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Permit
CITY OF TIGARD MASTER PERMIT IN ■ ' COMMUNITY DEVELOPMENT Permit#: MST2022-00372 T€{;A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2022 Parcel: 1 S 133DC 19500 Jurisdiction: Tigard Site address: 13475 SW ORLIN CT Subdivision: DONNA PARK Lot: Project: Donna Park, Lot 1 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2553 sf Basement: 0 sf Left 5 Height: 16 Bathrooms: 3 Second: 0 sf Garage; 629 Parking Spaces: 0 9 sf Front: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2553 sf Value: $426,663.10 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 P 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 Y Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEWP 3 Square Feet: SF Vg R-3 2553 Owner: Contractor: SCOTTCO BUILDING&DESIGN INC J TROTH CONSTRUCTION Required Items and Reports(Conditions) 21145 S HWY 99E 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 OREGON CITY,OR 97045 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $43,996.77 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules re set forth in OAR Q50.nn1_nnln thrn„nh nAR oc9_nn1_nnon vnn mmi nhroin a rnn„nitho nice nr,Vicar+rn,<etlnna In ni INC by rosin,'Ant O QA7 nr 1 Ann 227 T1A Issued By:`, � -.v."' �-� Permittee Signature: `"cal4153.639.4175 by 7:00 a.m.forte xt available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the p "et. Approved plans are required on the lob site at the time of each inspection. Mechanical Permit Application FORoFricT I sF ONI.\ City of Tigard �J�'�� y: Permit No.:rne4-],i. , , o3-)) ill13125 SW Hall Blvd.,Tigard,OR 97223 �� V G plan Reviaw J/O'er Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Date/By: TIGARD Inspection Line: 503.639.4175 CT - Q 2022 Date Ready/By: 7uris. El See Page 2 for Internet: www.tigard-or.gov © 1 J NotifieITh4ethod: Supplemental Information TYPE OF WOR vt* - COMMERCIAL FEE* SCHEDULE- USE CHECKLIST G OIV1 ]Ul ' 9 m n1N V Mechanical permit fccs*arc based on the value of the work is New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist 0 Multi-family 0 Master builder 0 Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address:13475 SW Orlin Court Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP:Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 1 54.91 Heat pump 61.06 Suite/bldgJapt.no.: Project name: Duct work 23.32 Cross street/directions to job site: SW 135th Ave. 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:Donna Park Lot no.:1 Other: 23.32 Other fuel appliances: . Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas HVAC installation new single family residence fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 la PROPERTY OWNER 0 TENANTS 23.32 Environmental exhaust and ventilation: Name:J.T. Roth Construction Inc. Range hood/other kitchen equipment 1 33.39 Address:12600 SW 72nd Ave, Tigard OR Clothes dryer exhaust 1 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:603-639-2639 Fax:503-624-0239 Attic/crawlspace fans 23.32 0 APPLICANT la CONTACT PERSON Other: 23.32 Fuel piping: Business name:J.T. Roth Construction Inc. $14.15 for first four;$4.03 for each additional Contact name:David Jensen Furnace,etc. Address:12600 SW 72nd Ave, Tigard OR Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:503-806-0602 Fax::603-624-0239 Fireplace Range E-mail:davidj@jtrothinc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Pro Heating and Cooling Inc. Other: MECHANICAL PERMIT FEES* Address:2095 NW Alocleck Dr Subtotal City/State/ZIP:Hillsboro, OR Minimum permit fee($90.00) Phone:(503-270-1590 Fax( ) Plan review(25%ofpermitfee) State surcharge(12%of permit fee) CCB lie.:209001 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: �_______.--' * Fee methodology set by Tri-County Building Industry Service Board Print name:Martin Perez Date:08-18-2022 t:\Buildmc\Porgyts\M C PermeApp_040113.doc 440-4617r II I/02/COMIWEBI ./ Electrical Permit Application l-uR orru I: t SE o\l,I City of Tigard R CE+V 13I25 SW Hall Blvd.,Tigard,OR 97223 Gv _ . rI. ,Er Phone: 503.718.2439 Fax: 503.598.1960 t� i f? Related Permit#: T I G A R D Inspection Line: 503.639.4175 O CT JZ' "early DateBy: Atria M See Page 2 for Internet: www.tigard-or.gov _. „,,:w.,:ed/Method: Supplemental Information TYPE OF WORK �t1k,Iii{t'1". iN OWi'50,) " PLAN REVIEW ®New construction ❑Addition/alteration/repl 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 0 Other: where tie available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial—use agricultural F ❑Multi-family 0 Master builder 0 Other: 0 ire for . other installations. buildings. Installation 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Eme.yn..a.y system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:13475 SW Orlin Court 10011P or more. City/State/ZIP:Ti ard, OR 97223 Six or more residential units. occupancy. 9 D Health-care facilities. ❑Recreatiorratvehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 supply voltage for more than ❑Service or feeder 600 snips or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE SW 135th Ave. Description .1 �. I h I Total I New residential single-or multi-family dwelling unit. Subdivision:Donna Park Lot#:1 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4 Ea add'I 500 sq.ft.or portion 4 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Wiring of new single family residence (trite above s4.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:J.T. Roth Construction Inc. 200 amps or less 100.70 2 Address:12600 SW 72nd Ave, Tigard OR 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:(503-639-2639 Fax:(503-624-0239 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:davidj@jtrothinc.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: Date: 401 amps to 599 amps 168.54 2 0 APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:J.T. Roth Construction Inc. above service or feeder fee, 742 2 each branch circuit Contact name:David Jensen B.Fee for branch circuits without service or feeder fee,first •Address:12600 SW 72nd Ave, Tigard OR branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503-S06-0602 Fax: :003-6,24-0239 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Emaiedavidj@jtrothinc.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Dreamhouse Electric LLC Sign or outline lighting 67.84 2 Address:13075 SW Canyon Rd Signal t(s)or limited-energy 0 See Page 2 2 y panel,alteration,or extension. City/State/ZIP:13eaverton, OR Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503-048-5144 Fax:( ) Investigation 0 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:dreamhouseelectric@gmail.com Inspections for which no fee is 90.00/hr CCB Lie.:196726 Electrical Lic.:C-848 Suprv.Lie.: specifically listed('/,hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name:Chris Mahoney Date:08-18-2022 0 Plan Review Required(25%of permit fee): ��,l// State surcharge(12%of permit fee): Authorized signature: . j% v-- TOTAL PERMIT FEE: s This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I/Building\Permits1ELC_PernatApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WER Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description I e"- I Each Total ) Y Renewwable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 55226 2 Garage Door Opener* >100 kva(fee in accordance 55226 2 with OAR 915-309-0040) Heating; Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 Vacuum Systems* >100 kva—no additional charge OD 3 Each additional inspection over allowable in any of the above: I Other: Each additional inspection is 66251 hr charged at an hourly(I hr min) Inspections for which no fee is 90.00i hr specifically listed('4 hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): Y ' Number of inspections allowed per permit. (SEE OAR.918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation (� HVAC U Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* 11 Medical ❑ Nurse Calls 7 Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:1Building'Permits'ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 S. . 7 "=Plumbing Permit Application Building Fixtures FOR OFFICE I. ONLY City of Tigard pl. aR Pem t No.: r Pd.. 13125 SW Hall Blvd.,Tigard,OR 97223 E E I !1t♦ / /` I • , Phone: 503.718.2439 Fax: 503.598.1960 w Other Permit No.: Inspection Line: 503.639.4175 OCT 2 Date Re: I I G AR U P C 1 [�,� Ready/Fly: tuns: See Page 2 for Internet: www.tigard-orgov otifed/Method: Supplemental information TYPE OF WORK ��qq,'�C►taIITY OF TIGARD FEE; SCHEDULE ®New construction ❑Demo/Mt-DING DIVISION For special in(jonrnnation use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 it.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:13475 SW Orlin Court Catch bas n or area drain 18.76 City/State/ZIP:Tigard, OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) - Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW 135th Ave. 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:Donna Park l Lot no.:1 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Domestic plumbing new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:J.T. Roth Construction Inc. Fixtnre/sewercap 25.02 Floor drain/floor sink/hub 25.02 Address:12600 SW 72nd Ave, Tigard OR Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:(503-039-2639 Fax:(503-624-0239 Ice maker 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:J.T. Roth Construction Inc. Medical gas(value:$_) Page 2 Primer 12.51 Contact name:David Jensen Roof drain(commercial) 12.11 Address:12600 SW 72nd Ave, Tigard OR - Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:603-806-0602 Fax::(503-624-0239 Tub/shower/shower pan 12.51 E-mail:david trothinc.com Urinal 25.02 I@I Water closet 25.02 CONTRACTOR Water heater 37,52 Business name:On Track Plumbing Water piping/DWV 56.29 Address:PO Box 506 Aumsmille, OR Other: 25.02 City/State/ZIP: Subtotal Phone:§i41-233-8835 Fax ( ) �11 CCB Lie.:218803 4' PI ing Lic.no.: P Ptan review (25%of permit fee) v State surcharge(12%of permit fee) Authorized signature: _ 7/1173 TOTAL PERMIT FEE Print name:Spenser legman Date:08-18-2022 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:'Building\PermifsWLMII-PemtitApp.doc 10/01/09 440.4616T(10/02/COM/WEB)