Permit IIII r
CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2023-00457
Date Issued: 11/13/2023
T t C;,ti ti t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AC14400
Jurisdiction: Tigard
Site address: 9476 SW LONGSTAFF ST
Subdivision: ASHBROOK VILLAS Lot: 11
Project: Ashbrook Villas, Lot 11
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: $363,796.02 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
Other Fixtures: 0
Drywell-Trench Drain: 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'l 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 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: $43,718.07
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
0S9-nn1.nn1 n thr nh cup oc9-nnl-nngn wn,, ,,nhrmin a rnm,of the rnleac nr riirAH n,,aefinne rn(ii INR ha Tallinn Sill 919 10A7 nr 1 Ann 119 9144
Issued By: Permittee Signature: 5 c'e yr I i c ` ,N
Call .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
Residential RECEIVED FOR OFFICE USE ONLY
Received i /'a"3 t�� /.i �� V0�1 5-7
Cityof Tigard SEP
/) Perm®Yo��gyp �� x
g l 2��� Date/By: 5 l�� ttiotk `h'''i� O
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rcvicw �� q
= Phone: 503.718.2439 Fax: 503.598.1960 DatcBy: �j/\ D ' -" 0 o
t_ It l� Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: j
Iris; IRI See Page 2 for
Internet www hoard-or.gov otifed/Method \4 1, Supplemental Information
BUILDING DIVISION J
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
` workindicated�: on this
`i'FGORS1,OLT c4» '1R 14 ` O�
3
_�? Valuation: $ --'jcj
' 1,-,and 2-family dwelling ❑Commercial industrial / l 1 i
❑Accessory building aMulti-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:�✓Lk
t M1f ^ V EEBIE Total number of floors: 21 �
3
Job site address:9476 SW LONGSTAFF ST New dwelling area: og square feet C6549
City/State/ZIP:Tigard Oregon Garage/carport area: 666 square feet SUS
Suite/bldg./apt.no.: Project name:Ash Brooke Villas Covered porch areal 4 quare feet ('7 V
Cross street/directions to job site: Deck area: I square feet
Other structure area: square feet
Subdivision:Ash Brooke Villas Lot no.: 11 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
pti work indicated on this application.
New Residential Construction Valuation: $
Existing building area: square feet
New building area: square feet
:r ' l � F 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:
Business name:Sage Built Homes LLC " '"}"'
Structural plan review fee(or deposit):
Contact name:Alex Rodriguez
FLS plan review fee(if applicable):
Address:Same as above
City/State/ZIP: Total fees due upon application:
Amount received:
Phone:(971)336-6911 Fax: :( )
ev
E-mail:planningi sagebuilthomesllc.com . � ovm o m mmi
t Commercial and residential prescriptive installation of
�T ' p
ggt,. ... ;u, F ,.... ..:. ., W,tr, ,". to .,:,,, :,;' roof-top mounted Photovoltaic Solar Panel System.
Business name:Sage Built Homes LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:Same as Above Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)533-5157 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:189330
Total fee due upon application: $201.60
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
L- Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Cityof Tigard Received
ll Date/By: Permit No.:
1111 *I 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
IIGARD
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: vvww.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No 1'/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑
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, ❑ ❑ ❑
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- ❑ ❑ ❑
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. ❑ ❑ ❑
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- ❑ ❑ ❑
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 ❑ ❑ ❑
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 ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore.on and shall be shown to be ao•livable 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. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
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. ❑ ❑ ❑
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, ❑ ❑ ❑
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:\Building\Permits\BUP-RESPennitApp.doc 02/24/201 1 440-4613T(1 1/02/COM/WEB)
Mechanical Permit ApplicatiO C I s FOR OFFICE USE ONLY
fl
City of Tigard Received
Date/By: PerAI�T�0 -3- oo t9 5 7
13125 SW Hall Blvd.,Tigard,OR 97223 SEP ���? Plan Review SVI V / d
Phone: 503.718.2439 Fax: 503.598.1960 J Date/By: Other Permit:
T►G ARD Inspection Line: 503.639.4175 Date Read B rms
Internet: www.tigard-or.gov CITY OF TIGARD y' od Supplemental See Page 2 Informationnr
)VISION Notified/Method:
BUILDING D1
# i't It l J 8 i
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
et i Z: O Value $
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special inJhrntation use checklist.
❑Multi-family ❑Master builder
❑Other: Description Qty. Ea. Total
gidikiennaillfAL4A0.,?,„,, ,j,14..„.0,.„PP , Qt0eitiTIONiiiMPOOMManimmtHeating/cooling:
Air conditioning 1 46.75 46.75
Job site address:9476 SW LONGSTAFF ST Furnace 100,000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(duets/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.:11 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32 23.32
..: ..1 , :.!`.,.�::1 +1. , , ,.,s� ,° 1 , `i t 1, 1' ` / ' '� „, Gas fireplace/insert 33.39
"i"'' """'"{ ' `"' "" """" " 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
: '' 4 4 ` Other: 23.32iiltd0� 8,. f iai ; �1 s "^ am" t`,, f 'A, .,'-'' .a . ..: .. "- ,° 011t 'aiat• . .. .:. O et
Environmental exhaust and ventilation:
Name:ABVOZ Range hood/other kitchen
Address:1815 NW 169t'Place Suite 1040 equipment 1 33.39 33.39
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
a�t.'4 ' € +' iVP ,,*, a .,r r f Other:
> 1 r.. , ....... :.c>..iu H a1 x.. .rC.w ' 23.32
Business name:Same as Above Fuel piping:
$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 l
Phone:( ) Fax: :( ) Fireplace
Range t
E-mail PlannnigCsagebuilthomesllc.com
Barbecue
f ; ..,. �irmoti* s� :v, < y o' Clothes dryer(gas)
Business name:All Time Heating&Cooling Other:
Address:PO BOX 1341 F -
1121
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.: 1.04675a 'g'li5"I ' i t I" (2A 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:Alex Rodriguez Date:6/27/2022
I:ABuildingVPermits'MEC_PemitApp_040113.doe 440-4617T(1 L02/COM/WEB)
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:\Building\Permits\MEC PermitApp_040113.doc 2
Electrical Permit ApplicationC ).
IOIt OI I I('1: t 11.I)\f.l
City of Tigard SEP 0 7 2023 Received rrgirk�f`{a aa 3 '1 7
DDate/ByPe _bO4( 5
1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Related Permit 5:
TIGARD
f It. 1[t I� Inspection Line: 503.639.4175 CITYO F (�i' Ready Date/By: furls' ` ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method 1 Supplemental Information
TYPE O1 WORK pLAIH R ail Y
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked).
❑Demolition Othet: 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Mannas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump, ❑Installation oft 50 KVA or
JOB SITE INFORMATION AND LOCATIONElEmergency system. larger separately derived
` 0 Addition of new motor load of system
Job#: Job site address: y
9476 SW LONGSTAFF ST lool-iP or more. ❑`•A","E'•,"1-z'•,"1-3'•,
City/State/ZIP:Tigard Oregon CISix or more residential units, occupancy,
❑Health-care facilities. 0 Recreational vehicle parks,
Suite/bldg./apt.#: Project name: Ash Brooke Villas 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
FEE wooing {
oeuription 1 on'. 1 Each t Tat l 1 `
New residential single-or multi-family dwelling unit.
Subdivision: Ash Brooke Villas Lot#: 11 Includes attached garage.
Tax map/parcel#: 1,000 sq ft.or less 168.54 4
Ea add'/500 sq,ft.or portion 33 92 1
DESCRIPTION OF WORK Limited energy,residential
New Residential Construction (with above sq.ft) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq,ft.)
El PROPERTY OWIYI R TENANT Services
Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: A BVOZ 200 amps or less I I 100 70 1 100,70 1 2
Address: 1815 nw 169TH Place Suite 1040 201 amps to 400 amps 1 133.56 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 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
® APPLICANT J' El 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
Email:Planning@sagebuilthomeslIc.com
dwelling,service and/or feeder 6Z 84 2
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
SiAddress:2870 SE 75th Ave 203 panel atalterati circuiton or extens on or limit -ergyI
0 See Page 2 I
2
City/State/ZIP:Hillsboro Oregon 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 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 Lic.: 157891 Electrical Lic.: 34-436C I Suprv.Lie.: 913L5 specifically listed(1/2 hr min) 90 00l hr
Suprv. Electrician signature,required: r, 1U1tt'L RLECTRICAE'PER :
I IiJ Subtotal:
Print name: Stephen Ross 5 f e,, ko f Date: 0 Plan Review Required(25%ofpermit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within l80
Print name: Alex Rodriguez Date: 2/1/2018 days after it has been accepted as complete.
' • Number of inspections allowed per permit.
I.\Building\Permits\ELC_PermitApp_ELR ERE doe Rev 06/17/2015 440-4615T(t I/05/COM/WEB
Plumbing Permit Application
HECEIVED
Building Fixtures FOR OFFICE USE ONLY
City of Tigard SEP 0 7 2023 Received
. - Perm t
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Plan Review M� �O a?j M s
Phone: 503.718.2439 Fax: 503.598(} OF TfGARD Date/By: Other Permit No.:
Inspection Line: 503.639.4175 BUILDING DIVISION
g
T[GARD DateRcady-By: Juris: ® See Page
Internet: wwW hgard or gov Notified/Method
Pme
Su p n[a e Information
`
444444444344443444444
....�COIN'7441440,44444344444444444444443444434444444444434444444344484444 r.�. p '.,
El New construction ❑Demolition For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement ❑Other New 1-2-familydwellings(includes 100 ft.for each utility connection)
ORREIMIEMra ", r� '' W 4 a 91 SFR(1)bath 312.70
El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath x 500.32 500.32
❑Accessory building El Multi-family
Each additional bath/kitchen 1 25.02 25.02
❑Master builder ❑Other
Fire sprinkler sq.ft.) Page 2
'y t Ct t 8 $ 4 3'F '
.: .:...44444,44,43 ..:....r 4444 1 4�4x s,4 4, Site utilities:
Job site address:9476 SW LONGSTAFF ST 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.: 1 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.:11 Fixture or item:
Tax map/parcel no.: Backtlow preventer 1 31.27 31.27
z 1 b ' t t #a t?� 0 t R ,7t .. Backwater valve 12.51
.,...>.,: t f .:,.: .t�,,te sl...v .: :.�,. f ::,: ,.*, ,.::.,.: ,.:r....,.<J r..,,� :;.', ir,.:..:,<F:::. Clothes washer 1 25.02 25.02
New Residential Construction
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
lift: .. l 'a,eL,„,llr tt i s z ,,, at ' Expansion tank 12.51
Name:ABVOZ Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:1815 NW 169'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
:akel fila t, ' i 'i y a i <.
Interceptor/grease trap 25.02. w` > .:^ ,: . h :. 4� ,.,. ,;„:: : ,i: ,
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
."t o.r J `3 4 4a 4.: rr a 3ex 3s �,u.:, Water closet
, 0 f, " : s,,.. nt t3 @ t y 3 C tine r fir) 4 25.02 75.06
A t .. ... . x,;,.,.. . :a at ,.,.,Ua..t maxi vaimamm:t kmaattt 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 M.,160PS Plan review (25%of permit fee)
Plumbing Lie,no.:
/' State surcharge(12%of permit fee)
Authorized signature: `\�� / 1 l/,�p TOTAL PERMIT FEE
Print name:Alex Rodriguez V 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 Tti-County Building Industry Service Board.
I:A BuildingV Permits PLMO-PennitApp.doc I0/01/09 440-46I6T(I 0/02(COM/WEB)
Plumbing Permit Application - City of Tigard •
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
' 110
ee
Footing drain-1"100' 50.03 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-1st 100' 62.54 Medical Gas Systems
Water Service-each additional 100' 37.52 t t , " t
Storm&Rain Drain-1st 100' 62.54 :. . ..,:, ".:: , ., :,: „ .....:. -0 .... :....:.. .*^. 112 . `:
$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
r each additional$100.00 or fraction thereof,to
�.0 f t 4 �� 4 i �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
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
I" > Plan review is required for any of the following.
lI! Please check all that apply.
Baptistry/Font pp y
❑ Any new commercial building with water service 2"and
Bath -Tub/Shower
Jacuzzi/Whirlpool 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"
' r
-4,> ''l <rr Va l rX ,qi 'r,�
Car Wash Drain
Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter • ' *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor , iucrease of sewer EDUs,a sewer permit will be issued and
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\01.Approved Plans\Lot l0\applications\PLMF_PermitApp.doc
!PI I
Building Division
One & Two-Family Dwelling
TIGARD Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION St) ly ZoZ3
Permit#: � Plan #: Floors:
045125 - oaL{S-7 t VAirr fig) 3
Valuation: ,603,161 Ot Covered Porch: ( Basement
Bedrooms: Deck: 1"Floor '
59 78
WC (toilets) 1 Deck Cover: 2"d Floor
Lavatories S Patio Cover 31d Floor V_l,l
Tub/shower u Accessory Struct. R-3 Total ' Di()
Laundry Tray 1 . Water Heater 1 Gas / Elec Garage LV
f'
Exhaust Vents (Y c
Gas Flue Vents Total for Elec. .Z1
(40
Backflow Prey. � urnace / Heat Pump (( . ) # for Electrical ��+�
BBQ I Gas Fireplace `- #Fuel Lines
3
FEES: Description: Fee App ' s: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) l
Info Proc/Arch: Sm $.50 (up to 11x17) 7,6
Metro CET: Residential�.Jse V7
School CET: District:
i";
Tigard CET: Admin
Tigard CET: ODHCS r
Tigard CET: AH V✓
Electrical Permit: Permit Fee:
Limited Energy:
12% State Surcharge
Mech. Permit: Permit Fee: t
12% State Surcharge
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
FOR OFFICE USE ONLY—SITE ADDRESS: 6141(p S i LOA(S&V,k
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
;A 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: c)‘\\ .`(\) DATE lyettU
,DEPT: BUIL ING DIVISION
((��,, SEP 2 0 2023
��
FROM: P1 ,�,j. (VV
CITY OF TIGARD
COMPANY: a \-Ay1 MDAA-e \ C BUILDING DIVISION
PHONE: 3 .0 Q t By: Q-.
EMAIL: CA A\nclQ SU°i`I V v- \c-co '
RE: 'CA" 1 L4 SUS Lv\Aci\'S'6" 2 9D— o v 1
(Site Address) (Permit Number)
(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):
REMARKS: ilA155•_C.-).
FOR O FICE USE ONLY
Routed to Permit Technic' : Date: "(125 ' Initials: i
Fees Due: ❑Yes No Fee Descripti n: Amount sue:
pL ss ;75
Special
Instructions:
Reprint Permit(per PE)• ❑ Yes No ❑ Done
Applicant Notified: J Date: \O \\% '1 1i Initials: lb
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc
City of Tigard
111 " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit#: . .,/A✓fl OLD
Site Address: t 1 7 & S V 0 Verified in Accela
Project Name: /4o'I ipcvoi< V,Rot L,o 4-- L Sr of(Unit #: 1 l
Proposal: Net) Pd'ioml SRC Zone: ke s-t7.
Housing Type: X.SFR(Single Detached ❑ Duplex 0 Triplex 0 ADU) 0 Rowhouse ❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements: •
,1k3 copies of site plan on max 11x17"
V rawn to standard scale
�'orth arrow Street and site trees shown / labeled
ite address, project name, lot # El Table Laf� ti+i.ufeg tfec
e§ 7*
(treet names (-Nfui SFR) •
pplicant name and phone #
lle Lot and setback dimensions ❑'isieaa
V Utility locations &easements
Footprint of new structure and FFE Property corner elevations
Sidewalk/driveway dimensioned JIDA (>1,000 sf disturbance)
Ii21'Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SfrR: calcs needed only on street-facing) Su mary table with calculations for:
Drawn to standard scale yotal facade area
"Building height dimensioned Total window and door area
'� acade dimensioned
)Nindows and doors dimensioned
Garage doors dimensioned
• laments:
(Not required for SFR) ummary table that includes
❑ Each story di ❑ Total fioo
ory floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
Setbacks 6'Front: (5 Rear: S Side: 3 Min/Max Street Side: N / Garage:
4
Height "Max. Height: ?$f Proposed Height: 3 I 0
194s 0 N/A Landscape
❑)Ges N/A Screening (Quad only)
Yes 0 N/A % Window Coverage
Rryes 0 N/A Garage (SFR Only) Parking (Other Res)
Yes 0 N/A Entrance (SFR, Rowhouse, Quad only)
❑Yes JZ N/A Other building design standards (Rowhouse only)
0 Yes 7N/A Accessory Structure Standards
❑Yes)ZNo Qualifying pre-existing unit exempt from standards (Cottage unit only)
ditional standards for C Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes unt:
❑ Yes Lo • and Size
s 0 N/A Pathway
'tional standards for Cou Units and Cottage Clusters only:
❑ Yes Uni
❑Yes 0 N/ to a (per story)
❑ Yes /A Courtyard
s 0 N/A Fence
❑ Yes ❑ No)21\l/A Clean Water Services - Service Provider Letter(lot platted prior to 9/10/1995)
/1?1'Yes ❑ No ❑N/A Public Facilities Improvement (PFI) Permit:
Required: Z Yes 0 No
Applied For: 0-Yes 0 No, stop intake
, 'Sensitive Lands: ❑ Yes No
4Main Land Use Case #s: 1D�. 1-11 -000°o. 1gConditions met
,Applicant notified of land x 'rat' date: ?s/ IS/a0am
Approved By Planning: Date: /'/ 7 /a-O )
Notes t
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: a 3
Site Plans #:
Building Plans #:
Building Permit #: KBuilding permit # entered on page 1
Workflow Routing: X Planning pc Engineering .Permit Coordinator Building
Workflow Sign-off: X Sign-off eor Planning (include notes from planning review)
Route Documents: TA Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
EINBuilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Date: '1(8(Ca-3
Notes:
Engineering Review�vi
Permit: Pc( taG4A1- vco/73
.2-Slope at building pad: ;i
p-Conditions met prior to issuance of permit
sements (encroachments) per engineering conditions of approval and plat
Hater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 2-No
Assess Water Quantity Fee in-lieu: 0 Yes 21Clo
LIDA Facility on lot: 0 Yes 2-No Add Fee: 0 Yes 0 No
final Plat Recorded
O NOT Approved: Date:
Notes:
Approved By Engineering: K:!1514G-/Z.._ Date: 1,- 1/';4!)a3
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
`Conditions met prior to permit issuance
O Approved, NOT Released: Date notified applicant:
O ENG Revisions Required: Date notified applicant:
❑ct...SDC Exemption: ❑ Applied for ❑ Received p.9 Does not apply
\ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes qi N/A
Tigard Trans SDC: 0 Yes d N/A Deferred
Parks SDC: 0 Yes En 1 Deferred
LIDA 0 Yes N/A
OK to Issue/Approved by Permit Coordinator: Date:Date: k CI, Z3
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: