Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD MASTER PERMIT IN , COMMUNITY DEVELOPMENT Permit#: MST2022-00216 F-1-93 Date Issued: 10/10/2022 T I C;A i D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AC 13700 Jurisdiction: Tigard Site address: 11022 SW 95TH AVE Subdivision: ASHBROOK VILLAS Lot: 3 Project: Ash Brooke Villas, Lot 3 Project Description: New attached dwelling. REPRINT FOR ELECTRICAL CONTRACTOR CHANGE. 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 Yes Dwelling Units: 1 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 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: 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 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: $30,701.03 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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc,_M1JIMn thrni inh nap oc7_nnl-neon Vrn,mace nhtnin a rnnv of then reline nr dirnrl nimetinne to flu INC by rallinn cm 929 1Q117 nr 1 Ann 229 9'3dd e elf Issued By: Permittee Signature: �f 1�f,` t� 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. Electrical Permit Application .<, , . +.:.:.,. Li. F011 OFFICE USE 0N1.1v City of Tigard Receives i Permit 0_ ill.., 13125 SW Hall Blvd,Tigard,OR 97223 Plan �. Phone: 503.7182439 Fax: 503.598.1960 > t_p,:-tin Da, t ; Related Permit e:eiAV ~ a C i..,P.i� Inspection Line: 503.639.4175 -,;.0 • 1,1,{1i't d Ready Date/By; Jam. a See Page 2 for 21 6Internet: www.tigard-or.gov NotifiediMethod: Supplemental Informatfou TYPE OF WORK PLAN REVIEW is New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets alphas wrncros checked)- 0 Service feeder 400 amps or more 0Building over three stories ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 wits or 0 Floating buildings. pi1-and 2-family dwelling 0 CommerciaUmdusuial ❑Accessory building lei to ground,or exceeds 14,tw0 0 Commercial-me agricultural ❑Mirlti-faintly 0 Master builder amps for all other iosls0otians. buildings. ❑Other: 0 Fin pump. ❑Installation of 150 KVA or JOB SITE iNFORMATiON AND LOCATION 0 Emergency system. larger separately derived Job#: 0 Addition of new motor load of system.job Site address: 11022 t`7(/l) ASt14 I V tJU6 100HP or more. 0"A","E',"t-2", -3", City/StataJZIP:Tigard, OR 97223 0 Six or more residential rows. occupancy. 0 HcaltMwre facilities. 0 Recreational vehicle parks Suite/bldg./apt#: Project name:ASh Brook Villas 0 Hazardous locations. ❑Supply voltage for more than - 0 Serviice or feeder 600 amps or mom. 600 volts nominal. Cross street/directions to job site: BEE SCHEDULE Mina 1 Qty. I earn 1 Twat l • New residential single,.or multi-fatrdly dwelling unit. Subdivision:Ashbrook Villa's Lot#: 3 Includes attached garage. Tax map/parcel#: t.000 sq.ft.or Ins 16834 ' 4 DESCRIPTION OF WORK energy, Ea.NUN energy sq.a.or portion 33.92 1 Limited ,residariial 75.00 2 (with above sq.ft.) Limited energy,rnulti- mily 75.00 2 residential(with above sq.ft) ® PROPERTY OWNER ❑ TENArpt. Renewable Energy 0 See Page 2 Services or feeders installation,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/Sone/ZIP:Beaverton,OR 97006 401 to 600 amps Zoo 34 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:kaEie@SagebUilthomesllC.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: amps 168.54 2 Date: 401 amps to 599 Branchcircuits—new,alteration,or extension,per panel APPLICANT ❑ corr a4Cr PERSON Business name:ABVOZBP21 LLC A.Fee far branch cinaria with above service or feeder fee, 7.42 2 Contact[tame:Katie Patterson each branch circuit B.Fee for branch circuits without Address:Same as above service or feeder fee,first 5618 2 branch circuit City/State/ZIP: Each dd'i branch circuit 7.42 J 2 Miscellaneous(service or feeder as included)Phone:(503-54)2fi623 Fax::( ) Each manufacnuvd or modular 67.84 2 Email:katie@sagebuilthomeslic.com dwelling,service and/or feeder CONTRACTOR Renamedonly 67.84 2 Pump or irrigation circle 67.84 2 Business name:Grizzly Electric Inc '7 Sign or outline lighting 67.84 2 Address: 419, ).4I1 !�' re_„c S` tap_— 1)! Segal rareuiion or limited-energyxextension. 0 See 2 2 7. mom Cif b L duel,alteration,or extension. City/state/z1P:Vancouver, WA 98660 Each � inspection over allowable in say acme above f Additional inspection(1 hr min) 6625f ter Phone:( TV i-7 70— 9,/d/ Fax:( ) investigation(l fir rum) 90.00/hr Email:grizzlyelectric@msn.com Industrial pint(I hem®) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.:186218 Electrical Lie.: Suprv.Lie.: -7.3 specifically listed FA bat min) Su Electrician signature,required: Z ELECTRICAL PERMIT t l: prv- // Subtotal: Print name:/� sky /,yy/� ale: f /U/ ❑Plan Review Required(25%of permit See): Authorized signature: �i �]' / ! State surcharge(12%% of permit fee): - 1 1[, /�!�{ / tali TOTAL PERMIT FEE: Print name:Katie Patterson �f 1��f This permit application aspires if a permit is not obtained within 180 Date:12 1t22 days after it has been accepted as complete. I:Vfnila' • Number of inspections allowed per permit agTemie\aLC_PvmisApp ELlt hhaaoc Rev Oa/t7R015 446461ST(I I/QS/CoelwEif IICITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00216 Date Issued: 10/10/2022 TICARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AC13700 Jurisdiction: Tigard Site address: 11022 SW 95TH AVE Subdivision: ASHBROOK VILLAS Lot: 3 Project: Ash Brooke Villas, Lot 3 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 sf Front: 10 Smoke Yes Dwelling Units: 1 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 Other Fixtures: 0 Drywell-Trench Drain: 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'l 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: $30,701.03 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 requires you to fol ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ac9-nn111nl n thrn,inh()AP 9-nn�n vn,i, „nhf min a MI f the.rulpc nr rlborf ni laclinnc fn(L iM( by r..irnn Sn3 9 9 1 OA7 nr 1 Ann 449 9144 �-ei r Signature: 7ief/a512i Issued By: Permittee 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. ling Permit Application hesidential FOR OFFICE USE ONLY Cityof Tigard II�'{� �'+EIVE Received - • g 7 '�V D�te,ay: .7/ .1 , Pc�,n„.No.:fiS%Ov --!/�+o1L� • 13125 SW Hall Blvd.,Tigard,OR 97223 6 Plan RcvIcw Phone: 503.718.2439 Fax: 503.598.1960 JUL4 1 2022 DateBy: L//j - 74 OthCrPeraul.SLvf��to,. 1 1 c.4 It n Inspection Line: 503.639.4175 J V 1. Date RendyBy: `,! Jun, ® See Page 2 for Internet: www tlgafd-or gay CITY OF TICARD Motif 'Method: //� ( 7X6 Supplemental information TYPE OF WORN. REQUIRED DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING ti New construction ❑Demolition Permit fees*are based on the value of the work performed. indicate the value(rounded to the nearest dollar)of all E Addition/alteration/replacement E Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION �l, de5ati rhSis pplication. ❑ I-and 2-family dwelling E Commercial industrial Valuat on: __/ $ D Accessory building El Multi-familyNumber of bedrooms: 4 El builder ❑Other. Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 °2.3C0'7 Job site address: 11022 SW 95TH AVE New dwelling area: 1979 square feet 9 65 City-State/ZIP:Tigard Oregon Garage/carport area:sp� 3" square feet �5t4, Suite/bldg-apt.no.: Project name:Ash Brooke Villas Covered porch area. square feet Zt 10 Cross street/directions to job site: Deck area: square feet 1(J Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Ash Brooke Villas Lot no.:3 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 New building area: square feet .i4`PROPERTY OWNER 0i TENANT Number of stories: Name: ABVOZ Type of construction: Address: 1815 nw 169`"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* (Please refer to fee schedule) Business name: Sage Built Homes I.I.0 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:planning@sagebuilthomeslic.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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 S 180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189330 Total fee due upon application: S201.60 Authorized signature: 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: *Fee methodology set by Tri-County Building Industry Service Board. 1:43uilding\Permits\BUP-RESPermitApp.doc 02/24,2011 440-4613T(11/02/COM/WEB) r Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY ,, Cityof Tigard Received .IN ll Date/By: Permit h'a. • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 1IG-ii:i) 24-Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing ❑ Mechanical Internet: www.tigardor.gov ❑ Other: e i THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/:' I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc_ 0 ❑ ❑ 3 Verification of approved plat/lot. ❑ 0 D 4 Fire district approval required. Name of district: • ❑ 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control ❑plan ❑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 ❑ ❑ 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 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, ❑ ❑ ❑ 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 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 0 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 ❑ ❑ El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore:on and shall be shown to be applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0 26 `Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 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, ❑ ❑ ❑ 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 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. t'\Building\Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY • City of Tigard Received aleB Permit No.: M C-r� s �. - - • 13125 SW hall Blvd.,Tigard,OR 97223 RECEIVE[ an Review > r L r ! / Phone: 503.718.2439 Fax: 503.598.1960 ateBy: other Permit: T I G A R D Inspection Line: 503.639.4I75 Date Ready/By: tuns: El See Page 2 for Internet: www.tigard-or.gov JUL 11. 2022 Notified/Method: Supplemental Information TYPE OF WO�j���G�i OF T O COMMERCIAL FEE* SCHEDULE - USE CHECKLIST I�IJ�L�NG hy 4i�si©� Mechanical permit fees*arc based on the value of the work ®New construction ❑ Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For.special inJarmaiion use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. pa. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 11022 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 Ductwork 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.:3 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 :/ PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:.ABVOZ Range hood/other kitchen - equipment 1 33.39 33.39 Address:1815 NW 169t"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:1503)533-5156 Fax:( ) Attic/crawlspace fans 1 23.32 23.32 ❑ 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: Plannnigt sagebuilthomesllc.cnrn Barbecue CONTRACTOR Clothes dryer( as) Business name: AB Time Heating&Cooling Other: MECHANICAL PERMIT FEES Address:PO BOX 1341 Subtotal City/State/ZIP:Lake Oswego,Oregon 97035 Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(503)208-2276 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 18457 / `�Z TOTAL PERMIT FEE G This permit application expires if a permit is not obtained within 1.80 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Alex Rodriguez Date:6/27/2022 l:\Building'\ermils'MEC-PennitApp 04(1113.doc 404617T(I I.02/COM(WF.n) 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. is\Building\Permits\MEC_PermitApp_040113.doc 2 -Electrical Permit Application folk t)I I It I. I �I. (0.1 1 City of Tigard EIVED ReceiDazelBy'ved EC . Permit ti: revsT2oh1.-co tub i i • 13125 SW Hall Blvd.,Tigard,OR 972 3 Man Review 2022 Related Permit N: Phone: 503 7185 2439 Fax: 503.598.1960 JUL yDate/By: of I(,�1[t p inspection Line: 503.639.4175 JV 1 T�.�p Ready Date/By: Soria. t ra Sa Page 2 for Internet: www.tigard-or.gov CITY OF 1T117f1r s� NoliEed/Methad I Supplemental Information TYPE O): Wt widGOMS1ON PLAN REVIEW ®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 0 Building over three stories. ❑ Demolition ❑ Other: where the available fault current 0 Manilas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings ® I-and 2-family dwelling 0 Commercial/industrial D Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: I lob site address: 11022 SW 95TH AVE IOOHPormore ❑"A","E","I.2","I-3 0 Six or more residential units occupancy City/State/ZIP: Tigard Oregon 0 Recreationalvehicle arks 0 Health-care facilitiesp Suite/bldg./apt.#: Project name: Ash Brooke Villas ❑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 I Oh. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: Ash Brooke Villas Lot#: 3 Includes attached garage. 1,000 sq ft or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq ft.or portion 33 92 I DESCRIPTION OF WORK . Limited energy,residential 7500 2 New Residential Construction (with above sq.ft) Limited energy,multi-family 75.00 2 residential(with above so.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: ABVOZ 200 amps or less 1 I 100 70 I 100.70 { 2 Address: 1815 nw 1697H Place Suite 1040 201 amps to 400 amps 133.56 I 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 .i 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 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 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 2 dwelling,service and/or feeder Email: Planning@sagebuilthomeslle-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 Signal circuit(s)or limited-energy I g Address:2870 SE 75t6 Ave 203 panel alteration or extension 0 See Pa e 2 I 2 City/State/ZIP: Millsboro 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) j 90.00/hr / Industrial plant(I hr min) 78.18/hr Email: 10/4 -5— Inspections for which no fee is CCB Lie.: 157891 Electrical Lic.: 34-436C I Suprv.Lic.: Lav�►S specifically listed('fe hr min) ! 90 00/ha. ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: ,„digit �/ Subtotal: Print name: Stephen Ross 5 i , i,e,, Rost f Date: 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: Alex Rodriguez Date: 2/1/2018 days after it has been accepted as complete. • Number of inspections allowed per permit. 1.\Building'Pennita\ELC PerrnitApp_ELR_ERE dos Rev 06/17/2015 440.4615T(1 I/05/COM/WRB Plumbing Permit Application - ' Building Fixtures FOR OFFICE USE ONLY City of Tigard Received _ A 1 7� RECEIVED Date/By: Pcnnit Ko.:�� J .Li x_�0� 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review 4 OVI, • i Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Inspection Line: 503.639.4175 Date Re 1 I I G A R D JUL 11 2022 Date Ready.By: lens: ® See Page 2 for Internet. wv'v.tigard-or-gov Notiftcd/1iethod: Supplemental Information TYPE OF WORKCLTYYtOF' IIWAHU FEE* SCHEDULE �1 ®New construction 1L1 LNG DMS1ON For special infornlatian use checklist Description I Qty. Ea. Total ❑Addition/alteration/replacement ❑Other New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial industrial SFR(2)bath 437.78 SFR(3)bath x 500.32 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑ Other: • Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 11022 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.:3 Fixture or item: Tax map%parcel no.: Backtlow preventer I 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New Residential Construction Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:ABVOZ Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1815 NW 169th Place Suite 1040 Garbage disposal 1 25.02 25.02 City/State/ZIP:Beaverton Oregon 97006 Hose bib 2 25.02 25.02 Phone:(503)533-5156 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Sage Built Homes LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Alex Rodriguez Roof drain(commercial) 12.51 Address: 1815 NW 1696 Place Suite 1040 Sink/basin/lavatory 6 25.02 150.12 City/State/ZIP:Beaverton Oregon 97006 Solar units(potable water) 62.54 Phone:(971)336-6911 Fax: :( ) Tub/shower/shower pan 3 12.51 37.53 E-mail:planning asagebuilthomcsllc.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 g/ iP in 'DWV 56.29 Address:1601A SE River Road Other: 25.02 City/State/ZIP:Hillsboro Oregon 97123 r S-4373 Subtotal Phone:(503)572-4586 Fax:( ) 3' ' 7 oi4 Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lie.no.:• l tZ�F Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signs ere: TOTAL PERMIT FEE Print name:Alex Rodriguez Date:6/27/2022 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. 1:U3uilding\Permits PLMO-PcrmitApp.doe t0/01/09 4414616T(10/02/COM,WEB) Plumbing Permit Application - City of Tigard " • : • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: • Footing drain- I" 100' 50.03 0 to 2,000 $12190 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 S5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$I00.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to S25,000.00 $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 S50,000.00 $379.50 for the first S25,000.00 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 S742.00 for the first$50,000.00 and$1.20 for (minimum charge-I/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace) ' Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower El Any new commercial building with water service 2"and Jacuzzi Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain 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.iRefrig.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 3\Applications\PLMF-P2rmitApp.doc City of Tigard 111 "' COMMUNITY DEVELOPMENT DEPARTMENT "IG D Building Permit Review — Residential Building Permit #: /1167-' j,*- p" (C Site Address: 11(22 Su.) O 5+1- ' ,-- Project Name: r 'c c V (JAAs Lot #: Planning Review Proposal: A tt/ `PocA-4O113-e _ _ rrify address/suite #active in Accela. ❑ In River Terrace:ac� a D Yes,River Terrace Review Addendum Site L�7 Elements: Erosion Control res of site plan on 8-1/2"x 11"or 11 x 17"paper ed trees with drip line and tree protection measures w K n to scale(standard architect or engineer scale) Footprint of new structure(including decks)and PINrth arrow 126tility locations&easements(required for new and additions) Z$rte address,project or subdivision name and lot number dewalk/driveway approach plicant information(name and phone number) 1P [ pcation of wells/septic systems Lot dimensions and building setback dimensions S et tree size,type and location va, E]Square footage of buildings to be demolished Street names E;isting structures on site orner elevations(2'contours if more than 4'differeytial) t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ❑N' o impervious area(applicable if R-7,R-12,R 25&R-40) If yes,is a storm water quality facility shown? ❑Yes ^ /O YJ1 Clean Water Services —Service Provider Letter of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 2Ii No Received: 0 Yes ❑ No [ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs ,Required: ❑ Yes,applicant was notified lali No / Received: ❑ Yes ❑ No C Exemption for ADU applied for. ❑ Yes giNo Received: ❑ Yes ❑ No Public Facilities Improvement (PR)Permit -aaired: ❑ Yes,applicant was notified No Applied For: CI Yes ❑ No,stop intake All d Use Case#: QDQ 2�r7 -00D02 Zoning. R ❑ Required Setbacks: Front /-0 Rear: 12- Side: 3 Street Side: /S Garage: —Z ❑ Building Height: Max. Height: 35- Actual Height g2 ❑ Landscape ea: /0 % ❑ Lot Coverage Max: lA % Entrance Alback no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades a Garage door is behind widest street-facing wall ❑ Yes Cl No,one of the following is met: extends no more than 5'from wall and there is a covered porch extending beyond.garage. O Door extenc ssnneZne 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 ❑ Recessed entrance offset 0 1'Roof eave 0 Roof offset O Fire shingles ❑ Lap Siding ❑ Roof pitch ' ,or gambrel roof ❑ Dormer V ❑ Accent siding Window trim Window recess ❑ Win ow ❑ Balcony al Clearance Urban Forestry Pwi ❑ Sensitive Lands: ❑ Yes No Type: El Conditions c Conditions met prior to issuance of building p r N4 Approved By Planning: Date: 9//l/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved 1ABuildinglFormslBldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 7/0)- Site Plans: # 3 Building Plans: # Building Permit#: [ _Enter building permit#above. Workflow Routing: Q--Panning ( gineering 'emit Coordinator 'El-BIZ-ding Workflow Sign-off: ❑ ign-off for Planning(include notes from planning review) Route Application Documents: 1:?-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and oal plan review routing form. 9�liuilding original permit application,site plans,building plans,engineer and beam calculations and ttust details,if applicable, etc. Notes: • By Permit Technician: Date: Engineering Review Slope at building pad: 0-.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: 0 Yes_ 2"-No Assess Water Quantity Fee in-lieu: ❑ Yes 0-No � LIDA Facility on lot: ❑ Yes 0-No Add Fee: ❑ Yes ❑ No IQ/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: .0 l pproved by Engineering: � �� �E,2 Date: B -3 -2v 2'z Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review tConditions "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: 0 Received cf,Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes ❑ N/A LIDA 0 Yes y) N/A OK to Issue Permit Approved by Permit Coordinator: \\ g�tV\( 6 Date: 3 27-2— I:1Building\Forms\BldgPennitRvv+_RES_1208021.docx