Permit CITY OF TIGARD MASTER PERMIT
rt Permit#: MST2014-00060
� COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2014
TIGARD Parcel: 1S126DC11300
i 67_0 Y 4;t 1 Jurisdiction: TIGARD
Site address: 9851 SW TAYLOR CT
Subdivision: GRECO ESTATES Lot: 8
Project: Greco Estates, Lot 8
Project Description: New SF. 6/5/2014: REPRINT permit to add A/C. Unit must meet manaufacturer's requirements
for placement.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms 5 First: 1320 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 967 sf Garage: 399 sf Front: 15 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors.
Total: 2287 sf Value: $270,074.83 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 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 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: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm. N Vaccuum System N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2287
Owner: Contractor:
LF 8 LLC JTSC LLC Required Items and Reports(Conditions)
5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035
PHONE: PHONE 503-308-7324
FAX: 503-684-0102
Total Fees: $20,254.04
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �Yc-�-��,L ' �' `� �� Permittee Signature: i.2/ __--
Call 503.639.4175 by 7:00 a.m.for the next available inspection date:'
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica tt FOR OFFICE USE ONLY City Of Tigard ('FJD. _.. j . Received
��y: (/,!i1/ ��� Permit No/fSre20//-WOt,O
IN
13125 SW Hall Blvd.,Tigard,OR 97223 JU N _ 5 201/1
Plan Review
8 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARInspection Line: 503.639.4175 C�T'� F Date Read/B )uris: 10 See Page 2 for
I) Internet: www.tigard-or.gov �i""` ` Notified/Method: �/= Supplemental Information
BUILCIN i"1SIUf (�
TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees'are based on the value of the work
IN construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
iii Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF.CONSTRUCTION
IOIY RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For specie!information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOH SITE INFORMATION AND LOC_A'TION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:9851 SW Taylor CT Furnace 100,000 BTU(ducts/vents) 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:Greco Estate Duct work ,
Cross street/directions to job site:Greenburg 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: Lot no.:8 Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Air Conditioning fireplace 23.32
/9-44 7o je/ST NG /�E/1-iy/T Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 1 ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:LF 8 LLC Range hood/other kitchen
equipment 33.39
Address:5285 Meadows Road Suite 171 Clothes dryer exhaust 33.39
City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:JT Smith Companies Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Wayne Pykonen Furnace,etc.
Address:5285 Meadows Road Suite 171 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater
Phone:(503)358-8955 Fax::( ) Fireplace
Range
E-mail:waynep@jtsmithco.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Muehe Quality Heating Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kable Ln Ste 500 Subtotal I/6 r'7S
City/State/ZIP:Portland,OR 97224
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)598-0966 Fax:( ) State surcharge(12%of permit fee) ,,(p/
CCB lie.:50096 TOTAL PERMIT FEE 5,2, 34,
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: / _ /y,t � • Fee methodology set by Tri-County Building Industry Service Board
Print name:Wayne Pykonen y l// Date:6/4/2014
1:1 Building\Permits\MEC_PermitApp_040113.dtoe 440-4617T(I 1/02/COM/WEB)
CITY OF TIGARD MASTER PERMIT
III a COMMUNITY DEVELOPMENT Permit#: MST2014-00060
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2014
Parcel: 1S126 DC11300
Jurisdiction: TIGARD
Site address: 9851 SW TAYLOR CT
Subdivision: GRECO ESTATES Lot: 8
Project: Greco Estates, Lot 8
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1320 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 967 sf Garage: 399 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2287 sf Value: $270,074.83 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
Other Fixtures: 0
Drywall-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N 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: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvciFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr 0
Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing. Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet
NEW SF VB R-3 2287
Owner: Contractor:
LF 8 LLC JTSC LLC Required Items and Reports(Conditions)
5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-308-7324
FAX: 503-684-0102
Total Fees: $20,201.68
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
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 • or 1.800.332.2344.
Issued By: c ' Permittee Signature: , ∎�
C .4175 by 7:00 a.m.for the next available inspectio f�
This permit card shall be kept in a conspicuous place on the job site until co •etion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD SEWER CONNECTION PERMIT
s ' COMMUNITY DEVELOPMENT Permit#: SWR2014-00038
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2014
Parcel: 1S126 DC 11300
Jurisdiction: TIGARD
Site address: 9851 SW TAYLOR CT
Project: Greco Estates,Lot 8 Subdivision: GRECO ESTATES Lot: 8
Project Description: New SF.
Contractor: Owner: LF 8 LLC
5285 MEADOWS RD, STE 171
LAKE OSWEGO, OR 97035
PHONE
PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/14/2014 $4,800.00
Sewer Inspection-Residential 05/14/2014 $35.00
Type of Use: SF
Class of Work: NEW
Install Type:
Fixture Units:
Number of Dwelling Units: 1
Total $4,835.00
Required Items and Reports(Conditions)
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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /we' -0- 11A1111111111.- Permittee Signature: _ i ' -
r
Call 503.•i�z y 7:00 a.m.for the next available inspect..1 ate.
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.
'' Builain2 Permit Application
Residential \JED FOR OFFICE USE ONL1
City of Tigard GE Re �' Permit No.:
II 13125 SW Hall Blvd.,Tigard,OR 2 q A 14
J1 7C. b.
I Phone: 503.718.2439 Fax: 503.598.1960 PR P& 20 Plan B _��F�t �i aver Permit: _a — 1 a
I i�;n r a Inspection Line: 503.639.4175 p Dae Ready : ® See Page 2 for
Internet: www.tigard-or.gov O -c\�r`�Gt ` fied/Mcthod: IM Supplemental Information
Oil 004
Cti
TYPE OF Wljele0 IA REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling El Commercial/industrial Valuation: $ 'Z'2 p}(�7
❑Accessory building ❑Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AM) LOCATION Total number of floors: 2
Job site address:9851 SW Taylor CT New dwelling area: 2287 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: 399 square feet
Suite/bldg./apt.no.: Project name:Greco Estates Covered porch area: .4 Z square feet r3 2c„
Cross street/directions to job site:Greenburg Road Deck area: square feet 467
Other structure area: L square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:8 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: * Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New single Family Home Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:LF 8,LLC Type of construction:
Address:5285 Meadows Road Suite 171 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 970235 Existing:
Phone:(503)657-3402 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* -
reer Business name:JT Smith Companies f> rrbf�xkr<�
Structural plan review fee(or deposit):
Contact name:Wayne Pykonen —
FLS plan review fee(if applicable):
Address:5285 Meadows Road Suite 171
City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application:
Phone:(503)358-8955 Fax::( ) Amount received:
E-mail:waynep@jtsmithco.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:JTSC,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5285 Meadows Road Suite 171 Solar Installation Specialty Code checklist.
City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)657-3402 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.. 7 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: 6,4 _ Date: _ii -Al /4 *Fee methodology set by Tri-County Building Industry
` r'Q7 f Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
•
Plumbing Permit Application
. Building Fixtures FOR. OFFICi: l SE ONL1
Received
City of Tigard DateBy: Permit No.:
NI - • 13125 SW Hall Blvd.,Tigard,ORPhone: 503.718.2439 Fax: ] c,VNeo
Plan Review
+ Date/By. Other Permit No.:
T 1 G A It D Inspection Line: 503.639.417 `O\� Date Ready/By: /uric: ® See Page 2 for
Internet: www.tigard-or.gov $4. f• Notified/Method: Supplemental Information
k r ,j1+.: SE OF'VYiAtit ' 'C' ' FEE*SCHEDULE .
1$1 New construction For special information use checklist
❑ iG�EN(3( Description I Qty. I Ea. I Total
❑Addition/alteration/replacement • !� ••\N New 1-2-family dwellings(includes 100 ft.for each utility connection)
..u;;rw1� . �}i ;t f;`= ice`"t7", .r 7 - + f€,i..-:1.. t.._` ;�. .:` i, +°.r SFR(I)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath ( 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( ,sq.ft.) Page 2
t 7 )') S�,,' s) r'3 e' itv " t r: ',. f y tl
�y Site utilities:�, F , . ,y
Job site address:9851 SW Taylor CT Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223
Footing drain(no.linear ft.: _ ) Page 2
Suite/bldgiapt.no.: I Project name:Greco Estate Manufactured home utilities 50.03
Cross street/directions to job site:Greenburg Road Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.:8 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
I ; .rr�+s 7,',71+ Ip7,7'7" -.1• Backwater valve 12.51
' t' i,. .. ' I''a `" :`.1-:;''� - 1 '6"- Clothes washer 25.02
Plumbing for Single Family Residence Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
.;. 6 iihli io ' ` I; ._t _ "'- ^, Expansion tank 12.51
h
Name:LF 8,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:5285 Meadows Road Suite 171 Garbage disposal 25.02
City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)657-3402 Fax:( ) Ice maker 12.51
0,APJLCANT• :❑.CONTACJI 1!F soi - Interceptor/grease trap 25.02
Business name:JT Smith Companies
Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Wayne Pykonen Roof drain(commercial) I2.51
Address:5285 Meadows Road Suite 171 Sink/basin/lavatory 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)3584955 Fax::( ) Tub/shower/shower pan 12.51
E-mail:waynep@jtsmithco.com Urinal 25.02
- s, 724 1` Water closet 25.02
. ., . ,. . '" ,.. . ' i'" '
Water heater 37.52
Business name:The Mullen Company dba Edward Mullen Plumbing Water piping/DWV 56.29
Address:1601A SE River Road Other: 25.02
City/State/ZIP:Hillsoboro,OR 97123 Subtotal
Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fee: $72.50
CCB Lic.:92689 _/ Plumbing Lic.no.:34-260PB Plan review (25%of permit fee)
Authorized signature:
/ State surcharge(12%of permit fee)
_ // /► f
TOTAL PERMIT FEE
Print name:Ray Mullen Date:03/31/2014 This pe it application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
1:\BuildinglPermits\PLMU•PermitApp.doe 10/01/09 440-4616T(10/02ICOM/WEB)
Mechanical Permit Application FOR OFFICE USE ONLY
gi
City of Tigard Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 y
Phone: 503.718.2439 Fax: 503.598.1 ,� ReV1CW Other Permit:
Date/By i
Inspection Line: 503.639.4175 �� Date Ready/By: Jura: ® See Page 2 for
Internet: www.tigard-or.gov 014 Notified/Method: Supplemental Information
Ae �4 �
. TYPE OF WORK - 1,0146} COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
\\��'"++`` Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/repla t
WAG AG`NE� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: ptOsi �NU mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL,EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Information use checklist.
El Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:9851 SW Taylor CT Furnace 100,000 BTU(duels/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:Greco Estate Duct work 23.32
Cross street/directions to job site:Greenburg Road 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: Lot no.:8 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater I 23.32
DESCRIPTION OF WORK Gas fireplace/insert ( 33.39
Flue vent for water heater or gas
Mechanical for new single family residence fireplace 23.32 -2
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT Other. 23.32
Environmental exhaust and ventilation:
Name:LF 8,LLC Range hood/other kitchen
equipment 1 33.39 33.39
Address:5285 Meadows Road Suite 171 Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32 116.60
Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 1 23.32
Fuel piping:
Business name:JT Smith Companies $14.15 for first four;$4.03 for each additional
Contact name:Wayne Pykonen Furnace,etc. 1 14.15 14.15
Address:5285 Meadows Road Suite 171 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater 1
Phone:(503)358-8955 Fax::( ) Fireplace 1
Range l
E-mail:waynep @jtsmithco.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Muehe Quality Heating,Inc.
Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kahle Lane,Suite 500 Subtotal
City/State/ZIP:Portland,OR 97224
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)598-0966 Fax:(503)5984498 State surcharge(12%of permit fee)
CCB lie.:50096 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:Kyle Birman// /// Date:3/31/14
l___
t:\Building\Permits\MEC_PermilAppO4OI I3.doc 440-4617T(I1/02/COM/WEB)
Electrical Permit Application FOR OM(F USU.O\L\
eceiveJ
• City of Tigard Permit No..
It,'!, 13125 SW Halt Blvd.,Tigard,OR 97223 Review
r
Phone: 503.718.2439 Far: 503. G �iala'B': Other Permit:
Inspection Line: 503.639.4175 E Date Ready/By: orris. EJ See Page 2 for
I 1 e `�E t- Internet. w'wty tigard-or.gov �`` Notified/Method Supplemental Information
TYPE OF-.WO'RlC :. . ' 1)1 Aj4'8 r 0��,,* 4
Please cheek all that apply(submit 2 sets of plans w/hems checked below):
®New construction ❑Addition/alteration/replaceme �R� Service or feeder 400 amps or more
pPriG LNG ❑Service 1 ❑Building over three stories.
❑Demolition ❑Other: C\T`l � t4G;IEEP where the available fault current ❑Marinas and boatyards.
CATEGORY.OF 6Q 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 ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB,SITE INFORNFATION AND-LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A" "E" "1-�" "1-3"
Job no.: I Job site address:9851 SW Taylor CT IOOor or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 ❑health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal,
Suite/bldg./apt.no.: I Project name:Greco Estate ❑Service or feeder 600 amps or more.
FEE SLf3E DjJLE : '
Cross street/directions to job site:Creenburg Road Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.:8 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential I 75.00 Z
. DESCRIPTION'OF WORK (with above sq.ft.)
Limited energy,multi-family 7500 2
Electrical for new single family residence residential(with above sq.ft.)
Renewable Energy ❑i'See Page 2
Services or feeders installation,alteration,and/or relocation
®"PROPERTY`OWNER I ❑ TENANT 200 amps or less 100.70 2-
201 amps to 400 amps 133.56 2
Name: LF 8, LLC 401 amps to 600 amps 200.34 2
Address:5285 Meadows Road Suite 171 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or
Phone:(503)657-3402 I Fax:( ) relocation
200 amps or less 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
® APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
Business name:JTSC,LLC each branch circuit 7.42 2
B.Fee for branch circuits wirltot,
Contact name:Wayne Pykonen service or feeder fee,first 56.18 2
branch circuit
Address:5285 Meadows Road Suite 171 Each add'I branch circuit 7,42 2
City/State/ZIP:/State/ZIP: Lake Oswego,OR 97035 Miscellaneous(service or feeder not included)
ty g Each manufactured or modular
67.84 2
Phone:(503)358-8955 I Fax: :( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:waynep @jtsmithco.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: 4�,�J ' wL'tt r l Signal circuit(s)or limited-energy See
Y _ O �ff �j r panel,alteration,or extension. Page 2 2
Address: , - s10 � j jVb0,( 44.9cd P4f/6 ` $T!/" Each additional inspection over allowable in any of the above
e 15 2 0K`� O ( '7- ) Additional inspection(I hr min) 66.25/hr
City/State/ZIP: ri✓�t1 V \! ✓{ `Investigation I I hr min) 66.25/hr
Phone:(9)3)61/(13,Z/ 2„_ Fax: .. 6�, ���S— Industrial plant(I hr min) 78.18/hr
Inspections for which no fee 1s
r. 90.00/hr
CCB Lic.: /02//561 Electrical Lie.: C,, pr 3`�t`75 specifically listed(;:hr min)
/ ,; '. ELEITRICAL:I'ER f T FEES `;
Suprv. Electrician si natuic,required. :r '-
P g 9 �y _ Subtotal
•
' Plan review(25°/n of permit fee):
Print name: C.- eA J j ( Date: g 31'f(� State surcharge(12%of permit fee):
Authorized signature: r • TOTAL PERMIT FEE:
U This permit application expires if a permit is not obtained within 180
Print name: C (la/ Date: 1/ days after it has been accepted as complete.
' Number of inspections allowed per pennit.
I',Building'Permits':Lt.C_PermitApp_tLR ERE.doe Rev 05/21/2017 6 .24o.4oI sill 11ut/COMfw86
•
Building Permit Number: 7f137— /1j_rmaa
IllI .1 Building Permit Review
Residential Projects
TIGARI)
9SsI
Site Address: iiii4 514 1%24)o r C--I-.
Project Name: CI rc L o Es 4-4.1-4-, Lot #: b
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: (v Gk-1 S F e.)-d4.,tn cc
Verify site address and suite#exists or is not disabled.
Site Plan Elements:
Q1ee(3)copies of site plan EtECtisting structures on site ti!A-
D'Site plan must he on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
215 wn to scale (standard architect or engineer scale) floor elevations
lE orth arrow hility locations(required for new,may apply for additions)
[ Site address,project or subdivision name and lot number Location of wells/septic systems /JA
aApplicant information(name and phone number) EfEcosion control(including drainage-way protection,silt fence
tot dimensions and building setback dimensions design,location of catch basin,etc.)
of area,building coverage area,percentage of coverage and B3"treet names
impervious area(applicable if R-7,R-12,R-25&R-40) 6treet tree size,type and location
E l roperty corner elevations(2 foot contour lines if more than L iristing trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Ser v'ce Provider Letter: (lot platted prior to 9/10/1995):
Required: Yes ❑ No Received: Yes ❑ No ❑
Land Use Case Number: S k 3 Z00-7- o o o O 1-
'ET-Zoning: R \ ) W S R L G•",✓61, eta L,
C9'Setbacks: Front i S Rear 15- Side 5 Street Side I o Garage z 0
E3 Landscape Requirement: i a
S—Lot Coverage Maximum: p 0
Ea-Building Height: Maximum Height 3 S Actual Height Z77
Visual Clearance
Cr -Easements 5 }e r w. SL 14 N.
Sensitive Lands: ❑ Yes Type 14 6
IY Urban Forestry Plan
0 Conditions Satisfied
Approved by Planning: eft ut-til_ a - -- Date: 4/off t{04
Notes: Alb'av J# rrpoJ L.{
t (/ t,/ 14 'I n -41-c_ I artd it_Je • ie .
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
l:\Building\Forms\Bl dgPermitRvw_RES_040314.docx
•
Building Permit Submittal
Original Plan Submittal: Date:
Site Plans: #
Building Plans: L�Yl~:
Create Case Record#: l er case#above for Building Permit Number.
Workflow Routing L�PIa • g Efr:ngineering F 'ermit Coordinator [g ding
Workflow Sign-off i -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: rWEngineering. (1) copy of permit application, (1) site plan, (1) building plan and
oal plan review routing form.
LSYBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
By Building Permit Technician: Date: /0-(09.
Notes:
Engineering Review
Actual Slope: /%
Conditions Satisfied
Notes:
Approved by Engineering: Date: Ve.g.M/Revisions (after Building Submittal o y) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
), F?onditions Met -Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit Approved By: Date: 4 ? /.
I:1Bu i Id ing\Forms\BldgPermitRvw_RE5_040314.docx
i
I iq Y
ipL e-4 5 ,Cevracs
..5t rt.- PC,.¢,.l v;lla-iir
7-41,,--- ..7-,_-_.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9851 SW TAYLOR CT, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
PASS
MST2014-00060
George Heimos
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9851 SW TAYLOR CT, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
FAIL
MST2014-00060
George Heimos
1. Cleanout plug needs approved thread sealant at: outside sanitary sewer. 316.1.1
2. Provide lawn irrigation device approval.
Recall inspection when corrections have been completed.
All else ok.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9851 SW TAYLOR CT, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2014-00060
Jeff Grove
Violation Summary:
Inspector Contractor