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Permit CITY OF TIGARD MASTER PERMIT IS COMMUNITY DEVELOPMENT Permit#: MST2019-00256 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • r;::= Date Issued: 07/11/2019 TIGARD g 4s � Parcel: 1S134BD12800 Jurisdiction: Tigard Site address: 11914 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 11 Project: Summerbrook, Lot 11 Project Description: New SF. 9/18/2019: REPRINT to add backflow device. 10/21/19: REPRINTED permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1522 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1196 sf Garage: 650 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2718 sf Value: $364,520.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+a m p/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 2718 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1905 NW 169TH PL STE 102 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $32,806.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: .r • 'all 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received ,�f�• Permit No.: 7 11-/ ,--- Illq ' 13125Phon5: W503.7l Blvd., Fga: OR 9 't5a� Date/By l, , ,:0 - 7 f`/ r S W Hall Tigard,OR 9 Plan Review : II .2439 . 9 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 701 4� Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov OCT 1 Notified/Method: Supplemental Information TYPE OF, e , COMMERCIAL FEE* SCHEDULE —USE CHECKLIST Mechanical permit fees*are based on the value of the work Z New construction ❑ al,�ee :on/alteratl :4 I lent' performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition IDOthOtherr: a; j `" mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONST' . l l { , ) Value:$ RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address:11914 SW Summerbrook Ln Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Summerbrook Duct work 23.32 Cross street/directions to job site:SW 121't Ave and Summerbrook Lane 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:Summerbrook Lot no.:11 Other: 23.32 Other fuel appliances: Tax map/parcel no.:TBD Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New single family home to be built-2718 sqft,4 bedroom 3 bath home with fireplace 23.32 650 sqft 3 car garage Log lighter(gas) 23.32 Wood/pellet stove 33.39 Arkd AC Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Willow Creek Land,LLC Range hood/other kitchen equipment 33.39 Address:PO Box 1060 Clothes dryer exhaust 33.39 City/State/ZIP:Woodburn/OR/97071 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(971)235-5003 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name:David Weekley Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Michele Schiedler Furnace,etc. Address:1905 NW 169t'Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 Water heater Phone:(503)213-4415 Fax::( ) Fireplace Range E-mail:mschiedler@dwhomes.com Barbecue _ CONTRACTOR Clothes dryer(gas) Business name:David Weekley Homes Other: MECHANICAL PERMIT FEES* Address:1905 NW 169th Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lic.:213653 TOTAL PERMIT FEE/4 ) '?, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 111,1//.&‘ * Fee methodology set by Tri-County Building Industry Service Board Print name:lant attnti le Ni l Date:/o fd► R I:\Building\Permiis\MEC_PermitApp_040113.doc 440-4617T(l 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 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT ,. Permit#: MST2019-00256 3 t Date Issued: 07/11/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 (A Parcel: 1 S 1346 D 12800 oN\ Jurisdiction: Tigard Site address: 11914 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 11 Project: Summerbrook, Lot 11 Project Description: New SF. 9/18/2019: REPRINT to add backflow device. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1522 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1196 sf Garage: 650 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2718 sf Value: $364,520.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2718 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1905 NW 1S TH 15t STE 102 t98 1 W te9Tf4 PLACE SUITE 102 . 1- Ersn Cntrl_543-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $32,806.73 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." r� Issued By: �� ..�� a.8 Permittee Signature: r "Y‘-..,, , 'S- cc\ 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 Application Building Fixtures FOR OFFICE USE ONLY City of Tigard A '� Received E.," Date/By: -1�CA- ick�`` Permit Nb.� - •'OU II a 13125 SW Hall Blvd..Tigard,OR 97223 Plan Review J� iS Phone: 503.718.2439 Fax: 503.595.1960 ' Other Permit No,: Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Avis: El See Page 2 for Internet: www.tigard-or,gov Notified/tviethod: Supplemental Information TYPE OF Worm FEE* SCHEDULE ®New constructionFor special Information use checklist. 0 Demolition � � �,} , *, ,-.(- - Description Qty. Ea. I Total ❑Addition/alteration/replacement ❑Other: -_ a 'i New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION 01/4\ks\ " SFR(l)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/Indus Fiat SFR(2)bath 437.78 0 Accessory buildingSFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ti,t u. JOB SITE INFORMATION AND LOCATION ; d, _ Site utilities: Job site address: 11914 SW Summerbrook Lane Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Summerbrook Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW 1210 Avenue Rain drain connector 18.76 Sanitary sewer(no.linear II.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Summerbrook I Lot no.: 11 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Irrigation and backflow for lot 11 landscaping Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 °:® PROPERTY OWNER , 0 TENANT - 0 Expansion tank 12.51 Name:Weekley Homes,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1905 NW 169th Place,102 Garbage disposal 25.02 City/State/ZIP:Beaverton,OR 97006 Hose bib 25.02 Phone:(503)213-4415 Fax:( ) Ice maker 12.51 0 APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name: David Weekley Homes Medical gas(value:$ ) Page 2 . Primer 12.51 Contact name:Hannah Scharer Roof drain(commercial) 12.51 Address: 190.5 NW 169th Place,102 Sitilc/basin/lavatory 25.02 City/State/Z1P:Beaverton,OR 97006 Solar units(potable water) 62.54 ...PTstSn�'"(`5'�3j71$-47$2 ___ Fad`. :( ) _ E-mail:hscharer@dwhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR t . . r-. �, Water heater 37.52 Business name:Gro Outdoor Living Water piping/DWV 56.29 Address:5800 NE 88th Street Other: 25.02 City/State/ZIP:Vancouver,WA Subtotal Phone:(360)727-5974 Fax:( ) n.,,(,,,Vp'.6•o Minimum permit fee: $72.50 CCB Lie.:193268 Plumbing Lic.no.: ('c,) Plan review (25%of permit fee) (�i 1 P State surcharge(12%of permit fee) Authorized siglnatur ' TOTAL PERMIT FEE /I /�� This permit application expires if a permit is not obtained within 180 days � pirroietv..„,_Print name: Date: 6after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:`Building\Permits\PLMLf-Permit.App.doc 10/01/09 440-4616T(I0/02/COMI/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: ' Residential Fire Su ipression Systems: Site U <1<hs M ' 14 . , a )llWtu Squareg,. 11ra ! il► �' kNI Footing drain la 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 + .`v'' v { r ya' "i,,0, ' ?ft R *-,i Valuaho..., 0,i e Fee,, .i % .,, . :., , ...,t 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 : rer� 1 t ,{ u . each additional$100,00 or fraction thereof,to O>her InspeKctl► n; "r ��y MCP 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 each additional$100.00 or fraction thereof. (minimum charge—1/2 hour) 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 t� increased sewer fees S: ---4-\-iv . r Y9uantity bYFixtu Tyjies� i 41 P +dt i ai :e��f0 tit lAIItII �a l ;1'A iQ,. • Fixture Typefor ,wc; gra °. tit ,, v raioi` w* #a, ' Plan review is required for any of the following. Work Performid f f:__ ,Ca APP!.0,p,! A1.0,'41;U, iRe,ocs Baptistry/Font Please check all that apply. 0 Any new commercial building with water service 2"and Bath -Tub/Shower - -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 ❑ 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. Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -tndustrtat-thudtetatc f, 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 increase of sewer EDUs,a sewer permit will be issued and Water:Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\hbrecken\Downloads\PLMF PermitApp(1).doc 2 74 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00256 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2019 T l�''�I`'« 9 Parcel: 1S134BD12800 Jurisdiction: Tigard Site address: 11914 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 11 Project: Summerbrook, Lot 11 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1522 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1196 sf Garage: 650 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2718 sf Value: $364,520.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2718 Owner: Contractor: WEEKLEY HOMES LLC WEEKLEY HOMES Required Items and Reports(Conditions) 1905 NW 169TH PL STE 102 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $32,726.70 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 •flow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95� -009 'ou may`-tain a co.,�.f the rules or direct questions to OUNC by calling 503. 32.1987 or 1.800.332.2344. Issued By: / / /1 Permittee Signature: :ii 'I' 'illa�i ��' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential .. t FOR OFFICE USE ONLY Cityof Tigard i U , ,^, , L .,0., Received �� /,‘,„, �jf� 9� /, UU 12 g J l i'i <� Date/By: C �i(/ /v i C [ q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review'A/ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t 4,7 1 A 'evsittga9 -c0 T R D Inspection Line: 503.639.4175 Date Ready/By. ` Juris: ® See See Page fTor Internet: www.tigard-or.gov (Naified/Method: Supplemental Information O ,f,„"---1,,,;""Z,!):4717---- �? .�..„. i.: ,. ..`�. � .,.�.a E- ., ..-.. F"WORK .' �- , �... � a UIRED"DA1�'i"AND 2 FAMII:YD�:, t ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ; CATEGORY OFCONSTRUCTION ^";;;,,,^^":^)-3:- work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: 3(D4,52i) ElAccessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors:IL. 3'2,( (6 Job site address:11914 SW Summerbrook Ln New dwelling area: 2718 square feet "4),(, City/State/ZIP:Tigard/OR/97223 Garage/carport area: 650 square feet i 522 Suite/bldg./apt.no.: Project name:Summerbrook Covered porch area: X square feet Cross street/directions to job site:SW 12l't Ave and SW Summerbrook Lane Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST;,' Subdivision:Summerbrook I Lot no.:11 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 3 1 DESCRIPTION OF WORK , '; work indicated on this application. New Single Family Home to be built-2718 SQFT 4 Bedroom,3 bath with 650 SQ Valuation: $ FT 3 car garage, Existing building area: square feet New building area: square feet ir ARKK ROPERTY OWNER z" 0 TENANT Number of stories: Name:David Weekley Homes Type of construction: Address:1905 NW 169th Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: ❑ , APPLICANT ' f ® CONTACT PERSON .. s BUILDING PERMIT FEES* Business name:David Weekley Homes , _ `'- '• (pleae refer to,*schedule) Structural plan review fee(or deposit): Contact name:Michele Schiedler FLS plan review fee(if applicable): Address:1905 NW 169th Place,Suite 102 City/State/ZIP:Beaverton/OR/97006 Total fees due upon application: Phone:(503)213-4415 Fax::( ) E-mail:mschiedler@dwhomes.com € PHOTOVOLTAIC SOLAR PANEL SYSTEM TEES*�; w 7 �. Commercial and residential prescriptive installation of �r. p C, n. RACTOR 34 .: .a !; --t,"---,r--11-... .-. roof-top mounted PhotoVoltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169th Place,Suite 102 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton/I ' 97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:213653 Total fee due upon application: $201.60 / Authorized signature: ,/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Michele Sch Date:5/22/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .13,11 Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: IIIae/Byq 13125 SW Hall Blvd.,Tigard,OR 97223 Associat • Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical ® Plumbing 0 Mechanical T I(;A R D Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1t's No NI i. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ® • 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0 3 Verification of approved plat/lot. ® 0 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ® 0 0 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 ® 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 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- ® 0 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 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 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 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 El 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 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ® 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 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 ® 0 0 architect licensed in Ore.on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ® 0 0 24 Two(2)sets each are required for Items 16,19,20 and 22 above. ® 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ® 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. Z 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. ® 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ® 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 El 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, ❑ ❑ El 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\Perwits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I t,A R U Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF4WORK - , ' performed.COMMERCIALFEE* (rouDULE he SE=CHECKLIST:. valueare of the work ®New construction ❑Addition/alteration/replacement p nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ . , CATEGORY OF CONSTRUCTION ,, , _ RESIDENTIAL EQUIPMENT/SYSTEMS FEES!,-,-: ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:11914 SW Summerbrook Ln Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump . . 61.06 Suite/bldg./apt.no.: Project name:Summerbrook Duct work 23.32 Cross street/directions to job site:SW 121"Ave and Summerbrook Lane 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:Summerbrook Lot no.:11 Other: 23.32 Other fuel appliances: Tax map/parcel no.:TBD Water heater 1 23.32 £ DESCRIPTION OF,:WORK;, ,i * 11 Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New single family home to be built-2718 sqft,4 bedroom 3 bath home with fireplace 23.32 650 sqft 3 car garage Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �I PROPERTY OWNER Other: 23.32 ,, 4 1 ❑ TENANT Environmental exhaust and ventilation: Name:Willow Creek Land,LLC Range hood/other kitchen equipment 1 33.39 Address:PO Box 1060 Clothes dryer exhaust 1 33.39 City/State/ZIP:Woodburn/OR/97071 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(971)235-5003 Fax:( ) Attic/crawlspace fans 23.32 ` Other: 23.32 ,:: ® APPLICANT ® CONTACT PERSON ,. .•„ Business name:David Weekley Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Michele Schiedler Furnace,etc. Address:1905 NW 169th Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 water heater _-__- -s— Phone:(503)213-4415 Fax::( ) Fireplace Range E-mail:mschiedler@dwhomes.com Barbecue : T. �Og" 'SCO , et '�' Clothesdryer(gas) Other: Business name:David Weekley Homes .,. MECHANIC, L PERMIT Imo' ;: Address:1905 NW 169th Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lic.:213653 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: mac' • Fee methodology set by Tri-County Building Industry Service Board 1 IlPrint name:Ken Puttman Date: C IABm7dineermits\MEC_PermitApp_040113.doc -617T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE t'SI'.ONI,I Cityfg O Tigard Received Permit#: Date/E1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 9 Phone: 503.718.2439 Fax: 503.598.1960 DateB : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: furls: V1 See Page 2 for TI G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information ,,, `I`YPE''OF:WORK .':P.I,AIV. VIEW .. ®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. 1:1 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATECORY.OF'4CONSTRUCTION.. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND ATION . . . ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#:68020011 Job site address: 11914 SW Summberbook Ln 100HP or more. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP:Tigard/OR/97223 ❑Health-care facilities. 0 Recreational l vehicle parks. Suite/bldg./apt.#: Project name:Summberbrook 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:SW 121st Ave and Summerbrook Lane FEE:SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision:Summerbrook Lot#: 11 Includes attached garage. Tax map/parcel# TBD 1,000 sq.ft.or less I 168.54 168.54 4 Ea.add'I 500 sq.ft.or portion 3 33.92 107.76 1 OESCRII'TIUN3.10.. 4'ORK ' , .,. .. Limited energy,residential (with above sq.ft.) 75.00 2 New single family home to be build-2718 sqft,4 bedroom 3 bath home with Limited energy,multi-family 75.00 2 650 sqft 3 car garage residential(with above sq.ft.) Renewable Energy ❑ See Page 2 • $1 PROPERTY'OWNER '' c°�3'ENAll =_ Services or feeders installation,alteration,and/or relocation Name:David Weekley Homes 200 amps or less 100.70 2 Address: 1905 NW 169th Place Suite 102 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2 Phone:(503)213-4415 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 Branch circuits—new,alteration,or extension,per panel •:APPLICANT . ., : : ,. =, CONTAG'I'PERSON, A,Fee for branch circuits with Business name:David Weekley Homes above service or feeder fee, 7.42 2 each branch circuit Contact name:Michele Schiedler B.Fee for branch circuits without Address: 1905 NW 169th Place Suite 102 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Beaverton/OR/97006 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)213-4415 Fax: :( ) Each manufactured or modular 67.84 2 dweEmail: mschiedler@dwhomes.com Reconnect t onservly and/or feeder Reconnect only 67.84 2 CONTRACTOR': Pump or irrigation circle 67.84 2 Business name:Garner Electric — _ Address:2920 SE Brookwood Ave. Signalnel,alteration, tions)or limited-energyxens . panel,alteration,or extension. 0 See Page 2 2 City/StatelZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)523-9060 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email:andreap@garnerelectric.com Inspections for which no fee is 90.00/hr CCB Lic.: 121159 Electrical Lic.: 34-305• uprv.Lic.: 3707S specifically listed /,,11.1:TK..,„; .;'EI:ECTRIcAL J?ERMiT FEES Suprv.Electrician signature,required: Subtotal: Print name: Charles Gamer , . / / /.ate: 6/4/2019 0 Plan Review Required(25%of permit fee): I State surcharge(12%of permit fee): Authorized signature:��i L/� TOTAL PERMIT FEE: �/" �G This permit application expires if a permit is not obtained within 180 Print name: Andrea Phillips Date: 6/4/2019 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 Plumbing Permit Application Building Fixtures rt)IR t)I 1It I I `Nr. 11.1.1 City of Tigard Received g may. Permit No.: IN4 13125 SW Hall Blvd.,Tigard,OR 97223 IIIPlan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/Sy: OtherPennitNo.: Hi,; ;i.I Inspection Line: 503.639.4175 Date Ready/By. Juris: BI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information - ......„._.......... ... ....... ... . t1a E OF..WOR.g_... . .... ., .... .. ... ........ .. ...._ -......_.. . ..., -10&5+-S�B�..,.__,..._....:. ._:...: _. ... 0New construction 0Demolition For specialInfornta'lon use checklist Description I Qty. I Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:11914 SW Summerbrook Ln Catch basin or area drain 18.76 City/State/ZIP:Tigard/OR/97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:.2 Q) Page 2 87.55 Suite/bldg./apt.no.: I Project name:Summerbrook _ Manufactured home utilities 50.03 Cross street/directions to job site:SW 12l't Ave and SW Summerbrook Lane 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:Summerbrook l Lot no.:11 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New Single Family Home 2718 sqft 4 bedroom,3 bath with 567sgft 3 car garage Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:David Weekley Homes Fixturelsewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1905 NW 1691°Place Suite 102 Garbage disposal 1 25.02 25.02 City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 50.04 Phone:(503)213-4415 Fax:( ) Ice maker 1 I2.51 12.51 0 APPLICANC)' 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:David Weekley Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Michele Schiedler Roof drain(commercial) 12.51 Address:1905 NW 169m Place,Suite 102 Sink/basin/lavatory 4 25.02 100.08 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54 2- ice- 25.02 E-mail:mschiedler@dwhomes.com Urinal 25.02 CONTRACTOR Water closet 2 25.02 75.06 '"�'�� Water heater 1 37.52 37.52 Business name:Maimedal eI �J 7...1' ICI , _ Water piping/DWV 56.29 Address:PO Box 207 �� '�� Other: 25.02 City/State/ZIP:Banks/OR/97106 Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:102535 P •..'ng Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized si afore: --.ti TOTAL PERMIT FEE `^ ( AZ t This permit application expires if a permit is not obtained within 180 days Print name: I` I Date: ��1��j after it has been accepted as complete. 111I *Fee methodology set by Tri-County Building Industry Service Board. 1.1 auildiagtPermiisWPLMU-thrmitApp.doe 10/01/09 440.4616T(10102/COM/WEB) City of Tigard :.IP4 q COMMUNITY DEVELOPMENT DEPARTMENT ■ T l A R o Building Permit Review — Residential Building Permit #: 7/457--,2, -' ' L Site Address: VI N`( ,Stti Suftv.virrrk (.&- Project Name: Sumer,-i)+ c Lot #: ,i t (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review LL (, P�ro�sal: 0 S T i 21 I S-Q Pi (1)4 rld'h )1 .1.1 x1_ ' Eco cQ T 3 C.ar .c� ix- L2( Verify address/suite# active in Accela. Ud In River Terrace: L' No ❑ Yes,River Terrace Review Addendum Site lan Elements: �� rosion Control Site of site plan on 8-1/2"x 11"or 11 x 17"paper Q- .. ed trees with drip line and tree protection measures wn to scale(standard architect or engineer scale) LA'Fos •rint of new structure(including decks)and FFE [ 9 arrow 1 a. 'ty locations&easements (required for new and additions) U18 - address,project or subdivision name and lot number t7 Sidewalk/driveway approach pplicant information(name and phone number) #i ocation of wells/septic systems w ►7 . dimensions and building setback dimensions VI.t et tree size,type and location dr 7 Tyre footage of buildings to be demolished IP/met names [ xisting structures on site TrCorner elevations (2'contours if more than 4'diffee ntial) r .ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? LJ Yes ❑No `^�"�' ervious area(applicable if R-7,R-12,R-25&R-40) 7If yes,is a storm water quality facility shown? 144.4t:1No LJ Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): �y e utred: / � `'i11 q ❑ Yes,applicant was notified [ No Received: ❑ Yes ❑ No U/ Public Facili,_,t_,i�e Improvement(PH) Permit: �� • •quired: MiYes,applicant was notified ❑ No Applied S r: [ J/ies ❑ No,stop intake IC and Use Case#: Ca 2.01 -i0 V c,01r-60011j UK-2P 1 L5'Zoning: '`.S (PfRequired Setbacks: Front: Rear: I S Side: S Street Side: I S Garage: Zo ' Building Height: Max. Height: '5 0 Actual Height: 2-3 (V Landscape ea: % P4Lot Coverage Max: % Entrance C back no more than 8'from street-facing wall fUr arallel,to street or offset 45 degrees or less Windows L► 1,. . urn 12%of area of all street-facing facades. %\Q9015'• t' IA,� - Garage t Gara `door is behind widest street-facing wall CI Yes M No,one of the following is met: O' Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2°d floor. Garage door width is ❑ 12'or less lld 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Coveredorch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset o o set . _ _ F : t: a aii'. a- i" :•• , •,or gam•• r0•• ■ Ormer ❑ Accent siding - ■ Window trim ❑ Window recess ❑ Window projection ❑ Balcony OW Ii sual Clearance od. rban Forestry Flan LISensitive Lands: r Yes No Type: Conditions met,prior tot is uance of building permit No es: CP,-�t h ia i3tJ n Approved By Planning: ,1,�. Date: e'A --I f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw RES 022819.docx Building Permit Submittal Original Submittal Date: ( 9( 0//? Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning engineering ❑� rr' nut Coordinator ruilding Workflow Sign-off: Sign-off fox Tanning(include note from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and r 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: �� fj0� ��Date Date: , r2j,719_, Engineering Review e, Dr lope at building pad: #.1 /0 conditions "Met"prior to issuance of building permit �sements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ' No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes No L'I Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: A- (( 64°: Date: G --- z 9 ---‘1 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: Revision Notice 3: Date Sent to Applicant: L"J SDC Fees Entered: Wash Co Trans Dev Tax: IrrYes ❑ N/A Tigard Trans SDC: 117es ❑ N/A Parks SDC: Yes ❑ WA LIDA ❑ Yes N/A C OK to Issue Permit /1// z, J14 / ,�` Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_022819.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 1111 Transmittal Letter 1 t,;\Ei n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ?Ad i ;1- Tis DATE RECEIVED: DEPT: BUILDfi DIVISION RECEIVED 1 JUL. 3 2019 FROM: /% Aid S ' r-e-✓- CITY OF TIGARD COMPANY: 1>A (AL 4-' 1 IN DIVISION PHONE: (3 7I` "--' I- a By `7, RE: I(9ILI & n,, dy- rvi r q"tease (Site Address) (Permit Number) i10* k GDCY31 I (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 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: f"�,ti, 7/r-z, S 3 „ , 11, 1 1 11 ,I Routed to P it Tec cian: Date: I o ( " Initials: A,' Fees Due: YeV ❑ No Fee Descri.do : Amount Due: $I/2-- v kpvt (-AAA 4-1.-.) --"' a s LES"i o 1 $ $ DOi•5'' Special Instructions: Reprint Permit(per PE): I ❑ Yes p<No ❑ Done Applicant Notified: Date: I Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc 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 II Transmi l Letter etter i ,c;A Ei n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti' . -s-or.gov TO: /Iv � � DATE ' CEIVED 7A-i ,. DEPT: BUILDING DIVISION j AUG' 12 2019 FROM: 140kn ('1 5cJ-e - COMPANY: IIIN krt G V' �:' i PHONE: '50(3)-7M--111 Lf, By: RE: 11 q ig min k- I '')2 ,/ T. % �diz (Site Address) (Permit Number) SUW I-oo/ (( (Project name or subdi . i• name a Tot num,• ) ATTACHED ARE THE FOLLO " I : Copies:3 Description: NV'' N Copies: Description: Additional sets ' ( ) of p1. .. � � Revisions: See {�icli,u Cross section(s) and a tails. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculation-. Engineer's calculations. Other(explain). �� REMARKS: �'r,R?-c-AlSe-cv-a-}" , -+Vr�.,.- 0— 1n 4g. VIC 63rftn .211:4131- 1r-T 'rikrt —1-- r -40---: ' - - " s' * ' -- '''.' " manalliiiiii— - ------------44-----via, i Routed to P- 't Te ician: Date: Cb, (3 (.4} Initials: Fees Due. w ❑No Fee Descri.tio : Amount Due: $ —Go ‘b, l\ rtvuk,� $ Lf5k �' $ $ Special Instructions: . Reprint Permit(per PE): ❑ Yes / !I No ❑ Done Applicant Notified: Date: 77/t� l Initials: o I:\Building\Forms\TransmittalLetter-Revisions 061316.doc