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Permit (17) CITY OF TIGARD MASTER PERMIT 11 i ' COMMUNITY DEVELOPMENT Permit#: MST2019-00046 T l(1_;A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 Parcel: 1 S 135AA03800 Jurisdiction: Tigard Site address: 8917 SW ELENA LN Subdivision: OAK STREET CONDOMINIUMS Lot: Project: Oak Street Condominiums, Lot 16 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 571 sf Basement: 295 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 550 sf Garage: 275 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1416 sf Value: $181,515.50 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 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 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1416 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 Rated Assemblies PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $22,821.33 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. Y. may obtain a copy of therulesor direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.Issued By: r / i' / , Permittee Signature: /p/g..Gt 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 ApplicatR Residential (} FOR OFFICE USE ONLY ,7 Received 2 0 i.7 City of Tigard FEB 7Dateiv : %1 :444,, ,! 13125 SW Hall Blvd.,Tigard,OR �'(�t"- r _ PlanRevie a Phone: 503.718.2439 Fax: 50 9 tl J j v nivi )Ni Date/B : ►'(W�� ]�'' / I i G A R D Inspection Line: 503.639.4175 Date Ready/By: ii / ® See 'age 2 for Internet: www.tigard-or.gov Notified/Method:7 C f 7 t. Supplemental Information e i /i- :74 zS t N7 ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement El Other: equipment,materials,labor,overhead, the profit for the 174,4,:,.:4„,,,, •.a ,, ® _ ' o , ! ; ,,,,, work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ - _ '. ElAccessory building ®Multi-family Number of bedrooms:2 0 Master builder 0 Other: Number of bathrooms 1� OB 'Y ® • Tj AND. ®i I1.;7 ?J i Total number of floors:3 I (01 t Job site address:8917 SW Elena Lane New dwelling area: 1416 square feet a.550 City/State/ZIP:Tigard, OR 97223 da 6C s e 7 Garage/carport area: 2755 square feet 6 t Suite/bldg./apt.no.: Project name: es;e-.Condominiums Covered porch area: square feet D.,1S` Cross street/directions to job site: Deck area: a.l square feet Other structure area: square feet Q ,..gin. _ Subdivision: Lot no.:16 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 ` } 1 i► ®#' t `; work indicated on this application. now..... .._. n ,.m„ u .ao.._,. . ._. _ e..,, a..,..4 „_ .. E a:�„ikMi NSFR attached Valuation: $ Existing building area: square feet New building area: square feet t .79 o .. , r , 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: ., ifi Business name: Lennar NW Inc. reerto ger 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: M 6. E-maii:juls.call@lennar.com �� � °� `. '..gE .�. ri .. g g,. 4 ,,,:, Commercial and residential prescriptive installation of . :; ., .2,. . iii . .a.. , ,.. .r; ..n. "; .711E'. roof-top mounted Photo Voltaic 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 lie.:195307 Total fee due upon application: $201.60 Authorized signature: dtk This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Juls Call Date:1/28/19 Service Board. I:\Building\Permits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Cityof Tigard Received Ili g Permit No.: r 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I I G A K l) 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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 ❑ ❑ 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 ❑ ❑ El 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ ❑ ❑✓ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control ❑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 g ❑ ❑ 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 [T ❑ ❑ 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- 0 ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 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 design details. © 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El ❑ ❑ 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 Q ❑ ❑ architect licensed in Ore:on and shall be shown to be a a a licable to the s 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". ❑ ❑ ❑ 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, 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, ❑ ❑ ❑ 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\Pemuts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit AppliRE4.4EIVED l Olz Orrl( I t s, Oyl.l ed City of Tigard ReceivPermitNo.:�( ia� Ck_ ,, 13125 SW Hall Blvd.,Tigard,OR 97 k,41 R 1 5 2019 Plan Date/By: an Review s Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit: 1.1 c;\R I) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By:.tigard-or.gov Jur s: S See Page 2 for Internet: www BUILDING DIVISION Notified/Method: upplemental Information t ',rn..' '4'$' ,''-..,�.... ., .:,Y ca-i ,. . ii ,,i .' qv-',."— .,.. _ - TYPE OF WORK ' 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 information use checklist. 0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 8917 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.:16 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF 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 '',:."y,. e,.,,.. r .� --,� },, ----- l f"P. ,. —" Other: 23.32 1 Environmental exhaust and ventilation: Name:Lennar NW Inc. Range hood/other kitchen equipment 33.39 Address:11807 NE 99th St. #1170 Clothes 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 `a-A)R '.. ... -._ fNitTA F-P E _ ..:., , Other: 23.32 Fuel piping: Business name:Same as above $14.15 for first four;$4.03 for each additional Contact name:JUTS Call Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax::( ) Fireplace Range E-mail: julS.callalennar.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:HeatGuy, LIC. MECHANICAL PERMIT FEES* Address:5215 NE 282nd Ave Subtotal City/State/ZIP:Camas, WA 98607 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360 253 4822 Fax:( ) State surcharge(12%of permit fee) CCB lic.:187461 TOTAL PERMIT FEE i This permit application expires if a permit is not obtained within 180 y days after it has been accepted as complete. Authorized signature: ---- * Fee methodology set by Tri-County Building Industry Service Board Print name:Corinna Fri Date:04/15/2019 1.\Building\Permits\MEC_PernntApp_040113.doc 440-4617T(I 1/02/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\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit ApplicatioIf ECEIVED ,,),(0,,,,,.. 1 si. t)'\L1 City of Tigard Received III .1 APR 1 5 2019 Date/B 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ICE , MIllEMINO 0 Phone: 503.718.2439 Fax: 503.598.1960DateB : Related Permit#: Inspection Line: 503.639.4175 CITY OF TIGAR D Ready Date/By: Juris: 0 See Page 2 for T I G A R D Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information 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 ❑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 ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATIONAND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 8917 SW Elena Lane 0 Addition of new motor load of system. 100HP or more. ❑"A","E ❑Six or more residential units. occupancy. City/State/ZIP: 0 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. 1 Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:Cornerstone Condominiums Lot#:16 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'I 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.) ® PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 ` Services or feeders installation,alteration,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 Temporary services or feeders installation,alteration,and/or Email: 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 0 APPLICANT 10 CONTACT PERSON Branch circuits—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 service or feeder fee,first Address:Same as above branch circuit 56.18 2 Each add'►branch circuit 7.42 , 2 City/State/ZIP: Miscellaneous(service or feeder not included) Phone:(360 )258-7906 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:juls.call@lennar.com Reconnect only 67.84 2 mow... ,. .. . 4, a . ,.r. .." 4xi ,..,., � 4,4,;.;.,04 iiSfidi. 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 ❑ See Page 2 2 Address: 11490 SE Jennifer St panel,alteration,or extension. g City/State/ZIP: Clackamas, OR 97015 Each additional inspection over allowable in any of the above -..-_.,. Additional inspection(1 hr min) 66.25/hr Phone:(503) 908-8058 Fax:(503 ) 762-1823 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permits@ThreePhaseElectric.com Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 6379S specifically listed('/2 hr min) Suprv.Electrician signature,required: G0,�- Q Subtotal: Print name: Robert Lane Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: 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. I Each Total * Fee for all residential systems combined: $75.00 Renewable 3' Renwable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 5.01 to 15 kva 133.56 2 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/2 hr min) 034M.ItAttAL?WORK MON: : _ 44, 'TRICAL.PERMIT FEES Fee for each commercial system: $75.00 Subtotallowed rpe mEnter toPage 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n A• udio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* n P• rotective Signaling n O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Plumbing Permit Application 1 Building Fixtures FEES 7 111111111111111111:111=11:=11.11 I City of Tigard CITY OF T(GAR 470 Ir Pena rte.:'1si2o 5OM V"4,, r M 13125 SW Hall Blvd.,Tigard,OR 97223E NILDING DIVIv J nRevlety Phone: 503.718.2439 Fax: 501598.1960 te/By. Other?emit No.: l Ti G A It D Inspection Line: 503.639.4175 Date Ready/By: hair. I21 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information :.TYPE OF WORK . . FEE'4 SCHEDULE . ®New construction ❑Demolition For speck!Information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacentent 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection) ` ' ` .`:; ;..:. i' ` .CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-fently dwellin SFR(2)bath 437.78 g ❑Commercial/industrial ❑Accessory building ®Multi-family SFR(3)bath 500.32 ID Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 :JOB SITe INFORMATION AND LOCATION Site utilities: Job site address: 8917 SW Elena Lane Catch basin or area drain 18.76 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.: ( 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 fl.: ) Page 2 Stone sewer(no.linear R.:`) Page 2 Water service(no.linear lt.: ) Page 2 Subdivision Lot no.: 16 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 fountain 25.02 Ejectors/sump 25.02 ®.FROFERTY:OWNER. l `.❑ TENANT ... Expansion tank 12.51 Name:Lennar NW Inc. Fixture/sewer cap 25.02 Address:11807 NE 99th St.#1170 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)256-7906 Fax:( ) Ice maker 12.51 . 421 APPLIOANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Lennar NW Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Jule Call Roof drain(commercial) 12.51 Address:SAME AS ABOVE Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Tub/shower/shower Phone:( ) Fax::( ) pan 12.51 E-mail:juls.call@lennar.com Urinal 25.02 CONTRACTOR Water closet 25.02 Business name: Water heater 37.52 Li DIG 5J�rrJ C.-& > +t Water piping/DWV 56.29 Address: I d-7� ("11.51- rW)j rc. �olc.rnhta 2 Ue(- (4,v (( rrr V Other: 25.02 City/State/ZtP: TCCA -•o C(to 042 CO o 6t) Subtotal Phone:($D,5) 11 Fax:(>O3) 6 1-4 '1j Minimum permitfee: $72.50 CCB Lie.: 7 / u Plan review(25e%ofpermit fee) j 22© Plumbing Lic.no.:Z(, t State surcharge(12°/4 of permit fee) i Authorized signature: i :g. w. TOTAL PERMIT FEE Print name: (A_e\ 1r`-)e b-e.( Date: I I Z )!1 Cl 1 L'j This permit application expires ira permit is not obtained within 180 days t after it has been accepted as complete. , "fee methodology sot by Tri-County Building industry Service Board. I:taaildingtPermitsWi.MU-PermkApp.doe 1010109 440-4616T(I0102FCO.\UWEa) i • Plumbing Permit Application - City of Tigard Page 2 -SupplementaI Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty, Tree(ea) Total Squire 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 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $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 each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check 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 mru • 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 shove. -3" Car Wash Drain Isometric or Riser Diagram 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 Maoh./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 EMU,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:1UsersUuCallWownloadsWLMF_PermitApp.doe 2 illii City of Tigard 'a COMMUNITY DEVELOPMENT DEPARTMENT r � , Building Permit Review — Residential Building Permit -_,°-.-u-�,� .�.:�-,: :-�.� Site i° `,-000 1( Address: /73 --107,0. koll.. _ Project Name: (%i -4Vair 0 . PAa,g-e _2(2___ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: Planning Review Proposal: V Verify site address/suite#exists and actio • permit system. ill River Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: gliree(3)copies of site plan Existing structures on site kraZq Site plan must Je on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) floor elevations arrow Utility locations&easements(required for new and additions) Sie address,project or subdivision name and lot number IL! 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 0 Square footage of buildings to be demolished \.�('❑Lot area,buildingarea, � protection measures \"( cover� percentage 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 impervious area created or replaced? Yes❑ 4 .of differential) If es,is a storm water •uali ' facili , shown? ,S Yes Mo Clean Water S�rvices—Service Provider Lettof platted prior to 9/10/1995): quired: Yes,applicant was notified No Received: Yes 0 No ublic Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified __/' No Applied For: 0 Yes 0 No,stop intake [� d Use Case#: Pro;Z oning _ �l' aired Setbacks: Front Rear V Side (��i' Street Side dscape Requirement „,..20 % -�-`-- K4-.-Garage I lVt Coverage Maximum: aximum: (-J Building Height Maximum Height Visual Clearance Actual Height s.g---/. ' \34 'Sensitive Lands: 0 Yes 0 No ❑ X�rban Forestry Plan Type Conditions` , et" 'riot . issu. ce of buil.' Notes: ',a .. i, d% ' b p'"'L, i �" Ia " L AriA ,r ` / ' Approved By P ( If, _r ---- _rjrr7 ate D : 2®/r Revisions (after Bu'. i ing Submittal only) Revision 1: It A rovedRevs ate PP 0 Not Approved _ — c l Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\FormABldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: A 7 Site Plans: # Building Plans: # Building Permit#: nter building permit#above. ermit Coordinator ,]....Building Workflow Routing: Planning ngineering Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 7 Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. Tif Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /I 1 /1; By Permit Technician: Date: _2_ZLS Z_,___ Engineering Review 7,c)at building pad: o Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat 2 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0—No Assess Water Quantity Fee in-lieu: 0 Yes Et No LIDA Facility on lot 0 Yes .0-No ❑ Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: APJMIWAIIIIIIIIIIIIIIIIIIIIIIIIIIMIRICW [3---Approved by Engineering: IMES L5Date: Z� /? Reviewert. atre/t, Revisions(after Building Submittal only) 2 7Revision 1: ,Approved ❑ 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 ate: ❑ Approved,NOT Released: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant ' ,.sion Notice 3: Date Sent to Applicant �/ rr, SDC Fees Entered: Wash Co Trans Dev Tax: tz Yes 0 N/A Tigard Trans SDC: I. s 0 N/A Parks SDC: /• Yes ❑ LIDA 0 Yes N/A OK to Issue Permit /CL //g 0.51(-9/if Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 010118.docx IIICity of Tigard r t; COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Commercial - With Land Use Building Permit #: MI ? /%- buil Site Address: g /7 ,9l &- �0 LcMSuite/Bld #: /te�� g Project Name: ( %4 --C7711--44 e (Name of commercial business occupying the space. If vacant,enter Spec ac .) Planning Review /� �4 ' Vit- AK/ r',3�"dws; Proposal: /1.34t) ? y ii,/umt '�"'7 "s" '�/pla"•/•, 34 V V- Ty site address/suite#exists and active in permit syste . 111 '`:ver Terrace Neighborhood: 0 Yes No 7 d Use Case#: %4M AO 6 705 — D0L-2- U Plans atch Approved Land Use: i 1 r Si - Plan , ndscape PlanCher: 41i rban Forestry Plan Li Elevation Plan IG wilding Height: Ma um Height -.. -C---1 Actual Height ')H 'v 01 Conditions Met: Prior to Submittal 0 Prior to Permit Issuance 'usiness License: Exists: 0 Yes 0 No,applicant notified to obtain business license IV Iublic Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified No Applied For: 0 Yes 0 No,stop intake Notes: Approved by Planning: ----f Date: Revisions (after Building Submittal only) Reviewer — Revision 1: Date 0 Approved ❑ Not Approved ��/ Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: ,t a /4 C lust �NCl ` Site Plans: #/ ' J`��7�1`1 w.' rGl � Building Plans: # Building Permit#: [ t ding permit#above. Workflow Routing: l ning eering t Coordinator 8--$'llding Workflow Sign-off: [-S gn-off for Planning(include notes from planning review) Route Application Documents: Q.-Trudi,g, original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: aye _.�� i iss, �- -we By Permit Technician: - %'i �,cG— , Date: --ifird I:\Building\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: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: Revisions (after Buil ing Submittal only) eviewer I ate Revision 1: pproved 0 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: 51 14 1141 M.— 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: ❑ Yes 0 N/A $OK to Issue Permit Approved by Permit Coordinator: a,\AA., Q��,. Date: 5 114 119 I:\Building\Forms\BldgPemiitRvw_COM_W ithLandUse_070915.docx