Permit (2) CITY OF TIGARD MASTER PERMIT
ll. COMMUNITY DEVELOPMENT
Permi ELOPMENT t#. MST2023-00078
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2023
Parcel: 1 S 135AC 14900
Jurisdiction: Tigard
Site address: 9424 SW LONGSTAFF ST
Subdivision: ASHBROOK VILLAS Lot: 16
Project: Ashbrook Villas, Lot 16
Project Description: New detached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stpries: 3 Bedrooms: 4 First: 178 sf Basement: 0
Height: 33 sf Left: 3 Parking Spaces: 0
9 Bathrooms: 3 Second: 863 sf Garage: 666 sf Front: 15 Smoke
Dwelling Units: 1 Third: 849 sf Yes
Right: 3 Detectors:
Total: 1890 sf Value: $327,748.52 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1
Y 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
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 2
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
Y Garage Opener: N All
Other: N Other Description: Ecomp 9:asin Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group:
NEWP y Square Feet:
SF VB
R'3 1890
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: $40,984.58
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_nn1n thrnnnh nap oc9-nn1_nnon Vni i maw/nhtain a rnn,r of the n!lac nr riirnrt rn iaetinne to rll INr:by Tallinn cn3 2'29 R7 nr 1 Ann 119 9
4 Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
$uitzlin2 Permit Application
0 Residential FOR OFFICE USE ONLY
1 City of Tigard RECEIVED RDate/By:eceived 3 I t 2
Permit No. s ).13
13125 SW Hall Blvd.,Tigard,OR 97223 T7d -�,73Z
11114
Plan Review
Phone: 503.718.2439 Fax: 503.598.1`4 other Permit:$' J -�-�
Inspection Line: 503.639.4175 '`��� 8 2023 Date Ready/By: Juris: I71 See Page 2 �
Tlcnl:n p1 I► 12 ' AP.3E Ace .
Internet: www.tigard-or.gov Notified/MethodSupplemental Information
CITY OF TIGARD E l4ILE 4 l(,II-clE A
.t 9
y* I G l)MSIQ ► Il L it l
®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:
tYl':11*� � O workindicated on thislappli application. i(/
equipment,materials, overhead,and the pr-o(,fit for the
t —7
® I-and 2-family dwelling ❑Commercial/industrial Valuation:
/t � �
❑Accessory building El Multi-familyNumber of bedrooms:4
❑Master builder ❑Other: Number of bathrooms:3
sty C
. vstatattayeistiag
Total number of floors:3
Job site address:9424 SW Longstaff Street New dwelling area: 4134 square feet sy 1
City/State/ZIP:Tigard, OR 97223 Garage/carport area: 666 square feet a,(o'
Suite/bldg./apt.no.: Project name:Ashbrook Villa's Covered porch area:26 square feet , ldis
Cross street/directions to job site: Deck area:56 square feet
Greenburg Road and 95th Other structure area: square feet
Subdivision:Ashbrook Villa's I Lot no.:16 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
,y
equipment,materials,labor,overhead,and the profit for the
,,. ... ..: . ,.: h,,.,,,, .„---- ... .:. ......... ..:..:r: .. , ,,. f:,, work indicated on this application.
Valuation: S
Existing building area: square feet
�� � � � � � � New building area: square feet
s ua
nota;.. 4N.,. ...:.,,, .. 4i . f.. .:: „ g"''h " ``1 Number of stories:
Name:ABVOZBP21 LLC Type of construction:
Address:1815 NW 169TH PLACE, SUITE 1040 Occupancy
p y groups:
City/State/ZIP:Beaverton, OR 97006
Existing:
Phone:603-5026623 Fax
New:
Business name:Same as above }` 3 .`. ... # ., ,,t:
Contact name:Katie Patterson
Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax: :( ) Amount received:
;�
katie@sagebuilthomeslIc.com p �` �
E-mail: .
R c �� i Commercial and residential prescriptive installation of
..: ., ,, _. .....:..:. t„....t: E, roof-top mounted Photo Voltaic 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
and administrative fees): $180.00
Phone:( )503-5026623 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:4809-36 1%g330 1101 IA
_ Total fee due upon application: $201.60
Authorized signature: A" &g, /0GZ<.C,v/1ddif/ 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:3/6/23 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 1/02/COM/WEB)
Building Permit Application Checklist '
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard111 Received
Permit No.:
Date/By:
U 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
_ Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical ❑ Plumbing ❑ Mechanical
24-Hour Inspection Line: 503.639.4175
T 1 G A EZ D 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. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ 0 ❑
4 Fire district approval required. Name of district: ❑ 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity CICI ❑
6 Sewer permit. ❑ ❑ 0
7 Water district approval. ❑ ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑
9 Erosion control El plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 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 ❑ ❑ ❑
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- ❑ ❑ 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 ❑
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 ❑ ❑
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 a'ilicable 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". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 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. ❑ 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 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 ❑ ❑
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.
l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
.Mechanical Permit Application FOR OFFICE LSE ONLY
City of Tigard Received
III
Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 1 I. `: ii
Phone: 503.718.2439 Fax: 503.598.1960 RECEIVE ii t Other Permit:
T 1 C,A R D Inspection Line: 503.639.4175 Date Read /B Juris-
Internet: www.tigard-or.gov y y See Page 2 for
AR
�Oq3 Notified/Method: Supplemental Information
OE . . c ERCML EEC !C KU
OF TIGARD M echh anical permit fees*are based on the value of the work
®New construction ❑Addition/alterationsu1k ( DIVISION performed. Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑ Demolition ❑Other:
Value:
CAT ,*i . ; 3�1 1
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder
❑Other: Description Qty. Ea. Total
't
Heating/cooling:
>.. '' Air conditioning 1 46.75 46.75
Job site address:9424 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:Ash brook Villa's
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:Ashbrook Villa's Lot no.:16 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
CagnisanataMMEAMEgi
4 , 8 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 23.32
Chimney/liner/flue/vent 23.32
�� s
a : 4 4 Other:
23.32
,,,A e.. u.�. A r `s " `: 'o" h...' . `..""' "`" '" Environmental exhaust and ventilation:
Name:ABVOZBP21 LLC Range hood/other kitchen
Address:1815 NW 169TH PLACE, SUITE 1040 equipment 33.39 33.39
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
1 ttM % f:. kit k # 23.32
Other: p e fans 23.32
Business name:ABVOZBP21 LLC Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name:Katie Patterson Furnace,etc. I
Address:Same as above Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range 1
E-mail:katie@sagebuilthomesllc.com
Barbecue
ii #
... .. . .......:..:. . ,,:. .....f�.�:,.t .'a .. F.. Clothes dryer(gas)
Business name:All Time Heating Other:
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)
State surcharge(12%of permit fee)
CCB lic.:48 764 ,%A --i 5 11111 1^A TOTAL PERMIT FEE
v'1 This permit application expires if a permit is not obtained within 180
/' (.lei 4te� days after it has been accepted as complete.
Authorized Signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Katie Patterson Date:3/6/23
I'\Building\Permits\MEC_PermitApp_040113_doc 440-4617T(11/02/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 Application t:r it ;. ' ;
City of Tigard I 1 :1lEaIIIIIIIIIIII=MgggnMIIIII
,1N_.- 125 50 Hall
9 Tigard,503 97223 MOM
Pt : 3 71843 _598.1960 Related 1 lt:
Inspection Litre: 503.6394175 Reedy may:i i i s-is' Internet: wwwtigatdtsgpv lied i di beet1111111111
kti�rlihw.:
TyPB OF WORK PLAN REVIEW
®New construction Q ArkIitionialtantionirepincenterd Please em an that apply(sting 2 sets alpine s wRaems chocked):
0Serviceorfeeder400ampa�moin Q aweethreeNori&
❑Demolition Qt3tber
adore tbeavm'bble bon cower 0 Madam and boatyards.
CATEGORY OF 00PCSIRUCIION escoods10000ampsat15f►votlsof 0
®1-and 2-family dwelling 0 0A� g to aed,or�tceeass�,00a Qce ; agricultural
amps 5
D Matti family ❑Master holderholder0 Other Oa* a all a otiore b:tallati
❑ *MO fCVAa
JOB s1TE INFINOMATION Altlll!LOCATION Q Emergency system. lamer sepals*delved
Job*: kb site ClAdaiwa ofaer neon lord of aysI ao.
�lf24 Sio LbN(Srfl-ff gr. 100ilpetmer& C A' -,4l2''I-3
City/StatatlIP:Tigard,OR 97223 CISSazRmarcrwaena.t t -
01lcaah-ctacscalfi 0It eausioaatvehicleperks.
Suiteibldgfapt#: Projectname:Ash Brook Villas Ql .location& 0` volute tor mom than
focus street/directions to job QSe vsce or er600ataps or ware- 400 wolesa goat
PER S HF ULE
Desongent I ihre. 1 sari t 1 l '
New resideadal
Subdivision:Ashbrook VI[1a's Lot it Ho der mix
Tad tercel# I,000 sq ft or lessr 166 54 4
aad'I 500sq.ft.es-portion _ 3392 1
DESCRIFTION OF WORK Limited energy.residential
73A0 2
(with aboveaq- )
residential(with aboveft.)Rentavable Energy 75.00 2
la PROPERTY OWNER } CI TENANT Et See Rue 2 _
Services er bedews fit ee,afi ,a4dter releadion
Name:ABVOZBP21 LLC 200 its or less 1 100_70 100.70 2
Address:1815 NW 169TH PLACE,SUITE 1040 201 amps m4111)enema _ 13336 2
401 amps to600amps 20034 2
City/Stale/ZIP:Beaverton,OR 97000 601 amps to LOGO arapi 30l A4 2
Plume:( ) Fats~( ) Over 1,000 amps Or volts t 35226 2
Email:katIe sagebuilttlomeslic rn services sr tags attlalbtl(ma,alteration,mdlnar
ocation
Owner Installation:This installation is being made pr en aperty that I own which is not _re
200 gars or has 5936 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 snips to400 amps 125.08 2
Owner signature: Dale: _ 401ampato599snipe 168_54 2
Ca AprUCANI Brenda draft—ro w, ,>w extension,per panel
1] CONTACT PERSON A_Fee for bias&a wddr
Business same:ABVOZBP21 LLC abovesavice:arresederie.
7Cott w mim
e:me:KSIIG P e�Sa branchrn!lit
e.1 ee r bowl yes>.
A Same as above a or sit Waft*dna 56 Is 2
CitylshltielZip: Each add"bomb eatcait 742 2
Phone:003-5926623 Fax:( ) maaa eetarol doe l
annedelar
Email: GOFti dam,service strutter feeder
Racommetnailr 6724 2
CONTRACTOR Pump or irrigation circle 67.84 2
, Business name:Grizzly Electric Inc Signor Mite Weis& 67.84 2
Signal cirosit(s)t z nytin Bred, - Lao-117 ,a`,�°mecasica. 0 Sc.Page 2
CityisisetZIP:Van(x1Jv r,WA 98660 Each add ittspeesLatt ewer ediserabfa la rayore*above
t Addition(inspection(1lerno) 6625tler
TN-5-70-"/t 1 Fad:( ) Immstigatioalller min) 90_o0+br
Email:9rirzIyele( nrtsn torrl Industialplasm(1Irian) 78.18tbr
/���'� Inspections for wldw��saeis
CCB Lis.;186218 Eie cal Lie.:31.4� .Lie.: s7.5 «ax listed sooahr
Electrician �+' �•Per >
Suprv_ signature,requited: sabtotal:
Print name foci ,'..: 0 MalaBe.;ew Regniaed(25%ofperrnit fax
JJ '-'-"'—...—' ` State sut a(1214 ofparnitfee):
Authorized signature /cOZ Zi=/"�} eAQ.8AL O nA.L PERMIT FEE
This permit appliwisis expires Ma permit is net eiadaed within nee
Print name:Katie Patterson D 3/p q/2E13 ofdays alter k Ms bees soaped inspection goofed per � .
* Number t' " F Pmoanpp EL&3R5aoc ttec06e1712015 44o4e tslte1J05/COMOVER
,Plumbing Permit Application
* Building Fixtures FOR OFFICE IISE ONLY
City of Tigard Received
Date/B Permit No.:
+ 13125 SW Hall Blvd.,Tigard,OR 97223 y. �'1 ST t1Y(�
_ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
RECEIVED
Jur,s Permit o.
N
T I G A R l� Inspection Line: 503.639.4175
Internet: Line:www.tigard-or.gov Juris:
a y o S See Pagel for
d/Method' Supplemental Information
O W MAR EE LE
®New construction r
❑Demolition For special information use checklist.
Description Qty. Ea. Total
❑Addition/alteration/replacement ❑Other: CITY OF TIGARD New 1-2-family dwellings(includes 100 ft.for each utility connection)
1
rY'��i�'�' o?1'��'i�`t`:. � ivislow SFR(1)bath
312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-familySFR(3)bath 1 500.32 500.32
El Master builderEach additional bath/kitchen 25.02
❑Other:
Fire sprinkler sq.ft.) Page 2
€ A #' Site utilities:
Job site address:9424 SW Longstaff Street Catch basin or area drain 18.76
City/State/ZIP:Tigard, OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:Ash brook 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.: 16 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
ZNICIONERREMPRI
it 4 I f 61 k' 4 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
-` .. ~ ' :.:....,:t x.. :.: ..... ` D; . 3. Expansion tank 12.51
Name:ABVOZBP21 LLC Fixture/sewer cap 25.02
Address:1815 NW 169TH PLACE, SUITE 1040 Floor drain floor sink/hub 25.02
Garbage disposal 1 25.02 25.02
city/state/Z1P:Beaverton, OR 97006 Hose bib
2 25.02 50.04
Phone ( Fax ( ) Ice maker
h, f 1 12.51 12.51
III,..,.,, . ,u.r ...>v.0 ;, r t t!) Interceptor/grease trap 25.02
..::.:a.: ..u.. : u..�.g x ,...u.
Business name:ABVOZBP21 LLC Medical gas(value:$ ) Page 2
Contact name:Katie Patterson Primer 12.51
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
E-mail:katie@sagebuilthomesllc.com Urinal 25.02
a er closet
f Water
3 25.02 75.06
Water heater
7:. . ........ .: . . .::.:..... �..,. : .,.::.
1 37.52 37.52
Business name:Ed Mullen Plumbing
Water piping/DWV 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 Lic.:92689 Plumbing Lic.no.:SA./(����� Plan review (25%of permit fee)
n State surcharge(12%of permit fee)
Authorized signature: /� � /6)a. 443Ki TOTAL PERMIT FEE
Print name:Katie Patterson Date:3/6/23 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\PLMU-PermitApp.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:
may, , ]Icy{es l ' � .
Footing drain-15' 100' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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
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
each additional$100.00 or fraction thereof,to
Other ui o or F 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
,titaccurately report fixtures could result in increased sewer fees*.
Plan review is required for any of the following.
Fixtu fy Please check all that apply.
? .: ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator ❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercial
❑ Any complex structure as defined in OAR918-780-004 .
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/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 fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
L:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
IN .
Building Division
One & Two-Family Dwelling
TIGARD
Fees Checklist
PERMIT INFORMATION: Application Date - FEE VERSION i t t x-'Z' -/
Permit#: yh �-'�j _ d'7 c8 Plan #: Z,D Floors: 3
Valuation: I Covered Porch: if., Basement
Bedrooms: LA Deck: 0 1St Floor (7 66
WC (toilets) 3 Deck Cover: 2nd Floor (256'1
Lavatories l.-' Patio Cover 3rd Floor Cg L
Tub/shower Accessory Struct. Total t S y 11
Laundry Tray Water Heater J ( Garage (4 4,(f.
Exhaust Vents Gas Flue Vents Total for Elec. ZIpCP
Backflow Prey. -e'S 4610016 Heat Pump /C-E ) # for Electrical
BBQ Gas fireplace -----____, #Fuel Lines .
FEES: Description: Fee App 'es: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) 9
Info Proc/Arch: Sm$.50 (up to 11x17) -2.)
Metro CET: Residential se
School CET: District:
Tigard CET: Admin
Tigard CET: ODHCS
Tigard CET: AH
Electrical Permit: Permit Fee:
Limited Energy: ✓ ,
12% State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge ✓
Plumbing Permit: Permit Fee:
12% State Surcharge V
Erosion Control: w/Permit-Ping I
Notes:
1:\Building\Forms\ResPlanCheckFees.doc 12/13/22 Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: 441A h tit Vt.
nU�� M
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
IN
Transmittal Letter
TWA R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: k p1, `�XY�4U DATE RECEIVED:
DEPT: BUIL ING DIVISION f�® C "
FROM: AlcIAt13 t (re:2-, MAR 1 I 2O2:
COMPANY: Opece tjtLt 5 • CITY OF' r
PHONE: Ot t( 2-5' Qg BUILDIN( By:
EMAIL: Kc .e @c, Lu l' -Vdn2Sttor' C
RE: qcal.( ko 1.41E6rlt-c k�q O1 an-2�3 msrzozz-va cy "
(Site Address) (Permit Number)
Ssat)V t'-UK LoT ((0
(Project name or su 'vision 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.
pc Other(explain):(L tf411 Gitb10S i-uI✓ LteN-1 oiJ OF tHE ( '( Sitell aU
REMARKS:
F R O CE USE ONLY
Routed to Permit Technic n: Date: � - Initials: N "
*
Fees Due: ❑ Yes No Fee Descripti n: Amount Due:
ij 1 / $ 0
Special
Instructions:
Reprint Permit(per PE): El Yes No ❑Done
Applicant Notified: V Date: A1111'n Initials:9•A
FOR OFFICE USE ONLY—SITE ADDRESS: (MA %V W ATt
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
_ "III Transmittal Letter
JIG n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: U D DATE RECEIVED:
DEPT: BUIL1DING DWISION
FROM: Irks rvt t d RECEIVED
COMPANY: t Ur 4 MAR 1 3 2023
CITY OF TIGARD By:
PHONE: I ` BUILDING DIVISION
EMAIL: `P -4 i14J.=- "
RE: 7 Sty N 57' TI6icitp /4sr Z42.3- az 78"
(Site Address) q-71.2„. (Permit Number)
Q
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies; Descriptions` 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): St 6,l ;� _ _.. 'i , PriVu 0-40-TtO IV
REMARKS:
FOROFFICE USE ONLY
Routed to Permit Technici : Date: ' ,t &3 Initials: Alfl
Fees Due: 0 Yes No Fee Description: Amount Due:
$ ig
..Y.-V P E $
Special
Instructions:
Reprint Permit(per PE)) ❑ Yes E No []Done
Applicant Notified: V Date: A \l kl3 Initials:\V•I
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc
City of Tigard
III iii C
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: /''tc7 a3—Cc `l 1-
Site Address: 04��1 (.-o+ lifi' fi ,Z(Verified in Accela
Project Name: A, 5147Vbe - Aita) ✓ Lot Unit #: 1 :7
,v'4l
Proposal: 4/ SFr— Zone: -9
Housing Type: CFR ingle Detached ❑ Duplex 0 Triplex 0 ADU) 0 Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑Other
Required Site Plan Elements: -6 0 slum L4 ' aet 5.,. fLa
,d3 copies of site plan on max 11x17"
Pf Drawn to standard scale R tai,ieJ-trees, drip line/tree protection
North arrow 'Street and site trees shown / labeled
i )Site address, project name, lot # ng tree canopy at maturity
names (N/A for SFR)
i1 licant name and phone # rectangle dimensioned (if applicable)
and setback dimensions �i ' c arance triangle
-Existing structures &square footage tc
Footprint of new structure and FFE '4` t is
.2'Sidewalk/driveway dimensioned 0 ttDA (>1,000 sf disturbance)
Lot area and lot coverage percentage Erosion control
Required Elevation Plan Elements:
(For SF�t: talcs needed only on street-facing) Summary table with calculations for:
� rawn to standard scale FIrTotal façade area
Building height dimensioned .(Total window and door area
,Facade dimensioned
illendows and doors dimensioned
Garage doors dimensioned
R uired Floor Plan Elements:
(Not for SFR) _ 0 Summary table that includes
❑ Each story di 0 Total floor area
O E ry floor area calculated 0 Floor area per story
Planning Review
The following standards have been met: 26
A�//
Setbacks ja'Front: (5 Rear: 15 Side: 3 Min/Max Street Side: !v4- / Garage:
Height Max. Height: 3S1 Proposed Height: 3 -23'
4 Yes 0 N/A Landscape
❑ Yes VN/A Screening (Quad only)
(Yes 0 N/A % Window Coverage
Yes 0 N/A Garage (SFR Only) Parking (Other Res)
elfrYes 0 N/A Entrance (SFR, Rowhouse, Quad only)
0 Yes kt'N/A Other building design standards (Rowhouse only)
❑ Yes ZSJV/A Accessory Structure Standards
❑ Yes Of No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ ❑ N/A Unit Count:
❑ Yes A Lot Width a ize
❑ Yes ❑ N/ Pathw
Additional sta ds for Courtyard Units and Cottage Clusters only:
❑ Yes 0 N Unit
❑ Yes /A Floor Area story)
❑ s ❑ N/A Courtyard
Yes ❑ N/A Fence
❑ Yes ❑ No JI'N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 No IZ J/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes ❑ No
Applied For: ❑ Yes ❑ No, stop intake
(Sensitive Lands: ❑ Yes da---No D�L
F1 Main Land Use Case #s: QQP'2.tYZZ ❑ Conditions met
%Applicant notified of land use expir i n date:
Approved By Planning: Date: ?/$ /73
Notes /
Revision 1: PJ Approved ❑ Not Approved 634 & skors'n Ia&td +o t' te: 3/.7
Revision 2: ❑ Approved ❑ Not Approved Date:
Building Permit Submittal
Original Submittal Date: 3/q 23
Site Plans #: 3
Building Plans #: 3
Building Permit #: building permit # entered on page 1
Workflow Routing: a'Dlanning-1Engineering Et-Permit Coordinator -Building
Workflow Sign-off: Eign-off for Planning (include notes from planning review)
Route Documents: Ertngineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
21/Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: Gaff Date: 3 /7/23
Notes:
Engineering Review
,FI Permit: ("t4l - C`) 73
2-Slope at building pad:
2-Conditions met prior to issuance of permit
2-Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes .8-110
Assess Water Quantity Fee in-lieu: 0 Yes 2-No
LIDA Facility on lot: ❑ Yes R-1c10 Add Fee: 0 Yes 0 No
R.-final Plat Recorded
GI-NOT Approved: . (.5/i C4FL / _ Date:
Notes: S I#-aw G '.' STY4v► /4-rt44 G a..i S t - Pfif.4J
Approved By Engineering: . Sjkc vZ Date: 3 Z�'�Z3
Revision 1: ,,ZrAppro Dater
Revision 2: 0 Approved ❑ Not Approved Date:
Permit Coordinator Review
conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
,'ENG Revisions Required: i11_ _ Date notified applicant: �J113 f 2D23
?SDC Exemption: 0 Applied for 0 Received /Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: h es ❑ N/A
Tigard Trans SDC: es ❑ N/A ❑ Deferred
Parks SDC: %Yes ❑ N/A ❑ Deferred
LIDA ❑ Yes yl'N/A
/OK to Issue/Approved by Permit Coordinator: Date:
Revision 1: /Approved ❑ Not Approved Pa, Date: 3(2P L2023
Revision 2: 0 Approved 0 Not Approved Date:
12501 SE Scott Creek Lane
Butler Happy Valley,Oregon 97086
Consulting, Inc. (503)658-0200
mark@bciengineering.com
March 5, 2023 RECEIVED
City of Tigard MAR $ 2023
Community Development Department CITY OF TIGARD
13125 SW Hall Blvd BUILDING DIVISION
Tigard, Oregon 97223
Re: Plan Review Response
Ashbrook Villas—Lot 16
Address: 9424SW Longcrest Street
BCI Project No: 156-0322-31
This letter is in response to the plan review comments issued for the subject project. The revisions
made to the site plan and building plans are summarized below:
1. The house has been pushed back 18" to meet the 15' front setback requirement.
2. The side eaves have been eliminated from the building plans, structural calculations, the roof
truss submittal and the site plan. The impervious area calculation has been updated on the site
plan.
3. The front and rear setbacks have been corrected to 15' on the site plan.
4. The garage front is recessed 5' from the front of the house and is correctly dimensioned on the
site plan.
5. The vision triangle has been added to the site plan.
6. Dimensions locating the sidewalk have been added to the site plan.
7. The contractor phone number has been added to the site plan.
Please do not hesitate to call if you have any questions or any aspect of this response needs
clarification.
s,okucTUR „
Respectfully, p PROpk-,
((48
BUTLER CONSULTING,INC. 55
OREGON
o0
Mark E. Butler, PE, SE 9�� 14 <<r�-
President E . B
EXPIRES 12-31-2023