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Permit 7° CITY OF TIGARD BUILDING PERMIT al:'} COMMUNITY DEVELOPMENT '` Permit#: MST2015-00284 13125 SW Hall Blvd.,Tigard ° Date Issued: 02/08/2017 T L3�"� OR 97223 503.718.2439 e rt• Parcel: 2S112C600500 Jurisdiction: TIGARD Site address: 15133 SW 81ST AVE Project: Hoggans Park,Lot 4 Subdivision: HOGGAN'S PARK Lot: 6 Project Description: New SF. 3/16/2017: REPRINT permit to add(1)laundry sink. Contractor: WESTWOOD HOMES LLC Owner: WESTWOOD HOMES LLC 12700 NW CORNELL RD 12700 NW CORNELL RD PORTLAND, OR 97229 PORTLAND, OR 97229 PHONE: 503-330-2215 PHONE: FAX: 503-342-2403 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: NEW Type of Const: VB Building Permit-New Construction 02/08/2017 $1,994.64 Occupancy Grp: R-3 Occupancy Load: Plan Review 12/30/2015 $751.34 Dwelling Units: 1 12%State Surcharge-Building 02/08/2017 $239.36 Wash Co Trans Dev Tax-SF Detached 02/08/2017 $8,113.00 Stories: 2 Height: 24 ft Parks SDC Improvement-SF Dwelling 02/08/2017 $4,248.00 Bedrooms: 4 Bathrooms: 3 (detached/attached) Value: $354,716 Parks SDC Reimbursement-SF Dwelling 02/08/2017 $1,001.00 (detached/attached) Parks SDC Neighborhood-SF Dwelling 02/08/2017 $1,575.00 Floor Areas: (detached/attached) DC Provision Review,SF-Ping 02/08/2017 $88.00 Total Area: Info Process/Archiving-Lg$2.00(over 02/08/2017 $22.00 Accessory Struct: 0 11x17) Basement: Info Process/Archiving-Sm$0.50(up to 02/08/2017 $29.00 Carport: 0 11x17) Covered Porch: 165 Metro Const.Excise Tax 02/08/2017 $425.66 Deck: Tig-Tual School CET-Residential 02/08/2017 $3,460.80 Permit Fee-Elect(per dwelling unit) 02/08/2017 $338.14 Limited Energy 02/08/2017 $75.00 12%state surcharge-Electrical 02/08/201/ $49.58 Mezzanine: Total $24,364.95 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: Parapet: 2 A geotechnical report is required Fire Alarm: Protected Corridors: before the footing inspection is Smoke Detectors: Manual Pull Stations: Accessible Parking: 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:4,./ < Permittee Signature: GT`� /' �l 3.639.4175 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. Plumbing Permit Application �- - ,. • ' e ', Building Fixtures FOR OFFICE ESE ONLY City of Tigard LIAR ; I(0 1! Received j� Datersy: /? Permit No &j7;20/4,j7 /4,G0,21)/ li 13125 SW Hall Blvd.,Tigard,OR 97223 .III Review m Phone: 503.718.2439 Fax: 503.5981.1960' .s Date/By: Other Permit No.: TI G A R D Inspection Line: 503.639.4175 t Date Ready.By: tors: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information , '�.�� fid' �� iyrw -t' �.. �}: ..�;, 'o+.. :r t;• �r¢.a �?,+t-:, � � ..,w �al Y:a .x�. �..t a 1�,�-':;lax w�.izsx^ir:'n+'yx• sc;�'?Tt:..�.k,{ ... k>Pv,.,},'•,a {'H+ TO S„,S.VA i,`::,;i^.+ '?}.. .p 2.d�^� N'AS' t 'Lh: 1"'i;: #74'f �N �Z�.M', gp �+^ y0Ago�11�'x'�:M1 tvotl` S ."rnt }rn \tp 5"� i ?#:as 4, trtl�sp � k+i Y 1"E,:1d k: z rN, tM }.,`y.,E; S a.nt.h 4�'M1 tNi 41CHF.� ja :y i ag I ix1.t�: 4E i r � . .w ......• u: =..,•dl.. �� x.4F AA.,.S �� • 2.�k.}.k+u).ft-a'�Z"p!. ,.7r:,,s.:.a�!,,:,...��...�xr..:w Fit..a_ ,r ,,..R..;.�..,....:�, u�..:.,. �:. .,.,.,.H eF`e ...:,i„ .�..�..r...- . ...,.�.,�::x :,,..s..»., ,, .• �.. ...� ,�y, .>•�.. '•..au.: �.fr .... ®New construction 0 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) ` } N�� , VFLONS�lCTdNyu } SFR(I)bath 312.70 t yA _ieibm;,t .:4 n,I,:4u. - f . Y § T ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler ( sq.ft.) Page 2 v i ' 4 4 M.( (a iaD OCAfkbn ` Site utilities: x4d,h, h � .Aej3k 5 gC.,wAm .. F >L ,. »cm5tia _ ; Job site address:15133 SW 81'Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: f/066,,9(/j; ,4' 4!-,L Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 ' Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:, ,_-„) Page 2 Subdivision:Hoggans Park I Lot no:4 gg Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Riapeti a i��z fi t r t�y M1 ��{�x��''',fr 4 ;ygte ,1t15x y V .; s�. Backwater valve 12.51 wm emi'f,a ,�rA i",gnats...s ,D_ .S Ip ' � >:4:40.1 ei�..�e ale .,}��rY;w 5�Ar t lA",.Y fid.'r. / �� ._ .. Clothes her 25.02 I Add laundry sink to original permit /J t /_ /a - QCn.-`3Dishwasher. 25.02 ............ Drinking fountain 25.02 Ejectors/sump 25.02 11w' xwi:aK'nP& ., 4 l x� .r i +.�+• gra S w,'• x w a i it~ a ' 4 1n t 'E H line% Ex ansion tank 12.51 h� 3.44 -.� O;p1, x t s l�� 0 4,4 .,4 �i 041 P i~.�a*„a x�-.��,..e u raax�. '2.• -.a..t'y 3a,z xtt U i�,,.,•�wa?mr ti,•,.;{�'�.:.��,�.Y...,.s'd .�N.:�`L�..0,q$°}°�h e'�:a:; Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:I2700 NW Cornell Rd Garbage disposal 25.02 City/State/ZIP:Portland,OR 97229 Hose bib 25.02 Phone:(971)678-5018 Fax:( ) Ice maker 12.51 -,.%.,,-.,?,..,,,,:,,,,..!,,, d.1 .,,,w �{ fi5 L0`d vii. '.t Yy ,v -_5 }d' i�F''IF X` -, _... �l S_ .. # X,. K Y Y Yl l4° j `43" d - -__1n _- Business name:Westwood Homes LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Fricke Roof dram(commercial) 12.51 Address:12700 NW Cornell Rd Si sin/lavatory �'/.4/ / 25.02 City/State/ZIP:Portland,OR 97229 Solar units(potable water) 62.54 Phone:(971)678-5018 Fax::( ) Tub/shower/shower pan 12.51 E-mail:Matti westwoodhomeslic.com Urinal 25.02 ,30 £ r l . y `ti` �� NTRACTOR M Xi"Water closet 25.02 -' Water heater 37.52 Business name:H and H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie,OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCB Lie.:178122 Plumbing Lic.no.: Plan review (25%of permit fee) r State surcharge(12%of permit fee) Authorized signature: lr� `/��� -� TOTAL PERMIT FEE A !j 's^/�� This permit application expires if a permit is not obtained within 180 days Print name: //7 ` )'n 141/11 41 ,11 Date: �)2. after it has been accepted as complete. (Y [ ( +*Fee methodology set by Tri-County Building Industry Service Board. I:Building\Permit5':PLMU-PermitApp.doc 10/01/09 440.4616T(10/02/COM'wt:B) IN . CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00284 'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/08/2017 Parcel: 2S112CB00500 Jurisdiction: TIGARD Site address: 15133 SW 81ST AVE Subdivision: HOGGAN'S PARK Lot: 6 Project: Hoggans Park, Lot 4 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1221 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1663 sf Garage: 606 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 5 Detectors: Total: 2884 sf Value: $354,716.13 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 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'500 sf: 5 201-400 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: Y 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 G NEW p yrou p: Square Feet: SF VB R-3 2884 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 2 A geotechnical report is required before the footing PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,291.93 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 co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800,332.2344. 1/4 Issued By: �G �- Permittee Signature: "- M' 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 Application Z o % 1/ Residential RECEIVED .s � / FOR OFFICE LSE O.A'LN' y City of Tigard Received 13125 S W Hall Blvd.,Tigard,OR97223D E C 2 3 2015 Date/B : /1 .Z rfa. Permit .-,17e•/5---,e,0": 217.S �s�� 17 lig _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review I TI G A R D Inspection Line: 503.639.4175 CITY OF TI GARD Date/B : % COther Permit 1G jde„,a2` Cf� f. Internet: www.tigard-or.gov Date Ready/By: Tars: ® See Page 2 for BUILDING DIVISION Notified/Method: 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. ID Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all Other: equipment,materials,labor,overhead, d the profit for the work indicated on this application CATEGORY OF CONSTRUCTION ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ `x -, `� Ci + / ❑Accessory building IDMulti-familyNumber of bedrooms: f+' ❑Master builder 0 Other: Number of bathrooms: j JOB SITE INFORMATION AND LOCATION Total number of floors: A- Job site address: 1 ✓ t,` *-! T t r7 `.a" f 1 ? J i i t New dwelling area: "r square feet, 9 City/State/ZIP: `"�- '14.:2 •'v� /`. , - ,xd J °,` <.y Garage/carport area: /,�� square feet Suite/bldg./apt.no.:` I Project name: Covered porch area: ' square feet I C CS Cross street/directions to job site: Deck area: -— i C j— square feet)-1.D.... 1 Other structure area: -- square feet Subdivision REQUIRED DATA:COMMERCL4L-USE CHECKLIST { ,j,` , ^ ` `r-' (4 I Lot no.: y Permit fees*are based on the value of the work performed. Tax map/parcel n?.:-/ !! Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the work indicated on this application. New Single Family Construction Valuation: $ Existing building area: square feet New building area: square feet 10 PROPERTY OWNER I ©TENANT Number of stories: Name:Westwood Homes LLC Type of construction: Address:12700 NW Cornell Rd Occupancy groups: City/State/ZIP:Portland,OR 97229 Phone:(971)678-5018 Existing: Fax:( ) APPLICANT New: CONTACT PERSON BUILDING-PERMIT FEES* Business name:Westwood Homes LLC (please refer toJee schedule Contact name:Matt Fricke Structural plan review fee(or deposit): Address:12700 NW Cornell Rd FLS plan review fee(if applicable): City/State/ZIP:Portland,OR 97229 Total fees due upon application: Phone:(971)678-5018 I Fax::( ) Amount received: E-mail Matt@Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Westwood Homes LLC Submit two(2)sets of roof plan with connection details Address:12700 NE Cornell Rd and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97229 Permit Fee(includes plan review Phone:(971)678-5018 and administrative fees): $180.00 I Fax:( ) CCB lic.:195597 State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Matt Fricke I Date: I *Fee methodology set by Tri-County Building Industry Service Board. I:Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio 11ECEIVE FOR OFFICE USE ONLY City of Tigard Received V 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: PermitIIII �-}- _. Phone: 503.718.2439 Fax: 503.598.1960 DEC 23'2015 Si ��-��D��' 24.Plan Review TIGARD Inspection Line: 503.639.4175 Date/By: Other Permit: Internet: www.tigard-or.gov CITY OF TIGAR I DaNotite Ready/By: Jus: ® See Page 2 for BUILDING DI"ISI•I` fied/Method: Supplemental Information. TYPE OF WORK Y COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement ❑Demolitionperformed.Indicate the value(rounded to the nearest dollar)of all 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ ® 1-and 2-family dwelling ❑Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 Accessory building Fors special j P ial in ormurion use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: - Air conditioning46.75 . i > t i/ 1;:':::'.L: ( l. l City/State/ZIP:Tigard OR ,•-? • - Furnace 100,000 BTU(ducts/vents) f 46.75 " i-F',i, Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 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: l' .-c,, e _ ' Other: 23 32 I Lot no.: Tax map/parcel no Other fuel appliances: Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 new SFR Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER Other: ❑ TENANT 23.32 Name:Westwood Homes LLC Environmental exhaust and ventilation: Range hood/other kitchen Address: 12700 NW Cornell Road equipment ( 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, ((�� Phone: 711'41 3's-oi e Fax:(503)342-2403 toilet compartments,utility rooms) 'i 23.32 Attic/crawlspace fans 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Westwood Homes LLC Fuel piping: Contact name:.I t -11 Fr,tee $14.15 for first four;$4.03 for each additional Furnace,etc. Address: 12700 NW Cornell Road Gas heat pump City/State/ZIP:Portland OR 97229 Wall/suspended/unit heater Water heater T?'!--E - Phone: ffcort I Fax::(503-)342-2403 Fireplace E-mail:Mwestwoodhomesllc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: Address:PO Box 433 MECHANICAL PERMIT FEES* City/State/ZIP:Clackamas,OR 97015 Subtotal Minimum permit fee($90.00) Phone:(503)656-1908 I Fax:(503)650-3898 Plan review(25%of permit fee) CCB lic.:178624 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete * Fee methodology set by Tri-County Building Industry Service Board Print name:Jon Montgoif Date: l.\BuildingtPermits\MEC_PermitApp_040113.doc I 440-4617T(11/02/COM/WEB) • Electrical Permit Applicati4 ECEf VE FOR OFF ICF USE o\l.l' City of Tigard zeiRvee:iew13125 SW Hall Blvd.,Tigard,OR 972231 E C 2 3 2015 /BPermit# , f�� `S', QOa�z• res Phone: 503.718.2439 Fax: 503.598.1960 Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: R Permit#: 1 1 CARD p Internet: www.tigard-or.gov BUILDING DIVISION See Supplemental Notified/Method: Supplemental Information TYPE OF WORK ®New constructionPLAN REVIEW 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION dwelling exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-famil Y g 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. JOB SITE INFORMATION AND LOCATION 0 Installation separately d derived or El system. Job#: larger derived I Job site address. 151,;:-,'"'"• ,,/ ;` + ❑Addition of new motor load of system. v ( '+r 2 10011P or more. City/State/ZIP: T :1/4, ❑«A,> «E,> «1 2„ <`1-3» e / a 0 Six 1 more residential units, occupancy. Suite/bldg./apt.#: ❑Health-care facilities. ❑Recreational vehicle parks. I Project name: 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE r Description .: I Qty T Each 1 Total l • Subdivision: ? ' i F New residential single-or multi-family dwelling unit. ,- c :,` I Lot#: Includes attached garage. Tax map/parcel#: F 1,000 sq.ft.or less 1 168.54 4 DESCRIPTION OF WORK Ea•add'1500 sq,ft.or portion 5 33.92 1 New SFR Limited energy,residential (with above sq.ft.) ) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 a PROPERTY OWNER I 0 TENANT Renewable Energy ❑ See Page 2 Name:Westwood Homes LLC Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 12700 NW Cornell Rd City/State/ZIP:Portland,OR 97229 401 amps to 600 amps 11 200.34 2 Phone:(971)678-5018 601 amps to 1,000 amps 301.04 2 1 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on property srelocation intended for sale,lease,rent,or exchange,according to ORS 447 449,670,and 701 not 2001 amps toor 100ess ( 59.368 1 201 amps 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 Et APPLICANT CI I CONTACT PERSON Branch circuits—new,alteration,or extension, er panel Business name:Same as Owner A.Fee for branch circuits with above service or feeder fee, Contact name: each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'I branch circuit 7.42 2 Phone:( ) I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 CONTRACTOR Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave#203 Signal circuits)orlimited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Phone:(503)642-2800 Additional inspection(1 hr min) 66.25/hr I Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectric@comcast.net Industrial plant(1 hr min) 78.18/hr CCB Lic.: 157891 I Electrical Lic.: 34-436C Inspections for which no fee is I Suprv.Lic.: 42325 specifically listed(%2 hr min) 90.00/hr Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Print name: Stephen Ross Subtotal: I Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of pennit fee): Authorized signature:_,7,- ,, '' TOTAL PERMIT FEE: I Print name: / „-- This permit application expires if a I Date: _"•` 1_-C1_ I P permit is co plete. within 180 � days after it has been accepted as complete. I:iBuilding\Permits\ELC_PermitApp ELR_ERE.doc Rev 06/17/2015 •' Number of inspections allowed per permit. 440-4615T(11/05/COM/WEB 1lumbing Permit Applicat' Building Fixtures RECEIVED FOR OFFICE USE ONLY ' City of Tigard DEC 2 3'2015 Received _ 13125 SW Hall Blvd.,Tigard,OR 97223 y Permit No.' w Date/By: �> d�-S'L?� illIls Phone: 503.718.2439 Fax: 503 pp�p��yc /��g�q Plan Review Orri OF TIGARD Date/By: Other Permit No.: 1l GARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Jwis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description Qty. 1 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 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath ( 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 5l i,.i ;' f, .; }'. Catch basin or area drain 18.76 ( J 1 , Lf City/State/ZIP:Tigard OR 4 Drywell,leach line,or trench drain 18.76 t Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: '71:^✓ �ii,, `", //)r k j Lot no.: ` Fixture or item: - Tax map/parcel ni/ Backflow preventer ( 31.27 DESCRIPTION OF WORK Backwater valve 12.51 new SFR Clothes washer 1 25.02 Dishwasher d 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Address: 12700 NW Cornell Road Floor drain/floor sink/hub 25.02 Garbage disposal 1 25.02 City/State/ZIP:Portland OR 97229 Hose bib Z. 25.02 Phone: i'7'i- 611-c0/51 Fax:(503)342-2403 Ice maker 12.51 P APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: tJ $411e� It( Medical gas(value:$ ) Page 2 Contact name: c �Ce. Primer 12.51 �1cfi� Com , ., Roof drain(commercial) 12.51 Address: s a kie ..,.-2-; 0,,-.,"/ C Sink/basin/lavatory 9 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:Mt )67-t*- (,' Fax::( ) Tub/shower/shower pan "c21 12.51 E-mailMl&westwoodhomesllc.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 - CCB Lie.:178122 Plumbing Lic.no.: Plan review (25%of permit fee) gn / -7, /�/ .. /,/� State surcharge(12%of permit fee) _ Authorized signature: i Aa. / TOTAL PERMIT FEE Print name:Dusti ague 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. I:\Buitding\Permits\pLMU-PermitApp.doe 10/01/09 440-4616T(t0/02/COM/WEB) • City of Tigard RECEIVED to !! COMMUNITY DEVELOPMENT DEPARTMENT TIGARD BuildingResidential CIT Permit Review — DEC 2 3 2015 Y OF TIGARD Building Permit #: BUILDING DIVISION Site Address: / . ' .4) 8 Project Name: '�� A►��`� „ ., _Ale Lot #: (New dw. "1 subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: "V• -r.2 Vi(Verify site address/suite#exists and active in per ever Terrace Neighborhood: ❑ Yes mit syst No Sit, Plan Elements: M ree(3)copies of site plan ' e plan must be on 8-1/2"x 11"or 11 x 17"paper Ai'sting structures on site o.r elevations t of new structure(including decks)with finished raven to scale(standard architect or engineer scale) rth arrow fl.•r elevations �,dJ e address,project or subdivision name and lot number re, fit'locations (required for new,may apply for additions i �.cation of wells/septic systems additions) 1 iplicant information (name and phone number) 1/Erosion control(incauding drainage-way protection,silt fence 47, •t dimensions and building setback dimensions rt of area,building coverage area,percentage of coverage and UQ� eet names of catch basin etc.) oi pervious area(applicable if R-7,R-12,R-25&R-40) operty corner elevations(2 foot contour lines if more than treet tree size,type and location 1 4 foot differentialsting trees to be retained with drip line,and tree .rotection measures t lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified Public Facifiti,'Improvement (PFI) Permit: No Received: ❑ Yes ❑ No Jequired: VYes,applicant was notified ❑ No Applied For: 112/Yes ❑ No,stop intake and Use Case#: �oning: A_ /!iI. 1 •`.n ? .� etbacks: Front Ihrl Rear _T__ Side Street Side / Gara e , andscape Requirement:vy % (� g �[ of Coverage Maximum: IL _RCI opo �/Building Height: Maximum Height 3S..— / l_�gl/Visual Clearance Actual Height = ' hEasements 4�' of ensitive Lands: ❑ Yes " Urban Forestry Plan 10 Type ❑ Conditions "Met"prior to issuance of building permit Notes: n 2 4- _ 4,2 Approved By Planning: . .z7::::::::::- -.��=%_ — ,y .7---------- ______ ,ri Dater /S Revisions (after Building Submittal only) Revision 1: ❑ Approved ❑ Not Approved Reviewer Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw_RES 070915.docx Building Permit Submittal Original Submittal Date: /L1z31<C Site Plans: # 3 Building Plans: # —_ Building Permit#: 0--Enter building permit#above. r l Workflow Routing: Planning Engineering Er-Permit Coordinator B g Workflow Sign-off: Sign-off for Planning(include appy fromplanning le plan, (1) building plan and eview) Route Application Documents: O'Engineertng. ( ) copy permit original plan review routing form. el/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: =amp, Date: %Z Zr By Permit Technician: ill1� ` r--e--_. Engineering Review ,„zr Slope at building pad: CI Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: No Assess Water Quality Fee in-lieu: ❑ Yes N Assess Water Quantity Fee in-lieu: ❑ Yes ❑ Noo LIDA Facility on lot: ❑ Yes Date: CINOT Approved by Engineering: Notes: �r�-- All -, Date: Z?_'ZZI_ Approved by Engineering: .?�� Revisions (after Building Submittal onl Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit Date: 0 Approved,NOT Released: 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: DC Fees Entered: Wash Co Trans Dev Tax: ),If9Yes 0 N/A T Tigard Trans SDC: 0 Yes ?'—' 1 /A Parks SDC: , Yes 0 N/A rOK to Issue Permitr✓ � Approved by Permit Coordinator: / ( Date: 12-- � I:\Building\Fonns\B1dgPennitRvw_RES_070915.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15133 SW 81ST AVE, TIGARD, OR, 97224 June 12, 2017 at 9:31 :17 AM Record Type: Record ID: Residential - Master Permit MST2015-00284 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No access to panel for inspection, doors and underlayment stacked in front of. Provide access to electrical for inspection. R109.1 Remove smoke detector covers for inspection. Not ready for inspection at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15133 SW 81ST AVE, TIGARD, OR, 97224 June 20, 2017 at 10:17:53 AM Record Type: Record ID: Residential - Master Permit MST2015-00284 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved plumbing final inspection prior to building final inspection. Steps from garage to house not to code, top step 2" difference from lower steps. R311 .7.1 Provide approved plans and city approved site plan on site for final inspection for street tree location verification. R106.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15133 SW 81ST AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2015-00284 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor