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Permit �t CITY OF TIGARD MASTER PERMIT ' • COMMUNITY DEVELOPMENT Permit#: MST2015-00038 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2015 Parcel: 2S 111 CA00600 Jurisdiction: Tigard Site address: 9884 SW SATTLER ST Subdivision: ALDERBROOK FARM Lot: 10 Project: Eater, Lot 1 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1276 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1740 sf Garage: 848 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3016 sf Value: $376,835.08 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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 Tvpes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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 Other: N Other Description: Ecompasing: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3016 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169TH PL,SUITE 1040 16280 NW BETHANY COURT 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-502-6623 PHONE: 503-502-6623 FAX: 503-533-5164 Total Fees: $24,286.59 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 •• - in acco•_ .- 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 • s. ATTENTION: Ore••n - =quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR •52-001-0010 through OAR ••2-001-'r••. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 Issued By: ■ /AU-. ii �.a Permittee Signature: A ` 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 pr• - Approved plans are required on the job site at the time of each inspection. m2 R_uild Permit Applicatio c2 5/I) Ci46c ik Residential FOR OFFICE 1 SI: O\1.1 City of Tigard veD Date/B d 1 V Permit No Date/13 I ji/ %� T 1S` . • 13125 SW Hal(Blvd.,Tigard,ORS e Plan R—�ir' � � Other Permit: Phone: 503.718.2439 Fax: 503. {it6tT 15 Date/ ,/ii, a ,3w ..a – d • _ Inspection Line: 503.639.4175 0 Date Re.. : ® See Page 2 for I R,ARD p Internet: www.tigard or.gov MAR D Notified/Method: M Supplemental Information . - •�L�.ors• . - ...� �;r, - '_ ;',.d.of Permit fees*are based on the value of the work t ®New construction molition Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the • - work indicated on this application. CATEGORY OF CONSI'RITCEION Valuatio . ��)( 7 o ® 1-and 2-family dwelling ❑Commercial/industrial ✓' 1 A-i,\,,..�\ ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: ,3 JOB SUE INFORMATION AND LOc.rTION Total number of floors: •,:).___ Job site address: 9104 5L..) E oA .C' k- New dwelling area: 'r% ( � square feet City/State/ZIP:Tigard,OR Garage/carport area: :C g square feet , Suite/bldg./apt.no.: Project name: 4* , ' r IV/tea_ ; _ -d porch area: ,`� • square feet t; Cross street/directions to job site: Deck area: square feet a-4?L \ Other structure area: -- square feet 2e..) litE0 IMO* L, ii r +sE r' . Subdivision: Lot no.: t 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 w* work indicated on this application. fremi _ Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER 1 0 NY Number of stories: Name:Sage Built Homes LLC Type of construction: Address: 1815 NW 169th Place,Suite 1040 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)5026623 Fax:(503)5335164 New: Q APPLICANT Q CONTACT PERSON 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::( ) E-mail:katie@sagebuilthomesllc.com a tAiC P IIt CONTRACTOR Commercial and residential prescriptive installation of 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. Permit Fee(includes plan review $180.00 City/State/ZIP: and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189330 Total fee due upon application: $201.60 Authorized signature: 4 - This permit application expires if a permit is not obtain, within ISO days after it has been accepted as complel Print name: Katie 'son Date: f 9 ((s' *Fee methodology set by Tri County Building Industry Service Board. 1:\Building\Permits\BUP-RES Perm itApp.doc 02/24/2011 4404613T(I 1/02/COM/WEB) A Elect,i•,ical Perm it pp lication FOR OFFICE USE ONLY Received z City of Tigard r \ '�,�Received : ✓Mgr' Permit#: `� . - , V III = • 13125 SW Hall Blvd.,Tigard,OR 97223�EV V Date/B ie „guns Phone: 503.718.2439 Fax: 503.598.196 L� Date/B : �� Related Permit#: Inspection Line: 503.639.4175 2015 Ready Date/By: 7u ® See Page 2 for V I G n R I) Internet: www.tigard-or.gov MAR 10 Notified/Method: Supplemental Information TYPE OF WORK N? OF'Telt° PLAN REVIEW ON New construction ❑Addition/alteration/rt C DI.1St Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: B ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: I Job site address: • f O e . sw �1 t`�_ ❑Addition of new motor load of system. 100HP or more. ❑system. City/State/ZIP: �(~/ ■ ❑Six or more residential units. occupancy. ty \ /�(� ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: I Lot#: l Includes attached garage. 1,000 sq.ft.or less l 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion b 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) f 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75'00 2 Renewable Energy ❑ See Page 2 Er PROPERTY OWNER 1 El TENANT Services or feeders installation,alteration,and/or relocation Name: 3 B U lo�nn . �� 200 amps or less 1. 100.70 (0 . 2 1 -`� 201 amps to 400 amps 133.56 2 Address:\S, 10(A) 1 62, -k� 401 amps to 600 amps 200.34 2 City/State/ZIP: 'o_aVe_A--cm /Ole, ?70a-(c, 601 amps to 1,000 amps 301.04 2 Phone:(9j 5 ) -6,6,9--`j Fax:( ) Over 1,000 amps or volts 552.26 2 , ,` _ Temporary services or feeders installation,alteration,and/or Email: f 1�,� �v t t�V IC)V,A,2-.s I C.co /"k...._ relocation Owner installation:This installati is eing ade on property that I own which is not 200 amps or less 59.36 1 intended for sale, e ;� or exchange, •"co ding O'S 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature' //40 <r/ P a -. 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel I ,. I ❑ CONTACT PERSON A.Fee for branch circuits with Busines ame- ., S (1 above service or feeder fee, 7.42 2 each branch circuit Conta name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 -Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. _ _ City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%:hr mm) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: L'., /G fr TOTAL PERMIT FEE: � ( This permit application expires if a permit is not obtained within 180 Print name: Ki • , cock_ �-y_. I Date:3} (D / ks days after it has been accepted as complete. I • Number of inspections allowed per permit. I:\Building\Permits\EL _• iApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(I1/05/COM/WEB A Electrical Permit Application—City of Tigard . Page 2—Supplemental Information • Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each 1 Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15,01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr i charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations .\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 — — Mechanical Permit Applicat OI I I( r I ' I t,\I 1 City of Tigard Received Permit No.: Illq 13125 SW Hall Blvd.,Tigard,OR 97223 �� y Ai A a i Plan Review Phone: 503.718.2439 Fax: 503.598.1960 �` Date/13y: Other Permit: I 1 c It n Inspection Line: 503.639.4175 � Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov (0�5 y o Notified/Method:ethod: Supplemental Information % TYPE Car G ` . co utam.*$* s.-r .": QF�``�1s�� Mechanical permit fees'are based on the value of the work. ®New construction ❑Addition/alterati�(te jttectti performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: 8v\\' mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS LEES" ® 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: 0 1 `Jw SccC\�C` Air conditioning I 46.75 Job site address: 1. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 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 Subdivision: Lot no.: 1 Other: 23.32 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 l CI TENANT 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, -. toilet compartments,utility rooms) .4- 23.32 93.28 Phone:(503)5026623 Fax:(503)5335164 Attic/crawlspace fans 1 23.32 23.32 ® APPLICANT ❑ CONTACT ?EDSON Other: 23.32 Fuel piping: Business name:Sage Built Homes LLC $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 Phone:( ) Fax::( ) Fireplace Range l E-mail:katie @sagebuilthomesllc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:The HVAC Team Other: MECHANICAL PERhirrNuts. Address:PO Box 854 Subtotal City/State/ZIP:Sherwood,OR 97140 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.:161198 ....11 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 gn �/� Y days after it has been accepted as complete. Authorized signature: � Y Fee methodology set by Tri-County Building Industry Service Board Print name:Katie P• • on / Date: •,� .. ,., „ __.._ ,..„,,,,_, nnn_AA, n,/M/rnU/Wpnl I r Plumbing Permit Applicat Building Fixtures �+ �eo I OR 011.1( 1 1 �I ON I 1 �` Received ^�p. City of Tigard ReV �0`� Date/By: Permit No.:/}-1 ST�I�`Q0 V cYJ 114 it 13125 SW Hall Blvd.,Tigard,OR 97223 ,1 Q / ` • Phone: 503.718.2439 Fax: 503.598.1 Q Date/By:iew Other Permit No.: I I c i,�I u Inspection Line: 503.639.4175 �F 1\ilk 00 Date Ready/By: funs: ® See Page 2 for Internet: www.tigard-or.gov G� t( 0` Notified/Method: Supplemental Information TTTE OF'WOW FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 312.70 , CATEGORY .1 .!.4,,;:,_.. t ® 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ' 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 - j'p OrpOilAlins. AND LOCATION Site utilities: Job site address: GI g$ Si 1 ` S0�-1 \ems Catch basin or area drain 18.76 Drywell,leach line,e,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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: I Lot no.: ( Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION valve 12.51 S Of W Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 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 1 12.51 12.51 ER APPLICANT 0 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) 12.51 Address:Same as Above Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 2 12.51 25.02 E-mail:katie @sagebuilthomesllc.com Urinal 25.02 Water closet 3 25.02 75.06 CQNI'RA4 FOR 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 CCB Lic.: 102535 A" Ip'1 bing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) rw Authorized signature: ,,,// �r , TOTAL PERMIT FEE Print name: Katie ' 'tt: son / Date:" g ) 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 Tri-County Building Industry Service Board. 1:\Building'Permits\PLMU-PermitAppdoc 10/01/09 440-4616T(10/02/COM/WEB) I Jun 02 2015 1 : 52PM ROSS ELECTRIC INC 5036425815 p. 1 Electrical Permit Application F K .)I I•,t 1:I Ni•:t,NI.1 City of Tigard Received Permit No.: Vv 13125 SW Hall Blvd Tigard,OR 97223 a<_ Phone: 503.639 4 171 Psi: 503.598.1960 ►r limn Feredt: r le:AIto) Inspection Line: 503.639.4175 4 i. IunC g 8.•page]for Internet: www.tigard•or.gov Supph miota'Infuriation > i Y f ►�i t ,Y(d tt S' ? T x f � + t ir,1.,t,tr r •s.::1,!,:.t4,..•... r , fl�i .",i .ly:!! r ,fej ,s' :,1. !�l ii .. , .? ,S,;Mi :iir'i vi ;d. ._x �°.h{t�5s t ,, ►i�: t?,'r'� 0 New construction ❑Addition/alteration/ropladcrhorit '' Plraae check en 1041 spd y avbmu i tell of plans w ikonea so ed below): El service or feeder 400 amps or more 0 Building ova,three uoriu 0 Demolition ❑Other: where the avellable fault current Q Marinas indicant/ludo ',ls Kt '.4,"''.1 IL':' ` ref°'' ' 'tT i°1, dt+,I ,t�4:',arm w '° ,I�;, ,:, i .,.r'•�i(; ....di 10,000 amps ei 170 volte or C)floods,buildings. .� ,(i;..re al.i, I,tl:.. 'h,Ab.l.• �9 1�`7�, Al."11, i La<"[r at: I` ,,1t;,, log to ground,or eneeede 14,000 ❑Commrrolal.uss agrlouitvrol 0 I-and 2-family dwelling ❑Commercial/Industrial • Acaoaaurybuilaing'. amps far another 1uo11adens, building., Q Multi family 0 Master builder ❑Other: ID Firs pump. Clnoninsilonof75KVAIn cti" ttrii;Apt 1 ?�y0tM O Emeryenay s aom. huger te par sbl derived system.gem. ..t t v....: :1.t,, r., . r 9 °H F,i1.i � ��ltti 1le'ii.217 v 1l •s�4.. it Cl Additi on or note moles bad of Q"A"."6","I J•, I•Y:,. lob n0.: Job site address: 10011P a more, occupancy. ❑51x or more roeidential units, 0 Reorwtional which parka. City/State/ZIP: ClHasith•caro bolltsIs 0 Supply volts.ler more thin Q Malodour locations 60D robs oomtnal Suite/bldg./apt no.; I ProJectneme. 0Servloeor feeder 600 amps ormote. )N , Croce street/directions to Job site: °ieki glika1 I,.Kiik.<'f lrgi i0:01.. iA. f"t"�..,7e ,w..f,d n a,en Qtr. Pm 7rn1 New realdenlia!single-or multi-family dwelling unit. [deludes attached garage. Subdivision: 1 Lot no,: 1,000 4.11.or leas 165.54 4 El.ad VI 500 es.ft.or portion 33.92 1 Cox map/pared no,; ±�,� Limited energy,rettdentiel rcx,;;f MIrtge 3(D;,, ri. iili a f"21lt),I..1 vr,rrrr. FAIP ''Fi4:bt__C:. ✓: q 67.84 2 '{;fC; ih �i i,vllt •+ti 't'.,.r: LuIIJ +ro?,. a , JS 1'4':.i7�Z'U�t^:Jl:' 4:ti:}� {�: {withebowa $.j Limited energy,multi-firmly 67.04 2 residential(wItte shave sq.ft.) Services or feeders In,tallationtilteraiton,sod/or relocation y.,ta �, a, r,r;:+ ,. 200 amps or less rr • 100,70 2 I�,'L t >,lyi 14 :e, u i 111:1 f; i0.1Ill"W�'drili'' t;;�'14 (s.t:;: t(� ` a Jl 4to�li:,;'1A't; .4 �+4 i' IdFfr.` ;4sl+i r� T3v'°pd k,r9 P?tom ;f�ths�lfkSlil1 201 amps l0 400 amps 133,36 s Name: - ,, ' , - . . 401 amps to 600 amp, 200,34 _ 2 601 amps to 1,000 amps 301,04 2 addreca: 1 ,Y Over 1,000 amps of vole 552.26 2 City/State/ZIP: ,, Temporary services or feeders InNallaUon,'lteration,and/or retaliation Phone:( 1 Fax:( ) 200 amps or late 59.36 1 -Owner initellationt This installation Is being made on property that I own which Is not 201 amps to 400 amp, 125,05 2 Intended for sale,lease,rent,or exchange,according to Olis 447,449,670,and 701. 401 imps to 599 amps 168.14 2 Branchrireulls—note alterallonlorextension,per panel Owner signature Data l Q A,Fee for branch circuits with 41 t M HI,s t3f fi '! Ml i "� "r ;1 i"e 1% t ut % above eorvca or Feeder fee, each branch circuit 7.42 3 Business name. _, - , , B.Fee for branch,:irouilg without service or loader the, 5615 3 Contact name: - lint branch circuit Address; Each add'i bri,noh circuit 7.42 _ 2 Moeller;eous City/State/ZIP: Bach m (Nerviest snufoturcd ormodular feeder not leduded) a dwelling,service and/lit feeder 67.54 2 Phone:(. )." , ,, Fax; ( ) Reconnect only 67.54 2 E-mill: _. • rt' ,-,, _ ti I, '-'',/,.-1,_ r`,- Pump or Irrigation circle 67,54 2 IfiX '".5'' lfi 41 ie ll Y 'V-'oft4ii'ai`1 �_t..!. .1't't•'L i(4451 ti':r,r'� `it'.tilitt ..•Yr t ~5 I or ouglno Iightlnt 57,64 2 Signal cirvuit(s)or limited- Business name:Ross Electric,Inc energy panel,alteration,or Address.2810 SE 750"Aye,M 103 extension.Describe: Faye 2 2 City/Stalo/ZIP:Hillsboro,Or 97123 Each addlttossl Iatpection over allowable In a or the above Per Inspection 66.25 Phone:(503)642-2800 Fax:(503)641.5815 Investigation per hour it hr tarn) 66.25 CCB Lic.: 157891 1 Electrical Lic.: 34.436 Suprv.Lo, 42325 Industrial Ian,per hour 75,18 : Lille--",. °-i #:?t6.'liia .; ri t`1J . ,iii', "'�r'"e'•` "Suprv. Electrician signature,required: . / Subtotal: Plan review(25%of pcnnit foe): Print name: Stephen Ross Data: 2/8/2010 Stale surcharge(12%ofpennit Its): Authorized signature. TOTAL PERM1T FEB. ' This permit sppUcattao mini era permit Is oot obtslnrd vitals 110 Print name: , Date:r`; day■slier It hoe bees steeped et complete. • Number ofinepeetloas allowed perpermn, t:uau00,Nwermlul5LC•MnnaAOp.doe I0/01M9 He-441 iii 1lted/C0AVW8a City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT . •s T I G A R D Building Permit Review — Residential Building Permit #: fr/57--,26i5--.....c.03-.?s' Site Address: <3187 -i iFs- 3 a , Project Name: 5 u 8c4 i 1 t rx n Ht.c Lot #: (New welling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: c■ cLivevrisak, f3 Lik I ct iNn eel m 1 A I- q8S4 SW Sc++.«r /El Verify site address/suite #exists and active in permit system. Site Plan Elements: ,2Three(3)copies of site plan sting structures on site IZSite plan must he on 8-1/2"x 11"or 11 x 17"paper pFootprint of new structure(including decks)with finished /171Drawn to scale(standard architect or engineer scale) floor elevations North arrow 0 i S+` d. 3/10 ZUtility locations(required for new,may apply for additions) 4 address,project or subdivision name and lot number $Location of wells/septic systems Illt■Fpplicant information(name and phone number) grosion control(including drainage-way protection,silt fence p,ot dimensions and building setback dimensions design,location of catch basin,etc.) 1Lot area,building coverage area ercentage of coverage and Al treet names 1-B D impervious area(applicable i ,R-12,R-25&R-40) 'fSireet tree size,type and location u-Property corner elevations(2 foot contour lines if more than BZJxisting trees to be retained with drip line,and tree 4 foot differential) protection measures Zr Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 01 No Received: ❑ Yes ❑ No -El—Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: LL A 2,i3V -00004 4 t-edf" • Zoning: R-'j 7 Setbacks: Front ` 5 Rear ( 5 Side 5 Street Side ' O Garage ZA • Landscape Requirement: 2.-0 % 1- 10-4 Lot Coverage Maximum: ,60 uilding Height: Maximum Height 3 S Actual Height Ni rk/Visual Clearance Easements r41c2 Sensitive Lands: ❑ Yes X No Type YJ Urban Forestry Plan O Conditions Met Notes: Approved By Planning: /11 0 ell-C 3 +/o ci-2. - Date: 3/ I 0 / 1 S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Bui lding\Forms\BldgPennitRvw_RES_020415.docx Building Permit Submittal Original Submittal Date: 3/10//5— Site Plans: # 3 Building Plans: L�nte Building Permit#: r building permit#above. Workflow Routing: E Iiianning 3-Engineering Ctie'Coordinator n-BMing Workflow Sign-off: "Sgn-off for Planning(include notes from planning review) Route Application Documents: gineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ding: original permit application, site plans,building plans,engineer and beam calculations and trust details, if applicable,etc. Notes: By Permit Technician: ,"*1 " Date: 3/////5-- Engineering Review Actual Slope: rt.,,...r. ❑'Conditions Met .04- (74-1 C�Easements (encroachments) d O 0'4.S 6^^e."!'s 0"rS r 's5) ElWater Quality/Quantity Facility: �/ Assess Water Quality Fee: L7 Yes El No Assess Water Quantity Fee: EYes ❑ No /NOT Approved by Engineering: Date: 3 , j ! 5 Notes: N e•GI P F Z 1 6,QEI) i d e 'TO et 4. 17 A.1 0 t-i6-,ti, tsr.,.rs I,< PEE Approved by Engineering: Date: ��.Z 20 /S-vat/i6 Revisions (after B ilding Submittal only) 47" Revie AVIS- Revision Revision 1: Approved ❑ Not Approved � .4 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit ❑ Approved,NOT Released: Date: Notes: / 4 .4 sv z A • 3/i 4)) S ti�aV 94 Syr!? 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: /V- OK to Issue Permit ',./- Approved by Permit Coordinator: , / Date: '4172:1;S l:\Building Torrns\BI dgPermitRvw_RES_020415.docx 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00038 George Heimos 1. Provide ﬁnal approval for permit PLM 2015-00281 2. Provide ﬁnal approval for permit PLM 2015-00137 3. Provide Permit for lawn irrigation system 4. Provide cleanout plug and cap for outside sanitary sewer 5. Stopped inspecting, too many corrections, recall when building has been gone thru and checked 6. Recall when corrections have been completed. 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00038 George Heimos 1. 1/2 bath fan not working 2. Recall 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00038 David Young Single outlet in garage to be labeled non gfci protected. 210.8 Dual outlet in laundry to be gfci protected or changed to single labeled non gfci protected. 210.8 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00038 David Young 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00038 David Young Post address on house for ﬁnal inspections. Kitchen outlet left side of range not working. Outlets left side of refrigerator not working. Not ready for electrical 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 310 Crawl drain FAIL MST2015-00038 David Young No one on site to provide pictures or verify crawl drain installation and connection. 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00038 David Young Provide plumbing ﬁnals for all open permits. Provide approved crawl drain inspection. Provide planners approval for ﬁnal inspection ok for driveway not complete. No hard surface. Finish landing, stairs, and railing in garage. 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS September 16, 2015 at 3:50:23 PM MST2015-00038 David Young Corrections 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00038 George Heimos 1. Provide site plumbing approval. PLM2015-00137 2. Provide building plumbing approval 3. Recall above corrections when completed NOTE did not take documentation. NOTE ALL else ok *Final Erosion Control approval. Passed *Street Tree Certiﬁcation, checked for tree(s). Not Received, signed/dated *High-Efﬁciency Interior Lighting Systems Document Not Received *Moisture Content Acknowledgement Form. Not Received *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval (if required). Not required *Carbon monoxide Detector. Checked. *Garage Vehicle Barrier Installed. Yes 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00038 George Heimos 1. Caulking required on ﬁxture(s) at: kitchen sink. 310.3/407.2 2. Earthquake straps for water heater, install washers each strap, top and bottom. 507.1/ (Plbg Code Interp 08/12/05 3. Protect from freezing water heater piping up to water ﬂexes. 313.5 4. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00038 David Young Inspection 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00038 George Heimos NOTE 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00038 David Young Corrections from previous ﬁnal inspection completed. Final erosion control approved. Duct seal test report checked. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. C of O available at City of Tigard permit center. 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2015-00038 George Heimos *Heating duct pressure test document required for duct work in crawl space (Radon Gas requirement. 100cfm@50pa pascals pa.), Not Received *Final Erosion Control approval. Not Received *Street Tree Certiﬁcation, checked for tree(s). Not Received *High-Efﬁciency Interior Lighting Systems Document. Not Received *Moisture Content Acknowledgement Form. Not Received Did not take Documentation All else checked ok *Insulation Certiﬁcation checked. Checked *Carbon monoxide Detector. Checked. *Garage Vehicle Barrier Installed. Yes *Lawn Irrigation ﬁnal with Backﬂow test results. Received 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00038 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 9884 SW SATTLER ST, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00038 David Young Add lawn irrigation back ﬂow devise to permit and provide approved inspection and test report. Provide corrections as noted on previous plumbing inspection. No inspection made. Violation Summary: Inspector Contractor