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Permit
F� CITY OF TIGARD MASTER PERMIT II 1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00172 TIGARD 13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 01/25/2012 Parcel: 1 S125DC08100 Jurisdiction: Tigard Site address: 7056 SW ASH CREEK CT Subdivision: ASH CREEK ESTATES Lot: 14 Project: Ash Creek Estates, Lot 14 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1502 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second. 1657 sf Garage: 466 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3159 sf Value: $351,568.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach 1 Laundry Trays: 1 Rain Drain: 1 Urinals. 0 Lavatories: 5 Dishwashers 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains. 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines 100 Catch Basins: 0 Bckflw Prevntr 0 Footing Drain. 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods. 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add' 500 sf: 6 201 -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 asin Y Other: N Other Description: Ecom p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3159 Owner: Contractor: ASH CREEK PROPERTIES LLC WINDWOOD CONSTRUCTION INC Required Items and Reports (Conditions) 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 geo tech report required prior TIGARD, OR 97223 TIGARD, OR 97223 to footing inspection 2 Ersn Cntrl 503 - 681 -4444 3 Other Report (see note) PHONE: PHONE: 503- 625 -6526 FAX: 590 -7606 Total Fees: $19,761.12 This permi )s— issued object to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be don h 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: Ore .'t S requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 01 -0010 through OAR You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 155 d B y: ' \ / iL`t / `L /7 t ` 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. Building Permit Application Residential RECEIVED . Received FOR OFFICE USE ONLY yr • City of Tigard Date/By: �� : C i Permit No.lyi , ex)172 ° 13125 SW Hall Blvd., Tigard, OR 972 G P lan Revie // -�[[ { 1 C M T 4 2011 / Other Permit Phone: 503.718.2439 Fax: 503.598.1 . DatDate/By: / ( �� P i A / TIGARD Inspection Line: 503.639 Date Ready/By: / Juris: Ed See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notif /6 - Supplemental Information BUILDING DIVISION w1 Pe..- TYPE OF WORK . REQUIRED.DATA: 1- AND 2- FAMILY DWELLING pew 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Valuation: $ ` c l7 ❑ CommerciaUindustrial ❑ Accessory building ❑ Multi- family Number of bedrooms: L' I=1 Master builder ❑ Other: Number of bathrooms: -JOB SITE INFORMATION AND LOCATION Total number of floors: , Job site address: - 7 i (lam AA n it ik/ /'4 New dwelling area: 3 4,-5 square feet City /State /ZIP: f i C /-Cl/ e 9 2 2,.,-.3 Garage /carport area: /,1/ square feet Suite/bldg. /apt. no.: Project name: i ,k75,4....k `, Covered porch area square feet / 3 Cross street/directions to job site: SAq z � !� ' ''' Deck area: 5 '7 square feet I5 `�" Other structure area:�`7 square feet Z8 REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I Lot no.: / 91 Permit fees* are based on the value of the work performed. E Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: + i r� � equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area square feet i New building area: square feet /[]PROPERTY OWNER • ,❑ TENANT Number of stories: Name: 4J i 1 -r!J 0 CO L Type of construction: Address: /24rs'r 51V..) Al 0 r 171111 1 �!(d A.-- Occupancy groups: City /State /ZIP: 1 ( - (9.' '7'? ).-).3 ^7 Existing: Phone: ( ) a — y3 ') s " Fax: ( ) 6.--9p —76 Q New: . ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* �^ (Please refer to fee schedule) Business name: . mil- A Structural plan review fee (or deposit): Contact name: ` f i)'"b'L L FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: • 04 Phone: ( ) 7,g — 7 l� Fax:: ( ) (' ^ 6OG Amount received: E - mail: bi (0� C r6 HOMES /q� ig �L0 PHOTOVOLTAIC SOLAR PANELSYSTEM "FEES* C "' � " � ommercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: 5„ Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City /State /ZIP: Permit Fee (includes plan review $180.00 and administrative fees): Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lie.: �(f l e ,„, 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: 0— / L (i f Dat °� /i /// * Fee methodology set by Tri- County Building Industry Service Board. I:\ 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 114 City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard,OR 97223 Date/By: 0 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits. T I G A R -D- 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical Internet: www.tigard - or.gov ❑ Other: ' THE FOLLOWING ITEMS ARE R EQUIRED 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. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 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 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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. ❑ ❑ ❑ 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 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".- t . • ❑ ❑ ❑ 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:A Building \Permits\BUP - RESPermitApp.doc 02/24/2011 440- 4613T(I1 /02 /COM /WEB) Electrical Permit Applicat' i F FOR OFFICE USE ONLY • _ •' CETVED Received City of Tigard Date : /0 Permit No.: ' G it // __�v7 .2,..._ q 13125 SW Hall Blvd., Tigard, OR 97A 4 201 Plan Review 0 Phone: 503.718.2439 Fax: 503.59 't Date/B : Other Permit:A02 441, TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris El See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE 130141116 DIVISION PLAN REVIEW cw construction CI Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ['Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial El Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. • ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", ') 4 / / IOOHP or more. occupancy. Job no.: Job site address: / 05 S t'-' 'r i 7P k (I ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: r/ C � � �^� ❑ Health-care a do facilities. ❑ Supply voltage for more than 1 J ❑ Hazrdous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: s A u �� Description I Qty. I Fee. I Total I * — JJJJ New residential single- or multi - family dwelling unit. Includes attached garage. _ Subdivision: r l 6 A t in e 1" L A- Lot no.:/ q 1,000 sq. ft. or less L I 168.54 i ? 4 Ea. add'I 500 sq. ft. or portion (. 33.92 -21 /=_ d 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 CYJ 2 SP— Limited energy, multi- family residential (with above sq. ft.) I 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: LtJI I! cd (dit S 601 amps to 1,000 amps 301.04 2 Address: /pz <--.--- , .0 /jf ,r ,e,, /I J Over 1,000 amps or volts 552.26 2 City/State/ZIP: e r _. Tit i+12 9 ^12.3 Temporary services or feeders installation, alteration, and /or CJ / relocation �- Phone: ( ) ? e)' --€13 7� Fax: ( ) 5 -76�/ 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first Contact name: branch circuit 56.18 2 Each add'l branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) Each City /State /ZIP: dwelling, service e and/or feeder 67.84 2 Phone: ( ) Fax:: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: panel, alteration, or extension. Page 2 2 �it 4�G ` � C Each additional inspection over allowable in any of the above Address: / d / si 25/ Additional inspection (1 hr min) 66.25/ hr Ci City/State/ZIP: Investigation (1 hr min) 66.25/ hr ty 11--i A& dd.� 7/ x - 3 Industrial plant (1 hr min) 78.18/ hr Phone: ( ) 6 fl— — 5—1 lic/ Fax: ( ) 48V — f? 2-3 Inspections for which no fee is 90.00 / hr specifically listed (%x hr min) CCB Lic.: /5 b /1 / p Electrical Lic.35 / — / Suprv. Lic ° 77,5" ELECTRICAL PERMIT FEES Subtotal. 447. 042 Suprv. Electrician signature, required: Plan review (25% of permit fee): /� / S tate surcharge (12% 1p'5 Print name: / /� y l� s,�. Date: � /�� j ge (12/0 of permit fe � ,.� � ��' `� TOTAL PERMIT FEE: 66 Q, t I Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. N um b er of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 07/01/10 440- 46t5T(11/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.\Budding\Permits\ELC- PermitApp doc 07/01/10 Mechanical Permit ApplicatioCEJIED FOR OFFICE USE ONLY 111 Da te/By: / o� _� i rea /!- �a/7 City of Tigard / Permit No.: ° 13125 SW Hall Blvd., Tigard, OR 97223 OCT 4 201 Phone: 503.639.4171 Fax: 503.598.1960 D an Review n � /__/ ateB , ) C. y: Other Permit: '7` -I- I GA It D Inspection Line: 503.639 CITY OF TIGAR Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST C1 New construction CI Addition /alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT./ SYSTEMS FEES* El I- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling �t�-y 5 / / / Air conditioning Job site address: • � C/ 7 .� 5 X (� V'r'GG( G (requires site plan showing placement) 46.75 City/State/ZIP: Furnace 100,000 BTU (ducts /vents) e"'" 46.75 y 77� 4� Q11.27....-3 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: n kV-Tirs- Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 L Gt� ` 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 Subdivision: A trt J 4$ li/ Lot no./9 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater / 23.32 Gas fireplace 33.39 A / 'GL) S / -> 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 1:1 PROPERTY OWNER 1:1 TENANT Chimney /liner /flue /vent 23.32 . Other: 23.32 Name: fit /A. (10rUe'ei 6 4 5 I 4, k( Environmental exhaust and ventilation Address: / 5 °� S pi 4)0,-...-4, p (sue Range hood /other kitchen equipment 33.39 City /State /ZIP: TA o p. r i c—, a)-11-3 Clothes dryer exhaust 33.39 . 53.'3i Single -duct exhaust (bathrooms, Phone: ( ) g® - 75- Fax: ( ) 5 toilet compartments, utility rooms) 4 23.32 93. ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: 5r ,mac Fuel piping Contact name: $14.15 for first four; $4.03 for each additional RR Address: Furnace, etc. I (4.l Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater i Fireplace I E -mail: Range 1 � - CONTRACTOR Barbecue Business name: C J�CH9 C 6 /ref/ Other: dryer (gas) / ` Address: p /�°c. C �.� (/ G / 4 Ii � (, e / R P MECHANICAL PERMIT FEES* City /State /ZIP: O R , a d n ( l el" e ,,,, ‘ 4t - id L/ES Subtotal 3 2 Z- Minimum permit fee ($90.00) Phone: ( ) 1-4-°7•-• ). 2'1b Fax: ( ) Plan review (25% of permit fee) CCB lic.: 7 ' c .,..• State surcharge (12% of permit fee) � `� a TOTAL PERMIT FEE , 3 T his permit application expires if a permit is not obtained within 180 Authorized signature: o ri-t- days after it has been accepted as complete. ,, Print name: . i � / � Date: * Fee methodology set by Tri- County Building Industry Service Board B CD V I:\Building\Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (1 l /02 /COM/WEB) Mechanical Permit Application - City of Tigard . Page 2 - Supplemental Information • • Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $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:\ Buildin \Permits \MEC- PermitApp.doc 10/01/09 2 ISlumliing Permi Applica EKED Building Fixtures FOR OFFICE USE ONLY n j City of Tigard 0 CT 4 2011 Date/By: �� ©� Permit No.: /J„ ��, 7 13125 SW Hall Blvd., Tigard, 2(�q�(t �BlI' Plan Review �`v f Phone: 503.718.2439 Fax: ��3 OIGARD Date/13y: Other PermitNo.: a.6gao1v ! T I G AR D Inspection Line: 503.639:41BUILDING DIVISION Date Ready /By: Juris RI See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE , w construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 . and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath / 0e- 500.32 66 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: L Job site address: 7 d5 Sc..) 45 /{ ��l �d� "/ Catch basin or area drain 18.76 City /State /ZIP: 7 CH 4 7, )3 ootin F 1, leach line, or trench drain Footing drain (no. linear ft.: ) Page age 2 2 Suite/bldg. /apt. no.: I Project name:AA (re et Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 S /I a( 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: // A l .t.le- I Lot no.: /41 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 J�, U Clothes washer 25.02 4J Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I . ❑ TENANT Expansion tank 12.51 Name: /4/,1 6.4)®' C l e 9 rV 5 7- ,/+",` Fixture /sewer cap 25.02 � .J >v.,. �� Nom! ? A_ Garbage drain/floor disposa l 25.02 sirlk/hub 25.02 Address: ,/ 6 s -r / Garbage disposa City /State /ZIP: �� eir Q7123 Hose bib 25.02 Phone: ( ) , --2 go --1/3 - Fax: ( ) Spa -74 ac Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: �'Q /re• Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25.02 City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Giro^ i n ✓ /4_ Water piping/DWV 56.29 Address: k GI lin I i N ...0 i.1 n � l Other: 25.02 City/State /ZIP: fr .j L, 1 0 -'- f 'j I Subtotal , '69, Phone: ( ) 31 if -7 Fax: ( ) Minimum permit fee: $72.50 CCB Lic.: /0 3 l./ 6O V`t"b , Plumbing Lic. no.: � j (�, Pl review (250% of permit fee) b State surchar (12/a of permit fee) (34- Authorized signature: / 4 TOTAL PERMIT FEE/766, 6 Print name: �� ( /74614`€') Date: 5/0/ 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 - 4616x(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square,Footage: ' . ' Permit Fee: Footin drain - 1s` 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 Valuation: Permit Fee: 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 Other Inspections or Fees Qty Fee (ea) Total each additional $100.00 or fraction thereof, to 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 Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub /Shower ❑ Any new commercial building with water service 2" and Jacuzzi /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" 4„ Isometric or Riser Diagram Car Wash Drain ❑ s Isometric or riser diagram is required for new buildings - Domestic - non - food g q g 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 Water Extractor increase 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: 1:\ Building \Permits\PLMF - PermitApp.doc 02/24/2011 2 Building Division Development Code Provision Review TIGARD Residential Projects Building Permit No: H l (D( 02011 — 00( 7 2- CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: ! 0 1/ // 1st Revision Submittal Date: 6 Ii .T ❑ Site Plan Only 2nd Revision Submittal Date: • _ .i, : , ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (V) items are approved. Items not approved and those listed in the notes. must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact �f t sfie , e mG.r) at 503 -718 -1'5 Z or kir @tigard- or.gov) Land Use Case No. Sub ZOO 3'OOO(O Name 14 . 1 • -tAiC- £'..sT Afr f.5 ELoning I • `1 S L ' Setbacks: , Front g Rear / Side 3 Street Side 1 S ' Garage Zc ❑ Maximum Building Height 36 Actual Building Height Z $ £"Visual Clearance 0/gasements i �� - /� L ' 'nsitive Lands Type: Sear """ r a 4 .� £ q t , f—,� �x•i Notes: ✓ 4 5 t 61.4 AAA_ 3 P4-. ea.u44 ()Net h,,, ■03.''.11 3 r .0...t - I9 4.4t— h . 2 I futi l ' d. i / � a fj k - <'C ?C p ice" f e S e *. 4. .1:1"..4., .. I ' � / h f < . r S rc$,., 74.440 . ganal Plan: Approved ❑ Not Approved LT Date: / o �S V / Revision 1: Approved Not Approved ❑ Date: b (/ Revision 2: A proved. Not Approved ❑ Date: ( E If vP ►� ..� o g ob Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: Revision 1: Approved Not Approved ❑ Date: � /B I Revision 2: Approved pc Not Approved ❑ Date: • M( / Off (a • 3 t( (Review Continues on Page 2) /fS: X 30.o50 . / Page 1 of 2 City / Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) El/Street Trees Protected Trees fril� ( 0'C. 1 Notes: - sin f es / I w icy/ n »), is w1 ' I L ; c(--7 rlr-1 0 , p L -. n,'�f-.. - LI - 4-it-e..) re,J .t `(4 O, p10.01 "I rim‘ 53,91 3/ . 531 c J/7 ..s3Pt . ,c-.33., 5 307 , r .Cbt 631/,5 ,13.0 ,-,- Original Plan: Approved ❑ Not Approved Date: V,Vaii Revision 1: Approved ❑ Not Approved I Date: I -o ii ; a Revision 2: Approved r Not Approved Date: >D1 �r7 r U l(6/ ,20 // - (1 f rl y Lrr -,li . Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : / /d Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant • Okay to Issue Permit: Yes ❑ N 1 D 3-v 1 /10 > l � a • . Date Routed to Building: / I 1 . • • Page 2 of 2 i, Q i r\ou.se retie✓`. (,)„ 4 / 511 Dr\ OVA ple(Aw e 0S'( a ;n tkt *A Alifriliirti - ' i i : • , ,, - ' ' 44 / 1 - 7,-4- 0.c.J-," sqfill rtY ze-ai i if ,r• ..c, 1 1 i ;-,',' 1 : 7: ,,,.. 9 ! tr,t, me , titi 0' /',1:■ (14.11)V' elif-410' ■ t .,._. '-;'.-4..;.' %-i.:i!j... .P,,.., 4, I f ; - • - .. - ,.. . , -' k , e /I ,, - ...:. is/ __ !i5 9 - ----------‘ 15 --...- - 7 ---- ---- . N.. . , . Ii . 51 , I . , 215' '., r 9..53 9 _ , _ , , .,.. ,,p , 7.., __\_ _ , . / ,, 11 ')--ti .e . -- , . ' '. \ - - - - - &i 11 f • \ . . , .• -,. - , . \- \ ; ! ' i • - s- - t . 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DR.rvE AY 11 1 .i ZI fr it - 137443 ' :1-1 1 (P. ,'ei 2.. 6.2 f riln1( S' 717-re-7 A - /4 ..,.... c> ---__....._ - — aIIIIIIIIp- 1 ,_ • • - 7 , EL - 2eciT c 7:(eiki Pull/ s.w. AS HCREEK L-0 7 /57 - COURT __--- --- /../..4AtA4-c-. 7Q -- i f- r-a-lAztevo....) 1-7-1/ ?isi- cizo 3 t-i re__ 08/19/2011 tarRR • A L E •-.. oaf Palm &cossocrTr4 '.: alrr OF TlaARD • GREEK EAT ATES 21i5617 , .•• To vvo, ALI !AL i'. '• ' . . --. cr= I 1) 1.0' 2 1f .'1 ne ■•'''',. L ° T tA FOR: TI-TE LANCASTER RESID EWE Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, f J / , /'(Oic_ / Ac , am the general contractor or the owner - builder at the following address: Site Address: 76 56i ,, � rr� City: 72 are (9 Permit #: S 7-. 020 l/- Dul72, Subdivision/Lot #: iz ,/ /75'A 2? , d 7/� and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: d General Contractor or Owner - Builder I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: � $/ 11 ClOrlZ Jurisdiction: r acc.. Site Address: L /9A c,-- e%' 's Subdivision/Lot #: A-% 'z i and /or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) d Signature: Date:J g LiL1/ Owner /General Contractor /Authorized Agent Print Name: ZOM.4 -d A c/te-- 4 ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. 1:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 STREET TREE CERTIFICATION , owner/ agent for k s _Pt( (PLEASE PRINT) (PERMIT HOLDER) do hereby certi that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: /21 5 2 o!/ --d op 2 SITE ADDRESS: r7O 5`4- S /15 - A 6te t (Ou it -/- SUBDIVISION: 7/5 A Cry -r4 J: /-5 LOT #: SIGNATURE: DATE: 44 I (OWNER /AGENT) RECEIVED & VERIFIED BY: DATE: C OF TIGARD) 1 2 - Tree location verified per approved site plan. I: \Building \Forms \StreetCreeCertificate 04/01/2011 7/5/12 Gmail - Final Inspection Report - 7056 SW Ash Creek Ct - L14 ' -,, 0 [ Gmai Gal Richards - - =vi ._ oodh r esn @gmat:onn> biCooslc Final Inspection Report - 7056 SW Ash Creek Ct - L14 1 mess age . Mike Wirkkula <mwirkkula @earthadvantage.org> Tue, Jul 3, 2012 at133 PM To: "windwoodhomesnw @gmail.com" <windwoodhomesnw @ gmail.com> Cc: "rshanahan @earthadvantage.org" <rshanahan @earthadvantage.org >, "vcrosby @earthadvantage.org" <vcrosby @earthadvantage.org> ear th Zax°,ta'nabreE14.0 r'ng_a "' O4;mnte o/oli 5 I e tha8v7:ntege.org a cs �Pc �r institute 5505 SW 3rd A� +e, 5wt 500, Portland OR. 97204 I 503 968.7160 Final Inspect Report Inspection Date: 7/3/2012 Builder: Windwood Construction, Inc. Subdivision: Ash Creek Lot #: 14 Address: 7056 SW Ash Creek Ct City: Tigard Certifications: Energy Star /Earth Advantage Solar Elements: Re- inspection Required: No Required Action: None. Final inspection has been approved. Award stickers have been placed on the electrical panel. Final Inspection Results https:// mail .google.com /mail /u /0 / ?ui= 2&ik =1 dc2274cd4& view =pt& search= inbox &th= 1384ec38473c65f0 1/2 7/5/12 Gmail - Final Inspection Report - 7056 SW Ash Creek Ct - L14 Insulation Inspection: Pass Thermal Bypass Checklist: Pass Energy Star Measures: Pass Earth Advantage Measures: Pass Blower Door Test Results Maximum Allowed ACH: 7.0 Actual CFM: 1463 ACH: 3.5 http: / /www.earthadvantage.org/ http: / /www.ductsinside.org/ L -14 - TBC.pdf 454K https: / /mail.google.com /mail /u /01 ?ui= 28‘ik =1 dc2274cd4&view =pt& search= inbox&th= 1384ec38473c65f0 2/2