Permit CITY OF TIGARD MASTER PERMIT
IN8 . COMMUNITY DEVELOPMENT ,.mm M Permit#: MST2022-00249
Date Issued: 10/13/2022
TIC;Ali 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • Parcel: 1 S135AC14300
Jurisdiction: Tigard
Site address: 9482 SW LONGSTAFF ST
Subdivision: ASHBROOK VILLAS Lot: 10
Project: Ash Brooke Villas, Lot 10
Project Description: New detached dwelling. REPRINT FOR ELECTRICAL CONTRACTOR CHANGE.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 104 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 906 sf Garage: 651 sf Front: 15 Smoke Yes
Dwelling Units: 1 Third: 860 sf Right: 3 Detectors:
Total: 1870 sf Value: $325,706.19 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 Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 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 SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 4 201-400 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 Y
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 1870
Owner: Contractor:
ABVOZBP21 LLC SAGE BUILT HOMES Required Items and Reports(Conditions)
1815 NW 169TH PL STE 1040 1815 NW 169TH PLACE,SUITE 1040 1 Ersn Cntrl 503-639-4175
BEAVERTON,OR 97006 BEAVERTON,OR 97006
PHONE: PHONE: 971-221-4597
FAX: 503-533-5164
Total Fees: $40,936.40
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
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Issued By: Permittee Signature: ��� `G I G��
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 iob site at the time of each inspection.
Electrical Permit Application ' •` > . , ' FOR OFFICE (SE ONLY
City of Tigard C Received
Permit a:
° 13125 SW Hall Blvd Date/13 :
,Tigard,OR 97223 v t Plan Itcvicw
.
1101
Phone: 503.71&2439 Fax: 503.598.1960`. (,A u
Inspection Line: 503.639.4175 e 1 ;'' .-;:(-1;" Da R laud P. t•.AmitAly�/ i
T I G A RD Ready Date/13y:
Internet: www.tigard-or-gov Notified/Method: liiilliMEEEMI
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please cheek all lint apply(sly 2 sets of plans w(dems chocked):
ClService or feeder 400 amps or mote ❑Building over three stories.El Demolition ❑Other:
where the available fault anent 0 Maxima and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or Q floating bnildinps.
tf 11-and 2-family dwelling 0 Commercialfmdustrial ❑Accessory building ices to ground,or exceeds 14,000 p commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ['Fire pump- ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
Sob site address' CI Addition of new motor load of system.
10b#:
g482 sw Lotit(STAFF l7f• 100HP or more. ❑"A, @ , t_Y `1;•
City/State/ZJP:Tigard, OR 97223 Q six or more reside alai units. ooc Panty.
Q flealth•cmc facilities. o Recreational vehicle parks.
Suite/bldg./apt#: Project name:Ash Brook Villas ❑Hazardous iocatiora. 0 simply voltage for more than
❑Service or feeder 600 amps or more. 600 mils mmliRml.
Cross street/directions to job site: FEE SCHEDULE
ocu/vtoa 1 are 1 Ends I Taw I
New residential single-or multi-family dwelling unit.
Subdivision:Ashbrook Villa's Lot#: 1 n Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 ' 4
DESCRIPTION OF WORK Ea addd 500 sq.ft.or portion 33.92 1
Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,mini-family
residential(with above sq.ft.) 75.00 2
0 PROPERTY OWNER i 0 TENANT Renewable Energy ❑ See Page 2
Services or feeder's installation,alteration,and/or relocation
Name:ABVOZBP21 LLC 200*taps or less I 100.70 100.70 2
Address:1815 NW 169TH PLACE, SUITE 1040 201 amps to 400 amps 133.56 2
City/State/ZIP:Beaverton, OR 97006 401 amps to 600 snips 20034 2
601 amps to 1,000 amps 301_04 2
' Phone:( ) Fax:( ) Over 1,000 amps or volts 55226 2
Temporary services or feeders installation,alteration,and/or
Email:katie@sagebuilthomesAc.eom
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Dom: 401 amps to 599 amps 16854 2
Branch circuits-new,alteration or extension,per panel
0 APPIJCANT ❑ CONTACT PERSON
Business name:ABVOZBP21 LLC A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Contact name:Katie Patterson each branch circuit
B.Fee for branch circuits without
Address:Same as above sersr«orfeeder fcu That 56.18
branch circuit 2
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or fender not included)
Phone:003-5026623 Fax::( ) Each manufactured or modular
Email:katie@sagebullthomesllc.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67%4 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Grizzly Electric Inc j Sign or outline herring 67.84 2
Address: 2tq yy ten Sired,, &k tot - 117 Signal circuit(s)or r extension.
limited-energy 0 See Page 2 2
r.1 L panel,alteration,or elveosion.
Each addtdenal1nspe inspection allowable is any of the shove
City/State/ZIP:Vancouver, WA 98660
Additional inspection(1 hr min) 6625/hr
Phone:(
97/-576- Q/®/ Fax:( ) investigation(1 hr min) 90.00/hr
Prima:grizzlyelectric@msn,com Industrial 78.lS/lu
Inspections for which no fee is 90,00!iir
CCB Lie.:186218 Electrical Lie.: Suprv.Lic.:91"3 J S specifhcally listed 04 hr min)
Suprv.ElectricianELECt'RICAL PERMIT FEES
signature,required:
t� Subtotal:
Print name:%Y1 y file.{1�Y ate: f2��/.••a,` 0 Plan Review Required(25%of
l / ,`_ al � permit fee):
,, .," State surcharge(12%of permit fee): •
Authorized signature: /y�e?tv /U.c.f.re/Gd.1y/fi TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
Print name:Katie Patterson Date:1211/22 days after it has been accepted as complete.
' Number of inspections allowed per permit.
IMiniblina\Prnnin\k:LC-Permit ELRHRE doe Rev 06/17/2015
4404615r(t I/p5K•pldJwga
O CITY OF TIGARD MASTER PERMIT
i il COMMUNITY DEVELOPMENT Permit#: MST2022-00249
Date Issued: 10/13/2022
T 1 G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135AC14300
Jurisdiction: Tigard
Site address: 9482 SW LONGSTAFF ST
Subdivision: ASHBROOK VILLAS Lot: 10
Project: Ash Brooke Villas, Lot 10
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 104 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 906 sf Garage: 651 sf Front: 15 Smoke
Yes
Dwelling Units: 1 Third: 860 sf Right: 3 Detectors:
Total: 1870 sf Value: $325,706.19 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 Drains: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bcktlw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 4 201-400 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 Y
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 1870
Owner: Contractor:
ABVOZBP21 LLC SAGE BUILT HOMES Required Items and Reports(Conditions)
1815 NW 169TH PL STE 1040 1815 NW 169TH PLACE,SUITE 1040 1 Ersn Cntrl 503-639-4175
BEAVERTON,OR 97006 BEAVERTON,OR 97006
PHONE: PHONE: 971-221-4597
FAX: 503-533-5164
Total Fees: $40,936.40
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: Orego law requires y• to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: �i< Permittee Signature: sl t /�//LGG/!�(
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 lob site at the time of each Inspection.
$uilding Permit Application
Residential (RECEIVE .• FOR UFFICF. t sl: ONI.1
Received er,
City of Tigard �1 Date/By:
Da[cB Permit Permit:
34 • 13125 SW Hall Blvd.,Tigard,OR 97223 JUL
2 8 2022 Plan Review �J r
Phone: 503.718.2439 Fax: 503.598.1960 U 22 At Other Permit: 64-40dvoih{t
TIGARD Inspection Line: 503.639.4175 �i�TY OF TIGARD Datc Ready/By /� / ,�' ,uriv ZSee Page 2fur
Internet: www.ligard-or.gov Net, d/Method ,�-/ Supplemental Information
RR Ill_nINIG IIRVISICI" `��/
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
® Vew construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
k 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTR-OsUCTION work indicated on this application.
N0 I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3��', Oleil
❑Accessory building ®Multi-family Number of bedrooms: 4
rQ ❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 3 2,55Z)
` ,Joh site address:9482 SW LONGSTAFF ST New dwelling area: 1870 square feet q#(Q 0
City/State/ZIP:Tigard Oregon Garage/carport area: 651 square feet 1 u V
'c, Suite/bldg./apt.no.: Project name:Ash Brooke Villas Covered porch area: 24 square feet I DI-1
Cross street/directions to job site:
Deck area: f 2.0 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
'Subdivision:Ash Brooke Villas Lot no.: 10 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
\ .,...,
New Residential Construction Valuation: $
Existing building area: square feet
1 New building area: square feet
A ® PROPERTY OWNER ❑ TENANT Number of stories:
Name: ABVOZ
Type of construction:
Address: 1815 nw 169'h Place Suite 1040 Occupancy groups:
City/State/ZIP:Beaverton Oregon 97006 Existing:
Phone: (503)533-5167 Fax:(503)533-5164 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Sage Built Homes LLC (Please refer le schedule)
Structural plan review fee(or deposit):
Contact name:Alex Rodriguez
FLS plan review fee(if applicable):
Address:Same as above
City/State/ZIP: Total fees due upon application:
Phone:(971)336-6911 Fax: ( ) Amount received:
E-mail:planningrsagebuilthomesllc.wm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name:Sage Built Homes LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same as Above Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 189330
Total fee due upon application: $201.60
Authorized signature:c. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Alex Rodriguez Date: l 0 -6- 22- *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pere ts\BUP-RESPermitApp.doa 02/24/2011 440-4613T(11/02.'COM/WEB)
Building Permit Application Checklist ,
One- and Two-Family Dwelling Fuk oFFlc F USE ONLY
City of Tigard Received
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 y
b' Associated permits:
I ' Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Fes NO '/.'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews, ❑ ❑ 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0
3 Verification of approved plat/lot. 0 ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. 0 ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0
9 Erosion control ❑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 he completed if
copyright violations exist.
II Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 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, ❑ ❑ ❑
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
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
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 ❑ ❑ ❑
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 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
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
architect licensed in Ore_on and shall be shown to be .••licable 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
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 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 ❑ ❑ ❑
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
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.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Electrical Permit Application foe oIFlC1: I'SF ONI.A
City of Tigard ECEIVE Received Permita / t). t Uv y
8} Date/By
d ( � �l
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
'� a Phone: 503.718.2439 Fax: 503.598.1960 Date/By_ Related Permit u:
i141RD Inspection Line: 503.639.4175 JUL 2 8 202 Ready Date/By: Turin I RI See Paget far
Internet: www.tigard-or.goy Notified/Method I Supplemental Information
TYPE OF w ITrpY�OFf�s TICAI L
ll.1,.71{�IC,r DIVISION PLAN REVIEW
®New construction ❑Addition/alteration repiacement Please check all that apply(sabmit sets of plans w/ItemC checked):
❑ ❑Demolition Other: 0 Service or feeder 400 amps cc more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps al 150 volts or 0 Floating buildings.
El1-and 2-family dwelling 0 Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family 0 Master builder ❑ Other: 0 Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job site address: ❑Addition of new motor toad of system.
Job#:
9482 SW LONGSTAFF ST 1001-or more. ❑ `A `E ,'1-z","I-3",
City/State/ZIP: Tigard Oregon ❑Six or more residential units, occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Ash Brooke Villas 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
Bacrintion I Q4, I End, I Total 1 •
New residential single-or multi-family dwelling unit.
Subdivision: Ash Brooke Villas Lot#: t0 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4: Ea add'!500 sq.ft or portion 33 92 1
DESCRIPTION OF WORK Limited energy,residential 75 00 2
i New Residential Construction (with above so.ft.)
..._�.____...__.� Limited energy,multi-family 75.00 2
residential(with above sq.IS)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: AB1'Oz 200 amps or less I I 100 70 I 100 70 I Z
TH 201 amps to 400 amps I 133.56 I 12
Address: 1815 nw 169 Place Suite 1040
401 amps to 600 amps 200 34 2
City/State/ZIP:Beaverton Oregon 97006 601 amps to 1,000 amps . 301.04 2
I
Phone:(971)221-4597 Fax: ( ) Over 1,000 amps or volts j 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 1
intended for sale, lease,rent,or exchange, according to ORS 447,449, 670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: _ 401 amps to 599 amps 168.54 2
® APPLICANT 1 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per and
A Fee for branch circuits with
Business name:Same As Above above service cc feeder fee, 7 42 2
each branch circuit
Contact name: Alex Rodriguez B Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'I branch circuit 7,42 2
Miscellaneous(service or feeder not included)
Phone: (971)336-6911 Fax: :( ) Each manufactured or modular 67 84 1 2
dwelling,service and/or feeder
Email: Planning@sagebuilthomeslIc.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Ross Electric Sign or outline lighting I I 67 84 I 12
Address:2870 SE 75th Ave 203 Signal circuit(s)or limited energy I ElPage 2 I l 2
panel alteration or extension. See
City/State/ZIP:Hillsboro Oregon 97123 Each additional inspection over allowable in any of the above
Additional inspection(I fir min) 66.25/hr
Phone:(503)642-2800 [ Fax:( ) Investigation(t hrmin) 90.00/hr
Email: 16,1!/ Industrial plant(1 hrmin) 78.18/hr
J Inspections for which no fee is 90 00/hr
CCB Lie.: 157891 Electrical Lic.: 34-436C i Suprv. Lic.: -74 2 S specifically listed(V,hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: , r, Subtotal:
_77.7
Print name: Stephen Ross sir Q Itt:eN , 'o5 f ["Date: 0 Plan Review Required(25%of permit fee):
e---------- State surcharge(12%of permit fee):
Authorized signatur TOTAL PERMIT FEE:
1 t5Z This permit application expires if a permit is not obtained within t80
Print name: Alex Rodriguez 1 Date, 1 0 , — ) days after it has hero accepted as complete.
)) L/��� • Number of inspections allowed per permit.
I.\Building\Pennits\ELC PennitApp_ELR ERE dot: Rev la.'17/2015 440-4615T(I I/n5/COM/WEB
Mechanical Permit Application FOR OFFICE USE ON TV
City of Tigard Received Permit No
I • Date/By: -�y,,�_
131251111
SW Hall Blvd.,Tigard,OR 97223 M V r p anv 24'
Plan Review
694
Phone: 503 43 Fax: 503.598.1960 ^ ry y ,^e.,r,ateddy: Other Permit
-1-1 G R D Inspection Line: 503.639.4175 eF IV� \1//A{.•.••.IL..Date Read R md�
y' Y :- S Sec Page 2 for
Internet: www.tigard-or.gov Notiticd! lethod. Supplemental Information
TYPE OF WORK CITY OF PGAPI COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alteratioietWaffin DivisloI'. 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*
® l-and 2-family dwelling ❑Commercial/industrial ❑Accessory building - For specie[in/urnrution use checklist.
❑ Multi-family ❑Master builder ❑Other: Description P Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning 1 46.75 46.75
Job site address:9482 SW LONGSTAFF ST Furnace 100,000 BTU(ducts/vents) 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:Ash Brooke Villas
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Ash Brooke Villas Lot no.: 10 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 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
�1 PROPERTY OWNER Other: 23.32
❑ TENANT
Environmental exhaust and ventilation:
Name:ABVOZ Range hood/other kitchen
ra equipment 1 33.39 33.39
Address:1815 NW 169 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) 4 23.32 93.28
Phone:(503)533-5156 Fax:( ) Attic/crawlspace fans 1 23.32 23.32
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Same as Above 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:( ) Fax: :( ) Fireplace
Range
E-mail:Plannnig(asagebuilthomesllc.com Barbecue
CONTRACTOR Clothes dryer(gas) I
Business name:All Time Heating&Cooling Other:
MECHANICAL PERMIT FEES*
Address:PO BOX 1341
Subtotal
CityiState/ZIP:Lake Oswego,Oregon 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.: 184575e TOTAL PERMIT FEE
Authorized Signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
t Fee methodology set by Tri-County Building Industry Service Board
Print name:Alex Rodriguez Date: 10 r 11)- L2-
I:'BnildingAPermits'MEC Pern,aApp_040113.doc 4,10.4611T(I I.02/COMIWP.B)
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
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received
:' CEIVED Plan
Pcrmi[No `
13125 SW Hall Blvd.,Tigard,OR Plan Review
t vGt+t''- L:' �
7 Phone: 503.71 R.2439 Fax: 503.5 R. Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175
L
f l v L 2 8 202 Date Ready By: .Suns: WISee Page 2 for
tterneC www,tiga[d-orgov Notified/Method: Supplemental Information
TYPE OF WOR1CtTY OF TIGARD j FEE* SCHEDULE
®New construction Lit MCI l.)1VI4l' - For special information use checklist
Description Qty. Ea. I Total
❑Addition/alterationrreplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
® I-and 2-family dwelling ❑Commercial industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath x 500.32 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:9482 SW LONGSTAFF ST Catch basin or area drain 18.76
City/State/ZIP:Tigard Oregon Diywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:Ash Brooke Villas 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:Ash Brooke Villas Lot no.:10 Fixture or item:
Tax map/parcel no.: Backflowpreventer I 31.27 31.27
DESCRIPTION OF WORK Backwater valve I2.51
Clothes washer 1 25.02 25.02
New
Residential Construction
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Cli PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:ABVO7, Fixture/sewer cap 25.02
Address: 1815 NW 169'Place Suite 1040 Floor drain/floor sink/hub 25.02
Garbage disposal 1 25.02 25.02
City/State/ZIP:Beaverton Oregon 97006 Hose bib 2 25.02 25.02
Phone:(503)533-5156 Fax: ( ) Ice maker 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Sage Built Homes LLC Medical gas(value:$_) Page 2
Contact name:Alex Rodriguez Primer 12.51
Roof drain(commercial) 12.51
Address:1815 NW 169`h Place Suite 1040
Sink/basin/lavatory 5 25.02 125.10
City/State/ZIP:Beaverton Oregon 97006 Solar units(potable water) 62.54
Phone:(971)336-6911 Fax: :( ) Tub/shower/shower pan 3 12.51 25.02
E-mail:planning@sagebuilthomeslIc.com Urinal 25.02
CONTRACTOR Water closet 3 25.02 75.06
Water heater I 37.52 37.52
Business name:Edward Mullen
Water piping/DWV 56.29
Address:1601A SE River Road Other: 25.02
City/State/ZIP: Hillsboro Oregon 97123 Subtotal
Phone:(503)572-4586 Fax:( ) 1 //.5-1)-3 Minimum permit fee: $72.50
CCB Lic.:92689 - umbing Lic.no.: 4 Gi00f3 Plan review (259i0 of permit fee)
State surcharge(12%of permit fee)
Authorized signature:
TOTAL PERMIT FEE
Print name:Alex Rodriguez Date: (0 \2,- 2 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
I:ABuildingVPermix.PLMU-PerrnirApp_doe Ioi01/09 440-4616T(I(1/021COM'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- 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: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional I ot1' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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 Replacer Plan review is required for any of the following.
Work Performed: Capped Added Relocate
Please check all that apply.
Baptistry/Font
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool
1pool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 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"
a" Isometric or Riser Diagram
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
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\Subdivisions\Ash Brook Villas\Lot 10\Applications\PLMFiermitApp.doc
• City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Ale
Small Form Residential Supplemental ( Non -RT)
Building Permit #: fY157dni4d i-{4 Project Name: ASrt gc r- VILLAS
Site Address: q / 2 Gnn/6sT-AF' pP
Lot #: . Total Existing Units: ❑ One ❑ Two El Three
New Configuration: 0 Single Detached ❑ Duplex ❑ Triplex ❑ +ADU
Small Form Residential Standards
Setbacks ❑ Front: Rear: - Side: Street Side: &! r Garage:
Height ❑ Max. Height: Actual Height: 32- 1
Landscape ❑ Landscape Area: % Lot Coverage Max: .,.
Entrance ja.5,et back no more than 8' from street-facing wall
ff-Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12% of area of all street-facing facades
Garage Garage door is behind widest street-facing wall
❑ Yes
❑ No, and one of the following is met:
El Door extends no more than 5' from wall and there is a covered porch
extending beyond garage.
O Door extends no more than 5' from wall and there is a 12 sq ft.
window above garage on 2nd floor.
Garage oor width is:
12' or less
❑ 50% or less of facade
❑ 60% or less and includes 7 of following:
❑ Covered porch 0 Recessed entrance 0 Wall offset
❑ 1' Roof eave ❑ Roof offset ❑ Fire shingles
❑ Lap Siding ❑ Gable, hip, gambrel roof ❑ Dormer
❑ Roof pitch ❑ Accent siding ❑ Window trim
❑ Window recess ❑ Window projection 0 Balcony
Approved By Planning: Date: 1/Z2/2
I-IButldmgWorussVBldgPenutthlm_SFR SupplemmtaI 070722
•
INCity of Tigard
u COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review - Residential
Building Permit #: /ns;-+}fit y
Site Address: (a2 &) boobsr71-Fr= azo
Project Name: /15ft c5 1Q Vtt-Gbi Lot #: /'U
Proposal: S4r9s2Peftrefult SWoLe krACtfc.42 Houle
Land Use Case: g212,702o-COCO Z Zone: Res - CV
12-12
Required Submittal Elements
pies of site plan &Square footage of buildings to be demolished
wn to standard scale Footprint of new structure and FFE
Irth arrow It R tained trees, drip line / tree protection
pPlb(Site address, project name, lot # PW-Street trees shown / labelled
et namesewalk / driveway shown and dimensioned
A plicant name and phone # Utility locations & easements (new / additions)
Lot and setback dimensions Vaion of wells / septic systems
xEristing structures on site area and lot coverage percentage
ion control rner elevations (2' contours if > 4' differential)
ision clearance triangle shown rr-Ground slope at building pad calculated / shown
Planning Review
V,a( y address / suite # active in Accela.
Clean Water Services - Service Provider tter (lot platted prior to 9/10/1995)
Required: ❑ Yes No
Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permj
Required: 0 Yes 0/No
Applied For: 0 Yes 0 No, stop intake
Sensitive Lands: ❑ Yes o
Type:
L Housing Supplemental Sheets Completed
O Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad
❑ Courtyard Units C&O (1 site, 1 per building) ❑ Ro , ouse
O Cottage Cluster Type II (1 per unit) small Form Residential / ADU
O Courtyard Units Type II (1 per building) 0 River Terrace Addendum
0 Conditions met prior to issuance of b it ng permit L-cod _ 1t (� - l /
Approved By Planning: Date: 7r 2.rl a.
Notes
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
A
I:,Building,Forms\BldgPermdRrw Res_070722.docx I
•
Building Permit Submittal
Original Submittal Date: 7
Site Plans #:
Building Plans #:
Building Permit #: lilding permit # entered on page 1
Workflow Routing: ELPt nning Ct'Engineering CI-Permit Coordinator 0—Building
Workflow Sign-off: D.2 n-off for Planning (include notes from planning review)
Route Documents: gkrrineering: (1) copy of permit application, (1) site plan,
(1) building plan and original plan review routing form.
uilding: original permit application, site plans, building
plans, engineer and beam calculations and trust details, if
applicable, etc.
Permit Technician: /� — Date: "7/3VAL,
Notes
Engineering Review
E Slope at building pad verified Slope: "270
2-Conditions met prior to issuance of permit
`Easements (encroachments) per engineering conditions of approval and plat
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Et-No
Assess Water Quantity Fee in-lieu: ❑ Yes
LIDA Facility on lot: ❑ Yes [ iclo Add Fee: ❑ Yes 0 No
final Plat Recorded
O NOT Approved Date:
Notes
Approved By Engineering: . 4s)4 Date: g Z
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
;if-Conditions met prior to issuance of permit
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
O SDC Exemption: 0 Received 1 Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Ll Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: III Yes ❑ N/A
LIDA 0 Yes izN/A
11 OK to Issue/Approved by Permit Coordinator: t-\ \1C,,,,/ Date: %-
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
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
■'hi Transmittal Letter
t c n u rti 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Samedy KerniGSEP 2 0 2022
COMPANY: CITY OF TIGARD
PHONE: 971.563.0552 BUILDING DIVISI01
EMAIL: samedy@a kem-consultant.com
RE: 9482 SW Longstaff St. MST2022-00249
(Site Address) (Permit Number)
Ash Brooke Villas-Lot 10
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: Full set
Cross section(s)and details. .. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
2 Other(explain):Trusses Calc
REMARKS: Iv O ADD ifO1171L L,40N0 tie ` `ylkew preepcp - at--
FOR FF E USE ONLY
Routed to Permit Technici Date: ?-Z--/ Initials: ej
Fees Due: ❑ Yes o ( esc ption: ' Amount Due:
N:\., 0 1,..„..) L
s$ 0
� $
z___--
Special
Instructions:
Reprint Permit(per PE): ❑ Yes Done
Applicant Notified: "-p ate: N Lf 72-2- _ Initials: f�