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Permit FOR OFFICE USE ONLY— SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter Tl G A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: y men l T-ei I &z. COMPANY: ( GT QmeS MAR 0 8 2023 CITY OF TIGARD PHONE: a 1 ( •?j2S'41i BUILDING DIVISION By. EMAIL: KOk.: sagEbui 1+1►0-rncesl e• e:ory) RE: Q ti Ig I. 6sTR-FF ST-1-ICz 01 e(rZ23 l 1"21J72-- o05i8' (Site Address) f (Permit Number) ' +�atICV LI�II�p a LJt 19 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): h1) srED QZ xd C' "(., - C REMARKS: FOR FFJCE USE ONLY Routed to Permit Technics Date: 3 I LI 2_ Initials: Fees Due: ❑ Yes No Fee Descri tion. Amount Due: $ (fer)-- Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: ✓ Date: q• \• 43 Initials: AD L\Building\Forms\TransmittalLetter-Revisions_073120.doc FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 :. Transmittal Letter TIGARC) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATE RECEIVED: L DEPT: BUILDING DIVISION R r a FROM: JAN 12 2022 COMPANY: 3K-, &)t L T-1-t0M, S LW - CITY OF f ioMra.. PHONE: q 1( —?j2s- GI NO O BUILDING DIVISICi BY. EMAIL: VIASMtk SP-&E3vl L .C-C '1 C rriD RE: CM)1 ggD(P/ 93crJ q c)0 / C�I�) ' s7 ZOz2—p05�!g ��'7 17 (Sire Address) (Permit Number) M 57 20 2 2- g (off I (IPA. -c Ur(- tars r7- 26 roject name or subdivision name and lot number) MST 202.2-DO S-26 00 II) rn s zozz-vo5-2.1 off rf� ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. X Revisions:' 1T. kai3S Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR/OF ICE USE ONLY Routed to Permit Technici� Date: , �7 11/2- Initials: a Fees Due: ❑ Yes o Fee Descnption: Amount Due: $ \j a IN) 6 . $ Special Instructions: Reprint Permit(per PE): ❑ Yes o ❑ Done Applicant Notified: Date: 4. \\. Initials: P ,1 I:1Bui lding\Forms\Tran smittalLetter-Revisions_073120.doc YY1451-2622-00 1 12501 SE Scott Creek Lane Butler Happy Valley,Oregon 97086 Consulting, Inc. (503)658-0200 mark@bciengineering.com January 10, 2023 BAN T012 ;fly 1)F .+I+ HHf City of Tigard 3UILDING DIVISION Community Development Department 13125 SW Hall Blvd Tigard, Oregon 97223 Re: Plan Review Response Ashbrook Villas—Lots 17-20 Address: SW Longcrest Street BCI Project No: 156-0322-31 Permit Numbers: MST2022-000518, 519, 520& 521 Attention: Hope Pollard This letter is in response to the plan review comments you issued on the site plans for the subject project. The plan review comments and our responses follow: 1. MST2022-00518:show 6"storm lateral installed per plan. Is lot 17 lateral also used for lot 18? + Response: Lots 17 & 18 share a common 6" PVC storm lateral. The storm lateral callout on the lot 17 site plan has been revised to note this. 2. MST2022-00519: show call out storm lateral for lot 18. 4 Response: A callout for the common 6" PVC storm lateral for lots 17 & 18 has been added to the Lot 18 site plan. 3. MST2022-00520: show correct sanitary lateral. Call out storm lateral. 4 Response: The 4" PVC sanitary lateral is called out on the Lot 19 site plan matching the as- built utility plans. A callout for the common 6" PVC storm lateral for lots 19&20 has been added to the Lot 19 site plan. 4. MST2022-00521: Call out 6"storm lateral for lot 19 per plan. Are lots 19 and 20 using the same 6"lateral? 4 Response: Lots 19 & 20 share a common 6" PVC storm lateral. The storm lateral callout on the lot 20 site plan has been revised to note this. The missing sanitary lateral callout has been added to the site plan. Plan Review Response January 10, 2023 Ash Brook Villas Lots 17-20 Project No. 156-322-31 Permit Nos MST2022-000518, 519, 520 & 521 Page 2 Please do not hesitate to call if you have any questions or any aspect of this response needs clarification. Respectfully, s i R u C T U g q .00 PROFFss 8,5 �G1N , igi BUTLER CONSULTING,INC. ��' l 14855 A . ... &tit- OREGON Mark E. Butler, PE, SE 9 44, 14 200o �� President 'Qk E 6�.t\' EXPIRES 12-31-2023 U Hope Pollard From: Hope Pollard Sent: Monday, January 9, 2023 12:19 PM To: katie@sagebuilthomesllc.com Cc: Kenny Fisher;Agnes Lindor Subject: MST2022-00518--MST2022-00521 Hello, Revisions are required for the following permits for Ashbrook Villa rowhomes. Please submit a transmittal sheet and three new site plans for each permit with the necessary revisions and contact Kenny, copied here, with any questions: MST2022-00518: show 6" storm lateral installed per plan. Is lot 17 lateral also used for lot 18? MST2022-00519: show call out storm lateral for lot 18 MST2022-00520: show correct sanitary lateral. Call out storm lateral. MST2022-00521: Call out 6" storm lateral for lot 19 per plan. Are lots 19 and 20 using the same 6" lateral? Thank you! Hope Pollard Associate Planner City of Tigard I COMMUNITY DEVELOPMENT 13125 SW Hall Boulevard Tigard,Oregon 97223 www.tigard-or.gov Email I HooeP@Tigard-or.gov 111 TIG.ARI) 1 CITY OF TIGARD MASTER PERMIT ' # COMMUNITY DEVELOPMENT Permit#: MST2022-00518 Date Issued: 06/29/2023 T.I G A P._p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AC15000 Jurisdiction: Tigard Site address: 9418 SW LONGSTAFF ST Subdivision: ASHBROOK VILLAS Lot: 17 Project: Ashbrook Villas, Lot 17 Project Description: New attached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 609 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 891 sf Garage: 216 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 321 sf Right: 3 Detectors: Total: 1821 sf Value: S289,954.67 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bcktlw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-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: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr.! Occupancy Group: Square Feet: NEW SFA V3 R-3 1821 Owner: Contractor: ABVOZBP21 LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169TH PL STE 1040 1815 NW 169TH PLACE,SUITE 1040 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $29,704.78 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 oc9_nn1_nnin ihr ,nh nap oc9_rn1 nrlgn v ,.may kj,,in o rnnu of tkn ndoc nr direr+ell loaf nne fn n1 WC h,,rollinn gm 940 1OR7 nr 1 Ann 119 914A Issued By: `' Permittee Signature: e aQJ, �t c4� fl(7 rr Call 503. 9.4175 by 7:00 a.m.for the next available inspection date. This permit card shot a 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. • Building Permit Application • Residential t t . 4�_ FOR OFFICE USE ONLY City of Tigard Received /2 I O 7 ZUa._ 13125 SW Hall Blvd.,Tigard,OR 97 3r-f' K Plan Review / � 2 - � 1 Phone: 503.718.2439 Fax: 503598.196 C G 1 ion Date/By: LG.� `0u— ,2 T I GAR D Inspection Line: 503.639.4175 Date Ready/By tt(}}}• luds. I Et See Page 2 for Internet: www.tigard-or.gov iiirttokii),,,,ii) Notified/Method4l l`1 3•qv.•3 NG DIVISION' Milk LED A-11E arSupplemental Information TYPE OF IFS REQUIRED DATA:I-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 profitjr thg CATEGORY OF CONSTRUCTION work indicated on this application. 2g—I '991 it I-and 2-family dwelling ElCommercial/industrial Valuation: ❑Accessory building ❑Multi-family Number of bedrooms:2 ❑Master builder ❑Other: Number of bathrooms:2.5 JOB SITE INFORMATION AND LOCATION Total number of floors:3 2,,eSIB Job site address:9418 SW Longstaff Street New dwelling area: 1821 square feet 374 City/State/ZIP:Tigard, OR 97223 Garage/carport area: 216 square feet goi ' Suite/bldg./apt.no.: Project name:Ashbrook Villa's Covered porch area:28 square feet W OC1 Cross street/directions to job site: Deck area:48 square feet l Greenburg Road and 95th Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Ashbrook Villa's I Lot no.: 17 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. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: • Name:ABVOZBP21 LLC Type of construction: Address:1815 NW 169TH PLACE, SUITE 1040 Occupancy groups: City/State/ZIP:Beaverton, OR 97006 Existing: Phone:603-5026623 Fax:( ) New: 2 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Same as above (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Katie Patterson FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Pax. _( ) Amount received: E-mail:katle@SagebUllthomeSllo.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:1815 NW 169TH PLACE, SUITE 1040 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton, OR 97006 Permit Fee(includes plan review $ig0.o0 and administrative fees): Phone:( )503-5026623 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:kesssa" 1%Q 310 • 111.1111 Total fee due upon application: $201.60 Authorized signature: �'at—' /DeaPrt defrfrt, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Katie Patterson Date: 12/15/22 *Fee methodology set by Tri-County Building Industry Service Board. - 1:1Building1 Permits 1BUP-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) A r Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE OSI N. City of Tigard g Received DateiB Permit No.: • 13125 SW Hall Blvd.,Ti ard,OR 97223 Y Associated Penmts. PP Phone- 503.718.2439 Fax. 503.598.1960 Received 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 cs No \/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • II 2 Zoning. Flood plain,solar balance points,seismic soils designation.historic district,etc. 0 ❑ 0 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: _ _ . 0 El ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . El ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. 0 ❑ El 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- Cl 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 ❑ El 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, El 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 0 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 ❑ 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 El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 ❑ El ❑ architect licensed in Oregon and shall he shown to he applicable to the rro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item II above. Site plans must be 8-1/2"x II"or 11"x 17". ❑ El El 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El 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. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ El 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ 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, ❑ ❑ ❑ 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:\BuildinglPermits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/W EB) I Mechanical Permit Applicati(/[J��`w�\�r��^ 1 ^q City of Tigard Y^ ar"' NE Received MS�/.Q VV'00�1$ DateBy: Perini[No' -I 13125 SW Ball Blvd..Tigard,OR 97223 r` r t, yy _._ plan Review Phone: 503.718.2439 Fax 503.598.1960 .-„ .j 1 f. DateBv: Other Permit T IGARD Inspection Line: 503.639.4175 Date ReadyiBy. Juris. ® See Page 2 for Internet: www.tigard-or.gov !i.,I ' Of,110444141t NotifiedjMethod: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ® hew 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'.$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating cooling: Air conditioning 1 46.75 46.75 Job site address:9418 SW Longstaff Street Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61 06 Suite/bldg./apt.no.: Project name:Ashbrook Villa's Duct work 23.32 Cross street/directions to job site: I lydronic 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:Ashbrook Villa's Lot no.:17 Other, 2332 Other fuel appliances: Tax map/parcel no-: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 - Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 ida PROPERTY OWNER CI TENANT Other: 23.32 Environmental exhaust and ventilation: Name:ABVOZBP21 LLC Range hood/other kitchen equipment 1 33.39 33.39 Address:1815 NW 169TH PLACE, SUITE 1040 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Beaverton, OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone: (503-6026623 Fax:( ) Attic/crawlspace fans 2332 (a APPLICANT 0 CONTACT PERSON Other: 23 32 Business name:ABVOZBP21 LLC Fuel piping: $14.15 for first four;54.03 for I each additional Contact name:Katie Patterson Furnace,etc. Address:Same as above Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( 1 Fireplace Range I-mail:katie@sagebuilthomesilc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:All Time Heating Other. MECHANICAL PERMIT FEES* Address:PO Box 1341 Subtotal city/State/ZIP:Lake Oswego, OR 97035 Minimum permit fee($90-00) Phone:(503 )208-2276 Fax:( ) Plan review(25%of permit fee) �r State surcharge(12%of permit fee) CCB lie.:18 18"'e 15 is ' `,1` I�l 11.1 !zit TOTAL PERMIT FEE ,/ This permit application expires if a permit is not obtained within ISO K ._L-: ®.,-,Ct.. - _ _� days after it has been accepted as complete. Authorized signature: lU C6� / LL((X/L�G + Fee methodology set by To-County Building Industry Service Board Print name:Katie Patterson Date:12/15/22 11Buuilding\PerrnitslMEC_PermiiApp_040113.doc 440-4617 (I Ii02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee S69.06 $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$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:1Ruilding\Permits\MEC_PermitApp_0401 I3.doc 2 1 Electrical Permit Application RE�t PrilCity of Tigardl,a Peimitn:�'�15I`LO'l1. tA �� 17I2$SW Hall Blvd,Tigard,OR 97223 _ ply Review Phone: 503.7t82439 Fax: 503.598.1960 (`C�y h� a -Date/By Related Permit fl: Inspection Line: 503.639.4175 Ready Date/By: lurk fa See Page 2 for ' T I G A RD Internet: www.tigardor.gov Ciry of tpeoliv.Notified/Method: Supplemental information TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit it 2 acts of plats wRtcros checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more 0 Building over three stories where the available fruit current ❑Marinas and bontyaub. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling CI Cotnmercialltndustrial ❑Accessory building 1e to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family Master builderOther: Y 0 0 a Fire pump- 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION a ❑Emergency system_ larger separately derived Job#: 3ob site address:q 41$ gj� Low 6 2iT A� %T ❑l OO['Addition more. .motor Iced of system 1 I OOHP or more- ❑".4••."E•,.`t_2•,`I_3• City/State/ZIP:Tigard, OR 97223 0 Six or more residential wits_ °ecrWd1e9- ❑Heanhcve ncihtics- 0 Recreational vehicle parks. Suite/bldgJapt#: Project name:Ash Brook Villas ❑Ilarmdons locations. ❑Supply voltage for mare than ❑Service or farmer 600 amps or mote. 600 volts nominal. Cross street/directions to job site: FRE SCHEDULE atnoipiN. I Orr. I rate I mil I * New residential single-or mole[-family dwelling unit. Subdivision:Ashbrook Villa's Lot#: 1l Includes attached garage. Tax map/parcel#: 1,000 sq.ft.a Ices 168.54 r 4 Ea.ald'I 500 sq.f.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) --- Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER Renewable Energy ❑ See Page 2 J 0 TENANT 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/State/ZIP:Beaverton,OR 97006 66001 a to 0 0 30 .04 2 1 amps to 1 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@sagebuitthornesifc.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps )25.08 2 Owner signature: Date: 401 amps to 599 amps 16854 2 Branch circuits—new,alteration,or extension,per panel 0 APPLICANT 0 CONTACT PERSON A.Fee to branch ere tits with Business name:ABVOZBP21 LLC above service or feeder fee, each branch circuit 7.42 2 Contact name:Katie Patterson B.Fee for branch circuits without set-vice or feeder fen,lirat Address:Same as above branch circuit 56.18 2 City/State/ZIP: Each WW1 branch circuit 7.42 2 Miscellaneous(service or feeder nut Included) Phone:b03-5926623 Fax::( ) Each manufactured or modular 0i 67.84 2 dwel ling,service and/or feeder Email:katie@sagebuiithomesllc.com Reconnect only 67.84 2 CONTRACTOR Pump or nnganon circle 67.84 2 Business name:�p Grizzly Electric Inc Sign or outline lighting 67.84 2 Address: 24 t.�r MOJA cfl J/ A- lie 117 Signalarcuiio)orlixiension. ❑ See Page 2 2 t "J S` alteration,m extension. Each additional inspection over allowable in any of the above City/S teem:Vancouver, WA 98660 Additional inspection p lam:,) 6625/hr Phone:( 97/-5•T )- fie/D I Fax:( ) Investigation(1 br min) 90.00/hr Email:grizzlyelectric@msn.com / , {y 1 l 12 Industrial plant 0 la min) 78.1 EU hr Inspections for which no Re is 90.001 hr CCB Lic.:1$6218 Electrical Lic.::�3/�•4% .Lie.:Lf� 3 sa«i&esuy lined 05 hr rain) Suprv_Electrician signature,required: �� / ELECTRICAL PERMIT Refs t Subtotal: Print name: 4k"z,Q/ 1AM!„�y ate: / 7, / ' 0 Plan Review Required(25%ofpermit fee): / / State surcharge 0214 of permit fee): Authorized signature: /-a& . Pattd,146;ig.. TOTAL PERMIT FEE: Print name:Katie Patterson Date:12/1/22 This permit appheatton expires If a permit is not obtained within NO days after it has been accepted as complete. • Number of inspections allowed per permit 1:Uruildwg\Permia\ELC_Pe,mhApp ELR_EREdne Rev06/17t2015 440.4 61 57 1 1/03/COM/WEa Plumbing Permit Application Building Fixtures REC r FOR OFFICE USE ONLY City Of a TIg 1: Y ; Recei3ed - �S 1 4O tr r• �1�1'V •.- 1,1 DuBy c Permit No III I • 13125 SW Hall Blvd., -i.,Tigard.OR 97223 Plan Renew Phone: 503.718.2439 Fax: 503.598.1960 erry o' oat,Iis Other Permit No.: T I t,,A P n Inspection Line 503-639.4175 KIN Dote Read 1By mar ® See page z for Internet w ww .tigard-or gov \otiGed'Method Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. i En. I Total ❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utilityconnection) g o ) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 21 I-and 2-family dwelling ElCommercialindustrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 9418 SW Longstaff Street Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard, OR 97223 Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: I Project name:Ashbrook Villa's 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:Ashbrook Villa's I Lot no.: 17 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER J ❑ TENANT Expansion tank 12.51 Name:ABVOZBP21 LLC 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, OR 97006 Hose bib 2 25 02 50.04 Phone (5 -i02f,,,„ Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:ABVOZBP21 LLC Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Katie Patterson Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 5 25 02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 3 12.51 37.53 [-mail.katie@sagebuilthomeslle.com Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater 1 37.52 37.52 Business name:Ed Mullen Plumbing Water pipingoWV 56.29 Address:1601A SE River Road Other' 25.02 City/State/ZIP:Hillsboro, OR 97123 Subtotal Phone:(503 )572-4586 Fax:( ) Minimum permit fee: $72.50 CCB Lie.:92689 Plumbing Lie,no.: .260P g Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: A- m /942Z 0,4, `" 1 11 '2.3 TOTAL PERMIT FEE Print name:Katie Patterson Date: 12/1/22 This permit application expires if a permit is not obtained n ithin 18D days after it has been accepted as complete. °Fee methodology set by Tn-County Building Industry Service Board. IABuilding\Permits\PLMU-PernmApp.doc 10/01/09 440-4616T(10/02/COM/WEB) • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities e . Fee(ea) Total Square Footage: Permit Fee: Footing drain- I'' I00' 50 J3 0 to 2.000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- Ist 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$7250 Storm&Rain Drain-each additional I nil- 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$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumping or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge—1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge—]/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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan rc.iew is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed:. Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ Car Wash: -Each Stall New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities. Dishwasher -Commercial 0 Any multipurpose tire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 4' ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang — -Stal l Sink: -Lay/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes . Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard C " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD T Building Permit #: /u S 7 - 2_2 90,S--sr- // Site Address: Ct 4(g SW Ln^5C1-- : 5i'I'. 'Verified in Accela Project Name: A5116oi( \)7.las 1481� t) Lot/Unit #: 17 Proposal (include housing type): NPR R° �ho`x,Q` RCS II:.Zone: Required/ Site Plan Elements: Ac,t4 5 Gvt 4- = 4c✓i s rd S i,k p/4 f1'.i cgpies of site plan on max 11x17" Vrrawn to standard scale fined tree, rir r IinA ! t -p ote tion Fiteorth arrow VS t and site trees shown / labeled tur ite address, project name, lot # able calculating tree canopy at maity ✓` street names (N/A for SFR per,.pplicant name and phone # ) Lot and setback dimensions ision clearance triangle rye �tility locations & easements otprint of new structure and FFE 7ro,-rty corner elevations idewalk/driveway dimensioned g' al • ,e!' disturbance) Lot area and lot coverage percentage i "" Erosion control W Required Elevation Plan Elements: (For SFR: calcs needed only on street-facing) Garage doors dimensioned n to standard s I S�urmary table with calculations for: uilding height dimensioned L9'Total facade area Facad e di It.IIVIIcu I2/Total w iii,Juw aiIdiIdU dUI area f�'Windows and doors dimensioned id/Total garage area Requi ed Floor Plan Elements: V'Summary table that includes inch story dimensioned /Total floor area Each story floor area calculated LL Floor area per story Planning Review The following standards have been met: // Setbacks ❑ Front: 15 Rear: i Side: 3 Min/Max Street Side: 1�( A Garage: --D Height 0 Max. Height: Proposed Height: ` 1,. (0S/(yii ref/Yes I: N/A Landscape-to'h wt ti Q es ❑ N/A % Window Coverage ) Yey❑ N/A Garage (SFR Only) ►m �,tt4h g 5 Ig // ng ter Re M0� �.d�h / �'es 0 N/A France-tsb , Rowhouse, Quad only) O Yes 0/N/A Other building design standards (Rowhouse only) ❑ Yes ❑ N/A Accessory Structure Standards n ar s • �ditional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: Vyes ❑ N/A Unit Count: L4 Yes El/N/A Lot Width and Size Yes pf N/A Pathway A ' 'onal standards for Courtyard U ' and Cottage Clusters only: ❑ Yes ❑ Unit Area: ❑ Yes ❑ N/A Floo per story) ❑ Yes ❑ N/ ourtyard ❑ Y /A Fence ❑ Yes ❑ No IdN/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) rei Yes ❑ No ON/A Public Facilities Improvement (PFI) Permit: Required: Yes ❑ No Applied For: dies ❑ No, stop intake fi Sensitive Lands: Yes ❑ No / ❑ Land Use Case #: pb11L�� - 0p60a- /Conditions met prior permit issuance Approved By Planning: /� — Date: /2/2/b2 Notes Revision 1: *pproved ❑ Not Approved Date: 1 //Z Zj Revision 2: /Approved CI Approved ' Date: I j ? �'Z f Building Permit Submittal (/ Original Submittal Date: /2./L//2-2- Site Plans #: Building Plans #: Building Permit #: Building permit # entered on page 1 Workflow Routing: El-Planning •l3-Engineering-7 Permit Coordinater—D Building Workflow Sign-off: iTSign-off for Planning (include notes from planning review) Route Documents: la-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. la-Building: original permit application, site plans, building plans, engineer and earn lc�ns d trust de ils, if applicable, etc.Permit Technician: ,ev Date: /_2 /.2I!/2 -__-- Notes: Engineering Review - Ie at building pad: ,--)-re; 0/0 t Conditions met prior to issuance of permit s ments (encroachments) per engineering conditions of approval and plat PV,Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 21<o Assess Water Quantity Fee in-lieu: El Yes LIDA Facility on lot: 0 Yes No Add Fee: ❑ Yes ❑ No final Plat Recorded 9-NOT Approved: 1.4.A"i s ADate: I" 1 -Ze'Z'3 Notes: �'j I.c i Ce il 5-212_... /.r+-e.e.,a ( it,l<rwt(tJ Rr,t. P(�44 l Ierr I i /wa -E.1a4 i et'4,, `'std Fir[_ 1 a /a ? Approved By Engineering: Date: Revision 1: proved ❑ Not Approved KFyetti2 Date: l - 1 Z Zvi-5 Revision 2: f "Approved ❑ Not Approved Pt . ft yyE-tt Date: 5-l3-74:2Z-3 Permit Coordinator Review _'Conditions met prior to permit issuance El Approved, NOT Released: Date notified applicant: ENG Revisions Required: 4 /0 Wy6 Date notified applicant: 1- C1`- 7_" ` `SDC Exemption: ❑ Applied for ❑ Received ❑ Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Q Deferred Parks SDC: Yes ❑ N/A 0 Deferred LIDA 0 Yes TN/A J2'bK to Issue/Approved by Permit Coordinator: At^ Q Date: roved 0 Not Approved Date: 4 V Revision 1: lgAppa Date: Revision 2: f�Approved CI Not Approved