The URL can be used to link to this page

Permit CITY OF TIGARD �. MASTER PERMIT COMMUNITY DEVELOPMENT Permits: MST201900462 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 7 Date Issued: 01/27/2020 V Parcel: 2S103CA00310 Jurisdiction: Tigard Site address: 13124 SW 121ST AVE Subdivision: BIRCH MILL SUBDIVISION Lot: Project: Birch Mill Estates, Lot 4 Project Description: New SF. 4/10/2020: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1223 at Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1347 sf Garage: 689 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2570 sf Value: $348,297.17 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 • 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 2570 Owner: Contractor: LF121 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $34,414.48 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 opy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,/, • Issued By: ////`�`��yJ j/r4 Permittee Signature: r ///AC2& Call 603.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Auulica ECEIVC itn.t,lI1t11 ,I0\1 , c of T A,a Itemised APR O 3 202U ' 41 ,,,�./ l� Tz 4 U/)%6 -- 13125 SW Hell Blvd.,Tigard.OR 97223 '�� Phone: 503.7112439 Fax: 503.59&1960 Pim eon Other Psmc I/ t1t Line:Inspection 50.3.639.4175 CITY OF TIGARD or 1o0et W° 'rd- $0V BUILDING DIVISION H See Page pn ""-� sapwaa plrtal lef oa(orsadoa ®New construction 0 Additiemhthetatioo/repkaeEttoett blroharawt permit Ras►ere based on the value of**wont ❑N ew c n� per0allotmod indicate the value(rounded to the ma dollar)of all ❑Other. medaniwl m&m&1a,equipment,labor,overhead,and profit value:5 . Cr<T T..1* ifc 111i':• ` fe3311Ttki e ®l-and 2-fasnily dwelling 0 Corarnercialindustrial 0 Accessory building For specie,hvBmndom art dber*lia. ❑Mbtii-family p Master builder 0 Other: Description I Qty. 1 Ei. I Taut 108:Airli lairoatneritheopHer Sob site actinism • I 46.75 ` 6 y f S Formic 100,000 BTU(a &wer) 1 46.75 City/StatelZ1P: Furnace 100,000+BTU(arahvn) 54.91 Heat map Suitdbldgiept.no.: Project earairW r OA MiII' Duct Loi-ii Daw i 273L06 . Cross streetldireeriens to job site:l RIP ocvt-lr r$-m 34,4,et i Si- Hydronic hot water system 23.32 . RewdQdud boiler(radiator or hysh sic) 2332 Unit heaters(fia4type,sot electric), in-wall,in-duct,suspended,etc. 46.75 Fludvmt foraay of above 23.32 Subdivision:1arcy‘ ,`,\ Es 6'I4-S , Lot no.:q Other: 23.32 Other heel appllall= Tax map/paont no: Water heats I 23.32 p [OF WOHK . a, O Brwlacermsert I 3339. ._ . . Floc veal for water haaa or gas Newe keine eoastrtedox theelaoo 23.32 /"""d 11(. clnC/x th ,l/�( > , Log Wood/inn(gas) 2332 V Cr7-6l q 0 1 o As sert 2332 Chimuey/liser/Budveer 2332 Other: 2332 • - .I$ FROPEtTY OWNBd1 • Ct 701414T.-1-. Ear;rwaasasW eabaest and vmBptioe: Name: LF h9.. UMW hood/other kitchen Address:5285 Meadows Rd Ste 171 °q 1 3339 Clothes drier exhaust 1 3339 CRy/Statr/ZIP:Lake Oswego,OR 97035 Single-duct exhaust grillrooms, toilet oampartmadg utility rooms) 5 23.3/ Phone:(503)657-3402 Fax:( ) Attie/a:wlspace Sass 2332 IR Arrtacat .Q coxrAcr e>ztlsoN Other 2332 Business name:JTSC.LLC Fad pipl es oP 314.13 for that rear;34.03 for arch addlteaal Contact naolc Job.Wylaad Pomace,etc I Address:S285 Meadows Rd Ste 171On lreapump W City(StatetZIP:Lake Oswego,OR 97035 Water er htame eater rrtmi beater t Pooac(503)209-7555 Fax::( ) Fireplace 1 E-mail:Jwytaad(jtsenitbeo.eoss Ramie Babe I be= QO►d'I"AAfJI'09t - - _ _ Clothe dryer(gsa) Buaint Woe :me:Integrity Air,LLC Other. woutilGil.1:PEQhlr[:N.rLg • Addtess:16756 SW 72"Ave Sa 1/40s, City/State/ZIP:Portisa d,OR 97224 h ileum paint 20(590.00) Plea review(25%ofpermit fee) Phonic(503)572-3594 _Fax:(503)598-8448 state surcharge(12%ofpemit Se) .5•W/ CCB lie.:203869 TOTAL PERMIT FEE 50.1:, Si. This permit��expires raW eel e within lib C. afterla Menwpnrd as eoneeta Authorized signature: ' the meteorology as by Trt-Cauey Building Industry Navies Band Prim name:Kyle Birman Data 1:11324adiae Paraixlta;CramaApp oat 13. 4 0 4a17r(11/02CIkkWw1318) CITY OF TIGARD ° MASTER PERMIT rIF ' COMMUNITY DEVELOPMENT t l Permit#: MST2019-00462 TIGARr1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 � 2-61 416 Date Issued: Jan 27 2020 12:00AM Parcel: 2S103CA00310 Jurisdiction: Tigard Site address: 13124 SW 121ST AVE Subdivision: BIRCH MILL SUBDIVISION Lot: Project: Birch Mill Estates, Lot 4 Project Description: New SF. 4/10/2020: REPRINT permit to add NC. 7/10/2020: REPRINT permit to add irrigation backflow. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1223 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1347 sf Garage: 689 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2570 sf Value: $348,297.17 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 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: 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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2570 Owner: Contractor: LF121 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $34,449.50 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 952-001-0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: < ��r"`� Permittee Signature: r (9-70PL 2 C TfQ� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application__ r r. 9a c Building Fixtures T, - FOR OFFICE USE ONL\ �n et-�q tI r `Tt!"t� ltec«9ed Prrmit Noh s f zo V d i p zi City Sof W Haft WV f (� 2�2� Dn�By: 7�l u ttJ D �r ill • 13125 SW Hall Blvd,TiFant OR 9 Plan Review Other Pmna No.: ]Ssc,(C1S Phone: 503 7182439 Fax: 503 591e I It Due/By: Inspeelson Line 503 639 4175 , I)aie ReadylSy tun.. RI Se Page 2 for T II�nIID Internet wwwtigard-orgov BUILD:e u �--� NarCwd/Mahod y. Supplemental leraradsoa ti „S'.•"•", isr .:{A.17°ri t, �yp y -e': ,11-, x'rr".}?“ T.^1i s 7714-vri '~ g.i.: '•Y ;4'; r ... -. yl' ?'TI'- td�. }--.; e '. • . .,. El New construction 0 Demolition For special Information user"Mirk* Description I (ry- 1 Ea I Total ❑Addition/alteration/replacement 0 Other: New 1-2-famlly dwellings(includes 100 ft for cacti utility connection) w a sk.M - 'n r,t li id.1 ". SFR(l)bath312.70 :,?"P � J s , ! 2'eil� f.4) k y.a Y>�� .�. .�y� /.. [-. «.<< r , SFR(2)bath 437.78 ®1-and 2-family dwelling ❑Commercial/industrial SFR(3)bath .32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other Fire sprinkler( sq.ft.) Page 2 ... .. _ y. ;' - , ` , ,, :, s..; '' Site utilities: ( �1 SL 1'1�f Catch basin or area drain 18.76 Job site address: L-+ �jLJ Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suitdbldgiapt.no.: Project name: V 1 it K 11.1 1 Manufactured home utilities 50.03 Cross stseet/d rections to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 , Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:i, -j t`,c)r., OA;:\ ,Su,,hA_;\ri))n�[ Lot no.: A.. Fixture or item: Tax map/parce Backtbw preventer ) 31.27 , ) �� 1no.: r; c,a... - Backwater valve 12.51 Clothes washer 25.02 New home construction - At nC`CL�1 ..�s �- Dishwasher 25.02 E +)\ ( l , -e X i ��nt`f pc Mrt . Drinking fountain 25.02 0 Ejectors/sump 25.02 .$ 7a;- + . Cyr-,rC, ' y '* / Expansion tank 12.51 Fixture/sewer cap Name: F )n� , C-- 25.02 Floor drain/floor alnkAwb 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)657-3402 Fax:( ) Ice maker 12.51 t. � Intereeptor/grease�p 25.02 li `k. a s t r 4 i. ii:t. tr` s t° it.; Business name:JTSC,LLC Medical gas(value:S_) Page 2 Primer 12.51 Contact name:John Wyland Roof drain(commercial) 12.51 Address 5285 Meadows Rd Ste 171 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail jvylaod@jtemmhco.com Water closet 25.02 A.4° 4 Water heater 37.52 Business name:Mullen Company Water piping/DW V 56.29 Address:1601 A SE River Road Other. 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal ,I. 21 Phone:(503)640-0113 Fax:( ) Minimum permit fee: 572.50 Plan review (25% f permit fee) CCB Lie.:92689 Plumbing Lic no.:34-260PB Slate surcharge(12%of permit fee) �, 7$ Authorized sign TOTAL PERMIT FEE , 5.Q L This permit application expires if a permit Is cal obtained within 180 days Print name:Jeremy ce Date:L j;) after it has been accepted at complete. 1lll / 'Fee methodology set by Tri-County Building Industry Service Board. Flaal6ag\PaniIrPDAWamit.pp doc 10/01109 4404516T(I(0/02ICOMM'FB) CITY OF TIGARD MASTER PERMIT Ill `a COMMUNITY DEVELOPMENT " 1, ""' j 1 Permit#: MST2019-00462 e` TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 7/•< 24oefa Date Issued: Jan 27 2020 12:00AM Parcel: 2S103CA00310 Jurisdiction: Tigard Site address: 13124 SW 121ST AVE Subdivision: BIRCH MILL SUBDIVISION Lot: Project: Birch Mill Estates, Lot 4 Project Description: New SF. 4/10/2020: REPRINT permit to add NC. 7/10/2020: REPRINT permit to add irrigation backflow. • BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1223 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1347 sf Garage: 689 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2570 sf Value: $348,297.17 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 5 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 2570 Owner: Contractor: LF121 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $34,449.50 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 thr OAR //-001-000099900. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /J Issued By. ""QQ� Permittee Signature: gg /oL J �TfOA✓ Call 503.639A175 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. IIN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00462 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2020 Parcel: 2S103CA00310 Jurisdiction: Tigard Site address: 13124 SW 121ST AVE Subdivision: BIRCH MILL SUBDIVISION Lot: Project: Birch Mill Estates, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1223 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1347 sf Garage: 689 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2570 sf Value: $348,297.17 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: 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add]500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2570 Owner: Contractor: LF121 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-657-3402 PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $34,362.12 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 Noti ication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli 5 3.232.1987 or 1.800.3 . 344. Issued By: � p. Permittee Signature: C 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 roject. Approved plans are required on the job site at the time of each inspection. Building Permit Application )�-esidentlal RECEIVED FOR OFFICE USE ONLY City of Tigard DEC 2 ReceiDateBved /_ / 6 2019 y: p /aZ y ` -1 6v r`?'00,..1 0 c1.z, . Ill13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review '. Phone: 503.718.2439 Fax: 503.598.1966f OF TIGARD DateBy: ( 5( 1 /cC c P t i�-z .2F T 1 GAR D Inspection Line: 503.639.4175 ... _; _t��l\I Date Ready/By: Jugs: ® See Page 2 for G DIVISION Notified/Method: Supplemental Information Internet: www.tigard-or.gov j% ✓' PP TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead and a profit for the work indicated on this application. 3 y a c-7 CATEGORY OF CONSTRUCTION J ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 2-d5, 26Cr ElAccessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total numbg/,of oors: 2_41 3 Z 519 Job site address: I J I q S(,� 0).14 New dweeel�/jjijrfigiarea: ',ZS square feet i.244-7 City/State/ZIP:Tigard,OR 97223 Garage/carport area: ‘gor square feet 1223 Suite/bldg./apt.no.: Project name:Birch Mill-L o* Li Covered porch area: square feet Cross street/directions to job site:SW 121"Ave&SW James St. Deck area: square feet Other structure area: — square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Birch Mill Estates Lot no.: 11 Permit fees*are based on the value of the work performed. Tax map/parcel no.:TBD 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. New home construction Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:LF 121,LLC Type of construction: Address:5285 Meadows Rd Ste.171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JTSC,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:John Wyland Address:5285 Meadows Rd Ste.171 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:Lake Oswego,OR 97035 Phone:(503)209-7555 Fax::( ) Amount received: E-mail:jwyland@jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:JTSC,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5285 Meadows Rd Ste.171 Solar Installation Specialty Code checklist. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)209-7555 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:200237 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. *Fee methodology set by Tri-County Building Industry Print name:John Wyland Date: il, iiii0VGA Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist • One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: Date/By: permits: 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 11GARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing El Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. ❑ 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 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 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 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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 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 and multiple joists ❑ 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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.ton and shall be shown to be as plicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 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 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) ?`/Yechanical Permit Application IOR 014 icy l sh,()NI.) �]� Received City Sof W /_ �/� Permit No. i:)7 'S,„i 4,7„:1-L(1�.. l0 Z�� Date/By: (T t` �-- 13125 SW Hall Blvd.,Tigard,OR 97223111111 Plan Review °: / Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I Ci AR D Inspection Line: 503.639.4175 Date Ready/By: tuns: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 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 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 3)a L, S )02.1 t. Ave. Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: t Heat pump 61.06- L name ,(�; M t o+y Duct work I 23.32 Cross street/directions to job site:`CjU.7 j j$1 ASMQ. -4 agu e) Si. Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:1 `FGI,^ W E hA -S Lot no.:y Other: 23.32 \ �7 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas New home 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 ra PROPERTY OWNER CI TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Li— ioZ 4 14....c... Range hood/other kitchen equipment 1 33.39 Address:5285 Meadows Rd Ste 171 Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:JTSC,LLC $14.15 for first four;S4.03 for each additional Contact name:John Wyland Furnace,etc. 1 Address:5285 Meadows Rd Ste 171 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater 1 Phone:(503)209-7555 Fax::( ) Fireplace 1 Range 1 E-mail:jwyland@jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Integrity Air,LLC Other: MECHANICAL PERMIT FEES* Address:16756 SW 72"d Ave Subtotal City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)572-3544 Fax:(503)598-8498 State surcharge(12%of permit fee) CCB lie.:203869 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Q days after it has been accepted as complete. Authorized signature: /. 7 / ( * Fee methodology set by Tn-County Building Industry Service Board Print name:Kyle Birman Date: r:\Building\Permits\MEC_PermitApp_0401 I3.do 440-4617T(I.I/OJCO.'d/WEB) Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PermitApp_040113.doc 2 rs k *Electrical Permit Application %':': G FOR OFFICE USE ONLY �i � ��f''',� Received City of Tigard y Permit#:/v)3 J 1 --�0L�(,,� Date/By: IlIlU 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: kris: ® See Page 2 for T I G A I:I-) Internet: www.tigard-or.gov Notified/Method: Supplemental Information ;tE O '.WORK E1iAN REY EW , ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more ❑Building over three stories. El Demolition ❑Other: where the available fault current 0 Marinas and boatyards. ' CATEGORY O1F-L/)ZTSTRI70TIOlY• i:. exceeds 10,000 amps at 150 volts or 0 Floating buildings. I-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural ® ❑ ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: El Fire pump. 0 Installation of 150 KVA or SOB �1''�i 41 1 Q1({l,„ „ ,.IIZI _LOCATION L ❑Emergency system. larger separately derived Job#: Job site address:13)a y S W la I�L} v ❑Addis mo of new motor load of system. IOOHP or more. ❑"A" "E""1-2""i-i^ City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:►Ri- ',A i f— tg.)-t y 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Sw Id1 t1 e -1/4- $LA3 JQnitS Sl-- . ., ,:;SEE SCHEDULE;, ,. ., Description 1 Qty. I Each I Total ) * New residential single-or multi-family dwelling unit. Subdivision c_rc VUk1\\ Ec--o0#€3 Lot#: Li includes attached garage. Tax map/parcel 1,000 sq.ft.or less I 168.54 4 Ea.add'l 500 ft. 1 00i IPTION_OF WORK--• Limited energysq.,residenortipoalrtion 92 33 33..92 2 New home construction (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 El PROPERTY OWNER, ;, 0.TENANT '` Services or feeders installation,alteration,and/or relocation Name: L F 19 ii LLC 200 amps or less 100.70 2 Address:5285 Meadows Rd Ste 171 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Lake Oswego,OR 97035 601 amps to 1,000 amps 301.04 2 Phone:(503)657-3402 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 �� Branch circuits-new,alteration,or extension,per panel ;_„ APPLICANT. 0 CONA PE.RSilL1•T A.Fee for branch circuits with Business name:JTSC,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:John Wyland B.Fee for branch circuits without Address:5285 Meadows Rd Ste 171 branch circuit City/State/ZIP:Lake Oswego,OR 97035 Each add'I branch circuit 7.42 2 Phone: 503 209-7555 Fax: : Miscellaneous(service or feeder not included) ( ) ( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:jwyland@jtsmithco.com Reconnect only 67.84 2 •.,- - CONTRACTOR, •, • Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Address:2920 SW Brookwood Ave.Ste A Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/Z1P:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)648-4552 Fax:(503)642-7925 investigation(1 hr min) 90.00/hr Email:andreap@garnerelectric.com industrial plant(i hr min) 78.18!hr Inspections for which no fee is 90.00/hr CCB Lie.: 121159 Electrical Lie.: 34-30 S pry ic.: 3707S specifically listed(y2 hr min) . I L.E ICAL I'ERMITSubto1FE;E,S Suprv.Electrician signature,required: / Print name: Charles Gar) Date: 10/8/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature This permit application expires if a permit is not obtained within 180 Print name: Andrea Phillips Date: 10/8/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. I>Building-Permits,ELC_PemtimApp_ELR_ERE.doc Rev 0017,2015 440-4615T(1105,COM.WEB . Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY `," Received . City of Tigard Date/By- Permit No.:, - t1 µ 14 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.. T IGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: laSee Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK , • FEE* SCHEDULE El New construction ❑Demolition For special information use checklist. Description I Qty_ 1 Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .,.,y, - r ,,,+ , d r , , °� ,^„ P ,,, ,, SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 k' *sue.*rt` f ii . ;.AND ot4#0N Site utilities: Job site address: 1 / 1 / / �vC Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: rck‘ pti))- 10 W Manufactured home utilities 50.03 Cross street/directions to job site: $'t k1 1oZ J W Al Q. .-- Sl� Ta rKe 5 Si-. Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: /60) ) Page 2 Storm sewer(no.linear ft.: )60) ) Page 2 Water service(no.linear ft.:IOC)) ) Page 2 Subdivision. Qai(-c.h M j If .e-5 7L 4.e 5 Lot no.: 14 Fixture or item: Tax map/parcel no.: Backflow preventer1.27 . r ;; ,, , Backwater valve 12.51 : D OJV 33F WORK , ., , Clothes washer I 25.02 New home construction Dishwasher i 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 , iiitia OR ''','4 ` t Expansion tank 12.51 Name: L F L2 I, !_L C Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal i 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 1. 25.02 Phone:(503)657-3402 Fax:( ) Ice maker f 12.51 x a ,, t Q.OOI�7�hcr PERSON Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value:$ ) Page 2 Contact name:John Wyland Primer 12.51 Roof drain(commercial) 12.51 Address:5285 Meadows Rd Ste 171 Sink/basin/lavatory 5 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 'd 12.51 E-mail:jwyland@jtsmithco.com Urinal 25.02 (' : t i� f cON1 M-:CV F'_ ;,,; - Water closet 25.02 .,. . ,. Water heater j 37.52 Business name:Mullen Company Water piping/DWV 56.29 Address:1601 A SE River Road Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized sign re: TOTAL PERMIT FEE Print name:Jeremy ce 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. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(I0/02/COM/WEB) • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ri` ` F 4 Qty. Fee ) Total ' gt><axe.FobIagr: P tamuit i e. ,.' Footing drain-1'100' 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: . Pain-4 Fee: .- Stomt&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 (�) �Feei t each additional$100.00 or fraction thereof,to hir>t`G �:tir fee otat 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 reeort fixtures could result in increased sewer fees*. Quantity by Fixture Type PIaI Ite ` fiir�'lbilk stll�lfidis'n Fizlure 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,' iSo "c rIb nlrker ► r n Car Wash Drain Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings 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: C:\Users\jeremy\AppData\Local\Microsoft\Windows\INetCache\Content.Qutlook\BTBRFOU6\04 Plumbing Permit-Blank.doc City of Tigard "I in a . COMMUNITY DEVELOPMENT DEPARTMENT TIGARD' Building Permit Review — Residential Building Permit #: ,(6��l`7 00 e-( .1 Site Address: /4221 ,b/e7L nv2/ Project Name: lr�� !/1 Lot #: Planning Review Pro p :sal: vet) ‘S'f IL Verify address/suite#active in Accela. In River Terr. e: �No Yes,River Terrace ReviewAddendum SiVPlan Elements: IY Erosion Control 1 copies of site plan on 8-1/2"x 11"or 11 x 17"paper \ \!,;%-tained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) F otprint of new structure(including decks)and FFE I rth arrow �' *ty locations&easements(required for new and additions) address,project or subdivision name and lot number Sidewalk/driveway approach plicant information(name and phone number) cation of wells/septic systems dimensions and building setback dimensions eet tree size,type and location u re footage of buildings to be demolished Siatet names -s ' g structures on site Corner elevations(2'contours if more than 4'diffe tial) area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? VYes ❑No Lk'.Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No AO Water Meter Fixture Unit Worksheet—Addi u• s,Remodels and ADUs ' -quired: ❑ Yes,applicant was notified iL No Received: ❑ Yes ❑ No IX I:DC Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes ❑ No VA Public Faciliti/Improvement(PFI)Permit: hequired:Z �� Yes,applicant/was notified ❑ No For: /� Yes ❑ No,stop intake and Use Case#: �'� O/ L Zoning. lEa< � egnired Setbacks: Front: Rear: g- Side: Street Side: f�J - Garage: 2-' IE Building Height: Max.Height: 6 Actual Height: 'a PAS. andscape ea: 0/0 "'t Coverage M •a °/% Entrance t back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows pfinimum 12%of area of all street-facing facades Garage arage door is behind widest street-facing wall 17/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. GE Door extends no more than 5'from wall and there is a 12 sq ft. w above garage on 2nd floor. ara door width is ❑ 12'or less ❑ 50%or 1of facade %or less and includes 7 0 ollowing. Avexed porch ❑ cessed entrance Id Wall offset 1'Roof eave Roof offset shingles Lap Siding ❑ Roof pitch Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding / Window trim ❑ Window recess ❑ Window projection ❑ Balcony 1� %isual Clearance rban Forestry Plan � f Sensitive Lands: Yes ❑ No Type:�l/r/3GT/P 1 i- A,t _e ..e CI Sons met prior to issuance of buil ' permit -/ COtr'/ Not 4 0 Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPernutRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: l o Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning Engineering 1?-Permit Coordinator Building Workflow Sign-off: ,Sign-off for P anning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and bea calculations a d trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review p Slope at building pad: 2 ./ n Conditions "Met"prior to issuance of building permit • Easements (encroachments)per engineering conditions of approval and plat ® Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ® No Assess Water Quantity Fee in-lieu: ❑ Yes ® No LIDA Facility on lot: In Yes ❑ No ❑ Final Plat Recorded: l�1 b't `tet ❑ NOT Approved by Engineering: Date: Notes: gi Approved by Engineering: gj") Qj.-1,l. Date: 1 . 13 • 20 20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved 0. Permit Coordinator Review ❑ Co 'dons "Met"prior to issuance of building permit Approved,NOT Released: j��,(� c� /r,ifr Date: 0 3/7-6) Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: l C Exemption: CILJ Received Er Does not apply lJ SDC Fees Entered: Wash Co Trans Dev Tax: [ Yes ❑ N/A Tigard Trans SDC: LI s ❑ N/A Parks SDC: ❑ A LIDA es VOK to Issue Permit Approved by Permit Coordinator: Date: iA/Z-D 1:\Bui lding\Fonns\B 1dgPermitRvw_RES_122419.docx Albert Shields From: Albert Shields Sent: Monday,January 13, 2020 6:42 PM To: jwyland@jtsmithco.com Subject: Birch Mill Subdivision - MST2019-00455, -00462, & -00463 Attachments: Birch Mill - 01-13-2020.pdf John, in reviewing the above permit applications I have found that a number of the Conditions of Approval highlighted on the attached list pertaining to final plat approval and receipt have not yet been met. We need to have those met before we can issue these permits. Accordingly, I will code these permits as"Approved (for Plan Review) but Not Released." Plan Review will proceed but the permits will otherwise be on Hold until the subject conditions have been met. Please let me know if you have any questions. Albert Shields. 1