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Permit It i 1 .-- �� CITY OF TIGARD � MASTER PERMIT 11 2' COMMUNITY DEVELOPMENT ©� Permit#: MST2015-00118 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 9775 SW ASHWOOD ST Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood Estates, Lot 1 Project Description: New SF. 4/416, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1053 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1470 sf Garage: 399 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2523 sf Value: $304,300.05 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib' 2 Backwater Value: 1 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: 0 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 2523 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: $22,855.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: CK-- Permittee Signature: !‘ ..• l i, _ / Call 503.639.4175 by 7:00 a.m,for the next available inspection date. / This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03131/2016 09:40 VergePointe (FAX)5036840102 P.002/004 {J.v,arrweaaeswat S. a:e auai tlED City of Tiga >r ' iG (-- h NanitNo.i Mh 0 61 13125 Sw liar alvd,,Tigard,OR 97223 ' Fhoi.Q: 593,716,7439 '1 /016 Date/by: W c arPxnic; �. �. - �, .� Insertion Line: 593.63 rota 1R!OWRY: — �urlst IS See Ng*a Por �' Intcmat: www,tigtrdthfrY OF TIGARD l'iwillaVi•detbvd: a applsttlihatelleformat1on 341,1JoiNr DivlsiaN TYPE OF WORK _ 'COMMERCIAL FEE* SCHEDULE - US&CHECK:ma -- Mechanical permit fans*are baic4 on the value of dee Work O New consiruation reddition/alteration/replacement perforated.indicate the value(rounded to the nearest dollar)of all O Demolition Q Qthoilmechanical materials,equipment labor,overhead,and profit, Value:$ . .. CATEGORY OF CONSTRUCTION RESIbENTIAX,EQUIPMENT/SVS1'EMSFEES" 1310frand 2411111Y dwelling ❑Commerciai/mduatrial i]Accessary building For spatial iglornmanan ase clteekll t. ❑Multi-farmy ❑Master builder Q Other: Description 14Y. I Ea I Total ." JOB SITE INFORMATION AND LOCATIONAir conditioning 46.25 Job site address: 411 IS SW AS 1. u100 0 Sr Furnace 100,000 BTU(daotshol ts) 46.75 City/State/ZIP: T I GA p.o , o R 4'1¢A 3 Furnace 100.000+ETU(dued/veats) 54.91 ./e no,: Pro act name: Btu 61.06 Suite/bldg./apt,g pt I ASAW001) TSTA'TF S. Ductwork 23.32 Cross etrect/directions to Job site: I.1Amuta hot water system • 23.32 Residential boiler(radiator or Citska two Sib „1ydronio) 23.32 Unit heatots(fuel-typo,not eio0410 In-wall in-duos,auepended,eta 46,75 Flue/vent for of above .32 Subdivision: i Lot n4,: I ,23.32_ Other fad aippllai res Tax map/parcel no.: Water heater _ 23.32 Dr9CItIPrON OF WORKGel fireplace/insert _ 33.39 , • Flue vent for water beater or gas AM. CONE)1T% OW146 1/ D 1)" 1-0 H•44 fireplace 23,32 Loa lighter(gas) 23.32 Wood/ stove 73.39 Wood fireplace/insert 23.32 Chimacy/linen'tlua/vent 23.32 : 23.32 r 'ROPERTY OWNER Q TENANT EnNronweatal-,ha and entilatioa Name: LF 4 LL c Range hood/other kitchen equipment 33,39 Address: 5 $5 t " pI TE ,I Clothes dryer exhaust — 33.39 City/State/ZTP: LA ice QSW 4 0.OR CI, OS S Single-duet exhaust(bathrooms, !clict compartments,utility rooms 23.32 Phone:(swy 451 -s140 I, Fax:( ) Attic/crawlspace fans 2332 i11'APPLICANT . ❑ CONTACT' PERSON ... Other: '23.32 —Business name: 7"T s G s /� Fuel i I _: 4 - SI4ts for that four;54.03 Por each additional Contact nan a`ERrp OTE Y Furnace,etc. , P.O - Address: 53 vs t4 sA►00%+)S RsT ill Wa heat p ntle OR Waluanapendedh nit heater City/StatelZW: LA KV DSW£6! OR All O'55 Water heater — Phone:c503 45'p-' u 0 a I Fax::( ) - Fireplace _ , Range E-mail: TOTE)' ZTSMITWCO. COM ry Barbecue CONTRACTOR • Clothes dryer(gas) - _ Business name: EITE odai T y milt ILL C Other; �+ MECHANICAL PERMIT FEES* Address: '1 301 SW ILAPLE ',Mac S'T 5 00 Subtotal City/State/EP: PO*T N D i 0 a q0 23.11.1 Minimum permit the($90.00) — Plan review95%of permit tee) Phone:(5 b 5q1 -i%% 4g Fax:( ) State surcharge(12%of permit fee) CCB lio.:3 Q 3 t 9 TOTAL PERMIT P'EE j9? 3t'' - This permit application expires If a permit Is not obtained within 1.80 days after It has boon accepted as complete. Authorized signature: r' Faa methodology set by Tri-County Building Industry Service Board Print nom SO};N W YtA Date:''f ISI I Illir I. ult 1tatBCLPtnohApp O4O1I . 440.4e171'(tt/02/COW uB) a CITY OF TIGARD MASTER PERMIT 1111 COMMUNITY DEVELOPMENT Permit MST2015-00118 T I( ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 9775 SW ASHWOOD ST Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood Estates, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1053 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1470 sf Garage: 399 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2523 sf Value: $304,300.05 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib. 2 Backwater Value: 1 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: 0 0-200 amp 0 W/Svc or Fdr: 0 Ea addl 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 2523 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: $22,371.34 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 a • •-. e 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. ' NTION: Ore,' la. equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0 r 1-0010 through OAR 9'•-001-•19e You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332.2344. �. Is= edgy: /l"�Ia - — Permittee Signature: K � Call 503.639.4175 by 7:00 a-m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit ApplicREI1'EJ) 1 Residential FOR OFFICE USE ONLY 17111 City of Tigard JUN 3 0 2015 Received ) Permit No.: 13125 SW Hall Blvd.,Ti ard,OR 97223 Date/By: (V & 1 7 J 1.1 p6/� g O g Plan Revie ')' / � C.J(e< 9 • Other Permit:a Phone: 503.7182439 Fax: i FTIGARD Date/By: w T I G A R D Inspection Line: 503.639.417 Date Ready .y: Juris ® See Page 2 for Internet: www.tigard-or.goliUIL,DING DIVISION Notified/Method: t , Oil S en Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Z 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: s ® 1-and 2-family dwelling ❑Commercial/industrial 3��j3`��� t ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms:' -. 3 JOB SITE INFORMATION AND LOCATION Total number of floors: '.. a3. Job site address: R1'!5 5W AS I_t W00 O ST New dwelling area:115 as „square feet D,.1 . City/State/ZIP:Tigard,OR 97223 Garage/carport area: 3 q q / square feet Suite/bldg./apt.no.: Project name:Ashwood 2.STATeS Covered porch area: 1 ,k9,,' square feet Cross street/directions to job site: ( Deck area: square feet)el 7 0 Other structure area: square feet )0‘3 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivisio . Lot no.: ` 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: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JTSC,LLC (Please refatolusehedula� 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: 49 750 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 Photo Voltaic Solar Panel System. Business name:JTSC,LLC Submit two(2)sets of r..• a . with connection d- 's and fire department access,alon:with .- i I Oregon Address:5285 Meadows Rd.Ste 171 Solar Installation Special C.• •ecklist. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(i es plan revie $180.00 administrative fees): Phone:(503)657-3402 Fax:( ) State s arge(12%of permit fee): $21.60 CCB lie.:200237 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. *Fee methodology set by Tri-County Building Industry Print name:John Wyland Date: (p �O ' 15 Service Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44046131(11/02/COM/WEB) I)CEIVE E�le��trical Permit Ai I licat't!�� OR WTI( I 1 St t)Nl t City of Tigard It& vea Q rki `, g Date/13 I Penmt No-;\-/ r /5-//O i f C� 5 13125 SW'I lall Blvd.,Tigard,OR 97 Plan Review e�-r �.. Phone: 503.718.2439 Fax: 503.59R� 3 0 2015 Date/By: _ Other Permu Q�D/S _� Inspection Line: 503 639.4175 Date Ready/By. Juris IZI See Pa e 2 for Internet www ugard-or.gov 'FR 4 A f 1 I/ A RD Notified/Method: Supplemental Information ------ d�� l7fi 1,YI,I,' � ii17 1T Y 11[l PLetN.Rl�'lEi! E1 New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wliteins checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION 3` exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,of exceeds 1.1,000 ❑Commercial-use agricultural ® 1-and 2-lemily dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings El Multi-family ❑ Master builder El Other: CI Fire pump. ❑Installation of 150 KVA or JOB Si'i E iNPOlih1.�t'ION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A" "E" "I.2" 13" Job no.: .lob site address: 9 "► 7 Sw As I W00 p ST 1001IP or more. occupancy. 5 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/LIP:Tigard,OR 97223 ❑I lealth-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name. ASHV4OD e s1 ❑Service or feeder 600 amps or more. ��ES FEE SCHEDULE Cross street/directions to job site: Descripiiun I qts I Fee. I Totut New residential single-or mulli-family dwelling unit. Includes attached garage. Subdivision: Lot no.: I 1,000 sq.ft.or less II 168.54 4 Tax ma �rccl nu.: Ea.add'l 500 sq.rt.or portion 3 33.92 I p p` Limited energy,residential DESCRIPTION Of WORK ("with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 3 Electrical for new single family residence residential(with above sq.ft) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation ® PROPERTY OWNER ❑ TENAN 1 200 amps or less ( 100.70 2 t^ 201 amps to 400 amps 133 56 2 Name: Lt 4 , �„L G 401 amps to 600 amps 200.34 2 Address: 5285 Meadows Road Suite 171 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/"L[P. Lake Oswego,OR 97035 "I'ernporary services or feeders installation,alteration,and/or Phone:(503)657-3402 Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:'Phis installation is being made on property that I own which is not X01 amps to 400 amps 125 08 2 intended for sale. lease,rent,or exchantie. according to ORS 447,449,670,and 701. 401 amps to 599 amps 163.54 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7 42 2 Business name:JTSC,LLC each branch circuit 13.Fee for branch circuits withow Contact natr, S `\ UJYI.A N D 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/Slate/III': Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular Phone: (503) 2Oq "7 j t5 5 I'ax: :( ) dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 E-mail: , j t,ay loinaej +sre.1 h c n . C0m Pump or irrigation circle 67.84 2 / CONTRACTOR Sign or outline lighting 67.84 2 Business name: /''St( ri �j� C/ -0/" Signal circuits)or limited-energy See t i r / L_.--, t panel,alteration,or extension. Page 2 2 Address: )C/210 O�. 6nbOk' OCL/4"/(; 1 5T. Earch additional inspection over allowable in any of the above i/� t Additional inspection(I hr min) 6625/hr City/State/ZIP: A/5)20y-C; O' rt qg r , Investigation(I hr mint 6615/hr — LLi Phone:( ) - Pax: . �9) .--'�q u , Industrial plant(1 hr min) 78,18/hr Inspections for which no fee is CCB Lie.: J //5ci Electrical Lie,: / c: O' specifically listed(!i:hr min) 90.00/hr t^ �� ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: rip' 4k r. Subtotal. Print name: (l r _ Plan review(25%ofpermitfee): �, '�c - b Date: — — — + ,y A, __ State surcharge(12%of permit fee) Authorized signature: 1 TOTAL PERMIT FEE: ' �- This permit application expires if a permit is nut obtained within 180 Print name: 0 (,,IK 6.10.G, y Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I\nuitding)Permitc,ELC PermitApp ELR ERE doc Rev 05/21,26,] • .i4c-f615T(I1/05;COIsIJtYFn L Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard ECEIVEP Received J� permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97 2 Date/By: U 5(_) /5 N6r-c% _00 1 17 II Phone: 503.718.2439 Fax: 503.598.1960 Date/By:Review Other Permit: Inspection Line: 503.639.4175 JUN 3 0 2015 DateBy: �1L 2 (s- JQ7g 41 G A R I) Date Ready/By: luris: BI See Page 2 for Internet: www.tigard-or.gov !` �A Notified/Method: Supplemental Information CITY OF f`uARU COMMERCIAL FEE* SCHEDULE — USE CHECKLIST TYPE %MEWING DIVISION 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 checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �" Air conditioning 46.75 Job site address: 115 SW W o0 GT Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP: "j'1 et A o 1 O R q ,j 13 Furnace 100,000+BTU(ducts/vents) 54.91 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 Subdivision: Lot no.: ' Other: 23.32 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 I ❑ 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 I 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 Fuel piping: Business name:JTSC,LLC $14.15 for first four;$4.03 for each additional Contact name:JohnWyland Furnace,etc. 1 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 I Range 1 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: j * Fee methodology set by Tri-County Building Industry Service Board Print name:John Wyland Date: 6[31 l� \ \M :\Building PermitsEC_PermitApp_040113. c 440-46t17T(11/02/COM/WEB) Plumbing Permit ApplieR EIVEp 1_W Building Fixtures FOR OFFICE USE ONLY City of Tigard Received/ JUN 3 0 2015 Date/By: LA /c IFIN Permit No.: J' 1-��/e/C II • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Gp�� ■ Phone: 503.718.2439 Fax: Q }� r Date/By: Other Permit No.. 11�JrC �C Inspection Line: 503.639.417 k i TIVAR® ��� I I(;A R h Internet: www.ti ard or. o Date Ready/By. Anis: ® See Page 2 for g g 3UILDING DIVISION 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 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 500.32 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: Job site address: Cl 11 S S W AS k..WO Y D ST Catch basin or area drain I 18.76 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 -41 18.76 Sanitary sewer(no.linear ft.P4 ) 1 Page 2 Storm sewer(no.linear ft.:j ) 1 Page 2 Water service(no.linear ft.)®t) 1 Page 2 Subdivision: I Lot no.: 1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 1 12.51 Clothes washer 1 25.02 Plumbing for new single famiy residence Dishwasher l 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 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 1 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 2 25.02 Phone:(503)657-3402 Fax:( ) Ice maker i 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value:$ ) Page 2 Contact name:John Wyland Primer 12.51 Roof drain(commercial) 12.51 Address:5285 Meadows Rd.Ste 171 Sink/basin/lavatory S 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 1 37.52 Business name:The Mullen Co.dba Edward Mullen Plumbing Water P� �i in WV 56.29 P 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 CCB Lic.:92689 Plumbing Lic.no.: yt-)..,(90/9B Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: , 1 TOTAL PERMIT FEE Print name:John Wyland Date: Sc/30 .1c This permit application expires if a permit is not obtained within 180 days i after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building1Pennits\PLMU-PennitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) III City of Tigard ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T l G A R D Building Permit Review — Residential .Y, Building Permit #: H T,90/ S-0011 I el- ao e40/5---00e,7 g Site Address: .9-3- --- A j� / `4, )g Project Name: /* Gc_. ' I /S' Lot #: 1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /J'& ) S7?-/e " i',/l 72e '/e6t/<%t_ /Verify site address/suite# exists and active in permit systey. id/Myer Terrace Plan District: ❑ Yes O No Site lan Elements: ►t P ree(3)copies of site plan Mil:' 'sting structures on site P S. e plan must he on 8-1/2"x 11"or 11 x 17"paper 1 Footprint of new structure(including decks)with finished 1C 11 awn to scale(standard architect or engineer scale) or elevations IG •rth arrow Utility locations(required for new,may apply for additions) IP a address,project or subdivision name and lot number V( .cation of wells/septic systems I plicant information(name and phone number) n Erosion control(including drainage-way protection, silt fence F. .t dimensions and building setback dimensions sign,location of catch basin,etc.) ? •t area,building coverage area,percentage of coverage and ,freet names pervious area(applicable if R-7,R-12,R-25&R-40) [ltSyeet tree size,type and location Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures !clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): Aequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No RI Public Facilit/Improvement (PFI) Permit: equired: ��{1{ Yes,applicant was notified ❑ No Applied For: yes ❑ No,stop intake cctnd Use Case#: , �� ��� li Setbacks: Front ....(20 Rear /s Side c Street Side /C Garage C'O '// Landscape Requirement: NM�} !14' of Coverage Maximum: % n /1 IK uilding Height: Maximum Height Actual Height O(3 �P Ud Visual Clearance easements / NI '.ensitive Lands: ❑ Yes No Type it Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil • g permit / �_',L X Notes: (��, ci g /leeO !/ 11c9� /3S<. .2.7c,P eir Approved By Planning: � 11.. Date: 'is "' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:1BuildingTorms\BldgPermitRvw_RES_031015.docx Building Permit Submittal i / Original Submittal Date: (p 00(/ Site Plans: • # 2> Building Plans: # 'j Building Permit#: 4a'Enter building permit#above. Workflow Routing: .E]" Planning EL-Engineering ..Permit Coordinator Building Workflow Sign-off: 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. if Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: (4/ //S---- Engineering Review pe at building pad: f-7 'nditions "Met"prior to issuance of building permit lam'E ments (encroachments) per engineering conditions of approval.and plat Water Quality/Quantity Facility: Assess Water Q ty uali Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes ,�a;I LIDA Facility on lot: ❑ Yes //No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: L- 17 Date: '7a-Z 1 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: /1.,-,, ` LAS Date: �/.0/ 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: 5it OK to Issue Permit Approved by Permit Coordinator: /0 Date: 3 3 t 1:113 u i 1ding\Form s1B I dgPerm itRvw_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 9775 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final PASS MST2015-00118 David Young 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 9775 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00118 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 III :a Transmittal Letter T ci n it i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: CI -'`/ OC- ( 9 art DATE DEPT: BUILDING DIVISION Pk- 222015 FROM - -1 \ L ` lA, a U _ T« A6 ) COMPANY: 07- S M I T k COWAN ( CS BUILUIN�DiViS10N PHONE: 5n1- Cp,51 ^ S4 oa By: 1 RE: C\11 5 s ) As N UJOO D ST 71 GARD MS T2015— CO( t 1 (Site Address) (Permit Number) A S I-4 kioei O STA`t r L-o-4-I (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. ✓' Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: D'S` — Initials: - _ Fees Due: ' Yes • No Fee Description- Amount_ , Du $ $ 1 $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012