The URL can be used to link to this page

Permit • illCITY OF TIGARD *� 30 Ito CERTIFICATE OF OCCUPANCY • a ' Permit#: MST2015-00116 COMMUNITY DEVELOPMENT Permit Issued: 01/25/2016 TJGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CA02300 Jurisdiction: Tigard Site address: 13387 SW BARNUM DR Subdivision: ASHWOOD Lot: 10 Project Description: New SF. 5/10/16: REPRINTED permit to include NC unit. Placement of A/C unit must comply with manufacturer's installation requirements. 6/30/16, REPRINTED to correct parcel number and lot number. Class of Work: NEW Type of Use: SF Type of Constr: VB Occupancy Group: R-3 Occupancy Load: Fire Sprinkler Required: Project Name: Ashwood Estates, Lot 10 Owner: LF 4 LLC 9700 SW FREWING ST TIGARD, OR 97223 Phone: Contractor: JTSC LLC 5285 MEADOWS RD, SUITE 171 LAKE OSWEGO, OR 97035 Phone: 503-308-7324 Fax: 503-684-0102 This Certificate issued 6/13/2016 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the 2014 State of Oregon Specialty Codes for the group,occupancy,and use under which the referenced permit was issued. Mark VanDomelen Building Official City of Tigard POST IN CONSPICUOUS PLACE INCITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2015-00116 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2016 Parcel: 2S102CA02300 Jurisdiction: Tigard Site address: 13387 SW BARNUM DR Subdivision: ASHWOOD Lot: 10 Project: Ashwood Estates, Lot 10 Project Description: New SF. 5/10/16: REPRINTED permit to include NC unit. Placement of A/C unit must comply with manufacturer's installation requirements. 6/30/16, REPRINTED to correct parcel number and 4, BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1347 sf Garage: 449 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2545 sf Value: $310,960.16 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fu rn>=100 K: 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 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: $22,934.26 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 952-001-001r 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: te./)K---20C-C4--a..-LA--1---1. Permittee Signature: C 1,-"fe di-4 --4-c 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. CITY OF TIGARD MASTER PERMIT 11 . COMMUNITY DEVELOPMENT Permit#: MST2015-00116 . I Date Issued: 01/25/2016 T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ` Parcel: 2S102CA00600 �� Jurisdiction: Tigard Site address: 13387 SW BARNUM DR Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood Estates, Lot 10 Project Description: New SF. 5/10/16: REPRINTED permit to include NC unit. Placement of NC unit must comply with manufacturer's installation requirements. BUILDING Floor Areas Reaulred Setbacks Required Stories: 2 Bedrooms: 4 First: 1198 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1347 sf Garage: 449 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2545 sf Value: $310,960.16 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 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 Tomo 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 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: $22,934.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a rules or direct questions to OUNC by calling 503.23 •- - .800.332.2344. <-- Issued Issued By: Permittee Signature: C .639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completio of the project. Approved plans are required on the job site at the time of each Inspection. Mechanical Permit Application FOR OFFICE USE ONLY City Received of Tigard Permit No.:. f 111 ■ 13125 SW Hall Blvd.,Tigard,OR 9722RECEIVED 1 i yy /Y)�� /�''! I I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit: Inspection Line: 503.639.4175 MAY 10 2016 I I ,n I-I Date Ready/By: IZ See Page 2 for Internet: www.tigard-or.gov Notified/Method: INI Supplemental Information CITY OF TIGARD TYPE OF NG COMMERCIAL FEE* SCHEDULE — USE CHECKLIST I G n(V+t SI�1'N Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENT/AL EQUIPMENT I SYSTEMS FEES* 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total lOBSITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:13387 SW Barnum Dr Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Ashwood Estates _Duct work 23.32 Cross street/directions to job site:Frewing Street 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.: 10 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF'WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Air Conditioning fireplace 23.32 1d ,,1 /J Log lighter(gas) 23.32 ' OAI �+\C /1CVrl/)t I j'p2)1 S'�-r,OIJ G' Wood/pellet stove 33.39 ��//// Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 a< PROPERTY OWNER El TENANT Environmental exhaust and ventilation: Name:LF 4,LLC Range hood/other kitchen equipment 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) 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:JTSC,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:JERED OTEY 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)890-0840 Fax::( ) Fireplace Range E-mail:JOTEY@JTSMITHCO.COM Barbecue CONTRACTOR Clothes dryer(gas) Business name:INTEGRITY AIR LLC Other: MECHANICAL PERMIT FEES* Address:7301 SW KABLE LN STE 500 Subtotal City/State/ZIP:PORTLAND,OR 97224 Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) (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: * Fee methodology set by Tri-County Building Industry Service Board Print name:Janelle Guiac Date:05/10/2016 I:\Building\Permits\MEC_PermitApp_0401T3.doc 440-4617T(t 1/02/COM/WEB) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00116 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2016 Parcel: 2S 102CA00600 Jurisdiction: Tigard Site address: 13387 SW BARNUM DR Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood Estates, Lot 10 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: 25 Bathrooms: 3 Second: 1347 sf Garage: 449 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2545 sf Value: $310,960.16 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer. 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 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 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: $22,836.90 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 obt o of the rules or direct questions to OUNC by calling 503.232.1 2344. Issued By: Permittee Signature: Ca 03.639.4175 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 Appli CEIVEP Residential JUN 3 0 2015 City of Tigard Received Permit No.: �J 12 Date/By: 1 l�7 lS 13 5 SW Hall Blvd. Tigar g T r p Plan Revie Phone: 503.718.2439 Fax 8 () I ARD Plan R : � X Other Permit.0tue6i S 0607 4t Inspection Line: 503.639.®I�ICL IN DIVISION Date ReadyBy: G Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method:''!/3"•(� S Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 16 ® 1-and 2-family dwelling ❑Commercial/industrial Valuation $ 3ar� 31 ❑Accessory building ❑Multi-family Number:_.uedrooms: L4 ❑Master builder ❑Other: Number of bathrooms:. , 3 JOB SITE INFORMATION AND LOCATION Total number of floors: .2 as 4 Job site address: �'Jj''Q'"� S W bAgNLkMlog New dwelling area: 1 5 y 5 square feet a99 I City/State/ZIP:Tigard,OR 97223 Garage/carport area: LA y square feet Suite/bldg./apt.no.: Project name:Ashwood Covered porch area: square feet11 3 Cross street/directions to job site: Deck area: -L— oZ- square feet 9 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 0 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 rdkrro fameschedwle Structural plan review fee(or deposit): Contact name:JohnWyland Address:5285 Meadows Rd Ste.171 FLS plan review fee(if applicable): City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application: Phone:(503)209-7555 Fax::( ) Amount received: E-mail:jwyland@jtsmitheo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mount Photovoltaic Solar Panel Syste Business name:JTSC,LLC Submit two(2)sets roof plan with connectio etails and fire department acc s,along with the 0 Oregon Address:5285 Meadows Rd.Ste 171 Solar Installation S ecial ode the st. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes p1 tew $180.00 and admi ' tive es): Phone:(503)657-3402Fax:( ) State sur 12%of permit fee . $21.60 CCB lic.: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. Print name:John Wyland Date: 6 *Fee methodology set by Tri-County Building Industry e - __ 0 Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit ApplicOW.EIVEP City of Tigard it Permit No.: DalciBy: 13125 SW Hall Blvd.,Tigard,OR Plan Review Other Phone: 503.718.2439 Fax: 503.A368 0 2015 7 her Permit: Date/By: Inspection Line: 503.639.4175 Date Ready,'By: bris 21 See Page 2 for Internet: www.ti-.ard-or.gov CITY 0HIGARD Notified/Method: Supplemental Information New construction E]Addition/alteration/replacement Please check all that apply(submit_2 sets ofplans w/iterris checked below): E]Service or feeder 400 amps or more re 0 Mlilding over three stories. F❑1 Demolition El Other: where the available fault currentEl Marinas and boatyards, RPM exceeds 10,000 amps at 150 volts or 0 I-looting buildings. T77 less to ground,or exceeds 1.1,000 El Commercial-use agricultural 1-and 2-flarnily dwelling F1 Commercial/industrial El Accessory building imps for all other installations. buildings. Fj Multi family ❑Master builder [j Other: 0 Fire pump. El Installation of 150 KVA or JQB SI 0 Emergency system. larger separately derived system. load of [:]"A","E".•`1-2","1-3" C1 Addition of new motor 100 HP or more occupancy. Job no.: Job site address:j 2j241T*j E:1 L El Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 0 Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name 0 Service or feeder 600 amps or more. LE Cross street/directions to job site: Description I Qty- I Fee. I Total I New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1*0 1,000 sq.ft.or less 168.54 4 Tax map/parcel no.: Ea,add'I 500 sq.ft.or portion 33.92 1 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 Electrical for new single family residence residential(with above sq.ft.) Rin&inble'Eneig Services or feeders installation,alteration,and/or relocation -77-77777777= OWNER, 200 amps or less 1 100,70 2 201 amps to 400 amps 133.56 2 Name: LLC 401 amps to 600 amps 200.34 2 Address:5285 Meadows Road Suite 171 601 amps to 1,000 amps 301.04 2 City/State/ZIP: Lake Oswego,OR 97035 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Phone:(503)657-3402 Fax: relocation 1 200 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 _168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,p r panel A.Fee for branch circuits with above service or feeder fee, T42 2 Business name:JTSC,LLC each branch circuit B.Fee for branch circuits withow Contact narr, V3 t�N WYLA K D service or reader 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 2 Phone:(503)a_0Ck -7 5 v3 5 Fa,: dwelling,service andior feeder Reconnect only 67.84 2 E-mail:2 �oy lotnAlOu 4Smt� h c c) . Corn Pump or irrigation circle 67,84 2 ha CONTRACTOR Sign or Outline lighting 67.84 2 Busine.s name: Signal circuit(s)or limited-energy LaSee Address: -2 C- t4 _ nel,alteration,or extension. Pa ,Pae- 2 Each additional inspection over allowable in any f the above City/State/"LIP: Additional inspection(I hr min) 66.25/hr 15�20KO () q q I Investigation(I hr min) 66.251 hr Phone:( 03)1'4'421 l"ax:" Industrial plant(I hr min) 78,18/hr --2,jf Inspections for which no fee is CC13 1,i c.: /a/ Electrical Lic.: .17 AU P sgecifically listed(V,hr min) 90.00/In Stiprv. Electrician signature,required: Subtotal Print name: - Plan review(25%of permit fee): � uux vo Date: State Surcharge(l2%of permit fee): Authorized signature: TOTAL PERMIT FEE: This Permit application expires if a permit is not obtained within 180 Print name: 6L bate: days after it has been accepted as complete. :4utuhei of inspections allowed per permit. F.I,(-' Pi�;opp_ELR ERE doc R-Oill 112013 .140-461 5'ri I I i0ilCONIAVE'li Mechanical Permit A V IVReceivCity of Tigard L Date/By: & / Permit No.:HG�'r 13125 SW Hall� Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503 1 0 Other Permit: Inspection Line: 503.639.4175 2015 Date Re Date Ready/By: luris: ® See Page 2 for Internet: www.tigard-or.gov FT1GA�� Notified/Method: Supplemental Information Cirry N 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 checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: BAR Air conditioning 46.75 Job site address: 1?J38� NO M 0 Pt Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP: -r 1 Cal ARO 0 R q7 3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Ashwood Heat pump 61.06Duct work 23.32 Cross street/directions to job site: H dronic hot waters stem 23.32 Residential boiler(radiator or h dronic) 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 r 23.32 DESCRIPTION OF WORK Gas fireplace/insert ( 33.39 Flue vent for water heater or gas Mechanical for new single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LF 4,LLC Range hood/other kitchen equipment I 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/crawls ace 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 1 E-mail:jwyland@jtsmithco.com Barbecue t 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: * Fee methodology set by Tri-County Building Industry Service Board Print name:John Wyland Date: p 1A3ui1ding\Permitsk1vEC_PermitApp_040113. oc 440 61 Tr(11/02/COM/WEB) Plumbing Permit A lic 1 1Vun y4� Building Fixtures FOR OFFICE I SE ONIA City of TigardII I'nnII { Received Permit No 13125 SW Hall Blvd.,Tigard,OR 933 3 0 20 I5 DateBy: �Q �jr S-C�j f/ Plan Revie 7 Phone: 503.718.2439 Fax: 503.598.1960 p`' J Other Permit N Inspection Line: 503.639.4175 CITY UT0 FIGAAL Date ReadyBy: loris: ® See Page 2 for Internet: www.tigard-or.goV Notified/Method: Supplemental Information TYPE ii'laavAw' 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 437.78 E]Accessory building ElMulti-family SFR(3)bath 500.32 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: 1137"1 SW GXIZIJUM OR Catch basin or area drain 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.: 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.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:Z) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Plumbing for new single famiy residence Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:LF 4,LLC Fixture/sewer cap 25.02 Address:5285 Meadows Rd Ste 171 Floor drain/floor sink/hub 25.02 Garbage disposal 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 Contact name:John Wyland Primer 12.51 Roof drain(commercial) 12.51 Address:5285 Meadows Rd.Ste 171 Sink/basin/lavatory 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 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name:The Mullen Co.dba Edward Mullen Plumbing WaterP�P� ;�1 in 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 CCB Lic.:92689 Plumbing Lic.no.: l^ Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:John Wyland Date: 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. L\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/C0M/WEB) City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential Building Permit #: �-l��'� 5-� r °� 6cv2 a;W'T' ooAD7 Site Address: (s)AJ Aarvoi Ar Project Name: / 7��I?A2QQk ESkk Q Lot #: (New dwelling=subdivision name,Addition or Alteration=last name of owner) Planning Review Proposal: &e �j /2 Ut/Verify site address/suite# exists and active in permit systee 4�iver Terrace Plan District: El Yes i No Sit lan Elements: ree(3)copies of site plansnng structures on site S' a plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations rth arrow ��I1��jutility locations (required for new,may apply for additions) address,project or subdivision name and lot number aAl ation of wells/septic systems FN hcant information(name and phone number) Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and reet names pervious area(applicable if R-7,R-12,R-25&R-40) Vst�eet tree size,type and location Property corner elevations (2 foot contour lines if more than L; isting trees to be retained with drip line,and tree 4 foot differentialprotection measures N#/+-lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /)required: El Yes,applicant was notified No Received: El Yes El No 1! Public Faciliturs Improvement(PFI) Permit: IX24equired: P Yes,applicant was notified ❑ No Applied For: V/Yes ❑ No,stop intake nd Use Case#: EV/ ning: — L!Q Setbacks: Front Rear s Side Street Side /S Garage *Landscape Requirement: /y4 % of Coverage Maximum: Vwilding Height: Maximum Height Actual Height r visual Clearance asements ensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil g permit Notes: Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_031015.docx IL Building Permit Submittal// Original Submittal Date: CP 30 S Site Plans: # Building Plans: # Building Permit#: Cr-Enter building permit#above. Workflow Routing: 12'Planning 'Engineering E-Permit Coordinator ❑wilding Workflow Sign-off: [2" Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C'-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: } Date: I% _ • ; +�_Lw. _ .. . R#VYR�NCrtm°k?i3. l= gH3t�3aY8• .n'::E's .. .Fd4t.�iE' 2Rpt.,. E��Conditions nngineering Review ope at building pad: /72 "Met"prior to issuance of building permit CE sements (encroachments) per engineering conditions of approval and plat 101 ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Ileo Assess Water Quantity Fee in-lieu: ❑ Yes LIDA Facility on lot: ❑ Yes :�N o ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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 pproved,NOT Released: Ly�r�1/ �w� Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: �OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Building\Fonns\31dgPermitRvw_RES_031015.docx 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 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti arg dor.gov TO: _�1 } `f 4 -T( q Qr' DATE RE EIV DEPT: BUILDING DIVISION RECLIVt1f FRON11 _ -U)+A31�Lk-E _iLL3 A. U JUL 2 2 2015 CITY OF`rIGAkU COMPANY: 7'T S �`-t IT CP S) ( CS BUILDING DIVIS N PHONE: By: RE: 5W 13ARNuM W,-TI GAP-0 4015 Qat1 (P (SiteAddress) (Fernut Number) IASNwa0 D C G I-A--CS OT I Q rolect name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: .a 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: 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\Fom►s\TransmittalL.etter-Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13387 SW BARNUM DR, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00116 Jeff Grove 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 13387 SW BARNUM DR, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2015-00116 Jeff Grove 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 13387 SW BARNUM DR, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00116 Jeff Grove 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 13387 SW BARNUM DR, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00116 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Duct seal test report checked. C of O left on kitchen counter. Violation Summary: Inspector Contractor