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Permit City of Tigard i • III COMMUNITY Y DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: H (9-0 ( Co— 00030 Site Address: CI Z. SW My r d'C Vt Project Name: 'M U r ( e vir ► \ 0 ' Lot #: 2-- (New(New dwelling=subdivision name;Addition or.Aiteration= last name of owner) Planning Review �^ Proposal: f L V I i ( r) V I S-r 20I (0 — n 00 3 0 Lyk—tifi 0-67-t Le.A.12,0 1,--ibik 1421 -IT, kLe._Adae..61:4.4...0_ 1, „At tuA/241.) Verify site address/suite# exists an active in permit system.•a/ 4 River Terrace Neighborhood: t No ❑ Yes,See River Terrace Review.ilddendurn Attached Site Plan Elements: yyhree (3) copies of site plan tTEcsting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper -gebotprint of new structure (including decks)with finished /DUrawn to scale(standard architect or engineer scale) floor elevations orth arrow e ZlUtility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number $17.5-Cation of wells/septic systems /Applicant information(name and phone number) Erosion control (including drainage-way protection, silt fence %Lot dimensions and building setback dimensions design,location of catch basin,etc.) je'Lot area,building coverage area,percentage of coverage and 7Street names impervious area (applicable if R-7,R-12,R-25&R-40) ❑Street tree size,type and location Property corner elevations (2 foot contour lines if more than EExisting trees to be retained with drip line,and tree 4 foot differential) protection measures ❑ Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: E Yes ❑ No ❑ Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes E No,stop intake A Land Use Case#: m1,122-01 (n _ 0I Zoning: u`. 3 . S II 'etbacks: Front 2 0 Rear i S Side . Street Side 2 p Garage 'Le3 al Landscape Requirement: °'o hh) CO 01 n ❑ Lot Coverage Maximum: 0/0 (i✓a i le-F-k a(Art ❑ Building I-Ieight: Maximum Height ;0 Actual Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands: ❑ Yes ❑ No Type ❑ Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Al I 0 71.- _ yin Date: 3/ l / 16 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw_RES_012116.docx Buildi lg Permit Submittal Original Submitt4,l Date: �.1/ I/ Le ;Site Plans:- .., # Building Plans: # __>C Building Permit#: [ Enter building permit#above. Workflow Routing: ❑Tanning 0--ngineering E--Pe—mit Coordinator Li`t3uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 2rEngineering: (1) copy of permit application, (1) site plan, (1) building plan and �original plan review routing form. e Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. �" Notes: ' 1 46...— Q.,,_ , u_e_ T .-lor� Lt_ks.:4_ v� i r tb.0.( 0...„ 161- By Permit T chnician: ,, , Pale: 4r5/16, Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes E No ❑ NOT Approved by Engineering: Date: Notes: KI I.IJ 1--b( #-TI oma_ a F L 1 - i ct-1 t.CM' 1 5 talc 4"1 t 517..t. oF p-/ Gl4 i TY "eri4A'{ Approved by Engineering: rt! w H 171, Date: ?j71/1 6 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: 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: E Yes ❑ N/A Tigard Trans SDC: E Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: 3/t.ft I:`Building`.Fonns'BldgPennit Rvw_RES_0121 16.docx H --7---ale)/6,.._ 0005CD _3,d►r- SW MURDOCK ST. SAN SEWER — — r I 1St a ---r--,, -T �_�. il I Ns9'St'43'E,,.B, 1 17 CONCRETE / ` WATER METERS �� CULVERT , i"SERVICE i l I fI I I ` ill 15'SAN SWR ESAtT 9930 SIN MURDOCK ST � I I IfL lI I (OI I I I. I I PARCEL 1 I (tr-0•PVT j I ( MC DRIVEWAY STORM SEWER LATERAL N89'5215'E116.7 _—_—_ 4.PVC '.I ' existing tree XN. TzlJregon White Oak 1p.Q-Jl�: I t ` / SY�1@' •�T I -t♦`— __189^a6'a5rou75.ae'— —� • llf �; 4 2 PARCEL 2 ILLOW M',t .�. , ... " . i 8 i 9911 SWMI�rdodc St. �; tfr �� 'lir 48.-2ir MI PA -41111111 � - 116. Ail3ROVED Lot Size 15,1865q—- S89`53'18"W 118 Ft � l I i �r House size 4,415 Sq Ft STORM SEWER \ \ -6'x 27'WATER I Coverage 2g.9% LATERAL 4'PVC �\ `� QUALITY FACILITY( 1 $t r�) 1 ��v\ I ��JJJ Ltd m.o :' PARCEL 3 1 1 ` Ti- , " d ;� I I `� uorr!na .` \`z� 1 n� - CITY OF TIGARD ".3 HERVICEOPS RAW ""�` 'run ark Ire.. `,I i P $proved toy Planning r..�-� — aenayvro `� �� T-0'PVf I ..M. CONWPVICt - I � ET I te: / r b WATER QUALITY FACILITY -- -- I- L� -.1 _- __ _ jtials: SW MURDOCK PARCEL 2 SI PAN'��'' ' Scale 1'=40-0" ,i °11v1' SAGE BUILT HOMES SW MURDOCK PARTION PARCEL 2 SAG BUILT 've .1Place 1040 Job No. 156-0911-10 Date 3l01N5 Sheet 503-533-5167 Client Sage Built Homes By MEB � 44 CITY OF TIGARD MASTER PERMIT '`7 COMMUNITY DEVELOPMENT Permit# MST2016-00030 T IG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2016 Parcel: 25111 BD01702 Jurisdiction: Tigard Site address: 9912 SW MURDOCK ST Subdivision: ALDERBROOK FARM Lot: 5 Project: Murdock Street Partition, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1646 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 2114 sf Garage: 658 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3760 sf Value: $456,387.47 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel 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 addl 500 sf: 7 201-400 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 3760 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169TH PL,STE 1040 16280 NW BETHANY COURT 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: PHONE: 503-502-6623 FAX: 503-533-5164 Total Fees: $32,122.09 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. rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obta rules or direct questions to OUNC by calling 5 3 3 87 0 1.800.33 Issued By: y Permittee Signature: l� Ca .4175 by 7:00 a.m.for the next available inspection dat . This permit card shall be kept in a conspicuous place on the job site until completion o he project. Approved plans are required on the job site at the time of each inspection. Building Permit Application •Residential ('� Will I (,It Ol I li I l til 11\1.1 City of Tigard C1 DateBy: 02 /6 47 -J_ Pmt No.rej serol /(0_/v ,1 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review OEl �"� -,3e, '' a Phone: 503.718.2439 Fax: 503.598.1960 . ') ) Date/By: . 2.4 J 1, 4, Other Permit:s/A p_a i i ,,,,., Inspection Line: 503.639.4175 FE8 Date ReadyBy: 1mis: ®"See—page 2 for Internet: www.tigard-or.gov c�,`130 Notified/Method:./ j i )/7/' "7"..„<„, pa Supplemental Information TYPE OF 'I ati e 1 , DATA t I- 2 1 '' * Permit fees*are based on the value of the work performed. ®New construction ❑ �:�' � ton Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY or owtsvCI1ON work indicated on this application. Valuation: ® $1-and 2-family dwelling ❑Commercial/industrial 44-6l 3 E 13Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE<INFORMATION AND.LOCATIONTotal number of floors: 2 Job site address:9912 SW MURDOCK STREET New dwelling area: 3760 square feet 1 g City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: 658 square feet Suite/bldg./apt.no.: Project name:MURDOCK yrref_ Covered porch area: 1. square feet ) 14 Cross street/directions to job site:SW 100TH AVENUE Deck area: square feet (c46 Other structure area: square feet RI#DATA: �I Subdivision:MURDOCK Lot no.:2 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 or WORK work indicated on this application. NEW RESIDENTIAL CONSTRUCTION Valuation: $ Existing building area: square feet New building area: square feet :r PROPERTY OWNER ❑ TENANT Number of stories: Name:SAGE BUILT HOMES LLC Type of construction: Address:1815 NW 169TH PL.SUITE 1040 Occupancy groups: City/State/ZIP:BEAVERTON,OR 97006 Existing: Phone:(503)533-5167 Fax:(503)533-5164 New: a,APPLICANT 0 CONTACT PERSON BUILDING PERMIT NKR*' Business name:SAGE BUILT HOMES LLC (AkrrrrarJlrrlt. ✓ Structural plan review fee(or deposit): Contact name:KYLIE HOFENBREDL FLS plan review fee(if applicable): Address:SAME AS ABOVE City/State/ZIP: Total fees due upon application: Phone:(971)221-4597 Fax::( ) Amount received: E-mail:KYLIE@SAGEBUILTHOMESLLC.COM PHOTOVOLTAIC SOLAR>PAsugatnris* C`d1V" �lItR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:SAGE BUILT HOMES LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:SAME AS ABOVE Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) o State surcharge(12/o of permit fee): $21.60 CCB lic.:189330 Total fee due upon application: $201.60 Authorized signature: 7-4(� 71 1 I , This permit application eapires if a permit is not obtained _1 ! 61 1 `-( within 180 days after it has been accepted as complete. Print name:KYLIE HOF REDL Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) 4- 14 Electrical Permit Application I r. (11 It , CityofTigard (8) Received Permit#: g 14 13125 SW Hall Blvd.,Tigard,OR 97 +6`1,��6 �t 71 g ' Phone: 503.718.2439 Fax: 503.598.1960 � . t� s Related Permit#: Inspection Line: 503.639.4175 G �S" t Date/By: orris: ® See Page 2 for I I C A R D Internet www.tigard-or.gov ��`ctt `otified/Metbod: Supplemental Information TYPE OF WORK k,,,1 Cs l�) PLAN REVIEW ®New construction 0 Addition/alteration/* iit Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps ❑Multi-family 0 Master builder ❑Other: 0 Fforall other installations. buildings. m • pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived f Job#: Job site address: 9912 SW Murdock Street ❑AddHP o moew motor load of system. I OOHP or more. 0"A","E","1-2","1-3", City/State/ZIP:Portland,Or 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bidg./apt.#: Project name:Murdock 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE SW 10011'Avenue Description 14`'. 1 Each I TotalT. New residential single-or multi-family dwelling unit. Subdivision:Murdock Lot#:2 Includes attached garage. 1,000 sq.ft.or less J 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 7 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) i Limited energy,multi-family 75.00 2 New Residential Construction residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Sage Built Homes,LLC 200 amps or less 1 100.70 100.70 2 Address: 1815 NW 169th Place Suite 1040 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Beaverton,Or 97006 601 amps to 1,000 amps 301.04 2 Phone:(503)533-5167 Fax:(503)533-5164 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name:Sage Built Homes LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Kylie Hofenbredl B.Fee for branch circuits without Address:Same as above service or feeder fee,fust 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(971)221-4597 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:kylie@sagebuilthomesllc.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Sign or outline lighting 67.84 2 Address:2870 SE 75th Avenue,#203 Signalnel,alcteration, n or limited-energyextension. 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Hillsboro,Or 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:(503)642-5815 Investigation(I hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 157891 Electrical Lic.: 34-436C I Suprv.Lie.: 42328 specifically listed('r4 hr min) ., ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Steve Ross Date: 0 Plan Review Required(25%of permit fee): State surcharge(I2%of permit fee): y.,/ ,..x<---/-1............„7„----„Ns., TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Kylie Hofenbre Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. L:\BuildingWPermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Mechanical Permit Application 1 OR O 1, I( I 1 `l ON l l City of TigardDate/By:Received Permit No.: -000 J� 0 111111 13125 SW Hall Blvd.,Tigard,OR 97223 (� �{\NIX% Plan Review e Phone: 503.718.2439 Fax: 503.598.19r tC]J Other Permit: Inspection Line: 503.639.4175 D Date/By: I I c, \It i) p Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov 16 V$ Notified/Method: Supplemental Information c52) CaCYAL7. g1 Mechanical permit fees*are based on the value of the work ®New construction IDAddition/alteratio k ►,`�'� - performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: w mechanical materials,equipment,labor,overhead,and profit. Value:$ CA 1t" CON `RIJCT ON .zswENTIAL EMIPME r/SYS t ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total ,- INFORMATION AND LOCATION Heating/cooling: ` ' Air conditioning 1 46.75 46.75 Job site address:9912 SW MURDOCK STREET Furnace 100,000 BTU(ducts/vents) J 46.75 City/State/ZIP:PORTLAND,OREGON 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:MURDOCK Duct work 23.32 Cross street/directions to job site:SW 100TH AVENUE 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:MURDOCK Lot no.:2 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas NEW RESIDENTIAL CONSTRUCTION fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 rPROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:SAGE BUILT HOMES LLC Range hood/other kitchen equipment 1 33.39 33.39 Address:1815 NW 169TH PL SUITE 1040 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:BEAVERTON,OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 23.32 Phone:(503)533-5167 Fax:(503)533-5164 Attic/crawlspace fans 1 23.32 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:SAGE BUILT HOMES LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:KYLIE HOFENBREDL Furnace,etc. Address:SAME AS ABOVE Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(971)221-4597 Fax::( ) Fireplace Range E-mail:KYLIE@SAGEBUILTHOMESLLC.COM Barbecue CONTRACTOR Clothes dryer(gas) Business name:GRAMER HEATING&COOLING Other: KCAL PERMIT FM* . Address:53725 NW Old Wilson River Road Subtotal City/State/ZIP:Gales Creek,Or 97117 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)720-2636 Fax:(503)536-6734 State surcharge(12%of permit fee) CCB lic.:161571 TOTAL PERMIT FEE Z /� This permit application expires if a permit is not obtained within 180 /1 (41ritej days after it has been accepted as complete. • Authorized signature: / /l// Fee methodology set by Tri-County Building Industry Service Board Print name:KYLIE HOFEN c4' DL Date: I:\Building\Pemrits\MEC_PertnitApp_040113.doc 440-4617T(11/02/COM/WEB) -2Iumbin! Permit Application Building Fixtures -0i)'' 1 OR O1 11( 1 l •I (1vI l City of Tigard Received Permit No.: IIIn 13125 SW Hall Blvd.,Tigard,ti")` ': DateBy: -�j(p-p�J�aJ I VrJ ■ Phone: 503.718.2439 Fax: 50 ` 960 `0`LO\� DateBy:Review Other Permit No.: Inspection Line: 503.639.4175 i i t,�\h r) ,tL � Date Ready/By: Juris ® See Page 2 for Internet: www.tigazd-or.gov c� ��5"�crNotified/Method: *4 �l _ � Sup�plemenblInformation YPEOFW , i 1 ®New construction o For s ecial in ormation use checklist 1� Description �� Qty. I Ea. I Total ❑Addition/alteration/replacement 0 t New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF coparrRUCTION SFR(I)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9912 SW Murdock Street Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Portland,Or 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Murdock Manufactured home utilities 50.03 Cross street/directions to job site:SW 100th Avenue Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Murdock I Lot no.:2 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New Residential Construction Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►_ PROPERTY OWNER ' 0 TENANT Expansion tank 12.51 Name:Sage Built Homes,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1815 NW 169''Place,Suite 1040 Garbage disposal 25.02 City/State/ZIP:Beaverton,Oregon 97006 Hose bib 25.02 Phone:(503)533-5167 Fax:(503)533-5164 Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Sage Built Homes,LLC. Medical gas(value:$ ) Page 2 Contact name:Kylie Hofenbredl Primer 12.51 Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:(971)221-4597 Fax::( ) Tub/shower/shower pan 12.51 E-mail:kylie@sageuilthomesllc.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Ed Mullen Plumbing Water piping/DWV 56.29 Address:1601A SE River Road Other: 25.02 City/State/ZIP:Hillsboro,Or 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.:34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: t K-----)^\..........„./---LiU,.._ TOTAL PERMIT FEE Print name:Kylie Hofenbre Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616TO0/02/COM/WEB) City of Tigard 111111 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /1417-,20/6,—a_io30 Site Address: qq a SW MtAIACC14 a", Project Name: RtAraock Par\-- on Lot #: 2,,, (New dwelling=subdivision name;.Addition or;Alteration=last name of owner) Planning Review Proposal: new SF E Verify site address/suite#exists and active in permit system. sig River Terrace Neighborhood: ❑ Yes No Si$. Plan Elements: ree(3)copies of site plan -sting structures on site ti,li to plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished 'prawn to scale (standard architect or engineer scale) door elevations lyorth arrow ,u�{Utility locations (required for new,may apply for additions) VS).4e address,project or subdivision name and lot number ocation of wells/septic systems plicant information(name and phone number) Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions esign,location of catch basin,etc.) $Lbt area,building coverage area,percentage of coverage and Sir:-t names pervious area (applicable if R-7,R-12,R-25&R-40) reet tree size,type and location N. roperty corner elevations (2 foot contour lines if more than u Existing trees to be retained with drip line,and tree 4 foot differential) protection measures --$-Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): JRequired: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No NJ Public Facilities Improvement(PFI) Permit: / Required: ❑ Yes,applicant was notified ❑ NoApplied For: L9 Yes ❑ No,stop intake "Land Use Case#: MLP2.O\S-0000 I Z1/oning: R-3‘5 Setbacks: Front Rear 5, Side 1 ell Street Side -- Garage 20 - Landscape Requirement: °'o $Lot Coverage Maximum: Wit_,/Building Height: Maximum Height 2.S i Actual Height 2.S and me ekS 18,�13a.0 Ul Visual Clearance "V Easements --B-//ensitive Lands: ❑ Yes tel` No Type ,Urban Forestry Plan onditions "Met"prior to issuance of building permit C Notes: Approved By Planning: Yi �i m L rb Date: 2116116 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Bui lding\Fonns\BldgPennit Rvw_RES_0709I5.docx Building Permit Submittal Original Submittal Date: 2,06 Site Plans: # Building Plans: Building Permit#: nt building permit#above. Workflow Routing: la�nning �F.ngineering rmit Coordinator _T3 ig Workflow Sign-off: la--Sig...--n-off for Planning(include notes from planning review) Route Application Documents: -neering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: Engineering Review /Slope at building pad: 5J Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: E Yes ❑ No LIDA Facility on lot: ,Yes ❑ No ❑ NOT Approved by En_ineering: Date: Notes: ,r _ _-�r Approved by Engineering: _7 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 ❑ Approved,NOT Released: 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: SDC Fees Entered: Wash Co Trans Dev Tax: *Yes ❑ N/A l Tigard Trans SDC: Yes ❑ N/A Parks SDC: Wi'es ❑ N/A OK to Issue Permit Approved by Permit Coordinator: 41W- Date: 3/ /( 1:\Building\Fonns\BldgPennitRvw_RES_0709I 5.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 9912 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00030 Jeff Grove Street tree Moisture content Lighting efﬁciency Forms received Violation Summary: Inspector Contractor