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Permit CITY OF TIGARDI • MASTER PERMIT N ' COMMUNITY DEVELOPMENT Permit#: MST2022-00217 T I i;,,'N.R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2022 Parcel: 1 S 135AC13600 Jurisdiction: Tigard Site address: 11036 SW 95TH AVE Subdivision: ASHBROOK VILLAS Lot: 2 Project: Ash Brooke Villas, Lot 2 Project Description: New attached dwelling. REPRINT: CHANGING ELECTRICAL CONTRACTOR BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 290 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 856 sf Garage: 388 sf Front: 10 Smoke Dwelling Units: 1 Third: 833 sf Right: 3 Detectors: Yes Total: 1979 sf Value: $325,075.57 Rear: 12 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 FootingDrain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Fum>=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 Y Other. N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1979 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 2 Geo Tech Required- Engineered Fill Present PHONE: PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $30,746.03 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QS7.M111nin/hmunh flap oc9_nnl-nnon Vn,,me,,nhloin n rnnv of rho rnloc nr rliraM nurseline fn rll INC h.,rollinn cn'3 9Z9 1 CIA]nr 1 Ann A09',AAA Issued By: Permittee Signature: ' Ct' tp.) I`(Carr,Ot4' 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. w Electrical Permit Application ` `#'" \11 r r r 2U?? City of Tigard �atelBy: Pc rr t n. _ 13125 SW Hall Blvd,Tigard,OR 97223 v ,�;= t(jJO Plan Review Phone: 503.718.2439 Fax: 503.598,1960 , •-, --)iA f1 )N Date/BY: Related Permit 0: 2Ou* -- 10 V/ Inspection Line: 503.639.4175 4/ ��:��A t;i� Internet: Readynart_IBy: rhue: ®see Page2 for www.tigardor.gov Notified/Method:: Supptemeatat information TYPE OF WORK PLAN REVIEW ®New construction 0- Additionialteration/replaoement Pl ease check all tat apply(sue 2 bets of plans wrncma checked): 0Demolition El Other: ❑Service feeder 400 amps or more ❑gadding over three stories where the available fault current ❑Marinas and boatyards, CATEGORY OF CONSTRUCTION exceeds 10.000 WITS at ISO volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Comore rcial/industrial 0 Accessory building l ss to ground or exeerds Idyl® O Commercial-me agricultural Multi family ❑Master builder amps for all other installations. buildings. Other: ❑Eire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived Job*: Job site address: !V J Qi.1 a ❑Addition of new motor load of system City/State/Zit':Tigard, OR 97223 ✓W t H �VE�/U e ❑s or100HP or tame rent al win. ❑ a occupncy"1-2","r-1-, ❑Health-cam facilities. ❑Recreational vehicle parks. Suite/bldgJapt#: Project name:Ash Brook Villas 0 Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 am ps or mare. 600 volts nominal. Cross street/directions to job site: PEE SCHEDULE Driaipame J Qty. I Each J Total 1 . New residential single-or awed-family dwelling unit. Subdivision:Ashbrook Villa's Lot#: 2 Includes attached garage. Tax nap/parcel#: 1,000 sq.1 or tens 168.54 4 DESCRIPTION OF WORK Ea.add'I 50D sq.h.or portion 33.92 1 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 10 PROPERTY OWNER 0 TENANTRenewable Energy 0 See Page 2 Services or fetalera inata1Iation,alteration,and/or relocation Name:ABVOZBP21 LLC 200 amps or less 1 100.70 100.70 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 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:katie@sagetwilthomeslic.com 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 168.54 2 Branch tirade;—new,alteration,or extension,per Panel ® APPLICANT ❑ CONTACT PERSON Business name:ABVOZBP21 LLC A.Fee for branch r�cu its with above service or feeder fee, 7.42 2 Contact name:Katie Patterson each braid'circuit B.Fee for branch circuits without Address:Same as above service or feeder first s6 is 2 branch circus City/State/ZIP: Each add',branch circuit 7.42 2 Phone:G03�5p2fi623Miscellaneous(service or feeder out included) Fax::( ) Each manu(aenned or modular Email:katie@sagebudthomeslk coot • dwelling,service and/or feeder 67.84 2 CONTRACTOR Reconnect only 67IAi 2 Pump or irrigation circle 67.54 2 Business name:Grizzly Electric Inc Sign or outline lighting 67.84 2 Address: Z,11t(.f, n W, 7r S tOn- 117 Signalnel,circuit(s)orrixteesionergs panel,alteration,or extension. ❑ 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Vanl�llVef, WA 98660 Additional inspection(I hr min) 6625/hr Phone:( 97/-570— Q/a i Fax:( ) Investigation(1 hr min) 90.00/br Email:grizziyelectiic@msn.com Industrial plant(I In min) 7818/hr Inspection for which no fee is 9060r hr CCB Lie.:186218 Electrical Lic.: Suprv.Lie.:9f-3.3 specifically listed{%brmiat) Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal:e) Print name:A Kizy At.(I,,‘;]l :��/��z e 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): • Authorized signature: ��t2 TOTAL PERMIT Ebb: i Print name:Katie Patterson Tbls permit eppl adon expires if a permit is not obtained within ISO Date:12/1/22 days after it has been accepted as complete. ti. • Number of inspections allowed per permit e ecatcrmiedilLePenuitApr ELR EREdoc Rev O6/1112015 440.46/571 II/05/c0wwg11 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00217 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2022 Parcel: 1 S135AC13600 Jurisdiction: Tigard Site address: 11036 SW 95TH AVE Subdivision: ASHBROOK VILLAS Lot: 2 Project: Ash Brooke Villas, Lot 2 Project Description: New attached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 290 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 4 Second: 856 sf Garage: 388 DwellingUnits: 1 9 sf Front: 10 Smoke Yes Third: 833 sf Right: 3 Detectors: Total: 1979 sf Value: $325,075.57 Rear: 12 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 BckOw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures; 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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: Ecom P 9'asin . Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1979 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 2 Geo Tech Required- Engineered Fill Present PHONE: PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $30,701.03 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law req ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ac91N11nin thrn,inh Cl AR ac9 n1_nnan vn, mr nh/n{n rnn„nr a naac nr riirart nucctinnc to(II INr:ho ramnn Sn9 779 1 7 nr 1 Ron 119/9'444 Issued By: Permittee Signature: �' le47s -� Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. �0 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. Building Permit Application Residential FOR OFFICE USE ONLY Cl of Tigard Received �j Ty g a ° y Date/By: ( i g). PcrmitNo.. —.��nr� • 13125 SW Hall Blvd,Tigard,OR 97223 r... .. 7 an Review y•' a- 3 Phone: 503.71 R.2439 Fax 503.598.1960 ��'`••K ��I� 6� Z2 nr-� Other Permit. r F//d'! i a[dBy: T I G A RD Inspection Line: 503.639.4175 Date Ready/By: G` _ /yR Iuris See Page 2 for In,amen st it vi tilard-or.gov NoutieL,Klethod:`� ` 'VA� Supplemental Information TYPE OF WORK c 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 ❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION tygr�c jndica�Von t]ys�pplication. 2.7 ❑ I-and 2-family dwelling ❑ Commercial industrial VSSafI/u�ia[SSidn: .5 SS JJ $ _ ❑ Accessory building ®Multi-family Number of bedrooms: 4 v ❑Master builder 0 Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 7 -7 Job site address: 11036 SW 95TH AVE New dwelling area: 1979 ��@@ square feet it33 City/State/ZIP:Tigard Oregon Garage/carport area: .3 ,1$square feet er'Je Suite/bldg./apt.no.: Project name:Ash Brooke Villas Covered porch area square feet 29 0 Cross street/directions to job site: Deck area: a, '•i(,square feet Other structure area: square feet - REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Subdivision:Ash Brooke Villas Lot no.:2 Permit fees*are based on the value of the work performed. Tax ma / arccl no Indicate the value(rounded to the nearest dollar)of all PP 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 New building area: square feet ® PROPERTY OWNER 0 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 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Sage Built Homes LLC (Please refer to fee acbedufJ Structural plan review fee(or deposit): Contact name:Alex Rodriguez FLS plan review fee(if applicable): Address:Same as above Total fees due upon application: City/State/ZIP: Phone:(971)336-6911 Fax: :( ) Amount received: E-mail planninglasagebuilthomesllc.com 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 $180.00 and administrative fees): Phone:( ) Fax.( ) State surcharge(12%of permit fee): $21.60 CCB lie.:189330 , Total fee due upon application: $201.60 Authorized signatue��b� "\/ \ -... This permit application expires if a permit is not obtained \J\ , within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Alex Rodriguez Date: Service Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) • Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY " City of Tigard ReceivedDate/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 g Associated permits: 1 ' Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Mechanical r IGARD ❑ Other: Internet: www.tigard-ocgov THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yes 7s0 `/ I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: ❑ 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 0 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ 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. I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 ❑ 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 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 Or-_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". ❑ ❑ , ❑ 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 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, ❑ 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, ❑ El ❑ 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(I I/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Cl of Tigard Received _ `JDatc/By: Parent Nn.:/l,�57-�OP ULrrl 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard-or.gov Notitied/Method, Supplemental Information 04TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST s rI '"` 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 protit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special in(orntarion use eher/c/isr. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:11036 SW 95TH AVE 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: Hydromc 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.:2 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater I 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/tlue/vent 23.32 ElPROPERTY OWNER I 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name .\BVOZ Range hood/other kitchen equipment 1 33.39 33.39 Address:1815 NW 169th Place Suite 1040 Clothes dryer exhaust I 33.39 33.39 City/State/ZIP:Beaverton Oregon 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 93.28 Phone: (503)533-5156 Fax:( ) Attic'crawlspace fans I 23.32 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Same as Above $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: PlannnigIsfsagebuilthomesllc.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,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 lie.:184577. TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 \ days after it has been accepted as complete. Authorized signature: - 1()-------r \ " Fee methodology set by Td-County Building Industry Service Board Print name:Alex Rodriguez \ Date:6/27/2022 IiBuwldfng\Pemits,MEC_PemdApp 040I I_doe 440-4617T111,02/COM/WPR) 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_0401 13.doc 2 Electrical Permit Application FOR OFFI('I: ('SF:O\l.i City of Tigard Received x 1 1 1 7 • Date/By: Permit 0: Mt>y(/k�—' JO611 l i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review f g Related Permit a: Phone: 503.718.2439 Fax: 503598.1960 .- /Fn Date/By Inspection Line: 503.639.4175 Ready Date/Fly: Turn' ® See Paget for I It,1 II I) Internet: www.tigard-or.gov Notified/Method t Supplemental Information TYPE OF WORK I PLAN REVIEW ®New construction 0 Addition/alteration/replacement I Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings ® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor toad of system. Job#: Job site address: 11036 SW 95TH AVE I001iPormore. ❑"A","E',"1-2 "I-3", 0 Six or more residential units, occupancy, City/State/ZIP: Tigard Oregon ❑Health-care facilities 0 Recreational vehicle parks Suite/bldg./apt.#: Project name: Ash Brooke Villas 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: FEE SCHEDULE Description . Orr. i Each Torsi I •, New residential single-or multi-family dwelling unit. Subdivision: Ash Brooke Villas Lot#: 2 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 16854 4 Ea,add'I 500 sq.ft or portion 33 92 1 DESCRIPTION OF WORK Limited energy,residential 7500 2 New Residential Construction (withabave se.ft) • Limited energy,multi-family 7500 2 residential(with above sq.ft) Renewable Energy 0 See Page 2 CO PROPERTY TENANT PROPERTY OWNER Services or feeders installation,alteration,and/or relocation Name: ABVOz 200 amps or less 1 I 100.70 1 100.70 1 2 Address: 1815 nw 169TH Place Suite 1040 201 amps to 400 amps t 33.56 1 2 — ----- - 401 amps to 600 amps 200.34 2 City/State/ZIP:Beaverton Oregon 97006 601 amps to 1,000 amps 301.04 2 Phone:(971)221-4597 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 t 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 I 0 CONTACT PERSON Branch circuits—new,alteration,or extension.per panel A.Fee for branch circuits with Business name:Same As Above above service or feeder fee, 7 42 2 each branch circuit Contact name: Alex Rodriguez B. Fee far branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(971)336-6911 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Planning@sagebuilthomesllc.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 ( ❑ See Page 2 I 12 panel alteration or extension. City/State/ZIP:Hillsboro Oregon 97123 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone: (503)642-2800 Fax:( ) Investigation(I hr min) 90.00/hr CVl1. Industrial plant(1 hr min) 78.18/hr Email: G Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Liar specifically listed CA hr min) 90 00/hr • ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: A Z S Subtotal: Print name: Stephen Ross S ,,, kp C f Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 1a0 Print name: Alex Rodriguez te: 2/1/2018 days after it has been accepted as complete. • Number of inspections allowed per permit. 1.\Building\PenmitalELC PermilApp_ELR ERE.doe Rev 06/17/201S 440.4615T(1 IAS/COM/WEB Plumbing Permit Application . Building Fixtures FOR OFFICE USE ONLY Cityof Tigard Received �� ] g PcnmtNo.: fr 0� LD3- 7 IN III ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:nReview j t Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 fate ReadyBy: Jens. RI See Page 2 for Internet: www.tigard-or.gov No6licdiMcthod_ Supplemental Infarmation TYPE OF WORK FEE* SCHEDULE For.special information use checklist.El New construction ❑Demolition Description I Qty. 1 Ea. Iota' I ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ElI-and 2-family dwelling E Commercial.industrial SFR(2)bath 437.78 D Accessory building El Multi-family SFR(3)bath x 500.32 500.32 Each additional bathikitchen 25.02 E Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 11036 SW 95TH AVE Catch basin or area drain 18.76 -- Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard Oregon 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.:2 Fixture or item: Tax map/parcel no.: Back Flow preventer I 31.27 31.27 DESCRIPTION OF WORK Backwa[ervalve 12.51 ' Clothes washer 1 25.02 25.02 New Residential Construction Dishwasher l 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 rlt PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:ABVOZ Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1815 NW 160 Place Suite 1040 Garbage disposal t 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 2 AJPPLICANT ■ CONTACT PERSONInterceptor/grease trap 25.02 'rl Medical gas(value:$_) Page 2 Primer 12.51 Roof drain(commercial) 12.51 dress:1815 NW 1696 Place Suite Sink/basin/lavatory 6 25.02 150.12 ' oregon 97006 Solar units(potable water) 62.54 Phone:(971)336-6911 Fax: :( ) Tub/shower/showerpan 3 12.51 37.53 E-mail:planning(ci•sagebuilthomesile.com Urinal 25.02 Water closet 4 25.02 100.08 CONTRACTOR Water heater 1 37.52 37.52 Business name:Edward Mullen Water P tpg'in 'DWV 56.29 Address:1601A SE River Road Other: 25.02 City/State/ZIP:Hillsboro Oregon 97123 Subtotal Phone:(503)572-4586 Fax:( ) 1l(SfZj Minimum permit fee: $72.50 /� I t,( Plan review (25%of permit fee) CCB Lie.:92689 Plumbing Lic.no. L ('°ta iJ State surcharge(12%ofpermit fee) Authorized signature: TOTAL PERMIT FEE Print name:Alex Rodriguez 27/2022 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:Usuilding\Permits PLMU-PemitApp doe 10101/(19 440-4616T(IQ'02/(:OM/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-I" 100' 50.03 0 to 2,000 S 121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 S 169.69 3,601 to 7,200 $233.20 Sewer-1st I00' 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 each additional$100.00 or fraction thereof,to Other Inspections or Fees Qty. Fee(ea) Total 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 SI.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 S50,000.00 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*. Quantiy by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace) Plan review is required for anyof the following. Performed: Capped Added Relocate q BaptistryiFunt Please check all that apply. Bath Tub'Shower D 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 OAR9I8-780-0040. 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" Isometric or Riser Diagram 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/Lay -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 2\Applications\PLMF_P2rmitApp.doc City of Tigard 11 N COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: in<5 y at `C.R59-i7 Site Address: I 1 D3(61 SW I"c C- Project Name: As tfi3 mace 0 Li- s Lot #: 2. Planning Review Proposal: 06Lt/ ?or.-t tJ1-e rify address/suite #active in Accela. ❑ In River Terrace: .:1--1'; ❑ Yes,River Terrace Review Addendum Site Elements: L1Emsion Control pies of site plan on 8-1/2"x 11" or 11 x 17"paper ed trees with drip line and tree protection measures wn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FEE Op ki rth arrowtility locations&easements(required for new and additions) rte address,project or subdivision name and lot number dewalk/driveway approach AA:Applicant information(name and phone number) Nh IlIcation of wells/septic systems Lot dimensions and butldi g setback dimensions iCJS t tree size,type and location Square footage of buildings to be demolished ,,��Street names E ' structures on site r 1--Comer elevations(2'contours if more than 4'differ a1) LGL of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? IQYes ❑�,No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes -/O YJ Clean Water Services —Service Provider Lett____er(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified !J No Received: ❑ Yes D No V(Watet Meter Fixture Unit Worksheet—Additi�s,Remodels and ADUs }required: 0 Yes,applicant was notified aI No Received: D Yes ❑ No iu( C Exemption for ADU applied for: ❑ Yes No Received: D Yes ❑ No ZPublic Facilities Improvement (PFI)Permit Lquired: ID Yes,applicant was notified No Applied For: El Yes ❑ No,stop intake and Use Case#: QS)R 2�'� -0�D2 -� Zoning: Q ❑ Required Setbacks: Front tO Rear: (2- Side: 3 Street Side: /S` Garage: ❑ Building Height Max.Height: 3S-- Actual Height. � - ❑ Landscape ea: /0 % ❑ Lot Coverage Max: A-!A % Entrance back no more than 8'from street-facing wall 2 arallel to street or offset 45 degrees or less Windows l2Minirnum 12%of area of all street-facing facades Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: extends no more than 5'from wall and there is a coveted porch extending beyond.garage. ❑ Door exten s n 5'from wall and there is a 12 sq ft.window above garage on 2°d floor. ❑ Garage door width is 0 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch 0 Recessed entrance offset D 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding 0 Roof pitch ' ,or gambrel roof ❑ Dormer O Accent siding 91 Window trim ❑ Window recess 0 Win ow ❑ Balcony Visual Clearance Ia Urban Forestry Piarr ❑ Sensitive Lands: ❑ Yes gi No Type: El Conditions met prior to issuance of building p r ' N Approved By Planning: Date: 9 �1 � Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved I:\Building\Fonns\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: '7/,/,P- Site Plans: Building Plans: # 3 Building Permit#: B,�,a�nter building permit#above. Workflow Routing: 'Li'Ylatming gineering nit Coordinator Q-Built g Workflow Sign-off IZ1.--Srgn-off for Planning(include notes from planning review) Route Application Documents: �gineering: (1) copy of permit application, (1) site plan, (1)building plan and on al plan review routing form. E"Building. original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: —2/3//2.y.., Engineering Review 11 Slope at building pad: 02,A conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat l ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes EI"o Assess Water Quantity Fee in-lieu: 0 Yes 2 No LIDA Facility on lot: ❑ Yes Add Fee: ❑ Yes El No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 12rApproved by Engineering: K, As)4e7t-, Date: £ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review I�JConditions "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: ❑ SDC Exemption: ❑ Received 'VPDoes not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A LIDA ❑ Yes E 'N/A OK to Issue Permit Approved by Permit Coordinator: 4- '\o,V e Date: ' 3. Z I:1BuildinglForms\BldgPemvtRvw_RES_1208021.docx