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Permit (98) i I City of Tigard III 2 ~ COMMLINTIY DEVELOPMENT DEPARTMENT r c A R D Building Permit Review — Residential Building Permit #: /-1.5 T,2-o /9 - 00 3 / 7 Site Address: /o ,S4 Project Name: Arier LJ4t0/ ,.L Q- Lot#:-' / (New dwelling=subdivision Addition or Alteration=last name of owner) Planning Review r� _ + tvc;, ,:e 6,,,-- .:).4,A... ro al: /� ,) .�5 . — • V. >«.h 7Wrk L. 4rrti•+/Jd4+.f'4' ehrirb -GS I. Verify address/suite#active in Accela. IIV n River T. e: No 0 Yes,River Te,mce Review Addendum /fit Plan Elements: `..;f osion Control Vcopies of site plan on 8-1/2"x 11"or 11 x 17"paper r/' tanned trees with drip line and tree protection measures 17 Prawn to scale(standard architect or engineer scale) '7 F..tprint of new structure(including decks)and FEE Y .rth arrow j .'ty locations&easements(required for new and additions) - r. ' address,project or subdivision name and lot number Sidewalk/driveway approach plicant information(name and phone number) ,,cation of wells/septic systems I o dimensions and building setback dimensions + eet tree size,type and location al ufootage of buildings to be demolished v S t names (; is.ng structures on site VCorner elevations(2'contours if more than 4'diffe tial) W k0, area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replacedYes C72�Ji6 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?3 es o"" - can Water Services—Service Provider Lett of platted prior to 9/10/1995): Kifquire& ❑ Y applicant was notified No Received: ❑ Yes 0 No Public Faciliti Improvement(PFI)Permit: q�d Yes,applicant was notified 0 No Applie or. Yes 0 No,stop intake nd Use Case#: At/lab A--- t9p Zoning. ii .' -.uired Setbacks: Front: t Rear: /<— Side: Street Side: Garage: t. vA B ding Height: Max.Height: t.. Actual Height: t .S- 0 S — Rl�,andscape,pirea: % of Coverage % Entrance C?( t back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades Garage Vi': Garage door is behind widest street-facing wall ❑ Yes Lld No,one of the following is met: 0/Door extends no more than 5'from wall and there is a covered porch extending beyond garage. 10 Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: 0 Covered porch 0 Recessed entrance 0 Wall offset 0 1'Roof eave 0 Roof offset E- — oi ire 3 : ': a .P .fR'• r IN i ii i , • ., • .II , _. __ _.._ • ,i 0 Accent sidingWindow trim ❑ Window recess 0 Window projection ❑ Balcony 1`d► � ' is al Clearance Zrban Forestry an ,.LAv r sitive Lands: ❑ Yes 22i No Type: ? Conditions met prior to issuance of building permit ,+ N L.,�/j /r 9 Approved By Planning, '' & Date: /� ` Revisions(after Building Submittal only) Reviewer Date Revision 1: %,Approved 0 Not Approved 1/4,5"\---‘,7,~ �''ti—'�~ e/it 11 c Revision 2: 17 Approved 0 Not Approved , Uri-, i 1S'�7,.,2,0 Revision 3: 0 Approved 0 Not Approved r 1:1Building\Fonns\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: _ P/!// Site Plans: # 3 Building Plans: # _ Building Permit#: €3--Enter building permit#above. Workflow Routing: %et Planning $'Engineering lj—PErmit Coordinator ❑�$'uilding Workflow Sign-off: 0—Sign-off for Planning(include notes from planning review) Route Application Documents: 0--Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. :Lk-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: rf�/t Engineering Review Q�Slope at building pad: �o CEJ Conditions"Met"prior to ifsuance of building permit Cl' 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: 0 Yes GJ.No L!1 Final Plat Recorded: D—NOT Approved by Engineering: j',,.,(,� (�;,, . Dat S/y/i Notes: isol- !V6 DS LIbA Q4;(;-ir S�towri on PlriaS t /Approved by Engineering: Q;4014Za(ti_ Date: 2. D Revisions(after B Iding Submittal only) Reviewer Date Revision 1: RI Approved 0 Not Approved �� Z _&9, Revision 2: 0 Approved O Not Approved ! �•? ��' Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit _ D Approved,NOT Released: Date: Notes: Revis' (after Building Submittal only) �/ evision Notice 1: Date Sent to Applicant:,� '/iet Awet444,2,;,1 Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: iiii<DC Fees Entered: Wash Co Trans Dev Tax: CsrYes 0 N/A Tigard Trans SDC: laktes 0 N/A Parks SDC: CC3Ye ❑ N/A I.IDAes ❑ N/A t OK to Issue Permit Approved by Permit Coordinator: Date: g? ' 2 11 t:\Building\Forms\BtdgFennitRvw_RES 022819.docx l'h -11 CITY OF TIGARD MASTER PERMIT . ' COMMUNITY DEVELOPMENT Permit#: MST2019-00317 T i C;A R!7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2019 Parcel: 2S 103AA04500 Jurisdiction: Tigard Site address: 10979 SW ERROL ST Subdivision: PORTER LANE Lot: 1 Project: Echo Heights, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1233 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1659 sf Garage: 480 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $377,544.72 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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: Y Vent Fans: 6 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'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 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 2892 Owner: Contractor: PORTER LANE LLC MUNOZ CONSTRUCTION Required Items and Reports(Conditions) 14115 SW MISTLETOE DR 2646 N LAMBERT ST 1 Erse Cntr9 03-6394175 '_ _—_. _ _ - ___ TIGARD,OR 97223 CORNELIUS,OR 97113 PHONE: PHONE: 503-969-6015 FAX: Total Fees: $35,182.03 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 ,p r, es or direct questions to OUNC by calling 503.232. ,,;7. ii,d.3 .2344. ....SAlf.1% ••. Issued By: jec ....,40 / ermittee Signature: 4►i % Pr Call 503.639. 5 by 7:00 a. 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. r Building Permit Application Residential G/>11111111r1=11.111111ReceivedCity of Tigard RECEIVE Date/B4! , Permit N Cf„ Cjr� Date/By:111 = 13125 SW Hall Blvd.,Tigard,OR 97223 AUG i G 1 2 019 Plan Review i q Other Peri _AO 9 ea,;21.2,, Phone: 503.718.2439 Fax: 503.598.1960 11 U Date/By: /7 r l l- t R i) Inspection Line: 503.639.4175 Date Ready/By: Jam. H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGotified/Meth..• / t� t Supplemental Information BUILDING DIVISION • i TYPE OF WORK ' QUIRED DATA:1-AND 2-FAMILY DWEL_JNG 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 0Other: equipment,materials,labor,overhead,and the profit r the CATEGORY OF CONSTRUCTION work indicated on this application. 't /—Di 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ! , 0 Accessory building 0 Multi-family Number of bedrooms: C ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: Z 3'57 {/'• Job site address: ©q 77 5 w .rl 0.04, S r' New dwelling area: Z square feet '(.y9 City/State/ZIP: 71 C 4-/2 V ®/L Garage/carport area: 9 so square feet ,' _33 Suite/bldg./apt.no.: Project name: ('4Q /-/ f61t 5 x) Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: C1-I0 11616 NTL' 1 Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the r�``J DESCRIPTION OF WORK work indicated on this application. PGff l! L(,/luST 2 v CT CO 4 Valuation: $ 5/'.V 14 h t�G a`/`�7 -A 7 '-i-(*) O� ^(e Existing building area: square feet ✓t New building area: square feet 7 PROPERTY OWNER 0 TENANT Number of stories: Name: j&6C— 0012/ 7 Type of construction: Address: / 35 5I D1l 96 m Occupancy groups: City/State/ZIP: C) 2 2 --!5 65/ Existing: �lC�t?—�` 3 Phone:6-0) ?2—1l Cf Fax:( ) New: 71 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: ��� �� ��� (Please refer to fee schedule) '///3 (s S' J/.2 ' � Structural plan review fee(or deposit): Contact name: 635 J 0/1[ / ,r�� G`7 FLS plan review fee(if applicable): Address: 77 ,�gp vit !/ 22 '3-- 5 7 p- Total fees due upon application:City/State/ZIP: s Phone:(5-6)16f--6,(5 Fax::( ) Amounf received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* q G7 _ Commercial and residential prescriptive installation of NTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: If iiii jz T'C7lc� tLc Submit two(2)sets of roof plan with connection details �// and fire department access,along with the 2010 Oregon Address: G `7 F� i1�r ' I Solar Installation Specialty Code checklist. City/State/ZIP: 5 t! Permit Fee(includes plan review i 7! �1 ) $180.00 /S and administrative fees): Phone:(� ) c" �� Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: /a 2, 0 .— Total fee due upon application: $201.60 �� P PP Authorized signature. 'i*'�'� / This permit application expires if a permit is not obtained �t ,ems within 180 days after it has been accepted as complete. Print name: ,/C //�{('t/i" Z Date: 7—Z / y *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I 1 Building Permit Application Checklist One- and Two-Family Dwelling l oR (H I I( r. I I. 0 v x ' City of Tigard d Received g Date/B Permit No.: 13125 SW Hall Bivd.,Tigard,OR 97223 Associated permits: 11 Phone: 503.718.2439 Fax: 503.598.1960 T 1 G A R ll 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 3 Verification of approved plat/lot. 0 4 Fire district approval required. Name of district: • R5 Septic system permit or authorization for remodel. Existing system capacity . 6 Sewer permit. A ❑ 7 Water district approval. 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 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 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 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 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 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 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 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 andmultiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. - 20 Manufactured floor/roof truss design details. __ -8 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 0 architect licensed in Ore•on and shall be shown to be a.,licable to the .ro'ect under review. JERISDICTION AI. SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 8 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. A ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 9 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 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 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) Mechanical Permit Aunlicatio C FOR OFFICE I.SE 1 O\1. ' City of Tigard ECEIVE�D D e Permit No.. .. i' -oe,; 7 ` I = 13125 SW Hall Blvd.,Tigard,OR 97223 ■ Phone: 503.718.2439 Fax: 503.598.1960 AUG 1 2019 Plan Review Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Read B : Juris: See Pae 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Metlod: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST New construction Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ,/`-' " and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. I Tota — ':• JOB SITE INFORMATION AND LOCATION Heating/cooling:Air conditioning I 46.75 � �� Job site address: Kipq 5 fru b- 20 L S I Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: /( . 0`2 Furnace 100,000+BTU(duets/vents) 54.91 Suite/bldg./apt.no.: `� Project name: L (AD D i k C 16-17-S Heat 61.06 Du t wpork k 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 ' 1 23.32 ��o 11 c l 1 l '- I I Other: 23.32 Subdivision: rl 11� rr'1 J Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 3339 /� /� / `�1 Flue vent for water heater or gas (n� Gik,\\\�' 1 V k CV 9A3r /A1' UnSp�% A)n ( fire lace l 23.32 MOW AV J` MO ] ( ltA O ‘i ,J Log lighter(pas) 23.32 - ,/� Il`1 p �]r Wood/pellet stove 33.39 V'L 1Al 1 V�1 V VlV Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 T PROPERTY OWNER 1 ❑ TENANT Other: 23.32 Environmental exhaust and ventilation. Name: �FfF O )1(6A f Range hood/other kitchen Addxes§: 1 3 50 s.4-,/v p iz 1 p 6 F pR Cuipment othes dryer exhaust i 33.39 1 33.39 -City/State/ZIP: 7-7 _,¢E r1 O ie 9 7Z�- 5-7 gQ exhaust haust(bathrooms, c�`/ J/ v toilet compartments,utility rooms) 1 23.32 Phone:(9:6) 7 2 Z (04/ Fax:( ) Attic/crawlspace fans 23.32 9t APPLICANT 0 CONTACT PERSON Other 2332 Business name: p '1,7 '"'/Q�� L. C Fuel piping: S14.15 for first four;S4.03 for each additional Contact name: J 0 4-A9 ,Uti0 L Furnace,etc. I Gas heat pump 13 6-2,5* 5QN DR I ZC '-. Y Wall/suspended/unit /unithcater - FJ j ( = E ; �� — J Water heater Phone: 9270-c© !s- Fax::( ) Fireplace I n � age t I E trail: 1 C 1---- ll�23 Cl h 000 .c�,s+�/y^ 4 I Barbecue J 4 i !�n /�ONNTRnACTOeR �� /� Clothes dryer(gas) Business name: `�vvl I 1\c.Vt 1 1 Y 1 s1 U00\ l C + Other _ 2�� MECHANICAL PERMIT FEES* - Address: 1 VW lA W' Y \V t Subtotal City/State/ZIP: VVI\1ST ON/ t 0 ft___„„ V n 1'L ( Minimum permit fee($90.00) q\� �q r� Plan review(25%of pennit fee) W Phone:, 0" ] . Lo O1 N L_.. Fax:( ) State surcharge(12%of permit fee) CCB lir.: 2:2:12 I TOTAL PERMIT FEE ", „�� This permit application expires if a permit is not obtained within 180 tom.' �O days after it has been accepted as complete. Authorized si u..1"ii1i�e1%_=�� * Fee methodology set by Tri-County Building Industry Service Board _ Print name: Vdt A ' FIAMS Date: -7. 3, lei I:\Build'mgWermiu\MEC PermitApp„o40113.doe 440-4617T(IIu2ICOWWEB) .. L'iClarl[Cal rermit A lie COVED • iyi FOR OFFICE ENE O.Nl.1 City of Tigard Received 13125 SW Hall BIvd.,Tigard,OR 9piG 1 2019 Date/By: Permit#17$7 5,/, —o o 3/7 Phone: 503.718,2439 Plan Review TIGARD Email: TigardBuildingFennits ;T' VrelF TIGARD Date/By: Related Permit#: 1 Inspection Line: 503.639.4175 �y L �(� Ready Date/By: Jaris: B ii.tl "• - ':gCgv Notified/Method: I See Page 2 for Supplemeatallaformatiou TYPE OF WORK "-' -- [ flew construction PLAN REVIEW ❑Addition/alteration/replacemelt Please check all that apply(submit a sets of plans w/items checked): 0 Demolition 0 Other: 30 Service or feeder 400 amps or more 0 Building over three stories, where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. I-1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Multi-family D Master builder amps for all other installations. buildings. ❑ �lc agricultural[]Other, ❑Fite pump. JOB SITE INFORMATION AND LOCATIONlageerlssepepn of l5d KVA or 0Emergency system. lalarger derived Job#: 1 ) Job site 1 �addles' !l W t` I(1 O� • ❑Addition of new motor toad of system. i( 5 IOOHP or more. ^A„..L^ ,.1 2„..l j•• City/State/ZIP: T C7A_� O 0 Six or more residential units. occupancy. SUlie/bldg./apt,#; / 0idealtb-care facilities. 0 Recreational vehicle parks. Project name: 6_-_.-77:1() C ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: L) ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Description 101Y. i Each I Total S11-11:divisio (`J � 7 t r New residential single-or multi-family dwelling unit. � � t_C._7/ / > / Lot#: ( Includes attached garage. Tax map/parcel#: - 1,000 sq.ft.or less 168.54 .1 DESCRIPTION OF WORK Ea.add'l 500 sq.ft.or portion 33.92 I r.` Limited energy,residential 4 C r, `�1?' � /' 0-----„,.... (with above sq.Il.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 1� �] PROPERTY OWNER I 0 TENANT Renewable Energy O See Page 2 _ Name: J �y Services or feeders installation,alteration,and/or relocation C 1�7 /1 i?e1C.f 200 amps or less 100.70 q Address: i `1 '� U/',; l /;� f I0 C 201 ampsto400am s a/ �� l� r 7, z i p( E,, P 133.56 �` 401 amps to 600 amps 200.34 , City/State/ZIP: . 7 76/09,2 D r"?) a C?,-z2 3„�5-76 601 amps to 1,000 amps 301.04 2 Phone:( 3) 72e ` if 6y Over 1,000 amps or volts 552.26 2 Email: (i wl I f 2 3 F uI(moo CO� Temporary services or feeders installation,alteration,and/or Owne stallation:This installatiit isbeingmade(on rocrelocation0 amps property Art} that I own which is not 200 or less 59.36 i intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 1 Owner signature: . Date: 401 amps to 599 amps 168.54 2 APPLICANT 1 0 CONTACT PERSON Branch circuits--new,alteration,or extension,_per panel I pU 0_1 6 n e Li A.Fix for branch circuits fee, `"j Business name: Pt) I e 1 above service or feeder fee, each branch circuit 7.42 Contact name: TLI f /47 B.Fee for branch circuits without Address: i" C �✓ ��A�, (�/96/ /�2 service or feeder fee,first _ / ,// ✓ f/K I/t� Y branch circuit 56.18 2 City/State/ZIP: / l l /7 2 D "�y 0 9727 — 5??�/ Each add'I branch circuit 7,42 2 Phone:(C� pi i ) /w 5 G tJ o Miscellaneous(service or feeder not included) L Each manufactured or modular Email: ,� 3 �+- �� dwelling,service and/or feeder 67.84 J Reconnect only 67.84 CC �CTOR ti Pump or irrigation circle 67.84 Business name: Sc..-,, J� t, _„:, �I�^ Sign or outline lighting 67.84 2 mrct`r. Addc Asa.— w � I _�. _—� e1&)' •.-.-_-.___ _ Or mnI[nsion () V> S _ panel,alteration,or extension. See Page 2 2 City/State/ZIP: u�. rt Each additional inspection over allowable in anyof the above � o� 0a_ et l P Additional inspection(1 hr min) 66.25/hr Phone:(S Ci z F4 Lk_ 4 C L( Investigation(1 hr min) 90.00/hr Email: S n i Z. r,..,�- Industrial plant(h hr min) 78.18/hr t1' r J �. . K c�� l ,4cgl t� CCB Lie.: Electrical Lie.: !' Inspections for which no fee is 90.00/hr ZO(G S� ciao'' I Suprv.Lie.: c--1G c-c.3 specifically listed(Y2 hr min) r.Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES - • titi.__.__ Subtotal: Print name: (� (,t t/y, S L U >r L Lf‘4,i_ Date: "'1._ S ._.-/1 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires i r a permit is not obtained within 150 Print name: K P liJ / ' . Date: 7- -_7 f s�r"1 (� j I Z days after if has bee i accepted as complete. ' Number of inspections allowed per permit. HBuilding`Penaits\ELC_PermitApp,ELR_ERE.doc Rev 10.,26/2017 440-46I5T(11/05/COM'WEB I . - Plutnbine Permit ApplicRECENED Building Fixtures AUG 1 2019 FOR Of FICI: I NI ONI 1 City of Tigard A Received , 7.2..e ,,... III 13125 SW Hall Blvd.,Tigard,ORM/22/30F T1(:',- RD Date/By: Permit No.y./je 7 , ed3/-7 Phone 503.718.2439 Fax: 5t).111:51VQG DIVISION Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Juns: FS See Page 2 for Internet: www.tigard-or.gov Nolified/Method: SamAessitaial Imermation TYPE OF WORK FEE* SCHEDULE. tjd New construction 0 Demolition Far special freeman.'us use dwell& Description I 01Y. I En. I Total 0 Addition/alteration/replacement 0 Other New I-2-family dwellings(includes 100 it.for each utilityconnetuion) CATEGORY OF coNsTRucnoN SFR(1)bath 312.70 Ip 1-and 2-family dwelling 0 Corturtercialfindustrial SFR,(2)bath / ".t1-2' 437.78 J 1 0 Accessory building 0 Multi-family SFR(3)bath / 500.32 Each additional bath/kitchen 25.02 ... ID Master builder 0 Other: Fire sprinkler( sq,It) Page 2 .,,.... ,- JOB siTE INFORMATION AND LOCATION Site utilities: J....Z. Job site address:it/47I5 110 -E [2_0L- 5 T Catch basin or area drain 18.76 City/State/ZIP: Drywall,leach line,or trench drain t 18.76 , /4/ '/'„I) 'rite_ I Footing drain(no.linear ft.:____) Page 2 Suite/bldg./apt.no.: Manufactured home I Project name: E C-.-'- 0 \I E(r (41-5 utilities 50.03 --1 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 ‘ I Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no,linear ft.:,..__) I Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: (1...,\O Ft I ( 1/73 Lot no.: I Fixture or item: ., Tax map/parcel no.: I Backflow preventer 31.27 -I ---------- - • Backwater valve 12.51 p*... ...,io, 1 .0N,,P.F.:NiPtus..;'/c.,:-.4.0'''- , . Clothes washer \ 25.02 N E(A) caus-r2uCT- low Dishwasher 1 25.02 1 Drinking fountain 25.02 Ejectors/sump 25.02 1 --, . 14, PROPERTY OWIVER i'0 TENANT Expansion tank 12.51 Name: 7EF:f 0 i2,/zteit)( fixture/sewer cap 25.02 , Floor Main/floor sink/hub 25.02 Address: 13 Z 35 5 -) 56/1) illid)96 6 Dr, Garbage disposal \ 25.02 i City/State/ZIP: rid 02 1) 0 ra at 7 Z 2 3--5XZ Hose bib 25.02 r ---, Phone:(S-03) 7261001-I,I O / Fax:( ) Ice maker 12.51 , fg1 APP6CANT 0 CONTACT pERsoN Interceptor/grease trap 25.02 . --, Business name: ?et ItZ1-6 e ,ii._,,/.(--- I- r'--LMedical gas(value S ) Page 2 ' I 1 Primer 12.51 - Contact name: tf/ti. / f Roomain(commercial) - --*-71- 12.51 Address: AI i 1 1/f) • Sink/basin/lavatory kzi\c 25.02 ..- Cit .0 y/State/ZIP: 7-jc 4_12 0 r 2 ---s----- z Solar units(potable water) 62.54 .2 , -4h."493f6t‘' ••• _ ____ s_s-TaibMhormsiailesatiewmt- 12 -21 .34- .....s - E-mail:j C{/1/\ j--.2_ 3 re) yq pro. C.(2 IN\ Urinal 25.02 Water closet 25.02 CONTRXICTOlt Water heater X 37.52 i Business name: H&H MECHANICAL, LLC Water piping/DWV 56.29 -I Address: 5757 SE WILLOW LN Other 25.02 City/State/ZIP: MILWAUKIE, OR 97267 Subtotal Phone:(503) 975-9787 Fax:( 503 659-2979 Minimum pennit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: i 7R122 Plumbing Lie.no.: P84114 State surcharge(12%of permit fee) Authorized signature / TOTAL PERMIT FEE " .- [ Print name: LORA HAGUE Date: 7/3/19 This permit applicadon expires it a perinit is not obtained within ISO days atter it has been accepted as complete. Fee methodology set by Tri-County Building Industry Service Bosun. I:BuilthatlennimPLMU-PermitApp.doc 16011)9 4484616T(10.02'COM:WES) City of Tigard l COMMUNITY DEVELOPMENT DEPARTMENT 1 Building Permit Review — Residential TIGARD Building Permit #: /t1.S:9-o i 9 — 00 3 / 7 Site Address: /0 ; -rs Project Name: /)rkr L . ,4_k_( Lot #:-/ / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review q , �+ Pero al: AA) �� — ' v 'i 4I -4 rk L f0 fir 144,01 `I C rill-- 4. ,2'Verify address suite#active in Accela. It n River Terr e: No ❑ Yes,River Terrace Review Addendum fy / Siy4Plan Elements: osion Control I_ 34 copies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures 0 rawn to scale(standard architect or engineer scale) 4Q1~%otprint of new structure(including decks)and FFE �rth arrow �: i .ty locations&easements(required for new and additions) e address,project or subdivision name and lot number Sidewalk/driveway approach 0 plicant information(name and phone number) '1/,cation of wells/septic systems Lo dimensions and building setback dimensions N ', eet tree size,type and location u. e footage of buildings to be demolished !S eet names ,NIS "s. g structures on site Corner elevations(2'contours if more than 4'diffe ntial) N'►,, area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes ❑I impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?3\11 es sb°yldo N, lean Water Services—Service Provider Lette of platted prior to 9/10/1995): ,equired: ❑ Ye applicant was notified No Received: ❑ Yes ❑ No bJ Public Faciliti Improvement (PFI)Permit: quired: Yes,applicant was notified ❑ No Applie or: Yes ❑ No,stop intake 4andUse Case#: MI-4(12-013- — '— 1 Zoning: — t -- 1J✓ q 'e uired Setbacks: Front:+-20 Rear: / Side: T Street Side: Garage: ,(' B ding Height: Max.Height: -,_3 Actual Height: 2-�<S- 1110,andscape rea: % of Coverage Ma 0/0 Entrance t back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows . um 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall ❑ Yes No,one of the following is met: ❑,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 2nd floor. (Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ rtre shingles U Lap Siding ❑ Roof pitch ❑ G'able,hip,br gambieI roof 0 Durnrcr ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony I\ isual Clearance VJ Urban Forestry an .4! nsitive Lands: ❑ Yes 1 No Type: Y Conditions met prior to issuance of building permit Not Approved By Planning: --- ---- i Date: gri Revisions (after Building Submittal only) „ Reviewer , Date Revision 1: C:S, Approved ❑ Not Approved (\i") t", ' " eJa i I 1 q Revision 2: ❑ Approved ❑ Not Approved Revision 3: LI Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 1///f Site Plans: # 3 Building Plans: # Building Permit#: enter building permit#above. Workflow Routing: .te—Planning —Engineering Q—Aermit Coordinator ❑wilding Workflow Sign-off: lr7—Sign-off for Planning(include notes from planning review) Route Application Documents: I0—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ,..1:1'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,--�Iii. Date: _474,2_‘, r ( Engineering Review Er Slope at building pad: %, Q Conditions "Met"prior to i(suance of building permit 2' 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 Il..No l Final Plat Recorded: El-NOT Approved by Engineering: 6A.1.4e7 131,4(`4ya,,.. Date E(/S/7.40.(7 Notes: Loi NeloS LtbA Ca&;(;-Ey Slt o 4^/,7 On rlGoS- rroved byEngineering:V Date: S 2 Z©1 Revisions (after B lding Submittal only) Reviewer Date Revision 1: ali Approved ❑ Not Approved fr j,& 2X/7 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: Revis. s (after Building Submittal only) evasion Notice 1: Date Sent to Applicant:7'/l q /Jee C.H.cL v( r 1 Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: [ti' "yes ❑ N/A Tigard Trans SDC: EKYes es ❑ N/A Parks SDC: C�'7��Ye ❑ N/A LIDA LQYYes ❑ N/A OK to Issue Permit �// Cy Approved by Permit Coordinator: Date: a`J�Z/ l J I:\Building\Forms\BldgPennitRvw_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 ' _ . Transmittal Letter I ;c,A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: !l L t 2/J AI pt r +-54,(4 cd ea- 11 DATE RECEIVED: DEPT: BUILDING DIVISION , i,:1 `' "AI 2, 12 19 FROM: 1 IA i1 M 0/1110z , ,- COMPANY: PA C? &V (20C1- (© J ,,LC e 4 it 5 i PHONE: 5-03- 6/69 60 /5 By �, 79 RE: loggl ,5w 612(20z._ hq.^nO3)7 (Site Address) (Permit Number) 'C1IO 1 (\ 1TT3 W112( a— 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: R>)1 GiDN /O /DIC / (--"./i&ie V (0,0C C26e. p6 UISI9,J ;1--7,�- Pj•9 ' R4p►9©0-_, .-t:z- ;-n,,s. a_.._>. ,.y,< . -: ywrs.-i::^au ,--.,ma,...,k.".;�! `W. ..•; �y 'sia+ibuus ...ov« +a. A,t...: .�4, T"`..,+.-v*.3«,.x� Routed to P- 1 it Tec 'cian: Date: 2Z ( Initials: 14. Fees Due: ►� Y ❑No Fee Desc ption. Amount Due: 1/1 )�G..n f-LJ�` C.� �,$ LS*c' $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes /No ❑ Done Applicant Notified: ` �� Date: �'j� �j 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 IIIIII Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVESFROM: i;UU !it/ /6( ,,(0 - � /,�0 ! 0 (� U JAN 1 5 COMPANY: // /o Z (...C7/05 t vC r(dj(/l�.c, CITY 0 IGARD / BUILD G DIMS! , jr- PHONE: -j' G9 3 " W 7- CO( BYy I RE: /C)q7 50V CeeOC, ST , ° STZCic_ 3 9 (Site Address) ermit Number) C—atOc CGS rs 4 o r ,7(Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: C� 1 ies: Description: X Additional set(s) of plans. Revisions: Cross section(s) and details. J . . Wall bracing and/or lateral analysis. Floor/roof framing. I r• i r Basement and retaining walls. ABeam calculations. I ' ` Engineer's calculations. / Other(explain): bzeA REMARKS: l f ! r I / 19(LD f 7v l4-- Pane F R FFICE USE ONLY Routed to Pe it Tec's ician: Date: 17_ 107,b Initials: AA- Fees Due: Yes El No Fee De ript on: Amount Due: $$ � � -o� '1/1, A.a.A k.,0J % S 1.----- S ".,-r-- / S /, t O/ F r- - 7 - $ 7/7, . q Speci- Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: ,- ii A-tDate: //,,---2,7. ta. C) Initials; tit* ; ° rt z e 7_ cF t C/ f) cm, -s . j I:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY–SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IIIIII Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVESFROM: i;UU !it/ /6( ,,(0 - � /,�0 ! 0 (� U JAN 1 5 COMPANY: // /o Z (...C7/05 t vC r(dj(/l�.c, CITY 0 IGARD / BUILD G DIMS! , jr- PHONE: -j' G9 3 " W 7- CO( BYy I RE: /C)q7 50V CeeOC, ST , ° STZCic_ 3 9 (Site Address) ermit Number) C—atOc CGS rs 4 o r ,7(Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: C� 1 ies: Description: X Additional set(s) of plans. Revisions: Cross section(s) and details. J . . Wall bracing and/or lateral analysis. Floor/roof framing. I r• i r Basement and retaining walls. ABeam calculations. I ' ` Engineer's calculations. / Other(explain): bzeA REMARKS: l f ! r I / 19(LD f 7v l4-- Pane F R FFICE USE ONLY Routed to Pe it Tec's ician: Date: 17_ 107,b Initials: AA- Fees Due: Yes El No Fee De ript on: Amount Due: $$ � � -o� '1/1, A.a.A k.,0J % S 1.----- S ".,-r-- / S /, t O/ F r- - 7 - $ 7/7, . q Speci- Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: ,- ii A-tDate: //,,---2,7. ta. C) Initials; tit* ; ° rt z e 7_ cF t C/ f) cm, -s . j I:\Building\Forms\TransmittalLetter-Revisions_061316.doc