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Permit
r, CITY OF TIGARD MASTER PERMIT 1111 11 - COMMUNITY DEVELOPMENT Permit#: MST2015-00044 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2015 TIGARD Parcel: 25111 CA00500 Jurisdiction: Tigard Site address: 9888 SW SATTLER ST Subdivision: ALDERBROOK FARM Lot: 10 Project: Sattler, Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1295 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1601 sf Garage: 870 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2896 sf Value: $365,231.70 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Drywell-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 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 2896 Owner: Contractor: PHOENIX REDEVELOPMENT INC SAGE BUILT HOMES Required Items and Reports(Conditions) 516 SE MORRISON ST,STE 700 16280 NW BETHANY COURT 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97214 BEAVERTON,OR 97006 PHONE: PHONE: 503-502-6623 FAX: 503-533-5164 Total Fees: $23,453.69 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 Notifica Center. T •se rules are set forth in OAR 952-001-0010 through e'R 9 -0090 You may obtain a copy of the rules or direct questions to OUNC by c2•lin•. .03' 2.1987 o!1.811.332 a •4. Issued By: Signature: `7 L� Permittee Si nature: I��!�! .`�I /i Call 503.639.4175 by 7:00 a.m.for the next available inspec o .at, This permit card shall be kept in a conspicuous place on the job site un' co pletion of the ∎roject. Approved plans are required on the job site at the time of e. inspection. Building Permit Applicatio Residential FOR OFFICE USE ONLY City of Tigard RECEIVED Received , ' Permit No/I / seeryy • 13125 SW Hall Blvd.,Tigard,OR 97223 p Plan Revi (� Othe, d�2o�.5-_d)03� = Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 3 2015 Date/By: %r/ Inspection Line: 503.639.4175 Date Re..y : : f Juris. IN See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: 4l645 ;r 77 Supplemental Information BUILDING DIVISION o lid ll./I TYPE OF WORK REQUIRED DATA:1-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. Valuation: 15 231.7 t ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Number of bedrooms: Li ❑Multi-family ❑ Master builder 0 Other: Number of bathrooms: ,S JOB SITE INFORMATION AND LOCATION Total number of floors: a Job site address:C '2 `- mac' New dwelling area:,gc7(, square feet City/State/ZIP:Tigard,OR Garage/carport area: .570 square feet Suite/bldg./apt.no.: Project name: c9.5 `` \C V f Covered porch area: (O 0 square feet (610( Cross street/directions to job site: Deck area: square feet t296 Other structure area: 37 Lk, square feet 24. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ` \e„,r Lot no.: �___. Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: 5 "-T - 16Y\.... Existing building area: square feet New building area: square feet ID PROPERTY OWNER ❑ TENANT Number of stories: Name:Sage Built Homes LLC Type of construction: Address: 1815 NW 169`h Place,Suite 1040 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)5026623 Fax:(503)5335164 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Sage Built Homes LLC Structural plan review fee(or deposit): Contact name:Katie Patterson FLS plan review fee(if applicable): Address:Same as above Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:katie(sagebuilthomesllc.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business name:Sage Built Homes LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:Same as Above Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 189330 Total fee due upon application: $201.60 / Authorized signature: �,/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Katie ' t ' on P ' Date:3/ l *Fee methodology set by Tr-County Building Industry Service Board. L\Building\Permits\BUP-RESPerrnitApp.doc 02/24/2011 4404613T(1 1/02/COM/WEB) 10: 15RM ROG-- ELECTRIC INC 5036425815 p• 1 e Electrical Permit Applicatit CEIVED "014(11•+1(14 t!til:ONLY City Tigard Rcoelnd t} of g an 2015 D'Ir/B Pinsk No /Ls 0// ikil.... . 1 3125 SW Hell Blvd.,Tigard,OR 9722 AR 2 3 Plea Review - Phone: 503.639.4171 Pax, 503.598.1960 Date/B : Oche Paten: Inspection Line: 503,639,4175 CITY OF TIGARD Data Ile • /Ey: 1Lnc Iii See Psge2 for rt,:,tu1a rDIVISIOr.FNouEedimaIDod: w x@ .y ISupplementalInfo,matian , Interne:: www dgerd•or.gav 8 ■ ;\ �f r. rw�ti t. ,^ Jt�7: "r ei i r 1 },r �I .,f;7 w r"el tpe7.i-y r.k.y,.e (!pA� +P 't r t 1;1,4 �) f a t'I err.u% Fi.1 s,:1rViii r::471.t r.)4W e�:J4 K 1 S .`+F.14:11,...a.5..1.7.4.4.t.,.,,:4:4 1,:4.V+'.1:M ...il .. .'d:.']:'IS'�i�t��' ••Teb•4�rL:A:?,r i4.4:�J1:1xN ,w.+ �y.•L'. Ira New Construction ❑Addition/alteration/replacement Mona a that apply(eubmlt 1 sots of plans whtama chae.ad b otv)• ❑Scrvioe or O,ed.r 400 amps or more ❑9wldiog ovw slum Nora. ❑Demol ItIon ❑Other: where d,e evadable Ault owront ❑Merin.'and boatyard,. ,1 :c;) '+-"1t ' r ,,i,i Teen' t,i7; '�Tf °Mry�"llvi"re- 'ill.�r aci-v: I' t i-,f ,:• ti i :: euoesda 10,000 grope 01150 volts or ❑Plotting buildinp. t„ •Y• ,. 9.1 ,:;„��;�a�f:s}s :mor3�sou at ,'� � .;- � .c�� e -?4•,,A... Iota to around.or exceeds 14.000 ❑Coenmarelal.uae sgriouhurel ei 1- and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all odic installation& buildings. ❑ MultI•famil ❑ Master builder ❑Other: ❑Fire pump, ❑lneulladoa or 75 KVA or f,�jt'1�ai��{lj���,���Il� ;" A,■•,{..cr r,r�4, . r��-rrUri�•n .tPt�';Yn' }•aa�*;^, 'le•'Yt"' *.w..m; 0Emwaencysystem, larger ssparsulyderivedsystem, 7�'IA 4'F'Ml�Rrf ''lit �rt'N,i�' i r�,t• •7 fir,ggo �t 1'* -1 r,t1Mrt sty if41 't Add, vn orncw rooror load of "A""S",'1.1Iy derived , .to n. .1,rol. 11 a1R,ottA.11 1 1•°:1164 Jr,.v1■n, rAek•.•M ,..1 Ilf',..� .,4;n/:'' ❑ ❑ laDFO'or tnoro. 6aupaacy. Job no.: Job alto address: �� `�� ❑Six or more residential unlit ❑ReoroNloaol vehicle Arks, Cl t /Stale/ZIP -C la�r ,e C V(--- 1 - 3 ❑Health-we fa ❑Harardo is locations. ❑Supply whop hr room teen 600 volts nominal Suite/bldg./apt.no.: Protect name: ❑9ervlaeor Bader 600 amps or'non • . ' t1 Lrl 'r.c t tN'' .1 j f C Cross strccl/dlrectton,toJobsite: in re-. . •T'1 !'2 IiikAtrl • New realdentlal single-or mull!-fatally dwelling unit, ,, / Includes attached garage, Subdivision: it ��-( Lot no.:�_ 1,000 aq.ft.or leas i 168 54 4 Ea.add'I 500 so.A.et portion -�- 33.92 1 Tax trap/parcel no.: Llmilled energy,residential q Irli t r t ..ran t'G�• .! •v,,..n 9a,„fy:tp�r r'm 4'^'tt . a.i c�.--•q I 7!7.ct 2 yL�Kerr a8, lien;�'t,�tl�•,all,'�!�.e:-�}a�rette.• .I,� ti6 � _��i�• �;r�:,n:..�x (w{ehaboneq,ll) 1 .n,,•,r,• .-,.�,� AJ.). a.l:w.l.,h,, :x."-...e.:J.r«uw.a •-•= Limited energy,multi-family residential(with above as.ft) 67.84 2 Services or feeders Ins talls^ alteradon,end/or Macedon 200 amps or less , 100.70 2 K 5�! > ay v,--tn•, 4:tilit . :t1 v 1:iiii:!r„04 h°k 1Jr u> Ii,i : r rth t rh ;, ..- -:ii:t:,w .. 201 amps 1C 400 sags 137.56 2 Name: 5 e- 22 V Ac-- Q _,.. u(� 401 amps to 600 es-nos 200.34 2 1 601 amps to 1,000 a nps 301.04 � 2 Wddross: 4 _ �y •I •e 0 1e- ' • dill Over 1,000 amps Or volts , 552.26 1 2• City/State/ZIP:` -Ct\p.....e-k-0,0i.Cne___ 9 zap Co Temporary services or feeders Installation,alteration,and/or j relocation _ Phone:�) 02- 669 3 Pax:($j )53 3..5/b y 200 amps or less 59.36 1 1 Owner Installation:This Installation Is Is- m --on property that I own which is not 201 amps to 400 amps 125.06 2 intended for sale,I exe,.n•, oral '• .• ORS 447,449,670,and 701. 401 amps to 599 amps 168.S4 _ 2 _/� al,, Branch circuits-newl alteration,or nttenhloo,ger panel Owner signature: �� �'� Dale: A.Fee ler branch circuits with 70111 .,en} w�ti,,1 '.' i). "gar..V. i{,l� d 4:, , P±dl 1 v'rs • r i ,t ,�'4'al.R Jiv Li PrF above service or feeder foe, r,ttini'.yl �s`r,titt_IL '.r �).yl.ia ter �ukS1, u ���lla.w, �� � :.. � '.r? "'t� each brencttcircuit 7.42 2 Business name: (y4...... C7.SC�`i,` - B.Fee far branch circuits wlrhour service or feeder foe, 56.tg 2 Contact name: �a e 0. G es(7,(1 first branch circuit - Address: Each Niel branch circuit 7.42 2 Mtueellaneous(aervioe or feeder not Included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:( ) J Pox::( ) Reconnect only _ 67.84 2 E-mail: 0.-m 4�,� a , ( �1 th 4 *AAA Pump or Irrigation circle 67.64 2 g e'.A 1 w1+,AfMU•J� '�1 ,p �:1 't'r, a ;, Stgn or outiino lighting 67.84 2 G."r.:P.6a a`:,iIN J,tr.�l�,,_.t.'•rP'..''JI��4��.5{A°,C�:�A.In, tt.��.r,:�l i.�Na;,.l,.�:va� .,,. :,. .rr:•..,�;a° Business name: Ross Electric, Inc Signal panel.a)er tion.etd- energy panel.alteration.or Address:2870 SE 7 31 Ave,N 203 extension.Describe: Page 2 2 City/State/ZIP:Hillsboro,Or 97123 Each additional Inspection over allowable le se of the above Per Inspection 66.25 I Phone: (503)642.2800 Fax:(503)642-5815 Investigation per hour(I N.ten+) 66.25 CCB Lic.: 157691 Eleotrloal Lie„ 34-436C Suprv, Lie.: 42328 Industries lent hour 75 )8 :I.T v2r�K os'i rI t$..'s.i. .fi 1. .. rf J .- .y a.,l, .»41,:ir. Suprv. Electrician signature,required:j 7 1 , Subtotal.. I Date 2!8/2010 Plan review(25%ofpermit fee). i -Print name: Stephen Ro s State euroherge(12%or Am): Authorized signature: 1 / ( TOTAL PERMIT FEE: 1 3/^.� I This permit epistles to su the spin,If■r pond Is trot obtained within IRO Print name; K e�� p( DRS OL days ails?It has bean exacted as complete. 1 ' Numbs of impectiona allowed per permit. I.tEuildlnthtmliddLC•PerslIApo.bs 10!0000 44•41IJT(1I/O5IVOMAVEN Mechanical Permit Applicat RECEIVED Received OFFICE USE ONLY - City of Tigard Date/By: Permit nit ��`� 6y y lig 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 3 2015 Pan Re Other Permit: FIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: C4S S S g�� ALkk e_c- Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: -TN �f Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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 Subdivise.--c- Lot no.: Other: 23.32 n e.--c- Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 66.78 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 ® PROPERTY OWNER ©,ANT Other: 23.32 Environmental exhaust and ventilation: Name:Sage Built Homes LC Range hood/other kitchen equipment 1 33.39 33.39 Address: 1815 NW 169th Place,Suite 1040 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Beaverton,OR 97006 Single-duct exhaust(bathrooms, ��ii toilet compartments,utility rooms) "J 23.32 93.28 Phone:(503)5026623 Fax:(503)5335164 Attic/crawlspace fans I 23.32 23.32 ,_ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Sage Built Homes LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Katie Patterson Furnace,etc. 1 Address:Same as Above Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater I Phone:( ) Fax::( ) Fireplace 1 Range l E-mail:katie @sagebuilthomesllc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:The IIVAC Team Other: MECHANICAL PERMIT PEES* Address:PO Box 854 Subtotal City/State/ZIP:Sherwood,OR 97140 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: 161198 ' / TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 III days after it has been accepted as complete. Authorized signature: PTO NI �� * Fee methodology set by Tri-County Building Industry Service Board Print name: Katie P -on / Date J/9 I I o..:u:..........:..,..cr o......:.,..., 1401 i,a.... den_rAurr riimweNUnvrns • Plum''1bin2 Permit Applicat RECEIVED Building Fixtures FOR OFFICE USE ON I 1 2015 Received �p/S-614991. City of Tigard MAR 2 3 Permit N lig ■ 13125 SW Hall Blvd.,Tigard,OR 97223 - Plan Review i Phone: 503.718.2439 Fax: 503.5011YOF TIGARD Date/By: Other Permit No.: I IGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: Juris: ® See Page 2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New 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(I)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑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: Job site address: Catch basin or area drain 18.76 � z G v vv ` � � Drywell,leach line,or trench drain 18.76 City/State/ZIP: , ., ro_.. ` cpet____ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 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: c-f l Lot no.: •9 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK 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 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Sage Built Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1815 NW 169th Place,Suite 1040 Garbage disposal 1 25.02 25.02 City/State/ZIP:Beaverton,OR 97006 Hose bib 2 ; 25.02 50.04 Phone:(503)5026623 Fax:(503)5335164 Ice maker I 12.51 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Sage Built Homes LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Katie Patterson Roof drain(commercial) , 1 12.51 Address:Same as Above Sink/basin/lavatory (/Q1 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:katie@sagebuilthomesllc.com Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater 1 37.52 37.52 Business name: Malmedal Plumbing Water piping/DWV 56.29 Address: PO Box 207 Other: 25.02 City/State/ZIP: Banks,OR Subtotal Phone:(503)3109795 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:102535 ���iii .1 bing Lic.no.: ,%, -�(p P� State surcharge(12%of permit fee) Authorized signature: , , f' j TOTAL PERMIT FEE Print name:Katie tt on / Date' /93)` S This permit application expires if a permit is not obtained within 180 days / after it has been accepted as complete. "Fee methodology set by Tn-County Building Industry Service Board. 1.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT . s T I G n R D Building Permit Review — Residential i5, Building Permit #: /11STa20/..5""—oele 9 Site Address: 98853 s SccH-t e r Project Name: N/A S,9-77 LE2._ Lot #: ad (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N e Sf S . L Verify site address/suite #exists and active in permit system. fd� River Terrace Plan District: ❑ Yes ❑ No !Site Plan Elements: JS'Three(3)copies of site plan Existing structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Irawn to scale(standard architect or engineer scale) floor elevations I JNorth arrow . t Jtility locations(required for new,may apply for additions) aSite address,project or subdivision name and lot number cation of wells/septic systems ['Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence knot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and !$Street names impervious area(applicable if R-7,R-12,R-25&R-40) Jtreet tree size,type and location It543roperty corner elevations(2 foot contour lines if more than ,Existing trees to be retained with drip line,and tree 4 foot differential) protection measures C-Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 134'No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: (_1_i4 o)O k 4 — Ucxo S 4 IX Zoning: R - 7 Setbacks: Front i5 Rear 15 Side `j Street Side i 0 Garage ,;t,a a Landscape Requirement: s % � I 4" of Coverage Maximum: , c.) % C! l� Building Height: Maximum Height 35 Actual Height Nog- Visual Clearance RI Easements Sensitive Lands: ❑ Yes No Type JZ Urban Forestry Plan gConditions Met Notes: Approved By Planning: eiti4 a Date: 3 - a 3 —lS Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw_RES_020415.docx • Building Permit Submittal Original Submittal Date: 3/.3`/S Site Plans: # 3 Building Plans: # 3 Building Permit#: fa-Inter building permit#above. Workflow Routing: Manning Engineering ®'Permit Coordinator t—Building Workflow Sign-off: 2"-Sign-off for Planning(include notes from planning review) Route Application Documents: .Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ��original plan review routing form. L=1 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 3/23//5 Engineering Review Actual Slope: `A ❑ Conditions Met Easements (encroachments) ju PV 8 L.I L T60,46.4.----es o7v GI --5 ❑ Water Quality/Quantity Facility: Cratays pettivibg "P 4,0ao..) Assess Water Quality Fee: ❑ Yes ❑ No Assess Water Quantity Fee: ❑ Yes ❑ No,/ -* NOT Approved by Engineering: lie.)( 44– Date: 3 4.40/IC Notes: ME,G ?F loyti(b PIso 70 i/let,/N4 . Nt-a Pquie_. filsr�.�4.477 Pt24 on. 7a PP/. PL 9-a 1 01A'4+',4 -L . ( aiTy fergidt. PAM.).)S-1) b'c 7)04>C4.4 fez..) Approved by Engineering: — Date: IF p7 y0 —0 ov 2.to .s= FOR OFFICE USE ONLY—SITE ADDRESS: 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 a Transmittal Letter II I i.,,\k I> 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Al/fl DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAR 3 0 2015 FROM: / ✓k �L,7`)',e_4■. CITY OF TIGARD �J� BUILDING DIVISION COMPANY: �l�f1C,r CdNcS�if ✓ i _n/c. PHONE: ($ci3) 65?"--(:),;(:U ✓ By:.7 RE: 1 4W set7'�je.,_._St' / 7.5-T bl.-- e.Mity (Site ddress) (Permit um er) 5q7 , l d 7Lo& (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS:_ Copies: I Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. 4/Floor/roof framing. Basement and retaining walls. Beam calculations. ngineer's calculations. Other(explain): REMARKS: FOR O FI E USE ONLY Routed to Permit Technician: Date: 4(b �--) Initial Fees Due: ❑ Yes E 10 Fee Description: Amount ue $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2015-00044 David Young Corrections complete. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final FAIL MST2015-00044 David Young No water pressure in hot side at lower level bathroom. Add 1 lav, and 1 laundry tray not listed on permit. cleanout plug needs approved thread sealant at: 316.1.1l,, Provide approved final inspections for all open plumbing permits at this address. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final FAIL October 30, 2015 at 12:28:12 PM MST2015-00044 David Young Finish installing protection bollards in garage. Seal all ceiling penetrations in garage. Remove screen from dryer vent. M1502 Cap and label length of dryer vent per code. M1502.4 No ac installed at time of final inspection. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final FAIL MST2015-00044 David Young Provide approved plumbing finals for all open plumbing permits as noted on previous failed plumbing final. PLM 2015-00366, PLM 2015-00138. Add additional lav and laundry tray to plumbing permit not listed on approved plans as noted on previous failed plumbing final. Re inspect fee to be applied if not corrected by next inspection. Correction for no water pressure hot side of lower level bath not done. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00044 David Young Corrections for plumbing final inspection not done as noted on previous failed final inspection. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS MST2015-00044 David Young Corrections complete. Note: no ac installed at time of final inspection, permits and inspections required at time of installation. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 330 Water service PASS MST2015-00044 David Young Cancelled by contractor. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00044 David Young Final inspections for open PLM permits PLM 2015-00138, PLM 2015-00366 not done as noted on previous failed inspections dated 10/30/15 and 11/4/15. Extra lav and laundry tray not added to permit, fixtures not on approved plans. As noted on previous failed inspections. Inspection cancelled by contractor, not able to schedule other finals on line. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final FAIL MST2015-00044 David Young Final inspections for open PLM permits PLM 2015-00138, PLM 2015-00366 not done as noted on previous failed inspections dated 10/30/15 and 11/4/15. Extra lav and laundry tray not added to permit, fixtures not on approved plans. As noted on previous failed inspections. Cancelled by contractor, could not schedule on line. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00044 David Young Corrections complete. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Duct seal report checked. C of O left with contractor. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS MST2015-00044 David Young Correction for hot water at lower level lav complete. Fixtures to be added before final inspection as noted on previous failed inspection. Will check at final inspection. 1 lav, 1 laundry tray. 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 9888 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS MST2015-00044 David Young 1" Wilkins model 350, serial number A489807. Violation Summary: Inspector Contractor