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Permit (8)
71 CITY OF TIGARD MASTER PERMIT 8 ` COMMUNITY DEVELOPMENT Permit#: MST2019-00354 T1 .ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2019 Parcel: 1 S 135CD 15800 Jurisdiction: Tigard Site address: 9744 SW WINDSWEPT PL Subdivision: CANYON COURT Lot: 5 Project: Canyon Court, Lot 5 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 647 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1057 sf Garage: 360 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1704 sf Value: $226,214.64 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 1704 Owner: Contractor: MAOZ LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1800 NW 167TH PL STE 150 1815 NW 168TH PLACE 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-533-5167 PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $31,720.82 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. Thos- les are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai - .. .f the rules or direct questions to OUNC by calling 503.232.1987 or 1.810.332.23-• Issued By: .....Ac-- _ _ Permittee Signature: E• i 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Checklist r ..,k. One- and Two-Family Dwelling FOR OFFICE USE ON City of Tigard d Received g Date/By: Permit No.: 114 4 13125 SW Hall Blvd.,Tigard,OR 97223 Associatedermits: illPhone: 503.718.2439 Fax: 503.598.1960 P TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: • 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ ❑ 6 , Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ 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 El El ❑ 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 El ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ 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 r floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ ❑ 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 ❑ El ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required Cl ❑ ❑ 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 CI 0 architect licensed in Ore.on and shall be shown to be applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ El ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 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-RESPennitApp.doc 02/24/2011 44046131(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY II City of Tigard RECEIVE received . Permit No.: Date/ By: . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 SEP 4 2019 DateBy: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVA SIO TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special information use checklist. ®Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: on 44 Air conditioning 1 46.75 46.75 Job site address: SW Windsept Plac Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Canyon Court Duct work 23.32 Cross street/directions to job site: Hydropic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Canyon Court Lot no.:5 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New Residential Construction 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 0 TENANT Environmental exhaust and ventilation: Name:Sage Built Homes LLC Range hood/other kitchen equipment 1 33.39 33.39 Address:1815 nw 169th Place Suite 1040 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Beaverton Oregon 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:(503)533-5167 Fax:(503)533-5164 Attic/crawlspace fans 1 23.32 23.32 ® APPLICANT 0 CONTACT PERSONOther: 23.32 Business name:Sage Built Homes LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Alex Rodriguez Furnace,etc. Address:Same as above Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(971)336-6911 Fax::( ) Fireplace Range E-mail:planning@sagebuilthomeslIc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:All Time Heating&Cooling Other: MECHANICAL PERMIT FEES* Address:PO Box 1341 Subtotal City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)208-2276 Fax:( ) State surcharge(12%of permit fee) CCB lic.:1845757 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 p......_ days after it has been accepted as complete. Authorized signature: ) * Fee methodology set by Tri-County Building Industry Service Board Print name:Alex Rodriguez Date: I:1Building\Permits\MEC_PermitApp_040113.doc 440-46I7T(I 1/02/COM/WEB) 1 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Applicatigg RECEIVED MilaiiiiiiMEMIE , City of TigardReceived permit# Date/By: :�/ • 13125 SW Hall Blvd.,Tigard,OR 9722 D Plan Review Phone: 503 718.2439 Fax: 503.598.1 r 4 2019 Date/By Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Surfs I ® See Page 2 for TIC,1(t I) Internet: www.tigard-or.gov CITY OF TIGARD Nod6ed Method: 1 Supplemental Information TYPE oMOOING DIVISION PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings ® 1-and 2-family dwelling ❑Commercial/industrial CIAccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations buildings. 0 Multi-family ❑ Master builder ❑Other: 0 Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. �Job 4: Job site address: Ci.• ane'a 'al 100HP or more ❑"A","E","t 2","t-3", City/State/ZIP: Tigard Oregon -^�' ❑Six or more residential units occupancy. 0 Health-care facilities ❑Recreational vehicle parks Suite/bldg./apt.4: I Project name: 0 Hazardous locations 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description ILMIIIIIMEW11111111131 New residential single-or multi-family dwelling unit. Subdivision: Lot#: 5 Includes attached garage. Tax map/parcel 4: 1,000 sq,ft or less IIII 168.54 Ea add'l 500 sq,II or portion mg 33 92 imp DESCRIPTION OF WORK Limited energy,residential MO with above sy.ft 75 00 all New Residential Construction Limited energy,multi-family 75 00 residential(with above sq.It) 11111 1♦ ® PROPERTY OWNER 0 TENANT 11111111 Renewable Ener 4 ID See Pa;e 2 Services or feeders installation,alteration,and/or relocation Name:Sage Built Homes LLC 200 amps or less t 100 70 109 70 2 Address: 1815 nw 169TH Place Suite 1040 201 amps to 400 amps 133.56 2 401 amps to 600 amps 1111111 200 34 -©'' City/State/ZIP:Beaverton Oregon 97006 601 amps to 1,000 amps Illi 301.04 -n Phone:(971)221-4597 Fax:( ) Over 1,000 amps or volts ME 552.26 Emu Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59 36 11111111111 intended for sale, lease,rent,or exchange, according to ORS 447,449,670,and 701. 201 amps to 400 amps 111111 125 08am Owner signature: Date: _ 401 amps to 599 amps 168 54 EN ® APPLICANT I ❑ CONTACT PERSON Branch circuits-new alteration,or extension, ,er ,anal A Fee for branch circuits with Business name:Same As Above above service or feeder fee, 7 42 1111 each branch circuit Contact name: Alex Rodriguez B.Fee for branch circuits without service or feeder fee,first 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit IIIIIIIIIDSIIIIIIIIa Miscellaneous service or feeder not included Phone:(971)336-6911 Fax: :( ) Each manufactured or modular ®.11 111 dwellinL service and/or feeder Email: Planning@sagebuilthomesllc.com Reconnect only 67.84 MI CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Sign or outline lighting 67 84 2 Signal circuit(s)or limited-energy g Address:2870 SE 75th Ave 203 panel alteration or extension ❑ Page 2 2 City/State/ZIP:Hillsboro Oregon 97123 _Each additional ins,ection over allowable in an of the above Additional inspection(1 hr min) 66.25/hr ■ Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) gm 90.00/hr !' b_2__ Industrial plant(1 hr min) Email �V �� Inspections for which no fee is 11111 90 00/hr 111 CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic. AV_S snecificall listed 9:hr min) ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: „die i Subtotal . 111111111111 Print name: Stephen Ross 5 ie. e (r5 kosr Date: 0 Plan Review Required(25%of permit fee): 111111111111111111 PState surcharge(12%of permit fee): 1111.111. Authorized signature: / TOTAL PERMIT FEE: 11111111111111 ��JJ This permit application expires if a permit is not obtained within 180 Print name: Alex Rodriguez ` Date: 2/1/2018 days after it has been accepted as complete. • Number of inspections allowed per permit. I.\Building\Pennits\ELC_PennitApp_ELR EREduc Rev 06/17/2015 440-461ST(:t/05/COMJWEB Plumbing Permit.Application Building Fixtures RECEIVE I FOR OFFICE USE ONLY Cityof Tigard SEP 4 Received . - 2g Permit No.: 'III 13125 SW Hall Blvd.,Tigard,OR 97223 2 q Pan Re Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: CITY OF TIGARD Date/By: Inspection Line: 503.639.4175 TIGARD F-). , Date Read Bo lors ® See Pagee 2 for Internet: www.tigard-or.gov Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. 1 Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 111 Accessory building ®Multi-family SFR(3)bath x 500.32 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: glstit- SW Windsept Place Catch basin or area drain 18.76 City/State/ZIP:Tigard Oregon Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:Canyon Court Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Canyon Court I Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New Residential Construction Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►Z� PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 Name:Sage Built Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1815 nw 169th Place Suite 1040 Garbage disposal 1 25.02 25.02 City/State/ZIP: Hose bib 2 25.02 50.04 Phone:(503)533-5167 Fax:(503)533-5164 Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Sage Built Homes LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Alex Rodriguez Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:(971)336-6911 Fax::( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:planning@sagebuilthomesllc.com Urinal 25.02 ' t Water closet 25.02 Water heater 1 37.52 37.52 Business name:Edward Mullen Water piping/DWV 56.29 Address: 1601A SE River Rd Other: 25.02 City/State/ZIP:Hillsboro Oregon 97123 Subtotal Phone:(503)572-4586 Fax:( ) 7`(be) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.:zK0/6�fr' Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Alex Rodriguez Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1St 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagramis required for new buildings Garbage -Domestic-non-food q g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: S:\Sage Built\Purchasing\Subdivisions\Canyon Court\Apps\Plumbing.doc2 City of Tigard INw COMMUNITY DEVELOPMENT DEPARTMENT ■ IIGARn Building Permit Review — Residential L — .. _ .. Building Permit #: At 7- r=j'-lj3SZ) Site Address: 941// -24) 0 Sk -P4 ,/, Project Name: r n (2 Ur�/. Lot #: (New fling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pr osal: A -eA) 2 Verifyaddress/suite#active in Accela. n Rivet T e: dd" No El Yes,River Terrace Review � Addendum Si Plan Elements: AGE :sion Control bcopies of site plan on 8-1/2"x 11"or 11 x 17"paper I% tained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE orth arrow Oil ty locations&easements(required for new and additions) VJS address,project or subdivision name and lot number IA Sid-walk/driveway approach 1Q .plicant information(name and phone number) 1\i.cation of wells/septic systems VA . dimensions and building setback dimensions Ir ftee tree size,type and location ,. re footage of buildings to be demolished S et names 1a11 sting structures on site Comer elevations(2'contours if more than 4'diffetitial) .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? 1 Y s ❑ g g P P impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shownkes No ►1A lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie mprovement(PFI) Permit: quired: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake LVl and Use Case#: lA'a0 " Q 0 J l Zoning: £-12 > equired Setbacks: Front: //' Rear: `4— Side: Street Side: Garage: S-20Vuilding Height: Max. Height: g Actual He' h • —/ // Landscape ea: 2-v % Lot Coverage Max 0t % Entrance Det back no more than 8'from street-facing wall V Parallel to street or offset 45 degrees or less Windows '' ' um 12%of area of all street-facing facades Garage Garaydoor is behind widest street-facing wall ❑ Yes 1/No,one of the following is met: V Door 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.w' w above garage on 2nd floor. IX/G- door width is ❑ 12'or less ❑ 50%or le of facade d�%or less and includes 7 9 ollowing: am" porch �❑ ecessed entrance VWall offset (Q 1'Roof eave LIQ Roof offset VFire shingles l Lap Siding ❑ Roof pitch V Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual ClearanceIV. Urban Forestry an I\ .ensitive Lands: El Yes14 No Type: Conditions met prior to issuance of building permit No s: _ Approved By Planning: "cam y' Date: 471 I 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‘-///y Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning ❑Dngineering p*ermit Coordinator "(Erl3uilding Workflow Sign-off: Sign-off for P anning(include notes from planning review) Route Application Documents: 7 Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. ci>Building: original permit application,site plans,building plans,engineer and beam c ulations and trust details,if applicable,etc. Notes: By Permit Technician: zi J.,„' -- ' - Date: c:7CJ '-f•�� Engineering Review Qi Slope at building pad: Conditions "Met"prior to issuance of building permit [-Easements (encroachments)per engineering conditions of approval and plat C-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes LYNo _/ LIDA Facility on lot: El Yes f'No L� Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Er-Approved by Engineering: j ' / Date: �Jfr/5 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 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: 12i -SDC Fees Entered: Wash Co Trans Dev Tax: 014es ❑ N/A Tigard Trans SDC: DK es ❑ N/A Parks SDC: Q Yes �❑ /A LIDA 1::] Yes [ N/A OK to Issue Permit Approved by Permit Coordinator: ifit---Date: 67f,/)` cr 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 111111 T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 1 `\L- , cw \(\034\0) DATE RECEIVED: DEPT: BUILDING DIVISION I SEP2 , 2019 FROM: COMPANY: SC1C)C y,,,),`"'C -\-\\ (V`C) \\L. PHONE: octa ` J Q 'U c I I BY' RE: r .. W\ k- \ULe,./ W372_0\9- -54 (Site Address) (Permit Number) o�J-�..� 1 OCIAU 6IA (Project nani a 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): 7?-ss ,ltd i. REMARKS: W`wq)YV\-• �FOR OFFICE OFFICE USE ONLY Routed to Pe it Te ician: Date: O/ t .'� Initials: �.Wn Fees Due: ❑No Fee Descn{ptio : Amount Due: \l'7_ �4/l 6'L V .vJ $ L'S• �--_ Special Instructions: Reprint Permit(per PE): ❑ Yes / No ❑ Done Applicant Notified: Date: ')/[L`/�� Initials: 1:\Building\Forms\TransmittalLetter-Revisions 061316.doc