiremen42t: �G� � Side _ Street Side Garage PrjBof Coverage Maximum: () % uildin Height aximum ���— Visual Clearance Height l Actual Height \3\ Sensitive Lands: 0 Yes 0 No ban Forestry Plan cli Conditions ` et" 'nor • iss . ce of buil.' Notes: t 9 ' v -pe.. , Type r ABIFIWINNIffaury.., /I ' –9 Approved By Pl i .. : C �, Date: 211Ji Revisions (after Bu' ing Submittal only) Revision 1: Approved 0Re to Not Approved *----s. !i c� f Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPennitRvw_RES_061417.docx Building Permit Submittal // Original Submittal Date: a (1 l(, ## Site Plans: 3 Building Plans: Building Permit#: Enter building permit!,`above. Permit Coordinator Building Workflow Routing: `r�'�►rilanning Engineering Workflow Sign-off: I Sign-off for Tanning(include notes from planning review) and Route Application Documents: [ Engineering: (1) copy of permit application,(1)site plan, (1)building plan original plan review routing form. `Yii Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: AmyA By Permit Technician: %,,���1_►/_�i . ���%- •ol' Date: Engineering Review 2d ,E1- Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat L -Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: 0 Yes - 41 No Assess Water Quantity Fee in-lieu: 0 Yes JD-No LIDA Facility on lot: 0 Yes JD-No ❑ Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: ate Date: 2 19 / Approved by Engineering: 4 ,---,z---- Lkiii.„ Revisions (after Building Submittal only) Na.w ex ' Revision 1: ,f Approved 0 Not Approved / Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions"Met"prior to issuance of building permit O Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant: �/ SDC Fees Entered: Wash Co Trans Dev Tax: dQ Yes 0 N/A Tigard Trans SDC: Vs ❑ N/A Parks SDC: ❑ LIDA 0 Yes N/A 4/61)17 ) OK to Issue Permit /,q � Approved by Permit Coordinator: 1 i Date: I:\Building\FormsuldggernutRvw_RES 010118.docx City of Tigard IN g. r COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Commercial - With Land Use Building Permit #: 42,577- el f— 5 Site Address: CiO' 0 LA, Suite/Bld #: 22 Project Name: g 77417 (Name of commercial business occupying the space. If vacant,enter Spec ac .) Planning Review 516 t'9 : -Sift Plav trarkbvS, Proposal: 4,24t) a in la iii,gekl y plews .Solace./ .Solace./ V- Ty site address/suite#exists and active in permit syste . $1 ''aver Terrace Neighborhood: ❑ Yes No 1 nd Use Case#: A4M aQ 61°5 1 __��D Plans atch Approved Land Use: i Si - Plan ndscape Plan lather: r!1 rban Fores Plan try Elevation Plan ►wilding Height: Ma um Height ii �� Actual Height ." )1--/ Conditions Met: Prior to Submittal El Prior to Permit Issuance `il usiness License: Exists: 0 Yes ❑ No,applicant notified to obtain business license k1 11 ublic Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified No Applied For: Notes: pp 0 Yes 0 No,stop intake ApprPlanning: _ —_ — �/ Date: �� Revisionsoved(abyfter Building Submittal only) Revision 1: ❑ A roved Reviewer Date PP Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: � /p�� Site Plans: #�� ,"g `�"` "�'4-10'4)/?/7/2'T Cpr,-r�,cv (J Building Plans: # Building Permit#: L�'Enteranding permit bove. Workflow Routing: lL nin Workflow Si off: g —Ittngineegermi g ai t Coordinator f for Planning(include notes from planning review) g Route Application Documents: g: original permit application,site plans,buildingplans, beam calculations and trust details,if applicable,etc. engineer and Notes: .,„c 5, s l c'.1 By Permit Technician: .4,----- .0" ..,,A11411111LII"IP .ate: .- /1 IABuilding\Forms\BldgPermitRvw COM_WithLandUse 060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Date: Approved by Engineering: Re ewer D<to l Revisions (after Buil mR g Submittal only) t Revision 1: /C1 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved 1. Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) 5'14 �'1� Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0 N/A Tigard Trans SDC: 0 Yes 0 N/A Parks SDC: 0 Yes 0 N/A I _ OK to Issue Permit Approved by Permit Coordinator: f C �"" Date: 5119 �i l 1:\Building\Forms\BidgPermitRvw_COM_WithLandUse 070915.docx