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Permit (40)
CITY OF TIGARD MASTER PERMIT II 11. '. COMMUNITY DEVELOPMENT Permit#: MST2017-00353 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2017 Parcel: 1 S134DC13000 Jurisdiction: Tigard Site address: 11477 SW SUZANNE AVE Subdivision: MISSION MEADOWS Lot: 2 Project: Mission Meadows, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1826 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3154 sf Value: $391,300.79 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 Other Fixtures: 0 Drywell-Trench Drain: 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: 6 201-400 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 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503-639-4175 LAKE,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-593-5324 PHONE: 503-381-3753 FAX: 503-214-8524 Total Fees: $32,596.14 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 fuls adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o a�copp of the r les or direct questions to OUNC by calling 503.232.1987 1.800.332.2344. Issued By: i2' —".4" -� Permittee Signature: L [/ '—____--- 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 Application ',Residential lOR OlT lcl: 1 51:Oy l.v "" Received City of Tigard 3 i s,.tf t ` ' 1 Date/By: "fir/!cj if? / Permit No.:41 s?o/7....e03 g-3 : • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � / e Phone: 503.718.2439 Fax: 503.598.1966 E F 14 1017 DateBy: 9 'as .- ) d/ Other Permit:SGl/K 2 Gl 2--006.7,..e 11 R I, Inspection Line: 503.639.4175 Date Ready/By: /h June: 0 See Page 2 for Internet: www.tigard-or.gov d�-iV OF 1 i 4;;;AK;, ified/Method: © i l/,�yf,(`lJ I Supplemental Information ll!! ii : in " r t ,'�t.,, w — _ TYPE OF WORK REQU ED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling 0 Commercial/industrial Valuation: �'39d69A` Q 1+3� -11 11 Accessory building ElMulti-familyNumber of bedrooms: 4 d ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 7 6 Job site address: li 'I i? 5 tpi .CW -41ir Pty New dwelling area: 3154 square feet City/State/ZIP:Tigard Or 97223 Garage/carport area: 606 square feet Suite/bldg./apt.no.: Project name:Mission Meadows Covered porch area: —TM.4.26 square feet, $ag Cross street/directions to job site:Springwood ST to 115th AVE Deck arEV -�gPty 1 , square feet)3 a� Other structure area:f1L11a<°V!njuare feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Mission Meadows I Lot no.: 'L 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. Valuation: $ New Single Family Residential Construciton Existing building area: square feet New building area: square feet '� PROPERTY OWNER 0 TENANT Number of stories: Name:Mission Homes NW Type of construction: Address:PO BOX 1689 Occupancy groups: City/State/ZIP:Lake Oswego OR 97035 Existing: Phone:(503)5935324 Fax:(503)2148524 New: 4 APPLICANT ❑ CONTACT PERSON - BUILDING PERMIT FEES* Business name:Mission Homes NW (Please refer tofee schedxl) Structural plan review fee(or deposit): Contact name:Ben Dalbey FLS plan review fee(if applicable): Address:PO BOX 1689 Total fees due upon application: City/State/ZIP:Lake Oswego Or 97035 Amount received: Phone:(503)5935324 Fax: :(503)2148524 E-mail:benldalbey@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Missiom Homes NW Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:PO BOX 1689 Solar Installation Specialty Code checklist. City/State/ZIP:Lake Oswego OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)5935324 Fax:(503)2148524 State surcharge(12%of permit fee): $21.60 CCB lic.: 186849 Total fee due upon application: $201.60 Authorized signatureZ....---Z,....--%------- "ZThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Ben Dalbey Date:8-8-17 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OF FR T. FSE 0N1.1 { Cl of Tigard �. Received Permit No.:/,� 2 `Jg E ' Date/By: /f15j ~. O�J 13125 SW Hall Blvd.,Tigard,OR 9722 * ,A '� - Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: I I c;n K u Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for p SEP 1 2017 Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF 1 i,,-,',AM.:}, TYPE OF VAKDING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family 0 Master builder ❑Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 Job site address: //977 .$ti; jt/ _v1i e /®z...,_- Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:TigardOr 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Mission Meadows Duct work 23.32 Cross street/directions to job site:Springwood St to 115th AVE 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 v Flue/vent for any of above 23.32 Subdivision:Mission Meadows Lot no.: Z— 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 New Single Family 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 r: PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Mission Homes NW Range hood/other kitchen equipment 1 33.39 Address:PO BOX 1689 Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego Or 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(503)5935324 Fax:(503)2148524 Attic/crawlspace fans 23.32 :4 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name:Mission Homes NW $14.15 for first four;$4.03 for each additional Contact name:Ben Dalbey Furnace,etc. 1 Address:PO BOX 1689 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego Or 970335 Water heater 1 Phone:(503)5935324 Fax: :(503)2148524 Fireplace 1 Range E-mail:benldalbey@gmail.com Barbecue 1 CONTRACTOR Clothes dryer(gas) Business name:Advantage Heating LLC Other: MECHANICAL PERMIT FEES* Address:2355 Hyacinth ST NE Subtotal City/State/ZIP:Salem Or Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)3935315 Fax:( ) State surcharge(12%of permit fee) CCB lic.:174260 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 4-..----"'c------ � days after it has been accepted as complete. Authorized signature: 4"1 * Fee methodology set by Tri-County Building Industry Service Board Print name:Ben Dalbey Date: 4.-7 /7 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Electrical Permit Application iz r R ,...-i i i Permit# ' City of Tigard '°°R rued : 7- ^� e DateBy: S/ �/ s--3 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 ; 2 t) /Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 " Er r dy Date/By: Juris: El See Page 2 for p '' 9 s..7>1 fied/Method: Supplemental Information Internet: www.tigard-or.gov 3LJfi TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 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 ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived , n 9^ ❑Addition of new motor load of system. Job#: Job site address: 91 cid ,..5 �,wV 1 q.e._ 100HP or more. ❑"A">"E","t-z","1-3", 0 Six or more residential units. occupancy City/State/ZIP:Tigard Or 97223 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Mission Meadows 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:Springwood ST t o115th AVE FEE SCHEDULE Description I QtY. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Mission Meadows Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 4 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 1 75.00 2 New Single Fmaily Construction Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER 1 0 TENANT` Services or feeders installation,alteration,and/or relocation Name:Mission HOmes NW 200 amps or less 1 100.70 2 Address:PO BOX 1689 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Lake Oswego Or 97035 601 amps to 1,000 amps 301.04 2 Phone:(503)5935324 Fax:(503)2148524 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 1 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 _+ APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Mission HOmes NW above service or feeder fee, 7.42 2 each branch circuit Contact name:Ben DAlbey B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:PO Box 1689 branch circuit City/State/ZIP:Lake Oswego Or 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)5935324 Fax: :(503)2148524 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:benldalbey@gmail.com • Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Connections Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address:5287 Portland RD NE panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Salem Or 97305 Additional inspection(1 hr min) 66.25/hr Phone:(503)3907914 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:connectionselectric@hotmail.com Inspections for which no fee is 90.00/hr CCB Lic.: 65444 Electrical Lic.: 24-248C Suprv.Lic.:36,//3 specifically listed(/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: / (Ott rt4 Subtotal: Print name: Marvin Bergevin Date: /,7r-/'7 0 Plan Review Required(25%of permit fee): �/�/� j^ State surcharge(12%of permit fee): Authorized signature: G'V v TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Ben DAlbey Date: 67,..-7_/- ,..-7-r 7 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application i Building Fixtures ( -,0..z,..,.r 1F , '' e City of TigardReceived 13125 SW Hall Blvd.,Tigard,OR 97223 SEP Z 0 1Date/By: Permit Nor- .ST�/2.-6 ,TC-3 II I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Inspection Line: 503.639.4175 CITY O 1 H P/ f By: 1 ( A 1:1) f }[tpadyBy: Ellis: Ei1 See Page 2 for Internet: www.tigard-or.govBUILDING m)i a > /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 0 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 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: II ern 5'1,v (.5-ftv , Plr Catch basin or area drain 18.76 Drywell,leach line,or french drain 18.76 City/State/ZIP:Tigard Or 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Mission Meadows Manufactured home utilities 50.03 Cross street/directions to job site:SPringwood St to 115th AVE 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:Missiom Meadwos I Lot no.: 2__ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New Single Family Construction Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 14 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Mission Homes NW Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:PO BOX 1689 Garbage disposal 1 25.02 City/State/ZIP:Lake Oswgo Or 97035 Hose bib 1 25.02 Phone:(503)5035324 Fax:(503)2148524 Ice maker 1 12.51 El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Mission Homes NW Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Ben Dalbey Roof drain(commercial) 12.51 Address:PO BOX 1689 Sink/basin/lavatory 5 25.02 City/State/ZIP:Lake Oswego OR 97035 Solar units(potable water) 62.54 Phone:(503)5935324 Fax: :(503)2148524 Tub/shower/shower pan 3 12.51 E-mail:benldalbey@gmail.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name:Pipe It Plumbing LLC Water piping/DWV 56.29 Address: © 7(9)( r- -i Other: 25.02 City/State/ZIP: 13 pit,(p.ict6 L Ct TCPC Subtotal Phone:(3 )61t-t{~ C/ 77 Fax:J )7J_ 'C9d C,- Minimum permit fee: $72.50 CCB Lic.: / 7£f3S-/ Plumbing Lic.no.: k q. - Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: 71 i,�G,,--""%----- TOTAL PERMIT FEE Print name: 1 /(2.,/4,47Date: 1'9-7/7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IllC 1IGA Building Permit Review — Residential Building Permit #: 7'�0/7— o��3' --3 Site Address: //2-7/79 &A U , /i_e_ Project Name: jSvbrl_ iltajoto' Lot #: c (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: it ? v V( Verify site address/suite#exists and activeAh permit system. Iver Terrace Neighborhood: V No ❑ Yes,See River Terrace Review Addendum Attached Sit'Plan Elements: Gree(3) copies of site plan PI* sting structures on site [ fr to plan must be on 8-1/2"x 11"or 11 x 17"paper TA Footprint of new structure(including decks)with finished E P awn to scale(standard architect or engineer scale) ;.or elevations :. rth arrow J Jdtility locations&easements (required for new and additions) lirSe address,project or subdivision name and lot number OS'dewalk/driveway approach V plicant information(name and phone number) cation of wells/septic systems Mot dimensions and building setback dimensions &? sting trees to be retained with drip line,and tree U uare footage of buildings to be demolished otection measures 0:111 t area,building coverage area,percentage of coverage and eet tree size,type and location iitnpervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes 0 4 foot differential) If yes,is a storm water .uality facili shown? ❑Yes ►,LfNo B Tklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 4 car/1(2447'i Lc} / / GC ' Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No 1J:7 Public Faciliti Improvement(PFI) Permit: P��2(�1Q -06,07y Required: Yes,applicant was notified ❑ No Applied For: PP PP Yes ❑ No,stop intake Land Use Case#: Oil ' Ojr --0 Vionmg: Required Setbacks: Front Rear I "=" Side Street Side AJ Garage 20, �7� Ilandscape Requirement: % it of Coverage Maximum: T. Building Height: Maximum Height 3() Actual Height ,_,Q ce �1'f isual Clearance if j.ensitive Lands: ❑ Yes ❑ No Type M Urban Forestry Plan ❑ Conditions "Me "priT to issuance ofb di g p rmit Notes: � jjC i -S ,..?A9-/l iii e /072 6 r- '7 pec24/ /&'z6-2/7c_ f- :By Planning: P �� 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\Forrns\BldgPemvtRvw RES 061417.docx Building Permit Submittal Original Submittal Date: V/4//77 Site Plans: # 3 Building Plans: # 7 Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator Building Workflow Sign-off: Sign-off for I5lanning(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. '' Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: / �/� Date: q// J ? moo, .. Ii /��I� / En ineering Review c, LE7Slope at building pad: 3 /, ❑ Conditions "Met"prior to issuance of building permit ACOA/0/1104/S All7 7- A 6 T" .0 .27 1isements (encroachments)per engineering conditions of approval and plat [3 Water Quality/Quantity Facility: (JA-1.7 r- C21.1 Al.-l T( 444(a It y 0 -S/Y& Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No IDA Facility on lot: ❑ Yes No LYNOT A roved b E neeriDate: g/�� PP Y • rt Notes: P6,6 AJE-ti)$ 70 (N42G!2E HeJAA ES -4.vP iAISN}-U -e oNE2GiZG- 57/Z6 67" 4/6/17-5 Approved by Engineering: Gp Cie..--.-r" Date: /0/1/i 4'"" 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 0 Conditions "Met"prior to issuance of building permit J 'Xpproved,NOT Released: Date: ql / l Notes: f 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: ` C Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA El Yes RN/A 10/4 1 � Pi` •K to Issue Permit Approved by Permit Coordinator: Date: I:\BuildingForms\BldgPermitRvw_RES_061417.docx Albert Shields From: Albert Shields Sent: Wednesday, September 20, 2017 5:45 PM To: benldalbey@gmail.com Cc: Monica Bilodeau;Jonny Gish Subject: MST2017-00353, 354, & 355 Mission Meadows Ben, on reviewing your plans and applications for these three permits Engineering has noted that the homes need to be energized and streetlights installed and energized before we can release and issue the permits. Accordingly, I have put these permits on hold as Approved but Not Released. Plan Review will proceed and we will release the permits when the above actions are complete. Please let me know if you have any questions. Albert Shields 1 Plumbing Permit Application Building Fixtures FOR on:lc E ISE O:NL1' City of Tigard - - . Received r 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 3(� �� Permit No.: _ ? III Phone: 503.718.2439 Fax: 503.598.1960IN JAN�1 ` " Plan Revie /it No- )/7 l>/J� j K N 3 0 2 0 1 DateBy: Other Permit No.: I WARD Inspection Line: 503.639.4175 Internet: Line:g 03.63 .41 gov � � ,, , . r`a4 `a t-1Date Ready/By: June. t ..e � fl' ^Notified/Method: I Su See Page 2 lInr TYPE OF WOR UIL I U3'JISIII Supplemental Information 0 New construction [ ER* SC DALE ❑Demolition For special information use checklist ❑Addition/alteration/replacementc cription2I Qty. I Ea. I Total 0 Other: Ne I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION b ' ' (1)bath 001312.70 I ® 1-and 2-family dwelling 0 Commercial/industrial 115 SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION- Site utilities: Job site address: f f(.j7/ SW Suzanne PL Catch basin or area drain 18.76 City/State/ZIP:Tigard Or 97223 Drywell,leach line,or french drain 18.76 Suite/bldg./apt.no.: I Project name:Mission Meadows Footing drain(no.linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision:Mission Meadows Water service(no.linear ft.: ) Page 2 I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 -DESCRITTION OF-WORK Backwater valve 12.51 New Single Family Home Constriction Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 >' Pit0PERTY OWN>tR J tJ TEINAN'I' Expansion tank • . 12.51 Name:Mission Homes NW Fixture/sewer cap 25.02 Address:PO BOX 1689 Floor drain floor sink/hub 25.02 City/State/ZIP:Lake Oswego OR 97035 Garbage disposal 1 25.02 Phone:(503)5935324 Hose bib 1 25.02 Fax (503)2148524 Ice maker 1 12.51 02 AP'UC` IT '' CGNT`.&ci PERSON Interceptor/grease trap 25.02 Business name:Mission Homes NW Medical gas(value:$ ) Page 2 Contact name:Ben Dalbey Primer 12.51 Address:PO BOX 1689 Roof drain(commercial) 12.51 City/State/ZIP:Lake Oswego OR 97035 Sink/basin/lavatory 5 25.02 Solar units(potable water) 62.54 Phone:(503)5935324 I Fax::(503)2148524 Tub/shower/shower pan 3 12.51 E-mail:benldalbey@gmail.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Business name:The Mullen Company Water heater 1 37.52 Address: 1601A SE River RD Water piping/DWV 56.29 Other: 25.02 City/State/ZIP:Hillsboro OR 97123 Subtotal Phone:(503)6400113 Fax:( ) 7/// - ) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.: ��_�� Plan review (25%of permit fee) �ya Authorized signature: /. State surcharge(12%of permit fee) Ca'C�-- TOTAL PERMIT FEE Print name:Ben Dalbey I Date:1-24-18 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-pemnitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) i City of Tigard • COMMUNITY DEVELOPMENT NT D1 1'AR'1'MENT III I 4 Request s t f q or Permit Action , ,,,;A„,) 13125 SW Hall Blvd. •Tigard,Oregon 97223• 503-718-2439 •www.dgard-or ov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ] Check I✓)one ' OwnerRj Applicant 0 Contractor 0 City Staff REFUND OR Name: 1 INVOICE TO: (Business or Individual) /ff f t 4 '7c, �JV Mailing Address: 0 # O � t / / _ City/State/Zip: At C'' Of t-ve O 0 # F7655- : Phone No.: 03-$'73 -f ?2---(/ PLEASE TAKE ACTION FOR THE ITEMS)CHECKED(1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ) . REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: Site Address or Parcel#: . J /— Project Name: /SS%v t ii e of Subdivision Name: TSS/''- 4 ,,,10,4S Lot#: EXPLANATION: yc_.____ C` ,, Signature: ,,.de c--------' Print Name: er) Date: (-90.–/ _ RoluabAkx 1. The city's Community Development Director,Building Official or City Engineer may authorize the refimd of: • Any fee which was erroneously paid or collected. • Not more than 80%Of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE, l'SE ONLY EZIMMIEMNI Date B Route to Records: Date Refund Processed: Date B, B Invoice Processed: Date B, Permit Canceled: Date l:\Buiklinq\lvnms\Re 1'em,itAetion o72914.dnc Bj, Parcel Ta;Added: Date B `r 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11477 SW SUZANNE AVE, TIGARD, OR, 97223 March 16, 2018 at 10:47:38 AM Record Type: Record ID: Residential - Master Permit MST2017-00353 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Previous corrections completed. Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor