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Permit ..- 41 CITY OF TIGARD t .. MASTER PERMIT ''1 2 COMMUNITY DEVELOPMENT 17/ Permit#: MST2015-00112 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 9753 SW ASHWOOD ST Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood Estates, Lot 2 Project Description: New SF. 4/4/16, REPRINTED to add a/c BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1347 sf Garage: 689 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2545 sf Value: $321,359.36 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 2545 Owner: Contractor: LF 4 LLC JTSC LLC Required Items and Reports(Conditions) 9700 SW FREWING ST 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 LAKE OSWEGO,OR 97035 PHONE PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $22,668.54 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. ATTE ••• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0, 0 through •AR 95 0001-1090. Youmay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued : . _4. = — / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03131/2016 09:40 VergePointe fAX)5036840102 P.003/004 iviveuii11J( m rmuslin/Wilia.at'Atm City of Tigard C��QDtt""latelEy; it/w II/4' tNIsaltHe' /6191,/lam 114 q 1312.9 SW Nall Blvd.,Tigard,QR;C Other Parte 1 Phone; 303,718,24$9 Fax; 303, RMo/l}y: 'i.i u r�;�L i lnspeatlo"Dille 903,639,4175 IDato /Bye >u lz($et rap 2 kr Internet: www,tIgard•or,gov MAR 31 2016 NQ(thud; Supplemental Womack - Co14MIlt(lt4RCia�I.FEES SCEilliDtl g CHECK=TYPE "l:i�• , ■ ! Meohameat parnuq cos aro ed 911 the value of the work Q New con`. ruet[on «QIddition/,• .. ;tion/replacement performed.lndoate the value(rounded to the nearest dollar)of all []Demolition Q Other: mechanical materiials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION 1DENTIAL EQUIPMENT l SWI'EM&?EES Ill4 and 2.k ciIIy dwelling Q CcurunercieUmdustdal Q Accessory btr[lding For:pedal hdwmadon nese c1Yedkllsr, Q Mu[ti-lhrnily Q Master builder O Other: Description _ [gra'. 1 se• I Total- JOE WE INIVRMA.x1ON AND LOCATIONReatin Air conditioning t - 46.75 Job ate addrele: 41153 3l4D1 A 31 W 00 QS 7 ,Furnace 100,000 BTt1(daotsfveats) 46.75 City/State/zip: Ti GA RD . 0 R 47 4.13 Furnace IQO,OOD+ETU(duCWYeats) . 54.91 _- 61.06 Suite/bldgJapt.no.: I Film"we' A S N WOO 0 ESTATE S lied a 23.32 CMS street/directions to Job site: lirdronlo hot water ayoteart 23.32 Residential holier(radiator or F REwAI.0 S on Unit heaters(f>el ape,got trlo� 23,32 In wall,in- l flusnauded,eto. 46.7 F1ue/41of above 2332 Other23 32 Subdivialon Lot Kw Other that appliances: Water heater _ 2332 Tax>,nap/parcel ao. Oas fireplace/insert33.39 - DESCRIPTION OF WO Flue vent for water heater or gas AIR GOND 1T 1 OM I 14 G #ireplece - 23.32 Get Int Inter(gas) 23.32 - (�}n-� .TU K5i Wood/pellet stove 33.39 Wood fireplace/M=4 23.32 Chimney/li. •ilue/vent 23.32 Other: 23.32 RiPROPERY X OWNER T Q TENANT __- Environmental exhaust and vcatUattont Name; � iF LLC Range hood/other kitchen eagedplrtgnt 33.39 Address: 53415 HEAo s RD s �hill Clothes dryer exhaust 33.39 City/State/ZIP: WAYEA 1�` � 4.O& 41 Q toilet compartments,utilityrooms) 23.32 Phone;( (/51 .340 3, Fax:( ) Attic/crawlspam funs 23.32 (VAPPLICA .NT. 0 CONTACT..PERSON.... ter: 23.32 Fuel pining: Business name: 31* s G i U.C $14.15 ter drat four;$4.03 for eachaddtttaral Contact name: 3'E K.0 ol's Y kthntace.etc Address; 51 a 5 _pEeo of as RD sn Ih 1 _ W heat pump edrutrit treater City/State/ZIP: a U _ a 0' - i Water heater _ Phone:SOS 451-1640a Fax::( ) ' Fireplace Range 1T-mail: ?OTCY gle 'TISK ITWCO COM_ Barbecue _. CONTRACTOR Clothes dryer(gas) _ • Business nem dr N1 Qoa.1 T y MR It C Other - MEG1lAN1CAL PERMIT FEES* Address; 11301 SW MAPLE L,ANc' S'TF 540 _ Subtotal - City/StatetZIP: P .T%4$0 10 R q 13. 4Minimum permit fee($90.00) Plan review(2594 of permit fee) Phone:(5 OS SA, ..S W 4% Fax:( ) State surcharge(12%of permit fro) CCB Iia:3 0 3 sq,qTOTAL PE1tMIT FEE f 9?.a This permit application expires if a permit is not obtained within 180 days after tt has been accepted as amplete. Authorized signature: ' Pee methodology set by Tri-Couaty Mal Ind°wy Service Board Print names 7(;)IA 1,1 W AA Pate: 3 b 1 , I V I:BulldireaailoMBC�PaenNApp 0401,1 ,dee 440-e617T(11i02/COMN/88) y n CITY OF TIGARD MASTER PERMIT '` • I COMMUNITY DEVELOPMENT Permit#: MST2015 00112 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 9753 SW ASHWOOD ST Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood Estates, Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1347 sf Garage: 689 sf Front: 20 Smoke Detectors: Yes Dwelling Units: 1 Third: 0 sf Right: 5 Total: 2545 sf Value: $321,359.36 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 Healers: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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 Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 2545 Owner: Contractor: LF 4 LLC JTSC LLC Required Items and Reports(Conditions) 9700 SW FREWING ST 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $22,571.18 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. ATTE •.• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-'•10 through••R 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. Issue, By: / �a Permittee Signature: J¢— Call 503.639.4175 by 7:00 a.m.for the next available inspection da This permit card shall be kept in a conspicuous place on the job site until compl of the project. Approved plans are required on the job site at the time of each inspection. 'Building Permit Application Residential"' FOR OFFICE USE-ONLY City of Tigard DRaceBeyd: � //5 Permit No.: jyG, �r l S e lD / il 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 3 0 2015 g Plan Review 1 g Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 2 J--k 1 Other Permit: 6w 0_p9/, / -oa0 '� Ft c. R U Inspection Line: 503.639.4175 p g Y Ol' �,16AR Date ReadyBy: / Juris ® See Page 2 for Internet: www.tigard-or.gov T,gp, Notified/Method: �/� i 5- Supplemental Information ro11TR n,r�,r' ISIOIN 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 apps lion.LS oZ I 6 ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ " ID Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: a. 5 JOB SITE INFORMATION AND LOCATION Total number of floors: 1 Job site address: 9-7 5 5,3 AiswAgro ST New dwelling area: as 4 5 J square feet 3 013 City/State/ZIP:Tigard,OR 97223 Garage/carport area: (04it ci 7 square feet Suite/bldg./apt.no.: Project name:Ashwood s S TAT e S Covered porch area: I%.6' square feet Cross street/directions to job site: Deck area: -1". O�i 5 square feet 1 Other structure area:aa.a.IV square feet i j I REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:Z 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 residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LF 4,LLC Type of construction: Address:5285 Meadows Rd Stel 171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JTSC,LLC (Please refer ro fee schedul� Structural plan review fee(or deposit): Contact name:JohnWyland FLS plan review fee(if applicable): Address:5285 Meadows Rd Ste.171 Total fees due upon application: City/State/ZIP:Lake Oswego,OR 97035 Amount received: 4 77_,D a", Phone:(503)209-7555 Fax: :( ) E-mail:jwyland @jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:JTSC,LLC Submit two(� • of roof plan with connection details and fire department ac along with the 20 I a Address:5285 Meadows Rd.Ste 171 Solar Installation Specialty ':,• : 1st. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee es plan r- •ew $180.00 _and administrative fee • Phone:(503)657-3402 Fax:( ) State surcharge(12°/of permit fee): ` $21.60 CCB tic.:200237 Total fee due upon application: .201.60 Authorized signature: This permit application expires if a permit i within 180 days after it has been accepte I 'b0/ *Fee methodology set by Tri-County Buildin °-'it name:John Wyland Date: 13 to/ 5 Service Board. ilding\Permits\BUP-RESPe itApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB) Electrical Permit Applicati ,, r FOR OFFICE USE ObiI: City of Tigard rater- : , ,. is A Permit No r�/27-59 /s--69/j2 13125 SW Ball Blvd.,Tigard,OR 97223 Plan Review T ' Phone 503.718.2439 Fax: 503.598.1960 3 O 15 Date/By: Other Permit: 6u2,140.._ S ( _ ., -• l ihtl-'13 : Inspection Line: 503 639.4175 Date Ready/By. tuns. EI See Page 2 for Internet: www.tigard-or.gov # A A V i 0!"- j 4.r:-,1 i.?, Notified/Method: Supplemental Information TYPE UK - PLAN.REVIEW• Please check all that apply(submit 2 sets of plans writcros checked below): a New construction ❑Addition/alteration/replacement 0 Service or feeder 400;naps or more ❑Building over three stories ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 1.1,000 ❑Commercial-use agricultural ® I-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 INFORMATION AND LOCATION ❑Emergency system, larger separately derived system. ❑Addition of new motor load of ❑"A","E" "I-2" "I-3" Job no.: Job site addresses,53 SW AsµwWM D S T IOO or more. c ❑Six o or r note 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.: Project name' Ai-1D e SI,q r'es ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: I job Description I Qt, ( Fee. 1 Total " New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.1 1,000 sq.ft.or less I 168.54 4 Tax nut irCCl nu.: Ea.add'I 500 sq.ft,or portion 3 33.4)2 I p p` Limited energy,residential ) 75.00 2 DESCRIPTION'OF'WORK (With above sq.ft.) Limited energy,multi-family 75.00 3 Electrical for new single family residence residential(with above sq.ft) Renewable Energy El See:Page'2 Services or feeders installation,alteration,and/or relocation ® PROPERTY OWNER ❑ TENANT 200 amps or less I 100.70 2 �+ 201 amps to 400 amps 133.56 2 Name: Li- 1 LL C 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/Slate/ZIP: Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone: (503)657-3402 Fax:( ) relocation 200 amps or less 59.36 1 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 16354 Owner signature: Date: Branch circuits—new,alteration,or extension, er panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee. 7 42 Business name:JTSC,LLC each brunch circuit B.Fee for branch circuits without Contact natT; 7 I- yLA ND 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: Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 �7 5 °5 5 K Phone:(503) 2A 0 Fax: ( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: ,j ,,J y Iatn a1 e J -)Sr r 0- h c n . C O rn Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.81 2 4j) ( 7 Business name: ' Signal circuit(s)or limited-energy See f�J"'r �� panel,alteration,or extension. Page 2 2 Address: -6i A0 O-' 670eU Z2C(eve 1 3+-4+ Each additional inspection over allowable in any of the above j ! Additional inspection(I hr min) 6625/hr � City/State/ZIP: t15)20Y0 6A of7 Investigation(I hr mint 66?51 hr Phone: S Fax: — ax: ♦ ), �'� Industrial plant(I hr min) _ 78.18/hr Inspections for which no fee is CCB Lie.: i,2//Sci Electrical Lie.: f..3 upr c: (� G specifically listed(1:hr min) 90.00/lir i' i ELECTRICAL PERMIT FEES• Suprv. Electrician signature,required: r' Subtotal. Print name: t 1' r __ Plan review(25%of permit fee). ' �y/l, '' m - .l /mot ,;_, { Date: U (4/3Q rt tl_ State surcharge(l2%ofpermit fee):• Authorized signature: ,�4 TOTAL PERMIT FEE: �� This permit application expires if a permit is nut obtained within 180 Print name: C Data: /50� (jk.Y 0 4 �L5 I days after it has been accepted us complete. :Mather of inspections allowed per permit. 1\Roilding'.Prtmime.ELC Permit App ELR.ERE doe Rey+75h12011 * a40-4615T1 11/O/COM/WEO Mechanical Permit Applicatie►r C F 1 VLP FOR OFFICE USE ONLY City of Tigard Received Permit No.: ;. • 13125 SW Hall Blvd.,Tigard,OR 97223' N 3 0 2015 Date/By: /5 f`f r�/5-.--00//2 Phone: 503.718.2439 Fax: 503.598.1960 Date/By:By Review Other Permit:, i..1,)e_�,S'COO 7.- Date/B T I G A R u Inspection Line: 503.639.4175 'i i_ (� Date Ready/By: Juris la See Page 2 for Internet: www.tigard-or.gov all `�� 1lv�"� B Notified/Method: Supplemental information Ri1Ti, 1NC DIVIWIN 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* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use check list. ❑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: Al 5 3 sw gsHW CAD ST Furnace 100,000 BTU(ducts/vents) t 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 y �� &ARo OR 9��.� c ) Heat pump 61.06 Suite/bldg./apt.no.: Project name:Ashwood 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 n Other: 23.32 e�.. Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas Mechanical for new single family residence 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 1 ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LF 4,LLC Range hood/other kitchen equipment 1 33.39 Address:5285 Meadows Rd Ste 171 Clothes dryer exhaust ( 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: _ 23.32 Business name:JTSC,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:JohnWyland Furnace,etc. ` Address:5285 Meadows Rd Ste.171 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater Phone:(503)209-7555 Fax::( ) Fireplace 1 Range E-mail:jwyland @jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Integrity Air,LLC Other: MECHANICAL PERMIT FEES* Address:7301 SW Kahle Ln Ste 500 Subtotal City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)572-3594 Fax:( ) State surcharge(12%of permit fee) CCB lic.:203869 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: I * Fee methodology set by Tri-County Building Industry Service Board Print name:John Wyland Date: q' ot< l:\Building\Permits\MEC_PermitApp_040113. oc 440-46I7T(II102/COM/WEB) .Plumbing Permit Application RECEIVED ZS4 - Building Fixtures FOR OFFICE USE ONLY UN 3 0 201, Received City of Tigard Date/By: LP /5 PennitNo.:19, 7-6,90.5--...e.6//.9_ • 13125 SW Hall Blvd.,Tigard,OR 97223 i Of i� Plan Review Phone: 503.718.2439 Fax: 503.598. T V 1' I}I GA 1� Other Permit No.:�(� ' a 5- /6U7.i Plan Review Inspection Line: 503.639.4175 I I( li I) BUILDING DIVISIG q Date Ready/By: Juris: ® See Page 2 for 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(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: Cal 6 3 5 W ASIA WOOD ST City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:ASHWOOD Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:ZS ) I Page 2 Storm sewer(no.linear ft.: 't` ) I Page 2 Water service(no.linear ft.: 27 ) I Page 2 Subdivision: I Lot no.: . Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Plumbing for new single famiy residence Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LF 4,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal I 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib Z 25.02 Phone:(503)657-3402 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:John Wyland Roof drain(commercial) 12.51 Address:5285 Meadows Rd.Ste 171 Sink/basin/lavatory t 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax: :( ) Tub/shower/shower pan 3 12.51 E-mail:jwyland @jtsmithco.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater i 37.52 Business name:The Mullen Co.dba Edward Mullen Plumbing Water piping/DWV 56.29 Address: 1601 SE River Rd Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:92689 Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:John Wyland Date: 4114i((5 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(I 0/02/COM/WEB) City of Tigard W COMMUNITY DEVELOPMENT DEPARTMENT : . T 1 G A R D Building Permit Review — Residential • Building Permit #: H6r 2t5 -66 i ( P-, °I 6,0k- (96/5--6607 — Site Address: —9-2-5-3 G4,9dc91 S� Project Name: /9 /kX ', Lot #: a (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /e& S7 —7m / 12to s o et_ I. Verify site address/suite# exists and active in permit syste 'It ntiver Terrace Plan District: ❑ Yes LJ No Sit: lan Elements: in ►' ree(3)copies of site plan 'sting structures on site MS' e plan must be on 8-1/2"x 11"or 11 x 17"paper !•Footprint of new structure(including decks)with finished It D awn to scale(standard architect or engineer scale) or elevations II! erth arrow ®/Utility locations(required for new,may apply for additions) ID e address,project or subdivision name and lot number cation of wells/septic systems [ plicant information(name and phone number) II Erosion control(including drainage-way protection,silt fence r •t dimensions and building setback dimensions sign,location of catch basin,etc.) 7 •t area,building coverage area,percentage of coverage and (reet names pervious area(applicable if R-7,R-12,R-25&R-40) Seet tree size,type and location Property corner elevations (2 foot contour lines if more than (Z xisting trees to be retained with drip line,and tree 4//��foot differential) protection measures 4/%lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /equired: Cl Yes,applicant was notified V No Received: ❑ Yes ❑ No Cpl Public Facilis Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: es CI No,stop intake IInd Use Case#: `S , 1y l� d oning: — y_S lld Setbacks: Front O Rear 5.-- Side Street Side /cs Garage eceo VZ/ andscape Requirement: AM' % 14'' of Coverage Maximum: ,viQ.. o / 2 / // '�/Building Height: Maximum Height gu Actual Height a3 /0 Lid Visual Clearance Vhfasements J 'sensitive Lands: ❑ Yes iNo Type ►L Urban Forestry Plan ❑ Conditions"Met"prior to issuance of buil " g permit Notes: Qlf'I�j Cyt8 Age . . J7 r7cir- / S0,2rIel' t ' �(,//i glt Approved By Planning: i Date: S""""' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Buil dingl Form0BldgPenni tRvw_RES_031015.docx Building Permit Submittal Original Submittal Date: b I3.0( I S Site Plans: # Building Plans: # -7 Building Permit#: [ Enter building permit# above. Workflow Routing: 2 Planning Engineering EF Permit Coordinator .0—Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: El Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. • Br-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: K.___)(74.0 e___44.4„...4-i- Date: (�,/ .//S' . ---- --------_ -- ., --TT__ -- " En veering Review t Sl 'e at building pad: VOX —I- --- 1UVConditions "Met"prior to issuance of building permit cements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Kt‘Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes L�� N ' LIDA Facility on lot: CI L?��No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 41- ]J Date: 7. 2 — Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: CU1•Le/' 4 ir- ciz 6.c., (! Date: /�- 's 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: 'XOK to Issue Permit Approved by Permit Coordinator: We/ t1- fr Date: r/V S-- I:\Building\Forms\B IdgPermitRvw_RES_031015.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 9753 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2015-00112 David Young Hall plug and lights between entry and kitchen not arc fault protected. 210.12 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 9753 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2015-00112 David Young Provide permit and approved inspection for AC installed without permit. Move condensate drain out of foundation vent well, well full of water. 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 9753 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2015-00112 David Young Hot and cold reversed at upper level main bath lav. 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 9753 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL April 7, 2016 at 9:08:46 AM MST2015-00112 David Young Provide duct seal test report for ductwork in crawl space. Other city required documents left on site to be picked up at ﬁnal inspection. 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 9753 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00112 Chip Barnett Violation Summary: Inspector Contractor 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 Transmittal Letter T I G A It I ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: CITY OF T I G A P-ID DATE RECEIVED: DEPT: BUILDING DIVISION 'RECEIVED FROM: -"A NCLLL., Gut A 0 JUL 2 3 2015 COMPANY: TT S NA ct k CO M P A N I ES CITY OFTIGARD PHONE: 5O3- (05 - 3 U (-213- BUILDING DI y. RE: Cf l 53 su) ASNWOOD ST T1C-AARNOR 1,-ISTQ.O15 - 00( 1 'a (Site Address) (Permit Number) (i tuft 0 PsubdivSTA T lot nL r) ATTACHED ARE THE FOLLOWING ITEMS: reOpies: I Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. V1 Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICE USE ONLY • Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012