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Permit (80) CITY OF TIGARD MASTER PERMIT '7 I ' COMMUNITY DEVELOPMENT Permit#: MST2019-00234 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2019 T I[;A R o9 Parcel: 2S110AD10200 Jurisdiction: Tigard Site address: 10921 SW ANNAND HILL CT Subdivision: ANNAND HEIGHTS Lot: 4 Project: Annand Heights, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 520 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 837 sf Garage: 338 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1357 sf Value: $184,354.86 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1357 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) "_: BY - HARDS,VIIALE T 1-2655stNN TH C5AKb1 _ 303 -4778 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 2 Geo Tech Report Required TIGARD,OR 97223 Prior To Pour PHONE: 503-788-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $28,885.49 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 requires you t• follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR•01-••-,%. You ma •-.tain a cop • the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: "1 .1 / i Permittee Signature: _, Call 503.639.4175 by 7:00 a.m.for the next availab ' ion 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. T Building Permit Application• • Residential FOR OFFICE USE ONLY City of Tigard ,s '.w Date/B :Received . /0 //' / �' *' ( j'-?abs-c> e'/ a 13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Review i P t C-ay C� Phone: 503.718.2439 Fax: 503.598.1960 DateBy: b / Q TIGAxu Inspection Line: 503.639.4175 Ready/By: A Juris: 121 See Page 2 for Internet: www.tigard-or.gov • - -,/te tified/ eth.•. l r Supplementallnformation i�: S. TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 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 • CATEGORY OF CONSTRUCTION work indicated on this application. e r_and 2-family dwelling 0 Commercial/industrial Valuation: $ `%4 / 354 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: I�9 S— Job site address: (54-) klACifld ht/iit .1 New dwelling area: square feet 3-i City/State/ZIP: 7:7- /3 i/) o le-L-::" q 7'a3 Garage/carport area '339 " t 52.4) Suite/bldg./apt.no.: Project name: 19,,n4Ad BC A Covered porch area: square feet 1 Cross street/directions to job site: JOf-b Deck area: —Rd * square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 1:1--n ncs Ad 1.i-e<q It 1-5Lotno.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: V Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. tlje o j PIz Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER. 0.TENANT Number of stories: Name: Type of construction: Address: 421,4.5-5- 5GJ Ivo p_411 ia--/o /b.. evr- L- Occupancy groups: City/State/ZIP: -TA a// 4.1 22-3 Existing: Phone:(S(,3, 7 _L/37ç Fax:(j Z(3) /0--7 I — New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedul) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: .: Amount received: Phone:( ) Fax::( ) E-mail: 4/do/nes,v is..? c 7 it ail r cow PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* LA d�-�r�-ar Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: kiittriti.rod� A s 7L,1)1 L Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: G ¶5 d'iAD A/09- 0 )044k047- c5't"Le - Solar Installation Specialty Code checklist. City/State/ZIP: 7/5 e_le"-e- X223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(p3) g4 _Lto 7s Fax:( 6V3 690-7a0,` State surcharge(12%of permit fee): $21.60 CCB lic.: 6-0/9 . '3/_2..922 Total fee due upon application: $201.60 Authorized signature: -- _. - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Printname: t-a-rails- Date: , w` *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio• F( JFFICE USE ONLY City of Tigard Date/By:Received - Permit No.: ilh13125 SW Hall Blvd.,Tigard,OR 97223 g Plan Review Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Saris 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 11r '.� -P:=;'' it14.416,i ,COMMERCIAL,.FEE.*:S:CHEDIME=.USE CHECKLIST Mechanical permit fees*are based on the value of the work (ew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ C TEGOR - 1F CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* MI 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 t:� 6. Sl'TE iiN4oRI STION AND LOCATION, Heating/cooling: '- ;` ,w - _Air conditioning 46.75 Job site address: /U 4 1( G.5-4)- �-AnG� /24 1/ /at/.4 Furnace 100,000 BTU(ducts/vents) .0.''''' 46.75 City/State/ZIP: rci, � 2 Furnace 100,000+BTU(ducts/vents) 54.91 are,/ "� �� 3 Heat pump 61.06 Suite/bldg./apt.no.: Project name:/; ,,a,id ,G 4 5 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 ��� Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: finn4Ad Ile 0 h Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater ✓ 23.32 DE itttr `ON'4 WORI{ Gas fireplace/insert — 33.39 .. I�,,'... - .r Flue vent for water heater or gas /CA' �i �� 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 > .. P,OPERT s OWNER; ' 0.TENANT . Environmental exhaust and ventilation: Name: /i 11�r• J� � &e571 C Polo L Range hood/other kitchen (F/` f0 � �� Po.Cot. 5 Clothes dryer 33.39 Address: LJ d'r 'f>!i Clothes dexhaust .".' 33.39 City/State/ZIP: To„Tr,' 3 Single-duct exhaust(bathrooms, y �� C O'Z Y o�� toilet compartments,utility rooms) 0 23.32 Phone:( 5-03 76 cf -G/37c Fax:. 3) j(Q -71i GG Attic/crawlspace fans 23.32 ' l CANE ..E El CONTACT PERSON Other: 23.32 Fuel piping: Business name: 60m $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: , r---..�. _ _ __--- ...P`k Wall/cnc li rl/mit h ter _ City/State/ZIP: Water heater Fax: : Fireplace Phone:( ) 11-0A, I ( ) Range E-mail: t4.Jfn(J -od(JeS a-)d9 3/7t �� ((am Barbecue C(31 TRACTOR-,.; �/ Clothes dryer(gas) / Other: Business name: -F(r5 pi (it-Z - MECHANICALPERMIT FEES* Address: /3/50 7/(�(eatip, s ( .��,, a•. Subtotal City/State/ZIP: / ,,i2 as D' Bn arm 's _ Minimum permit fee($90.00) �' CJ Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) t I CCB lic.: TOTAL PERMIT FEE �} �'�� within 180 o"'����--� This permit application expires if a permit is not obtained PP P days after it has been accepted as complete. Authorized signature: ` Fee methodology set by Tri-County Building Industry Service Board Print name: Pr i d�'�rl�eA,4� Date: g/(6J! T\Buildinv\Permits\MEC PermitAoo 04013 doc 440-4617T(11/02/COM/WEB) Electrical Permit Application• F1/4. ,JFFICE USE ONLY City of Tigard ReReceived Permit#: e 13125 SW Hall Blvd.,Tigard,OR 97223 y Tigard, Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960111‘ Date/By: Inspection Line: 503.639.4175 Ready Date/By. Juris: El See Page 2 for TI G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more 0 Building over three stories. El Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION LOCATION El Emergency system. larger separately derived O Addition of new motor load of system. Job#: 1 Job site address:f ll ' �An cti1�l 1./ �1 100HP or more. ❑"A"."E" "1-2" "1-3" Six or more residential units. occupancy. ❑S vehicle parks. 3Recreational ❑ City/State/ZIP: Health-care facilities. /� arc,/ 972 0 4 ❑Supply voltage for more than V ❑Hazardous locations. Suite/bldg./apt.#: Project name: n/1G7�� � j� 600 volts nominal. 0 Service or feeder 600 amps or more. Cross street/directions to job site: //4/y fj FEE SCHEDULE r VV77 Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: /1-hn4,t / /l{o( Lot#: / Includes attached garage. 1,000 sq.ft.or less / 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ftor portion D_,, 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 fret.) c!F� Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 'P1;OPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: toutdatddU ass iiiithA 14C___ 200 amps or less 100.70 2 Address: p_/ �'� �,-0 p NvA. s�-/ 201 amps to 400 amps 133.56 2 l' 401 amps to 600 amps 200.34 2 City/State/ZIP: / Cl6 �4,/U 6,2_ f72..2-3 601 amps to 1,000 amps 301.04 2 Phone:(11 ii7bo 3 2S— Fax:(5v3 )$5 --7444 Over 1,000 amps or volts 552.26 2 It1ZS /V� ( 6 � f oten Temporary services or feeders installation,alteration,and/or /itj Email: ✓,-ctc / � 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 ICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: 5qe above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 e� Yr 0 • 67.84 2 Business name: 4,-cam4ou5c .l-tc.ili _Sign or outline lighting 67.84/ 2 J Signal circuit(s)or limited-energy Address: ,„2.;:.-d Ctj Olein "t/_A - .h(' / '' panel,alteration,or extension. 12 See Page 2 2 Each additional inspection over allowable in any of the above 1 City/State/ZIP: ,--- 1,f• ' " 2 Additional inspection(1 hr min) 66.25/hr Phone:{�--c.)-3) D---/f ....z,„,-7 pi Fax:b•-(j3) ‘5I_9.7)3 Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.:/91, L # Electrical Lic.:6—Ne Suprv.Lic.:9 05 specifically listed(Y2 hr mm) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name kre5 4, Date: Z. Jr t r1 0 Plan Review Required(25%of permit fee): ij'//// ( State surcharge(12%of permit fee): Authorized signature:^ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: c A rip c e Date: G/ it, 11 # days after it has been accepted as complete. J * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/] 5 440-4615T(11/05/COM/WEB 'I Electrical Permit Application—City o igard • Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE,SCHEDULE Description I Qty. I Each I Total * Fee for all residential systems combined: $75.00 . Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 0 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls E Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC Fl Instrumentation n Intercom and Paging Systems L1 Landscape Irrigation Control* n M• edical n N• urse Calls E Outdoor Landscape Lighting* n Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Applicatio• III Building Fixtures FOR OFFICE USE ONLY City of Tigard Date/By:Received Permit No.: III - RI 13125 SW Hall Blvd.,Tigard,OR 97223 g Plan Review Other Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Sufis: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information . x :" TFORK FEE*..SCHEBITEE , „'ew construction 0 Demolition For special information use checklist Description Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 If 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath /--- 500.32 0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND' LOCATION Site utilities: nA n / A!/�U J Catch basin or area drain 18.76 Job site address: /1,92" (�/l�/ 4 r-� Drywell,leach line,or trench drain 18.76 City/State/ZIP: T1//-- ---/ VP'72- Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: nna.ic1ig< IL/5 Manufactured home utilities 50.03 ,1 Cross street/directions to job site: Manholes 18.76 10 9 % 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: iqii n641 lft,e0 k/5 I Lot no.: Y Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 fli'tAj 5//2- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY-OWNER`'. 0 TENANT Expansion tank 12.51 Name: /4/��Vf Ard ffJ e7A-S �, Fixture/sewer cap 25.02 � �� Floor drain/floor sink/hub 25.02 `S `j Address: ® s �(/�l/� �Li !/�Z� Garbage disposal 25.02 City/State/ZIP: � Q f r� e7-2,3.7,„, ..3 Hose bib 25.02 Phone:(' 3 7 U-- 7 S Fax:(f e,3 3 7- t Ice maker 12.51 0 APPLICANT ❑-CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: 5bn1 to Primer Primer Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 . . i' .s water 62.54 Phone:( ) I Fax: :( ) Tub/shower/shower pan 12 51 ® Urinal 25.02 E-mail: �/1L/i/`t/Y®I.aro<G� itCIAT-es/l/W cv/J"/11CIl ll«'� ` Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: ,OQr-FA4fl/( l 44.4 l/y /0 Water piping/DWV 56.29 Address: /. jilt,) 5 64 /1/� e/ Other: 25.02 City/State/ZIP: [�cC� ` ("4 r2(/.- Subtotal Minimum permit fee: $72.50 Phone:(5"-- g...3 7g3 ""ril Fax:4�3) .3bie/ Plan review (25%of permit fee) CCB Lic.: /‘.2 Plumbing Lic.no.:, �Q3b�� State surcharge(12%of permit fee) Authorized signature: 711/1-(2 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: �(��1 L] Date:ri �pf after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Building Permit Application Acklist • One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received i Permit No.: w 13125 SW Hall Blvd.,Tigard,OR 97223 y g Associated permits: 111 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. M 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. l 0 0 3 Verification of approved plat/lot. Z 0 0 4 Fire district approval required. Name of district: . Of 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 6 Sewer permit. 2 0 0 7 Water district approval. 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 Z' 9 Erosion control an 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 VII 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 a 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 Zi 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, .t 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- IX 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. J21 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- IZT` 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 a ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 2" ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. WI 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required [X 0 0 for four or more a'.liances. 22 En,ineer's calculations. When re•uired or srovided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or Ed/ 0 0 architect license. in Ore.on an. s a .e s own o sea.. Ica. e o e •ro ec u •- -, 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". ,a 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. ,A 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 121 27 "Drawn to scale"indicates standard architect or engineer scale. 21 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard [21' 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, [2r 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area.Pre-Screening Site Assessment form is required for all building additions, © 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard II ■ a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 4457-)_0 lq ---00Z Site Address: /o9/ -'UD /!0 �-M4— Project Name: I70A ,^ k Lot #: 272 (New dwelling=subdivi,of name;Addition or Alteration=last name of owner) Planning Review Proyosal: AJ k_ L' Verify address/suite# active in Accela. n River Terrace: 4X No ❑ Yes,River Terrace Review Addendum Sit Plan Elements: fZ .Sion Control ,_,i/copies of site plan on 8-1/2"x 11"or 11 x 17"paper N : •tained trees with drip line and tree protection measures Pr awn to scale(standard architect or engineer scale)fAFootprint of new structure(including decks)and FFE lrth arrow 6� ,• •ty locations&easements (required for new and additions) M e address,project or subdivision name and lot number I% idewalk/driveway approach • pplicant information(name and phone number) II 1°,c tion of wells/septic systems VI Lo dimensions and building setback dimensions Il'P eet tree size,type and location Sl �.ware footage of buildings to be demolished r4 reet names • �I'.sting structures on site IZJ Corner elevations (2'contours if more than 4'dif rential) /4 Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? es ❑ o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes Ire No Pik lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): /Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facili�ti Improvement (PFI) Permit: equired: LTJ Yes,applicant was notified ❑ No AppliFor: yes No,stop intake rez and Use Case#: Pbg2o/ = ( O(%) ) ii.A Zoning: i, P1),)WIL Required Setbacks: Front: i .-- Rear: 1C- Side: Street Side: N I Garage: (0 Building Height: Max. Height: gc-i Actual Height:�� _ 29i Landscape Area: �0 % Lot Coverage Max: '.3('') Entrance V. -t back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 d--y -- or less Windows ❑ Minimum -°. of area of all street-facing facades r.\\K Garage ❑ Garage door is behin. •;- t street-facing wall E Yes 1 o,one of the following is met: ❑ Door extends no more than o wall and there is . -. ered porch extending beyond garage. ❑ Door extends no more than 5'from wall . •: :•- e is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or -. • 50%or less of ac..- ❑ 60%or less and includes 7 of following: L 1=1Covered porch 'ecessed entrance ❑ Wall offset ❑ 1 ' .: -..ve ❑ Roof offset ❑ rir- g es ❑ Lap Siding ❑ Roof pitch U Gable,hip,or gambre r.. U Dormer E Accent siding ❑ Window trim ❑ Window recess ❑ Window projection • ;. . n/,isual Clearance ❑/Urban Forestry Plan !A ensitive Lands: Yes ❑ No Type: Core S > ,--2 s�n nditions met prior to issuance of building permit U N es: _ Approved By Planning: Date: i do 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\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 7 Site Plans: # Building Plans: # Building Permit#: -Enter building permit#above. Workflow Routing: -Planning Engineering sf .Permit Coordinator Building P Workflow Sign-off: , Sign-off forPlanning(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. `l-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / /i,� �/ ����`��� Date: - �l`7 By Permit Technician: //,zammi, ,, �,g/i/l �� Engineering Review Slope at building pad: (i..270 9C nditions "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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No Eff Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: kr Approved by Engineering: ,.,,/ g.-_ ____-___ Date: , _,i - 20,S 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 0Conditions "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: VS–DC Fees Entered: Wash Co Trans Dev Tax: 2 Yes ❑ N/A Tigard Trans SDC: Ei Yes ❑ N/A Parks SDC: Yes 1:E]/! A NN/ LIDA ❑ Yes ' /A OK to Issue Permit ii(i7,„ �q 6/ Approved by Permit Coordinator: Date: Iy/j 1 1:\Building\Forms\BldgPemvtRvw_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 N . Transmittal Letter 1 : ; ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 14/1 Sal 7 f "� DATE RECEIVED: DEPT: \ BUILDIN6DIVISION •./ RECEIVED FROM: J J 44 411(104 44j/ C, JUL 3 2019 TIGARD COMPANY: 1Dek-4 ,/ .'.A 4 CITY NG DIVISION r�-� G BUILDING DIV�SInN PHONE: 6—C) 3 " 75- By: RE: / Via/ Ail A az l7`/1/ t 5102-J /9- 'o23 (Ste ddress) ( ermit Number) I i /hIs Prod• t name or su.a'vision name Or of num•er ATTACHED ARE THE FOLLOWING ITEMS: peg 0"' n.: ; C� .; .De^,. & 9tkai"'., .. ;. x 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: 7Lr t5 5 et/n re,/� — f (/U E IIWTLY Reined to Permit T ` . -' . 1 —411046114-144V------- Fees Due: ❑Yes .• Fee Descriptio _: Amount Due: € r $ '44,1 e - $ : A1. . yid $ Special Instructions: Reprint Permit(per PE): ❑Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012