HomeMy WebLinkAboutPermit (3) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2023-00459
Date Issued: 11/20/2023
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AC14800
Jurisdiction: Tigard
Site address: 9432 SW LONGSTAFF ST
Subdivision: ASHBROOK VILLAS Lot: 15
Project: Ashbrook Villas, Lot 15
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 178 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 31 Bathrooms: 4 Second: 863 sf Garage: 666 sf Front: 15 Smoke Yes
Dwelling Units: 1 Third: 849 sf Right: 3 Detectors:
Total: 1890 sf Value: $371,374.74 Rear: 15
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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Bckflw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 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!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
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 1890
Owner: Contractor:
ABVOZBP21 LLC SAGE BUILT HOMES Required Items and Reports(Conditions)
9900 SW WILSHIRE ST STE 170 1815 NW 169TH PLACE,SUITE 1040 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97225 BEAVERTON,OR 97006
PHONE: PHONE: 971-221-4597
FAX: 503-533-5164
Total Fees: $43,865.03
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
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Issued By: Permittee Signature:
C 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.
Building Permit Application RECEIVED
C IVED FOR OFFICE USE ONLF
City of Tigard SEP 0 7 Received
l ���� Planatc/By: /�� 3 Pcr��e .3 9?
13125 SW Hall Blvd.,Tigard,OR 97223
111111
= Review ^ ', A'Phone: 503.718.2439 Fax: 503.598.19 Date/By: l ( i /�3 Dttl ?.3 —Q 0
Inspection Line: 503.639.417s CITY OF TIGARD `I
C I l L1!:I) P
BUILDING DIVISION Datc Rcady!By: \ See Page 2 for
Internet www.tigard-or.gov
No
: \„76,17'�p lung: 0 Supplemental Information
trfla Rai
�
� .
®New construction ❑Demolition Pennit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other aand theh
equipment,materials,labor,overhead, profit for
� « work indicated on this application. �J
.; t
1-and 2-family dwelling Valuation: $ '� 31�J ,
g ❑Commercial/industrial
ElAccessory building `'Multi-family Number of bedrooms: /' 5
❑Master builder ❑Other:
Number of bathrooms: /A
� � Total number 3- Of : L „ M { Sr-
Job site address:9432 SW LONGSTAFF ST New dwelling area: ' 1 square feet g
City/State/ZIP:Tigard Oregon Garage/carport area: 666 square feet t'
Suite/bldg./apt.no.: Project name:Ash Brooke Villas Covered porch area: quare feet l'6
Cross street/directions to job site: Deck area: ( (f square feet
ea: t/../CI square feet
9 .E..n::�. . ...rv'%.,-;F ,.:a:.ii,. 1 ,,,0,4146i c:: Y,.:C::V A
Subdivision:Ash Brooke Villas Lot no.:15 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
ant, , equipment,materials,labor,overhead,and the profit for the
s .,). :,:..itt tIt ., � , toot:r t ,`. :,.o. .. '. work indicated on this application.
New Residential Construction Valuation: $
Existing building area: square feet
,,�y New building area: square feet
, -4 4 :. ...,,. r Figittagr g�,, ; :k Number of stories:
ataiName:ABVOZ Type of construction:
Address:1815 nw 169`h Place Suite 1040 Occupancy groups:
City/State/ZIP:Beaverton Oregon 97006
Existing:
Phone:(503)533-5167 Fax (503)533-5164
New:
t t § rc am ' ' - ?*
# tv � tc r�"/; t aJ n ,,.. � �, 's � � .O � ,, r4. gt,��;u '� y9� . <.f a � d ?F* �yti00 :
' , ,. i < .1 ill ti <fug : :Business name:Sage Built Homes LLC
Contact name:Alex Rodriguez
Structural plan review fee(or deposit):
Address:Same as above
FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:(971)336-6911 Fax: :( ) Amount received:
E-mail:planning@sagebuilthomesllc com
Commercial and residential prescriptive�installation of
..✓ , ... .....v., ,,a rooftop mounted Photovoltaic Solar Panel System.
Business name:Sage Built Homes LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same as Above Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
Phone:(503)533-5157 Fax:( )
and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lic.: 189330 __...._..,..
Total fee due upon application: $201.60
Authorized signaturC ",i-\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Alex Rodriguez vvv Date: *Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuildin, ermits\BUP-RESPennitApp.doc 02/24/2011 440-4613 (11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
Permit No.:
y.
13125 SW Hall Blvd.,Tigard,OR 97223
$ Associated permits:
_` Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ID Mechanical
I IC R H Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: •
CI 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ CI
6 Sewer permit. ❑ ❑ 0
7 Water district approval. ❑ 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan El 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 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 he 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 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals); location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, El 0 ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ 0
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 Cl 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 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 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 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El 0 0
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 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 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.
l:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
• City of Tigard RECEIVED Received Date/By: Per g-og 3 d o ii Si
41 13125 SW Hall Blvd.,Tigard,OR 9722.) Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: Other Permit:
Inspection Line: 503.639.4175 SEPo7 2023TIGARD
Date Ready/By: uns:
Internet: www.tigard-or.gov 121 See Page 2 for
Notitied/Method: Supplemental Information
CITY OF TIGARD
t
:i'rxamnovsw :I, fY tl e i/t ..... .?P , q•;, 1 t. 1l
Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition CI Other:
ape Value:$
t t t tt , F,;
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family ❑Master builder 0 Other: Description p Qty. Ea. Total
...,. t ! a® "[ ✓I' ;"',11;.., 1:: , 'a Heating/cooling:
v: ,:. ,.:.., :. ::. . ,,t:.: , ,�„ Air conditioning 1 46.75 46.75
Job site address:9432 SW LONGSTAFF ST Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Ash Brooke Villas
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Ash Brooke Villas Lot no.:15 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water
3 S£ W r _ ,` xa *1r I�::, r,` ,l r� - 'jam. Gas fireeplace/insert ater 1 23.32 23.32
<.', . : N....E . : „:.ta ti : ,r:. ,:: v Y.....fi. v,,:.:. r;: .�ft�,f ;.;,,,,�.`..t�/�,:.,_`o 3 Flue vent for water heater or gas 33.39
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
't:� ... ..: `t a :.. ., .:r:m .� ># #t t4 Other: 23.32
Environmental exhaust and ventilation:
Name:ABVOZ Range hood/other kitchen
equipment 1 33.39 33.39
Address:1815 NW 169m Place Suite 1040
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Beaverton Oregon 97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 6 23.32 93.28
Phone:(503)533-5156 Fax ( ) Attic/crawlspace fans 1 23.32 23.32
ttffMa r'$ :: y' +$^ . .. r a `;':i 7"r` .rrn E . td r •to
23.32
, JK„ o 5 .r 't ` tl t , Other:
Business name:Same as Above Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Alex Rodriguez Furnace,etc. I
Address:Same As Above Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater I
Phone:( ) Fax: :( ) Fireplace
Range '
E-mail:PlannnigCsagebuilthomesllc.com
Barbecue
ren ,.tj =. i s it xx r'" 5 ff Z t 1 rr f�L l,h''a4`, 'ufh rt � .
:.:,::: ,:: :.,�.. r:.. r .. .... ...4x ,.::< , ,'7',,, rf offi AC Clothes dryer(gas)
Business name:All Time Heating&Cooling Other:
x
Address:PO BOX 1341 f, >::,::,. �..p'I „ .._ti>p r :.. ,:.t. .:.t. ., ., :.:::
Subtotal
City/State/ZIP:Lake Oswego,Oregon 97035 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)208-2276 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:1.84y15T ISM 15 . 1\t�"") (iA TOTAL PERMIT FEE
:) -� This permit application expires if a permit is not obtained within 180
r / days after it has been accepted as complete.
PrintAuthorizeda :Aex signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Alex Ro uez " Date:6/27/2022
I:ABuildingV Permits'M EC_PermitApp_0401 13.doe 440-4617T(II rot/COM/WBBI
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi Family Fee Schedule:
".., •
.. .. . '...,....
$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.
I:ABuilding\Permits\MEC_PermitApp_0401 13.doc 2
RECEIVED
Electrical Permit Application
City of Tigard SEP 0 7 2023 Received
Date/By Permi ')„��2 On yes! 97
, i 13125 SW Hall Blvd. Tigard,OR 97223 Plan Review Jl
g Phone: 503.718.2439, Fax: 503.581W)OF h OARD Date/By Related Permit S.
Inspection Line: 503.639.4175 BUILDING DIVISION Readyy: I ® SeePage2for
i I(, (t 1� Internet: www.tigard-or.gov Notified/Method
facia l
Supplemental Information
TYPE Of WORK t`t i4.Iltt***. .
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ❑Service or feeder 400 amps or more 0 Building over three stories.
❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 Multi-family ❑Master builder amps for all other installations buildings.
❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived
Job#: Job site address ' 0 Addition of new motor load of system.
9432 SW LONGSTAFF ST IOOHP or more, ❑"A "C ,"1-z","1-3",
City/State/ZIP:Tigard Oregon ❑Six or more residential units occupancy„
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Ash Brooke Villas 0 Hazardous locations 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE r,
Deteription I.QR..I Each L Total ( .
New residential single-or multi-family dwelling unit.
Subdivision: Ash Brooke Villas Lot#: IS includes attached garage.
Tax map/parcel#: 1,000 sq.,ft or less 168.54 4
Ea,add'I 500 sq.ft.or portion 33 92 1
DESCRIPTION OF wow( Limited energy,residential
New Residential Construction (with above sq.ft) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sa.ft,)
PROPERTY:• OWNER 0 TIVANT Renewabk Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: ABVOZ 200 amps or less 1 I 100.70 I 100.70 1 2
Address: 1815 nw 169TH Place Suite 1040 201 amps to 400 amps t 33.56 ( 2
401 amps to 600 amps 200 34 2
City/State/ZIP:Beaverton Oregon 97006 Got amps to 1,000 amps 301.04 2
Phone:(971)221-4597 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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
El APPLICANT f a 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,
each branch circuit 7.42 2
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
Email:Planning@sagebuilthomeslle.com dwelling,service and/or Feeder
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 1 1 2
Address:2870 SE 75th Ave 203 Signal circuit(s)or limited energy ] 2 1
panel alteration or extension. I 0 See Page2
City/State/ZIP:Hillsboro Oregon 97123 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie,: 157891 Electrical Lic.: 34-436C r Suprv.Lie,: 4l . specifically listed('/.hr mm) 9000/hr
Suprv. Electrician signature,required: y `t/�I I z E>LECI*Ic, 19. r
'j+ i+".... ,47`-1 7, IU 11, I/5 Subtotal:
Print name: Stephen Ross S i-� ems, 2.C f Date: ' 0 Plan Review Required(25%of permit fee):
�l State surcharge(12%of permit fee):
Authorized signature: ` TOTAL PERMIT FEE:
.,,
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.
I.\Building\Pennite\ELC_Per nitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(t 1/05/COMJWEB
Plumbing Permit Applicat'
Building Fixtures FOR OFFICE USE ONLY
City of Tigard SEP 0 7 2023 Received
Date/By: Per i Ny_-rd ..3 7
III
w 13125 SW Hall Blvd.,Tigard,OR 97223 /t f(/a -cc 1 J
Phone: 503.718.2439 Fax: 503.59�+1� } + /� �y Plan Review
VI I 1 OF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 B���tr1� DIVISION
Internet: www.tigard-or.gov Datc Ready/By: rws: 0 See Page 2 for
iMst .`,... . i'� i
Notified/Method: Supplemental Information
s n p eme
®New construction ❑Demolition For special information use checklist
Description
❑Addition/alteration/replacement ❑Other: Q�' Total
New p2-fam dwellings(includes 100 ft.for utility connection)
Ea.
111211,101411131416a111
1 2-family d 'n s in eachflity
, ,., , ,„ . , r � t .,,, , SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial industrial SFR(2)bath 437.78
IDAccessory building ❑Multi-family SFR(3)bath x 500.32 500.32
Each additional bath/kitchen 1 25.02 25.02
❑Master builder ❑Other
t r , , Fire sprinkler( sq.ft.) Page 2
:.,r1'`s.'I1 t:.,- 'r.: /+r7t a E 4{;, s.» .,E.; a0i r 9 F t d$t t I f '"ri ' Site utilities:
Job site address:9432 SW LONGSTAFF ST Catch basin or area drain 18.76
City/State/ZIP:Tigard Oregon Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:Ash Brooke Villas
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Ash Brooke Villas Lot no.:15
Fixture or item:
Tax map/parcel no.:
Backtlow preventer 1 31.27 31.27
f:'f W�'i' st,#"F f J ti y} f.,;' / 1" 'N 9 P hF/ f ,*, ..
t r 11 43 y f ' Backwater valve 12.51
.::vlt,.f.s..✓i...: }2,..,. ",:.� .,# >.: :. ..s. J.04,i.:. x„„....w ,.. ?µ,..om'f' `ist o &wo,:.,.,„'
New Residential Construction Clothes washer 1 25.02 25.02
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
w 3 it Ejectors/sump 25.02
s x# , b rr,, t r,w r a v f .
i �. . . : f 1 i 3 fi, � 1 a, 1` vm`'' Expansion tank 12.51
Name:ABVOZ Fixture/sewer cap 25.02
Address: 1815 NW 169"'Place Suite 1040 Floor drain/floor sink/hub 25.02
Garbage disposal 1 25.02 25.02
City/State/ZIP:Beaverton Oregon 97006
Hose bib 2 25.02 25.02
Phone:(503)533 5156 Fax ( ) Ice maker
11 12.51
s .. a .,.,x2 0z r Interceptor/grease trap 25.02
Business name:Sage Built Homes LLC Medical gas(value:$ ) Page 2
Contact name:Alex Rodriguez Primer 12.51
Roof drain(commercial) 12.51
Address:1815 NW 1696 Place Suite 1040
Sink/basin/lavatory 6 25.02 125.10
City/State/ZIP:Beaverton Oregon 97006 Solar units(potable water) 62.54
Phone:(971)336-6911 Fax: :( ) Tub/shower/shower pan 4 12.51 25.02
E-mail:planning@.sagebuilthomesllc.com Urinal 25.02
Vittaltinnf
r < fey x: Ott I le ` `: - 1 $ Water closet
i s 4 25.02 75.06
Water heater 1 37.52 37.52
Business name:Edward Mullen
Water piping/DWV 56.29
Address: 1601A SE River Road Other:
25.02
City/State/ZIP:Hillsboro Oregon 97123 Subtotal
Phone:(503)572-4586 Fax:( ) Minimum permit fee: $72.50
CCB Lic.:92689 Plumbing Lie.no.:3,4.2 b o?Q Plan review (25%of permit fee)
- ---'• L� State surcharge(12%of permit fee)
Authorized signature: - 1 II f n
(� i• TOTAL PERMIT FEE
Print name:Alex Ro 4� 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.
I Building Permits PLMO-PermitApp.doc IWOI,b9 440-4616T(10/02/COM/WEB)
•
Plumbing Permit Application - City of Tigard `
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems
Footing drain-1"100' 50.03 0 to 2,000 $121.90
37.52 2,001 to 3,600 $169.69
Footing drain-each additional 100' 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 alalf* l; n i ' g g R
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
i l thereof,each additional$100.00 or fractionof to
%' t l ! t ,.. .......:......' and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
I tWe 1y ),IS+! Plan review is required for any of the following.
l'Vtitrkt Pef>Fd i ,. w u Please check all that apply.
Y
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -Each Stall
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
Cuspidor/Water Aspirator
❑ Medical gas and vacuum systems for health care facilities.
Dishwasher -Commercial
-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.
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet
Urinal plumbing permit can be issued.
Other Fixtures:
S:\Sage Built\Subdivisions\Ash Brook Villas\01.Approved Plans\Lot 11\r"2pplications\PLMF_PermitApp.doc
1114 C ' Building Division
One & Two-Family Dwelling
T i cAkD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION )ly ?_.023
Permit #: insnonDDPlan #: M„ 8 Floors: 3
Valuation: -11\e_A1. 14
Covered Porch: 30 Basement —____.
Bedrooms: Deck: f f LI 1"Floor C 7
WC (toilets) LI Deck Cover: ( 2nd Floor
Lavatories 5 Patio Cover 3'Floor bk-k q
Tub/shower `t Accessory Struct. R-3 Total 1,$ b
Laundry Tray _— Water Heater k as Elec Garage / .f_(„
Exhaust Vents Gas Flue Vents Total for Elec. ZSS�
Backflow Prey. / Heat Pump ) # for Electrical ( �7J
� 1
BBQ I Gas Fireplace #Fuel Lines
FEES: Description: Fee Ap li : Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) c9
Info Proc/Arch: Sm$.50 (up to 11x17) al.1
Metro CET: Residential jJse
School CET: District:
Tigard CET: Admi.n
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
1.7
Mech. Permit: Permit Fee:
12% State Surcharge
l.Plumbing Permit: Permit Fee: L
12% State Surcharge
Erosion Control: w/Permit-Ping
I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22
Page 1
City of Tigard
NI 111 g
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: �T o- ,�®OLUS1 __.
Site Address: 'ILO?,'ILO?, 5 ) SolvtPcf, 54.
AA 1� ""J Verified in Accela
Project Name: /k01 IPNoo1< U RotS L.o 4- 15 54—k Lot/Unit #: (,
Proposal: NW Pd1CJJJ SR Zone: RtS-D
Housing Type: XSFR(Single Detached 0 Duplex❑Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster 0 CYU❑Quad ❑Other
Revired Site Plan Elements:
3 co ies of site plan on max 11x17"
B��/ rawn to standard scale ^ R tai^off trPPC in ne -
d orth arrow lii�Street and site trees shown / labeled
NI,Site address, project name, lot #
Street names (- A-foi SFR) .
gliipplicant name and phone # •
VLot and setback dimensions
tility locations &easements
Footprint of new structure and FFE Vfroperty corner elevations
,Sidewalk/driveway dimensioned IDA (>1,000 sf disturbance)
Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SyR: calcs needed only on street-facing) Sufrimary table with calculations for:
p L�I
rawn to standard scale /Total façade area
�iuilding height dimensioned L(Total window and door area
Q' acade dimensionedh'kun�I mos;,As oq
'Gendows and doors dimensioned- or Via^
arage doors dimensioned
lements:
(Not required for SFR) mmary table that includes
0 Each story di 0 Total floo
ory floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
Setbacks Front: 15 Rear: I S Side: `3 Min/Max/Street
f Side: ( / Garage: 26
Height lax. Height: $ Proposed Height: 31
ii 1'es 0 N/A Landscape
❑yes, N/A Screening (Quad only)
'yes 0 N/A % Window Coverage
Yes ❑ N/A Garage (SFR Only) Parking (Other Res)
I "Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑Yes,'N/A Other building design standards (Rowhouse only)
❑ Yes jd N/A Accessory Structure Standards
❑Yes fd"No Qualifying pre-existing unit exempt from standards (Cottage unit only)
ditional standards for Units, Cottage Clusters, Rowhouses,and Quads:
❑Yes unt:
❑Yes Lo • and Size
s 0 N/A Pathway
'tional standards for Co Units and Cottage Clusters only:
❑ Yes Uni
❑ Yes 0 N/ o a (per story)
0 Yes /A Courtyard
s 0 N/A Fence
❑ Yes ❑ No/N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: , Yes ❑ No
Applied For: ,e'Yes ❑ No, stop intake
Sensitive Lands: ❑ Yes ❑ No
Main Land Use Case #s: ?DP 0)•.0 -pDOC� tg,Conditions met
, Applicant notified of land ur ex 'ra i e: Zi/ I /9OP,1i
Approved By Planning: Date: 1/7/2.0X:5.
Notes
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: q/7/?-3
Site Plans #:
Building Plans #: ',
Building Permit #: %Building permit # entered on page 1
Workflow Routing: ..Planning lI Engineering I.Permit Coordinator A Building
Workflow Sign-off: KSign—off for Planning (include notes from planning review)
Route Documents: 74.Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
113 Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: `rA/c3
Notes:
Engineering Review
,I215FI Permit; p f-•t ..O�1 - v o t 13
0 Slope at building pad: 69. % '
l C nditions met prior to issuance of permit
O-f= sements (encroachments) per engineering conditions of approval and plat
ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes „Ia-P415
Assess Water Quantity Fee in-lieu: ❑ Yes .l-N6
LIDA Facility on lot: 0 Yes 12-Rt6 Add Fee: ❑Yes 0 No
ii3linal Plat Recorded
❑ NOT Approved: Date:
Notes:
4
Approved By Engineering: 4 . ',s i.V , Date: q - (l " 20 z->
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
XfpConditions met prior to permit issuance
Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
Exemption: ❑ Applied for ❑ Received Does not apply
1.k.,5DC
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A Tigard Trans SDC: 0 Yes N/A 6 Deferred
Parks SDC: 0 Yes N/A Cal Deferred
LIDA 0 Yes N/A
r OK to Issue/Approved by Permit Coordinator: \ 1(�t \\O V J� Date: Ufi" \`"k'
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: q' 3.1 1--,1, S7`ct ('l'C
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.
liii City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Le
tter
I > 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: y Y1itligr DATE RECEIVED:
DEPT: BUIING DIVISION L RECEIVED
DEC 1 8 2023
FROM: Alex Rodriguez
CITY OF RD
COMPANY: Sage Built Homes LLC BUILDING DIVISION
PHONE: 971-336-6911 By.,
RE: 9432 SW LONGSTAFF ST MST2023-00459
(Site Address) (Permit Number)
Ash Brooke Villas Lot 15
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: ;1 Description: I Copies:. 'I Description'
on;
Additional set(s)of plans. X 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):
lag
REMARKS:
Framing Corrections I-Joist framing will be changed to Igiraming
FO OF CE USE ONLY ifiy
Routed to Permit Technic' : Date: (71/7 7-3 Initials:
Fees Due: 0Yes No Fee Descriptio : Amount Due:
0 P L $
0
Special
Instructions:
Reprint Permit(per PE): ❑Yes I No ❑Done
Applicant Notified: f Date: 11jl14 l/1.0/, , IMP E nnai -{.Y Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012