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Permit (35) 1111 A. CITY OF TIGARD MASTER PERMIT . •-, COMMUNITY DEVELOPMENT Permit#: MST2019 00145 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2019 Parcel: 2S104BC10600 ir Site address: 14090 SW WALNUT LN gr7Al Jurisdiction: Tigard Subdivision: FERN STREET SUBDIVISION Lot: 3 Project: Fern Ridge, Lot 3 Project Description: New SF. 8/6/2019: REPRINT permit with fire sprinkler requirement due to grade of site, submitted under separate permit.10/16/19: REPRINT to add (1) gas line for BBQ and A/C. 11/7/19: BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1665 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1821 sf Garage: 463 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3486 sf Value: $435,048.10 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 2 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: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 6 201-400 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 3486 Owner: Contractor: K5 URBAN PROPERTIES&MANAGEMEIBELLA TERRA HOMES Required Items and Reports(Conditions) PO BOX 25571 PO BOX 25571 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97298 2 NFPA 13D Fire Sprinklers Required PHONE: 503-292-9344 PHONE: 503-2929344 FAX: 503-297-7524 Total Fees: $34,566.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co es and all oth 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 issua e, or if work suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification / e ter. Tho rules ar set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co Les or direct questions to OUNC by calling 503.. .1;87 or 1.80 32.2344. Issued By: �%' -�,—�� /� �-.r Permittee Signature: CO3 39.4175 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 completi n of the project. Approved plans are required on the job site at the time of each inspe ion. Plum bing_Petrmit4: p '.litticslz Building Fixtures ta,. . it , ;; � City of Tigard tl fin : /y,. ft 13125 SW 1I111 Blvd.,Tigard.OR 97/2 Plat Rev,,, ! _._ i hoar: 403.71t,7 39 Fay. 4i13-Sr1#.3 ('0 a,.,. E k ( t'et pcniu)h.. 1 arc ,:ttttl tern SU!t tc 4 t7S l�lJ 1 r6 �� Dye fira3t i b str Pare 2{at i Item( Ali, tag rat nt t eu4 V VV �Q r�aatir nit lei tieal i e 1�ioncatxt tasfecreuatror +ry „ -ram, .. ^7&t"5.ors '. ,:j .r,. a, n I °,x*7* ,. .;.e,, '- ,, No.dii.."-.,1.:.,'''wu`k,a fiNct s +t. �1nu,`d + �' e st • x r �•,• (S �'aa ��t fi �,irae��i�,ekec�Rt�r 1 New construction t '' r a t....4 I iSION l tkscriptio Fn i 3'otat Q Addtttonlatter&ttanhepisctreeztt Other: i T Novi,I. 3'ntnl d r lea includes 100 li for sect;unlit. tit tt 4 `'y` ��r 10- s , :, ,4 tT' tt _, '3.r, t{ fi r x.. 5FRti}bZith 3't2 7#1 . j l-and z-tsrrttlr dwellirtg t:c,rtri rcial7irrd , , 'FR(2)bath ;.....� 43'/ ` 1 PR(3)bath srnl=2 0 Accessory building 0 Multi4arnilj� ,„ " ' fi ' addiional batbltt miaow . tn 23fl - F:.:. Other'd''e nu u...4drnsn„ t x.:uinler( sq fl) ' a2,0 Master builder Q . - tpr �. _ i r a e ` s uJaiM '1atititiat ` Job site address: tJ IZN 0 ejzr q'} Ctttcit basin dx area dttia 1$.76 Prywell,leach line,or Irench drab - 18,76 City/Ststei lP: '1 t 6 s nv Z0 VL C 1 .Z23 , Foot*drain(no.linear ft.:_ ) Page 2 Suite/bldg./apt.no.: 1 Project mote:•fE.24..5 12 tip 6 S' Manufactured home Wiiitits 50.03 Cross street/directions to job site: .SW . .ti-%.- Q%O GE momboles tll76 TE.v...u.A CE Rain drain connector IS.)b Sanitary sewer(no.Ohm A.;,R,,.,a) POSel. Storm sewer(no.linear A„_...„) Fr k 2 y Water'service(no.linear It,. ) 2, : . Subdivision: -1 F ILO T2 ttO(1 Lot no.; '3 pa ., or item: Twr tt arcel no Bacltllow.prevtsu 37�7 aMI,‘,1(;`-,,I ' s • Backwater valve 121 -,'a,,t. '. _ if?i 4•t k b Ai:' ' Clothes washer 79' .L-.iq 6 u, 7�1C,}.1 �.1 J V t J 1wt d Dishwasher 2$5.62 11111 l Drinking fountain 25.82' Ejectors/aemp 25112 " tsivn t�tn# 1241 Fhtlttrcieevrtr cap �'tkt,. <: - Name: i<� Ur�' an peDp e -t S e C1 D\Y11-1- 1{oor drain/floor scull ttiitrrb 25(12; Addsvas: ` O a 33 `rtn,� , . �J Garbs, disposal 2$:4,z City/State/ZIP: i b o� ` t Hose bib 35:(l2 111111111111 Phone (503) `�GV�. 2 1-1 Fax:( ) lax maker ' I,f •:sz='�* n.•'' ' y h'i ''-°t s.a ,�. •.,. . . „y, In.. .or/grease trap INN .xrJ.t1 Gj easiness name: tell�/�. '�".e�t� (�,rY}�J � - Mcdlcasi gas{vslme:$ } Contact name: C�Y-i'S (✓t[:-�}e lv c-e Romer t 2 s r Roof drain(cttrr►merciaq 12 it Address: b :.s . Q6 � t t Sink/basin/lavatory - 2502 Pj".,, Chy/Stete/ZlP: R. '(: Gsyyj i 0 "/�t--i a-` O Solar units(potable water) 62.54 Phone:(553) )_1 -c - CI i-1.'1- i Fax::( ) Tub/shower/shower pan t2b1 E-mail CAA('i 5 a 0-(/\. r • 6-Y\e� Urinal — zs oz ,.} f 'v �s�k Water elasel 23-02 �i u.. t .. -' ,.,: L `"5 Water treater 373Z s Business mile' G &B PlumbingSons, Inc. Waterpiping/DWY s s � Address: Pp Box 92 Other: 25,0 City/Stete/ZfP: St. Paul, OR .97137 &Arc ht Phone:(503) 86;8-1417 Fax:( ) Minimum permit fee: $72 SGr CCB Lie.: 184372 nimbi ic.no.: PB634 Pain review t25'Yt of myth ) State surcharge(12%of permit Foe) 3- Authorized signature: TOTAL PERMIT,FEE -a 01 Print name: Date: Th. permit appit a lion expires its permit is set ebtsixeti reifhts ISO da Kelly FQ lar //!�1 I after it has beta accepted as compicte. - 'Fee methodology set by Tit-County Budding Industry Service Board I:not tthesTermitc\PLAt U-Pr ram.&rp Ax !rya Imo 440-te tell itt031COid!WF,8 'Hsi- 2 c.) 19 _ 0 \ 4s, IA, s 11114 CITY OF TIGARD MASTER PERMIT ■ ' COMMUNITY DEVELOPMENT r . ��` Permit#: MST2019-00145 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243 t Date Issued: 07/16/2019 T t - ;i R C7 9 Parcel: 2S104BC10600 Jurisdiction: Tigard Site address: 14090 SW WALNUT LN Subdivision: FERN STREET SUBDIVISION Lot: 3 Project: Fern Ridge, Lot 3 Project Description: New SF. 8/6/2019: REPRINT permit with fire sprinkler requirement due to grade of site, submitted under separate permit.10/16/19: REPRINT to add(1)gas line for BBQ and A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1665 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1821 sf Garage: 463 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3486 sf Value: $435,048.10 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 2 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: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 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 3486 Owner: Contractor: K5 URBAN PROPERTIES&MANAGEMEIBELLA TERRA HOMES Required Items and Reports(Conditions) PO BOX 25571 PO BOX 25571 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97298 2 NFPA 13D Fire Sprinklers Required PHONE: 503-292-9344 PHONE: 503-2929344 FAX: 503-297-7524 Total Fees: $34,538.04 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes .nd all other app,liic ble law. All work will be done in accordance with approved plans. This per.it will expire if work is not started within 180 days of issuance or f work is sup ded for more the 180 days. ATTENTION: Oregon requires to ff sw the �'ado•ted by the Oregon Utility Notification C. ter. Those ru s are set forth in OAR 952-001-0010 through OAR,, ,1-0090 may o.,.i a copy r'.e r direct questions to OUNC by calling 503.23 . 987•r 1.800.332. 34 . Issued B � �,�� / Permittee Signature: e's By: _ 9 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ' This permit card shall be kept in a conspicuous place on the job site until completi• of the project Approved plans are required on the job site at the time of each inspec on. ' tEGIVEID Mechanical Permit ApplieaC�on '"' roiz Orrici:t:.i.ONI,v City of Tigard nmuis ..1k 0, v//I_ 4. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan 2 •;- - 5 ' Phone: 503.718.2439.•Fax: 503.598 DateBy: ♦ * other Pemric Inspection 503.639.4175 " rlcnlzt fur oN ��, � s: ®I See Page 2 for Internet: vwv hgtrd or gov Supplemental informatbn i .,,.r _a" T6,oil4k4C> .Fltka 13 i*D.IL -,:..'1JSE.f..00,;:fo .,- '1`]iPE?t)F'1YtiR1C .. ,r t J � ` echanical permit fees*are based on the value of the work .New construction ' • ❑Addition/alteration/replacementerformed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: (� 1 6 2.0 liechanical materials,equipment,labor,overhead,and profit. VC T t 1: valuer i CATFGORI,�4F CONSTRLICI'IOA ��G �© : :• ,. .� .. .. TY pF ,t� lt>~S)3)�1?i7il�..$QUA'AIENT351�sr�asrsl� . 0.1-and 2-family dwelling ❑Commercial/industrial ❑Accessory [JitvINGCIV Far special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. I Total oN Heating/cooling: _ Air conditioning i 46.75 Job site address: f QiJ �(it) U i t.„"A-2.. Furnace 10,000 BTU(ducts/vents) 46.75. City/State/ZIP: Ti (o40,rA,„rlp0 v -1-4-2.2_1 Furnace 100.000+BTU(di els/vents) 54.91 1 Heat pump 61.06 Suite/bldg./apt.no.: Project name: ifs.�a a 1' (if- Duct work 23.32 Cross street/directions to job site: SyJ -{c0.}.1 g\p f 4 E -}guya.4 Cg Hydronic hot water system 23.32 - Residential boiler(radiator or hydronic) 23.32 Unit heaters(filet-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: 1F J¶2. .110 6E Lot no.: 3 Off' 23.32 Other fuel appliances: Tax maplparcel no.: Water heater • 23.32 • Gas fireplace/insert 3339 4 1 A r �S" k� E 1 frupvent for water heater or gas �.l l��('"�i` fireplace 23.32 ,¢.,, / /�/ Log lighter(gas) 23.32 9,Ut��fr‘i� t ` Wood/pellet stove 33.39 Wood fireplace/insert , 23.32 Chimney/liner/fluefvent 23.32 x., i o:.�x t Outer: 23.32 ••-a � •S ++ ..i Environmental exhaust and ventilation: I Name: V t�.b p*? p 4>F R,'M CS lJ 1-t5 1M 1 Range hood/other kitchen equipment 33.39 Address: O 13,1)x, .2 533 7- Clothes dryer exhaust 33.39 City/State/ZIP: 'O t"f'A L,1 1> 0'Q. `A 1-141 S Single-duct etdtaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: 2) 'S 31 S S Fax ( ) ttic/cra lspace fans 23.32 ani _ p t'' y _. O...W?744.M . .....:.:. .:.--;,,,,_',,,,..#.1-,..4', .`o&N Ie - ..,a.�.__ •_ Other: 2332 Fuel piping: Business name: N E lla -VQ 41,•.4::,te a5 514.15 for first four;$4.03 for each additional Contact name: C 4 n1 S 11 c GC.t1 C e Furnace,etc. Address: '? is 13rp yt, 2 5S 1-1 Gas heat pump . WalVsuspended/unit heater City./State/ZIP: ?tDtt,-1/24 4-I-a 1. D t2_, .9"42,S Water heater 412_, • ,p . Fax::( ) Fireplace Email: C 'N OAS 0C,`cVC.•rhr- 1:344n CS •v1 CI Barbecue i <' co t�Ac 1 Ole . . . _... . : ._..,r. ... . dryer(gas) Clothes Business name:CENTRAL AIR INC, Other 3 13 _., ...:-.7:3q... M WI4ICA(LPERI1IIi*F..;$ :_._: ' Address:PO BOX 433 Subtotal City/State/ZIP:CLACKAMAS OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 _ State surcharge(12%of permit fee) CCB lie.:178624 m 0 96 b7 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: W " Fee methodology set by Tri-County Budding industry Service Board Print name: �f e I(,•e, (11 I's Date:* I L( i lc' I:1Building\Pennite\MEC Permit App_04011I.doc 440-4617T(►1/62000MIWES) CITY OF TIGARD 't 'r ` " MASTER PERMIT ' . '' COMMUNITY DEVELOPMENT �� /`l Permit#: MST2019-00145 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2019 T[(�./� ° ' g Parcel: 2S104BC10600 Jurisdiction: Tigard Site address: 14090 SW WALNUT LN Subdivision: FERN STREET SUBDIVISION Lot: 3 Project: Fern Ridge, Lot 3 Project Description: New SF. 8/6/2019: REPRINT permit with fire sprinkler requirements due to grade of site. Fire sprinkler permit to be submitted under separate permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1665 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1821 sf Garage: 463 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3486 sf Value: $435,048.10 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 2 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'I 500 sf: 6 201-400 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 3486 Owner: Contractor: K5 URBAN PROPERTIES&MANAGEMEIBELLA TERRA HOMES Required Items and Reports(Conditions) - PO-1 Siff et3X33if/y --#- _, PORTLAND,OR 97239 PORTLAND,OR 97298 2 NFPA 13D Fire Sprinklers Required PHONE: 503-292-9344 PHONE: 503-2929344 FAX: 503-297-7524 Total Fees: $34,436.17 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 You may obtain a copy of the rules or direct questions to OUNC by calling 503 9 2-001-0010 through OAR 952-001-0090. .232.1987 or 1.800.332.2344. ��f,A d. Issued By: Permittee Signature: Ci✓V e'l / ✓ Lr C`/ /7Q AV 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. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00145 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2019 Parcel: 2S 104BC 10600 Jurisdiction: Tigard Site address: 14090 SW WALNUT LN Subdivision: FERN STREET SUBDIVISION Lot: 3 Project: Fern Ridge, Lot 3 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1665 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1821 sf Garage: 463 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3486 sf Value: $435,048.10 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 2 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'I 500 sf: 6 201-400 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 3486 Owner: Contractor: 1 K5 URBAN PROPERTIES&MANAGEMEIBELLA TERRA HOMES Requi,,,d Items and Reports(Conditions) PO BOX 25571 PO BOX 25571 1 Ersn Cntrl 503-6 -4175 PORTLAND,OR 97239 PORTLAND,OR 97298 .„....441 ,_}// PHONE: 503-292-9344 PHONE: 503-2929344 FAX: 503-297-7524 /4 Total Fees: $34,436.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of O". Specialty C. es 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 issu- ce, 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 e`l-r. T .se rules are set forth in OAR 952-001-0010 through OAR 952-001-00obtain a co of the rules or direct questions to OUNC by calling 503' 2.1']:7 or 1.8.0.332 344. a Issued By: t ' Permittee Signature: in al 3.639.4175 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 completi,n of the project. Approved plans are required on the job site at the time of each inspec ion. Building Permit Application VD Residential FOR OFFICE USE ONLY City of Tigard Fri- I'92019 Received DateB Permit No.. (a)\..4., 13125 SW Hall Blvd.,Tigard,OR 97223 y' �� � �� — g Plan Review l Date/By. tai Other Permit ra.L \�, ('�(`o�� ,I e Phone: 503.7182439 Fax: 503.598.19160' '64"1 V vV TIO ARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/13, Juris: p See Page2 for Internet: www.tigard-or.gov yr ,otified/Meth.r r/1 Supplemental Information I.• :•". ®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 ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead.and the profit for the tr , � work indicated on this application. ISS-- O'( ® 1-and 2-family dwelling f 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: c' ❑Master builder 0 Other: Number of bathrooms: J } +'a r e rl Yom'"air Y,s �' ' ', ',V' y�. t 3 1 t ; � t t to .1.� i ,..'•!'e--i,;'''':';,).,1� , Total number of floors: ,�. k �� ��� ��� � , ,.� ��. SFr. Z Job site address:Fern Ridge 6�p 10 ' `)W_ i � v u ki / i„v e New dwelling area:34 g( square feet 1$Z) City/State/ZIP:Tigard OR 97223 c� ”' Garage/carport area: \k.(j3 square feet`LQ(eS— Suite/bldg./apt.no.: l Project name:Fern Ridge Covered orch area: square feet Cross street/directions to job site:SW Fern Ridge Terrace square feet Other structure area: square feet Subdivision:Fern Ridge I Lot no.:3 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 t ler , e t 'k t z �k it a work indicated on this application. ` Valuation: $ I Existing building area: square feet New building area: square feet *.4",":....'..-:2,—;,;.... 4,14',404. .7:441V.474.'..', AJ° s r Number of stories: Name:K5 Urban properties&mgmt Type of construction: Address:PO NBOX 25332 Occupancy groups: City/State/ZIP:Portland OR 97298 Existing: Phone:(503)292 9344 Fax:( ) New: ,E'y', � FP'�F t37� � '4::7-'-':i.,-..,!;:"-a kxi .� :. A s k J7 t'ti‘ '�M ,° *•`x swntt' + �x I »_, a ....h.,.;', c,.., ..,-�.'7,t,,':,,. . t,.,.. . ,.,,a+=, ea : a: 'txi.,d x't i iki_ ,i =' r x r w i . i 31. x;., Business name:Bella Terra Homes `}` t t's . '°'"�" Structural plan review fee(or deposit): Contact name:Chris McGehee FLS plan review fee(if applicable): Address:PO BOX 25571 Total fees due upon application: City/State/ZIP:Portland OR 97298 Phone:(503)1-92 9344 Fax::( ) � i �,i�� �x ,�z �� E-mail:chrisr)bellaterrahomes.net L � ''.„7 �A„ Commercial and residential prescriptive installation of L Fl f Y,, 5.� t ._ w, � � ,z , roof-top mounted Photovoltaic Solar Panel System. Business name:Bella Terra Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:PO Box 25571 Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97298 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)292 9344 Fax:(503)297 7524 State surcharge(12%of permit fee): $21.60 CCB lie.: 15'13' L/36 '31 fiL ,, —� + Total fee due upon application: $201.60 Authorized signature: C ,..,` `' \ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Chris McGehee Date:4/4/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 Mechanical Permit ApplicationRECEIVED FOR OFFICE USE ONLY City of Ti a (t APR { ReceivedBPermit No.: `g1' i Daley: A\. �1 q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.598.� M f TY OF +IrUARO Date/By: Other Pernik TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juts. ® Sec Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMEI1C1AL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work .New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATIsGOR1OF CONSTRUCTION RESIDENTIAL EQUWMENT/SYSTEMS FEES* 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special infornlarion use checklis/. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITEINFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: -jVQN QCT (i c ,."t'2- Furnace 100,000 BTU(ducts/vents) 46.75 City/Slate/ZIP: Ti (o„ey.NLyp Ya .1} 2_2_3 'furnace 100,000+BTU(ducts/vents) 54.91 1 Heat pump 61.06 Suite/bldg./apt.no.: Project name: f ‘7._a e to elf. Duct work 23.32 Cross street/directions to job site: SW - g j iaN06 E -\-- ris2 p C€ 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 .7 Subdivision: � 'Ri►J K t,t0(4 E Lot no.: 3 Other: Other fuel appliances: 23.32 Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK'. Gas fireplace/insert 33.39 Flue vent for water heater or gas HVAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ❑.PROPERTY' OWNER ❑ TENANT Environmental exhaust and ventilation: Name: k S V R b a p TLC.?E R.NA CS t15 levCi Range hood/other kitchen equipment 33.39 Address: V C) i 'b X .2 533 2- Clothes dryer exhaust 33.39 City/State/ZIP: 3 (2)%2A-1,6 ti, U la_ 2y 8 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:603) cisnzi 31 3 S Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT P.FRSON Other. 23.32 Fuel piping: Business name: l',4 `-N-FQ‘L� } fi a5 $14.15 for first four;$4.03 for each additional Contact name: C ro S II L GL v1 re Furnace,etc. .— O x 2 �) Gas heat pump Address: B' WalVsuspended/unit heater City/State/ZIP: 'FIONr1/2-1 A1J 1C) 0 YL9 2 cr 8 Water heater Fireplace Phone:603) -_ 2�Z ��-�-----Fax::(- ) _ -- -t - E-mail: C aSS& bct\ti�c.1!-I/+F,tAL7✓AY CS •v1 CI Barbecue CONTRACTOR Clothes dryer(gas) Business name:CENTRAL AIR INC. Other: MECHANICAL PERMIT FEES* Address:PO BOX 433 Subtotal City/State/ZIP:CLACKAMAS OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) CCB lie.:178624 m o 95 b 7TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ��Q � days after it has been accepted as complete. Authorized signature: W c I...Q * Fee methodology set by Tri-County Building Industry Service Board Print name: ai e I`e I t.e, fit 1 s Date:24 J 4111 I:\Building\PermilAMsc_PermitApp_0401 I3•doc 440-461Tr(t 1/02/CCM/WEB) Electrical Permit ApplicationHEC.EIVED FOR OFFiCE USE ONLY City of Tigard PR 1 b 2019 Received • Plan Re Permit No.'s-r" C\�(�f �(,.\-F") INe 13125 SW Hall Blvd.,Tigard,OR 92 23, Plan Review ` Phone: 503.718.2439 Fax: 503.54811 �0 OF 1 f(,AKD Date/By: Other Permit: TIGRRO Inspection Line: 503.639.4175 3UILDING DIVISION DateReadyBy: Juris la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information '' .t 9r. r 4itrrir u.,. PLA.I�t• REVIJWWW Please check all that apply(submit 2 sets of plans w/items checked below): ®New construction D Addition/alteration/replacement 0 Service or feeder 400 amps or more 0 Building over three stories 1 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. I CA.TECORY oW c "Tg CQNg y exceeds 10,000 amps at 150 volts or 0 Floating buildings. ' ' "'" ` ' " ' less to ground,or exceeds 14,000 0 Commercial-use agricultural E1-1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 pump. 0 Installation of 75 KVA or ❑Emergency system. larger separately derived system. JOB SI IE NkPRM TION SAND, LD(,,�.rtA;TI „ ` „ ,'- 0 Addition of new motor load of 0"A","E","1-2„ "1-3", Job no.: Job site address: rr 100HP or more. Recreation R N fl F '�� ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: -1164.a 9 b yZ .il Z 2 3 ❑Health-care facilities. 0 Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name:'e'_(fL.i4 V.A� U E. 0 Service or feeder 600 amps or more Cross street/directions tojob site: p _ EE.SCfI DUe. �� TV ��� ��' � Description i Qty. I Fee. I Total New residential single-or multi-family dwelling unit. - 20--a, C Includes attached garage. Subdivision: V'F QIJ V-%0 (ci Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.addl 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential , IIESCRWTJON OP`WORK ,-.,:,,,,,„24.:.; (with above sq.ft.) 75.00 2 . �'� Limited energy,multi-family 75.00 2 residential(with above sq.ti.) ' Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 ' 2 - . PROPERTY OWNER _, , , ....,,..,,,,10.,„:„3"0.401t,..„,',,,,:„, 201 amps to 400 amps 133.56 - 401 amps to 600 amps '200.34 2 Name: K5 'JcoA. 9ry pe e 5 s niv rn-lc. 601 amps to 1,000 amps 301.04 2 Address:'po t'1 ' ,,5--S) a Over 1,000 amps or volts 552.26 2 ClQ Temporary services or feeders installation,alteration,and/or City/State/ZiP: i ( \-V,A�Ct i O e Cl I-' Ca relocation Phone:06 5) c\, -'3 y 2 5 Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on property that I own which is not intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with above service or feeder fee, eAPI'T�IC V} .,�„� x To. .' . ©`'C,'O ,x , ' $ON, 7.42 z each branch circuit 'yy� klem�S� B.Fee for branch circuits without 16 t Business name: 6t r` J service or feeder fee,first 56.18 Contactname: branch circuit Each add'I branch circuit 7.42 2 Address: t Ft ) GFX- 06/4P Miscellaneous(service or feeder not included) Cit /State/ZIP: 'I�Vri t Q. iC '21 �.q 8 Each manufactured,sece or and/or modular y �� dwellin service feeder 67.84 Phone: )1 "t e-'3 t./ Fax: :( ) Reconnect only 67.84 2 E-mail:C)'l vt$Y be it (-t'r�yc"2klgr'rle j/ f Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 u.n..- ":'..:"..'1'.,.,:±;'::.!.:'!:1';,:.® M t :' , s+ , na ass .n f4:..':_';'-'!''''_;'^''''''!'''''-'4°;:` -Sig«si�.:.�...i:..,:.va e..ergy. ___ .r - _ - -_ —_-----_ Business name: DreamHouse Electric,LLC panel,alteration,or extension. Pape 2 2 Each additional inspection over allowable in any of the above Address: 221 SW Moonridge Place1 Additional inspection(I hr min) 6625/hr City/State/ZIP: Portland,OR 97225 Investigation(1 hr min) 66.25/hr Phone:(503) 519-6711 Fax:(503)648-9723 industrial plant(1 hr min) 78.18/hr CCB Lic.: 196726 Electrical Lic.: C-848 Suprv. Lic.: 4560S Inspections for which no fee is 90.00!hr specifically listed(Vi hr min) Suprv.Electrician signature,required: (.......,4 � � :ELECTRI L PERMIT)F E3'Subtotal: Print name: Chris Mahoney Date: el11l7 Plan review(25%of permit fee): Authorized signature: State surcharge(12%of permit fee): TOTAL PERMIT FEE: Print name: ( Date: I:\Building\Permits\ELC-PermitApp.doc 07/01/10 440-46t ST(I1/05/COM/WEB .Plurn bing Permit Apptesttit,(.. i .. -- - E it ..,h1V f) Building Fixtures ,.-,,, ..: ---- °- ---. .-.- .-----,:--'-',, ApRi 6 2019 ,:„: .. .: -.)i...t-,?1)::i.:.'i- t,,,I.:',;('N''',.4.' :'',`....,:-',,',,' -:,:'..-'.1‘;',-:.-"i':-'r:•:-''..:'-' , , (AN' cif Tigli;II , ktceiNad ,,,,, ,,,,,,ir. 13125 SW tia0 libeci,1 iaoei.OR 9'..3iii: i IF 1 ILiARD -,--7.,,,-,,7-4:-;.27.,7--------. - 111 - -i 1 , _ii,ir-.,, fly,,,.,, y,.,7it -r,..le t" . •cg, 56, 10. ',---• I {.P}',..A'he I,q:, .' Tic Wi. -..2(i.('i7t. *'. -- -.*8 it 1NG DIVISIONi t"--Li.v:-...--77'-- Dt(((:RctAy'iss- I iwis I E; SAf ngt Z t4,1 1 ,., itnentet. www.ri,rerd-or.i,nv - Ntgiri.74/Moto.t, 1 Sg }101APIPI trAii:ellf.fitg; I tliffAia ,.;c:I'S'4.577-''';','" f.'-',-4vi' ,.r. Allisvi ,,o, ,,,,,,„,-,..4,,,,,,,„p4,:.,,, „: ,,.,7::,,,, :,,,,4;;,.,,,,-,,,,,,,,,1„,,,,', 44,'',:4,4,',,;:,,,,;..4j,A.,60..t:, to:4.,',.,,,,,,, ,t,*,..lier144.:,,,,,'•:,,,,,,,,,=;-''; ''..,-',', ..:-.1,'‘.--, ::,;,,',.::',,,,,,,,,,,,';t'.: 71,74 r-,.-., ,, 1 For teplai if tl,htathAV Oat.,rpeCHFV. , _ , i MI New constro.trion 0 amolittoti ,,,_ r.' i. 17 ,Pt1o,' 0 Additionfaltermiaartpibconcte .0 Other , --- - - • - , -,..„_- . t ' Nevi I-2-fn milLdweltinv 1,inetteles 1011 ft.for each istifili ttits',Its7:41*), 0', ',',kV,:.1;,-1:4/Aq.1-' X,41,t0610,1,4104 -,....,', ,1,..,..,, .„.,'' ,..,,..-,,-•-,, .,,,,0-4*,,,,',,i,;',....,,....,-:..,',,',„i SFR(1)bath 1 ' 312,76 ...4',.?..,..y gai,„i •- ., ,, „,.:',..,,,,,,,_.,„;„,,,,,„,„,,z,,,/,,,,,,,,,,, , .Si4400.9..1`X.'AtiT-f.,(;,,,,,,pr.. ,,(,,,,,,-:L.,jat,;...1‘(4.41.,, i......—...... ...,-*---............---.---..---*.«.--...---. ...•-....7-...,-....- 1 6ZI I-and 2-fentily dwell inv 0 Comrderetratinduetrisl i SFit(7)bath t .................e.....—..............«r n. m Ma...ma*. ' ' ''''''',) i t•Fit(..,:,b.ili'i ; f,)3..s, .i. C3 Accessory building 0 Mulli-camily . , ----e-------- 1 F.ach additional bath/kitchen - .2.14 - 0 Master builder - 0 Other (..._,..,„,„_,Sq.fi,) Pop 2,1. • . ,A.',F-'4- ,:•V•I'''11°1'''--:•:-n'-.,-';',.-i•AV.-1,-,r,e-wk.:4-•'-(1,..';•'• 1ft-,,•te-'.<•'!"1:0w(14",-1;17,X.,..t--7.--,51<.,„..-'ee fir ti 1---r-,----------- ,,, ----- -------1 *--•'t?'''''--tli- ` '''''''''`'-', - ,....-t-;:'---.1-!.,:;!-• -).,<t1.7,4- .1:2-;),.4.AkvAte-'4At'-';'''':•-'- ''-',•'t.:4;-"..•::,":-y.iatiV Slit Ett-nrit-$: _ ____, hob site addrex.s: --ige.b,) -A.3. Criteh in( ir,or aro.(Jam It.76 ' —1 LAyweli,leach line,or trench drain CityrSt - Miilli.76 „ ate/Z1P: 11 ‘ stip CD rt__ It 2.1'5 , I- -1 tooting drein(no.linear IL: ) t_. Pave 2 . ,•,,, - I Suite/bldg./apt.no.: 1 Project nen*: 4---r Qv., Q't 0 EIS hunidacttatti ktorne utilities 50.63 t Cross street/directions to job she: SSS -VV_V.:.14 (2..‘'0 (i£ lvtanbetles c€ Rain drain connector ' Sanitary sewer no linear ft ) 4 "Paige 2 .... Storm SOW((HM.linear ft.:_ ) 1 ' Part.7 - -_---,,-_--_--. — ----T-------1 Water service(no,linear it: ) •Pave 2 Subdivision: ---'ENz‘N 2‘,40 6 F. _ Lot no: Fixture or Item: 1 - Tax ntaptparcel no Backflow preventer --j=7.- 31,27 -.'..-.'i,.;P:A.',',`,4-, ;,,,,":4,:,:,-....!:,,--,. -,,I.,-0..,,,,,Arlw„,,!i•?;‘,,,,,r1,,,,-,,,-,,,n.?.,:-,:: ,7,4,-...,,,,:,.,,:,,,,,,,,,,,.;-.,,,:Ar,-:;,-,-,,,,',,,:,,,,,,: t, Et14"111tr vEtvc , t 12.---51 Clothes washer !•- _ f Dishwasher I --- . i 2 .O2 1 Deinng fountain I 25.02 i I Ejecterfilsurnp • 25:02 4,..P..Ak m-;,--- -,,."....1 E it-0. t v 1 1231 - il--.-.---'-':'1.'-*-•,;• -,--;it' tjr,rt ..A t•-.4....,!,/,'., ,.....:,-.:7-E,......1;..,7 ,,,,,,.'•4,,-- - :,--ia-r-"-- moo ' ri -an' Natne: Kt UfbAn fp.- g 5 VI.g-ycY-1-\-- 1 Fixture/re-wet cap : 25:02.- -. . __ — I Fioor.entirtifiwir sink/hub 7 , 25,02 ..„_ ....... ............. ,....... A_ Gitrbtkte i City/State/ZIP: _._,...,,,,1 NOM!bib _:1 1 25.4.2.I I PhOfre: ) a__.CY-a,- -4-1 L-I Fax',( ) I, t ice naker i : 12..51 .;,..-,17„.,„6-4, ,141i*-1;;VP/t12:1411o*,1"-...,,r,'<.--,•''-.--." ''..;...::.;,';---vtf',.t,,;-`7,11'''•?-."TeW41-4.-W,rm''''°,:t111,",*441-..t. jegereeptOrigrea se trap *iit'S;:-:,•-:'"4-.;.-e, ..,:....:-,...'.6.:-;,,iP,Arsnit,-;teR-00‘.,7:--'''''''':"-.-,' ''''-'°-'4:.r:-. '''•.'1,1' ' '''''' v.ot• I mediettl Fri:,tv 1 'S: I - Peitc.' — I Business name: et tl c--,i -r-...,,, r 1,--1 A iil... 6 III IP) t'--) ' , Contact name: hrt 43 (.-ALE--leh..e.-e. — ........__ _ Roof-drain(commercial) 1 TEsiT- . Address: pc, 9-,,s, a.,55 1 , , sink/batiniiAvalory , i 75,02 i City/StaterZiP• `-a ,1-1--1 c),\v-\/-i (s, '?,..., GI-q,-a_ot Solar orniN(potable water) i I 62.54 - r---- _ -IA, — -... . Phone:(553) p_RD._ - ' LI , Fox, :( I 'it- j ' i Tub'Ilt.w(aliflower pan L ., ,/foray. ,' .rkt4.------- -..—,...- :, "--z-'.„-- '.4"pifts,4i'kW4C,... --1.7-.-,;,..:,..,.,,,,._.r ,r7,77.,,L.,,„,;:. .-„, .,,,..,„,,,,,,,, Wg.ter closct i ,,., ' • - -,02 .'''',.rr....',..... ......''''''r'''',,'r-Oriert§rhen.tio-- -Zw.,:',.* .'':-..! r..r:;,..„;.,..r4c,-;;;;Lr.,-._....,,,,,,I,;,,' Water trate; r 1 37,52 1 ,I - Business name:- G & B Plumbing & Sons Inc. i VISIC.7 tritlinel)WV f 56.29 i • i Address: PO Box 92 1 ober,: ---- ...d ._,..a,. i CiLY/SInteatP• St. Paul, OR 97137 i JL ,., -i ? uisai permit fec: Phone:(503) fas„.1,417 Fac( hilinin I / ,. — Plan review (25%of pertnit fv.C.I 1 CCB Lie,: 18437i7 --7 - Phinthi : 're.no; PB634 ............._ . sum prcharge(17%of permit fee) Authorized signature: •••t-'-' - ,40,- , WV 1 '..----- TOTAt.PERMIT FEE r____ ! Print name-- Kelly vFo1.eri. , „,..... _ij Date: 04/04/19 i Mil.permil styptic:Owl ta pm ia if a permit la mat tibtabotii after it hat beets artv-pird as armpit:U., ' -,-- v - "bee Mt tl."1C,OS'Y SCZ by Tri-(osinty ilatbitiac incitistry Ses-yicc Ekszad i`43iiititiagskriaiton.ast!-PtrasstAns do. I 0•01/09 4 0-4 04T(;ortrecomiwne) City of Tigard ill q COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A R o Building Permit Review — Residential Building Permit #: 1`(\ST�'G\CA- Ut..-k5 Site Address: l-{L' (C;, ,sc\f\J Waindk LAv Project Name: fCan k jJ t &1 Lot #: '? (New dwelling=subdids n name;Addition or Alteration=last name of owner) Planning Review Proposal: i\Le Vv 47. .-IAP Verify address/suite#active in Accela. JIn River Terrace: WNo ❑ Yes,River Terrace Review Addendum it ,Plan Elements: Erosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper :' 'etained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE .North arrow 'Utility locations&easements(required for new and additions) 'Site address,project or subdivision name and lot number (Sidewalk/driveway approach IN-Applicant information(name and phone number) Ve. .cation of wells/septic systems Lot dimensions and building setback dimensions N Street tree size,type and location quare footage of buildings to be demolished ,Street names xisting structures on site Corner elevations(2'contours if more than 4'differential) g-ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑No • impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? e ❑No .."'Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ›S No Received: ❑ Yes ❑ No *Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified X No Applied For: [1 Yes ❑ No,stop intake ►_ Land Use Case#: SU " a 5 '0 00t it; V, Zoning: P-1 o Required Setbacks: Front: IS' Rear: IS- Side: Street Side: N/4k Garage: Z r 0 Building Height: Max.Height: Actual Height: t'ILA ,N"Landscape Area: 2-0 % ❑ Lot Coverage Max: `i'30 % 1 Entrance Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windowsnirnum 12%of area of all street-facing facades lel"1'10 Garage p'Gara door is behind widest street-facing wall ❑ Yes dd'No,one of the following is met: CDoor extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. VGarage door width is ❑ 12'or less Q''-5-0%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset O Fire shingles LI Lap Siding U RooTpitch 12 Gable,hip,or gambrel roor--D Dormer ❑ Accent siding 0 Window trim 0 Window recess ❑ Window projection El Balcony Visual Clearance X Urban Forestry Plan VI/A1,21 � IEC Sensitive Lands: 'EYes CI No Type: \C\V t4�L? , Y Q//A f 1[it OoConditions met prior to isluance of 1uilclin permit s: 1 1v V rt P �,1�i �r - 44.4 Approved By Planning: Date: 1i--1 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPemiitRvw_RES 022819.docx / Building Permit Submittal Original Submittal Date: Lk 1 \Ci Site Plans: # >j Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Q'Planning fEr Engineering Er-Permit Coordinator 27-Building Workflow Sign-off: TSign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ['Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 1u.k\Ct Engineering Review B'Slope at building pad: (.15? conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat [?Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2-"No Assess Water Quantity Fee in-lieu: ❑ Yes 2—No �� LIDA Facility on lot: ❑ Yes L7'No L� Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: I 1 Approved by Engineering: �4�t Kioar Date: 4-/7-(9 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: 'SDC Fees Entered: Wash Co Trans Dev Tax: 'yes ❑ N/A Tigard Trans SDC: CS Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes '-N/A J'OK to Issue Permit Approved by Permit Coordinator: Date: 4 \t1, I tq 1 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 T • ransmlttal Letter 1 A k n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: (‘'1 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: APR 2 5 2019 COMPANY: t�.tiA,-k(Z�, TIGARD (t.,(1." OF DIVISION,/ PHONE: 49-e> 31‘=.1 By: RE: C 6.W WE vt.s`F (�h� �-t S-T 20(1- o o i 1S (Site Address) (Permit Number) c2� (Za L t- 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'CroPire :.' �r5 fin: __, ies• 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. v V Beam calculations. � Engineer's calculations. Other(explain): REMARKS: N* fS-C I i ed Ian: sae: • 30 ( Initials: .W'' Fees Due: Yes ❑No Fee Des ript on: Amount Due: lZ Q $ � Special Instructions: Reprint Permit(per PE): ❑ Yes I ►l Nom ❑ Done Applicant Notified: Date: /Gl 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 Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov / TO: , j �,Y, DATE RECEIVED: DEPT: BUILDING DIVISION 1_ AUG - ' 20i9 FROM: �1- 1�-�tF 2-- CIT • .PGARD BUI PING DIVISVT° COMPANY: B \\A r\V2A �Tl x-11= S PHONE: '� 6: -•v 3101 By. RE: k'O9 ) S A\\`1s ' /j1S7-fir %